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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

Cognitive biases and metacognitive beliefs in bipolar disorder in remission: associations with functioning

Cognitive biases and metacognitive beliefs in bipolar disorder during remission: associations with functioning

Dysfunctional metacognitive beliefs and cognitive biases in bipolar disorder in remission are associated with poorer functioning and may be targets for treatment.

The aim was to examine dysfunctional metacognitive beliefs and cognitive biases in patients with bipolar disorder in remission and to assess their associations with functioning. The sample consisted of 70 patients recruited from the psychiatry outpatient clinic at Van Yüzüncü Yıl University Dursun Odabaş Medical Center who met DSM-5 criteria for bipolar disorder and had been in remission for at least 3 months (mean age 36.24±11.07). Participants completed the Metacognitions Questionnaire-30 (MCQ-30), the Davos Assessment of Cognitive Biases Scale (DACOBS), and the Cognitive Biases Questionnaire for Psychosis (CBQp); functioning was measured using the Global Assessment of Functioning (GAF) and the Functioning Assessment Short Test (FAST), and correlation and multiple regression analyses were performed. MCQ-30 total scores were positively correlated with CBQp (r=0.417) and DACOBS (r=0.523) total scores (all p<0.001), and higher levels of dysfunctional metacognitive beliefs and cognitive biases were associated with poorer functioning as indicated by GAF scores. At the subscale level, the MCQ-30 need to control thoughts and CBQp jumping to conclusions subscales were positively correlated with the FAST autonomy subscale (r=0.245, p=0.041; r=0.331, p=0.005, respectively), while the CBQp catastrophizing subscale was negatively correlated with GAF scores (r=-0.354, p=0.003). In multivariable analyses, the DACOBS external attribution subscale significantly predicted FAST total scores (B=0.634, p=0.005), while the MCQ-30 need to control thoughts (B=-0.737, p=0.039) and CBQp catastrophizing (B=-1.889, p=0.008) subscales significantly predicted GAF scores. The findings indicate that these cognitive and metacognitive processes are associated with functional impairment during remission and may constitute therapeutic targets.

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