The role of the components of ambiguity intolerance and emotional schemas in predicting the metacognitive beliefs of cancer patients
Ambiguity intolerance and emotional schemas in cancer
DOI:
https://doi.org/10.22122/cdj.v13i4.717Keywords:
Ambiguity Intolerance, Emotions, Schema Therapy, Metacognitive Beliefs, CancerAbstract
BACKGROUND: Cancer patients face many emotional and cognitive problems related to cancer. Therefore, the present study was conducted to determine the role of the components of intolerance of ambiguity and emotional schemas in predicting the metacognitive beliefs of cancer patients.
METHODS: This descriptive research was conducted using a correlation method. The statistical population studied in this research consisted of all cancer patients aged 30 to 65 years who were referred to hospitals in Tehran, Iran, in 2019. The sample included 300 cancer patients who were selected intentionally and completed the questionnaires on ambiguity intolerance, emotional schemas, and metacognitive beliefs. For data analysis, Pearson's correlation coefficient and multiple regressions were used in SPSS software.
RESULTS: The results showed a positive and significant relationship between metacognitive beliefs and the components of ambiguity intolerance and emotional schemas (P < 0.05). Ambiguity intolerance components explain 43.7% and emotional schema components explain 46.1% of the variance in metacognitive beliefs.
CONCLUSION: Cognitive factors and meta-emotional factors play a role in meta-cognitive beliefs, and their interaction with each other can increase the psychological distress of cancer patients.
References
Rahib L, Wehner MR, Matrisian LM, Nead KT. Estimated projection of us cancer incidence and death to 2040. JAMA Netw Open. 2021; 4(4): e214708.
Rezapour A, Nargesi S, Mezginejad F, Rashki Kemmak A, Bagherzadeh R. The economic burden of cancer in Iran during 1995-2019: A systematic review. Iran J Public Health. 2021; 50(1): 35-45.
Hammermüller C, Hinz A, Dietz A, Wichmann G, Pirlich M, Berger T, et al. Depression, anxiety, fatigue, and quality of life in a large sample of patients suffering from head and neck cancer in comparison with the general population. BMC Cancer. 2021; 21(1): 94.
Rochmawati E, Wiksuarini E, Rahmah R. Depression and quality of life among cancer patients undergoing chemotherapy. Palliat Med Pract. 2020; 14(1): 1-6.
Brunckhorst O, Hashemi S, Martin A, George G, Van Hemelrijck M, Dasgupta P, et al. Depression, anxiety, and suicidality in patients with prostate cancer: a systematic review and meta-analysis of observational studies. Prostate Cancer Prostatic Dis. 2021; 24(2): 281-9.
Tamura S, Suzuki K, Ito Y, Fukawa A. Factors related to the resilience and mental health of adult cancer patients: A systematic review. Support Care Cancer. 2021; 29(7): 3471-86.
Fisher PL, McNicol K, Cherry MG, Young B, Smith E, Abbey G, et al. The association of metacognitive beliefs with emotional distress and trauma symptoms in adolescent and young adult survivors of cancer. J Psychosoc Oncol. 2018; 36(5): 545-56.
Tanna V, Cunningham SJ, Simon P, Spunt SL, Schapira L, Simons LE, et al. Pain and intolerance of uncertainty among adolescent and young adult cancer survivors. J Pain. 2021; 22(5): 611.
Esnaashari S, Mohammadkhani S, Hassanabadi H. Cognitive model of anxiety in cancer patients: The role of cognitive and metacognitive components. Health Psychol. 2017; 6(21): 66-85.
D'Errico D, Schröder T, Gresswell M. Therapist-led interventions for the treatment of traumatic stress symptoms in cancer survivors: A systematic literature review. Psychooncology. 2022; 31(7): 1057-75.
Leahy RL. Emotional schemas. Cogn Behav Pract. 2022; 29(3): 575-80.
Tariq A, Reid C, Chan SWY. A meta-analysis of the relationship between early maladaptive schemas and depression in adolescence and young adulthood. Psychol Med. 2021; 51(8): 1233-48.
Lauriola M, Mosca O, Trentini C, Foschi R, Tambelli R, Carleton RN. The intolerance of uncertainty inventory: Validity and comparison of scoring methods to assess individuals screening positive for anxiety and depression. Front Psychol. 2018; 9: 388.
Shahvarani SM, Khormaei F. Evaluate the psychometric properties of the emotional schemas scale. Rooyesh. 2018; 7(8): 261-74.
Karami A, Ghazanfari F, Amraei K. The psychometric properties of the persian version of the metacognitions about desire thinking questionnaire. Clinical Psychology and Personality. 2022; 19(2): 151-9. [In Persian]
Chen J, Tan Y, Cheng X, Peng Z, Qin C, Zhou X, et al. Maladaptive metacognitive beliefs mediated the effect of intolerance of uncertainty on depression. Clin Psychol Psychother. 2021; 28(6): 1525-34.
Zhang Z, Xu D, Li Z, Liu J, Yang Z. Neuroticism and test anxiety among Chinese students: The mediating role of intolerance of uncertainty and meta-worry. JSSSH. 2021; 1(1): 1-9.
Miegel F, Jelinek L, Yassari AH, Balzar A, Moritz S. Core dysfunctional beliefs in patients with obsessive–compulsive disorder are shared with patients with anxiety disorder according to the revised beliefs questionnaire. Curr Psychol. 2023; 42(27): 23788-99.
Bavolar J, Kacmar P, Hricova M, Schrötter J, Kovacova-Holevova B, Köverova M, et al. Intolerance of uncertainty and reactions to the COVID-19 pandemic. J Gen Psychol. 2023; 150(2): 143-70.
Chen S, Yao N, Qian M. The influence of uncertainty and intolerance of uncertainty on anxiety. J Behav Ther Exp Psychiatry. 2018; 61: 60-5.
Khodayarifard M, Mansouri A, Besharat MA, Gholamali Lavasani M. A review of conceptual models for worry and generalized anxiety disorder. Clinical-Excellence. 2017; 6(2): 37-8.
Wells A, Reeves D, Capobianco L, Heal C, Davies L, Heagerty A, et al. Improving the effectiveness of psychological interventions for depression and anxiety in cardiac rehabilitation: Pathway-a single-blind, parallel, randomized, controlled trial of group metacognitive therapy. Circulation. 2021; 144(1): 23-33.
Heinrich M, Hofmann L, Baurecht H, Kreuzer PM, Knüttel H, Leitzmann MF, et al. Suicide risk and mortality among patients with cancer. Nat Med. 2022; 28(4): 852-9.
Zhang Z, Leong Bin Abdullah MFI, Shari NI, Lu P. Acceptance and commitment therapy versus mindfulness-based stress reduction for newly diagnosed head and neck cancer patients: A randomized controlled trial assessing efficacy for positive psychology, depression, anxiety, and quality of life. PLoS One. 2022; 17(5): e0267887.
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