Title: The contribution of illness perceptions and metacognitive beliefs to anxiety and depression in adults with diabetes
Abstract: <h2>Abstract</h2><h3>Aims</h3> Anxiety and depression are highly prevalent in people with diabetes (PwD). The most widely used psychological model to explain anxiety and depression in PwD is the Common-Sense Model, which gives a central role to illness perceptions. The Self-Regulatory Executive Function (S-REF) model proposes metacognitive beliefs are key to understanding the development and maintenance of emotional disorders. To test the potential utility of the S-REF model in PwD, the study explored if metacognitive beliefs explained additional variance in anxiety and depression after controlling for demographic and illness perceptions. <h3>Methods</h3> 614 adults with either Type 1 (n = 335) or Type 2 (n = 279) diabetes participated in a cross sectional online survey. All participants completed questionnaires on anxiety, depression, illness perceptions and metacognitive beliefs. <h3>Results</h3> Regression analyses showed that metacognitive beliefs were associated with anxiety and depression in PwD and explained additional variance in both anxiety and depression after controlling for demographics and illness perceptions. <h3>Conclusions</h3> This is the first study to demonstrate that metacognitive beliefs are associated with anxiety and depression in PwD. The clinical implications of the study are illustrated.
Publication Year: 2017
Publication Date: 2017-12-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
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Cited By Count: 37
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