Positive Beliefs Research Articles

Assessment of Covid-19 vaccine confidence among healthcare personnel in the safety-net sector in the United States and Puerto Rico

BackgroundThis study aimed to assess COVID-19 vaccine confidence among healthcare personnel in the safety net sector of the United States and Puerto Rico. This study aimed to examine the extent to which increased knowledge and positive attitudes toward COVID-19 vaccine safety and efficacy were associated with healthcare workers’ COVID-19 vaccination status and their recommendation of the vaccine to all patients.MethodsOnline survey data were collected from health care workers working in Free and Charitable Clinics across the United States and Federally Qualified Health Centers in Puerto Rico. The survey consisted of 62 questions covering various demographic measures and constructs related to healthcare workers’ vaccination status, beliefs, and recommendations for COVID-19 vaccination. Statistical analyses, including multivariate analysis, were conducted to identify the factors associated with the COVID-19 vaccine status and recommendations among healthcare personnel.ResultsAmong the 2273 respondents, 93% reported being vaccinated against COVID-19. The analysis revealed that respondents who believed that COVID-19 vaccines were efficacious and safe were three times more likely to be vaccinated and twice as likely to recommend them to all their patients. Respondents who believed they had received adequate information about COVID-19 vaccination were 10 times more likely to be vaccinated and four times more likely to recommend it to all their patients.ConclusionsThe study results indicate that healthcare workers’ confidence in COVID-19 vaccines is closely tied to their level of knowledge, positive beliefs, and attitudes about vaccine safety and efficacy. The study emphasizes the significance of healthcare workers feeling well informed and confident in their knowledge to recommend the vaccine to their patients. These findings have important implications for the development of strategies to boost COVID-19 vaccine confidence among healthcare workers and increase vaccine uptake among patients.

Assessment of Voice Content for Voice Hearers: Psychometric Evaluation of the Perth Voice Content Questionnaire.

The experience of hearing voices is common to an estimated 7% of the general population, with the presence of negative content being the best predictor of whether individuals will require clinical support. Whilst largely neglected in the literature to date, there are calls to consider the significance of voice content for reducing voice-related distress. However, no quantitative and comprehensive measure of voice content with suitability for research and clinical use exists. This pilot study aimed to demonstrate preliminary psychometric properties of a newly developed measure, the Perth Voice Content Questionnaire (PVCQ), designed to measure the intensity and themes of positively and negatively valenced voice content, primarily of the dominant voice. The PVCQ and measures of voice severity and related beliefs were completed by 47 voice-hearing participants. The measure was found to be internally consistent, loaded onto two distinct factors of positive and negative content, and these factors were associated with voice-related distress and negative beliefs about voices and positive beliefs about voices, respectively, indicating good validity. The PVCQ offers the first self-report measure of voice content, with preliminary psychometric properties indicating its suitability for clinical and research use.

HOW DO PEOPLE WITH CHRONIC LOW BACK PAIN PERCEIVE SPECIFIC AND GENERAL EXERCISE?

INTRODUCTION & AIMS Exercise prescriptions for chronic low back pain (CLBP) often utilize reductionistic, trunk-focused exercise aimed at addressing proposed pain mechanisms. It is unknown if the use of these trunk focussed exercises imply beliefs to people with CLBP about the rationale for their use (e.g., aetiology), even without concurrent biomedical narratives. This study aimed to explore people’s perceptions of specific and general exercise without an accompanying narrative when experiencing CLBP. METHODS An anonymous online survey was distributed. Mixed methods were utilised for analysis. Six-point Likert scales categorised people’s beliefs about individual exercises. Open-ended questions were used to gather further beliefs which were then coded into themes. RESULTS 109 people with CLBP perceived specific exercise as more beneficial than general exercise. Eight themes and five sub-themes were defined. A high volume of positive beliefs were centred around strengthening the low back and abdominal musculature, emphasising the importance of correct technique. Negative beliefs were held against spinal flexion and external load. Both positive and negative beliefs were underpinned by spinal/pelvic stability being important as well as certain exercises being achievable or not. CONCLUSION This study demonstrated that people with CLBP consider specific exercises to be more beneficial than general exercises for CLBP. Specific exercises irrespective of an accompanying narrative can imply meaning about the intent of an exercise. Understanding this requires practitioners to be mindful when prescribing and communicating exercise.

