A systematic review evaluating metacognitive beliefs in health anxiety and somatic distress

Edwina Keen*, Maria Kangas, Philippe T. Gilchrist

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)
115 Downloads (Pure)

Abstract

Purpose Increasing evidence suggests metacognitive beliefs may underpin transdiagnostic mechanisms maintaining psychopathology. The objective of this systematic review was to evaluate published studies investigating the role of metacognitive beliefs in somatic distress in adult samples. Method A systematic review was conducted, spanning five data bases. Studies meeting eligibility criteria were qualitatively synthesized. Results Thirty-six studies (N = 12,390) met inclusion criteria with results suggesting a relatively consistent positive relationship between metacognitive beliefs and somatic distress. Both general and syndrome-specific metacognitive beliefs demonstrated relationships with not only emotional distress, but also physical symptoms themselves. Conclusions Results are discussed in terms of conceptualizing somatic distress through the Self-Regulatory Executive Function (S-REF) Model. Future research into metacognitive therapy for somatic populations is recommended.

Original languageEnglish
Pages (from-to)1398-1422
Number of pages25
JournalBritish Journal of Health Psychology
Volume27
Issue number4
Early online date23 Jun 2022
DOIs
Publication statusPublished - Nov 2022

Bibliographical note

Copyright the Author(s) 2022. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • health
  • metacognition
  • metacognitive belief
  • physical symptom
  • somatic

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