Volume 23, Issue 3 (7-2024)                   JRUMS 2024, 23(3): 150-163 | Back to browse issues page

Ethics code: IR.IAU.SARI.REC.1402.207


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

khalilnezhadevati M, Abbasi G, Hadinezhad P. The Effectiveness of Metacognitive Therapy on Believability of Anxious Feelings and Thoughts in Patients with Generalized Anxiety Disorder: A Quasi-Experimental Study. JRUMS 2024; 23 (3) :150-163
URL: http://journal.rums.ac.ir/article-1-7314-en.html
Islamic Azad University, Sari branch
Full-Text [PDF 306 kb]   (43 Downloads)     |   Abstract (HTML)  (85 Views)
Full-Text:   (29 Views)
The Effectiveness of Metacognitive Therapy on Believability of Anxious Feelings and Thoughts in Patients with Generalized Anxiety Disorder: A Quasi-Experimental Study

Mobina Khalilnezhadevati[1], Ghodratollah Abbasi[2], Pezhman Hadinezhad[3]


Received: 03/03/24       Sent for Revision: 24/04/24       Received Revised Manuscript: 10/06/24   Accepted: 12/06/24


Background and Objectives: Patients with generalized anxiety disorder have psychological problems and require therapeutic interventions. The current study aimed to determine the effectiveness of metacognitive therapy on the the believability of anxious feelings and thoughts in patients with generalized anxiety disorder.
Materials and Methods: This study was a quasi-experimental pretest-posttest design with a control group. The statistical population included all outpatient psychiatric patients at the Zare Hospital Psychiatric Clinic in Sari in the fall 2023. Thirty-two individuals were selected using purposive sampling and randomly assigned into two experimental and control groups (16 individuals each). The experimental group received 8 sessions of metacognitive therapy, while the control group did not receive any intervention. Data collection was done using the Generalized Anxiety Disorder Scale by Spitzer et al. (2006) and the Believability of Anxious Feelings and Thoughts Questionnaire by Herzberg et al. (2012). Multivariate analysis of covariance were used for data analysis.
Results: Metacognitive therapy had a significant effect on the believability of anxious feelings and thoughts in patients with generalized anxiety disorder (p<0.001). The mean of believability of anxious feelings and thoughts scores in the experimental group were 86.44 and 55.94 in the pretest and posttest, respectively. This effectiveness was observed across all dimensions of believability of anxious feelings and thoughts with an effect size of 0.869 on the overall (p<0.001).
Conclusion: The results of this study indicate that metacognitive therapy is effective in improving the believability of anxious feelings and thoughts in patients with generalized anxiety disorder. Therefore, it is recommended this approach be used to enhance the mental health of these patients.
Keywords: Anxiety disorder, Mental health, Emotional disturbance, Medication adherence

Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of Islamic Azad University of Sari approved the study (IR.IAU.SARI.REC.1402.207).
Authors’ Contributions:
- Conceptualization: Mobina khalilnezhadevati
- Methodology: Mobina khalilnezhadevati, Ghodratollah Abbasi
- Data collection: Mobina khalilnezhadevati, Ghodratollah Abbasi, Pezhman Hadinezhad
- Formal analysis: Ghodratollah Abbasi, Mobina khalilnezhadevati
- Supervision: Ghodratollah Abbasi
- Project administration: Ghodratollah Abbasi
- Writing - original draft: Mobina khalilnezhadevati, Ghodratollah Abbasi, Pezhman Hadinezhad
- Writing - review & editing: Mobina khalilnezhadevati, Ghodratollah Abbasi, Pezhman Hadinezhad

Citation: Khalilnezhadevati M, Abbasi Gh, Hadinezhad P. The Effectiveness of Metacognitive Therapy on Believability of Anxious Feelings and Thoughts in Patients with Generalized Anxiety Disorder: A Quasi-Experimental Study. J Rafsanjan Univ Med Sci 2024; 23 (3): 150-63. [Farsi]
 
