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Cognitive attentional syndrome and metacognitive beliefs as potential treatment targets for metacognitive therapy in bipolar disorder

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World Journal of Psychiatry 2021年第9期11卷 589-604页

作者： Sedat Batmaz Ali Ercan Altinoz Harun Olcay Sonkurt Department of Psychiatry School of MedicineTokat Gaziosmanpasa UniversityTokat 60100Turkey Department of Psychiatry School of MedicineEskisehir Osmangazi UniversityEskisehir 26000Turkey Psychiatry Clinic Agri Training and Research HospitalAgri 04000Turkey

Most treatment guidelines emphasize the use of psychotropic drugs for both the acute and maintenance treatment of bipolar disorder(BD).However,relying only on psychotropics without adjunctive psychosocial interventions may be insufficient in treating patients with *** its unique view in the explanation of psychopathological states,metacognitive therapy(MCT)might be helpful for *** theory posits that psychopathology is a result of the cognitive attentional syndrome(CAS)and that it is influenced and maintained by dysfunctional metacognitive beliefs,perseverative thinking,attentional biases,and dysfunctional coping *** this review,literature data regarding these areas in BD are *** suggest that perseverative thinking might be among the emotion regulation strategies endorsed in individuals with *** attentional biases,literature data show that state-dependent,moodchanging attentional biases and a ruminative self-focused attention are *** also suggest that cognitive self-consciousness is higher in BD compared to *** is seen that maladaptive coping strategies are frequently reported in BD,and that these strategies are associated with depression severity,negative affect and relapse *** focusing on dysfunctional metacognitive beliefs in BD reported that individuals with BD had higher scores for negative metacognitive beliefs,self-consciousness,need to control thoughts,and a lack of cognitive ***,dysfunctional metacognitive beliefs were associated with depressive *** findings suggest that the components of CAS and dysfunctional metacognitive beliefs are evident in *** a subgroup of patients with BD who fail to respond to evidence-based psychopharmacological and adjunctive psychotherapeutic interventions,MCT might be an alternative way to consider as a treatment *** conclusion,taken the available data together,we propose a sequential treatment protocol for BD,ma

关键词： attentional biases Bipolar disorder Dysfunctional coping Metacognition Metacognitive therapy Perseverative thinking Threat monitoring

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