Scholarlink

<p>This study examined associations between metacognitive processes and symptoms of depression, anxiety, and stress among individuals caring for patients with chronic kidney disease undergoing dialysis treatment. Meta-worry, general worry, and thought fusion were evaluated as metacognitive correlates of emotional symptoms, and their representation within a shared latent metacognitive construct was tested. The potential role of treatment duration was also examined.&#xa0;This cross-sectional study included 121 caregivers and 123 control participants assessed using standardized self-report instruments. Group differences were examined using independent-samples t-tests and chi-square analyses. Associations among variables were evaluated using Pearson correlations and hierarchical regression analyses. Structural equation modeling (SEM) was conducted in R using maximum likelihood estimation with 5,000 bias-corrected bootstrap resamples to obtain robust standard errors and confidence intervals. Missing data were handled using full-information maximum likelihood. A latent metacognitive model was compared with an alternative correlated-predictor specification using information criteria.&#xa0;Caregivers reported significantly higher levels of depression, anxiety, and stress compared to controls (<i>p</i> &lt; .01). Meta-worry, general worry, and thought fusion were moderately to strongly associated with emotional symptoms (<i>r</i> = .45–0.75). Hierarchical regression analyses explained 65.6% of the variance in emotional symptoms. Confirmatory factor analysis supported representation of meta-worry, general worry, and thought fusion within a shared latent metacognitive construct. The structural model demonstrated good overall fit (χ²(13) = 25.81, <i>p</i> = .018; CFI = 0.976; TLI = 0.951; RMSEA = 0.090; SRMR = 0.040). The latent metacognitive factor showed strong associations with depression (β = 0.896), anxiety (β = 0.790), and stress (β = 0.817), whereas treatment duration was not significantly associated with the latent construct.&#xa0;Metacognitive processes are strongly associated with emotional symptoms among dialysis caregivers. Rather than proposing a novel mechanism, the findings provide population-specific empirical support for established metacognitive theory and highlight metacognitive processes as potential targets for caregiver-focused psychological interventions. Longitudinal research is required to clarify temporal and causal relationships.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A Metacognitive Model of Emotional Distress in Dialysis Caregivers: Evidence from Structural Equation Modeling

  • 期刊论文

  • 发表日期：

    2026年6月16日

查看全文
  • İlker Güneysu,
  • Sare Aydin,
  • Burcu Eser,
  • Figen Ünal Demir,
  • Aslıhan Özdemir Yaşaran,
  • Cansu Bak

摘要

This study examined associations between metacognitive processes and symptoms of depression, anxiety, and stress among individuals caring for patients with chronic kidney disease undergoing dialysis treatment. Meta-worry, general worry, and thought fusion were evaluated as metacognitive correlates of emotional symptoms, and their representation within a shared latent metacognitive construct was tested. The potential role of treatment duration was also examined. This cross-sectional study included 121 caregivers and 123 control participants assessed using standardized self-report instruments. Group differences were examined using independent-samples t-tests and chi-square analyses. Associations among variables were evaluated using Pearson correlations and hierarchical regression analyses. Structural equation modeling (SEM) was conducted in R using maximum likelihood estimation with 5,000 bias-corrected bootstrap resamples to obtain robust standard errors and confidence intervals. Missing data were handled using full-information maximum likelihood. A latent metacognitive model was compared with an alternative correlated-predictor specification using information criteria. Caregivers reported significantly higher levels of depression, anxiety, and stress compared to controls (p < .01). Meta-worry, general worry, and thought fusion were moderately to strongly associated with emotional symptoms (r = .45–0.75). Hierarchical regression analyses explained 65.6% of the variance in emotional symptoms. Confirmatory factor analysis supported representation of meta-worry, general worry, and thought fusion within a shared latent metacognitive construct. The structural model demonstrated good overall fit (χ²(13) = 25.81, p = .018; CFI = 0.976; TLI = 0.951; RMSEA = 0.090; SRMR = 0.040). The latent metacognitive factor showed strong associations with depression (β = 0.896), anxiety (β = 0.790), and stress (β = 0.817), whereas treatment duration was not significantly associated with the latent construct. Metacognitive processes are strongly associated with emotional symptoms among dialysis caregivers. Rather than proposing a novel mechanism, the findings provide population-specific empirical support for established metacognitive theory and highlight metacognitive processes as potential targets for caregiver-focused psychological interventions. Longitudinal research is required to clarify temporal and causal relationships.