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Do meta-cognitive beliefs affect meta-awareness of intrusive thoughts about trauma?

Abstract：

BACKGROUND AND OBJECTIVES:People exposed to trauma often experience intrusive thoughts and memories about that event. Research examining people's responses to trauma assumes that people can accurately notice the occurrence of symptoms. However, we know from the broader cognitive literature on 'mind-wandering' that people are not always aware of their current focus of attention. That lack of awareness has implications for our theoretical and practical understanding of how trauma survivors recover from their experience. In the current study we investigated whether people's meta-cognitive beliefs about controlling trauma-related intrusions influenced the occurrence and meta-awareness of those intrusions. METHODS:We recruited participants who scored high (strong beliefs) or low (weak beliefs) on beliefs regarding the importance of controlling intrusive thoughts. Participants viewed a trauma film then-during a subsequent reading task-reported any film-related intrusions they noticed. We also intermittently asked half the participants to report what they were thinking at that particular moment, to "catch" intrusions without meta-awareness. RESULTS:People are not always aware of their trauma intrusions, and importantly, people with strong beliefs are more likely to notice trauma related intrusions both with and without meta-awareness than people with weak beliefs. LIMITATIONS:We used an analogue trauma, and focused on a particular metacognitive belief, both of which somewhat limit generalizability. We also cannot definitively rule out demand effects. CONCLUSIONS:Our data add to existing research showing people may lack meta-awareness of trauma-related thoughts, and suggest that survivors with particular metacognitive characteristics may be more vulnerable to 'mind-wandering' about trauma without awareness.

journal_name

J Behav Ther Exp Psychiatry

journal_title

Journal of behavior therapy and experimental psychiatry

authors

Takarangi MK,Nayda D,Strange D,Nixon RD

doi

10.1016/j.jbtep.2016.10.005

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

292-300

eissn

0005-7916

issn

1873-7943

pii

S0005-7916(16)30255-5

journal_volume

54

pub_type

杂志文章

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