The Effectiveness of Meta-Cognitive Therapy on Cognitive Attention Syndrome in Female Students with Social Anxiety Disorder
Subject Areas : Educationalkhodamorad momeni 1 , farnaz radmehr 2
1 - Associate professor Psychology, Faculty of Social Sciences, Razi University, Kermanshah, Iran.
2 - Ph.D student in Psychology, Faculty of Socia Sciences, Razi University, Kermanshah, Iran.
Keywords: cognitive attention syndrome, Meta-cognitive therapy, female students, Social anxiety,
Abstract :
The aim of this study assessment the effectiveness of meta-cognitive therapy on cognitive attention syndrome in female students with social anxiety disorder. The statistical population of this study was all female students with social anxiety disorder at Kermanshah University of Medical Sciences 2018-19. The method of this research was quasi-experimental with pre-test, post-test and follow-up with the control group design. The research sample consisted of 30 individuals that were randomly assigned into two groups of 15 experimental and control groups. The tools used were the Social Anxiety (Connor et al., 2000), Back Depression-II (Beck et al., 1996) and Cognitive Attention Syndrome (Wells et al., 2009) questionnaires. The experimentation group was for 8 sessions, an hour, as a group, underwent meta-cognitive therapy intervention but the control group receive no any intervention. The crude data analysis using SPSS-21 software and descriptive and inferential tests, Univariate covariance analysis were performed. The findings showed that in the experimental group, a significant decrease in cognitive/ attention syndrome was observed after the intervention (P<0.001). These results were maintained during the follow-up stage (P<0.01). According to the results obtained, and the continuation of its effect, the use of meta-cognitive therapy is recommended to reduce the rate of cognitive / attention syndrome in patients with social anxiety disorder Results showed in the experimental group a significant decrease in cognitive / attentional syndrome after intervention (P <0.001). These results were also maintained at follow-up (P <0.01). Based on the results, and the continuing effect, the use of meta-cognitive therapy to reduce the rate of cognitive / attention syndrome in patients with social anxiety disorder is recommended.
Abdi, R., Birashk, B., Mahmood-Aliloo, M., & Asgharnezhad-Faried, A. (2007). Interpretation bias in social phobia disorder. Modern psychological research,1(4),117-159 [Persian].
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorder. DSM-5, 5th Translated Hamayak, A., et al(2015). Tehran: Roshd. [Persian].
Babakhanzadeh, S., Ahteshamzadeh, P., Eftekharsaadi, Z., bakhtiyarpor, S., & Alipor, A. (2019). The effectivenss of metacognitve therapy with emphasis for brain executive functions on cognitive- attentional syndrom and sense of coherence in anxious persons. Quarterly Journal of Counseling and Psychotherapy Culture, 10(38), 195-220. [Persian].
Bakhtiari, M. (2000). Mental disorders in patients with body dysmorphic disorder. Clinical Psychology MA degree thesis, Tehran Psychiatric Institute, Tehran University of Medical Sciences, Tehran, Iran [Persian].
Ballinger, B, Yalom I. (1995). Group therapy in practice. (In Bongar B and Beutler L. E (Eds).Comprehensive text book of psychotherapy. New York: Oxford University Press.
Beak, A.T, steer, R.A, Brown, G.k. (1996). Beck Depression Inventory for measuring depression. Journal Archives General psychiatry. (4), 561-571.
Biabangard A. (2008). Research methods in psychology and educational sciences, Tehran [Persian].
Carleton, R.N., Collimore, K.C., & Asmundson, J.C. (2010). It's Not Just the Judegement. It's That I don't Know, Intolerance of Uncertainty as a
predictor of social anxiety, Journal of Anxiety Disorder,24, 189-195.
Connor, K.M., Davidson, J.R., Churchill, L.E., Sherweed, A., & Foa, E.B. (2000). Psychometric properties of the social phobia inventory (SPIN), British Journal Psychiatry, 176, 379-386.
