نقش سرکوب افکار و باورهای فراشناختی در احتمال ابتلا به توهم شنوایی کلامی در یک نمونه غیر بالینی

In a non-clinical sample (N = 751), we investigated relations among two subscales (self-reported intrusiveness of unwanted thoughts and thought suppression) of the White Bear Suppression Inventory (WBSI), metacognitive beliefs, and proneness to auditory verbal hallucinations (AVHs). Both subscales of the WBSI were found to be related to AVH-proneness and strongly positively related to metacognitive beliefs about the uncontrollability and danger of thoughts. Regression analyses were used to test models of the relations among AVH-proneness and a range of metacognitive beliefs. When the WBSI subscale relating to the self-reported intrusiveness of unwanted thoughts was controlled for, the metacognitive style that was the strongest predictor of AVH-proneness was cognitive self-consciousness. Cognitive confidence and beliefs about the uncontrollability of thoughts were also significant predictors of AVH-proneness. These findings are used to revise existing models of the relations between metacognitive beliefs and AVHs. Implications for the management of AVHs are discussed.

Mean scores and standard deviations for all variables are presented in Table 1. Cronbach’s alphas for all scales used were greater than 0.7, except for the Need to Control Thoughts subscale of the MCQ-30 which had an alpha of 0.65 (cf. 0.72 in Wells & Cartwright-Hatton, 2004).