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Examining the roles of metacognitive beliefs and maladaptive aspects of perfectionism in depression and anxiety

Published online by Cambridge University Press:  16 March 2020

Lee Kannis-Dymand ,
Emily Hughes ,
Kate Mulgrew ,
Janet D. Carter  and
Steven Love
Lee Kannis-Dymand*
Affiliation:
Discipline of Psychology, School of Social Sciences, University of the Sunshine Coast, Queensland, Australia Sunshine Coast Mind & Neuroscience – Thompson Institute, University of the Sunshine Coast, Queensland, Australia
Emily Hughes
Affiliation:
Discipline of Psychology, School of Social Sciences, University of the Sunshine Coast, Queensland, Australia
Kate Mulgrew
Affiliation:
Discipline of Psychology, School of Social Sciences, University of the Sunshine Coast, Queensland, Australia
Janet D. Carter
Affiliation:
Department of Psychology, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
Steven Love
Affiliation:
Discipline of Psychology, School of Social Sciences, University of the Sunshine Coast, Queensland, Australia
*
*Corresponding author. Email: [email protected]
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Abstract

Background:

Metacognition and perfectionism are factors found to be associated with both anxiety and depression. A common component that underlies these factors is the influence of perseverance, or the tendency to continue a behaviour or thought even if it is no longer productive.

Aims:

This study aimed to investigate the relationships between metacognitive beliefs with maladaptive aspects of perfectionism (i.e. perseverance behaviours), and their relation to anxiety and depression.

Method:

Participants (n = 1033) completed six self-report questionnaires measuring metacognitive beliefs about rumination and worry, perseverance, anxiety and depression. Data were analysed using correlational testing, and structural equation modelling.

Results:

Results of structural equation modelling revealed that positive metacognitive beliefs about repetitive negative thinking increased the likelihood to perceive the thinking as uncontrollable, and that perseverance behaviours were predicted by all metacognitive beliefs. Furthermore, examination of partial correlations revealed that both negative metacognitive beliefs about repetitive negative thinking and perseverance behaviours predicted anxiety and depression; however, negative metacognitive beliefs were the strongest predictor, in both cases.

Conclusions:

The results provided support for current metacognitive models, in that the interpretation of cognitive perseveration sequentially influences psychopathology, but also provided insight into the inclusion of perseveration behaviours. Furthermore, the findings may also have value in a clinical setting, as targeting metacognitive beliefs in the presence of perseverance type behaviours may prove beneficial for treatment.

Keywords

anxietydepressionmetacognitive beliefsperseveranceruminationworry
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 48 , Issue 4 , July 2020 , pp. 442 - 453
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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References

