Abstract
Major depressive disorder is a common mental health problem that affects millions of people worldwide, with frequent negative effects on people's quality of life. This study was conducted to determine the metacognitive features and cognitive distortions of patients diagnosed with depression. This research was conducted in descriptive type. The study was carried out in the psychiatry outpatient clinic of a state hospital. The sample of the study consisted of 131 major patients diagnosed with depression who met the inclusion criteria of the study. The Cognitive Distortions Scale (CDS) mean score of the patients was 86.75 ± 23.37. The mean score of the Metacognition Questionnaire-30 (MCQ-30) of the patients was determined as 77.23 ± 14.24. A positive correlation was found between CDS and MCQ total and all sub-dimensions scores (p < 0.005). Patients use cognitive distortions quite frequently. Among the cognitive distortions, they mostly use the distortion of should-must statements. In addition, patients have high scores of pathological metacognition. This high score is greatest in the areas of uncontrollability and danger, the need for control, and cognitive awareness.
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Ak, M., Yazihan, N. T., Sütçigil, L., & Haciömeroglu, B. (2013). Metacognitive beliefs of major depression patients with suicidal behavior. Noro-Psikyatri Arsivi, 50(2), 95. https://doi.org/10.4274/NPA.y6133
Aydemir, Ö., Ergün, H., Soygür, H., Kesebir, S., & Tulunay, C. (2009). Quality of life in major depressive disorder: A cross-sectional study. Turk Psikiyatri Dergisi, 20, 205–212.
Baldessarini, R. J., Innamorati, M., Erbuto, D., Serafini, G., Fiorillo, A., Amore, M., ... & Pompili, M. (2017). Differential associations of affective temperaments and diagnosis of major affective disorders with suicidal behavior. Journal of Affective Disorders, 210, 19-21. https://doi.org/10.1016/j.jad.2016.12.003
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive Therapy of Depression. Guilford Press.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. International Universities Press.
Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). The Guilford Press.
Beck, J.S. (2001). Bilissel davranisci terapi temelleri ve ötesi. Hisli Şahin N. Yayınevi: Türk Psikologlar Derneği Yayinlari
Beck, J. S. (1995). Cognitive therapy: Basics and beyond. Guilford Press.
Cartwright-Hatton, S., & Wells, A. (1997). Beliefs about worry and intrusions: the metacognitions questionnaire and its correlates. Journal of Anxiety Disorders, 11, 279–296. https://doi.org/10.1016/S0887-6185(97)00011-XGet rights and content.
Cerit, C., & Coşkun, B. (2012). The comparison of cognitive distortions among patients with depression, dysthymia, remitted depression, and healty control group. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 13(4), 250–255.
Covin, R., Dozois, D. J., Ogniewicz, A., & Seeds, P. M. (2011). Measuring cognitive errors: Initial development of the Cognitive Distortions Scale (CDS). International Journal of Cognitive Therapy, 4(3), 297–322.
Doğan, O. (2000). Depresyonun epidemiyolojisi. Duygudurum Dizisi, 1(1), 29- 38
Dumais, A., Lesage, A. D., Alda, M., Rouleau, G., Dumont, M., Chawky, N., ... & Turecki, G. (2005). Risk factors for suicide completion in major depression: a case-control study of impulsive and aggressive behaviors in men. American Journal of Psychiatry, 162(11), 2116-2124. https://doi.org/10.1176/appi.ajp.162.11.2116
Fawcett, J., Scheftner, W., Clark, D., Hedeker, D., Gibbons, R., & Coryell, W. (1987). Clinical predictors of suicide in patients with major affective disorders: A controlled prospective study. The American Journal of Psychiatry. https://doi.org/10.1176/ajp.144.1.35
Fisher, P., & Wells, A. (2009). Metacognitive therapy: Distinctive features. Routledge.
Flavell, J. H. (1979). Metacognition and cognitive monitoring: A new area of cognitive-developmental inquiry. American Psychologist, 34, 906–911. https://doi.org/10.1037/0003-066X.34.10.906
Goggin, L. S., Martin-Iverson, M. T., & Nathan, P. R. (2011). Affective modulation of the startle reflex is an ineffective methodology to examine depression-linked interpretative biases. Psychology, 2(05), 486. https://doi.org/10.4236/psych.2011.2507
WHO (2019). https://www.who.int/news-room/fact-sheets/detail/depression. Accessed 7 Feb 2020.
https://sks.uskudar.edu.tr/metakognitif-terapi-nedir. (Accessed: January, 7th 2021).
Jelinek, L., Van Quaquebeke, N., & Moritz, S. (2017). Cognitive and metacognitive mechanisms of change in metacognitive training for depression. Scientific Reports, 7(1), 1–8. https://doi.org/10.1038/s41598-017-03626-8
Köroğlu, E., (2011). Psikiyatri el kitabı, (4th ed., pp. 61–79). Hekimler Yayın Birliği
Kumar, K. S., Srivastava, S., Paswan, S., & Dutta, A. S. (2012). Depression-symptoms, causes, medications and therapies. The Pharma Innovation, 1, 37.
Kürümlüoğlugil, R., & Tanrıverdi, D. (2021). The effects of the psychoeducation on cognitive distortions, negative automatic thoughts and dysfunctional attitudes of patients diagnosed with depression. Psychology, Health & Medicine, 1–11. https://doi.org/10.1080/13548506.2021.1944654
Marton, P., & Kutcher, S. (1995). The Prevalence of cognitive distortion in depressed adolescents. Journal of Psychiatry and Neuroscience, 20(1), 33–38.