Metacognitive Therapy for People Experiencing Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Preliminary Multiple Case-Series Study.

After mild traumatic brain injury (mTBI), a subgroup of individuals experience persistent post-concussion symptoms (PPCS) that include headaches, cognitive difficulties, and fatigue. The aim of this preliminary study was to investigate possible effects associated with metacognitive therapy (MCT) on PPCS, maladaptive coping strategies, and positive and negative metacognitive beliefs following mTBI. A pre-post design supplemented with single-case A-B replication series to assess potential MCT mechanisms was used. Of the nine participants who received MCT, all experienced a decrease in PPCS, which constituted a reliable improvement for eight participants. For eight participants (we could calculate effect sizes for eight out of nine participants), moderate to very large decreases in maladaptive coping styles and positive and negative metacognitive beliefs were observed. However, based on visual analyses, participants 6, 8, and 9 show a downward baseline trend regarding MCT mechanisms that may have persisted into the intervention phase. No adverse events were reported. In conclusion, MCT was associated with improvements in PPCS and unhelpful psychological mechanisms, but caution is required in interpreting this association. Future research using formal single-case replication on symptom measures and randomized controlled trials appears to be justified.

Metacognition in Children and Adolescents With Obsessive-Compulsive Disorder Treated With Cognitive Behavioral Therapy

According to the metacognitive theory, maladaptive metacognition is associated with the development and maintenance of emotional disorders. This study is the first to explore maladaptive metacognition in a sample of children and adolescents (7–17 years) with obsessive-compulsive disorder (OCD) in the context of cognitive behavioral therapy (CBT). A total of 114 children and adolescents were included in the study. Of these 56 were OCD patients who were assessed on metacognition (Metacognitions Questionnaire–Child Version) and OCD symptom severity (Children’s Yale-Brown Obsessive Compulsive Scale) before and after 14 sessions of individual CBT. Fifty-eight children and adolescents without any psychiatric diagnoses constituted a control group and were assessed on metacognition temporally corresponding to the OCD group. Results showed that the OCD group had significantly elevated maladaptive metacognition relative to the control group, with the exception of positive beliefs about worry. The maladaptive metacognition in the OCD group was significantly reduced from pre- to posttreatment. Additionally, the reduction in the total level of maladaptive metacognition was significantly larger than that reported by the control group. However, it remained significantly elevated relative to controls at posttreatment. Furthermore, lower posttreatment OCD severity was associated with larger reductions in negative beliefs about worry, beliefs about the need to control thoughts, and cognitive self-consciousness, as well as with a higher pretreatment level of positive beliefs about worry. Overall, age group (children vs adolescents) did not moderate these results. Collectively, the results suggest that amending maladaptive metacognition in children and adolescents with OCD might be important considering the associations between reductions in maladaptive metacognition and favorable treatment outcome.

A Narrative Review on The Impact of Online Health Misinformation on Patients' Behavior and Communication

Objectives: Online health information is readily available and can be a favored by patients as a source of information for convenience. Despite the positive belief on the availability of information, it does not improve health outcomes. Online information can be false and complicated, leading to anxiety and excessive dissemination of misinformation. The objective of this study is to provide a review on the current evidence about the various perspectives on online health misinformation. Methods: This is a meta-narrative systematic review developed based on the RAMESES publication standards. We classified reviewed articles into 5 main categories: patient and healthcare professionals' perspective, training healthcare providers, role of pharmacists in rectifying the problem and strategies to address health misinformation. Results: Patients may find it challenging to understand online health information. Healthcare providers have different perspectives about online information and are not well trained to handle a conversation with an ill-informed patient. Pharmacists are accessible and have an important and positive role for educating the public. There are strategies for formal education and professional development to eradicate health illiteracy that is generated through the Internet. Conclusion: We present perspectives on health misinformation and its negative impact on patient outcomes. Several strategies can be implemented in medical training to address patients' misinformation and promote public health.

