Dejan Stevanovic*1, Bojan Lalic2, Jelena Batinic2, Rade Damjanovic3, Vladimir Jovic1
*stevanovic.dejan79@gmail.com
1Clinic for Neurology and Psychiatry for Children and Youth, Belgrade, Serbia
2University of Belgrade, Belgrade, Serbia
3Faculty of Education, Sombor, Serbia
Abstract
The aim of this study was to develop the Serbian version of the Metacognitions Questionnaire for Children (MCQ-C). Data were collected from a sample of 473 children and adolescents aged 9-18. The participants also completed the Revised Child Anxiety and Depression Scale (RCADS). Exploratory-confirmatory factor analysis approach resulted in a version of 13 items distributed over three factors. The model was fully invariant for boys vs. girls and children vs. adolescents, but not for clinical vs. non-clinical youth. All correlations between the MCQ-C and anxiety symptoms were in positive direction as predicted (the highest with obsessive-compulsive symptoms), but not all correlations were clinically relevant, while the magnitude of correlations among non-referred children and adolescents was higher than among those with psychopathology. The Serbian version of the MCQ-C may not be able to distinguish youth with particular internalizing symptoms, but only youth with depression from those with externalizing disorders.
Keywords: anxiety, depression, psychopathology, metacognitive beliefs
Published online: 2016/09/01
Published print: 2016/09/01
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. doi:10.1176/appi.books.9780890425596.744053.
Arbuckle, J. (2009). Amos 18 user’s guide. Armonk, New York, USA: SPSS Incorporated.
Bacow, T. L., May, J. E., Brody, L. R., & Pincus, D. B. (2009). Are there specific metacognitive processes associated with anxiety disorders in youth? Psychology Research and Behavior Management, 3, 81–90. doi: 10.2147/PRBM.S11785.
Bacow, T. L., Pincus, D. B., Ehrenreich, J. T., & Brody, L. R. (2009). The Metacognitions Questionnaire for Children: Development and validation in a clinical sample of children and adolescents with anxiety disorders. Journal of Anxiety Disorders, 23, 727–736. doi: 10.1016/j.janxdis.2009.02.013.
Byrne, B.M., & Watkins, D. (2003). The issue of measurement invariance revisited. Journal of Cross-Cultural Psychology, 34, 155–175. doi: 10.1177/0022022102250225.
Cartwright-Hatton, S., & Wells, A. (1997). Beliefs about worry and intrusions: The Meta-Cognitions Questionnaire and its correlates. Journal of Anxiety Disorders, 11, 279–296. doi: 10.1016/S0887-6185(97)00011-X.
Cartwright-Hatton, S., Mather, A., Illingworth, V., Brocki, J., Harrington, R., & Wells, A. (2004). Development and preliminary validation of the Meta-cognitions Questionnaire—Adolescent Version. Journal of Anxiety Disorders, 18, 411–422. doi: 10.1016/S0887-6185(02)00294-3.
Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005). Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample. Behaviour Research and Therapy, 43, 309 –322. doi:10.1016/j.brat.2004.02.004.
Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behavior Research and Therapy, 38, 835–855. doi: 10.1016/S0005-7967(99)00130-8.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Dimitrov, D.M. (2010). Testing for factorial invariance in the context of construct validation. Measurement and Evaluation in Counseling and Development, 43, 121–149. doi: 10.1177/0748175610373459.
Ellis, D. M., & Hudson, J. L. (2010). The metacognitive model of generalized anxiety disorder in children and adolescents. Clinical Child and Family Psychology Review, 13, 151–163. doi: 10.1007/s10567-010-0065-0.
Esbjørn, B. H., Sømhovd, M. J., Holm, J. M., Lønfeldt, N. N., Bender, P. K., Nielsen, S. K., & Reinholdt-Dunne, M. L. (2013). A structural assessment of the 30-item Metacognitions Questionnaire for Children and its relations to anxiety symptoms. Psychological assessment, 25, 1211–1219. doi: 10.1037/a0033793.
Flavell, J. H. (1979). Metacognition and cognitive monitoring: A new area of cognitive development inquiry. American Psychology, 34, 906–911. doi: 10.1037/0003-066X.34.10.906.
