The Mediating Effect of Metacognition Learning on Mental Health of Veterans in Golestan Province, Iran




Meta-Cognition, Learning, Mental Health


Background: The main purpose of the present study was to investigate the impact of metacognition learning on the mental health of veterans of Golestan Province, Iran.

Methods: The present study was an applied, semi-experimental study with a pretest-posttest design and a control group. The statistical population consists of all veterans of Golestan Province. From among this population, a sample of 200 people was selected through convenience ‎sampling method. From among this sample, 100 people were selected as the experimental group and 100 people were selected as the control group. Both groups underwent the pretest and posttest. The members of the experimental group in each city were subjected to 6 sessions of metacognition training workshops lasting 2 hours in 10 cities of Golestan Province.

Results: The data analysis using independent group t-test showed that metacognition learning led to the reduction of disorders related to the four subscales of mental health which led to increased level of general health.

Conclusion: It can be concluded that metacognition learning led to an increase in the level of general health of the participants.


Aversa, L. H., Stoddard, J. A., Doran, N. M., Au, S., Chow, B., McFall, M. et al. (2012). PTSD and depression as predictors of physical health-related quality of life in tobacco-dependent veterans. J Psychosom.Res, 73(3), 185-190. doi:S0022-3999(12)00178-X [pii];10.1016/j.jpsychores.2012.06.010 [doi]. Retrieved from PM:22850258

Bakhtavar, E., Neshatdoust, H. T., Moulavi, H., & Bahrami, F. (2007). Efficacy of meta cognitive behavioral therapy in reducing self punishment in patients with post traumatic stress disorder. J Res Behav Sci, 5(2), 93-98.

Chan, D. W., & Chan, T. S. (1983). Reliability, validity and the structure of the General Health Questionnaire in a Chinese context. Psychol Med, 13(2), 363-371. Retrieved from PM:6878523

Cheung, P., & Spears, G. (1994). Reliability and validity of the Cambodian version of the 28-item General Health Questionnaire. Soc Psychiatry.Psychiatr.Epidemiol., 29(2), 95-99. Retrieved from PM:8009326

Delavar, A. (2009). Educational and psychological research (27th ed.). Thehran, Iran: Virayesh Publicatins.

Flavell, J. H. (1976). Metacognitive aspects of problem solving. In L. B. Resnick (Ed.), The nature of intelligence (pp. 231-235). Hillsdale, NJ: Earlbaum.

Goldberg. (1970). 28 -item short form questionnaire, GHQ mental health survey.

Goldberg, D. P., Rickels, K., Downing, R., & Hesbacher, P. (1976). A comparison of two psychiatric screening tests. Br.J Psychiatry., 129, 61-67. doi:S0007125000093430 [pii];10.1192/bjp.129.1.61 [doi]. Retrieved from PM:938806

Hooman, A. (2019). Standardization and normalization of general health questionnaire for undergraduate students of Tarbiat Moallem University. Tehran, Iran: Educational Institution, Kharazmi University.

Irak, M., & Tosun, A. (2008). Exploring the role of metacognition in obsessive--compulsive and anxiety symptoms. J Anxiety Disord., 22(8), 1316-1325. doi:S0887-6185(08)00045-5 [pii];10.1016/j.janxdis.2008.01.012 [doi]. Retrieved from PM:18339516

Kaplan, H. I., & Sadock, B. (2003). Synopsis of psychiatry: behavioral sciences, clinical psychiatry. Trans. Rafie, H., Rezaei F. Arjmand Publications: Tehran, Iran.

Larkin, S. (2010). Metacognition in young children. London, UK: Routledge.

Lysaker, P. H., McCormick, B. P., Snethen, G., Buck, K. D., Hamm, J. A., Grant, M. et al. (2011). Metacognition and social function in schizophrenia: associations of mastery with functional skills competence. Schizophr.Res, 131(1-3), 214-218. doi:S0920-9964(11)00316-1 [pii];10.1016/j.schres.2011.06.011 [doi]. Retrieved from PM:21745724

Milani, B. (1999). Mental Health. Theran, Iran: Ghoomes Publications.

Ormel, J., Koeter, M. W., van den Brink, W., & Giel, R. (1989). Concurrent validity of GHQ-28 and PSE as measures of change. Psychol Med, 19(4), 1007-1013. Retrieved from PM:2594877

Palahang, H. (1995). Epidemiology of mental disorders in Kashan townships [MSc Thesis]. Tehran, Iran: Iran University of Medical Sciences.

Rauch, S. A. M., Favorite, T., Giardino, N., Porcari, C., Defever, E., & Liberzon, I. (2010). Relationship between anxiety, depression, and health satisfaction among veterans with PTSD. Journal of Affective Disorders, 121(1), 165-168. Retrieved from

Taghavi, S. M. R. (2002). Validity and reliability of the General Health Questionnaire (GHQ-28) in college students of Shiraz University. Journal of Psychology, 5(4), 381-398.

Yaghobi, H. (2008). Screening of mental disorders: The Place of examinations and how to determine the cutting score and validation. Mental Health, 1(1), 39-51.

Yaghubi, N., Nasr, M., & Shahmohammadi, D. (1995). Epidemiology of mental disorders in Urabn and rural areas of sowmaesara-Gillan. Iran J Psychiatry Clin Psychol, 1(4), 55-60.

Yaris, S. (2010). The mediating role of metacognition on the relationship among depression/anxiety/ negative impact of life experiences and smoking dependence [MSc Thesis]. Ankara, Turkey: Middle East Technical University.




How to Cite

Khanizadeh, T., Angazi, E., & Khanizade, H. (2019). The Mediating Effect of Metacognition Learning on Mental Health of Veterans in Golestan Province, Iran. International Journal of Body, Mind and Culture, 6(2), 50-58.



Empirical Study