Caselli Gabriele, Spada Marcantonio M
Studi Cognitivi, Cognitive Psychotherapy School, Milano, Italy.
London South Bank University, London, UK.
Addict Behav. 2015 May;44:71-79. doi: 10.1016/j.addbeh.2014.07.021. Epub 2014 Jul 23.
The aim of this study was to provide an overview of the construct of desire thinking and test a metacognitive model of desire thinking and craving, based on the work of Spada, Caselli and Wells (2012; 2013), which aims to explain the perseveration of desire thinking.
We conducted two studies involving four clinical samples (total N = 493) and a community sample (N = 494) presenting with different addictive behaviors. The relationships among variables were examined by testing the fit of path models within each sample.
In the model presented it was proposed that positive metacognitions about desire thinking are associated with, in turn, imaginal prefiguration and verbal perseveration, marking the activation of desire thinking. Verbal perseveration is then associated to negative metacognitions about desire thinking and craving denoting the pathological escalation of desire thinking. Finally, a direct association between positive metacognitions about desire thinking and negative metacognitions about desire thinking would mark those occasions where target-achieving behaviour runs as an automatized schemata without the experience of craving. Results indicated a good model fit in the clinical sample and a variation in the model structure in the community sample.
These findings provide further support for the application of metacognitive theory to desire thinking and craving in addictive behaviors.
本研究旨在概述欲望思维的结构,并基于斯帕达、卡塞利和韦尔斯(2012年;2013年)的研究成果,检验欲望思维和渴望的元认知模型,该模型旨在解释欲望思维的持续存在。
我们进行了两项研究,涉及四个临床样本(共N = 493)和一个社区样本(N = 494),这些样本呈现出不同的成瘾行为。通过检验每个样本中路径模型的拟合度来考察变量之间的关系。
在提出的模型中,关于欲望思维的积极元认知依次与想象预演和言语持续相关,标志着欲望思维的激活。言语持续随后与关于欲望思维和渴望的消极元认知相关,表明欲望思维的病理性升级。最后,关于欲望思维的积极元认知与关于欲望思维的消极元认知之间的直接关联将标志着目标达成行为作为一种自动化图式运行而没有渴望体验的那些情况。结果表明该模型在临床样本中拟合良好,但在社区样本中模型结构有所不同。
这些发现为元认知理论在成瘾行为中的欲望思维和渴望研究中的应用提供了进一步支持。