Cognitive confidence in obsessive-compulsive disorder: Distrusting perception, attention and memory

Hermans, Dirk; Engelen, Ute; Grouwels, Luc; Joos, Els; Lemmens, Jos; Pieters, Guido

doi:10.1016/j.brat.2007.11.001

Cited by 159 publications

(130 citation statements)

References 43 publications

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“…Furthermore, there is growing evidence that food-related thoughts reduce WM capacity in individuals who are restricting their diets for whatever reason [34,35]. While the literature examining memory performance in OCD is quite mixed [36], a recent meta-analysis [37] implicates WM as the link between executive dysfunction and long-term memory impairment. Specifically, Harkin and Kessler [37] pinpoint the episodic buffer [38], which permits multimodal, temporarily-integrated binding of environmental features, as the element of WM that is deficient in OCD, the idea being that intrusive thoughts interfere with ongoing episodic binding.…”

Section: Discussionmentioning

confidence: 99%

A neuropsychological evaluation of orthorexia nervosa

Koven¹,

Senbonmatsu²

2013

OJPsych

111

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Section: Discussionmentioning

confidence: 99%

A neuropsychological evaluation of orthorexia nervosa

Koven¹,

Senbonmatsu²

2013

OJPsych

111

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“…As predicted by the model, positive beliefs about the usefulness of worry have been associated with more Type 1 worry (Davis and Valentiner 2000;Wells and CartwrightHatton 2004), but have not been found to be a discriminating feature of GAD (Ruscio and Borkovec 2004;Wells and Carter 2001). In addition, the metacognitive model appears to also be applicable to obsessive-compulsive disorder (OCD), with SPR beliefs, low cognitive confidence and cognitive self-consciousness suggested as the metacognitions characteristic of this group (CartwrightHatton and Wells 1997;Hermans et al 2008).…”

Section: Introductionmentioning

confidence: 92%

“…The MCQ-C comprises 24 items across four factors: Positive Meta-worry; Negative Metaworry; SPR Beliefs; and Cognitive Monitoring. The Cognitive Confidence subscale was excluded following research by Hermans et al (2008) with adult OCD patients, which suggested that the lack of cognitive confidence associated with OCD symptoms encompasses attention and perception, as well as memory. Given that the 30 item MCQs only include measures of confidence in memory, Bacow et al (2009) felt that further research was required into the multifaceted nature of cognitive confidence before this construct was measured in children.…”

Section: Introductionmentioning

confidence: 99%

The Metacognitive Model of Anxiety in Children: Towards a Reliable and Valid Measure

White

Hudson

2015

Cogn Ther Res

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Recent research has extended the metacognitive model of adult psychopathology to childhood anxiety, however the results have been confounded by poor comprehension of the Metacognitions Questionnaire for Children (MCQ-C) amongst 7-8 year olds. The aim of this study was to improve comprehension of the MCQ-C, to enable reliable and valid evaluation of the metacognitive model of anxiety in children. Poorly comprehended items of the MCQ-C were revised to the appropriate reading level and pilot tested with 7-8 year olds. One hundred and eighty seven children aged 7-12 years then completed an online version of the revised MCQ-C (MCQ-CR) and selfreport measures of anxiety symptoms, excessive worry and externalising thoughts. The MCQ-CR was well understood by children as young as 7 years and exhibited sound psychometric properties. As predicted, children's negative beliefs about worry, thoughts in general and memories were found to be significantly positively related to symptoms of anxiety disorders. Confirmatory factor analysis supported the construct validity of the scale. Positive beliefs about worry were not associated with children's worry levels, raising questions about the relevance of this element of the metacognitive model with children. Although further validation is required with a clinical sample, these results provide support for the integral role played by metacognitions in childhood anxiety disorders, and suggest that these mechanisms may be appropriate targets for future early intervention and treatment programs.

