Rebecca Anderson1, Lora Capobianco1, Peter Fisher2, David Reeves3, Calvin Heal4, Cintia L Faija1, Hannah Gaffney5, Adrian Wells6. 1. Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK. 2. The University of Liverpool, UK. 3. NIHR School for Primary Care Research, Division of Population of Health, Health Services Research and Primary Care, Manchester Academic Health Science Centre, University of Manchester, UK. 4. Centre for Biostatistics, Division of Population of Health, Health Services Research and Primary Care, Manchester Academic Health Science Centre, University of Manchester, UK. 5. Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK; Centre for Biostatistics, Division of Population of Health, Health Services Research and Primary Care, Manchester Academic Health Science Centre, University of Manchester, UK. 6. Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK; School of Psychological Sciences, The University of Manchester, UK. Electronic address: Adrian.wells@manchester.ac.uk.
Abstract
OBJECTIVE: Anxiety and depression symptoms are common in patients with physical health conditions. In the metacognitive model, beliefs about cognition (metacognitions) are a key factor in the development and maintenance of anxiety and depression. The current study evaluated if metacognitions predict anxiety and/or depression symptoms and if differential or common patterns of relationships exist across cardiac and cancer patients. METHOD: A secondary data analysis with 102 cardiac patients and 105 patients with breast or prostate cancer were included. Participants were drawn from two studies, Wells et al. [1] and Cook et al. [2]. All patients reported at least mild anxiety or depression symptoms. Patients completed the Metacognitions Questionnaire 30 (MCQ-30) and the Hospital Anxiety and Depression Scale (HADS). Hierarchical linear regressions evaluated metacognitive predictors of anxiety and depression across the groups. RESULTS: The results of regression analyses controlling for a range of demographics and testing for effect of illness type showed that uncontrollability and danger and positive beliefs were common and independent predictors of anxiety in both groups. There was one positive bi-variate association between metacognitive beliefs (uncontrollability and danger) and depressive symptoms. CONCLUSIONS: Findings support the metacognitive model, suggesting that a common set of metacognitive factors contribute to psychological distress, particularly anxiety. Uncontrollability and danger metacognitions and positive beliefs about worry appear to make independent contributions to anxiety irrespective of type of physical illness. While metacognitive beliefs were not reliably associated with depressive symptoms this may be because the current sample exhibited low depression scores.
OBJECTIVE:Anxiety and depression symptoms are common in patients with physical health conditions. In the metacognitive model, beliefs about cognition (metacognitions) are a key factor in the development and maintenance of anxiety and depression. The current study evaluated if metacognitions predict anxiety and/or depression symptoms and if differential or common patterns of relationships exist across cardiac and cancerpatients. METHOD: A secondary data analysis with 102 cardiac patients and 105 patients with breast or prostate cancer were included. Participants were drawn from two studies, Wells et al. [1] and Cook et al. [2]. All patients reported at least mild anxiety or depression symptoms. Patients completed the Metacognitions Questionnaire 30 (MCQ-30) and the Hospital Anxiety and Depression Scale (HADS). Hierarchical linear regressions evaluated metacognitive predictors of anxiety and depression across the groups. RESULTS: The results of regression analyses controlling for a range of demographics and testing for effect of illness type showed that uncontrollability and danger and positive beliefs were common and independent predictors of anxiety in both groups. There was one positive bi-variate association between metacognitive beliefs (uncontrollability and danger) and depressive symptoms. CONCLUSIONS: Findings support the metacognitive model, suggesting that a common set of metacognitive factors contribute to psychological distress, particularly anxiety. Uncontrollability and danger metacognitions and positive beliefs about worry appear to make independent contributions to anxiety irrespective of type of physical illness. While metacognitive beliefs were not reliably associated with depressive symptoms this may be because the current sample exhibited low depression scores.
Authors: Xavier Torres; Ana Menjivar; Eva Baillès; Teresa Rangil; Isabel Delgado; Mireia Musquera; David Paredes; Montserrat Martínez; Núria Avinyó; Carmen Vallés; Laura Cañas; Dolores Lorenzo; Anna Vila-Santandreu; Raquel Ojeda; Emma Arcos; Erika De Sousa-Amorim; Antón Fernández; James R Rodrigue Journal: Transplant Direct Date: 2021-01-15