Metacognitions Questionnaire Research Articles

Food addiction and associated factors in newly diagnosed patients with schizophrenia: a cross-sectional comparison with siblings and healthy controls

BackgroundDespite the potential clinical and treatment relevance of food addiction (FA) among individuals with schizophrenia, the scientific literature on its characteristics and correlates within this population is sparse. Limited knowledge on FA in patients with schizophrenia may impede progress in developing effective treatments for pathological eating patterns and the common obesity and metabolic syndrome problems in this population. Considering these research gaps, the present study aimed to compare the nature and prevalence of FA symptoms among patients with first-episode schizophrenia, their siblings, and healthy controls. As a secondary objective, this study sought to examine the psychopathological correlates of FA in the patients’ group.MethodsA cross-sectional study was conducted in Razi Hospital, Tunis, Tunisia, from January to June 2024. A total of 112 newly diagnosed, clinically stabilized patients with first-episode schizophrenia, 77 of their unaffected siblings and 78 healthy controls were included. FA was assessed using the modified version of the Yale Food Addiction Scale (mYFAS 2.0). The Metacognitions Questionnaire (MCQ-30) and the Emotion Regulation Questionnaire were administered to the patients’ group.ResultsFindings showed a higher prevalence of FA in the patient group (32.1%) compared to both siblings (13.0%) and controls (9.0%). Siblings had higher FA scores compared to controls (16.12 ± 4.95 versus 15.00 ± 6.09; p < 0.001). After Bonferroni correction for multiple testing, higher FA scores were significantly associated with less cognitive self-consciousness (Beta = − 0.54), older age (Beta = 0.45), and higher psychological distress (Beta = 0.63).ConclusionOur findings suggest that people with first-episode schizophrenia are likely to present with co-occurring FA, and experience associated distress. Findings also provide initial support for a possible connection between dysfunctional metacognitive beliefs and FA in patients with schizophrenia, suggesting that cognitive self-consciousness may be a fundamental cognitive process in FA in this population. This may lend some theoretical and clinical implications for alleviating FA symptoms in schizophrenia.

Predicting General Health and Spiritual Well-being Based on Metacognitive Beliefs in Iranian Police Forces: Mediating Role of Cognitive Emotion Regulation

Objectives Various factors can have a role in predicting police forces’ mental and spiritual health. This study aims to assess whether the general health and spiritual well-being of police forces in Iran can be predicted by metacognitive beliefs with the mediation of cognitive emotion regulation (CER) strategies. Methods This is descriptive/correlational study using structural equation modeling (SEM). The study population includes all the employees of the Tehran Police Commands in 2023. Participants were 294 employees of the police headquarters in Tehran, Iran, in 2023, who were selected using a convenience sampling method. Spiritual well-being scale (SWBS), general health questionnaire (GHQ), metacognition questionnaire (MCQ), and cognitive emotion regulation strategies questionnaire (CERQ) were used to collect data. SPSS v.22 and Amos v.24 were used for data analysis. Results Based on the fit indices, the fit of the initial SEM model was not acceptable (RMSEA=0.07, CFI=0.88, GFI=0.87), because the path between metacognitive beliefs and spiritual well-being was not significant (P&gt;0.05). After removing this path, the model’s fit was acceptable (RMSEA=0.06, CFI=0.90, GFI=0.91). The direct and indirect paths between metacognitive beliefs and general health were significant (P&lt;0.01). Also, the indirect path between metacognitive beliefs and spiritual well-being through CER strategies was significant (P&lt;0.01). Conclusion The metacognitive beliefs in Iranian police forces can significantly predict their general health and spiritual well-being directly or indirectly through CER strategies.

Effects of sample size information and within- and between-category similarity on study choices in self-regulated learning.

