International Journal of Behavioral Sciences

International Journal of Behavioral Sciences

The Effectiveness of Cognitive, Meta-cognitive, and Behavioral Model on Reducing Anxious Thoughts in Patients with Social Anxiety Disorder

Authors
Afsaneh Shahbazirad 1
Ezatollah Ghadampour 2
Firoozeh Ghazanfari 2
Khodamorad Momeni 3
1 Ph.D student in Psychology
2 Assistant Professor
3 Associate Professor
Abstract
Objective: This study was conducted to investigate the effectiveness of education based on cognitive, meta-cognitive, and behavioral developed model on reduction of meta worries belief in patients with social anxiety disorder(SAD).
Method: The research method was semi-experimental design with pre-posttest design with control group. The statistical population included all the patients with social anxiety disorder referring to public and private centers in Kermanshah city in 2015 which were selected using available sampling method. Thirty of them who was chosen through semi-structured interviews (SCID), meta-worry subscale of well’s questionnaire of anxious thoughts (1994), that were eligible for the study were divided into two groups of experiment and control (waiting list) and replaced randomly. The instrument used in the study was meta-worry subscale of Well’s questionnaire of anxious thoughts (1994). Twelve cognitive, meta-cognitive, and behavioral treatment sessions due to the developed model and on the basis of relevant theoretical insights was done twice a week for the experimental group while the control group received no intervention. After the treatment both groups were evaluated with the test. For data analysis one-way covariance (ANCOVA) was used.
Results: The results showed that education based on cognitive, meta-cognitive, and behavioral developed model has been effective on reduction of meta-worries belief among patients with social anxiety disorder in the experimental group(P
Keywords
Keywords: Social Anxiety Disorder
cognitive
meta-cognitive
Behavior
Anxious Thoughts
  1. -Sadock HS, Sadock BJ. Abstract of psychiatry. Translated by: PurAfkari N. Tehran: Roshd Publication: 2006.
  2. -Tulbure B T. The efficacy of Internet supported intervention for social anxiety disorder: A brief meta-analytic review. J Soc Behav Sci, 2011; 30: 552-557.
  3. -Davis TE, Munson MS, Tarcza EV. Anxiety disorders and phobias. J Soc Behav Skill Child: 2009.
  4. -Wells A. The metacognitive model of GAD: Assessment of met worry and relationship with DSM-IV generalized anxiety disorder. Cognitive Ther Res. 2005 ;(29):107–121.
  5. -Mellings TM, Alden LE. Cognitive processes in social anxiety: the effects of self-focus, rumination and anticipatory processing. Behav Res Ther. 2000;(38):243–257.
  6. -Borkovec TD, Roemer L. Perceived functions of worry among generalized anxiety subjects: Distraction from more emotionally distressing topics? Behav Ther Exp Psychiat. 1995; 26, 25–30.
  7. -Wells A. Emotional disorders and meta cognition: innovative cognitive therapy. Chichester, UK: Wiley. 2000.
  8. -Wells A, Carter K. Further tests of a cognitive model of Generalized Anxiety Disorder: Meta cognitions and worry in GAD, panic disorder, social phobia, depression, and non-patients. Behav Ther. 2001; 32: 85–102.
  9. -Ruscio AM, Borkovec TD. Experience and appraisal of worry among high worriers with and without generalized anxiety disorder. Behav Res Ther. 2004; 42: 1469–1482.
  10. -Holeva V, Tarrier N, Wells A. Prevalence and predictors of acute PTSD following road traffic accident: Thought control strategies and social support. Behav Ther, 2001; 32:65-83.