Cowart MJ, & Ollendick TH. (2011). Attention training in socially anxious children: a multiple baseline desing analysis. Journal Anxiety Disorder; 25(7), 972- 977.
Dadashzadeh, H., Yazdandoost, R., Gharraee, B., & Asgharnejadfarid, A. (2012). The effectiveness of cognitive - behavioral group therapy and exposure therapy on interpretation bias and fear of negative evaluation in social anxiety disorder. Iranian Journal of Psychiatry & Clinical Psychology, 18 (1), 40-51 [Persian].
Dargahian, R., Mohammadkhani, Sh., & Hasani, J. (2014). The efficacy of metacognitive therapy on depression symptoms reduction, cognitive attention syndrome components and maladaptive coping styles in patients with major depression. Shefaye Khatam, 2(3), 45-52 [Persian].
Davidson, J. R., Miner, C. M., De Veaugh-Geiss, J., Tupler, L. A., Colket, J. T., & Potts, N. L. S. (1997). The Brief Social Phobia Scale: a psychometric evaluation. Journal Psychological Medicine, 27(1), 161-166.
Eldar, S., Ricon, T., & Bar-Haim, Y. (2008). Plasticity in attention: implications for stress response in children. Journal Behaviour Research and therapy, 46(4), 450- 61.
Fergus, T.A., Bardeen, J.R., Orcutt, H.K. (2012). Attention control moderates the relationship between activation of the cognitive intentional syndrome and symptoms of psychopathology. Press Individual Different, 53(3), 213-217.
First, M., Spitzer, R., Gibbon, M., & Williams, J.B. (1997). Structured Clinical Interview for DSM-IV Axis I Disorders (clinician version) SCID-I administration booklet. Washington DC, American Psychiatric Association.
Ghayourkazemi, F., sepehri-shamloo, Z., Mashhadi, A., ghanaei, A., pasalar, F. (2016). A comparative study of the effectiveness of metacognitive therapy with neurofeedback training on metacognitive beliefs and anxiety symptoms in female students with social anxiety disorder (single subject). Journal of Cognitive Psychology, 4(1 and 2),19-30 [Persian].
Habibi, Z. (2013). The effectiveness of metacognitive group therapy on anxiety and depression in women with breast cancer in Dezful City. Master Thesis in Clinical Psychology, Shahid Chamran University of Ahvaz. Faculty of Education and Psychology [Persian].
Haghi, A. (2014). The effectiveness of group metacognitive therapy on social anxiety and cognitive flexibility in adolescents. Master Thesis in Clinical Psychology, Mashhad Ferdowsi University, International Pardis [Persian].
Hashemi, Z., Mahmood-Alilou, M., & Hashemi-Nosrat-abad, T. (2010). The effectiveness of meta cognitive therapy on major depression disorder: A case report. Journal of Clinical Psychology. 2(3): 85-97 [Persian].
Nordahl, H. M., Vogel, P. A., Morken, G., Stiles, T. C., Sandvik, P., & Wells, A. (2016). Paroxetine, cognitive therapy or their combination in the treatment of social anxiety disorder with and without avoidant personality disorder: a randomized clinical trial. Journal Psychotherapy and Psychosomatics. 85(6), 346–356.
Nordahl, H., Wells, A. (2018). Metacognitive therapy for social anxiety disorder: An A–B replication series across social anxiety subtypes. Journal of Frontiers in Psychology, 9: 1-7.
Papageorgiou C, Wells A. (2001). Metacognitive beliefsabout rumination in recurrent major depression. Journal Cognitive Behave Pract; 8(2): 160- 164.
Rapee, R.M. & Spence, S. H. (2004). The etiology of social phobia: Empirical evidence and an initial model. Journal Clinical Psychology Reviw; 24, 737–767.
