Document Type : Original Article


1 Department of Psychology, Payame Noor University, Tehran, Iran

2 Ph.D. Candidate in Psychology, Payame Noor University, Guilan, Iran


The purpose of the present research was to examine the effectiveness of meta-cognitive strategies training on the cognitive failure in patients with general anxiety disorder (GAD). This quasi-experimental design consisted of two groups, with pre-test/ posttest and the control group. Considering the experimental nature of the research and also, with regards to the drop in the number of 30 people (15 in each group), patients with generalized anxiety disorder (DSM-5) were selected according to the available criteria and were randomly assigned to the experimental and control groups according to entry requirements. In both groups, the scale of Broadbent et al. Cognitive Failures Questionnaire (CFQ) was carried out. Then, the experimental group underwent metacognitive strategies in 10 sessions of 90 minutes and the control group did not receive any training. At the end, the same questionnaire was administered in both groups. The results of the two groups were evaluated in two stages using relevant statistical tests. Multivariate covariance analysis showed that meta-cognitive strategies training significantly reduces cognitive failure and its subscales (distraction, memory defects and inadvertent errors) in patients with general anxiety disorder (p <0/05); there was no significant difference between meta-cognitive strategies training with the subscale of not remembering names (P>0/05). Despite the differences in the scores of cognitive failures in the group studied, it is recommended to use metacognitive strategies to reduce the symptoms of cognitive impairment in patients with generalized anxiety disorder.


Abolghasemi, A., & Kiamarsi, A. (2009). The Relationship between metacognition and cognitive failures in the elderly. Advances in Cognitive Science, 11(1), 8-15.
Algharaibeh, S. A. S. (2017). Metacognitive skills as predictors of cognitive failure. American Journal of Applied Psychology, 6(3), 31-37.
Association, A. P. (2013). Diagnostic and statistical manual of mental disorders (S. Yahya, Trans.). Tehran: Ravan publication.
Balzan, R. P., & Galletly, C. (2015). Metacognitive therapy (MCT+) in patients with psychosis not receiving antipsychotic medication: A case study. Frontiers in Psychology, 6, 69-78.
Broadbent, D. E., Cooper, P. J., Fitzgerald, P. F., & Parkes, K. R. (1982). The cognitive failures questionnaire (CFQ) and its correlates. British Journal of Clinical Psychology, 21(1), 1-16.
Christopher, M., & Gall, C. (2010). Understanding forgetfulness and dementia (N. Gahan, Trans.). Tehran: Roshd Publication.
Doorn, R., Lang, J., & Weijters, T. (2010). Self-report cognitive failures: A core self-evaluation? Personality & Individual Difference, 49, 717-722.
Flavell, J. (1979). Metacognition and cognitive monitoring: A new area of cognitive developmental inquiry. American Psychologist, 34, 906-911.
Luo, Y. X., Xue, Y. X., Shen, H. W., & Lu, L. (2013). Role of amygdala in drug memory. Neurobiology of Learning and Memory, 105(8), 159-173.
Lupien, S. J., Fiocco, A., Wan, N., Maheu, F., Lord, C., Schramek, T., & Tu, M. T. (2005). Stress hormones and human memory function across the lifespan. Psychoneuroendocrinology, 30(3), 225-232.
Mecacci, L. (2005). Cognitive failures, metacognitive beliefs and aging. Personality and Individual Differences, 40(7), 1453-1459.
Mecacci, L., Righi, S., & Rocchetti, G. (2006). Cognitive failures and circadian typology. Personality and Individual Differences, 37, 107-113.
Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2005). Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour research and therapy, 43(10), 1281-1310.
Salmani, B., Hasani, J., Karami, G. R., & Mohammadkhani, S. (2013). Effectiveness of metacognitive therapy on cognitive attentional syndrome and cognitive emotion regulation strategies of patients suffering from generalized anxiety disorder.
Shahgholian, M., Azadfallah, P., Fathi Ashtiani, A., & Ashayeri, H. (2011). The relationship between extraversion, neuroticism and cognitive failures: The assessment of metacognition as a mediator. Journal of Clinical Psychology, 2(4), 41-49.
Tabatabaee, S. M., Sheikh, M., Malekirad, A. A., & Samandi, F. (2013). Cognitive failures and metacognitive strategies of thought control in addicts and normal individuals. European Journal of Experimental Biology, 3(6), 315-321.
Vitzthum, F. B., Veckenstedt, R., & Moritz, S. (2014). Individualized metacognitive therapy program for patients with psychosis (MCT+): Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy, 42(1), 105-110.
Wallace, J. C., & Vodanovich, S. (2010). Workplace safety performance: Conscientiousness, cognitive failure and their interaction. Journal of Occupational Health Psychology, 8(4), 316-327.
Wells, A. (1997). Cognitive therapy of anxiety disorders. Hoboken, NJ: Wiley.
Wells, A. (1999). Metacognitive model and therapy for generalized anxiety disorder. Clinical Psychology and Psychotherapy, 6, 86-95.
Wells, A. (2007). Cognition about cognition: Metacognitive therapy and change in generalized anxiety disorder and social phobia. Cognitive and Behavioral Practice, 14(1), 18-25.
Wells, A., & Sembi, S. (2004).Metacognitive therapy for PTSD: A core treatment manual. Cognitive and Behavioral Practice, 11(7), 365-377.
Wittchen, H. U., & Jacobi, F. (2005). Size and burden of mental disorders in Europe: A critical review and appraisal of 27studies. European Neuropsychopharmacology: The Journal of the European College of Neuropsychopharmacology, 15(4), 357-367.
Wittchen, H. U., Kessler, R. C., Beesdo, K., Krause, P., Höfler, M., & Hoyer, J. (2002). Generalized anxiety and depression in primary care: prevalence, recognition, and management. The Journal of Clinical Psychiatry, 63(Suppl 8), 24-34.
Zare, H., & Mohamadi Ahmadabadi, N. (2011). On the effect of teaching metacognition on the students mathematical problem-solving. Journal Management System, 2(7), 161-175.