Category learning is usually better supported by interleaved training (alternating between exemplars from different categories) than by blocked training (studying all exemplars within a category sequentially), yet when asked to choose between the two strategies most people endorse blocking as superior. We used a prototype category-learning task to examine the effects of between- and within-category similarity and knowledge of the number of stimuli to be studied on study sequencing choices during self-regulated learning. Across three experiments (including a complete replication), participants who viewed the number of stimuli in each category showed more interleaving in comparison with those who did not, indicating that participants adjusted their strategy based on the projected length of the study phase. Participants informed about the number of stimuli also showed greater interleaving when within-category similarity was high and greater blocking when within-category similarity was low; this difference was not found when participants were not told the number of stimuli to be studied. Between-category similarity did not affect degree of blocking versus interleaving. Overall, interleaving decreased over training and blocking increased. Most participants endorsed hybrid strategies in which blocking was combined with at least some interleaving on a metacognitive questionnaire, but when forced to choose between exclusive blocking and exclusive interleaving, the majority endorsed blocking. These results indicate that participants are sensitive to category structure and expectations about task length when choosing stimuli to study during self-regulated learning, and adjust their strategy across the time course of study.

The Relationships Between Multidimensional Schizotypy and Metacognitive Beliefs.

There has been a recent surge in schizotypy and metacognition research. Metacognition is an umbrella term for higher-order thought processes. Here, we focussed on maladaptive metacognitive beliefs, which are beliefs related to one's thought processes and often play an important role in the preponderance of psychological disorders. Despite the extensive literature, relatively less is known about metacognitive beliefs in the context of multidimensional schizotypy, which consists of positive, negative, and disorganised dimensions and represents the milder forms of schizophrenia symptoms and vulnerability to developing schizophrenia. This is the first study that examined the links not only with positive schizotypy, but also with negative and disorganised schizotypy. We also attempted to circumvent the limitations related to schizotypy assessment in the previous studies by using a newly developed measure, the Multidimensional Schizotypy Scale (MSS), which was based on the current operationalisations of the construct. We examined the links in a non-clinical sample, including first-year psychology students and members of the wider community of an Australian university (N = 68). Self-report data was collected by administering the Metacognitions Questionnaire-30, MSS, and Marlowe-Crowne Social Desirability Scale to control the self-report measures' social desirability biases. Results revealed positive correlations of maladaptive metacognitive beliefs not only with positive schizotypy, but also with negative and disorganised schizotypy. Our findings support the importance of examining schizotypy as a multidimensional construct. Further, our findings have implications for research and practice, including treatment modalities focusing on the modification of metacognitive beliefs for the prevention of schizophrenia and related conditions.

The associations between mindfulness, metacognition and HbA1c levels among diabetic pregnant patients: A case control study

Pregnancy, due to the diversity of lifestyle changes it leads to, may represent a period characterized by intensified stress. Women of childbearing age are at the highest risk for a number of health difficulties and complications, including glucose abnormalities. Such an occurrence often has a set of complex consequences for both the mother and the newborn. We aimed to examine how mindfulness and metacognition interact with HbA1c levels during pregnancy characterized by Gestational diabetes mellitus (GDM). One hundred pregnant women with GDM and ninety-eight healthy pregnant women were enrolled in the study. Average blood glucose levels were assessed by HbA1c monitoring. Participants completed the Hospital Anxiety and Depression Scale (HADS), DSM-5 Level 2? Anxiety? Adult measure (DSM-5 Anxiety), Five? Facet Mindfulness Questionnaire (FFMQ), and Metacognition Questionnaire-30 (MCQ-30). A negative correlation was found between HbA1c and FFMQ ?Describing? subtest, while a positive correlation was obtained between HbA1c and MCQ-30 ?Negative beliefs about uncontrollability and danger? subtest. Multiple linear regression showed an association between Mindfulness Describing subtest and HbA1c as an outcome variable. Findings imply the association between mindfulness on HbA1c during pregnancy period. Mindfulness cultivation seems to be relevant in emotional and cognitive processes in order to minimize negative stress related effects on well? being during pregnancy. Such approach may be beneficial in promoting treatment compliance among pregnant women with diabetes, but also among women experiencing low prenatal well? being.

