Metacognitive Therapy for Dysfunctional Attitudes in Generalized Anxiety Disorder: A Controlled Study
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Objective: The aim of this study was to investigate the effectiveness of metacognitive therapy on dysfunctional attitude in patients with generalized anxiety disorder.
Methods and Materials: In a semi experimental study with a pre-test and post-test control group design, 32 patients with GAD from Zare Psychiatric Hospital, Sari, were randomly assigned to experimental (16) and control (16) groups. The experimental group received 8 weekly sessions of MCT. The GAD-7 scale and Dysfunctional Attitude Scale (DAS-26) were used for assessment.
Findings: MCT significantly reduced dysfunctional attitudes in patients with GAD (p<0.05).
Conclusion: MCT effectively addresses dysfunctional attitudes in patients with generalized anxiety disorder, helping them develop a new relationship with their thoughts and gradually adjust maladaptive cognitive patterns.
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Adu Bakare, S., & Nouhi, N. (2024). Employee Experiences with Workplace Discrimination Law. Interdisciplinary Studies in Society, Law, and Politics, 3(1), 24-30. https://doi.org/10.61838/kman.isslp.3.1.5
Afshar, H., Roohafza, H., Hassanzadeh-Keshteli, A., Sharbafchi, M. R., Feizi, A., & Adibi, P. (2015). Association of Personality Traits with Psychological Factors of Depression, Anxiety, and Psychological Distress: A Community Based Study. International Journal of Body, Mind and Culture, 2(2), 105-114. https://doi.org/10.22122/ijbmc.v2i2.32
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders: DSM-5-TR. Washington, DC: American psychiatric association. https://doi.org/10.1176/appi.books.9780890425787
Angazi, F., Hosseini, S., Arefi, M., & Kakabraei, K. (2023). Structural model of anxiety disorders based on corona anxiety, mental health and the level of health concern with the mediating role of coping strategies in pregnant women. Applied Family Therapy Journal (AFTJ), 4(5), 161-172. https://doi.org/10.61838/kman.aftj.4.5.9
Babakhanzadeh, S., Ahteshamzadeh, P., Eftekharsaadi, Z., Bakhtiyarpor, S., & Alipor, A. (2019). The effectivenss of Metacognitve Therapy with emphasis for Brain Executive Functions on C ognitive- Attentional syndrom and Sense of Coherence in Anxious persons. Counseling Culture and Psycotherapy, 10(38), 195-220. https://doi.org/10.22054/qccpc.2019.40298.2080
Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American psychologist, 55(11), 1247-1263. https://doi.org/10.1037/0003-066X.55.11.1247
Barlow, D. H. (2004). Anxiety and its disorders: The nature and treatment of anxiety and panic. Guilford press. https://books.google.com/books?hl=en&lr=&id=Lx9hf-3ZJCQC&oi=fnd&pg=PA1&dq=Barlow,+David+H.+(2004).+Anxiety+and+its+disorders:+The+nature+and+treatment+of+anxiety+and+panic:+Guilford+press.&ots=WjtsArfK9m&sig=u9l3jS_9wagi16D96K4VT66Y2Dk
Boltivets, S. (2023). Cultural Beliefs and Mental Health. Journal of Psychosociological Research in Family and Culture, 1(4), 1-3. https://journals.kmanpub.com/index.php/jprfc/article/view/2612
Çevik, M., & Toker, H. (2022). Social Determinants of Health: Legal Frameworks for Addressing Inequities. Interdisciplinary Studies in Society, Law, and Politics, 1(1), 14-22. https://doi.org/10.61838/kman.isslp.1.1.3
Dehnamaki Moshgabadi, F., Tavabe Ghavami, S., & Alekasir, M. (2024). The Relationship between Spousal Abuse and Generalized Anxiety in Women Referring to the Social Emergency Department of Tehran. Journal of Psychological Dynamics in Mood Disorders (PDMD), 3(1), 41-50. https://doi.org/10.22034/pdmd.2024.451470.1076
Derakhshan Roudsari, H. (2024). The Effectiveness of Metacognitive Therapy on Dysfunctionalities in Women with Premenstrual Dysphoric Disorder. Applied Family Therapy Journal (AFTJ), 5(1), 140-146. https://doi.org/10.61838/kman.aftj.5.1.15
