ArticleFrontiers in psychology2025
Metabeliefs about worry, cognitive fusion, and acceptance: associations and mediations analysis.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Cognitive fusion and psychological distress as serial mediators between childhood trauma and maladaptive daydreaming.BMC psychology · 2026Article
- The impact of negative cognitive emotion regulation strategies on impulsive behaviors in middle school students: the mediating effect of cognitive fusion and experiential avoidance.Frontiers in psychiatry · 2026Article
Corrections and comments
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Authors and funding
4 authors.
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Abstract
Background: Although metacognitive therapy (MCT) and acceptance and commitment therapy (ACT) are grounded in different theoretical frameworks, both target repetitive negative thinking (RNT) processes, such as worry and rumination, and share a focus on fostering psychological flexibility and reducing experiential avoidance. However, no integrated theoretical model currently exists to combine their potential strengths. Recent research highlights the importance of metacognitive beliefs and acceptance-related processes in maintaining maladaptive RNT. Objective: This study aimed to explore metacognitive and acceptance-based variables in relation to RNT. Methods: The sample consisted of 149 people (116 females), aged between 18 and 71 (M = 34.7; SD = 14.9) who answered the following questionnaires: PSWQ, The AAQ-II, The CFQ, The VQ, MCQ-30 and TCQ. Results: The mediation analysis reveals that cognitive fusion significantly mediated the relationship between metacognitive beliefs and worry, whereas acceptance had a weaker mediating effect. Conclusion: Beliefs about the uncontrollability of worry appear to play a pivotal role in sustaining worry, primarily through their influence on cognitive fusion. These findings provide preliminary support for conceptual overlaps between MCT and ACT in addressing RNT. However, as this is an exploratory and cross-sectional study, conclusions about treatment mechanisms should be drawn cautiously, and future longitudinal and experimental studies are needed to strengthen these insights.
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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.