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Metacognitive beliefs about uncontrollability relate most strongly to health anxiety among US-based non-Latinx White primary care patients: Comparing strength of relations with US-based non-Latinx Black and Latinx primary care patients
Clinical Psychology & Psychotherapy ( IF 3.198 ) Pub Date : 2022-01-12 , DOI: 10.1002/cpp.2711
Thomas A Fergus 1 , Kayla Wilder 1 , Paul Koester 2 , Lance P Kelley 2 , Jackson O Griggs 2
Affiliation  

Metacognitive beliefs have emerged as important to health anxiety, particularly beliefs that health-related thoughts are uncontrollable. Preliminary research examining generalized worry indicates uncontrollability beliefs relate more strongly to anxiety among US-based self-identifying White relative to Black college students. The present study sought to extend that line of research by examining if metacognitive beliefs about the uncontrollability of health-related thoughts differentially relate to health anxiety among self-identifying non-Latinx Black (n = 123), Latinx (n = 104) and non-Latinx White (n = 80) US-based primary care patients. As predicted, although positive associations were seen across all three groups, beliefs that health-related thoughts are uncontrollable more strongly related to health anxiety among White patients compared to both Black and Latinx patients. Those differential relations held in multivariate analyses while statistically controlling for positive depression screening status, generalized anxiety symptom severity and medical morbidity. Although the effect size surrounding the differential relations was small in magnitude, the present results further support the notion that metacognitive beliefs about uncontrollability relate less strongly to anxiety among US-based ethnoracial minorities compared to White individuals. Potential reasons for the differential relations are discussed, along with additional areas for future research.

中文翻译:

关于不可控性的元认知信念与美国非拉丁裔白人初级保健患者的健康焦虑最密切相关:比较美国非拉丁裔黑人和拉丁裔初级保健患者的关系强度

元认知信念对健康焦虑很重要,尤其是认为与健康相关的想法是无法控制的。检查普遍担忧的初步研究表明,与黑人大学生相比,美国自我认同的白人大学生的焦虑与焦虑的相关性更强。本研究试图通过检查关于健康相关思想的不可控性的元认知信念是否与自我认同的非拉丁裔黑人 ( n  = 123)、拉丁裔 ( n  = 104) 和非-Latinx 白色 ( n = 80) 美国的初级保健患者。正如预测的那样,尽管在所有三组中都看到了积极的关联,但与黑人和拉丁裔患者相比,白人患者的健康相关想法无法控制的信念与健康焦虑的关系更为密切。这些差异关系在多变量分析中保持,同时对积极抑郁筛查状态、广泛性焦虑症状严重程度和医疗发病率进行统计控制。尽管围绕差异关系的影响大小很小,但目前的结果进一步支持了这样一种观点,即与白人相比,关于不可控性的元认知信念与美国少数族裔的焦虑的关系不太密切。讨论了差异关系的潜在原因,
更新日期:2022-01-12
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