Adrian Wells
Biographic Data
| ID | 4500009 |
|---|---|
| NAME | Adrian Wells |
| GIVEN NAMES | Adrian |
| FAMILY NAME | Wells |
| SIGNATURE | WELLS A |
| AFFILIATIONS | Greater Manchester Mental Health NHS Foundation Trust |
| ORCID | 0000-0001-7713-1592 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 3 |
| AUTHOR COUNT | 18 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1985 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Children and young people’s experiences of receiving group metacognitive therapy
The results support the use of MCT in children and young people with mixed anxiety disorders and depression. Patients reported understanding the treatment rationale and benefiting from the intervention. They described, consistent with purported mechanisms, how treatment helped them make a shift in beliefs about thoughts and see worry as powerless and under personal control. Patients described an ability to apply specific techniques in real-life s…
Qualitative analysis of emotional distress in burns, plastic and reconstructive surgery patients from the perspectives of cognitive and metacognitive models
The implications of applying the findings from each model to clinical practice are discussed. The metacognitive model may offer benefits in clinical practice that should be investigated further
Cardiac Rehabilitation practitioners’ views on patients’ psychological needs
Practitioners described that patients experience a range of psychological concerns, including adjustment difficulties, anxiety, and cardiac and noncardiac worries. Most practitioners normalise patient concerns and offer relaxation techniques. However, practitioners have noted that patients often have complex psychological needs, but practitioners' confidence in discussing and supporting psychological concerns varies. Practitioners expressed the n…
A framework for implementing Patient and Public Involvement in mental health research
BACKGROUND: Patient and Public Involvement (PPI) in research has become a key component recommended by research commissioners, grant award bodies and specified in government policies. Despite the increased call for PPI, few studies have demonstrated how to implement PPI within large-scale research studies. OBJECTIVE: The aim of the current study was to provide a case example of the implementation of a patient advisory group in a large-scale menta…
Prevalence of post-traumatic stress and tests of metacognition as a PTSD risk marker in patients with coronary heart disease and elevated Hads scores
PTSD symptoms appeared highly prevalent in the current CR sample. Metacognitive beliefs were individually associated with symptom severity with the strongest positive relationship observed for beliefs about uncontrollability and dangerousness of worry, followed by need to control thoughts. The results highlight the importance in assessing PTSD in CR patients and add support to implementing metacognitive therapy in CHD to target particular metacog…
The network structure of dysfunctional metacognition
The Metacognitive Control System (MCS) model gives central importance to maladaptive metacognition in psychological vulnerability and disorder. The metacognitions questionnaire 30 (MCQ-30) is widely used to assess such metacognitions and to establish their effects. Previous studies consistently demonstrate that the MCQ-30 consists of five latent factors, with some factors showing wide-ranging positive associations with symptoms and some demonstra…
Metacognitive Beliefs and Suicidal Ideation
The current study aimed to examine the relationship between metacognitive beliefs about suicidal ideation and the content and process of suicidal ideation. This was to examine the potential contribution of the Self-Regulatory Executive Function (S-REF) model (Wells and Matthew, 2015) to suicidal ideation. Twenty-seven participants completed both trait and state-level measures of suicidal ideation, negative affect, defeat, hopelessness, entrapment…
Establishing the Feasibility of Group Metacognitive Therapy for Anxiety and Depression in Cardiac Rehabilitation
The results suggest the addition of MCT to CR did not have a negative impact on retention and support a full-scale trial of Group-MCT for cardiac patients
PRO*MDD Study Protocol
Background: Major depressive Disorder (MDD) is a severe mental disorder associated with considerable disability and high costs. Over the last decades, various psychotherapies for MDD have been developed and researched, among others Behavioral Activation (BA) and Metacognitive Therapy (MCT). MCT and BA target different maintaining factors of MDD and have not been compared to date. The PRO * MDD randomized controlled trial will compare MCT and BA i…
Metacognitive beliefs and rumination as predictors of anger
The metacognitive approach conceptualizes the relationship between anger and rumination as driven by metacognitive beliefs, which are information individuals hold about their own cognition and about coping strategies that impact on it. The present study aimed to test the prospective predictive impact of metacognitive beliefs and rumination on anger in a community sample. Seventy-six participants were recruited and engaged in a 2-week anger, rumin…