Orsolini, L., Latini, R., Pompili, M., Serafini, G., Volpe, U., Vellante, F., ... & De Berardis, D. (2020). Understanding the complex of suicide in depression: from research to clinics. Psychiatry Investigation, 17(3), 207. https://doi.org/10.30773/pi.2019.0171
Mermi, O., Kılıç, F., Gürok, M. G., Kuloğlu, M., & Atmaca, M. (2015). Temperament Characteristics of Patients Admitted to Hospital Due to Suicide Attempt. Fırat Tıp Dergisi, 20(2), 96–100.
Özdel, K., Öztürk, Y., & Özyurt, G. (2021). Comparison of Cognitive Distortions in Adolescents with Major Depressive Disorder with Healthy Controls. Turk J Child Adolesc Ment Health, 28(2), 110–116. https://doi.org/10.4274/tjcamh.galenos.2020.76476
Özdel, K., Taymur, I., Guriz, S.O., Tulaci, R.G., Kuru, E., Türkçapar, M.H. (2014). Measuring cognitive errors using the cognitive distortions scale (CDS): Psychometric Properties in Clinical and Non-Clinical Samples. Plos One, 9(8), e105956-e105956. https://doi.org/10.1371/journal.pone.0105956
Özsoy, F., & Kuloğlu, M. M. (2017). Evalution of Metacognitive Functions in Major Depressive and Panic Disorder Patients. Çağdaş Tıp Dergisi, 7(1), 42–49. https://doi.org/10.16899/gopctd.299079
Öztürk, O., Uluşahin, A. (2011). Ruh sağlığı ve bozuklukları, 11. (pp. 337–428). Baskı, Nobel Tıp Kitapevleri
Papageorgiou, C., & Wells, A. (1999). Process and meta-cognitive dimensions of depressive and anxious thoughts and relationships with emotional intensity. Clinical Psychology & Psychotherapy, 6, 156–162. https://doi.org/10.1002/(SICI)1099-0879(199905)6:2%3c156::AID-CPP196%3e3.0.CO;2-A
Pazvantoğlu, O., Okay, T., Dilbaz, N., Şengül, C., & Bayam, G. (2004). The Effects of Somatic Symptoms on Suicidal Ideation, Behaviour and Intent in the Patients with Major Depression. Klinik Psikiyatri, 7, 153–160.
Pompili, M., Innamorati, M., Rihmer, Z., Gonda, X., Serafini, G., Akiskal, H., ... & Girardi, P. (2012). Cyclothymic–depressive–anxious temperament pattern is related to suicide risk in 346 patients with major mood disorders. Journal of Affective Disorders, 136(3), 405-411. https://doi.org/10.1016/j.jad.2011.11.011
Pössel, P., & Black, S. W. (2014). Testing three different sequential mediational interpretations of Beck’s cognitive model of the development of depression. Journal of Clinical Psychology, 70, 72–94. https://doi.org/10.1002/jclp.22001
Sadock, B. J., Sadock, V. A., & Levin, Z. E. (Eds.). (2007). Kaplan and Sadock’s study guide and self-examination review in psychiatry. Lippincott Williams & Wilkins.
Sharma, P., Mehta, M., & Sagar, R. (2017). Efficacy of transdiagnostic cognitive-behavioral group therapy for anxiety disorders and headache in adolescents. Journal of Anxiety Disorders, 46, 78–84. https://doi.org/10.1016/j.janxdis.2016.11.001
Türkçapar, H. (2009). Bilişsel davranışçı terapi-temel ilkeler ve uygulama (4th ed.). Epsilon Yayınevi.
Türkçapar, M.H. (2015). Bilişsel Terapi. 9. Baskı, Ankara: Hekimler Yayın Birliği
Türkçapar, M.H. (2007) Bilişsel Terapi-Temel İlkeler ve Uygulama, 7. Baskı. Ankara, Hyb Yayıncılık
Tümkaya, S., Çelik, M. ve Aybek, B. (2011). Lise öğrencilerinde boyun eğici davranışlar otomatik düşünceler umutsuzluk ve yaşam doyumunun incelenmesi. Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 20(2), 77–94
Tosun, A., & Irak, M. (2008). Adaptation, Validity, and Reliability of the Metacognition Questionnaire-30 for the Turkish Population, and its Relationship to Anxiety and Obsessive-Compulsive Symptoms. Turkish Journal of Psychiatry, 19, 67–80.
Uğur, M. (2008). Duygudurum bozuklukları. İÜ Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri, Sempozyum Dizisi. 62, 59-84
Wells, A. (2011). Metacognitive therapy for anxiety and depression. Guilford press.
Wells, A. (2009). Metacognitive therapy for anxiety and depression. Guilford Press.
Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy, 42(4), 385–396. https://doi.org/10.1016/S0005-7967(03)00147-5
Yilmaz, S., İzci, F., Mermi, O., & Atmaca, M. (2016). Metacognitive functions in patients who has obsessive compulsive disorder and major depressive disorder: A controlled study. Anadolu Psikiyatri Dergisi, 17(6), 451. https://doi.org/10.5455/apd.21406
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Tanrıverdi, D., Özgüç, S. Metacognitive features and cognitive distortions of the patients with major depression. Curr Psychol 42, 18010–18016 (2023). https://doi.org/10.1007/s12144-022-03026-w
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DOI: https://doi.org/10.1007/s12144-022-03026-w