Ali, S., Abuzeid, A. (2023). Effect of metacognition appraisal and insight on the severity of obsessional beliefs among patients with obsessive compulsive disorder. Assiut Scientific Nursing Journal, 11(34), 347-356. doi: 10.21608/asnj.2023.179107.1466
safaa Abdelazem Osman Ali; Azza Mohamed Abd El-Aziz Abuzeid. "Effect of metacognition appraisal and insight on the severity of obsessional beliefs among patients with obsessive compulsive disorder". Assiut Scientific Nursing Journal, 11, 34, 2023, 347-356. doi: 10.21608/asnj.2023.179107.1466
Ali, S., Abuzeid, A. (2023). 'Effect of metacognition appraisal and insight on the severity of obsessional beliefs among patients with obsessive compulsive disorder', Assiut Scientific Nursing Journal, 11(34), pp. 347-356. doi: 10.21608/asnj.2023.179107.1466
Ali, S., Abuzeid, A. Effect of metacognition appraisal and insight on the severity of obsessional beliefs among patients with obsessive compulsive disorder. Assiut Scientific Nursing Journal, 2023; 11(34): 347-356. doi: 10.21608/asnj.2023.179107.1466
Effect of metacognition appraisal and insight on the severity of obsessional beliefs among patients with obsessive compulsive disorder
1Assistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Suez Canal University, Egypt
2Lecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Assiut University, Egypt
Abstract
Background: One of the ten most severe mental disorders is obsessive compulsive disorder (OCD). Psychiatric nurses play an important role in providing care to affected clients. Aim: this study explore the effect of metacognition appraisal and insight on the severity of obsessional beliefs among patients with obsessive compulsive disorder. Design: A descriptive correlational was used in the current study. Setting: The study was conducted in the out-patient clinics of Assiut university psychiatric hospital. Subjects: A purposive consecutive non-probability sample of 69 OCD patients. Tools: Demographic and clinical data questionnaire; Yale-Brown Obsessive Compulsive Scale (Y-BOCS); Metacognitions Questionnaire (MCQ-30); and Overvalued Ideas Scale (OVIS) were used to collect the data. Results: The patients' scores of the Y-BOCS, OVIS and MCQ-30 were significantly higher. There was a significant positive correlation between Y-BOCS severity and OVIS insight scores (r=0.459).The multivariate analysis showed that the OVIS score is the strongest independent positive predictor of the Y-BOCS severity score, while good family relations was a negative predictor. Regarding the MCQ-30, the control thoughts score was a positive predictor and the self-consciousness score was a negative predictor for it. Conclusion: Patients with OCD have more maladaptive metacognitive beliefs. Also, poor insight had negative impact on the severity of obsessive compulsive disorder. Recommendation: The effects of metacognition require further researches and designed educational program to improve patient’s insight to reduce severity of obsessional beliefs.
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