A Metacognitive Perspective on Mindfulness
The structure amongst scales and the pattern of correlations with symptoms were generally consistent with the metacognitive theory which focuses on metacognitive beliefs, enhancing awareness of thoughts and disengaging extended processing
Treating Depression
Refraining from Intrusive Thoughts is Strategy Dependent
The control of cognition is fundamental to psychological well being. One dimension recently explored by Sugiura, Sugiura and Tanno (2013) is the perceived ability to refrain from catastrophic thinking-a construct that could be a marker of several factors. The current paper recommends deeper consideration in terms of metacognitive theory and exemplifies this by testing the effect of a strategy that focuses on abstaining from processes (detached mi…
Unique Contributions of Metacognition and Cognition to Depressive Symptoms
This study attempts to examine the unique contributions of "cognitions" or "metacognitions" to depressive symptoms while controlling for their intercorrelations and comorbid anxiety. Two-hundred-and-fifty-one university students participated in the study. Two complementary hierarchical multiple regression analyses were performed, in which symptoms of depression were regressed on the dysfunctional attitudes (DAS-24 subscales) and metacognition sca…
A short form of the metacognitions questionnaire
Modelling cognition in emotional disorder
Meta-Cognition and Worry
A meta-cognitive classification and analysis of factors contributing to the development of problematic worry is presented. Dimensions of meta-beliefs, meta-worry, cognitive consciousness, and strategies can be distinguished. A cognitive model of Generalized Anxiety Disorder is advanced based on this framework in which GAD results from an interaction between the motivated use of worry as a coping strategy, negative appraisal of worry, and worry co…
Relationship between Private Self-Consciousness and Anxiety Scores in Threatening Situations
The present study explored the hypothesis that, when facing a threatening situation persons high in dispositional self-focus will exhibit higher state-anxiety than persons low in dispositional self-focus. It was predicted that dispositional self-focus is positively correlated with trait-anxiety and in a threatening situation is associated with increased ‘worry.’ The relation between the experience of anxiety and the direction of attention was inv…
Metacognitive beliefs and rumination as predictors of anger
The metacognitive approach conceptualizes the relationship between anger and rumination as driven by metacognitive beliefs, which are information individuals hold about their own cognition and about coping strategies that impact on it. The present study aimed to test the prospective predictive impact of metacognitive beliefs and rumination on anger in a community sample. Seventy-six participants were recruited and engaged in a 2-week anger, rumin…
Relationship between Private Self-Consciousness and Anxiety Scores in Threatening Situations
The present study explored the hypothesis that, when facing a threatening situation persons high in dispositional self-focus will exhibit higher state-anxiety than persons low in dispositional self-focus. It was predicted that dispositional self-focus is positively correlated with trait-anxiety and in a threatening situation is associated with increased ‘worry.’ The relation between the experience of anxiety and the direction of attention was inv…
Meta-Cognition and Worry
A meta-cognitive classification and analysis of factors contributing to the development of problematic worry is presented. Dimensions of meta-beliefs, meta-worry, cognitive consciousness, and strategies can be distinguished. A cognitive model of Generalized Anxiety Disorder is advanced based on this framework in which GAD results from an interaction between the motivated use of worry as a coping strategy, negative appraisal of worry, and worry co…
Modelling cognition in emotional disorder
A short form of the metacognitions questionnaire
Refraining from Intrusive Thoughts is Strategy Dependent
The control of cognition is fundamental to psychological well being. One dimension recently explored by Sugiura, Sugiura and Tanno (2013) is the perceived ability to refrain from catastrophic thinking-a construct that could be a marker of several factors. The current paper recommends deeper consideration in terms of metacognitive theory and exemplifies this by testing the effect of a strategy that focuses on abstaining from processes (detached mi…
Unique Contributions of Metacognition and Cognition to Depressive Symptoms
This study attempts to examine the unique contributions of "cognitions" or "metacognitions" to depressive symptoms while controlling for their intercorrelations and comorbid anxiety. Two-hundred-and-fifty-one university students participated in the study. Two complementary hierarchical multiple regression analyses were performed, in which symptoms of depression were regressed on the dysfunctional attitudes (DAS-24 subscales) and metacognition sca…
A Metacognitive Perspective on Mindfulness
The structure amongst scales and the pattern of correlations with symptoms were generally consistent with the metacognitive theory which focuses on metacognitive beliefs, enhancing awareness of thoughts and disengaging extended processing
