元认知与因慢性疲劳而休病假的个体的主观记忆问题相关。
Metacognitions Are Associated with Subjective Memory Problems in Individuals on Sick Leave due to Chronic Fatigue.
作者信息
Jacobsen Henrik B, Aasvik Julie K, Borchgrevink Petter C, Landrø Nils I, Stiles Tore C
机构信息
Hysnes Rehabilitation Center, St. Olav's University HospitalTrondheim, Norway; National Competence Center for Pain and Complex Disorders, St. Olav's University HospitalTrondheim, Norway.
Hysnes Rehabilitation Center, St. Olav's University HospitalTrondheim, Norway; Department of Circulation and Medical Imaging, Norwegian University of Science and TechnologyTrondheim, Norway.
出版信息
Front Psychol. 2016 May 13;7:729. doi: 10.3389/fpsyg.2016.00729. eCollection 2016.
BACKGROUND
Subjective cognitive impairments are frequent, but poorly understood in patients with chronic fatigue. We hypothesized that maladaptive metacognitive beliefs at baseline were associated with baseline subjective cognitive impairments, that they predict subjective cognitive impairments at treatment termination, and that a reduction in maladaptive metacognitive beliefs was associated with less subjective cognitive impairments at treatment termination, independent of changes in fatigue, pain, insomnia, depression, and anxiety.
METHODS
In this non-controlled study, patients (n = 137) on sick leave due to chronic fatigue received a 3.5-week inpatient RTW rehabilitation program. Of these patients 69 (50.4%) was referred with a ICPC-2 diagnosis of chronic fatigue. Patients completed questionnaires about metacognitive beliefs, somatic complaints, psychological complaints, and cognitive impairments before and after treatment. To test the hypotheses we performed paired t-tests of change, as well as seven hierarchical linear regressions.
RESULTS
RESULTS showed that baseline maladaptive metacognitive beliefs were significantly associated with subjective cognitive impairments at baseline, controlling for symptoms. Score on baseline metacognitive beliefs did not predict impairments post-treatment. Testing specific maladaptive beliefs, pre-treatment scores on cognitive confidence were associated with subjective cognitive impairments both pre and post-treatment, controlling for symptoms. Post-treatment metacognitive beliefs and post-treatment cognitive confidence were associated with post-treatment subjective cognitive impairments, controlling for pre-treatment impairments and pre-treatment metacognitive beliefs, as well as pre and post-scores on symptom measures.
CONCLUSION
This study reports associations between maladaptive metacognitive beliefs and subjective cognitive impairments in patients with chronic fatigue. Targeting metacognitive beliefs could prove an effective therapeutic intervention for subjective cognitive impairments in these patients.
背景
主观认知障碍很常见，但在慢性疲劳患者中却了解甚少。我们假设，基线时适应不良的元认知信念与基线主观认知障碍相关，它们可预测治疗结束时的主观认知障碍，且适应不良的元认知信念的减少与治疗结束时较少的主观认知障碍相关，这与疲劳、疼痛、失眠、抑郁和焦虑的变化无关。
方法
在这项非对照研究中，因慢性疲劳而休病假的患者（n = 137）接受了为期3.5周的住院返岗康复计划。其中69名（50.4%）患者的国际初级保健分类第2版（ICPC-2）诊断为慢性疲劳。患者在治疗前后完成了关于元认知信念、躯体主诉、心理主诉和认知障碍的问卷调查。为检验这些假设，我们进行了配对t检验以及七次分层线性回归。
结果
结果显示，在控制症状的情况下，基线时适应不良的元认知信念与基线主观认知障碍显著相关。基线元认知信念得分不能预测治疗后的障碍。在检验特定的适应不良信念时，在控制症状的情况下，认知信心的治疗前得分与治疗前和治疗后的主观认知障碍均相关。治疗后的元认知信念和治疗后的认知信心与治疗后的主观认知障碍相关，同时控制治疗前的障碍、治疗前的元认知信念以及症状测量的治疗前和治疗后得分。
结论
本研究报告了慢性疲劳患者中适应不良的元认知信念与主观认知障碍之间的关联。针对元认知信念可能是治疗这些患者主观认知障碍的有效治疗干预措施。
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