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Metacognitive beliefs predict interpersonal problems in patients with social anxiety disorder

Bibliographic Data

ID21391889
AuthorsEivind R Strand (0000-0002-1232-5545, Department of Psychology Norwegian University of Science and Technology Trondheim Norway, corresponding author), Henrik Nordahl (0000-0001-8502-5079, Department of Psychology Norwegian University of Science and Technology Trondheim Norway), Odin Hjemdal (0000-0002-6430-2345, Department of Psychology Norwegian University of Science and Technology Trondheim Norway), Hans M Nordahl (0000-0001-9275-646X, Department of Mental Health Norwegian University of Science and Technology Trondheim Norway)
Year2023
Volume64
Issue6
Pages819-824
Publication date2023-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueScandinavian Journal of Psychology (JOURNAL)
Journal identifiersISSN: 0036-5564 • E-ISSN: 1467-9450
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sjop.12943
PMID37365879
OpenAlexW4382181387
LanguageEN
Citations received2
References cited29

Patients with Social Anxiety Disorder (SAD) typically report interpersonal problems, and these are important targets in treatment beyond social anxiety symptoms as they impair quality of life, maintain emotion symptoms and effect on social functioning. What factors contribute to interpersonal problems? In the current study we set out to explore the role of metacognitive beliefs as correlates of interpersonal problems in patients treated for SAD when controlling for the effect of social phobic cognitions and symptoms. The sample consisted of 52 patients with a primary diagnosis of SAD participating in a randomized controlled trial comparing cognitive therapy, paroxetine, pill placebo, or the combination of cognitive therapy and paroxetine in treating SAD. Two hierarchical multiple linear regression analyses were conducted to explore change in metacognitions as predictors of change in interpersonal problems when controlling for change in social phobic cognitions and social anxiety. Change in metacognitions accounted for unique variance in interpersonal problems improvement beyond change in cognitions. Furthermore, change in cognitions overlapped with change in social anxiety symptoms, and when controlling the overlap between these three predictors, only change in metacognitions was uniquely associated with improvement in interpersonal problems. This finding indicates that metacognitions are linked to interpersonal problems in patients with SAD with the implication that treatment should aim to modify metacognitive beliefs to alleviate interpersonal dysfunction

Anxiety · Cognition · Fear of negative evaluation · Interpersonal communication · Interpersonal relationship · Metacognition · Psychiatry · Social anxiety · Social cognition · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Neuroscience and Music Perception · Perfectionism, Procrastination, Anxiety Studies · Psychology · Social Psychology

  • Do dysfunctional metacognitive beliefs contribute to interpersonal distress beyond interpersonal styles, parental bonds, depression and anxiety? A prospective within-person study

    Open Access•Eivind R Strand, Frederick Anyan et al.•Frontiers in Psychiatry•2026

  • The relationship between social support and interpersonal self-efficacy among higher vocational college students

    Open Access•Chen Chun-mei, Chunmei Chen et al.•BMC Psychology•2025

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    Open Access•Adrian Wells, Sam Cartwright‐Hatton et al.•Behaviour Research and Therapy•2004

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    Leonard M Horowitz, Saul E Rosenberg et al.•Journal of Consulting and…•1988

  • Psychometric properties of the Beck Depression Inventory

    Open Access•Aaron T Beck, Robert A Steer et al.•Clinical Psychology Review•1988

Unique citing works2
Citations per year2
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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