Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, UK.
Psychosis Research Unit, Greater Manchester West Mental Health Foundation NHS Trust, Manchester, UK.
Clin Psychol Psychother. 2018 Jan;25(1):31-49. doi: 10.1002/cpp.2132. Epub 2017 Aug 23.
This review investigated whether unhelpful metacognitive coping strategies, such as attentional biases, worry, rumination, and thought control, are associated with experiences of psychosis. These processes, known collectively as the Cognitive Attentional Syndrome (CAS), form a central tenet of the Self-Regulatory Executive Function model. Three research questions based on assumptions underlying the CAS were addressed. It was predicted that processes of (a) self-focused processing, (b) negative perseverative thinking (worry and rumination), and (c) counterproductive thought control would be associated with experiences of psychosis. A comprehensive search of the literature identified 51 eligible studies: 17 investigated self-focused attention, 25 investigated perseverative processing (worry: n = 18; rumination: n = 10), and 9 investigated thought control strategies. Findings indicated that unhelpful metacognitive coping strategies associated with the CAS are related to experiences of psychosis and appear to share important relationships with distress. Implications for future research and clinical practice are discussed.
本综述探讨了无益的元认知应对策略（如注意力偏向、担忧、反刍和思维控制）是否与精神病体验有关。这些过程统称为认知注意综合征（CAS），是自我调节执行功能模型的核心原则之一。本研究基于 CAS 的假设提出了三个研究问题。预测（a）自我关注过程、（b）消极的持续思维（担忧和反刍）以及（c）适得其反的思维控制与精神病体验有关。对文献的全面搜索确定了 51 项符合条件的研究：17 项研究了自我关注注意力，25 项研究了持续的思维过程（担忧：n=18；反刍：n=10），9 项研究了思维控制策略。研究结果表明，与 CAS 相关的无益元认知应对策略与精神病体验有关，并且似乎与痛苦有重要关系。对未来的研究和临床实践有一定的启示。