Native Chinese Language Teachers’ Beliefs about Teaching Chinese Abroad

The impact of the China-Pakistan Economic Corridor (CPEC) expansion has changed the dynamics of foreign language learning in Pakistan. Due to the increased regional importance of Chinese language, some public and private sector universities are offering Chinese as a compulsory language course at the undergraduate level. Due to the significance of forthcoming opportunities for local youth, one public university in Karachi, Pakistan hired native Chinese teachers to teach undergraduate students Chinese as a foreign language. The present study explored the beliefs of Chinese teachers based on their teaching experiences at the university. Data for this collective case study was collected through semi-structured interviews with three native-Chinese teachers and analysed thematically. The findings revealed that the Chinese teachers held positive beliefs about the prospects of Chinese language learning in Pakistan due to job opportunities. However, they seemed to hold reservations regarding the limited time span for the offered Chinese language course. There were also certain negative beliefs in connection with the traditional learning practices of the learners which the teachers considered barriers to the learners’ language learning. These findings depict the requisite exigency to address the issues highlighted by the Chinese teachers for effective Chinese language learning. The beliefs of teachers and their shared experiences need to be addressed for productive development in teaching and learning Chinese. Curriculum designers and decisionmakers should consider teachers’ beliefs to align the curriculum and teaching methodologies as per the provision that includes teachers’ experiences to further improve Chinese language teaching and learning.

Nostalgia Promotes Positive Beliefs about College Belonging and Success among First-Generation College Students

First-generation college students often develop negative thoughts and expectations about whether they belong in college and whether they can be successful in college, and these negative thoughts play a major role in college retention and success. Nostalgia, a mixed but mostly positive emotional experience that involves reflecting on personally meaningful events from one’s life, has been found to promote an optimistic future orientation. We tested the applied value of nostalgia’s future-orienting capacity for fostering positive beliefs about college belonging and success among first-generation college students in 2 experiments. In Experiment 1, first-generation students who reflected on a nostalgic event from their past reported more positive beliefs about their potential to discover a sense of belonging in their college community, compared to first-generation students who reflected on an ordinary event. In Experiment 2, nostalgic reflection once again increased positive expectations for belonging in first-generation college students as well as optimism for academic success. We conclude that the power of nostalgia to promote a positive future orientation may be harnessed by institutions and programs looking to encourage belonging and optimism to help first-generation college students adjust to and succeed in college.

Evaluating the utility of temporal self-regulation theory for understanding physical activity outcomes in a behavioral weight loss maintenance program

Objective Physical activity (PA) is critical for weight loss maintenance (WLM) success. Clarifying mechanisms behind PA engagement may suggest new WLM intervention targets. This study examined an application of temporal self-regulation theory (TST) to enhance our understanding of PA during WLM. Methods and measures Participants (n = 214) who achieved a ≥ 5% weight loss during a 4-month weight loss intervention were recruited into an 18-month WLM trial. TST constructs (i.e. PA beliefs, intention, behavioral prepotency, self-regulatory capacity) were measured via self-report measures. PA was subsequently assessed over a 7-day period with waist-worn Actigraph GT9X. Robust linear regression models and generalized linear mixed models tested the association between PA beliefs and intention, and the associations between intention, behavioral prepotency, self-regulatory capacity and device-measured PA at baseline and 18-months. Results Short-term positive beliefs were associated with intention at baseline and 18-months, whereas short-term negative beliefs were associated with intention at 18-months only. Intention was associated with moderate/vigorous PA (MVPA) minutes and bouted MVPA at baseline and 18-months. The intention by self-regulatory capacity interaction was significant at baseline. Conclusion Findings lend some support for the use of TST for understanding PA and suggest that short-term beliefs about PA may represent a meaningful target for intervention.