Investigation of the Relationship Between Intolerance of Uncertainty, Metacognitions, Maladaptive Coping, and Fear of Cancer Recurrence via Moderated Mediation Model.

In recent years, many studies have investigated the triggers, perpetuating factors, and outcomes of Fear of Cancer Recurrence (FCR), highlighting its complexity with multiple dimensions that encompass both antecedents and consequences. In this sense, the cognitive approach to FCR has explored variables such as metacognition, maladaptive coping strategies, and intolerance of uncertainty (IU). On the other hand, the findings of a restricted number of studies investigating the relationship between FCR and stated variables appear to be inconsistent. The objective of this study was thus to examine the relationship that existed among these variables in breast cancer survivors by moderated mediation model. In this cross-sectional study, 130 breast cancer survivors completed the Fear of Cancer Recurrence Inventory (FCRI), the Intolerance of Uncertainty Scale Short Form (IUS-12), Metacognitions Questionnaire-30 (MCQ-30), and Brief COPE Scale (BCS) Short Form. The mediated moderation analysis was conducted using Process Macro. There was a significant positive correlation found between FCR and IU (r=0.87, p<0.001), and between FCR and negative metacognitions (r=0.72, p<0.001). A weak to moderate positive correlation was identified between IU and maladaptive coping strategies (r=0.19, p<0.05), and between negative metacognitions and maladaptive coping strategies (r=0.31, p<0.001). The relationship between FCR and maladaptive coping strategies was nonsignificant (r=0.16, p>0.05). As a result of hierarchical regression analysis, controlling for demographic and clinical variables, IU, positive metacognitions, and negative metacognitions significantly explained 45%, 2%, and 1% of the variance in FCR, respectively. The results of the current study contribute to the literature in terms of supporting the views that cognitive models of worrying could be used to understand the FCR mechanism and address the IU been which has limitedly studied in the FCR literature. The current study's findings have also contributed to the clinical field by highlighting the importance of incorporating breast cancer survivors' metacognitions and IU in FCR intervention programs.

The Effectiveness of Cognitive-Behavioral Rehabilitation Therapy Based on Stress Immunization Training on Metacognitions and Coping Styles in Women with Type 2 Diabetes

Background: Type 2 diabetes is a chronic medical condition characterized by relative insulin imbalance due to pancreatic beta cell dysfunction and insulin resistance in target organs. Objectives: The aim of this study was to evaluate the effectiveness of cognitive-behavioral rehabilitation treatment based on stress immunization training on metacognitions and coping styles in women with type 2 diabetes. Methods: This quasi-experimental study utilized a pretest-posttest design with a control group. The statistical population consisted of women with type 2 diabetes in Sari. A total of 30 women were purposefully selected from patients referred to the office of Dr. Mashayekh Bakhshi, a specialist in endocrinology and metabolism. These participants were randomly assigned to experimental (n = 15) and control (n = 15) groups. Data were collected using the Metacognition questionnaire and the Coping Styles questionnaire. Results: Demographic findings showed that the mean (and standard deviation) age of participants was 32.933 (7.759) in the experimental group and 36.733 (9.254) in the control group. The results indicated that cognitive-behavioral rehabilitation treatment based on stress immunization training significantly improved metacognitions and coping styles in women with type 2 diabetes (P &lt; 0.05). Conclusions: Cognitive-behavioral rehabilitation based on stress immunization training encourages patients with diabetes to reduce negative spontaneous thoughts related to depression and correct their self-talk. This process reduces negative metacognitions, adjusts emotional strategies, and enhances problem-solving strategies in patients with diabetes, ultimately alleviating their challenges.

Effects of Interpersonal Stress and Maladaptive Metacognitive Beliefs on Paranoid Ideation Among Japanese University Students.

