Cartwright-Hatton S, Wells A
University of Oxford, UK.
J Anxiety Disord. 1997 May-Jun;11(3):279-96. doi: 10.1016/s0887-6185(97)00011-x.
This report describes the development of the Meta-Cognitions Questionnaire to measure beliefs about worry and intrusive thoughts. Factor analyses of the scale demonstrated five empirically distinct and relatively stable dimensions of meta-cognition. Four of the factors representing beliefs were: Positive Beliefs About Worry: Negative Beliefs About the Controllability of Thoughts and Corresponding Danger; Cognitive Confidence; and Negative Beliefs about Thoughts in General, including Themes of Superstition, Punishment and Responsibility. The fifth factor represented Meta-Cognitive processes-Cognitive Self-Consciousness-a tendency to be aware of and monitor thinking. The measure showed good psychometric properties on a range of indices of reliability and validity. Scores on the questionnaire subscales predicted measures of worry proneness, proneness to obsessional symptoms, and anxiety. Regression analyses showed that the independent predictors of worry were: Positive Beliefs about Worry; Negative Beliefs About the Controllability of Thoughts and Corresponding Danger: and Cognitive Confidence. Significant differences in particular MCQ subscales were demonstrated between patients with intrusive thoughts, clinical controls and normals. The implications of these findings for models of worry and intrusive thoughts are discussed.
本报告描述了用于测量对担忧和侵入性思维信念的元认知问卷的编制情况。该量表的因素分析表明元认知存在五个经验上不同且相对稳定的维度。代表信念的四个因素分别是：对担忧的积极信念；对思维可控性及相应危险的消极信念；认知信心；以及对一般思维的消极信念，包括迷信、惩罚和责任主题。第五个因素代表元认知过程——认知自我意识——一种意识到并监控思维的倾向。该测量在一系列信效度指标上显示出良好的心理测量特性。问卷分量表得分可预测担忧倾向、强迫症状倾向和焦虑程度。回归分析表明，担忧的独立预测因素为：对担忧的积极信念；对思维可控性及相应危险的消极信念；以及认知信心。在有侵入性思维的患者、临床对照者和正常人之间，特定元认知问卷分量表存在显著差异。本文讨论了这些发现对担忧和侵入性思维模型的意义。
