Cognitive Therapy and Research

, Volume 31, Issue 5, pp 709–716

Metacognitions in Problem Drinkers

  • Marcantonio M. Spada
  • Michelle Zandvoort
  • Adrian Wells
Original Article

Abstract

The present study examined metacognitions in problem drinkers and a community sample. A sample of 60 problem drinkers and 84 individuals from the general population were compared on the following measures: Hospital Anxiety and Depression Scale, Meta-Cognitions Questionnaire 30, Quantity Frequency Scale and Alcohol Use Disorders Identification Test. Mann–Whitney U-tests, logistic regression analysis and hierarchical regression analyses were performed on the data. Mann–Whitney U-tests revealed that metacognitions, anxiety, depression and drinking scores were significantly higher for problem drinkers than for the general population. The logistic regression analysis indicated that beliefs about cognitive confidence and beliefs about the need to control thoughts were independent predictors of a classification as a problem drinker over and above negative emotions. Finally, hierarchical regression analyses on the combined samples showed that beliefs about cognitive confidence, and beliefs about the need to control thoughts, independently predicted both alcohol use and problem drinking scores. These results add to the argument that metacognitive theory is relevant in understanding excessive and problematic alcohol use.

Keywords

Alcohol use Problem drinking Metacognition Negative emotions 

References

  1. Babor, T. F., de la Fuente, J. R., Saunders, J., & Grant, M. (1992). The alcohol use disorders identification test: guidelines for use in primary healthcare. Geneva: World Health Organisation.Google Scholar
  2. Beck, A. T. (2005). The current state of cognitive therapy: a 40-year retrospective. Archives of General Psychiatry, 62, 953–959.PubMedCrossRefGoogle Scholar
  3. Beck, A. T., Wright, F. D., Newman, C. F., & Liese, B. S. (1993). Cognitive therapy of substance abuse. New York: Guildford.Google Scholar
  4. Bouman, T. K., & Meijer, K. J. (1999). A preliminary study of worry and metacognitions in hypochondriasis. Clinical Psychology and Psychotherapy, 6, 96–101. Special issue, Metacognition and cognitive behaviour therapy. Chichester, UK: Wiley.Google Scholar
  5. Brown, R. A., & Ramsey, S. E. (2000). Addressing comorbid depressive symptomatology in alcohol treatment. Professional Psychology: Research and Practice, 31, 418–422.CrossRefGoogle Scholar
  6. Caci, H., Bayle, F. J., Mattei, V., Dossios, C., Philippe, R., & Boyer, P. (2003). How does the Hospital Anxiety and Depression Scale measure anxiety and depression in healthy subjects? Psychiatry Research, 118, 89–99.PubMedCrossRefGoogle Scholar
  7. Cahalan, D., Cisin, I., & Crossley, H. (1969). American drinking practices: a National Survey of Drinking Behaviours and Attitudes. Rutgers Centre for Alcohol Studies, Monograph no. 6, New Brunswick.Google Scholar
  8. Cartwright-Hatton, S., & Wells, A. (1997). Beliefs about worry and intrusions: the meta-cognitions questionnaire and its correlates. Journal of Anxiety Disorders, 11, 279–315.PubMedCrossRefGoogle Scholar
  9. Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. Heimber, M. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: diagnosis, assessment and treatment. New York: Guilford.Google Scholar
  10. Conger, J. (1956). Reinforcement theory and the dynamics of alcoholism. Quarterly Journal of Studies on Alcohol, 17, 296–305.PubMedGoogle Scholar
  11. Duncan, D. F. (1974). Drug abuse as a coping mechanism. American Journal of Psychiatry, 131, 724.PubMedGoogle Scholar
  12. Emmelkamp, P. M. G., & Aardema, A. (1999). Metacognitions, specific obsessive–compulsive beliefs and obsessive compulsive behaviour. Clinical Psychology and Psychotherapy, 6, 139–145. Special issue, Metacognition and cognitive behaviour therapy. Chichester, UK: Wiley.Google Scholar
  13. Flavell, J. H. (1979). Metacognition and cognitive monitoring: a new area of cognitive-developmental inquiry. American Psychologist, 34, 906–911.CrossRefGoogle Scholar
  14. Helzer, J. E., & Pryzbeck, T. R. (1988). The co-occurrence of alcoholism with other psychiatric disorders in the general population and its impact on treatment. Journal of Studies on Alcohol, 49(3), 219–224.PubMedGoogle Scholar