Paranoid ideation, a crucial component of psychotic-like experiences, tends to increase between early and late adolescence, even in the general population, and it negatively affects overall mental health and social adjustment. Japanese adolescents experience high levels of interpersonal stress. However, few studies have examined the relationship between paranoid ideation and interpersonal stress. This study investigated the effects of maladaptive metacognitive beliefs and interpersonal stress on paranoid ideation to provide suggestions for preventive education and early intervention for paranoid ideations among Japanese university students. An online questionnaire survey involving 400 Japanese university students, aged between 18 and 22 years, was conducted. The questionnaires used were the Paranoia Checklist, the Metacognitive Questionnaire-30, and the Interpersonal Stressor Scale. The Interpersonal Stressor Scale was developed specifically for Japanese adolescents. A multiple regression analysis was performed, which showed that the regression coefficients of the interaction between maladaptive metacognitive beliefs and interpersonal stress were significant for paranoid ideation. The results of the simple slope analysis regarding the scales on which interactions were found also indicated that the influence of maladaptive metacognitive beliefs on paranoid ideation was greater when interpersonal stress levels were higher. The combination of interpersonal stress and maladaptive metacognitive beliefs exacerbates paranoid ideation among Japanese university students. It is important to modify metacognitive and cognitive biases in preventive education and early intervention strategies.

Late mental sequelae in post-COVID-19 individuals

Abstract Aim. The aim of the study was to investigate the long-term psychological effects in patients who had experienced COVID-19 and those who underwent quarantine. Differences in metacognitive beliefs and overall mental health were analyzed to assess their impact on the emergence of psychological distress. Material and methods. The study involved 122 participants, including post-COVID-19 patients and individuals who had been quarantined. To assess mental health, the Metacognitive Questionnaire (MCQ) and the General Health Questionnaire (GHQ-12) were used, providing data on metacognitive beliefs and overall mental health. Results. Post-COVID-19 patients more frequently reported positive beliefs about worrying (MCQ1), while quarantined individuals scored higher in cognitive self-awareness (MCQ5) and negative beliefs about lack of control over thoughts (MCQ4). Both groups exhibited similar levels of general psychological distress, suggesting that the pandemic had a widespread impact on mental health, regardless of direct contact with the disease. Conclusions. Both post-COVID-19 patients and quarantined individuals require psychological support to counteract the negative mental effects of the pandemic. Therapeutic interventions, such as cognitive-behavioral therapy and mindfulness techniques, can help manage stress and rumination.

A Mixture Modeling of the Behavioral Activation System and Problematic Internet Use in Adolescents: The Role of Metacognition, Online Dissociation, and Insomnia.

Due to the rapidly developing technological advancements, the overuse of the Internet has led to the emergence of problematic Internet use, which has become a part of our daily lives. This study aims to investigate the relationships between problematic Internet use, Behavioral Activation System (BAS), metacognition, online dissociative experiences, and insomnia. Participants were 341 Turkish adolescents aged between 15 and 19 years (Mean = 15.49, SD = 1.03), of whom 63% were female. Participants responded to the Behavioral Inhibition/Behavioral Activation System Scale, Metacognition Questionnaire, Van Online Dissociative Experiences Schedule, Insomnia Severity Index, and Chen Internet Addiction Scale. The mixture structural equation modeling approach was used to analyze the data. We found a positive relationship between BAS and metacognition, as well as insomnia, and a negative relationship with online dissociation. Furthermore, BAS was indirectly related to problematic Internet use via metacognition, online dissociation, and insomnia. The mixture analysis grouped participants into two latent classes. The first class (76%) had low levels of metacognition, online dissociation, insomnia, and problematic Internet use and high levels of behavioral activation while the second class (24%) had low levels of behavioral activation and high levels of metacognition, online dissociation, insomnia, and problematic Internet use. These findings indicate that individuals with high impulsivity, a tendency toward fun-seeking, and reward sensitivity are predisposed to excessively use the Internet and that metacognition, online dissociative experiences, and insomnia play a determining role in this behavior.

