Metacognitive beliefs and psychological well-being in paranoia and depression

Valiente, Carmen; Prados, José M.; Gómez, Diego; Fuentenebro, Filiberto

doi:10.1080/13546805.2012.670504

Cited by 21 publications

(17 citation statements)

References 56 publications

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“…On the other hand, patients had experienced on average three depressive episodes and were hospitalized for the second time 10 , which may indicate that their current depressive symptoms might have underplayed the general severity of their disorder. Moreover, scores of the assessed MCQ subscales were largely comparable to those of other, more severely depressed patients 28–30 .…”

Section: Discussionmentioning

confidence: 55%

Cognitive and Metacognitive Mechanisms of Change in Metacognitive Training for Depression

Jelinek

Quaquebeke

Moritz

2017

Sci Rep

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Metacognitive Training for Depression (D-MCT), a low-threshold group intervention, has been shown to improve depressive symptoms. It aims at the reduction of depression by changing dysfunctional cognitive as well as metacognitive beliefs. The purpose of the present study was to investigate whether the mechanisms of change in D-MCT are cognitive (and thus primarily concern the content of cognition) or metacognitive in nature. Eighty-four outpatients with depression were included in a randomized controlled trial comparing D-MCT to an active control intervention. Level of depression, dysfunctional cognitive beliefs (DAS), and metacognitive beliefs (MCQ subscales: Positive Beliefs, Negative Beliefs, Need for Control) were assessed before (t0) and after treatment (t1). Severity of depression was also assessed 6 months later (t2). Linear regression analyses were used to determine whether change in depression from t0 to t2 was mediated by change in cognitive vs. metacognitive beliefs from t0 to t1. D-MCT’s effect on change in depression was mediated by a decrease in dysfunctional metacognitive beliefs, particularly ‘need for control’. Our findings underline that one of the key mechanisms of improvement in D-MCT is the change in metacognitive beliefs. The current study provides further support for the importance of metacognition in the treatment of depression.

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Section: Discussionmentioning

confidence: 55%

Cognitive and Metacognitive Mechanisms of Change in Metacognitive Training for Depression

Jelinek

Quaquebeke

Moritz

2017

Sci Rep

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“…One explanation is the influence of cognitive process variation in schizophrenia and affective disorders like depression. Valiente et al (2012) reported difference in metacognitive beliefs in paranoia and depression that relate to their perception of psychological well-being where “individuals with paranoia use self-consciousness (defined as the process of directing attention towards the self) to monitor self-threats” [ 47 , 48 ]. The study found low psychological well-being in the domains of self-acceptance and autonomy in depression versus those with persecution delusions and healthy controls.…”

Section: Discussionmentioning

confidence: 99%

Psychometric properties of the short Warwick Edinburgh mental well-being scale (SWEMWBS) in service users with schizophrenia, depression and anxiety spectrum disorders

Vaingankar

Abdin

Chong

et al. 2017

Health Qual Life Outcomes

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BackgroundTo establish the validity and reliability of the Short Warwick Edinburgh Mental Well-being Scale (SWEMWBS) in service users with schizophrenia, depression and anxiety spectrum disorders in Singapore and estimate SWEMWBS scores across socio-demographic and the three psychiatric diagnostic groups in the sample.MethodsThis secondary analysis was conducted using data from a study among outpatients of a tertiary psychiatric hospital. In addition to the SWEMWBS, socio-demographic data and current psychiatric diagnosis were collected. Service users were also administered the Global Assessment of Functioning (GAF), Patient Health Questionnaire (PHQ)-8, Generalised Anxiety Disorder (GAD)-7, Satisfaction with Life Scale (SWLS) and the Positive Mental Health (PMH) instrument. The SWEMWBS was tested for factorial validity, reliability and convergent and divergent validity.ResultsIn total, 350 service users with a mean (SD) age of 39.1 (11.1) years were included in this study of which 39.4%, 38.9% and 21.7% had schizophrenia, depression and anxiety spectrum disorders, respectively. The single factor structure of the SWEMWBS was confirmed by confirmatory factor analysis (CFI = 0.969, TLI = 0.954, RMSEA = 0.029). The internal consistency reliability was high (Cronbach’s alpha = 0.89). The convergent and divergent validity testing revealed that the SWEMWBS scores had significant moderate to high positive correlations with GAF, SWLS and PMH scores and moderate negative correlations with (PHQ)-8 and (GAD)-7 scores. SWEMWBS scores were higher in married participants (22.2 (5.4) versus never married: 20.7 (5.3) and divorced/separated/widowed: 20.4 (5.1), p = 0.049) and among those with schizophrenia (22.8 (5.5) versus depression:19.6 (4.7) and anxiety spectrum disorders 20.9 (5.2), p < 0.001).ConclusionThese results demonstrate adequate validity and reliability of the SWEMWBS in people with schizophrenia, depression and anxiety spectrum disorders in Singapore.