[1]- MA Student in Clinical Psychology, Sari Branch, Islamic Azad University, Sari, Iran
[2]- Associate Prof., Dept. of Psychology, Sari Branch, Islamic Azad University, Sari, Iran, ORCID: 0000-0001-9359-0430
   (Corresponding Author) Tel: (011) 33032891, E-mail: gh_abbasi@iausari.ac.ir
[3]- Assistant Prof. of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
Type of Study: Research | Subject: روانپزشكي
Received: 2024/03/2 | Accepted: 2024/06/12 | Published: 2024/07/20

References
1. Kamenov K, Cabello M, Ballert CS, Cieza A, Chatterji S, Rojas D, et al. What makes the difference in people’s lives when they have a mental disorder? International Journal of Public Health 2018; 63(1): 57-67.
2. Kim JJ, Parker SL, Doty JR, Cunnington R, Gilbert P, Kirby JN. Neurophysiological and behavioural markers of compassion. Scientific Reports 2020; 10(1): 6789.
3. Proskurnina EV, Liaukovich KM, Bychkovskaya LS, Mikheev IV, Alshanskaia EI, Proskurnin MA, et al. Salivary Antioxidant Capacity and Magnesium in Generalized Anxiety Disorder. Metabolites 2023; 13(1): 73.
4. Stein MB, Sareen J. Generalized anxiety disorder. New England Journal of Medicine 2015; 373(21): 2059-68.
5. Preti A, Demontis R, Cossu G, Kalcev G, Cabras F, Moro MF, et al. The lifetime prevalence and impact of generalized anxiety disorders in an epidemiologic Italian National Survey carried out by clinicians by means of semi-structured interviews. BMC Psychiatry 2021; 21(1): 1-8.
6. Collaborators GMD. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry 2022; 9(2): 137-50.
7. Craske MG, Stein MB, Eley TC, Milad MR, Holmes A, Rapee RM, et al. Correction: anxiety disorders. Nature Reviews: Disease Primers 2017; 3(1).
8. DeMartini J, Patel G, Fancher TL. Generalized anxiety disorder. Annals of Internal Medicine 2019; 170(7): ITC49-ITC64.
9. Torbati AG, Feizabadi AS, Askari MR, Zandi A, Sarmadi M. Thought Believability and Anxious Feelings about COVID-19: A Case-Control Study in Northeastern Iran. MJIRI 2023; 37(1).
10. Ford BQ, Gross JJ. Why beliefs about emotion matter: An emotion-regulation perspective. Current Directions in Psychological Science 2019; 28(1): 74-81.
11. Fergus TA. I really believe I suffer from a health problem: Examining an association between cognitive fusion and healthy anxiety. Journal of Clinical Psychology 2015; 71(9): 920-34.
12. Deplancke C, Somerville MP, Harrison A, Vuillier L. It’s all about beliefs: Believing emotions are uncontrollable is linked to symptoms of anxiety and depression through cognitive reappraisal and expressive suppression. Current Psychology 2023; 42(25): 22004-12.
13. Gillanders DT, Bolderston H, Bond FW, Dempster M, Flaxman PE, Campbell L, et al. The development and initial validation of the cognitive fusion questionnaire. Behavior Therapy 2014; 45(1): 83-101.
14. Fisher PL. Metacognitive therapy 2021. In A. Wenzel (Ed.), Handbook of cognitive behavioral therapy: Overview and approaches (pp. 617-36). American Psychological Association.
15. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press 2011: 71-119.
16. Anderberg JL, Baker LD, Kalantar EA, Berghoff CR. Cognitive fusion accounts for the relation of anxiety sensitivity cognitive concerns and rumination. Current Psychology 2024; 43(5): 4475-81.
17. Rawat A, Sangroula N, Khan A, Faisal S, Chand A, Yousaf RA, et al. Comparison of Metacognitive Therapy Versus Cognitive Behavioral Therapy for Generalized Anxiety Disorder: A Meta-Analysis of Randomized Control Trials. Cureus 2023; 15(5).
18. Normann N, Morina N. The efficacy of metacognitive therapy: a systematic review and meta-analysis. Frontiers in Psychology 2018; (9): 2211.
19. Barua N, Singh S, Agarwal V, Arya A, Barua N. Executive functions, metacognitive beliefs, and thought control strategies in adolescents with obsessive compulsive disorder. IJRAR 2020; 7(1): 672-80.