Hunt, C., Slade, T., & Andrews, G. (2004). Generalized Anxiety Disorder and Major Depressive Disorder comorbidity in the National Survey of Mental Health and Well-Being. Depression and Anxiety, 20(1), 23-31. https://doi.org/10.1002/da.20019
Kajastus, K., Haravuori, H., Kiviruusu, O., Marttunen, M., & Ranta, K. (2024). Associations of generalized anxiety and social anxiety with perceived difficulties in school in the adolescent general population. Journal of adolescence, 96(2), 291-304. https://doi.org/10.1002/jad.12275
Kashani Vahid, S., Mohammadi Aria, A., & Abolmaali Alhosseini, K. (2024). Structural Relationship of Metacognitive Beliefs, Stress, Attachment Styles with Anorexia Nervosa Mediated by Self-Image. Applied Family Therapy Journal (AFTJ), 5(3), 66-75. https://doi.org/10.61838/kman.aftj.5.3.7
Khodadad Hatkehposhti, Z., Hasanzadeh, R., & Emadian, S. O. (2022). Comparison of the effectiveness of cognitive-behavioral therapy and emotional schema therapy on neuroticism and dysfunctional attitudes in cardiovascular patients. Applied Family Therapy Journal (AFTJ), 3(3), 280-296. https://doi.org/10.61838/kman.aftj.3.3.16
Kotwal, S. (2022). Addressing the Gap: The Importance of Mental Health Legislation and Policy. Interdisciplinary Studies in Society, Law, and Politics, 1(2), 1-3. https://doi.org/10.61838/kman.isslp.1.2.1
Lee, J. K., & Orsillo, S. M. (2014). Investigating cognitive flexibility as a potential mechanism of mindfulness in Generalized Anxiety Disorder. Journal of Behavior Therapy and Experimental Psychiatry, 45(1), 208-216. https://doi.org/10.1016/j.jbtep.2013.10.008
Li, J., & Zhou, L. (2024). Efficacy of Mindfulness-Based Stress Reduction on Reducing Somatization and Attachment Anxiety: A Randomized Controlled Trial. Journal of Personality and Psychosomatic Research (JPPR), 1(4), 14-22. https://journals.kmanpub.com/index.php/jppr/article/view/2571
Mami, S., Sharifi, M., & Mahdavi, A. (2015). The effectiveness of meta-cognitive therapy on reducing metaworry symptoms and thought fusion in people with generalized anxiety disorder referred to a Military Hospital [Research]. Nurse and Physician Within War, 3(7), 18-25. http://npwjm.ajaums.ac.ir/article-1-299-en.html
Marzeh Haji Aghayi, M., Mahmoudi, A., & Hosseini Nik, S. S. (2023). Predicting the Level of Academic Stress Using Ineffective Attitudes and Spontaneous Thoughts with the Mediation of Mindfulness in Students. Journal of Adolescent and Youth Psychological Studies (JAYPS), 4(9), 21-31. https://doi.org/10.61838/kman.jayps.4.9.3
Mehrmanesh, E., Hafezi, F., Ehteshamzadeh, P., & Bakhtiarpour, S. (2023). Comparing the effectiveness of cognitive behavioral therapy, biofeedback and EMDR on anxiety sensitivity in women with migraine. Journal of Personality and Psychosomatic Research (JPPR), 1(1), 10-14. https://doi.org/10.61838/kman.jppr.1.1.3
Mohammad Salehi, S., Yousefi, N., & Moradi, O. (2023). Comparing the Effectiveness of Wells' Metacognition Training with Kabat-Zinn's Mindfulness Training on Self-Efficacy of Students with Math Anxiety. Journal of Assessment and Research in Applied Counseling (JARAC), 5(3), 94-102. https://doi.org/10.61838/kman.jarac.5.3.13
Mohammadnejadi, B., Shamali Oskoei, A., & Soleimani, M. (2023). Comparing the effectiveness of metacognitive therapy and the integration of metacognitive therapy with an evolutionary psychotherapy approach in reducing depression symptoms. Journal of Adolescent and Youth Psychological Studies (JAYPS), 4(2), 34-43. https://doi.org/10.61838/kman.jayps.4.2.5
Natalini, E., Fioretti, A., Riedl, D., Moschen, R., & Eibenstein, A. (2021). Tinnitus and Metacognitive Beliefs—Results of a Cross-Sectional Observational Study. Brain Sciences, 11(1), 3.
