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Published on: July 19, 2017
Neurocognition and Metacognition in Anxiety Disorders
Ashwini Vishwanathan1, Himani Kashyap1, Rajakumari P Reddy1
1Dept. of Clinical Psychology, NIMHANS, Bengaluru, Karnataka, India.
Individuals with anxiety disorders exhibit neurocognitive deficits in planning and memory, alongside impaired metacognition. Cognitive self-consciousness may improve planning abilities in anxiety.
Area of Science:
- Psychology
- Neuroscience
- Cognitive Science
Background:
- Anxiety disorders (ADs) are associated with neurocognitive deficits, but findings are inconsistent.
- The interplay between neurocognition and metacognition in ADs is not well understood.
- This study investigates the relationship between neurocognition and metacognition in individuals with ADs.
Purpose of the Study:
- To examine the relationship between neurocognitive functioning and metacognitive abilities in anxiety disorders.
- To identify specific neurocognitive deficits and metacognitive dysfunctions in ADs.
- To explore potential links between cognitive self-consciousness and planning abilities.
Main Methods:
- Cross-sectional study comparing 25 individuals with ADs and 25 matched non-clinical controls.
- Neurocognitive assessment included tests of intelligence, attention, working memory, fluency, flexibility, set-shifting, inhibition, planning, and memory.
- Metacognition was evaluated using the Metacognition Questionnaire-30 (MCQ-30) and Metacognitive Awareness and Regulation Scale (MARS).
Main Results:
- The anxiety group demonstrated poorer performance in planning (zoo map test), set-shifting (rule shift cards), and logical memory (immediate and delayed recall).
- Individuals with ADs exhibited greater negative beliefs about worry and poorer metacognitive awareness and regulation.
- Higher cognitive self-consciousness correlated with better planning abilities (Spearman's rho = -0.509, P = 0.009).
Conclusions:
- Anxiety disorders are characterized by neurocognitive impairments in planning, set-shifting, and memory, alongside dysfunctional metacognition.
- Reduced metacognitive awareness and regulation are evident in individuals with ADs.
- Understanding the neurocognition-metacognition link may inform targeted cognitive interventions for anxiety disorders.
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