Abstract：
AIM:Multiple sclerosis (MS) is a chronic demyelinating disease that poses significant life challenges. Depression and anxiety often occur in people with MS (PwMS). An information processing model of psychopathology, the Self-Regulatory Executive Function (S-REF) model specifies that maladaptive metacognitive beliefs play a fundamental role in the development and maintenance of distress. The model also asserts that a style of thinking known as the cognitive attentional syndrome (CAS), which consists of worry and rumination, focusing on sources of threat, and unhelpful coping responses, is common across all psychological conditions. This study investigated for the first time whether metacognitive beliefs explained additional variance in distress in PwMS, after accounting for demographic, clinical, and illness appraisal variables. METHOD:One hundred and thirty-two participants with MS completed self-report questionnaires measuring distress, fatigue, pain, metacognitive beliefs, illness appraisals, and the CAS. Hierarchical regression modelling was used to test whether metacognitive beliefs accounted for distress. Mediational modelling examined if the CAS mediated the association between metacognitive beliefs and distress. RESULTS:Metacognitive beliefs made a unique contribution to distress, over and above demographic and clinical variables, and illness appraisals. The CAS fully mediated the relationship between positive metacognitive beliefs and distress, and partially mediated the relationship between negative metacognitive beliefs and distress. CONCLUSIONS:Metacognitive beliefs are associated with emotional distress in PwMS, and the CAS mediates this relationship. Future studies should examine if modification of metacognitive beliefs and processes in PwMS will lead to effective alleviation of emotional distress.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Heffer-Rahn P,Fisher PLdoi
10.1016/j.jpsychores.2017.11.014subject
Has Abstractpub_date
2018-01-01 00:00:00pages
88-94eissn
0022-3999issn
1879-1360pii
S0022-3999(17)30818-8journal_volume
104pub_type
杂志文章abstract：BACKGROUND:Chronic Fatigue Syndrome (CFS) is characterised by persistent fatigue, disability and a range of other symptoms. The PACE trial was randomised to compare four non-pharmacological treatments for patients with CFS in secondary care clinics. The aims of this sub study were to describe the use of complementary a...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章,随机对照试验
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更新日期：2016-08-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(85)90042-x
更新日期：1985-01-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2007.02.010
更新日期：2007-07-01 00:00:00
abstract：:We report a case of delusional pregnancy with polydipsia in a female patient with paranoid schizophrenia. The contribution of psychological and physiological factors in the development of the delusion of pregnancy and polydipsia and the possible interactions between the two phenomena are discussed. ...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/s0022-3999(96)00372-8
更新日期：1997-05-01 00:00:00
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journal_title：Journal of psychosomatic research
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更新日期：2018-12-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1016/j.jpsychores.2017.06.014
更新日期：2017-08-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(93)90052-h
更新日期：1993-09-01 00:00:00
abstract：:The effects of exposure to competitive mental stressors on rates of excretion of sodium (Na), potassium (K) and fluid, together with cardiovascular responses, were evaluated in 14 black and 14 white normotensive men after 3 days of controlled diet (200 mEq Na, 100 mEq K daily). In the first hour of a 5-hr protocol, su...
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：1998-07-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：2002-06-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.jpsychores.2006.10.018
更新日期：2007-03-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：2009-11-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：2004-01-01 00:00:00
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更新日期：2002-09-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-02-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2014.11.010
更新日期：2015-03-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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journal_title：Journal of psychosomatic research
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：1990-01-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：2020-11-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：2017-02-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2012.10.011
更新日期：2013-01-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/s0022-3999(00)00075-1
更新日期：2000-07-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(94)90059-0
更新日期：1994-08-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2016.07.010
更新日期：2016-10-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2005.05.013
更新日期：2006-02-01 00:00:00
abstract：:Thirty-six subjects affected with hypersomnia associated with mood disorders, 31 with a diagnosis of dysthymia, 4 with a diagnosis of bipolar disorder and one with a diagnosis of major recurrent depression underwent standardized polysomnographic procedures including night 1, MSLT and night 2 (uninterrupted). 36.1% of ...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(94)90134-1
更新日期：1994-01-01 00:00:00
