TY - JOUR
T1 - The Role of Metacognitions in Expressed Emotion and Distress
T2 - A Study on Caregivers of Persons with First-Episode Psychosis
AU - Jansen, Jens Einar
AU - Harder, Susanne
AU - Haahr, Ulrik Helt
AU - Lyse, Hanne-Grethe
AU - Pedersen, Marlene Buch
AU - Trauelsen, Anne Marie
AU - Simonsen, Erik
PY - 2015/11/1
Y1 - 2015/11/1
N2 - Background: In first-episode psychosis, the family is considered an important part in the recovery process. This is often accompanied by significant distress, which is acknowledged in numerous studies. However, little is known about the psychological factors involved. Method: One hundred and twenty-seven caregivers of persons with first-episode psychosis completed a series of questionnaires aimed at investigating the contribution of expressed emotion and metacognitions to caregiver distress. Results: Linear mixed model analysis found that emotional over-involvement and metacognitions independently predicted caregiver distress. Mediation analysis using bootstrapping showed that emotional over-involvement could be seen as mediating the effect of metacognitions on distress. Conclusion: The current study is a first step towards understanding the role of metacognitions in caregiver distress, thus opening up for the possibility of using interventions from 'contextual behaviour therapies'. Implications and future studies are discussed.
AB - Background: In first-episode psychosis, the family is considered an important part in the recovery process. This is often accompanied by significant distress, which is acknowledged in numerous studies. However, little is known about the psychological factors involved. Method: One hundred and twenty-seven caregivers of persons with first-episode psychosis completed a series of questionnaires aimed at investigating the contribution of expressed emotion and metacognitions to caregiver distress. Results: Linear mixed model analysis found that emotional over-involvement and metacognitions independently predicted caregiver distress. Mediation analysis using bootstrapping showed that emotional over-involvement could be seen as mediating the effect of metacognitions on distress. Conclusion: The current study is a first step towards understanding the role of metacognitions in caregiver distress, thus opening up for the possibility of using interventions from 'contextual behaviour therapies'. Implications and future studies are discussed.
U2 - 10.1002/cpp.1907
DO - 10.1002/cpp.1907
M3 - Journal article
C2 - 24889322
SN - 1063-3995
VL - 22
SP - 525
EP - 532
JO - Clinical Psychology & Psychotherapy
JF - Clinical Psychology & Psychotherapy
IS - 6
ER -