The role of meta-cognitive and emotional beliefs, and negative repetitive thinking in the relationship between emotional abuse and psychological distress in psychiatric outpatients: A serial multiple mediation model

The role of meta-cognitive and emotional beliefs, and negative repetitive thinking in the relationship between emotional abuse and psychological distress in psychiatric outpatients: A serial multiple mediation model

The Relationship Between Metacognitive Beliefs and Suicidal Ideation Among Chinese Male Prisoners: A Network Analysis.

The relationship between metacognitive beliefs and suicidal ideation is complex, yet there is limited research exploring 'the fine-grained and comorbid pathways between the two variables', particularly in prisoners. Data were collected from prisoners who completed demographic surveys and psychological scales between February and March 2024. Demographic information included age, educational background and duration of imprisonment. The Metacognitions Questionnaire-30 (MCQ-30) and Self-Rating Idea of Suicide Scale (SIOSS) were administered. Using R 4.2.3 software, a network model of metacognitive beliefs and suicidal ideation was constructed, with expected influence (EI) and bridge expected influence (BEI) calculated to compare the roles of specific symptoms within the network. The network model revealed 21 significant edges between metacognitive beliefs and the suicidal ideation community. The most vital edges across communities included 'Negative beliefs about worry' and 'Despair', 'Cognitive confidence' and 'Despair', 'Cognitive self-consciousness' and 'Optimism', and 'Cognitive confidence' and 'Sleep' (with edge weights of 0.30, 0.16, -0.16 and 0.11, respectively). 'Despair' demonstrated the highest EI value, exerting the strongest impact on the network. The highest BEI values were found for 'Negative beliefs about worry' and 'Despair'. Network analyses underscore the intricate interplay between metacognitive beliefs and suicidal ideation among prisoners at the symptom level. These findings highlight specific areas for therapeutic focus, potentially leading to more effective mental health support for incarcerated individuals.

Exploring the associations between symptom severity, metacognition, problematic social media use and cyberbullying in treatment naïve adolescents with Attention Deficit and Hyperactivity Disorder

This study investigates the relationship between ADHD symptom severity, metacognition, problematic social media use, and cyberbullying/cybervictimization in treatment-naïve adolescents. Understanding these relationships is vital for enhancing ADHD intervention strategies. Using a cross-sectional design, 97 adolescents meeting DSM-5 criteria for ADHD without any comorbidity and 97 healthy controls were assessed. Measures included the Metacognitions Questionnaire for Children, Social Media Disorder Scale, Revised Cyberbullying Inventory-II, and Revised Conners' Parent Rating Scale-Short. The comparisons were performed with independent samples' t tests and the associations were estimated by using Pearson's bivariate correlations and multiple regression analyses. Results revealed that adolescents with ADHD exhibited higher levels of dysfunctional metacognitions, problematic social media use, cyberbullying, and cybervictimization compared to controls. Regression analysis showed significant positive associations between ADHD symptoms, specific metacognitions (e.g., positive meta-worry, cognitive monitoring), and problematic social media use. This study, the first of its kind among treatment-naïve ADHD adolescents, provides valuable insights into the relationship between ADHD symptoms and particular metacognitions (i.e. positive meta-worry, cognitive monitoring) and problematic social media use. These findings contribute to a deeper understanding of ADHD in adolescence and may inform the development of targeted prevention and treatment strategies, particularly relevant given adolescents' susceptibility to social media's influence and their potential for cognitive flexibility in rehabilitation contexts.