  15. Herrmann, C. (1997). International experiences with the Hospital Anxiety and Depression Scale—a review of validation data and clinical results. Journal of Psychosomatic Research, 42(1), 17–41.PubMedCrossRefGoogle Scholar
  16. Hester, R. K., & Miller, W. R. (1995). Handbook of alcoholism treatment approaches: effective alternatives. Needham Heights: Allyn and Bacon.Google Scholar
  17. Kushner, M. G., Sher, K. J., & Beitman, B. D. (1990). The relation between alcohol problems and anxiety disorders. American Journal of Psychiatry, 147(6), 685–695.PubMedGoogle Scholar
  18. Levenson, R., Sher, K., Grossman, L., Newman, J., & Newlin, D. (1980). Alcohol and stress response-dampening: pharmacological effects, expectancy, and tension reduction. Journal of Abnormal Psychology, 89, 528–538.PubMedCrossRefGoogle Scholar
  19. Monti, P. M., Kadden, R., Rohsenow, D. J., Cooney, N., & Abrams, D. (2002). Treating alcohol dependence: a coping skills training guide (2nd ed.). New York: Guilford.Google Scholar
  20. Morrison, A. P., Wells, A., & Nothard, S. (2000). Cognitive factors in predisposition to auditory and visual hallucinations. British Journal of Clinical Psychology, 39, 67–78.PubMedCrossRefGoogle Scholar
  21. Mykletun, A., Stordal, E., & Dahl, A. A. (2001). Hospital Anxiety and Depression Scale: factor structure, item analyses and internal consistency. British Journal of Psychiatry, 179, 540–544.PubMedCrossRefGoogle Scholar
  22. National Institute on Alcohol Abuse and Alcoholism (2000). Alcoholism: getting the facts.Google Scholar
  23. Nelson, T. O., Graf, A., Dunlosky, J., Marlatt, A., Walker, D., & Luce, K. (1998). Effect of acute alcohol intoxication on recall and on judgments of learning during the acquisition of new information. In G. Mazzoni, & T. O. Neslon (Eds.), Metacognition and cognitive neuropsychology, monitoring and control processes (pp. 161–180). Mahwah: LEA.Google Scholar
  24. Oei, T. P. S., & Baldwin, A. R. (1994). Expectancy theory: a two-process model of alcohol use and abuse. Journal for the Studies of Alcohol, 55, 525–534.Google Scholar
  25. Papageorgiou, C., & Wells, A. (2003). An empirical test of a clinical metacognitive model of rumination and depression. Cognitive Therapy and Research, 27, 261–273.CrossRefGoogle Scholar
  26. Project MATCH Research Group. (1997). Matching alcoholism treatments to client heterogeneity: project MATCH posttreatment drinking outcomes. Journal of Studies on Alcohol, 58, 7–29.Google Scholar
  27. Reynolds, M., & Wells, A. (1999). The Thought Control Questionnaire—psychometric properties in a clinical sample, and relationships with PTSD and depression. Psychological Medicine, 29, 1089–1099.PubMedCrossRefGoogle Scholar
  28. Spada, M. M., & Wells, A. (2005). Metacognitions, emotion and alcohol use. Clinical Psychology and Psychotherapy, 12(2), 150–155.CrossRefGoogle Scholar
  29. Steele, C. M., & Josephs, R. A. (1990). Alcohol myopia: its prized and dangerous effects. American Psychologist, 45, 921–933.PubMedCrossRefGoogle Scholar
  30. Teasdale, J. D., & Barnard, P. J. (1993). Affect, cognition and change: re-modelling depressive thought. Hove: Lawrence Erlbaum Associates.Google Scholar
  31. Wells, A. (2000). Emotional disorders and metacognition: innovative cognitive therapy. Chichester, UK: Wiley.Google Scholar
  32. Wells, A., & Carter, K. (2001). Further tests of a cognitive model of generalized anxiety disorder: metacognitions and worry in GAD, panic disorder, social phobia, depression, and non patients. Behavior Therapy, 32, 85–102.CrossRefGoogle Scholar
  33. Wells, A., & Cartwright-Hatton, S. (2004). A short form of the meta-cognitions questionnaire: properties of the MCQ-30. Behavior Therapy, 42, 385–396.CrossRefGoogle Scholar
  34. Wells, A., & Matthews, G. (1994). Attention and emotion. A clinical perspective. Hove, UK: Erlbaum.Google Scholar
  35. Wilson, G. T. (1988). Alcohol and anxiety. Behavioural Research and Therapy, 26(5), 369–381.CrossRefGoogle Scholar
  36. Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Marcantonio M. Spada
    • 1
  • Michelle Zandvoort
    • 2
  • Adrian Wells
    • 3
    • 4
  1. 1.Clinical and Health Psychology Research Centre, School of Human and Life Sciences, Whitelands CollegeRoehampton UniversityLondon UK
  2. 2.University of SurreyGuildfordUK
  3. 3.University of ManchesterManchesterUK
  4. 4.Norwegian University of Science and TechnologyTrondheimNorway

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