Metacognitive awareness and prevention of relapse in depression: Empirical evidence
Metacognitive awareness and prevention of relapse in depression: Empirical evidence
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DOI：
10.1037//0022-006x.70.2.275
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发表时间：
2002-04-01
影响因子：
5.9
通讯作者：
Segal, ZV
中科院分区：
文献类型：
--
作者：
Teasdale, JD;Moore, RG;Segal, ZV
元认知意识是一种认知集合，其中消极的想法/感受被体验为心理事件，而不是自我。作者假设：（a）元认知意识的降低与抑郁症的易感性有关;（B）认知疗法（CT）和正念CT（MBCT）通过提高元认知意识来减少抑郁症复发。他们发现：（a）在弱势群体中，元认知集合对抑郁线索的可及性较低（B）元认知集合的可及性预测了残余抑郁症患者的复发;（c）在CT减少残余抑郁症患者复发的地方，它增加了元认知集合的可及性;（4）正念认知疗法减少了抑郁症康复者的复发，增加了元认知集合的可及性。CT和MBCT可能会通过改变与消极想法的关系而不是改变对思想内容的信念来减少复发。
Metacognitive awareness is a cognitive set in which negative thoughts/feelings are experienced as mental events, rather than as the self. The authors hypothesized that (a) reduced metacognitive awareness would be associated with vulnerability to depression and (b) cognitive therapy (CT) and mindfulness-based CT (MBCT) would reduce depressive relapse by increasing metacognitive awareness. They found (a) accessibility of metacognitive sets to depressive cues was less in a vulnerable group (residually depressed patients) than in nondepressed controls; (b) accessibility of metacognitive sets predicted relapse in residually depressed patients; (c) where CT reduced relapse in residually depressed patients, it increased accessibility of metacognitive sets; and (d) where MBCT reduced relapse in recovered depressed patients, it increased accessibility of metacognitive sets. CT and MBCT may reduce relapse by changing relationships to negative thoughts rather than by changing belief in thought content.