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Metacognitive Model of Obsessive Compulsive Disorder

Year 2015, Volume: 7 Issue: 2, 190 - 207, 31.05.2015
https://doi.org/10.5455/cap.20140807024558

Abstract

In this article the metacognitive model which is one of the approaches in explaining the obsessive compulsive disorder is reviewed. A key feature of the metacognitive model is that irrespective of the content of both intrusions and beliefs about the self or the world, obsessive compulsive symptoms are caused by a small set of specific metacognitions concerning the power and significance of thoughts and how to react to them. Studies support the role of metacognitive beliefs and processes in predicting obsessive compulsive disorder symptoms and emphasize the importance of metacognitive beliefs and processes in formulating obsessive compulsive problems.

 

 

References

  • Cartwright-Hatton S, Wells A (1997) Beliefs about worry and intrusions: The Meta-Cognitions Questionnaire and its correlates. J Anxiety Disord, 11:279–296.
  • Clark DA (2007) Cognitive-Behavioral Therapy For OCD. New York, Guilford Press.
  • Clark DA, Purdon CL, Wang A (2003) The Meta-Cognitive Beliefs Questionnaire: development of a measure of obsessional beliefs. Behav Res Ther, 41:655–669.
  • Cohen RJ, Calamari JE (2004) Thought-focused attention and obsessive-compulsive symptoms: an evaluation of cognitive self- consciousness in a nonclinical sample. Cognit Ther Res, 28:457–471.
  • Cucchi M, Bottelli V, Cavadini D, Ricci L, Conca V, Ronchi P et al. (2012) An explorative study on metacognition in obsessive- compulsive disorder and panic disorder. Compr Psychiatry, 53:546–553.
  • De Bruin GO, Muris P, Rassin E (2007) Are there specific meta-cognitions associated with vulnerability to symptoms of worry and obsessional thoughts? Pers Individ Dif, 42: 689–699.
  • Doğan K, Solak ÖS, Özdel K, Türkçapar MH (2013) Obsesif kompulsif bozukluk alt tiplerinde ve sağlıklı kontrol grubunda üstbilişlerin karşılaştırılması. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 2:34-40.
  • Emmelkamp PMG, Aardema A (1999) Metacognition, specific obsessive compulsive beliefs and obsessive-compulsive behaviour. Clin Psychol Psychother, 6:139–145.
  • Fisher PL, Wells A (2005) Experimental modification of beliefs in obsessive compulsive disorder: a test of the metacognitive model. Behav Res Ther, 43:821–829.
  • Fisher PL, Wells A (2008) Metacognitive therapy for obsessive-compulsive disorder: a case series. J Behav Ther Exp Psychiatry, 39:117–132.
  • Gwilliam P, Wells A, Cartwright-Hatton S (2004) Does metacognition or responsibility predict obsessive-compulsive symptoms: a test of the metacognitive model. Clin Psychol Psychother, 11:137–144.
  • Hermans D, Martens K, De Cort K, Pieters G, Eelen P (2003) Reality monitoring and metacognitive beliefs related to cognitive confidence in obsessive-compulsive disorder. Behav Res Ther, 41:383-401.
  • Irak M (2012) Üstbiliş Ölçeği Çocuk ve Ergen Formunun Türkçe standardizasyonu, kaygı ve obsesif-kompülsif belirtilerle ilişkisi. Turk Psikiyatri Derg, 23:46-52.
  • Irak M, Tosun A (2008) Exploring the role of metacognition in obsessive–compulsive and anxiety symptoms. J Anxiety Disord, 22:1316–1325.
  • Janeck AS, Calamari JE, Riemann BC, Heffelfinger SK (2003) Too much thinking about thinking? Metacognitive differences in obsessive-compulsive disorder. J Anxiety Disord, 17:181–195.
  • Myers SG, Wells A (2005) Obsessive–compulsive symptoms: The contribution of metacognitions and responsibility. J Anxiety Disord, 19:806–817.
  • Myers SG, Fisher PL, Wells A (2008) Belief domains of the Obsessive Beliefs Questionnaire-44 (OBQ-44) and their specific relationship with obsessive-compulsive symptoms. J Anxiety Disord, 22:475–484.
  • Myers SG, Fisher PL, Wells A (2009) An empirical test of the metacognitive model of obsessive-compulsive symptoms: fusion beliefs, beliefs about rituals, and stop signals. J Anxiety Disord, 23:436–442.
  • Myers SG, Wells A (2013) An experimental manipulation of metacognition: A test of the metacognitive model of obsessive- compulsive symptoms. Behav Res Ther, 51:177-184.
  • Nelson TO, Stuart RB, Howard C, Crowley M (1999) Metacognition and clinical psychology: a preliminary framework for research and practice. Clin Psychol Psychother, 6:73–79.
