1 research outputs found
Metacognitive Beliefs and Their Relation with Symptoms in Obsessive-Compulsive Disorder
Introduction: Metacognitive constructs have shown promise in explaining
the symptoms of Obsessive-Compulsive Disorder (OCD). Few studies have
examined the role of metacognitions in symptom dimensions of OCD,
despite mounting clinical, neuropsychological and imaging evidence for
the distinctiveness of these dimensions.
Methods: Metacognitions were assessed using the Metacognitions
Questionnaire (MCQ-30) in 51 participants with DSM IV OCD and 46 healthy
controls. The Maudsley Obsessional Compulsive Inventory (MOCI) was used
to quantify symptom dimensions, along with the Hamilton Anxiety Rating
Scale (HAM-A) for anxiety, and Hamilton Depression Rating Scale (HAM-D)
for depression.
Results: Individuals with OCD differed from healthy controls on beliefs
of uncontrollability and danger when depression and anxiety were
controlled for. Correlations between metacognitive beliefs and
obsessive-compulsive symptom dimensions were largely similar across the
OCD and healthy control groups. Hierarchical regression showed that need
to control thoughts contributed to checking, cleaning and rumination
symptoms; cognitive self-consciousness to symptoms of slowness;
uncontrollability and danger to doubt symptoms; positive beliefs to
checking symptoms.
Conclusions: Specific associations between metacognitive variables and
the different symptom dimensions of OCD are evident, however, severity
of anxiety and depression also contribute to these associations