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“…Üstbilişin psikiyatrik hastalıklardaki önemi anlaşıldıkça yapılan çalışmalar da artmaktadır (4,5,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). ÜBÖ ile yapılan bir çalışmada; negatif üst bilişsel inanışlar nedeniyle anksiyete ve depresyon semptomlarının sürdüğü, strese maruz kalma ile üst bilişsel inanışların değiştiği ve üst bilişin travmatik deneyimleri kontrol edebilme, günlük sorunlarla başedebilmede etkili olduğu gösterilmiştir (4).…”

Section: Introductionunclassified

Evalution of Metacognitive Functions in Major Depressive and Panic Disorder Patients

Özsoy¹,

Kuloğlu

2017

Journal of Contemporary Medicine

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Amaç:Major Depresif Bozukluk (MDB) ve Panik bozukluk (PB) tanısı alan hastaların üstbiliş işlevlerinin sağlıklı kontrollerle karşılaştırıla-rak değerlendirilmesi amaçlanmıştır. Materyal-Metod:Çalışmaya DSM-IV-TR'ye göre MDB ve PB tanılı 50'şer hasta ile yaş, cinsiyet açısından eşleştirilmiş geçmiş ve şimdiki öyküsünde psikiyatrik ve nörolojik hastalığı olmayan 50 sağlıklı kontrol alındı. Hasta ve kontrol grubuna DSM-IV Eksen-I Bozuklukları için Yapılandırılmış Klinik Görüşme Ölçeği (SCID-I), Sosyodemografik ve Klinik Veri Formu, Üstbiliş Ölçeği-30 (ÜBÖ), MDB hasta grubuna ek olarak ise Beck Depresyon Ölçeği (BDÖ) ile Beck Anksiyete Ölçeği (BAÖ), PB hastalarına ek olarak Panik Agorafobi Ölçeği (PAÖ) ile Durumluluk ve Süreklilik Kaygı ölçeği (STAI-I ve STAI-II) uygulandı. Bulgular: Hem MDB hem de PB hastalarında, üstbiliş toplam puanları kontrol grubuna göre anlamlı olarak yüksek bulundu. MDB hastalarında; üstbilişin bilişsel güven ile kontrol edilmezlik ve tehlike alt boyutları, PB hastalarında ise; kontrol edilmezlik ve tehlike ile kontrol ihtiyacı alt boyutları kontrol grubuna göre anlamlı yüksek idi. Ek olarak; MDB hastalarında BDÖ puanları ile üstbiliş olumlu inanç, PB hastaların-da ise STAI-II ile bilişsel farkındalık alt boyutu arasında pozitif korelasyon saptanırken, PAÖ'nin sağlık konusunda endişelenmeyi değerlendiren soruları ile kontrol edilmezlik ve tehlike alt boyutu arasında ise negatif korelasyon saptandı.Sonuç: Çalışmamız; MDB ve PB hasta grupları ile sağlıklı kontrol grubunun ÜBÖ parametreleri açısından farklılıklar gösterdiğini ortaya koymuştur. Bu farklılıklar ile MDB ve PB hastalıklarının nedensel ilişkisini saptamaya yönelik daha fazla sayıda çalışmaya gereksinim vardır.Anahtar kelimeler: Major depresif bozukluk, panik bozukluk, üst-biliş. Objective:The aim of the present study was to evaluate metacognitive functions and clinical features of patients with Major Depressive Disorder (MDD) and Panic Disorder (PD) diagnosis via comparing them to control group. Methods:Fifty patients with diagnosis of MDD and fifty patients with diagnosis of PD who were applied to Fırat University Hospital, Mental Health and Disorders Policlinic and evaluated there, and who met the study criteria were included in the study along with 50 age-and gendermatched healthy people as control who had no current or previous psyciatric and neurological disorders. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Sociodemographic and Clinical Data Form were applied to both patient and control groups while Metacognitive-30 Scale (MCQ), Beck Depression Scale and Beck Anxiety Scale were applied to MDD patient group, and Panic Agorafobia Scale and The State-Trait Anxiety Inventory Scales were applied to PD patient group only.Results: Total MCQ scores of MDD and PD patients were significantly higher than that of control group. Positive beliefs about worry, negative beliefs about worry concerning uncontrollability and danger dimensions of metacognition were higher in MDD patients while negative beliefs about worry ...

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Cognitive confidence in obsessive-compulsive disorder: Distrusting perception, attention and memory

Cited by 159 publications

References 43 publications

A neuropsychological evaluation of orthorexia nervosa

A neuropsychological evaluation of orthorexia nervosa

The Metacognitive Model of Anxiety in Children: Towards a Reliable and Valid Measure

Evalution of Metacognitive Functions in Major Depressive and Panic Disorder Patients

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