  • OCCWG (Obsessive Compulsive Cognitions Working Group) (1997) Cognitive assessment of obsessive-compulsive disorder. Behav Res Ther, 35:667–681.
  • OCCWG (Obsessive Compulsive Cognitions Working Group) (2001) Development and initial validation of the obsessional beliefs questionnaire and the interpretation of intrusions inventory. Behav Res Ther, 39:987–1006.
  • Obsessive–Compulsive Cognitions Working Group (2005) Psychometric validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory – Part 2: factor analyses and testing of a brief version. Behav Res Ther, 43:1527–1542.
  • Purdon CL, Clark DA (1999) Metacognition and obsessions. Clin Psychol Psychother, 6:102–110.
  • Rachman SJ (1997) A cognitive theory of obsessions. Behav Res Ther, 35:793–802.
  • Rachman SJ (1998) A cognitive theory of obsessions: elaborations. Behav Res Ther, 36:385–401.
  • Salkovskis PM (1985) Obsessional-compulsive problems: a cognitive-behavioural analysis. Behav Res Ther, 23:571–583.
  • Salkovskis PM (1989) Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems. Behav Res Ther, 27:677–682.
  • Shafran R, Rachman S (2004) Thought-action fusion: a review. J Behav Ther Exp Psychiatry 35(2): 87–107.
  • Sica C, Steketee G, Ghisi M, Chiri LR, Franceschini S (2007) Metacognitive beliefs and strategies predict worry, obsessive- compulsive symptoms, coping styles: a preliminary prospective study on an Italian non-clinical sample Clin Psychol Psychother, 14:258-268.
  • Solem S, Haland AT, Vogel PA, Hansen B, Wells A (2009) Change in metacognitions predicts outcome in obsessive-compulsive disorder patients undergoing treatment with exposure and response prevention. Behav Res Ther, 47:301–307.
  • Solem S, Myers SG, Fisher PL, Vogel PA, Wells A (2010) An empirical test of the metacognitive model of obsessive-compulsive: replication and extension. J Anxiety Disord, 24: 79–86.
  • Spada MM, Mohiyeddini C, Wells A (2008) Measuring metacognitions associated with emotional distress: Factor structure and predictive validity of the üstcognitions questionnaire 30. Pers Individ Dif, 45:238–242.
  • Spada MM, Nikcevic AV, Moneta GB, Wells A (2008) Metacognition, perceived stress, and negative emotion. Pers Individ Dif, 44:1172–1181.
  • Şenormancı Ö, Konkan R, Güçlü OG, Sungur MZ (2012) Obsesif kompulsif bozukluğun metakognitif modeli. Psikiyatride Güncel Yaklaşımlar, 4:335-349.
  • Tosun A, Irak M (2008) Üstbiliş Ölçeği-30’un Türkçe uyarlaması, geçerliği, güvenirliği, kaygı ve obsesif-kompülsif belirtilerle ilişkisi. Turk Psikiyatri Derg, 19:67-80.
  • Wells A (1995) Meta-cognition and worry: a cognitive model of generalized anxiety disorder. Behav Cogn Psychother, 23:301– 320.
  • Wells A (1997) Cognitive Therapy of Anxiety Disorders: A Practice Manual and Conceptual Guide. Chichester, UK, Wiley.
  • Wells A (2000) Emotional Disorders and Metacognition: Innovative Cognitive Therapy. Chichester, UK, Wiley.
  • Wells A (2006) Detached mindfullness in cognitive therapy: a metacognitive analysis and ten techniques. J Ration Emot Cogn Behav Ther, 23:337-355.
  • Wells A (2008) Metacognitive therapy: cognition applied to regulating cognition. Behav Cogn Psychother, 36:651–658.
  • Wells A (2011) Metacognitive Therapy for Anxiety and Depression. New York, Guilford Press.
  • Wells A, Cartwright-Hatton S (2004) A short form of the meta-cognitions questionnaire: properties of the MCQ-30. Behav Res Ther, 42:385–396.
  • Wells A, Matthews G (1996) Modeling cognition in emotional disorder: the S-REF model. Behav Res Ther, 34:881-888.
  • Wells A, Papageorgiou C (1998) Relationships between worry, obsessive compulsive symptoms and metacognitive beliefs. Behav Res Ther, 36:899–913.
  • Yılmaz AE, Gençöz T, Wells A (2008) Psychometric characteristics of the Penn State Worry Questionnaire and Meta-Cognitions Questionnaire-30 and metacognitive predictors of worry and obsessive-compulsive symptoms in a Turkish Sample. Clin Psychol Psychother, 15:424–439.
  • Yılmaz AE, Gençöz T, Wells A (2011) The temporal precedence of metacognition in the development of anxiety and depression symptoms in the context of life-stress: a prospective study. J Anxiety Disord, 25:389–396.