  11. -Roussis P, Wells A. Post-traumatic stress symptoms: tests of relationships with thought control strategies and beliefs as predicted by the meta cognitive model. Pers Individ Dif, 2006; 40:111-122.
  12. -Mahjuob N, Teymouri S. The Effectiveness of Mindfulness-Based Cognitive Therapy on Reducing Anxiety Sensitivity and Meta-worry in Students with Social Anxiety. J Clin Psychol, 2015; 7(2):39-48.
  13. - Ghahvehchi F, Fathi Ashtiani A, Azad Falah A. Meta-cognitive therapy versus cognitive therapy in reducing meta-worry in students with test anxiety, J Behav Sci, 2013; 7(1): 19-26.
  14. -Bahadori MH, Jahanbakhsh M, Kajbaf MB, Faramarzi S. The Effectiveness of Meta-Cognitive Therapy on Meta-Cognitive Beliefs and Cognitive Trust in Patients with Social Phobia Disorder. J Clin Psychol, 2012; 4(1): 33-41.
  15. -Salmani B, Hasani J, Mohammad-Khani Sh, Karami GhR. The efficacy of meta cognitive therapy on meta cognitive beliefs, meta worry and the signs and symptoms of patients with generalized anxiety disorder. Feyz, 2014; 18(5):428-439.
  16. -Mousavi E, Alipour A, Zare H, Agah Heris M, Janbozorgi M. Effectiveness of LEARN multifaceted intervention in modifying meta cognition and the meta-worry beliefs. Adv Cogn Sci, 2014; 16(1):39-48.
  17. - Sheykhan R, Mohammadkhani Sh, Hasanabadi HR. The Effect of the Group Training of the Attention Training Technique on Anxiety, Self-Focused Attention and Metaworries in Socially Anxious Adolescents, J Cogn Psychol, 2013; 1(1): 33-45.
  18. -Wong N, Sarver DE, Beidel DC. Quality of life impairments among adults with social phobia: The impact of subtype. J Anx Dis, 2012; 26: 50-57.
  19. -Demir T, Karacetin G, Eralp Demir D, Uysal O. Prevalence and some psychosocial characteristics of social anxiety disorder in an urban population of Turkish children and adolescents. Eur Psychiat, 2013; 28: 64-69.
  20. -Weidman AC, Fernandez KC, Levinson CA, Augustine AA, Larsen RJ, Rodebaugh TL. Compensatory internet use among individuals higher in social anxiety and its implications for well-being. J Pers Individ Dif, 2012; 53: 191-195.
  21. -Romm KL, Melle I, Thorsen C, Andreassen OA, Rossberg JI. Severe social anxiety in early psychosis in associated with poor premorbid functioning, depression, and reduced quality of life. Compare Psychiat , 2012; 53: 434-440.
  22. -Mohamamdkhani P. Structured Clinical Interview for Disorders DSM-IV-TR. Tehran: Danjeh. 2010.
  23. -Hasani J, Tajodini E , Ghaedniyaie-Jahromi A, Farmani-Shahreza Sh. The Assessments of Cognitive Emotion Regulation Strategies and Emotional Schemas in Spouses of People with Substance Abuse and Spouses of Normal People. J Clin Psycol, 2014; 1(21): 91-101.
  24. -Maffei C, Fossati A, Agostoni I, Donati D, Namia C, Novella L, Petrachi M. Inter-rater reliability and internal consistency of the structured clinical interview for DSM-IV Axis II personality disorders (SCID-II), version 2.0. J Pers Dis, 1997; 11: 279– 284.
  25. - Fata L, Mootabi F, Moloodi R, ZiayeeK. Psychometric Properties of Persian Version of Thought Control Questionnaire and Anxious Thought Inventory in Iranian Students. J Psychol Mod Meth, 2010; 1(1): 33-45.
  26. -Neenan M, Dryden W. Cognitive theory: 100 key point and techniques, New York: Rutledge. 1953.
  27. -Leahy RL. Cognitive therapy techniques: a practitioners guide, New York: Guilford. 2003.
  28. -Beck AT. Cognitive therapy and emotional disorders. New York: International University Press.1976.
  29. -Wells A. Meta cognitive therapy for anxiety and depression. New York: Guilford.1962.
  30. -Bandura A. Self-efficacy: toward a unifying theory of behavioral change, Psychol Rev, 1997; 84: 191–215.
International Journal of Behavioral Sciences
Volume 10, Issue 4 - Serial Number 4
61
Winter 2017
Pages 176-180