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The evaluation of the effect of mindfulness and metacognition on anxiety symptoms: A case-control study

Published online by Cambridge University Press:  01 September 2022

O. Aydın
Affiliation:
International University of Sarajevo, Psychology, Ilidza, Bosnia and Herzegovina
F. Obuca*
Affiliation:
International University of Sarajevo, Psychology, Ilidza, Bosnia and Herzegovina
E. Çakıroğlu
Affiliation:
Celal Bayar University, Psychiatry, Manisa, Turkey
P. Ünal-Aydın
Affiliation:
International University of Sarajevo, Psychology, Ilidza, Bosnia and Herzegovina
A. Esen-Danacı
Affiliation:
Celal Bayar University, Psychiatry, Manisa, Turkey
*
*Corresponding author.

Abstract

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Introduction

Anxiety disorders (ADs) are pervasive, detrimental, and associated with numerous psychiatric disorders; however, their etiology and effective treatment strategies are not yet fully explored.

Objectives

We aimed to study whether the symptom severity of ADs is related to mindfulness and metacognition among adults. In addition, we wanted to compare metacognition and mindfulness between patients with ADs and healthy controls (HC).

Methods

Two hundred participants were enrolled in this study. Structured clinical interview, sociodemographic form, Five Facet Mindfulness Questionnaire-Short Form (FFMQ-S), Metacognition Questionnaire-30 (MCQ-30), and Hamilton Anxiety Rating Scale (HAM-A) were administered. Multivariate analysis of covariance (MANCOVA) was conducted to compare the groups in terms of mindfulness and metacognition. Correlation and multiple linear regression analyses were performed to measure the association between anxiety symptom severity, mindfulness, and metacognition.

Results

The main finding indicates that Positive Beliefs about Worry are associated with reduced symptom severity of ADs. Furthermore, the results suggest that HC have more Positive Beliefs about Worry and Nonjudging of Inner Experience compared to patients with ADs, who use Negative Beliefs about Uncontrollability and Danger and Need to Control Thoughts to a greater extent.

Conclusions

This study suggests that dysfunctional metacognitive beliefs may influence symptom severity of ADs among adults. We advise that focusing on reducing maladaptive metacognitions may be beneficial while treating ADs in adults

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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