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A worry state is assumed to emerge from the interaction between metacognitive beliefs, and the appraisal of environmental demands (Wells & Matthews, 1994). The aim of this study was to show that metacognitive beliefs moderate the effect of sources of social evaluative threat on worry. Our sample (N = 174) completed a working memory task in two contexts (threatful vs. neutral), while both pre- and post-task measures subjective stress states were recorded. Our results confirmed significant effects of sources of social evaluative threat and metacognitive beliefs on worry. The interaction metacognition * threat context effect on worry was not significant. Our findings support the hypothesis that worry is a form of subjective stress explained by a combination of outcome uncontrollability and social evaluative threat. Social evaluative threat and metacognitive beliefs appeared as two, independent predictors of a worry state. Our results are discussed in reference to the Self Regulative model of stress., (Copyright © 2019 Elsevier Inc. All rights reserved.)

Introduction: According to the self‐medication hypothesis, worriers use substances to cope with their symptoms; however, some published results have challenged this hypothesis. The aim of this study is to show if worry increases the risk of SUD when it is negatively appraised by negative metacognitive beliefs. Method: We recruited three samples: 68 patients with a severe AUD, 27 patients dependent on eating and 42 control participants. We used the Yale Food Addiction Scale‐2, the Metacognitions Questionnaire‐65, the UPPS‐P Impulsive Behaviour Scale and the Anxiety Thoughts Inventory. Results: We confirmed a direct effect of worries and metaworry on alcohol (AUD) and eating addiction (EA), but our multivariate analyses revealed that metacognitive beliefs and metaworry are the most robust predictors of alcohol and eating addiction. Discussion: We reported substance‐related differences in the relationship between worry and addiction. AUD is related to the metacognitive activity set in motion by worries while EA is associated with a maladaptive form of worry (meta‐worry) where worries are negatively interpreted. [ABSTRACT FROM AUTHOR]

'Bad News Consultations' (BNC), conducted by nurses who are specialists in cancer, have been institutionally implemented in all French anti-cancer centres, to support the patient facing announcement-related stress. This study aimed to 1/describe the impact of the BNC on the patient's perceived stress and 2/determine the patient's benefits from the BNC. This monocentric study, cross-sectional evaluation, used a mixed method, both quantitative and qualitative. During 8 months, 336 eligible participants who underwent a BNC were recruited by nurses. Perceived stress was self-assessed with a validated Visual Analogic Scale (VAS), at the beginning and at the end of the BNC. Stress resilience was self-assessed once using the CD-RISC2. Qualitative experiences were explored after the BNC, using a 25-item questionnaire. Multivariate analyses were conducted on perceived stress measures (on the VAS) to test mixed-effects models, including initial predispositions (e.g., stress resilience) and organisational constraints (e.g, interval between the medical consultation and the BNC). Analyses on the perceived stress measures revealed a significant and negative effect of Time (B = −1.91; p <.001), Gender (B = 0.72; p =.03), and Resilience score (B = −0.43; p <.001), without any significant effect of the other incorporated random effects (i.e., Type of cancer/treatment) nor fixed effects (i.e., Age , Organisational constraints). Patients mostly reported having received necessary information, having their addressed emotions with empathetic responses and respect, perceived benefits in the healthcare pathway, and heard of some supportive cares. Perceived stress was reduced after BNCs. According to the patients, the BNCs allowed a better patient-centered communication and a better care pathway. • Perceived stress decreased after a bad news consultation (BNC) with a nurse. • Perceived stress decreased thanks to beneficial patient-centered communication. • BNCs allowed giving the patients necessary information on disease and care pathway. • BNCs are places of active listening, expression and questions for the patients. • Implementation of BNCs is justified to improve quality of oncologic care. [ABSTRACT FROM AUTHOR]