Spada Marcantonio M, Nikcević Ana V, Moneta Giovanni B, Wells Adrian
School of Human and Life Sciences, Roehampton University, Whitelands College, Holybourne Avenue, London SW15 4JD, UK.
Addict Behav. 2007 Oct;32(10):2120-9. doi: 10.1016/j.addbeh.2007.01.012. Epub 2007 Jan 23.
This study investigated the role of metacognition as a mediator of the relationship between emotion and smoking dependence. A sample of 104 smokers completed the following questionnaires: Hospital Anxiety and Depression Scale (HADS), Metacognitions Questionnaire 30 (MCQ-30), and Fagerström Test of Nicotine Dependence (FTND). Three dimensions of metacognition (positive beliefs about worry, negative beliefs about worry concerning uncontrollability and danger, and beliefs about cognitive confidence) were found to be positively and significantly correlated with smoking dependence. A positive and significant correlation was also observed between anxiety and depression on the one hand, and smoking dependence on the other. Structural equation modeling was used to test a mediational model in which emotion predicted metacognition which in turn predicted smoking dependence. The results supported the hypothesis that the relationship between emotion and smoking dependence is partially mediated by metacognition, suggesting that metacognitive theory may be relevant to understanding smoking dependence. The implications of these findings are discussed.
本研究调查了元认知作为情绪与吸烟依赖之间关系的中介作用。104名吸烟者的样本完成了以下问卷：医院焦虑抑郁量表（HADS）、元认知问卷30（MCQ - 30）和尼古丁依赖Fagerström测试（FTND）。发现元认知的三个维度（对担忧的积极信念、对担忧的关于不可控性和危险性的消极信念以及对认知信心的信念）与吸烟依赖呈显著正相关。一方面焦虑和抑郁与另一方面吸烟依赖之间也观察到显著正相关。采用结构方程模型来检验一个中介模型，其中情绪预测元认知，而元认知反过来预测吸烟依赖。结果支持了情绪与吸烟依赖之间的关系部分由元认知中介的假设，这表明元认知理论可能与理解吸烟依赖相关。讨论了这些发现的意义。