Using Metacognitive Questionnaires to Develop Translator Trainees’ Strategic Sub-competence: A Case Study

The status quo in higher education around the globe has shifted from teacher-centered approaches to learner-centered ones. Yet, researchers in the field of translation teaching argue that advances made in teaching and learning in other educational areas are not apparent in translation classrooms. Although translator educators embrace learner-centered approaches, more efforts are required to make translation training classrooms more learner-centered. Translator educators must meet this challenging transition if they wish to achieve the goals of 21st-century education. Research in the field of education has shown that metacognition can help learners be in charge of their learning. Thus, this study seeks to develop translation trainees&amp;rsquo; strategic sub-competence through the use of metacognitive questionnaires. The results of this study confirm the positive effect of metacognitive questionnaires on the development of translation trainees&amp;rsquo; strategic sub-competence. The findings also show an increase in planning and evaluation strategies and a shift from focusing on individual words to paying more attention to the target text.

A chain mediation model reveals the association between metacognition and quality of life in hematologic tumor patients

The study aims to explore the relationship among metacognition (MC), fear of disease of progression (FoP), psychological distress (PD), and quality of life (QoL), and verify whether FoP and PD have a chain mediating effect between MC and QoL. 231 hematologic tumor patients in a large tertiary hospital were investigated by using Meta-Cognitions Questionnaire-30, Fear of Progression Questionnaire-Short Form, Hospital Anxiety and Depression Scale, and Functional Assessment of Cancer Therapy scale. Data analyses were performed using IBM SPSS (version 25.0) and the PROCESS macro (version 4.1). The results showed that the direct impact of MC on QoL was not statistically significant. However, the indirect influence of MC on QoL manifest through the independent influences of PD and FoP, as well as the chain mediating effect of “PD → FoP.” In addition, all four dimensions of QoL (physical, social and family, emotional, and functional) satisfy the chain mediation model, except for the social and family domain. These insights advance our comprehension of the intricate interplay between MC and QoL, underscoring the importance of improving MC to alleviate patients' PD, mitigate FoP, and ultimately improve the QoL of hematologic tumor patients.

Breaking the cycle: Exploring the relationship of metacognition beliefs, obsessive-compulsive symptoms, and psychosocial performance among individuals diagnosed with schizophrenia.

This research paper explores the intricate relationship between metacognitive dysfunctional beliefs, obsessive-compulsive symptoms, and psychosocial performance in patients diagnosed with schizophrenia. Understanding these dynamics can help mental health nurses identify and address each patient's needs more effectively. It can guide them in devising personalized care plans that not only manage the symptoms but also improve the underlying mechanism that exacerbates the psychotic symptoms and social functioning and the overall quality of life. Moreover, the findings of this research can contribute to developing training programs for mental health nurses, equipping them with the necessary skills and knowledge to provide optimal care. What the paper adds to existing knowledge? • This study provides empirical evidence of the significant positive correlation between OCS and metacognitive dimensions in individuals with schizophrenia. • It highlights the role of certain demographic factors, such as younger age and single marital status, in increasing the likelihood of elevated OCS. • It underscores the inverse relationship between higher metacognitive dysfunctional beliefs and lower levels of psychosocial functioning. • It identifies age and metacognitive scores as crucial predictors of psychosocial functioning across various domains. What are the implications for practice? • The findings suggest that therapeutic nursing interventions for individuals diagnosed with schizophrenia should address metacognitive dysfunctional beliefs to improve overall functioning and well-being. • Clinicians, including psychiatrists and psychiatric nurses, should consider the patient's age, marital status, and metacognitive scores when assessing the risk of elevated OCS and devising treatment plans. • The study emphasizes the need for comprehensive psychiatric nursing assessment, including metacognitive dysfunction and OCS evaluation. What are the implications for future research? • Future research could explore the causal relationships between metacognitive dysfunctional beliefs, OCS, and psychosocial functioning in schizophrenia. • Longitudinal studies could provide insights into the progression of these relationships over time and the impact of therapeutic interventions. • Further research could also investigate the effectiveness of specific therapeutic strategies such as Metacognitive Therapy (MCT), Schema Therapy (ST), Cognitive Enhancement Therapy (CET), and Cognitive Behaviour Therapy (CBT) to address this population's metacognitive dysfunctional beliefs. BACKGROUND: Schizophrenia is a chronic mental health disorder that significantly impacts an individual's cognitive, emotional and social functioning. Recent research has highlighted the role of metacognitive beliefs and obsessive-compulsive symptoms (OCS) in the psychosocial performance of individuals diagnosed with schizophrenia. Understanding these relationships could provide valuable insights for developing more effective nursing interventions. This study aimed to investigate the relationship between metacognitive beliefs, OCS and psychosocial performance among individuals diagnosed with schizophrenia. A cross-sectional survey was conducted involving 174 purposively selected participants diagnosed with schizophrenia. The Meta-Cognitions Questionnaire-30, Young Adult Self-Report Scale for OCS and Specific Level of Functioning Scale were used to gather the necessary data. The study found a significant positive correlation between OCS and metacognitive dimensions. Age was a significant predictor with an Oddis Ratio of 2.471. The metacognitive dysfunction was a highly significant predictor in univariate and multivariate analyses, with Oddis Ratios of 1.087 and 1.106, respectively. The study also discovered that higher levels of metacognitive dysfunctional beliefs were associated with lower levels of psychosocial functioning. Age and the metacognitive dysfunction score were significant predictors of psychosocial functioning scores, accounting for 26.8% of the variance in these scores. The study reveals a compelling inverse relationship between higher metacognitive dysfunctional beliefs and lower levels of psychosocial functioning in individuals diagnosed with schizophrenia. It also identifies certain demographic factors, such as younger age, as significant contributors to elevated OCS. Importantly, metacognitive dysfunction emerged as a critical predictor of psychosocial functioning across various domains. These findings underscore the potential of incorporating metacognitive-focused interventions in the treatment plans for schizophrenia patients. By addressing these cognitive patterns, healthcare professionals can enhance overall functioning and well-being in individuals diagnosed with schizophrenia.

