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A total of 532 smokers completed the Italian\u2010translated version of the MSQ, the Fagerstrom Test for Nicotine Dependence, the Severity Dependence Scale, the Depression Anxiety and Stress Scale\u201021. To test the factorial structure of the MSQ, a series of confirmatory factor analyses (CFAs) were run; correlational analyses and structural equation modelling (SEMs) approaches were undertaken to evaluate the concurrent validity. The 12\u2010item MSQ with four factors was confirmed: positive metacognitions about cognitive regulation (PM\u2010CR), positive metacognitions about emotional regulation (PM\u2010ER), negative metacognitions about uncontrollability (NM\u2010U) and negative metacognitions about cognitive interference (NM\u2010CI). The MSQ showed an overall satisfactory fit index (TLI\u2009=\u20090.949, CFI\u2009=\u20090.963, RMSEA\u2009=\u20090.082 [0.064\u20130.101]). Internal consistency was satisfactory. MSQ factors are associated with higher nicotine\/cigarette dependence and emotional distress, supporting the concurrent validity of the tool. Specific metacognitions about smoking were associated with different clinical outcomes related to smoking. A higher engagement on PM\u2010CR and on NM\u2010U was positively associated with nicotine\/cigarette dependence. A higher engagement on PM\u2010ER and NM\u2010CI was associated with greater emotional distress. The 12\u2010item Italian version of the MSQ could be a promising tool to assess specific metacognitions about smoking in both research and clinical contexts. Metacognitions about smoking may be a suitable therapeutic target to reduce the levels of nicotine\/cigarette dependence and emotional distress among smokers.<\/jats:p>","DOI":"10.1002\/cpp.70208","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T09:08:27Z","timestamp":1766394507000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Metacognitions About Smoking: Psychometric Properties of the Italian Version of the Metacognitions About Smoking Questionnaire"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7329-8683","authenticated-orcid":false,"given":"Sara","family":"Palmieri","sequence":"first","affiliation":[{"name":"Department of Psychology Sigmund Freud University  Milan Italy"},{"name":"Cognitive Psychotherapy School and Research Center, Studi Cognitivi  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5311-5704","authenticated-orcid":false,"given":"Ana","family":"Nik\u010devi\u0107","sequence":"additional","affiliation":[{"name":"Department of Psychology, School of Law, Social and Behavioural Sciences Kingston University  Kingston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5159-7164","authenticated-orcid":false,"given":"Gabriele","family":"Caselli","sequence":"additional","affiliation":[{"name":"Department of Psychology Sigmund Freud University  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2813-0312","authenticated-orcid":false,"given":"Tatiana","family":"Marci","sequence":"additional","affiliation":[{"name":"Department of Developmental and Social Psychology University of Padova  Padua Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1127-3907","authenticated-orcid":false,"given":"Claudia","family":"Marino","sequence":"additional","affiliation":[{"name":"Department of Developmental and Social Psychology University of Padova  Padua Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4548-9578","authenticated-orcid":false,"given":"Marcantonio\u00a0M.","family":"Spada","sequence":"additional","affiliation":[{"name":"School of Applied Sciences London South Bank University  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9571-2486","authenticated-orcid":false,"given":"Giovanni","family":"Mansueto","sequence":"additional","affiliation":[{"name":"School of Applied Sciences London South Bank University  London UK"},{"name":"Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.10.015"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2015.04.005"},{"volume-title":"Confirmatory Factor Analysis for Applied Research","year":"2006","author":"Brown T. 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