Beliefs and behaviors associated with the first named heat wave in Seville Spain 2022

Heat waves pose a substantial and increasing risk to public health. Heat health early warning systems (HHEWSs) and response plans are increasingly being adopted to alert people to the health risks posed by days of extreme heat and recommend protective behaviors. However, evidence regarding the effectiveness of HHEWSs remains limited. We examined the impact of heat wave naming on heat-related beliefs and behaviors to ascertain the potential effectiveness of heat wave naming as a heat health risk communication and management tool. Specifically, we surveyed members of the public exposed to the proMETEO Sevilla HHEWS messaging campaign which in the summer of 2022 applied a name to heat waves considered to pose the greatest risk to public health. During the heat season we evaluated, the proMETEO Sevilla HHEWS campaign applied a name to one heat wave, heat wave “Zoe”. Our analysis of the post-survey of 2022 adults indicated that the 6% of participants who recalled the name Zoe unaided reported greater engagement in heat wave safety behaviors and more positive beliefs about naming heat waves and their local governments’ heat wave response. These results provide initial evidence for potential utility in naming heat waves as part of HHEWSs and HAPs.

Trends in the dose-response relationship between adverse childhood experiences and maladaptive metacognitive beliefs: A cross-sectional study

BackgroundSince the publication of the major research on adverse childhood experiences (ACE) at the turn of the millennium, our knowledge about the prevalence and physical and mental consequences of childhood adversities has increased substantially. In parallel, research on metacognition, which plays an important role in understanding our mental functioning, has also been on the rise. Although the adverse effects of ACEs on mental processes and the role of metacognitive deficits in the development of mental disorders are widely known, hardly any research into the interaction between these two areas has been conducted; this is what triggered our investigation. MethodsOur research was carried out as a cross-sectional study on a sample of 304 members of the general population. We measured ACEs with the 10-item Adverse Childhood Experiences Questionnaire and maladaptive metacognitions—positive and negative metacognitive beliefs, cognitive confidence, cognitive self-consciousness, and need to control thoughts— using the Meta-Cognitions Questionnaire.The closeness of the relationship between the ACE score and metacognitions was measured using Pearson's linear correlation coefficient, while the association of ACE accumulation with metacognitive beliefs was assessed using generalized linear models. ResultsThe most common ACE in our sample turned out to be emotional neglect (44.74%). All the examined maladaptive metacognitive beliefs correlate mildly to moderately with the number of suffered ACEs (r = 0.13–0.34), with an increase in the ACE score leading to a rise in the salience of maladaptive metacognitive beliefs. Moreover, a dose-response relationship was seen between increases in ACE scores and the overall values of metacognition, negative metacognitive beliefs, and the maladaptive metacognitive belief of the need to control thoughts. ConclusionsOur results suggest that the more ACEs were experienced in childhood, the more pronounced the dysfunctional metacognitive beliefs are. Therefore, our findings emphasize the importance of further research into the topic.

Evaluation of a Pilot Program to Prevent the Misuse of Prescribed Opioids Among Health Care Workers: Repeated Measures Survey Study.