Metacognitive beliefs, mood symptoms, and fatigue four years after stroke: An explorative study.

This cross-sectional study investigated the relationship between metacognition and mood symptoms four years post-stroke and examined fatigue as a potential moderator for this relationship. A number of 143 participants completed a survey that included the Hospital Anxiety and Depression Scale (HADS), the Metacognition Questionnaire-30 (MCQ-30), the Fatigue Severity Scale (FSS), and the modified Rankin Scale (mRS) (functional status) four years after stroke. Multiple regression analyses adjusting for demographic and stroke-specific covariates were performed with anxiety and depression as dependent variables and fatigue as a moderator. The proportions of participants satisfying the caseness criteria for anxiety and depression were 20% and 19%, respectively, and 35% reported severe fatigue. Analysed separately, all MCQ-30 subscales contributed significantly to anxiety, whereas only three MCQ-30 subscales contributed significantly to depression. In the adjusted analyses, the MCQ-30 subscales 'positive beliefs' (p < 0.05) and 'uncontrollability and danger' (p < 0.001), as well as fatigue (p < 0.001) and functional status at four years (p < 0.05) were significantly associated with anxiety symptoms. Similarly, the MCQ-30 subscales 'cognitive confidence' (p < 0.05) and 'self-consciousness' (p < 0.05), as well as fatigue (p < 0.001), stroke severity at baseline (p < 0.01), and functional status at four years (p < 0.01) were significantly associated with depression symptoms. Fatigue did not significantly moderate the relationship between any MCQ-30 subscale and HADS scores. Maladaptive metacognitions were associated with the mood symptoms of anxiety and depression, independent of fatigue, even after controlling for demographic and stroke-specific factors. Future studies should implement longitudinal designs to determine whether metacognitions precede anxiety or depression after a stroke, and more strongly indicate the potential of metacognitive therapy for improving the mental health of individuals after a stroke.