20. Faija CL, Reeves D, Heal C, Capobianco L, Anderson R, Wells A. Measuring the cognitive attentional syndrome in cardiac patients with anxiety and depression symptoms: Psychometric properties of the CAS-1R. Frontiers in Psychology 2019; (10): 2109.
21. Callesen P, Capobianco L, Heal C, Juul C, Find Nielsen S, Wells A. A preliminary evaluation of transdiagnostic group metacognitive therapy in a mixed psychological disorder sample. Frontiers in Psychology 2019; (10): 1341.
22. Liu L, Wu J, Geng H, Liu C, Luo Y, Luo J, et al. Long-term stress and trait anxiety affect brain network balance in dynamic cognitive computations. Cerebral Cortex 2022; 32(14): 2957-71.
23. Luciano C, Valdivia-Salas S, Ruiz FJ. The self as the context for rule-governed behavior. The self and perspective taking: Research and Applications 2012: 143-60.
24. Thibaut F. Anxiety disorders: a review of current literature. Dialogues in Clinical Neuroscience 2017; 19(2): 87-8.
25. Whisman MA, Collazos T. A longitudinal investigation of marital dissolution, marital quality, and generalized anxiety disorder in a national probability sample. Journal of Anxiety Disorders 2023; (96): 102713.
26. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine 2006; 166(10): 1092-7.
27. Naeinian MR, Shaeiri MR, Sharif M, Hadian M. To study reliability and validity for a brief measure for assessing Generalized Anxiety Disorder (GAD-7). Clinical Psychology and Personality 2011; 9(1): 41-50. [Farsi]
28. Herzberg KN, Sheppard SC, Forsyth JP, Credé M, Earleywine M, Eifert GH. The Believability of Anxious Feelings and Thoughts Questionnaire (BAFT): a psychometric evaluation of cognitive fusion in a nonclinical and highly anxious community sample. Psychological Assessment 2012; 24(4): 877.
29. Soltani SH, Bahrainian S, Farmani A. The mediating role of cognitive flexibility in the relationship between coping styles and resilience with depression. The Researcher 2013; 92(18): 88-96. [Farsi]
30. Wells A. Metacognitive therapy for anxiety and depression: Guilford Press 2011: 89-123.
31. Philipp R, Kriston L, Lanio J, Kuehne F, Haerter M, Moritz S, et al. Effectiveness of metacognitive interventions for mental disorders in adults-A systematic review and meta‐analysis (METACOG). Clinical Psychology & Psychotherapy 2019; 26(2): 227-40.
32. Capobianco L, Morrison AP, Wells A. The effect of thought importance on stress responses: a test of the metacognitive model. Stress 2018; 21(2): 128-35.
33. Fisher PL, Byrne A, Fairburn L, Ullmer H, Abbey G, Salmon P. Brief metacognitive therapy for emotional distress in adult cancer survivors. Frontiers in Psychology 2019; (10): 162.
34. Pettit JW, Bechor M, Rey Y, Vasey MW, Abend R, Pine DS, et al. A randomized controlled trial of attention bias modification treatment in youth with treatment-resistant anxiety disorders. JAACAP 2020; 59(1): 157-65.
35. Blakey SM, Abramowitz JS. Psychological predictors of health anxiety in response to the Zika virus. Journal of clinical Psychology in Medical Settings 2017; 24(3-4): 270-8.
36. Malivoire BL, Marcos M, Pawluk EJ, Tallon K, Kusec A, Koerner N. Look before you leap: The role of negative urgency in appraisals of ambiguous and unambiguous scenarios in individuals high in generalized anxiety disorder symptoms. Cognitive Behaviour Therapy 2019; 48(3): 217-40.
37. Çetin B, Doğan T, Sapmaz F. Olumsuz değerlendirilme korkusu ölçeği kısa formu’nun Türkçe uyarlaması: Geçerlik ve güvenirlik Çalışması. Eğitim ve Bilim 2010; 35(156).
38. Esbjørn BH, Normann N, Christiansen BM, Reinholdt-Dunne ML. The efficacy of group metacognitive therapy for children (MCT-c) with generalized anxiety disorder: An open trial. Journal of Anxiety Disorders 2018; (53): 16-21.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Rafsanjan University of Medical Sciences

Designed & Developed by : Yektaweb