Overprescription of opioids has led to increased misuse of opioids, resulting in higher rates of overdose. The workplace can play a vital role in an individual's intentions to misuse prescription opioids with injured workers being prescribed opioids, at a rate 3 times the national average. For example, health care workers are at risk for injuries, opioid dispensing, and diversion. Intervening within a context that may contribute to risks for opioid misuse while targeting individual psychosocial factors may be a useful complement to interventions at policy and prescribing levels. This pilot study assessed the effects of a mobile-friendly opioid misuse intervention prototype tailored for health care workers using the preparation phase of a multiphase optimization strategy design. A total of 33 health care practitioners participated in the pilot intervention, which included 10 brief web-based lessons aimed at impacting psychosocial measures that underlie opioid misuse. The lesson topics included: addiction beliefs, addiction control, Centers for Disease Control and Prevention guidelines and recommendations, beliefs about patient-provider relationships and communication, control in communicating with providers, beliefs about self-monitoring pain and side effects, control in self-monitoring pain and side effects, diversion and disposal beliefs, diversion and disposal control, and a conclusion lesson. Using a treatment-only design, pretest and posttest surveys were collected. A general linear repeated measures ANOVA was used to assess mean differences from pretest to posttest. Descriptive statistics were used to assess participant feedback about the intervention. After completing the intervention, participants showed significant mean changes with increases in knowledge of opioids (+0.459; P<.001), less favorable attitudes toward opioids (-1.081; P=.001), more positive beliefs about communication with providers (+0.205; P=.01), more positive beliefs about pain management control (+0.969; P<.001), and increased intentions to avoid opioid use (+0.212; P=.03). Of the 33 practitioners who completed the program, most felt positive about the information presented, and almost 70% (23/33) agreed or strongly agreed that other workers in the industry should complete a program like this. While attempts to address the opioid crisis have been made through public health policies and prescribing initiatives, opioid misuse continues to rise. Certain industries place workers at greater risk for injury and opioid dispensing, making interventions that target workers in these industries of particular importance. Results from this pilot study show positive impacts on knowledge, attitudes, and beliefs about communicating with providers and pain management control, as well as intentions to avoid opioid misuse. However, the dropout rate and small sample size are severe limitations, and the results lack generalizability. Results will be used to inform program revisions and future optimization trials, with the intention of providing insight for future intervention development and evaluation of mobile-friendly eHealth interventions for employees.

Perceptions and attitudes towards psychedelic-assisted psychotherapy among health professionals, patients, and the public: A systematic review

AbstractBackground and aimsScientific interest in the therapeutic potential of psychedelics has been experiencing significant growth. Understanding the perceptions of psychedelic assisted psychotherapy (PAP) among health professional, patients, and the public is essential to guide future research objectives, trial protocols, and identify any barriers to future implementation.MethodsA comprehensive search of the databases (Medline, EMBASE, PSYCHinfo, SCOPUS, and Web of Science) was conducted on the 29th of November, 2022. This review included cross-sectional, longitudinal, and quasi-experimental studies published in peer-reviewed journals exploring perceptions of PAP among the three stakeholder groups. Studies were limited to English-language and the years 2012–2022. The protocol and review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines.ResultsThe sample consisted of 29 studies, including n = 17 health professional, n = 6 patients, and n = 6 public. Broadly, knowledge of PAP was low among all three stakeholder groups. There was mixed to positive belief in the therapeutic potential of psychedelics, with male gender, younger age, and personal psychedelic experience/knowledge being key predictors of more favourable views. The majority of findings reported strong endorsement of further research. Consistent themes were identified surrounding concerns about legal status, funding, access, side-effects, and implementation.ConclusionThe evaluated research indicates a need for further research that will provide clarity about safety and elucidate how PAP may be implemented in public health settings. Further education of health professionals and the public should be a priority.

Pengaruh Beliefs and Attitude Generasi Z Terhadap Green Purchase Intention Layanan Goride Electric

This study aims to determine how significant the influence of Generation Z’s beliefs and attitude can make towards the green purchase intention of GoRide Electric service in South Jakarta. In order to find out, this study uses Theory of Planned Behavior which was developed by Ajzen (1989) from the theory which he and Fishbein first came up with, Theory of Reasoned Action. This explanatory quantitative research is conducted by distributing questionnaires to 100 Generation Z respondents who lives in South Jakarta uses public and/or online transportation. The data collected is analyzed using the Multiple Linear Regression analysis to find out the influence of 3 independent variables towards the dependent variable in this study. The results shows that there is indeed a positive and significant influence of Generation Z's beliefs and attitude green purchase intention for GoRide Electric service. It is found that Generation Z's attitude towards green purchase has a positive and significant effect on green purchase intention for GoRide Electric service in South Jakarta. Apart from that, it is also known that Generation Z subjective norms have a positive and significant effect on green purchase intention for GoRide Electric service in South Jakarta. Another positive influence occurs between Generation Z's perceived behavioral control on Green Purchase Intention for GoRide Electric service in South Jakarta. The more positive beliefs and attitude that Generation Z has regarding green purchases, the green purchase intention for GoRide Electric service will also increase.