Obsesif Kompulsif Bozuklukta Üst-Bilişsel Model

Year 2015, Volume: 7 Issue: 2, 190 - 207, 31.05.2015
https://doi.org/10.5455/cap.20140807024558

Abstract

Bu makalede, obsesif kompulsif bozukluğu açıklamakta kullanılan yaklaşımlardan biri olan üst-bilişsel yaklaşım ele alınmıştır. Üst-bilişsel modelin temel özelliği obsesif kompulsif belirtilerin, kendilik ya da dünya ile ilgili inançların ve girici düşüncelerin her ikisinin de içeriğinden bağımsız olarak, düşüncelerin önemi ve gücü ve onlara nasıl tepki verilmesi ile ilgili belirli bir üst bilişler dizisi tarafından oluştuğunu ileri sürmesidir. Yapılan çalışmalar üst-bilişsel inançların ve süreçlerin obsesif kompulsif belirtilerin önemli yordayıcıları olduğunu desteklemekte, üst-bilişsel inançların ve süreçlerin obsesif kompulsif sorunları formüle etmedeki önemini vurgulamaktadır.

 

References

  • Cartwright-Hatton S, Wells A (1997) Beliefs about worry and intrusions: The Meta-Cognitions Questionnaire and its correlates. J Anxiety Disord, 11:279–296.
  • Clark DA (2007) Cognitive-Behavioral Therapy For OCD. New York, Guilford Press.
  • Clark DA, Purdon CL, Wang A (2003) The Meta-Cognitive Beliefs Questionnaire: development of a measure of obsessional beliefs. Behav Res Ther, 41:655–669.
  • Cohen RJ, Calamari JE (2004) Thought-focused attention and obsessive-compulsive symptoms: an evaluation of cognitive self- consciousness in a nonclinical sample. Cognit Ther Res, 28:457–471.
  • Cucchi M, Bottelli V, Cavadini D, Ricci L, Conca V, Ronchi P et al. (2012) An explorative study on metacognition in obsessive- compulsive disorder and panic disorder. Compr Psychiatry, 53:546–553.
  • De Bruin GO, Muris P, Rassin E (2007) Are there specific meta-cognitions associated with vulnerability to symptoms of worry and obsessional thoughts? Pers Individ Dif, 42: 689–699.
  • Doğan K, Solak ÖS, Özdel K, Türkçapar MH (2013) Obsesif kompulsif bozukluk alt tiplerinde ve sağlıklı kontrol grubunda üstbilişlerin karşılaştırılması. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 2:34-40.
  • Emmelkamp PMG, Aardema A (1999) Metacognition, specific obsessive compulsive beliefs and obsessive-compulsive behaviour. Clin Psychol Psychother, 6:139–145.
  • Fisher PL, Wells A (2005) Experimental modification of beliefs in obsessive compulsive disorder: a test of the metacognitive model. Behav Res Ther, 43:821–829.
  • Fisher PL, Wells A (2008) Metacognitive therapy for obsessive-compulsive disorder: a case series. J Behav Ther Exp Psychiatry, 39:117–132.
  • Gwilliam P, Wells A, Cartwright-Hatton S (2004) Does metacognition or responsibility predict obsessive-compulsive symptoms: a test of the metacognitive model. Clin Psychol Psychother, 11:137–144.
  • Hermans D, Martens K, De Cort K, Pieters G, Eelen P (2003) Reality monitoring and metacognitive beliefs related to cognitive confidence in obsessive-compulsive disorder. Behav Res Ther, 41:383-401.
