Sarisoy Gökhan, Pazvantoğlu Ozan, Ozturan Deniz Deniz, Ay Naile Dila, Yilman Tuba, Mor Sema, Korkmaz Işil Zabun, Kaçar Omer Faruk, Gümüş Kübra
Psychiatry Department, School of Medicine, Ondokuz Mayis University , Samsun , Turkey.
Nord J Psychiatry. 2014 May;68(4):275-81. doi: 10.3109/08039488.2013.814710. Epub 2013 Aug 1.
The purpose of this study was to perform a comparative investigation of metacognitive beliefs regarding pathological worry in patients with unipolar and bipolar depressive disorder.
Those subjects with acute depressive episodes among patients diagnosed with major depressive disorder (unipolar) or bipolar disorder on the basis of DSM-IV diagnostic criteria (unipolar n = 51, bipolar n = 45), and healthy controls (n = 60), were included in the study. Participants were administered the Meta-Cognitions Questionnaire (MCQ-30) in order to determine metacognitive beliefs. The relationship between metacognitive beliefs and anxiety severity, depression severity and self-esteem in the unipolar and bipolar patients groups was then examined.
Scores for negative beliefs about worry concerning uncontrollability and danger and for beliefs about the need to control thoughts were higher in both the unipolar and bipolar depression groups than in the healthy controls (P < 0.05). Lack of cognitive confidence scores were higher in the bipolar group than in the healthy controls (P < 0.05). Metacognitive beliefs (to a greater extent in parameters in the bipolar group) were correlated with anxiety level, depression level and self-esteem in both patient groups.
In addition to metacognitive beliefs known to be associated with ruminations in unipolar and bipolar depression, metacognitive beliefs can also be seen in association with worry. Worry-associated metacognitive beliefs should be the subject of focus in the identification of metacognitive beliefs in depression patients and in metacognitive therapy in these patients.
本研究旨在对单相和双相抑郁症患者病理性担忧的元认知信念进行比较研究。
本研究纳入了根据《精神疾病诊断与统计手册》第四版（DSM-IV）诊断标准被诊断为重度抑郁症（单相）或双相情感障碍的急性抑郁发作患者（单相n = 51，双相n = 45）以及健康对照者（n = 60）。为确定元认知信念，对参与者进行了元认知问卷（MCQ-30）测试。随后考察了单相和双相患者组中元认知信念与焦虑严重程度、抑郁严重程度和自尊之间的关系。
单相和双相抑郁组中关于担忧的不可控性和危险性的消极信念得分以及关于控制思维必要性的信念得分均高于健康对照组（P < 0.05）。双相组中缺乏认知信心得分高于健康对照组（P < 0.05）。在两个患者组中，元认知信念（在双相组中参数的关联程度更大）均与焦虑水平、抑郁水平和自尊相关。
除了已知与单相和双相抑郁症中的反复思考相关的元认知信念外，元认知信念也与担忧相关。与担忧相关的元认知信念应成为抑郁症患者元认知信念识别及这些患者元认知治疗的重点关注对象。