Australian Bureau of Statistics (2007). National Survey of Mental Health and Wellbeing: Summary of Results (document 4326.0). Retrieved from: http://www.abs.gov.au/ausstats/[email protected]/mf/4326.0Google Scholar
Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. Oxford, UK: International Universities Press.Google Scholar
Borkovec, T. D., Ray, W. J., & Stober, J. (1998). Worry: a cognitive phenomenon intimately linked to affective, physiological, and interpersonal behavioural processes. Cognitive Therapy and Research, 22, 561–576. doi: 10.1023/A:1018790003416Google Scholar
Chang, E. C. (2000). Perfectionism as a predictor of positive and negative psychological outcomes: examining a mediation model in younger and older adults. Journal of Counselling Psychology, 47, 18–26. doi: 10.1037/0022-0167.47.1.18CrossRefGoogle Scholar
Cooper, M., & Osman, S. (2007). Metacognition in body dysmorphic disorder – a preliminary exploration. Journal of Cognitive Psychotherapy: An International Quarterly, 21, 148–155. doi: 10.1891/088983907780851568CrossRefGoogle Scholar
Egan, S., Wade, T., & Shafran, R. (2011). Perfectionism as a transdiagnostic process: a clinical review. Clinical Psychology Review, 31, 203–212. doi: 10.1016/j.cpr.2010.04.009CrossRefGoogle Scholar
Ehring, T., Zetsche, U., Weidacker, K., Wahl, K., Schönfeld, S., Ehlers, A. (2011). The Perseverative Thinking Questionnaire (PTQ): validation of a content-independent measure of repetitive negative thinking. Journal of Behavioural Therapy & Experimental Psychiatry, 42, 225–232.CrossRefGoogle ScholarPubMed
de Jong-Meyer, R., Beck, B., & Riede, K. (2009). Relationships between rumination, worry, intolerance of uncertainty and metacognitive beliefs. Personality and Individual Differences, 46, 547–551.CrossRefGoogle ScholarPubMed
Flett, G. L., & Hewitt, P. L. (2002). Perfectionism: Theory, Research, and Treatment. American Psychological Association.CrossRefGoogle Scholar
Flett, G. L., Nepon, T., & Hewitt, P. L. (2016). Perfectionism, worry, and rumination in health and mental health: a review and a conceptual framework for a cognitive theory of perfectionism. In Perfectionism, Health, and Well-being (pp. 121–155). Springer International Publishing.Google Scholar
Hair, B., Black, B., Babin, B., Anderson, R. E., & Tatham, R. L. (2006). Multivariate Data Analysis (5th edn). Upper Saddle River, NJ, USA: Pearson.CrossRefGoogle Scholar
Hill, R. W., Huelsman, T. J., & Araujo, G. (2010). Perfectionistic concerns suppress associations between perfectionistic strivings and positive life outcomes. Personality and Individual Differences, 48, 584–589.CrossRefGoogle Scholar
Kannis-Dymand, L., Carter, J. D., Lane, B. R., & Innes, P. (2019). The relationship of peritraumatic distress and dissociation with beliefs about memory following natural disasters. Australian Psychologist, 54, 311–321. doi: 10.1111/ap.12377CrossRefGoogle Scholar
Kessler, R. C., Gruber, M., Hettema, J. M., Hwang, I., Sampson, N., & Yonkers, K. A. (2008). Co-morbid major depression and generalized anxiety disorders in the national comorbidity survey follow-up. In Goldberg, D., Kendler, K. S., Sirovatka, P. J., & Regier, D. A. (eds), Diagnostic Issues in Depression and Generalized Anxiety Disorder: Refining the Research Agenda for DSM-V. Arlington, VA, USA: American Psychiatric Association.Google Scholar
Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: a new depression diagnostic and severity measure. Psychiatric Annals, 32, 509–515.CrossRefGoogle Scholar
Leyro, T. M., Berenz, E. C., Brandt, C. P., Smits, J. A., & Zvolensky, M. J. (2012). Evaluation of perseveration in relation to panic-relevant responding: an initial test. Behavioural and Cognitive Psychotherapy, 40, 205–219.Google Scholar
Luminet, O. (2004). Measurement of depression rumination and associated constructs. In Papageorgiou, C. & Wells, A. (eds), Depressive Rumination. Nature, Theory and Treatment. Chichester, UK: John Wiley & Sons Ltd.Google Scholar
Macedo, A., Marques, M., & Pereira, A. T. (2014). Perfectionism and psychological distress: a review of the cognitive factors. Clinical Neurosciences and Mental Health, 1.CrossRefGoogle ScholarPubMed