Nateghi, N., Dadashi, M., & Mahmoud Alilou, M. (2019). Metacognitive Therapy in Improving sign, Metacognitive Beliefs and Thought Fusion in Patients with Obsessive-Compulsive Disorder [Original Research Article]. Middle Eastern Journal of Disability Studies, 9(0), 112-112. http://jdisabilstud.org/article-1-991-en.html
http://jdisabilstud.org/article-1-991-en.pdf
Nordahl, H., & Wells, A. (2018). Metacognitive Therapy for Social Anxiety Disorder: An A–B Replication Series Across Social Anxiety Subtypes [Original Research]. Frontiers in psychology, 9. https://doi.org/10.3389/fpsyg.2018.00540
Ofem, U. J. (2023). Adjustment Tendencies Among Transiting Students: A Mediation Analysis Using Psychological Wellbeing Indices. International Journal of Education and Cognitive Sciences, 4(3), 1-19. https://doi.org/10.61838/kman.ijecs.4.3.1
Rahmatinia, M., & Gorji, Y. (2023). The effectiveness of cognitive analytical therapy on improving generalized anxiety disorder and reducing anxiety symptoms in women of Isfahan city. Psychology of Woman Journal, 4(3), 28-40. https://journals.kmanpub.com/index.php/psywoman/article/view/710
Rygh, J. L., & Sanderson, W. C. (2004). Treating generalized anxiety disorder: Evidence-based strategies, tools, and techniques. Guilford Press. https://books.google.com/books?hl=en&lr=&id=3Q93L-dSSHQC&oi=fnd&pg=PR11&dq=Rygh,+Jayne+L,+%26+Sanderson,+William+C.+(2004).+Treating+generalized+anxiety+disorder:+Evidence-based+strategies,+tools,+and+techniques:+Guilford+Press.&ots=mKEHXnWUUD&sig=sBPVTXhl3iPS73eeMb2Q8ae6sYY
Sarabadani, A., Hasanzadeh, R., & Ghanadzadegan, H. (2023). The effectiveness of acceptance and commitment therapy on distress tolerance and cognitive emotion regulation in women with generalized anxiety disorder. Applied Family Therapy Journal (AFTJ), 4(2), 96-114. https://doi.org/10.61838/kman.aftj.4.2.6
Sauletzhanovna, T. A., Mohammed, W. K., Ahmed, A. S., Mohammed, H. I., Al-Hili, A., Alnajar, M. J., Naser, N. S., Amr, E. F., & Mohsin, R. M. (2024). The Predictive Value of Depression and Anxiety on Protracted Cardiovascular Outcomes in Individuals with Acute Myocardial Infarction: The predictive value of depression and anxiety on protracted cardiovascular outcomes. International Journal of Body, Mind and Culture, 11(Special Issue), 64-75. https://doi.org/10.22122/ijbmc.v10iSpecial Issue.739
Sharif Ara, B., Khosropour, F., & Molayi Zarandi, H. (2023). Effectiveness of Acceptance and Commitment Therapy (ACT) on Emotional Processing, Irrational Beliefs and Rumination in Patients with Generalized Anxiety Disorder. Journal of Adolescent and Youth Psychological Studies (JAYPS), 4(4), 34-44. https://doi.org/10.61838/kman.jayps.4.4.5
Wells, A. (1999). A Cognitive Model of Generalized Anxiety Disorder. Behavior Modification, 23(4), 526-555. https://doi.org/10.1177/0145445599234002
Wells, A. (2005). The metacognitive model of GAD: Assessment of meta-worry and relationship with DSM-IV generalized anxiety disorder. Cognitive therapy and research, 29, 107-121.
Wells, A. (2006). Metacognitive therapy for worry and generalised anxiety disorder. Worry and its psychological disorders: Theory, assessment and treatment, 257-272.
Wells, A. (2011). Metacognitive therapy for anxiety and depression. Guilford press. https://books.google.com/books?hl=en&lr=lang_en&id=L0Ty67gOD4oC&oi=fnd&pg=PR1&dq=+Metacognitive+therapy+for+anxiety+and+depression.&ots=N26EFyKlnG&sig=aWixWyPkqEJFc1p0Oa__N6rSgps
Wells, A., & Capobianco, L. (2020). Metacognition. In Clinical handbook of fear and anxiety: Maintenance processes and treatment mechanisms. (pp. 171-182). American Psychological Association. https://doi.org/10.1037/0000150-010
Wells, A., Reeves, D., Heal, C., Fisher, P., Doherty, P., Davies, L., Heagerty, A., & Capobianco, L. (2023). Metacognitive therapy home-based self-help for anxiety and depression in cardiovascular disease patients in the UK: A single-blind randomised controlled trial. PLOS Medicine, 20(1), e1004161. https://doi.org/10.1371/journal.pmed.1004161
Wu, M., Mennin, D. S., Ly, M., Karim, H. T., Banihashemi, L., Tudorascu, D. L., Aizenstein, H. J., & Andreescu, C. (2019). When worry may be good for you: Worry severity and limbic-prefrontal functional connectivity in late-life generalized anxiety disorder. Journal of affective disorders, 257, 650-657. https://doi.org/10.1016/j.jad.2019.07.022
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