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This is particularly problematic in countries like Nigeria where same sex activity is illegal and can result in up to 14\u2009years imprisonment. An important psychological variable that may contribute to the experience of GAD are metacognitive beliefs. Participants (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u2009311) completed measures to examine the relationship between these variables. Results indicated that metacognition was associated with, and significantly predicted, GAD in this population. Moderation analysis showed that the effect of HIV stigma on GAD was explained by the proposed interaction with metacognition. Findings suggest that metacognition may be an important variable in explaining GAD symptoms in MSM living with HIV in Nigeria.\n                  <\/jats:p>","DOI":"10.1177\/13591053251314989","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T23:32:26Z","timestamp":1740007946000},"page":"2661-2678","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The role of metacognitive beliefs in generalised anxiety disorder in men who have sex with men living with HIV in Nigeria"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9650-1058","authenticated-orcid":false,"given":"Robin","family":"Bailey","sequence":"first","affiliation":[{"name":"School of Psychology, Deane Road, University of Bolton, Bolton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ekwora Chinonso","family":"Oba","sequence":"additional","affiliation":[{"name":"School of Psychology, Deane Road, University of Bolton, Bolton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosie","family":"Allen","sequence":"additional","affiliation":[{"name":"School of Psychology, Deane Road, University of Bolton, Bolton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v19i4.39"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325958220976828"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_1734_21"},{"issue":"2","key":"e_1_3_2_5_1","first-page":"107","article-title":"Depression and anxiety among HIV patients in a treatment centre in Nigeria","volume":"18","author":"Aika IN","year":"2019","unstructured":"Aika IN, Odili VU (2019) Depression and anxiety among HIV patients in a treatment centre in Nigeria. 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