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“…However, given that negative beliefs about the self were not implicated in paranoid conviction in the present sample, it might be argued that they should not be the first target of intervention. A complication, already noted, is that self-esteem may fluctuate rapidly in paranoid patients (Thewissen et al 2008;Udachina et al 2012) and it has also been noted that implicit selfesteem may be affected in paranoid patients even when explicit self-esteem (as measured by questionnaire) is not (Valiente et al 2012).…”

Section: Discussionmentioning

confidence: 99%

Negative cognition, affect, metacognition and dimensions of paranoia in people at ultra-high risk of psychosis: a multi-level modelling analysis

et al. 2015

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n Morrison, A.P. et al. (2015) Negative cognition, affect, metacognition and dimensions of paranoia in people at ultra-high risk of psychosis: a multi-level modelling analysis. Psychological Medicine, 45(12), pp. 2675-2684.There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it.http://eprints.gla.ac.uk/109839/ Background. Paranoia is one of the commonest symptoms of psychosis but has rarely been studied in a population at risk of developing psychosis. Based on existing theoretical models, including the proposed distinction between 'poor me' and 'bad me' paranoia, we aimed to test specific predictions about associations between negative cognition, metacognitive beliefs and negative emotions and paranoid ideation and the belief that persecution is deserved (deservedness).Method. We used data from 117 participants from the Early Detection and Intervention Evaluation for people at risk of psychosis (EDIE-2) trial of cognitive-behaviour therapy, comparing them with samples of psychiatric in-patients and healthy students from a previous study. Multi-level modelling was utilized to examine predictors of both paranoia and deservedness, with post-hoc planned comparisons conducted to test whether person-level predictor variables were associated differentially with paranoia or with deservedness.Results. Our sample of at-risk mental state participants was not as paranoid, but reported higher levels of 'bad-me' deservedness, compared with psychiatric in-patients. We found several predictors of paranoia and deservedness. Negative beliefs about self were related to deservedness but not paranoia, whereas negative beliefs about others were positively related to paranoia but negatively with deservedness. Both depression and negative metacognitive beliefs about paranoid thinking were specifically related to paranoia but not deservedness.Conclusions. This study provides evidence for the role of negative cognition, metacognition and negative affect in the development of paranoid beliefs, which has implications for psychological interventions and our understanding of psychosis.

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Metacognitive beliefs and psychological well-being in paranoia and depression

Abstract: These findings suggest that psychological well-being is particularly compromised in participants with a high level of persecutory thinking when they have low levels of cognitive self-consciousness.

Cited by 21 publications

References 56 publications

Cognitive and Metacognitive Mechanisms of Change in Metacognitive Training for Depression

Cognitive and Metacognitive Mechanisms of Change in Metacognitive Training for Depression

Psychometric properties of the short Warwick Edinburgh mental well-being scale (SWEMWBS) in service users with schizophrenia, depression and anxiety spectrum disorders

Negative cognition, affect, metacognition and dimensions of paranoia in people at ultra-high risk of psychosis: a multi-level modelling analysis

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