Association between belief towards mental illness and help seeking behaviour among undergraduate students of Lalitpur district, Nepal

Background: The prevalence of mental illness among adolescents is a growing concern, with projections indicating that one in five adolescents experience a mental illness annually. Persistent negative beliefs and stigma surrounding mental illness often lead to discrimination, creating barriers that hinder individuals from seeking the help they need. Additionally, the neglect of mental health issues, especially in developing countries like Nepal, is influenced by deep-seated social and cultural factors that are not widely acknowledged. Objectives: To assess the association of belief towards mental illness and help seeking behaviour among undergraduate students of Lalitpur district, Nepal. Methods: An analytical cross-sectional study was conducted among 400 undergraduate students of management faculty in Lalitpur district. Belief towards Mental Illness scale was used to assess belief and self-reported questionnaire was used for assessing help seeking behaviour. Univariate and multivariable logistic regression analyses were performed to assess the association between beliefs and help seeking behaviour adjusting for the confounders. Results: More than half of the respondents had negative belief towards mental illness. Seventy-nine percent of the respondents had previously sought help while experiencing any kind of mental illness. The odds of not seeking help is higher by 1.71 times among those who had negative belief towards mental illness compared to those who had positive belief (95% CI 1.03,2.8) adjusting for the confounders. Conclusion: Those students who had negative belief were less likely to seek help. This highlights the urgent need to address these negative beliefs through targeted interventions, aiming to alleviate such perceptions and foster improved help-seeking behaviour.

GAD: Development of Intolerance of Uncertainty Model and Contrast Avoidance Model

Generalized Anxiety Disorder (GAD) is a mental disorder characterized by extreme and uncontrollable worry. Current studies emphasize the importance of the Contrast Avoidance Model (CAM) and the Intolerance of Uncertainty Model (IUM) in comprehending GAD. The reliability of IUM is supported by empirical evidence that Intolerance of Uncertainty (IU) has a direct impact on worry. Although long-term strategies are required, Cognitive Behavioural Therapy for IU (CBT-IU) has demonstrated promise in reducing symptoms of both IU and GAD. Attachment styles play a crucial role, with IU mediating the influence of early experiences on GAD. In the IUM framework, pathways involving Positive Beliefs about Worry (PBW) and Negative Problem Orientation (NPO) have been delineated. CAM predicts GAD independently of IU and exhibits distinct effects on fear and sadness. The impact of Contrast Avoidance (CA) in worry is proved by prior studies. Future studies can draw attention to the association between CA and other variables.

Supporting Multilingual Learners: A Pilot Survey of Art Teachers

Multilingual learners’ (MLs’) access to a rich arts curriculum is often overshadowed by their need to learn English and “core” content. Yet MLs should have equitable access to arts education alongside their monolingual peers. An important avenue for offering this access is teacher preparedness. This study reports on a pilot survey of preK–12 visual arts teachers regarding their beliefs about and practices with MLs in the arts classroom. Survey items from four different scales measuring culturally and linguistically responsive teaching and beliefs were adopted. The responses of 26 teachers illustrated generally positive beliefs, practices, and confidence, but variation among respondents was high. Patterns in the data point to interesting future steps in the work, including the need to examine why teachers who had undergone training on teaching MLs were less confident in their ability to teach this population.

