Lenzo Vittorio, Sardella Alberto, Martino Gabriella, Quattropani Maria C
Department of Human, Social and Health Sciences, University of Cassino and South Latium, Cassino, Italy.
Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Front Psychol. 2020 Jan 10;10:2875. doi: 10.3389/fpsyg.2019.02875. eCollection 2019.
Psychological functioning plays an important role in medical conditions and impacts patients' quality of life. Previously, many studies have highlighted the association of metacognition to both the development and maintenance of emotional disorders. Recently, several researchers pointed out the relevant role of dysfunctional metacognitive beliefs in the context of chronic diseases. Hence, dysfunctional metacognitive beliefs could be directly related to anxiety and depression, regardless of the medical condition's expression. The aim of this systematic review was to summarize the available evidence regarding the association of metacognition with anxiety, depression, and perceived quality of life, in the context of medical conditions, according to Wells' theory. A systematic review based on electronic bibliographic databases (PsycINFO, PubMed, Scopus, Web of Science, and Web of Knowledge) of scientific literature was carried out. Studies involving patients evaluated in clinical settings were included in the analysis. Our findings indicated that metacognition appears to be related to anxiety, depression, and quality of life in patients with medical chronic conditions. Therefore, dysfunctional metacognitive beliefs might be a relevant factor associated with the process of adapting to illness. The additional evaluation of metacognitive factors in the context of several medical chronic conditions appears valuable. Due to the rising interest in the study of metacognition, suggestions for future research have also been provided.
心理功能在医疗状况中起着重要作用，并影响患者的生活质量。此前，许多研究都强调了元认知与情绪障碍的发生和维持之间的关联。最近，一些研究人员指出了功能失调的元认知信念在慢性病背景下的相关作用。因此，无论医疗状况如何表现，功能失调的元认知信念都可能与焦虑和抑郁直接相关。本系统综述的目的是根据韦尔斯的理论，总结在医疗状况背景下，关于元认知与焦虑、抑郁及感知生活质量之间关联的现有证据。我们基于科学文献的电子书目数据库（PsycINFO、PubMed、Scopus、科学网和知识网）进行了一项系统综述。分析纳入了涉及在临床环境中接受评估的患者的研究。我们的研究结果表明，元认知似乎与患有慢性疾病的患者的焦虑、抑郁和生活质量有关。因此，功能失调的元认知信念可能是与疾病适应过程相关的一个因素。在几种慢性疾病背景下对元认知因素进行额外评估似乎很有价值。由于对元认知研究的兴趣不断增加，我们也提供了未来研究的建议。