Psychometric Evaluation of the Metacognitions Questionnaire – Short Form (MCQ-30) in Generalized Anxiety Disorder: Reliability, Validity and Utility in a Clinical Sample

AbstractThe Metacognitions Questionnaire – Short Form (MCQ-30) was designed as a parsimonious measure of the metacognitive beliefs and processes implicated in the maintenance of Generalized Anxiety Disorder (GAD). The present study sought to examine the psychometric properties and clinical utility of the MCQ-30 among people with GAD. One hundred and thirty-nine adults diagnosed with GAD and 76 non-clinical controls completed the MCQ-30 and self-report measures of worry, fear of anxiety, attempted thought suppression, distress, GAD symptoms, and interference. A five-factor structure was evaluated using confirmatory factor analysis (CFA). Among the clinical sample, CFA supported the construct validity of the scale, although the relationship between the factors differed from community samples. Evidence was found for the internal consistency, test-retest reliability, and concurrent, convergent and criterion validity of the MCQ-30 in people with GAD. The treatment sensitivity and clinical responsiveness of the scale were also demonstrated, with the Uncontrollability and Danger Beliefs subscale identified as the most accurate predictor of clinical status. This subscale also exhibited the strongest correlations with most symptom measures, highlighting the cardinal role played by negative beliefs about worry in maintaining clinical levels of GAD. This study provides the first evidence of the reliability, validity and clinical utility of the MCQ-30 with people diagnosed with GAD.

The Relationship between Metacognition, Rumination, and Sleep in University Students with a Tendency toward Generalized Anxiety Disorder.

People with generalized anxiety disorder tend to have sleep problems, and studies have found correlations between metacognition, rumination, and sleep, but it is unclear how metacognition and rumination work in people with a tendency towards generalized anxiety disorder. The goal of this paper is to investigate the correlation between metacognition, rumination, and sleep in university students with a tendency towards generalized anxiety disorder, and the mediating role of rumination in the effect of metacognition on sleep. The Generalized Anxiety Disorder Scale (GAD-7), the Meta-Cognition Questionnaire (MCQ-30), the Ruminative Responses Scale (RRS), and the Insomnia Severity Index (ISI) were used to investigate and psychometrically measure 566 university students in Anyang Normal College. The results of correlation analysis showed significant positive correlations between metacognition and sleep, ruminative thinking and sleep, and metacognition and rumination in university students with a tendency towards generalized anxiety disorder. Mediation analysis showed that rumination partially mediated the effect of metacognition on sleep, with the mediating effect accounting for 51.1% of the total effect. There is a strong correlation between metacognition, rumination, and sleep in university students with a tendency towards generalized anxiety disorder, and both metacognition and rumination can predict sleep, while metacognition can affect sleep through the mediating effect of rumination.

Evaluation of metacognition, difficulties in emotion regulation and addiction severity levels of individuals diagnosed with substance use disorder

ABSTRACT Aim This study aimed to evaluate the relationship between metacognition, difficulties in emotion regulation, and level of addiction severity in individuals with substance use disorder. Methods This cross-sectional study was carried out with 121 participants at the Alcohol and Drug Addicts Treatment and Research Center between February and June 2023. The data were collected using the Metacognition Questionnaire-30 (MTQ-30), Difficulties in Emotion Regulation Scale-Brief Form (DERS-16), and Addiction Profile Index (API). Results All the participants were male and polysubstance users; the age of the onset of substance use was 16.43 ± 5.95; they had been receiving treatment for addiction for an average of 1.79 ± 2.16 years. There was a strong positive significant correlation between the mean total MTQ-30 score and the mean total DERS-16 and API scores (r = .704, p < .001; r = .776, p < .001) and a moderate positive significant correlation between the mean total DERS-16 score and the mean total API score (r = .628, p < .001). It was determined that metacognition had an effect at a rate of 60.3% and difficulty in emotion regulation had an effect at a rate of 39.5% on the addiction severity of individuals. Conclusion Addiction severity was found to increase as the levels of metacognitive impairment and difficulty in emotion regulation increased.