Metacognitive beliefs mediate the effect of emotional abuse on depressive and psychotic symptoms in severe mental disorders
| Autor: | June Ullevoldsæter Lystad, Leiv Sandvik, Tiril Østefjells, Rachel Loewy, Roger Hagen, Jan Ivar Røssberg, Akiah Ottesen Berg, Ingrid Melle |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Mediation (statistics) Psychosis medicine.medical_specialty Bipolar Disorder Emotions Metacognition Anxiety Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans Bipolar disorder Young adult Psychiatry Psychological abuse Applied Psychology Depression (differential diagnoses) Depression Adult Survivors of Child Abuse medicine.disease 030227 psychiatry Psychiatry and Mental health Psychotic Disorders Female medicine.symptom Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Psychological Medicine. 47:2323-2333 |
| ISSN: | 1469-8978 0033-2917 |
| DOI: | 10.1017/s0033291717000848 |
| Popis: | BackgroundEarly trauma is linked to higher symptom levels in bipolar and psychotic disorders, but the translating mechanisms are not well understood. This study examines whether the relationship between early emotional abuse and depressive symptoms is mediated by metacognitive beliefs about thoughts being uncontrollable/dangerous, and whether this pathway extends to influence positive symptoms.MethodPatients (N= 261) with psychotic or bipolar disorders were assessed for early trauma experiences, metacognitive beliefs, and current depression/anxiety and positive symptoms. Mediation path analyses using ordinary least-squares regressions tested if the effect of early emotional abuse on depression/anxiety was mediated by metacognitive beliefs, and if the effect of early emotional abuse on positive symptoms was mediated by metacognitive beliefs and depression/anxiety.ResultsMetacognitive beliefs about thoughts being uncontrollable/dangerous significantly mediated the relationship between early emotional abuse and depression/anxiety. Metacognitive beliefs and depression/anxiety significantly mediated the relationship between early emotional abuse and positive symptoms. The models explained a moderate amount of the variance in symptoms (R2= 0.21–0.29).ConclusionOur results indicate that early emotional abuse is relevant to depression/anxiety and positive symptoms in bipolar and psychotic disorders, and suggest that metacognitive beliefs could play a role in an affective pathway to psychosis. Metacognitive beliefs could be relevant treatment targets with regards to depression/anxiety and positive symptoms in bipolar and psychotic disorders. |
| Databáze: | OpenAIRE |
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