Examination of metacognitions and functionality in agoraphobia without comorbidities

Metacognitive beliefs mediated the relationship between the severity of agoraphobia and functional impairment (mediation effect accounting for 26%). Metacognitive processes play a key role in how agoraphobia severity translates into functional impairment. Targeting dysfunctional metacognitive beliefs in treatment may improve functional outcomes in agoraphobia. These findings highlight the need for further longitudinal and experimental studies focusing on agoraphobia without comorbid conditions.