Aşı karşıtlığı ve üstbiliş ilişkisi: Yordayıcı değişkenler ve davranışsal inhibisyon/aktivasyon sisteminin aracı rolü
The relationship between vaccine hesitancy and metacognition: Predictor variables and mediating role of behavioral inhibition/activation system

Summary/Abstract: Identifying cognitive processes that have an impact on vaccine hesitancy is essential in terms of determining the clinical steps to be taken. Metacognition process, which is also described as the eye of the person on his/her own cognitive process, can cause widespread psychopathologies such as anxiety and depression due to deviations that may occur in the system. The Behavioral Activation System (BAS) associated with sensitivity to reward signals and the Behavioral Inhibition System (BIS) associated with sensitivity to punishment signals are also known to cause depressive and anxiety-related symptoms. The present study aimed to examine the relationships between BIS/BAS, depression, anxiety, metacognition, and anti-vaccine. Within the scope of the research, the participants answered the Vaccine Hesitancy Scale, Metacognition Scale-30, Beck Depression Inventory, Beck Anxiety Scale, and Behavioral Activation and Behavioral Inhibition System Scale. A statistically significant positive correlation was found between the Metacognition Scale total score and depression, anxiety, vaccine hesitancy, behavioral inhibition/activation total score, and behavioral inhibition subscale. The established regression model explained 5% of the individuals' vaccine hesitancy levels and revealed that the BIS subscale and Metacognition Scale total score predicted the anti-vaccination statistically significantly. The mediation model was tested with statistically significant predictors; it has been determined that the Behavioral Inhibition System (BIS) partially mediates the relationship between metacognition and vaccine hesitancy. It is assumed that this new model will provide an inclusive and innovative perspective on the emergence of vaccine hesitancy and the influential factors in its continuance.

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