The Effects of Metacognition on Social Functioning in Patients With Obsessive-Compulsive Disorder

The aim of this study was to examine the effects of metacognitive beliefs and thought-control strategies on social functioning and obsessive-compulsive symptoms in patients with obsessive-compulsive disorder (OCD). The cross-sectional study sample consisted of 62 patients diagnosed with OCD and 58 healthy controls. OCD was determined by detailed mental examination and the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was applied. All the participants completed the Metacognition Questionnaire-30 (MCQ-30), Thought Control Questionnaire (TCQ), Social Functioning Scale (SFS), Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI). There was no statistically significant difference in terms of age, gender, education, or marital status between the patients and the healthy control group ( P &gt; 0.05). The MCQ-30 total and subgroups scores except positive belief, BDI, and BAI of patients with OCD were statistically higher than healthy controls. SFS total and the subgroup scores of patients with OCD were statistically lower than healthy controls. The results revealed that metacognition was associated with obsessive-compulsive symptom severity and social functioning; social functioning was affected by all of the symptoms but mainly by depression. Handling metacognition and depressive symptoms may be useful for increasing social functioning of patients with OCD. More studies in the future should consider the results. [ Psychiatr Ann . 2024;54(4):e125–e134.]

Beliefs and attitudes about medications in patients with psychosis

IntroductionPatients’ beliefs and attitudes about medications play a role in whether they adhere to their medications or not. Knowledge on how beliefs and attitudes about medications can be influenced is therefore important.ObjectivesThe current study aimed to assess whether patients’ perceived support from their therapists regarding use of medications was associated with their beliefs and attitudes about medications. Because non-adherence in patients with psychosis frequently results in relapses and emergencies, this knowledge may be very useful for therapists and patients.Methods This cross-sectional study included 310 patients diagnosed with psychosis from 31 clinical units in Norwegian mental health specialist care. We assessed beliefs about medications using the Beliefs about Medicines Questionnaire (BMQ). BMQ-specific consists of two subscales, BMQ-necessity and BMQ-concerns. Higher score on the necessity subscale indicates stronger beliefs in the necessity of taking the medicine. Higher score on the concern subscale indicates stronger concerns about taking the medicine. We used a newly developed self-report questionnaire, MedSupport, to assess the patients’ perceived support from therapists in dealing with their medications. Higher score on the MedSupport means that the patient experienced more support with decisions related to medications. Linear mixed effect models were used to investigate possible associations of sociodemographic factors, clinical factors and patients’ perceptions of medication support with BMQ.ResultsPatients’ perceptions of medication support from therapists were positively associated with positive beliefs towards medications, β = 0.20, 95% CI [0.04 to 0.35], p=0.012, and negatively associated with concerns about taking the medications, β = -0.31, 95% CI [-0.44 to -0.17], p &lt; 0.001, when other relevant variables were taken into consideration.ConclusionsThe present study shows that therapists may affect patients’ beliefs and concerns about medications. Consequently, medication support may lead to improved adherence to medications prescribed.Disclosure of InterestNone Declared

Comparison of the Three Beliefs of Metacognition, Life Regulation, and Thought Control and Narcissism In Successful and Unsuccessful People in Overcoming Anxiety Who Use Opioids

Aim: Comparison of the three beliefs of metacognition , life regulation , and thought control and narcissism in successful and unsuccessful people in overcoming anxiety who use opioids . It was teenagers . Method: This Research One study Ali – Comparative is That On Roy two group 50 no one (Persons successful And failed to quit methamphetamine ), The method Sampling in available do became . Information With Questionnaires of metacognitive beliefs, tuning Thrill And Thought control gathering became . analysis And analysis Data with Indicators Descriptive And Test T Independent do became Findings : Results at a significant level 0.01 sign gave Persons Failed to quit methamphetamine From Ability tuning Thrill less Ratio To Persons successful have and At Comparison With successful people More From Positive cognitive beliefs about drugs Use and have lower thought control . Results: The difference between the two groups in these variables can indicate the importance of metacognitive beliefs, emotional regulation and thought control in the success of quitting methamphetamine .