Treating Depression
Metacognitive beliefs and rumination as predictors of anger
The metacognitive approach conceptualizes the relationship between anger and rumination as driven by metacognitive beliefs, which are information individuals hold about their own cognition and about coping strategies that impact on it. The present study aimed to test the prospective predictive impact of metacognitive beliefs and rumination on anger in a community sample. Seventy-six participants were recruited and engaged in a 2-week anger, rumin…
PRO*MDD Study Protocol
Background: Major depressive Disorder (MDD) is a severe mental disorder associated with considerable disability and high costs. Over the last decades, various psychotherapies for MDD have been developed and researched, among others Behavioral Activation (BA) and Metacognitive Therapy (MCT). MCT and BA target different maintaining factors of MDD and have not been compared to date. The PRO * MDD randomized controlled trial will compare MCT and BA i…
Establishing the Feasibility of Group Metacognitive Therapy for Anxiety and Depression in Cardiac Rehabilitation
The results suggest the addition of MCT to CR did not have a negative impact on retention and support a full-scale trial of Group-MCT for cardiac patients
Metacognitive Beliefs and Suicidal Ideation
The current study aimed to examine the relationship between metacognitive beliefs about suicidal ideation and the content and process of suicidal ideation. This was to examine the potential contribution of the Self-Regulatory Executive Function (S-REF) model (Wells and Matthew, 2015) to suicidal ideation. Twenty-seven participants completed both trait and state-level measures of suicidal ideation, negative affect, defeat, hopelessness, entrapment…
The network structure of dysfunctional metacognition
The Metacognitive Control System (MCS) model gives central importance to maladaptive metacognition in psychological vulnerability and disorder. The metacognitions questionnaire 30 (MCQ-30) is widely used to assess such metacognitions and to establish their effects. Previous studies consistently demonstrate that the MCQ-30 consists of five latent factors, with some factors showing wide-ranging positive associations with symptoms and some demonstra…
A framework for implementing Patient and Public Involvement in mental health research
BACKGROUND: Patient and Public Involvement (PPI) in research has become a key component recommended by research commissioners, grant award bodies and specified in government policies. Despite the increased call for PPI, few studies have demonstrated how to implement PPI within large-scale research studies. OBJECTIVE: The aim of the current study was to provide a case example of the implementation of a patient advisory group in a large-scale menta…
Prevalence of post-traumatic stress and tests of metacognition as a PTSD risk marker in patients with coronary heart disease and elevated Hads scores
PTSD symptoms appeared highly prevalent in the current CR sample. Metacognitive beliefs were individually associated with symptom severity with the strongest positive relationship observed for beliefs about uncontrollability and dangerousness of worry, followed by need to control thoughts. The results highlight the importance in assessing PTSD in CR patients and add support to implementing metacognitive therapy in CHD to target particular metacog…
Qualitative analysis of emotional distress in burns, plastic and reconstructive surgery patients from the perspectives of cognitive and metacognitive models
The implications of applying the findings from each model to clinical practice are discussed. The metacognitive model may offer benefits in clinical practice that should be investigated further
Cardiac Rehabilitation practitioners’ views on patients’ psychological needs
Practitioners described that patients experience a range of psychological concerns, including adjustment difficulties, anxiety, and cardiac and noncardiac worries. Most practitioners normalise patient concerns and offer relaxation techniques. However, practitioners have noted that patients often have complex psychological needs, but practitioners' confidence in discussing and supporting psychological concerns varies. Practitioners expressed the n…
Children and young people’s experiences of receiving group metacognitive therapy
The results support the use of MCT in children and young people with mixed anxiety disorders and depression. Patients reported understanding the treatment rationale and benefiting from the intervention. They described, consistent with purported mechanisms, how treatment helped them make a shift in beliefs about thoughts and see worry as powerless and under personal control. Patients described an ability to apply specific techniques in real-life s…
Clinical Psychology (15 works) · Psychology (15 works) · Metacognition (12 works) · Clinical Psychology (11 works) · Cognition (11 works) · Psychiatry (11 works) · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes (10 works) · Anxiety (8 works) · Child and Adolescent Psychosocial and Emotional Development (7 works) · Medicine (7 works)