Sadeghi-Balajorshari, S. (2013). Comparison of the effectiveness of metacognitive therapy with drug therapy on the symptoms of anxiety and depression in patients with multiple sclerosis (MS(.Master Thesis in Clinical Psychology, Faculty of Humanities, Islamic Azad University, Science and Research Branch, Shahroud [Persian].
Sadock, B. J., & Sadock, V. A. (2005). Comprehensive textbook of psychiatry (8th ed.). Philadelphia: Lippincott, Williams & Wilkins.
Safaei-Rad, I., Ahmadi, M., Rabi'I, M., & Najafi, M. (2012). A comparison of the impact of cognitive-behavioral therapy and metacognitive therapy on social phobia disorder symptoms. Clinical Psychology Studies. 3(9), 60-75 [Persian].
Saffarinia, M., zare, H., Karami, J., & solgi, Z. (2014). The effectiveness and continuity of the effect of group schema therapy on the treatment of students with social anxiety disorder. Pejouhandeh (Shahid Beheshti University of Medical Sciences). 19(4), 211-218 [Persian].
Salajegheh, S., & bakhshani, N.M. (2014). The effectiveness of combined group exposure therapy and coping with stress skills training on social anxiety rate of university students. Knowledge & Research in Applied Psychology, 15(2), 96-104 [Persian].
Salmani, B., Hasani, J., Karami, Gh.R., MohammadKhani, Sh. (2013). Effectiveness of meta-cognitive therapy on cognitive attention syndrome and cognitive emotion regulation strategies of patients suffering from Generalized Anxiety Disorder (GAD). Journal of Behavioral Sciences, 7(3), 245-254 [Persian].
Sendi, F,. Ehteshamzadeh, P., Asgari, P., Kafie, M. (2017). The relationship cognitive attention syndrome (CAS), with anxiety and depression in burned patients: the mediating role of coping styles. Journal of Health Psychology, 6(3), 74-91[Persian].
Shafie-Sang-Atash, S. (2011). The efficacy of metacognitive therapy on anxiety and metacognitive components in individuals with generalized anxiety disorder. Master Thesis in Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University [Persian].
Sharifi, V., Asadi, S.M., Mohammadi, M.R., Amini, H., Kaviani, H., Semnani, Y., & et al. (2004). Reliability and feasibility of the Persian version of the structured diagnostic interview for DSM-IV (SCID). Advances in Cognitive Sciences, 6(1 and 2), 10-22 [Persian].
Soltani, S., & Mikaeilimane, F. (2012). Compare effectiveness metacognitive therapy and problem solving therapy for decrease of girl education social anxiety of Urmia City. Journal of Modern Psychological Research, 7(28), 84-104 [Persian].
Vaananem JM, Frojd S, Ranta K, Marttunen M., Helmine M, Kaltiala- Heino R. (2011). Relationship between social phobia and depression differs between boys and girls in mid-adolescen, Journal of Affective Disorder. 133, 97-104.
Wells A. (2009). Met cognitive therapy for anxiety and depression. New York. The Guilford press.
Wells, A. (2000). Emotional disorders and meta-cognition, Chic ester, UK: John Wiley & Sons, LTD.
Wells, A. (2009). A practical guide to metacognitive therapy for anxiety and depression. Translated by Mohammadkhani, Sh., Farasoui Daneh [Persian].
Wells, A., & Mathews, G. (1996). Modeling cognitive in emotional. Journal Behavior Research and Therapy, 34, 881- 888.
Wells, A., & Papageorgiou, C. (2001). Brief cognitive therapy for social phobia: A case series. Journal Behavior Research Therapy, 39(6), 713–720.
Zargar, Y., Besaknezhad, S., Akhlaghi Jami, L., & Zemestani, M. (2014). The Comparison of the effectiveness of group training of social skills and group cognitive-behavior therapy in reducing social anxiety among students. Studies in Medical Sciences, 25 (3),172-181[Persian].
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