The role of meta-cognition in predicting cognitive, physical and social fatigue, based on Brown’s model

Authors
somayeh saeedi dhaghani
Jalil Babapoor
Khalil Esmaeelpoor
Abstract
fatigueis anunpleasant mental feelingthat has also been shown to decrease physical and Mental performance. Fatigue is a very common complaint and it is important to Healthcare Experts.The aim of this study was to investigate the role of meta-cognition in predicting feeling of fatigue based on Brown’s model. In this study, 400 undergraduate students of Tabriz University were selected by multi-stage cluster sampling. The participants filled Fatigue Impact Scale (FIS) and short form of Wells meta-cognition scale (MCQ-30). Analyzing data was performed via multiple regression analysis by SPSS18 software. Research findings revealed that meta-cognition predicted cognitive, physical, social and total fatigue, significantly. It predicted 33%-42% of variance of fatigue dimensions and total fatigue. On the basis of results, focusing on the role of meta-cognition could be the important part of therapeutic interventions for the people with chronic fatigue syndrome.
Keywords
meta-cognition
cognitive fatigue
physical fatigue
social fatigue
Brown’s model
Aggarwal, V .R.,McBeth, J., Zakrzewska, J .M., Lunt, M., & MacFarlane, G .J. (2006).The epidemiology of chronic syndromes that are frequently unexplained:Do they have common associated factors? International Journal Epidemiology; 35:468–76.
Akbari, M., Nejat, A.H., Dastorani, S.M., Rouhani, A. (2011). Evaluation of Stress Level and Related Factors among Students of Mashhad Dental School (Iran) in Academic Year of 2008-2009. JournalMashad Dent Sch; 35(3): 156-76. [Persian].
Babapour, J. (1389). Relationship between emotional intelligence and feeling of fatigue among university students, mediated by optimism, self-efficacy, anxiety and depression.Journal of psychology; 14: 131-141 [Persian].
Balogun, J .A.,Titiloye, V. , Balogun, A., Oyeyemi, A., Katz, J. (1999). Prevalence and determinants of burnout among physical and occupational therapists. Journal Allied Health, 31(3):131–139.
Brown, R. (2004). Psychological mechanisms of medically unexplained symptoms: An integrative conceptual model.JournalPsychological Bulletin, 130(5), 793−812.
Davey, G. L., & Wells, A. (2006).Worry and its psychologicaldisorders. John Wiley & Sons, Ltd, England.
Edwards, L. M., Fernie, B. A., Murphy, G., Wells, A., Spada, M. M. (2011). Metacognitions and negative emotions as predictors of symptom severity in chronic fatigue syndrome.Journal of Psychosomatic Research, 70, 311–317.
Edwards, R., Suresh, R., Lynch, S., Clarkson, P., Stanley, P. (2001).Illnessperceptions and mood in chronic fatigue syndrome.Journal Psychosomatic Research, 50,65–8.
Fisk, J. D., Ritvo, P. G., Ross, L., Haase, D. A., Marrie, T. J., &Schlech, W. F. (1994). Measuring the functional impact of fatigue: Initial validation of the Fatigue Impact Scale.Clinical infectious diseases, 18, S79-83.
Grafman, J., Schwartz, V., Dale, J.K., Scheffers, M., Houser, C., Straus, S.E. (1993).Analysis of neuropsychological functioning in patients with chronicfatigue syndrome.Journal NeurolNeurosurg Psychiatry, 56,684–9.
Heijmans, M.J. (1998). Coping and adaptive outcome in chronic fatiguesyndrome: Importance of illness cognitions. Journal Psychosomatic Research,45,39–51.
Hou, R., MossMorris, R., Bradley, B.P., Peveler, R., Mogg, K. (2008). Attentionalbias towards health-threat information in chronic fatigue syndrome.Journal Psychosomatic Research,65, 47–50.
Knoop, H., Prins, J.B., MossMorris, R., Bleijenberg, G. (2010). The central role ofcognitive processes in the perpetuation of chronic fatigue syndrome Journal Psychosomatic Research; 68:489–94.
Lauren, B., Krupp, M.D. (2004). Fatigue in Multiple Sclerosis: A guide todiagnosis and management.New York .Demos Medical edi;Chapter:1,pp:1–20.
McDonald, E., Cope, H., David, A. (1993). Cognitive impairment in patients withchronic fatigue: A preliminary study. Journal NeurolNeurosurg Psychiatry, 56, 812–5.
Miike, T., Bell, S.D. (2008).Chronic fatigue syndrome in childhood andadolescence.In:.Watanabe, Y., Evenga˚rd, B., Natelson, B.H., JasonL,A., Kuratsune, H., editors. Fatigue science for human health.NewYork. Springer, pp: 153–71.
Morse, Z., Dravo, U. (2007). St,ress levels of dental students at the Fiji School of Medicine. EurJournal Dent Educ; 11(2): 99-103.
Moss-Morris, R., Chalder, T. (2003).Illness perceptions and levels of disabilityin patients with chronic fatigue syndrome and rheumatoid arthritis.Journal Psychosomatic Research, 55,305–8.
Moss-Morris, R., Petrie, K,J. (2003). Experimental evidence for interpretive butnot attention biases toward somatic information in participants diagnosed with chronic fatigue syndrome.British Journal of Health Psychology, 8,195–208.
Ray, C., Jeffries, S., Weir, W.R. (1997). Coping and other predictors of outcomein chronic fatigue syndrome: A 1-year follow-up. Journal Psychosomatic Medicine,43, 405-15.
Resk, D., Pukrop, R., Scheining, K., Haupt, W.F., Petereit, H.F., (2006). Measuringfatigue in patients with multiple sclerosis with standardized methodsin German speaking areas. FortschrNeurolPsychiatr. 74(9),497–502.
Sharpe, M. (1997).Chronic fatigue. In: D.M, Clark., C.B., Fairburn, (Eds). Science and practice of cognitive behaviour therapy.Oxford: OxfordUniversity. Press, pp. 381–414.
SHirinzadeh, S., Goodarzi, M.A., Rahimi, C.H., Naziri, G.H. (1385).Study of factor structure, validity and reliability of metacognition questionnaire-30.Journal of psychology; 12: 445-461 [Persian].
Tangade, P.S., Mathur, A., Gupta, R., Chaudhary, S. (2011) Assessment of Stress Level among Dental School Students: An Indian Outlook. Dent ResearchJournal (Isfahan) 8(2): 95-101.
Thomas, M., Sadlier, M., Smith, A. (2006). The effect of Multi Convergent Therapy on the psychopathology, mood and performance of chronic fatigue syndrome patients: a preliminary study.JournalCounsellingPsychother Research, 6,91–9.
Weinman, J., Petrie, K., Moss-Morris, R., Horne, R. (1996). The illness perceptionquestionnaire: A new measure for assessing the cognitive representationof illness. Journal Psychological Health, 11, 431–45.
Wells, A. (1995). Meta-cognition and worry: A cognitive model of generalizedanxiety disorder. Behavoral& Cognitive Psychology, 23, 301–20.
Wells, A. (2000). Emotional disorders and metacognition: innovative cognitive therapy. Chichester, UK: Wiley.
Wells, A., Cartwright-Hatton, S. (2004). A short form of themetacognitions questionnaire: Properties of the MCQ-30. Behaviorand Therapy, 42, 385-396.
Wells, A., Matthews, G. (1996) Modelling cognition in emotional disorder: theS-REF model. Behavior ResearchTherapy, 34:881–8.