  • Irak M (2012) Üstbiliş Ölçeği Çocuk ve Ergen Formunun Türkçe standardizasyonu, kaygı ve obsesif-kompülsif belirtilerle ilişkisi. Turk Psikiyatri Derg, 23:46-52.
  • Irak M, Tosun A (2008) Exploring the role of metacognition in obsessive–compulsive and anxiety symptoms. J Anxiety Disord, 22:1316–1325.
  • Janeck AS, Calamari JE, Riemann BC, Heffelfinger SK (2003) Too much thinking about thinking? Metacognitive differences in obsessive-compulsive disorder. J Anxiety Disord, 17:181–195.
  • Myers SG, Wells A (2005) Obsessive–compulsive symptoms: The contribution of metacognitions and responsibility. J Anxiety Disord, 19:806–817.
  • Myers SG, Fisher PL, Wells A (2008) Belief domains of the Obsessive Beliefs Questionnaire-44 (OBQ-44) and their specific relationship with obsessive-compulsive symptoms. J Anxiety Disord, 22:475–484.
  • Myers SG, Fisher PL, Wells A (2009) An empirical test of the metacognitive model of obsessive-compulsive symptoms: fusion beliefs, beliefs about rituals, and stop signals. J Anxiety Disord, 23:436–442.
  • Myers SG, Wells A (2013) An experimental manipulation of metacognition: A test of the metacognitive model of obsessive- compulsive symptoms. Behav Res Ther, 51:177-184.
  • Nelson TO, Stuart RB, Howard C, Crowley M (1999) Metacognition and clinical psychology: a preliminary framework for research and practice. Clin Psychol Psychother, 6:73–79.
  • OCCWG (Obsessive Compulsive Cognitions Working Group) (1997) Cognitive assessment of obsessive-compulsive disorder. Behav Res Ther, 35:667–681.
  • OCCWG (Obsessive Compulsive Cognitions Working Group) (2001) Development and initial validation of the obsessional beliefs questionnaire and the interpretation of intrusions inventory. Behav Res Ther, 39:987–1006.
  • Obsessive–Compulsive Cognitions Working Group (2005) Psychometric validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory – Part 2: factor analyses and testing of a brief version. Behav Res Ther, 43:1527–1542.
  • Purdon CL, Clark DA (1999) Metacognition and obsessions. Clin Psychol Psychother, 6:102–110.
  • Rachman SJ (1997) A cognitive theory of obsessions. Behav Res Ther, 35:793–802.
  • Rachman SJ (1998) A cognitive theory of obsessions: elaborations. Behav Res Ther, 36:385–401.
  • Salkovskis PM (1985) Obsessional-compulsive problems: a cognitive-behavioural analysis. Behav Res Ther, 23:571–583.
  • Salkovskis PM (1989) Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems. Behav Res Ther, 27:677–682.
  • Shafran R, Rachman S (2004) Thought-action fusion: a review. J Behav Ther Exp Psychiatry 35(2): 87–107.
  • Sica C, Steketee G, Ghisi M, Chiri LR, Franceschini S (2007) Metacognitive beliefs and strategies predict worry, obsessive- compulsive symptoms, coping styles: a preliminary prospective study on an Italian non-clinical sample Clin Psychol Psychother, 14:258-268.
  • Solem S, Haland AT, Vogel PA, Hansen B, Wells A (2009) Change in metacognitions predicts outcome in obsessive-compulsive disorder patients undergoing treatment with exposure and response prevention. Behav Res Ther, 47:301–307.
