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Published on: September 27, 2020
Cognitive and Metacognitive Determinants of Psychopathology in Individuals with Physical Disabilities: A Comparative
Objective:
Disability extends beyond physical limitations, impacting individuals’ mental health and psychosocial adjustment. This study aimed to investigate the underlying cognitive and metacognitive processes contributing to psychopathological symptoms in individuals with physical disabilities.
Method:
We included 164 individuals with physical disabilities and 149 healthy controls. Psychopathology was measured using the 21 item Depression, Anxiety, and Stress Scale (DASS21). Cognitive and metacognitive processes were assessed using the Negative Core Beliefs Inventory (NCBI), Cognitive and Behavioural Processes Questionnaire (CBP-Q), and Cognitive Attentional Syndrome 1 Scale (CAS-1).
Results:
Comparative analyses showed no significant difference in DASS21 total scores (p>0.05). The CAS-1 total score was significantly lower in individuals with physical disabilities (p<0.05). Moderate, positive, and significant correlations were found between DASS21 and NCBI, CBP-Q, and CAS-1 (p<0.05). Multiple linear regression analysis revealed that NCBI and CAS-1 significantly influenced depression levels (p<0.05), while CBP-Q had no effect (p>0.05).
Conclusion:
Psychopathology in individuals with physical disabilities is associated with cognitive and metacognitive processes. Our results could inform the development of psychosocial interventions and improve health policies for this population.
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