Department of Personality, Evaluation, and Treatment, University of Málaga, Spain.
Department of Psychology, Norwegian University of Science and Technology, Norway.
J Anxiety Disord. 2024 Oct;107:102930. doi: 10.1016/j.janxdis.2024.102930. Epub 2024 Sep 18.
The metacognitive model of psychological disorders highlights that emotional distress is maintained by metacognitive strategies, which are related to underlying metacognitive beliefs. Considerable empirical evidence has supported the role of metacognitions in psychopathology, but few studies have examined the suggested links between metacognitive beliefs, metacognitive strategies, and symptoms within individuals. Within-person effects provide better empirical tests of theory-based hypotheses derived from clinical models as they relate to change at the individual level. Thus, the current study sought to test central predictions from the metacognitive model at the within-person level using Dynamic Structural Equation Modelling (DSEM). A sample of 222 participants gathered at convenience participated in a 26-day long assessment period where they reported daily measures of metacognitive beliefs, metacognitive strategies, and negative affect. Temporal precedence and bidirectional relations between the variables, and the possible day-to-day and within days mediation role of metacognitive strategies between metacognitive beliefs and negative affect, were tested. When controlling for previous days effects, metacognitions and negative affect (but not metacognitive strategies) predicted each other the next day, showing a reciprocal relationship. However, metacognitive strategies were significant mediators between metacognitions and negative affect within days and day-to-day. Implications and future directions based on these findings are discussed.
心理障碍的元认知模型强调情绪困扰是由元认知策略维持的,而元认知策略与潜在的元认知信念有关。大量的实证证据支持了元认知在精神病理学中的作用,但很少有研究探讨元认知信念、元认知策略和个体症状之间的建议联系。个体内效应为基于临床模型的理论假设提供了更好的实证检验,因为它们与个体水平的变化有关。因此,本研究试图使用动态结构方程模型(DSEM)在个体内水平上测试元认知模型的核心预测。一个由 222 名参与者组成的样本在便利的情况下参加了一个 26 天的评估期,他们每天报告元认知信念、元认知策略和负性情绪的测量结果。检验了变量之间的时间优先性和双向关系,以及元认知策略在元认知信念和负性情绪之间可能的日常和日内中介作用。在控制前几天的影响后,元认知和负性情绪(但不是元认知策略)预测了第二天的相互关系。然而,元认知策略是日内和日间元认知和负性情绪之间的重要中介。基于这些发现,讨论了其意义和未来方向。