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元认知愤怒处理(MAP)量表——在混合临床和法医住院样本中的验证

The Metacognitive Anger Processing (MAP) Scale - Validation in a Mixed Clinical and a Forensic In-Patient Sample.

作者信息

Moeller Stine Bjerrum, Bech Per

机构信息

Department of Psychology,University of Copenhagen.

Psychiatric Research Unit,Mental Health Centre North Zealand.

出版信息

Behav Cogn Psychother. 2019 Jan;47(1):67-80. doi: 10.1017/S1352465818000140. Epub 2018 Mar 25.

DOI:10.1017/S1352465818000140
PMID:29573757
Abstract

BACKGROUND

The metacognitive approach by Wells and colleagues has gained empirical support with a broad range of symptoms. The Metacognitive Anger Processing (MAP) scale was developed to provide a metacognitive measure on anger (Moeller, 2016). In the preliminary validation, three components were identified (positive beliefs, negative beliefs and rumination) to be positively correlated with the anger.

AIMS

To validate the MAP in a sample of mixed clinical patients (n = 88) and a sample of male forensic patients (n = 54).

METHOD

The MAP was administered together with measures of metacognition, anger, rumination, anxiety and depressive symptoms.

RESULTS

The MAP showed acceptable scalability and excellent reliability. Convergent validity was evidenced using the general metacognitive measure (MCQ-30), and concurrent validity was supported using two different anger measures (STAXI-2 and NAS).

CONCLUSIONS

The MAP has promising potential to assess anger regulation problems by providing a framework on angry rumination as well as the belief structures that proposedly drive the selection of this maladaptive processing strategy as suggested in the metacognitive model. These findings may have implications for clinical interventions. For example, conducting functional analyses on anger rumination could increase the understanding of dysregulated anger processing and lead to new interventions focused on shifting thinking style.

摘要

背景

韦尔斯及其同事提出的元认知方法已在广泛的症状研究中获得了实证支持。元认知愤怒处理(MAP)量表旨在提供一种关于愤怒的元认知测量工具(默勒,2016年)。在初步验证中,确定了三个与愤怒呈正相关的成分(积极信念、消极信念和沉思)。

目的

在混合临床患者样本(n = 88)和男性法医患者样本(n = 54)中验证MAP量表。

方法

将MAP量表与元认知、愤怒、沉思、焦虑和抑郁症状的测量工具一起使用。

结果

MAP量表显示出可接受的可扩展性和出色的信度。使用一般元认知测量工具(MCQ - 30)证明了其收敛效度,使用两种不同的愤怒测量工具(STAXI - 2和NAS)支持了其同时效度。

结论

MAP量表有潜力通过提供一个关于愤怒沉思的框架以及如元认知模型中所提出的驱动这种适应不良处理策略选择的信念结构,来评估愤怒调节问题。这些发现可能对临床干预有启示。例如,对愤怒沉思进行功能分析可以增进对失调愤怒处理的理解,并导致专注于转变思维方式的新干预措施。

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