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Volume 6, Issue 1 (2025)                   J Clinic Care Skill 2025, 6(1): 33-38 | Back to browse issues page
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Descriptive Study |
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Ethics code: IR.IAU.YAZD.REC.1402.046


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Mirbagheri A, Hamoun A, Hazareh Z, Hazareh M, Bidaki R. The Relationship between Metacognitive Beliefs and Perfectionism with Rumination in Multiple Sclerosis Patients. J Clinic Care Skill 2025; 6 (1) :33-38
URL: http://jccs.yums.ac.ir/article-1-380-en.html
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1- Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Department of Clinical Psychology, Islamic Azad University, Yazd Branch, Yazd, Iran
3- Department of Psychiatry, School of Medicine, Shahid Sadougi University of Medical Sciences, Yazd, Iran
4- Department of Psychiatry, Fellowship of Neuropsychiatry, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract   (306 Views)
Aims: The current study aimed to investigate the relationship between metacognitive beliefs and perfectionism concerning rumination among individuals with multiple sclerosis. This research sought to understand how these psychological factors contribute to the exacerbation of symptoms in multiple sclerosis patients.
Instrument & Methods: This correlational study involved a sample of 160 patients with multiple sclerosis from the Multiple Sclerosis Association of Yazd in 2024. Participants completed psychological assessments using the Frost Multidimensional Perfectionism Scale, the Metacognitions Questionnaire, and the Ruminative Response Scale. Statistical analysis was conducted using descriptive statistics and inferential statistics (regression analysis) with SPSS 29 software.
Findings: There was a significant positive correlation between metacognitive beliefs, perfectionism, and rumination in patients with multiple sclerosis (p<0.001). Hierarchical regression analysis and correlation tests showed that rumination could be predicted by both metacognitive beliefs and perfectionism in this population.
Conclusion: There was a significant association between metacognitive beliefs and perfectionism with rumination in MS patients.
 
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References
1. Dobson R, Giovannoni G. Multiple sclerosis-a review. Eur J Neurol. 2019;26(1):27-40. [Link] [DOI:10.1111/ene.13819]
2. Walton C, King R, Rechtman L, Kaye W, Leray E, Marrie RA, et al. Rising prevalence of multiple sclerosis worldwide: Insights from the Atlas of MS, third edition. Mult Scler. 2020;26(14):1816-21. [Link] [DOI:10.1177/1352458520970841]
3. José Sá M. Psychological aspects of multiple sclerosis. Clin Neurol Neurosurg. 2008;110(9):868-77. [Link] [DOI:10.1016/j.clineuro.2007.10.001]
4. Malivoire BL, Hare CJ, Hart TL. Psychological symptoms and perceived cognitive impairment in multiple sclerosis: The role of rumination. Rehabil Psychol. 2018;63(2):286-94. [Link] [DOI:10.1037/rep0000180]
5. Stade EC, Ruscio AM. A meta-analysis of the relationship between worry and rumination. Clin Psychol Sci. 2023;11(3):552-73. [Link] [DOI:10.1177/21677026221131309]
6. Tamm G, Koster EH, Hoorelbeke K. Multiple paths to rumination within a network analytical framework. Sci Rep. 2024;14(1):10874. [Link] [DOI:10.1038/s41598-024-61469-6]
7. Nobakht H, Nikmanesh Z. The effectiveness of mindfulness-based stress reduction group therapy in rumination among multiple sclerosis patients. Jundishapur J Chronic Dis Care. 2019;8(2):e84819. [Link] [DOI:10.5812/jjcdc.84819]
8. Soltani S, Mami S, Ahmadi V, Mohammadzadeh J. Effectiveness of mindfulness therapy in reducing rumination, perceived stress and feelings of loneliness in women with Multiple Sclerosis (MS). Shenakht J Psychol Psychiatry. 2023;9(6):146-61. [Persian] [Link] [DOI:10.32598/shenakht.9.6.146]
9. Weber F, Exner C. Metacognitive beliefs and rumination: A longitudinal study. Cogn Ther Res. 2013;37(6):1257-61. [Link] [DOI:10.1007/s10608-013-9555-y]
10. Capobianco L, Faija C, Husain Z, Wells A. Metacognitive beliefs and their relationship with anxiety and depression in physical illnesses: A systematic review. PLoS One. 2020;15(9):e0238457. [Link] [DOI:10.1371/journal.pone.0238457]
11. Schneider BC, Veckenstedt R, Karamatskos E, Pinho LG, Morgado B, Fonseca C, et al. Negative cognitive beliefs, positive metacognitive beliefs, and rumination as mediators of metacognitive training for depression in older adults (MCT-Silver). Front Psychol. 2023;14:1153377. [Link] [DOI:10.3389/fpsyg.2023.1153377]
