The Effectiveness of Metacognitive Therapy on Rumination, Self-concept, and Perceived Social Support in Women with Generalized Anxiety Disorder

نویسندگان

1 Faculty of Humanities, Tarbiat Modares University, Tehran, Iran

2 Islamic Azad University of Ardabil Branch, Ardabil, Iran

3 Faculty of Humanities, Tarbiat Modares University, Tehran, Iran

4 Islamic Azad University of Ardabil Branch, Ardabil, Iran

5 Islamic Azad University of Roudehen Branch, Roudehen, Iran

doi
10.34172/JHAD.92387
چکیده

Background: Metacognitive therapy (MCT) is an evolving therapeutic approach that has shown promise in the treatment ofgeneralized anxiety disorder (GAD). Accordingly, this study aimed to assess the impact of MCT on rumination, self-concept, andperceived social support (PSS) in women diagnosed with GAD.Methods: The current quasi-experimental study was conducted using a pre-test-post-test design with a control group. Thestatistical population consisted of women diagnosed with GAD in Tehran in 2022. The research sample comprised 36 womenwith GAD, selected through purposive sampling and allocated into an experimental group (n = 18) and a control group (n = 18).The experimental group underwent ten 90-minute sessions of MCT, while the control group received no intervention. Data werecollected through questionnaires to assess GAD symptoms, rumination, self-concept, and PSS. The collected data were analyzedusing multivariate analysis of covariance (MANCOVA) via SPSS version 24.Results: The findings indicated that MCT led to a significant decrease in rumination from 53.61 ± 3.25 to 48.94 ± 3.45 (P < 0.001)and an increase in self-concept from 70.55 ± 2.87 to 74.16 ± 2.74 (P < 0.001) among women diagnosed with GAD. Additionally,the dimensions of PSS were significantly enhanced: support from significant others increased from 15.72 ± 1.34 to 18.50 ± 1.20(P < 0.001), family support increased from 17.78 ± 1.22 to 20.50 ± 1.91 (P < 0.001), and support from friends increased from16.22 ± 1.74 to 19.01 ± 1.30 (P < 0.001).Conclusion: The findings from this study underscore the potential of MCT as a tailored intervention for enhancing well-being andreducing anxiety in individuals diagnosed with GAD, highlighting its relevance for clinical practice and future research endeavors