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Metacognition, memory disorganization and rumination in posttraumatic stress symptoms
Abstract
The present study aimed to assess the relative contribution of memory disorganization and beliefs about trauma memory in the prediction of posttraumatic stress symptoms. A sample of 95 student nurses and midwives narrated their memory of the most distressing placement related event they had experienced. Several questionnaires were administered, including the Beliefs about Memory Questionnaire (BAMQ), which was devised for the study. Pearson's correlations, hierarchical analyses and mediation analyses were performed on the data. The reliability and validity of the BAMQ gained preliminary support. Beliefs about the trauma memory, but not memory disorganization within the trauma narrative, predicted a significant proportion of the variance in posttraumatic stress symptoms after control variables were accounted for. Consistent with the metacognitive model of PTSD, the use of rumination mediated the relationship between beliefs about the trauma memory and PTSD symptoms. The findings provide preliminary support for the role of meta-memory in the maintenance of PTSD symptoms and question the importance of memory disorganization.
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“The results of the review mirror findings in mental health settings, which demonstrate that metacognitive beliefs are associated with anxiety and depression [29, 70–77] and that negative metacognitive beliefs of uncontrollability and danger show the strongest and most reliable relationships with these symptoms [29].”
From Metacognitive beliefs and their relationship with anxiety and depression in physical illnesses: A systematic review (2020) · cites this paper as [70]
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“Khawaja and McMahon, 2011; Wells and Carter, 1999, 2001), PTSD (Bennett and Wells, 2010) and depression (e.”
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“…are positively associated with proneness to pathological worry and O-C symptoms, GAD, OCD, and post-traumatic stress disorder (PTSD) symptoms (Bennett & Wells, 2010; Cartwright-Hatton & Wells, 1997; Wells & Cartwright-Hatton, 2004; Wells & Papageorgiou, 1998) and can differentiate…”
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“Rumination is linked to the maintenance of both depression and PTSD (Bennett & Wells, 2010; Nolen-Hoeksema, Wisco, & Lyubomirsky, 2008).”
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“These strategies develop a kind of personal processing focused on the threat such that it preserves worry or feel of threat which does not facilitate the feeling of safety and normal situation (Bennett & Wells, 2010).”
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“The Beliefs About Memory Questionnaire (BAMQ; Bennett & Wells, 2010) assessed metacognition about traumatic memory.”
BackgroundMethodInfluentialA pilot randomised controlled trial of metacognitive therapy for prolonged grief
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“This way of responding maintains threat monitoring and prevents adaptive emotional processing.(28) MCT aims to interrupt the CAS to enable adaptive emotional processing to occur and to modify unhelpful metacognitive beliefs.”
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“Bennett and Wells (2010) revealed that rumination mediates the relationship between traumatic memory beliefs (positive/negative metamemory beliefs) and the severity of PTSD symptoms.”
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“Comparable results have been obtained from studies on patients with anxiety disorders [12,28,30].”
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“In these studies, positive and negative metacognitive beliefs shared inconsistent associations with posttraumatic stress symptoms (r values of .01 .35; Bennett & Wells, 2010; Roussis & Wells, 2006).”
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“Depression is often characterized by negative rumination, a maladaptive emotion regulation strategy that is associated with the maintenance of both PTSD and depressive symptoms (Bennett & Wells, 2010).”
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“A positive screen on the PCL-5 required participants to report exposure to at least one LEC-5 item, meet minimum criteria for each PTSD cluster, and have a total score > 32 (Weathers et al., 2013).”
InfluentialEFFECT OF META-COGNITIVE THERAPY ON SELF ASSERTIVENESS SKILL IN PATIENTS WITH SOCIAL PHOBIA DISORDER
Hossein, B. M., Jahanbakhsh, M., Fatemeh, M. H., & Faramarzi, S. (2014) · Zahedan Journal of Research in Medical Sciences · Cited by 2
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“Psychological distress is among physical and mental health threats that cannot be avoided in everyday life (Bennett and Wells, 2010; Bounds, 2006).”
BackgroundBeliefs about Memory Questionnaire: psychometric properties in a natural disaster sample
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“As it has been thoroughly demonstrated by many others (Bennett & Wells, 2010; Koven, 2018), our results also signify the positive effects of MCT on the quality of life for PTSD patients.”
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“Everyday stress and crisis are threats of physical and mental health (18).”
BackgroundPolytrauma and executive functioning: A review of cognitive protective mechanisms and resilience
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Metacognitive therapy for rumination
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“Stress is a term that has been used in various ways in biological medicine, sometimes as an event or situation that has a detrimental effect on the body organs and sometimes as psychological stress caused by procedures and situations (4).”
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Metadata
- Authors
- Bennett, H., & Wells, A.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Bennett, Hazel
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2010-04
- Volume
- 24
- Issue
- 3
- Pages
- 318-325
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2164631352
- Cited by
- 117
- References
- 59
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 6 · 2023: 7 · 2022: 7 · 2021: 6 · 2020: 5 · 2019: 14 · 2018: 7 · 2017: 5 · 2016: 5 · 2015: 14 · 2014: 9 · 2013: 12 · 2012: 5
- FWCI
- 8.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Keywords
- post-traumatic stress disorder, metacognition, rumination, traumatic memory, metamemory, nursing students, midwives, mediation
- MeSH terms
- Adolescent, Adult, Attention, Awareness, Cognition, Culture, Female, Humans, Male, Memory, Middle Aged, Midwifery, Models, Psychological, Occupational Diseases, Personality Inventory, Psychometrics, Stress Disorders, Post-Traumatic, Students, Nursing, Narration, Young Adult
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