Metacognitive beliefs predict interpersonal problems in patients with social anxiety disorder.

Interpersonal problems S-REF model metacognition metacognitive beliefs social anxiety disorder social phobic beliefs

Journal

Scandinavian journal of psychology
ISSN: 1467-9450
Titre abrégé: Scand J Psychol
Pays: England
ID NLM: 0404510

Informations de publication

Date de publication:
Dec 2023
Historique:
revised: 24 05 2023
received: 11 11 2022
accepted: 30 05 2023
pubmed: 27 6 2023
medline: 27 6 2023
entrez: 27 6 2023
Statut: ppublish

Résumé

Patients with Social Anxiety Disorder (SAD) typically report interpersonal problems, and these are important targets in treatment beyond social anxiety symptoms as they impair quality of life, maintain emotion symptoms and effect on social functioning. What factors contribute to interpersonal problems? In the current study we set out to explore the role of metacognitive beliefs as correlates of interpersonal problems in patients treated for SAD when controlling for the effect of social phobic cognitions and symptoms. The sample consisted of 52 patients with a primary diagnosis of SAD participating in a randomized controlled trial comparing cognitive therapy, paroxetine, pill placebo, or the combination of cognitive therapy and paroxetine in treating SAD. Two hierarchical multiple linear regression analyses were conducted to explore change in metacognitions as predictors of change in interpersonal problems when controlling for change in social phobic cognitions and social anxiety. Change in metacognitions accounted for unique variance in interpersonal problems improvement beyond change in cognitions. Furthermore, change in cognitions overlapped with change in social anxiety symptoms, and when controlling the overlap between these three predictors, only change in metacognitions was uniquely associated with improvement in interpersonal problems. This finding indicates that metacognitions are linked to interpersonal problems in patients with SAD with the implication that treatment should aim to modify metacognitive beliefs to alleviate interpersonal dysfunction.

Identifiants

pubmed: 37365879
doi: 10.1111/sjop.12943
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

819-824

Informations de copyright

© 2023 The Authors. Scandinavian Journal of Psychology published by Scandinavian Psychological Associations and John Wiley & Sons Ltd.

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Auteurs

Eivind R Strand (ER)

Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
St. Olav's Hospital, Nidaros DPS, Trondheim, Norway.

Henrik Nordahl (H)

Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.

Odin Hjemdal (O)

Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.

Hans M Nordahl (HM)

Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Division of Psychiatry, St. Olav's Hospital, Trondheim, Norway.

Classifications MeSH