School of Health Sciences, Division of Psychology & Mental Health, The University of Manchester, Manchester, United Kingdom; Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom.
School of Health Sciences, Division of Psychology & Mental Health, The University of Manchester, Manchester, United Kingdom; Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom.
Psychiatry Res. 2018 Apr;262:520-526. doi: 10.1016/j.psychres.2017.09.037. Epub 2017 Sep 14.
Poor social functioning has been found to be present in those at risk for psychosis. This study aimed to examine metacognitive beliefs as potential predictors of structured activity (measure of social functioning) in those with an At Risk Mental State (ARMS). Regression and correlation analyses were conducted. The sample included 109 young people. Age was found to be positively correlated to structured activity. Metacognitive beliefs concerning uncontrollability and danger of worry were found to negatively predict structured activity. This was after controlling for age, gender, treatment allocation, cognitive schemas, positive symptom severity, social anxiety, and depression. Metacognitive danger items were most important. Age was the only control variable found to be an independent predictor of structured activity in the regression model, despite negative bi-variate relationships with structured activity found across three cognitive schema subscales and social anxiety. This is the first study to find that higher negative metacognitive beliefs about uncontrollability and danger predict lower social functioning in an ARMS sample, and that the perception of thoughts being dangerous was of particular importance. Psychological interventions should consider targeting this metacognitive dimension to increase social functioning. Future longitudinal research is required to strengthen findings in this area.
研究发现,有精神病风险的人存在社交功能不良的情况。本研究旨在探讨元认知信念是否可以作为有风险精神状态(ARMS)人群结构化活动(社交功能的衡量指标)的潜在预测因素。进行了回归和相关分析。该样本包括 109 名年轻人。研究发现,年龄与结构化活动呈正相关。元认知信念中的不可控性和担忧的危险性与结构化活动呈负相关。这是在控制了年龄、性别、治疗分配、认知图式、阳性症状严重程度、社交焦虑和抑郁之后得出的结果。元认知危险项目是最重要的。尽管在三个认知图式分量表和社交焦虑方面与结构化活动存在负相关关系,但年龄是回归模型中唯一发现可独立预测结构化活动的控制变量。这是第一项发现,较高的不可控性和危险性的负性元认知信念可预测 ARMS 样本中较低的社交功能,并且认为思维具有危险性尤其重要。心理干预应考虑针对这一元认知维度来提高社交功能。需要进行未来的纵向研究来加强该领域的发现。