A Systematic Review of Metacognitive Beliefs in Chronic Medical Conditions
Open accessAbstract
Background Psychological functioning plays an important role in medical conditions and impacts patients’ quality of life. Previously, many studies highlighted the association of metacognition to both the development and the maintenance of emotional disorders. Recently, several researchers pointed out the relevant role of dysfunctional metacognitive beliefs in the context of chronic diseases. Hence, dysfunctional metacognitive beliefs could be directly related to anxiety and depression, regardless of the medical condition’s expression. The aim of this systematic review was to summarize the available evidence regarding the association of metacognition with anxiety, depression, and perceived quality of life, in the context of medical conditions, according to Wells’ theory. Methods A systematic review based on electronic bibliographic databases (PsycINFO, PubMed, Scopus, Web of Science, and Web of Knowledge) of scientific literature was carried out. Studies involving patients evaluated in clinical settings were included in the analysis. Results Our findings indicated that metacognition appears to be related to anxiety, depression, and quality of life in patients with medical chronic conditions. Therefore, dysfunctional metacognitive beliefs might be a relevant factor associated with the process of adapting to illness. Conclusions The additional evaluation of metacognitive factors in the context of several medical chronic conditions appears valuable. Since the rising interest in the study of metacognition, suggestions for future research have been eventually provided.
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A systematic review by Lenzo et al in individuals with chronic medical conditions found that metacognitive beliefs were associated with anxiety, depression, and quality of life.
“In addition, the results are in line with a systematic review conducted by Lenzo, Sardella, Martino, and Quattropani [78] in individuals with chronic medical conditions where metacognitive beliefs were associated with anxiety, depression, and quality of life.”
From Metacognitive beliefs and their relationship with anxiety and depression in physical illnesses: A systematic review (2020) · cites this paper as [78]
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- Authors
- Lenzo, V., Sardella, A., Martino, G., & Quattropani, M. C.
- Affiliations
- Università degli studi di Cassino e del Lazio Meridionale (IT)
- University of Messina (IT)
- Corresponding author
- Lenzo, Vittorio
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2020-01-10
- Volume
- 10
- Pages
- 2875-2875
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC6965316
- OpenAlex
- W3000547807
- Cited by
- 81
- References
- 78
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 12 · 2023: 8 · 2022: 18 · 2021: 14 · 2020: 16
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- metacognitive beliefs, chronic disease, anxiety, depression, quality of life, adaptation to illness
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