Flavell, J. H., Green, F. L., & Flavell, E. R. (1998). The mind has a mind of its own: Developing knowledge about mental uncontrollability. Cognitive Development, 13, 127–138. doi: 10.1016/S0885-2014(98)90024-7.
French, B., & Finch, W. (2006). Confirmatory factor analytic procedures for the determination of measurement invariance. Structural Equation Modeling, 13, 378–402. doi: 10.1207/s15328007sem1303_3.
Garber, J., & Weersing, V. R. (2010). Comorbidity of anxiety and depression in youth: Implications for treatment and prevention. Clinical Psychology Science and Practice, 17, 293–306. doi: 10.1111/j.1468-2850.2010.01221.x.
Gerlach, A., Adam, S., Marschke, S., & Melfsen, S. (2008). Development and validation of a child version of the Metacognitions Questionnaire. Paper presented at the 38th Annual Congress of the European Association for Behavioural and Cognitive Therapies, Helsinki, Finland, 10-13 September 2008.
Goldstone, E., Farhall, J., Thomas, N., & Ong, B. (2013). The role of metacognitive beliefs in the proneness to hallucinations and delusions: An analysis across clinical and non‐clinical populations. British Journal of Clinical Psychology, 52, 330–346. doi: 10.1111/bjc.12020.
Ionescu, D. F., Niciu, M. J., Mathews, D. C., Richards, E. M., & Zarate, C. A. (2013). Neurobiology of anxious depression: a review. Depression and Anxiety, 30, 374–385. doi: 10.1002/da.22095.
Irak, M. (2011). Standardization of Turkish form of Metacognitions Questionnaire for children and adolescents: The relationship with anxiety and obsessive-compulsive symptoms. Turkish Journal of Psychiatry, 23(1), 46–52. doi: 10.5080/u6604.
Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford Press.
Leung, P. W., & Wong, M. M. (1998). Can cognitive distortions differentiate between internalising and externalising problems? Journal of Child Psychology and Psychiatry, 39, 263–269. doi: 10.1111/1469-7610.00320
Önen, S., Uğurlu, G. K., & Çayköylü, A. (2013). The relationship between metacognitions and insight in obsessive–compulsive disorder. Comprehensive Psychiatry, 54, 541–548. doi: 10.1016/j.comppsych.2012.11.006.
Olstad, S., Solem, S., Hjemdal, O., & Hagen, R. (2015). Metacognition in eating disorders: Comparison of women with eating disorders, self-reported history of eating disorders or psychiatric problems, and healthy controls. Eating Behaviors, 16, 17–22. doi: 10.1016/j.eatbeh.2014.10.019.
Pereira, A. I. F., Barros, L., & Mendonça, D. (2012). Cognitive errors and anxiety in school aged children. Psicologia: Reflexão e Crítica, 25, 817–823. doi: 10.1590/S0102-79722012000400022.
Smith, K. E., & Hudson, J. L. (2013). Metacognitive beliefs and processes in clinical anxiety in children. Journal of Clinical Child & Adolescent Psychology, 42, 590–602. doi: 10.1080/15374416.2012.755925.
Stevanovic, D., Lalic, B., Batinic, J., Damjanovic, R., Jovic, V., Brkic-Cvetkovic, S., & Jancic, J. (2016). Children’s Negative Cognitive Error Questionnaire—Revised: The factor structure and associations with anxiety and depressive symptoms across age, gender, and clinical/community samples. Cognitive Therapy and Research, 40, 584–592. doi: 10.1007/s10608-016-9767-z.
Wells, A., & Matthews, G. (1994). Attention and emotion: a clinical perspective. Hove, UK: Erlbaum.
Wells, A. (1995). Metacognition and worry: a cognitive model of generalized anxiety disorder. Behavioural and Cognitive Psychotherapy, 23, 301–321. doi: 10.1017/S1352465800015897.
Wells, A., & Cartwright-Hatton, S. (2004). A short form of the Metacognitions Questionnaire: properties of the MCQ-30. Behaviour Research and Therapy, 42, 385–396. doi: 10.1016/S0005-7967(03)00147-5.