12. Cherry MG, Brown SL, Purewal R, Fisher PL. Do metacognitive beliefs predict rumination and psychological distress independently of illness representations in adults with diabetes mellitus? A prospective mediation study. Br J Health Psychol. 2023;28(3):814-28. [Link] [DOI:10.1111/bjhp.12655]
13. Smith MM, Arnett PA. Perfectionism and physical disability predict depression in multiple sclerosis. J Psychosom Res. 2013;75(2):187-9. [Link] [DOI:10.1016/j.jpsychores.2013.06.001]
14. Ferber KA, Chen J, Tan N, Sahib A, Hannaford T, Zhang B. Perfectionism and social anxiety: A systematic review and meta-analysis. Clin Psychol Sci Pract. 2024;31(3):329-43. [Link] [DOI:10.1037/cps0000201]
15. Ciancio A, Moretti MC, Natale A, Rodolico A, Signorelli MS, Petralia A, et al. Personality traits and fatigue in multiple sclerosis: A narrative review. J Clin Med. 2023;12(13):4518. [Link] [DOI:10.3390/jcm12134518]
16. Xie Y, Kong Y, Yang J, Chen F. Perfectionism, worry, rumination, and distress: A meta-analysis of the evidence for the perfectionism cognition theory. Personal Individ Differ. 2019;139:301-12. [Link] [DOI:10.1016/j.paid.2018.11.028]
17. Egan SJ, Hattaway M, Kane RT. The relationship between perfectionism and rumination in post traumatic stress disorder. Behav Cogn Psychother. 2014;42(2):211-23. [Link] [DOI:10.1017/S1352465812001129]
18. De Rosa L, Miracco MC, Galarregui MS, Keegan EG. Perfectionism and rumination in depression. Curr Psychol. 2023;42(6):4851-61. [Link] [DOI:10.1007/s12144-021-01834-0]
19. Burgess AM, Frost RO, DiBartolo PM. Development and validation of the frost multidimensional perfectionism scale-brief. J Psychoeduc Assess. 2016;34(7):620-33. [Link] [DOI:10.1177/0734282916651359]
20. Aminizadeh S, Dolatshahi B, Pourshahbaz A, Babapour B, Yousefzadeh I, Zamanshoar E, et al. Psychometric properties of multidimensional perfectionism scale (MPS). Pract Clin Psychol. 2013;1(4):205-10. [Link]
21. Wells A, Cartwright-Hatton S. A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behav Res Ther. 2004;42(4):385-96. [Link] [DOI:10.1016/S0005-7967(03)00147-5]
22. Khoramdel K, Sajadian P, Bahrami F, Zangene S. Validation of the adolescent meta-cognition questionnaire version. Zahedan J Res Med Sci. 2011;14(1):e93665. [Persian] [Link]
23. Townshend K, Hajhashemi K. Ruminative Response Scale (RRS). In: Handbook of assessment in mindfulness research. Cham: Springer; 2023. p. 1-19. [Link] [DOI:10.1007/978-3-030-77644-2_84-1]
24. Khosravani V, Sharifibastan F, Samimi Ardestani SM, Wahl K. The validation of the rumination on obsessions and compulsions scale (ROCS) in an Iranian clinical and non-clinical sample. Int J Cogn Ther. 2024;17(4):856-84. [Link] [DOI:10.1007/s41811-024-00224-1]
25. Papageorgiou C, Wells A. Metacognitive beliefs about rumination in recurrent major depression. Cogn Behav Pract. 2001;8(2):160-4. [Link] [DOI:10.1016/S1077-7229(01)80021-3]
26. Simpson C, Papageorgiou C. Metacognitive beliefs about rumination in anger. Cogn Behav Pract. 2003;10(1):91-4. [Link] [DOI:10.1016/S1077-7229(03)80012-3]
27. Sellers R, Varese F, Wells A, Morrison AP. A meta-analysis of metacognitive beliefs as implicated in the self-regulatory executive function model in clinical psychosis. Schizophr Res. 2017;179:75-84. [Link] [DOI:10.1016/j.schres.2016.09.032]
28. Cano-López JB, García-Sancho E, Fernández-Castilla B, Salguero JM. Empirical evidence of the metacognitive model of rumination and depression in clinical and nonclinical samples: A systematic review and meta-analysis. Cogn Ther Res. 2022;46:367-92. [Link] [DOI:10.1007/s10608-021-10260-2]
29. Ebadi S, Babaei Kafaki H. Comparison of the effectiveness of a mindfulness-based cognitive intervention with a metacognitive intervention in reducing anxiety symptoms and rumination in women with multiple sclerosis. J Appl Psychol Res. 2022;13(2):403-19. [Persian] [Link]
30. Flett GL, Madorsky D, Hewitt PL, Heisel MJ. Perfectionism cognitions, rumination, and psychological distress. J Ration Emot Cogn Behav Ther. 2002;20(1):33-47. [Link] [DOI:10.1023/A:1015128904007]
31. Desnoyers A, Arpin-Cribbie C. Examining cognitive performance: Do perfectionism and rumination matter?. Personal Individ Differ. 2015;76:94-8. [Link] [DOI:10.1016/j.paid.2014.11.050]
32. Botha M, Panebianco C, Masenge A. The relationship between perfectionism, cognitive rumination, mindfulness and mental health in music students at a South African University. Muziki. 2022;19(1):3-20. [Link] [DOI:10.1080/18125980.2022.2089721]
33. Kubiak T, Zahn D, Siewert K, Jonas C, Weber H. Positive beliefs about rumination are associated with ruminative thinking and affect in daily life: Evidence for a metacognitive view on depression. Behav Cogn Psychother. 2014;42(5):568-76. [Link] [DOI:10.1017/S1352465813000325]