  • Solem S, Myers SG, Fisher PL, Vogel PA, Wells A (2010) An empirical test of the metacognitive model of obsessive-compulsive: replication and extension. J Anxiety Disord, 24: 79–86.
  • Spada MM, Mohiyeddini C, Wells A (2008) Measuring metacognitions associated with emotional distress: Factor structure and predictive validity of the üstcognitions questionnaire 30. Pers Individ Dif, 45:238–242.
  • Spada MM, Nikcevic AV, Moneta GB, Wells A (2008) Metacognition, perceived stress, and negative emotion. Pers Individ Dif, 44:1172–1181.
  • Şenormancı Ö, Konkan R, Güçlü OG, Sungur MZ (2012) Obsesif kompulsif bozukluğun metakognitif modeli. Psikiyatride Güncel Yaklaşımlar, 4:335-349.
  • Tosun A, Irak M (2008) Üstbiliş Ölçeği-30’un Türkçe uyarlaması, geçerliği, güvenirliği, kaygı ve obsesif-kompülsif belirtilerle ilişkisi. Turk Psikiyatri Derg, 19:67-80.
  • Wells A (1995) Meta-cognition and worry: a cognitive model of generalized anxiety disorder. Behav Cogn Psychother, 23:301– 320.
  • Wells A (1997) Cognitive Therapy of Anxiety Disorders: A Practice Manual and Conceptual Guide. Chichester, UK, Wiley.
  • Wells A (2000) Emotional Disorders and Metacognition: Innovative Cognitive Therapy. Chichester, UK, Wiley.
  • Wells A (2006) Detached mindfullness in cognitive therapy: a metacognitive analysis and ten techniques. J Ration Emot Cogn Behav Ther, 23:337-355.
  • Wells A (2008) Metacognitive therapy: cognition applied to regulating cognition. Behav Cogn Psychother, 36:651–658.
  • Wells A (2011) Metacognitive Therapy for Anxiety and Depression. New York, Guilford Press.
  • Wells A, Cartwright-Hatton S (2004) A short form of the meta-cognitions questionnaire: properties of the MCQ-30. Behav Res Ther, 42:385–396.
  • Wells A, Matthews G (1996) Modeling cognition in emotional disorder: the S-REF model. Behav Res Ther, 34:881-888.
  • Wells A, Papageorgiou C (1998) Relationships between worry, obsessive compulsive symptoms and metacognitive beliefs. Behav Res Ther, 36:899–913.
  • Yılmaz AE, Gençöz T, Wells A (2008) Psychometric characteristics of the Penn State Worry Questionnaire and Meta-Cognitions Questionnaire-30 and metacognitive predictors of worry and obsessive-compulsive symptoms in a Turkish Sample. Clin Psychol Psychother, 15:424–439.
  • Yılmaz AE, Gençöz T, Wells A (2011) The temporal precedence of metacognition in the development of anxiety and depression symptoms in the context of life-stress: a prospective study. J Anxiety Disord, 25:389–396.
There are 47 citations in total.

Details

Primary Language English
Journal Section Review
Authors

Pınar Yörük This is me

Ahmet Tosun This is me

Publication Date May 31, 2015
Published in Issue Year 2015 Volume: 7 Issue: 2

Cite

AMA Yörük P, Tosun A. Metacognitive Model of Obsessive Compulsive Disorder. Psikiyatride Güncel Yaklaşımlar. May 2015;7(2):190-207. doi:10.5455/cap.20140807024558

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