The contribution of metacognitive beliefs and dysfunctional illness beliefs in predicting health anxiety: An evaluation of the metacognitive versus the cognitive models

被引：23

作者：

Bailey, Robin ^{[1
,2
]}

Wells, Adrian ^{[1
]}

机构：

[1] Univ Manchester, Dept Clin Psychol, Manchester, Lancs, England

[2] Univ Cent Lancashire, Sch Hlth, Brook Bldg 235, Preston, Lancs, England

来源：

CLINICAL PSYCHOLOGIST | 2016年 / 20卷 / 03期

关键词：

clinical; dysfunctional beliefs; health anxiety; metacognitive beliefs; neuroticism; ATTENTIONAL BIAS; CASE SERIES; HYPOCHONDRIASIS; DISORDER; DEPRESSION; SYMPTOMS; THERAPY; THREAT; SCALE; INDEX;

D O I：

10.1111/cp.12078

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

BackgroundIn the cognitive model dysfunctional beliefs about symptoms and illnesses are pivotal in the conceptualisation of health anxiety. The metacognitive model offers an alternative view in that health anxiety is linked more to beliefs about thinking, that is metacognitive beliefs. This study sets out to test the relative contribution of each type of belief to health anxiety as a rigorous test of each of the respective models. MethodIn the present study, 377 participants completed measures of neuroticism, health anxiety-related dysfunctional beliefs and metacognitive beliefs. ResultsMetacognitive beliefs explained a significant and large proportion (49 %) of the variance in health anxiety, when controlling for dysfunctional beliefs and neuroticism. They were found to be the strongest independent predictors of health anxiety. ConclusionsOverall, the findings indicate that metacognitive beliefs have a role in predicting health anxiety and may be more important than the symptom-related beliefs emphasised in cognitive models. The clinical implications of these findings are briefly considered.

引用

页码：129 / 137

页数：9

共 60 条

[51] A validation study of the whitely index, the illness attitude scales, and the somatosensory amplification scale in general medical and general practice patients [J].

Speckens, AEM ;

Spinhoven, P ;

Sloekers, PPA ;

Bolk, JH ;

vanHemert, AM .

JOURNAL OF PSYCHOSOMATIC RESEARCH, 1996, 40 (01) :95-104

[52]

Taylor S., 2004, TREATING HLTH ANXIET

[53] HYPOCHONDRIASIS [J].

WARWICK, HMC ;

SALKOVSKIS, PM .

BEHAVIOUR RESEARCH AND THERAPY, 1990, 28 (02) :105-117

[54]

Weck F, 2012, PSYCHOSOMATICS, V53, P148, DOI 10.1016/j.psym.2011.11.007

[55] Measuring health anxiety: Moving past the dichotomous response option of the original Whiteley Index [J].

Welch, Patrick G. ;

Carleton, R. Nicholas ;

Asmundson, Gordon J. G. .

JOURNAL OF ANXIETY DISORDERS, 2009, 23 (07) :1002-1007

[56] A short form of the metacognitions questionnaire: properties of the MCQ-30 [J].

Wells, A ;

Cartwright-Hatton, S .

BEHAVIOUR RESEARCH AND THERAPY, 2004, 42 (04) :385-396

[57] Preliminary tests of a cognitive model of generalized anxiety disorder [J].

Wells, A ;

Carter, K .

BEHAVIOUR RESEARCH AND THERAPY, 1999, 37 (06) :585-594

[58]

Wells A., 2009, METACOGNITIVE THERAP

[59]

Wells A., 2015, Attention and emotion: a clinical perspective

[60] Investigation of health anxiety and its related factors in nursing students [J].

Zhang, Yuqun ;

Zhao, Yueqiu ;

Mao, Shengqin ;

Li, Guohong ;

Yuan, Yonggui .

NEUROPSYCHIATRIC DISEASE AND TREATMENT, 2014, 10 :1223-1234

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