Metacognitions as a predictor of drinking status and level of alcohol use following CBT in problem drinkers: A prospective study |
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| Authors: | Marcantonio M Spada Gabriele Caselli Adrian Wells |
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| Institution: | 1. Maastricht University Medical Center, Dept. of Psychiatry & Psychology, School for Mental Health & Neuroscience, Maastricht, the Netherlands;2. Department of Health Sciences, University of Florence, Florence, Italy;3. Studi Cognitivi, Cognitive Psychotherapy School and Research Center, sedi di Milano, Genova, Italy;4. Department of Psychology, Sigmund Freud University, Milano, Italy;5. School of Applied Sciences, London South Bank University, London, UK;6. Dipartimento di Scienze Biomediche e NeuroMotorie, Università di Bologna, Bologna, Italy;7. Psicoterapia Cognitiva e Ricerca, Cognitive Psychotherapy School, Milano, Italy;1. Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran;2. Department of Psychiatry, Imam Hossein Hospital, Alborz University of Medical Sciences, Karaj, Iran;3. School of Applied Sciences, London South Bank University, London, UK;1. Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia B3H 4R2, Canada;2. Department of Psychology, Saint Francis Xavier University, Antigonish, Nova Scotia B2G 2W5, Canada;3. Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia B3H 4R2, Canada |
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| Abstract: | This study investigated the role of negative emotions and metacognitions in predicting problem drinkers' drinking status (absence or presence of drinking) and level of weekly alcohol use at 3, 6 and 12 months after a course of treatment. A total of 70 problem drinkers with a DSM-IV diagnosis of alcohol abuse participated in the study. Depressive symptoms were assessed with the Beck Depression Inventory and symptoms of anxiety were measured with the state anxiety sub-scale of the State-Trait Anxiety Inventory. Metacognitions were measured with the Meta-Cognitions Questionnaire. Results indicated that beliefs about need to control thoughts predicted: (1) drinking status at 3 and 6 months; and (2) level of weekly alcohol use at 3, 6 and 12 months. The contribution of metacognition was independent of negative emotions and initial level of weekly alcohol use. The results support the role of metacognition in problem drinking. Given that metacognitions are a possible risk factor for drinking status and level of weekly alcohol use it is suggested that treatment for problem drinking could target this variable. |
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