McEvoy, P. M., Mahoney, A. E., & Moulds, M. L. (2010). Are worry, rumination, and post-event processing one and the same? Development of the repetitive negative thinking questionnaire. Journal of Anxiety Disorders, 24, 509–519. doi: 10.1016/j.janxdis.2010.03.008CrossRefGoogle ScholarPubMed
Maxwell, S. E., Cole, D. A., & Mitchell, M. A. (2011). Bias in cross-sectional analyses of longitudinal mediation: partial and complete mediation under an autoregressive model. Multivariate Behavioural Research, 46, 816–841.Google Scholar
Nolen-Hoeksema, S. (1996). Chewing the cud and other ruminations. Ruminative Thoughts, 9, 135–144.CrossRefGoogle ScholarPubMed
Nolen-Hoeksema, S. (2004). The Response Styles Theory. In Papageorgiou, C. & Wells, A. (eds), Depressive Rumination. Nature, Theory and Treatment. Chichester, UK: John Wiley & Sons Ltd.3.0.CO;2-A>CrossRefGoogle Scholar
Nolen-Hoeksema, S., Wisco, B., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400–424. doi: 10.1111/j.1745-6924.2008.00088.xCrossRefGoogle Scholar
Papageorgiou, C., & Wells, A. (1999). Process and meta-cognitive dimensions of depressive and anxious thoughts and relationships with emotional intensity. Clinical Psychology & Psychotherapy, 6, 156–162.CrossRefGoogle Scholar
Papageorgiou, C., & Wells, A. (2001a). Positive metacognitive beliefs about depressive rumination: development and preliminary validation of a self-report scale. Behaviour Therapy, 32, 13–26. doi: 10.1016/S0005-7894(01)80041-1Google Scholar
Papageorgiou, C., & Wells, A. (2001b). Metacognitive beliefs about rumination in recurrent major depression. Cognitive and Behavioural Practice, 8, 160–164. doi: 10.1016/S1077-7229(01)80021-3CrossRefGoogle ScholarPubMed
Rawal, A., Park, R. J., & Williams, J. M. G. (2010). Rumination, experiential avoidance, and dysfunctional thinking in eating disorders. Behaviour Research and Therapy, 48, 851–859.CrossRefGoogle Scholar
Salkovskis, P. (1996). The cognitive approach to anxiety: threat beliefs, safety-seeking behaviour and the special case of health anxiety and obsessions. In Salkovskis, P. (ed), Frontiers of Cognitive Therapy. New York, USA: Guilford Press.CrossRefGoogle Scholar
Salkovskis, P. M., Clark, D. M., Hackmann, A., Wells, A., & Gelder, M. G. (1999). An experimental investigation of the role of safety-seeking behaviours in the maintenance of panic disorder with agoraphobia. Behaviour Research and Therapy, 37, 559–574.CrossRefGoogle Scholar
Serpell, L., Waller, G., Fearon, P., & Meyer, C. (2009). The roles of persistence and preservation in psychopathology. Behaviour Therapy, 40, 260–271. doi: 10.1016/j.beth.2008.07.001CrossRefGoogle Scholar
Spitzer, R. L., Kroenke, K., Williams, J. B., & Lowe, B. (2006). A brief measure for assessing generalised anxiety disorder: the GAD-7. Archives of Internal Medicine, 166, 1092–1097. doi: 10.1001/archinte.166.10.1092Google Scholar
Waller, G., Shaw, T., Meyer, C., Haslam, M., Lawson, R., & Serpell, L. (2012). Persistence, perseveration and perfectionism in the eating disorders. Behavioural and Cognitive Psychotherapy, 40, 462–473.CrossRefGoogle Scholar
Watkins, E., & Moulds, M. (2005). Positive metacognitive beliefs about rumination in depression – a replication and extension. Personality and Individual Differences, 39, 73–82. doi: 10.1016/j.paid.2004.12.006CrossRefGoogle Scholar
Wells, A. (2008). Metacognitive therapy: cognition applied to regulating cognition. Behavioural and Cognitive Psychotherapy, 36, 651–658. doi: 10.1017/S1352465808004803Google Scholar
Wells, A. (2009). Metacognitive Therapy for Anxiety and Depression. New York, USA: Guilford Press.CrossRefGoogle ScholarPubMed
Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: properties of the MCQ-30. Behaviour Research and Therapy, 42, 385–396. doi: 10.1016/S0005-7967(03)00147-5CrossRefGoogle Scholar
Wells, A., & King, P. (2006). Metacognitive therapy for generalized anxiety disorder: an open trial. Journal of Behaviour Therapy and Experimental Psychiatry, 37, 206–212.CrossRefGoogle ScholarPubMed
Wells, A., & Papageorgiou, C. (2004). Metacognitive therapy for depressive rumination. Depressive Rumination, 259.CrossRefGoogle Scholar
Wells, A., Fisher, P., Myers, S., Wheatley, J., Patel, T., & Brewin, C. R. (2012). Metacognitive therapy in treatment-resistant depression: a platform trial. Behaviour Research and Therapy, 50, 367–373.Google Scholar
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