ArticleFrontiers in psychology2019
Breaking the Cybernetic Code: Understanding and Treating the Human Metacognitive Control System to Enhance Mental Health.
Article in Frontiers in psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 61 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Can Metacognitive Therapy be Used to Treat Common Mental Health Problems in Autistic Children and Adolescents: A Systematic Case Series
Applying the Metacognitive Model to Post-Stroke Emotionalism: A Multiphasic Case Series Piloting the Attention Training Technique
Who cites it
61 citing papers in PubMed, 3 syntheses or guidelines pooled it, 149 citations in OpenAlex.
- Cognitive and neuropsychological correlates of the attention training technique: a systematic review and evidence synthesis.Frontiers in psychiatry · 2026Pooled it
- Exploring intergenerational links and genetic correlates of metacognitive beliefs: A systematic review and meta-analysis.Frontiers in psychiatry · 2025Pooled it
- Metacognitive beliefs and their relationship with anxiety and depression in physical illnesses: A systematic review.PloS one · 2020Pooled it
- Metacognitive therapy home-based self-help for anxiety and depression in cardiovascular disease patients in the UK: A single-blind randomised controlled trial.PLoS medicine · 2023Trial
- Metacognitive therapy self-help for anxiety-depression: Single-blind randomized feasibility trial in cardiovascular disease.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022Trial
- Metacognitive therapy versus cognitive-behavioral therapy in adults with generalized anxiety disorder: A 9-year follow-up study.Brain and behavior · 2021Trial
- Trial
- Cardiac rehabilitation patients experiences and understanding of group metacognitive therapy: a qualitative study.Open heart · 2021Trial
- Metacognitive Therapy versus Cognitive Behaviour Therapy in Adults with Major Depression: A Parallel Single-Blind Randomised Trial.Scientific reports · 2020Trial
- Metacognitive beliefs and academic performance in Chinese middle school students: A moderated mediation model of emotional dysregulation and anxiety.The British journal of educational psychology · 2026Article
- Evaluating the Specific Role of Dysfunctional Metacognitive Beliefs and Testing a Metacognitive Model of Emotional Distress in Patients with Type 1 Diabetes Mellitus.Journal of clinical psychology in medical settings · 2026Article
- Psychological resilience, metacognition, post-traumatic growth, and rumination among undergraduate nursing interns: A cross-sectional study.International journal of nursing studies advances · 2026Article
- Generalized Anxiety Disorder Symptoms in Adolescents: The Relative Contribution of Intolerance of Uncertainty and Metacognitive Beliefs.Child psychiatry and human development · 2026Article
- Do dysfunctional metacognitive beliefs contribute to interpersonal distress beyond interpersonal styles, parental bonds, depression and anxiety? A prospective within-person study.Frontiers in psychiatry · 2026Article
- Partial and directional relationships between negative metacognitive beliefs and the big five personality traits.Frontiers in psychiatry · 2026Article
- The relationship between metacognitive beliefs and competitive anxiety among elite and amateur soccer players.Frontiers in sports and active living · 2026Article
- Temporal dynamics of rumination in daily life: a multi-method investigation of attentional control and metacognitive pathways toward depression.Frontiers in psychiatry · 2026Article
- The Role of Metacognitive Processes in Personality Traits: A Dimensional Perspective Based on the DSM-5 Alternative Model.Noro psikiyatri arsivi · 2026Article
- Applying metacognitive therapy for generalized anxiety disorder to adolescents: results from an open trial with 3- and 6-months follow-up.Frontiers in psychiatry · 2026Article
- Randomness as a behavioral marker of attentional control during the attention training technique and its neural correlates.Frontiers in psychiatry · 2026Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The self-regulatory executive function (S-REF) model explains the role of strategic processes and metacognition in psychological disorder and was a major influence on the development of metacognitive therapy. The model identifies a universal style of perseverative negative processing termed the cognitive attentional syndrome (CAS), comprised of worry, rumination, and threat monitoring in the development of disorder. The CAS is linked to dysfunctional metacognitions that include beliefs and plans for regulating cognition. In this paper, I extend the theoretical foundations necessary to support further research on mechanisms linking metacognition to cognitive regulation and effective treatment. I propose a metacognitive control system (MCS) of the S-REF that can be usefully distinguished from cognition and is comprised of multiple structures, information, and processes. The MCS monitors and controls activity of the cognitive system and regulates the behavior of neural networks whose activities bias the way cognition is experienced. Metacognitive information involved in the regulation of on-line processing includes metacognitive beliefs, metacognitive procedural commands, and more transient cybernetic code. Separation of the cognitive and metacognitive systems and modeling their relationship presents major implications concerning what should be done in therapy and how it should be done. The paper concludes with an in-depth consideration of methods that strengthen the psychological basis of psychotherapy and aid in understanding and applying metacognitive therapy in particular. Finally, limitations of the model and implications for future research on self-awareness, self-regulation, and metacognition are discussed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.