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Worry and metacognitions as predictors of the development of anxiety and paranoia

机译：担心和元记治作为焦虑和偏执的推动的预测因素

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Recent studies have shown that worry and related negative metacognitions are characteristic in generalized anxiety and paranoia respectively. However, most of these studies did not take into account common co-occurrence of anxiety and paranoia, and longitudinal modelling of the role of worry and metacognitions on the development of anxiety and paranoia is rare. The current study aimed at examining the bidirectional longitudinal relationship between anxiety and paranoia, as well as the importance of worry and metacognitions in the development of these symptoms. Our validated sample consisted of 2291 participants recruited from universities, among whom 1746 participants (76.21%) completed online questionnaires at baseline and at one year, reporting levels of anxiety, paranoia, worry, and negative metacognitions. Structural equation modeling analyses, followed by path comparisons, revealed that anxiety and paranoia mutually reinforced each other over time. Negative metacognitions, rather than worry itself, were contributive to the development of both symptoms over time. Negative metacognitions showed bi-directional relationships with anxiety over the time period assessed and showed uni-directional relationships with paranoia. Clinical implications of our findings are discussed.
机译：最近的研究表明，担心和相关的阴性元记录分别是广义焦虑和偏执的特征。然而，这些研究中的大多数都没有考虑焦虑和偏执的共同发生，并且纵向建模的忧虑和元认知对焦虑和偏执的发展是罕见的。目前的研究旨在检查焦虑和偏执之间的双向纵向关系，以及在这些症状发展中担心和元认知的重要性。我们的验证样本由大学招募的2291名与会者组成，其中1746名参与者（76.21％）在基线完成在线问卷，持续焦虑，偏执，担心和负元度。结构方程建模分析，其次是路径比较，揭示了焦虑和偏执相互加强随着时间的推移。负面的元认知，而不是担心本身，随着时间的推移，对两种症状的发展有贡献。阴性元认知显示在评估的时间段与焦虑的双向关系显示，并显示与偏执狂的单向关系。讨论了我们的研究结果的临床意义。

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