Cognitive Therapy and Research最新文献

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Attention and Interpretation Bias Modification Transfers to Memory Bias: Testing the Combined Cognitive Bias Hypothesis 注意和解释偏差修正向记忆偏差的转移:检验综合认知偏差假说
IF 2.8 3区 心理学
Cognitive Therapy and Research Pub Date : 2024-03-25 DOI: 10.1007/s10608-024-10478-w
{"title":"Attention and Interpretation Bias Modification Transfers to Memory Bias: Testing the Combined Cognitive Bias Hypothesis","authors":"","doi":"10.1007/s10608-024-10478-w","DOIUrl":"https://doi.org/10.1007/s10608-024-10478-w","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Purpose</h3> <p>This study delves into the combined cognitive bias hypothesis in depression, exploring the interaction between negative attention, interpretation and memory biases. We aimed to assess whether modifying attention and interpretation bias would lead to congruent changes in memory bias, and to what extend and depth this causal effect can be.</p> </span> <span> <h3>Method</h3> <p>Ninety-nine undergraduates underwent either a positive (PT) or negative (NT) four-day attention and interpretation bias training. A set of well-established post-training assessments including free recall, recognition, autobiographic memory, and self-reference encoding tasks were used to evaluate memory bias. Affective states were measured pre- and post-training.</p> </span> <span> <h3>Results</h3> <p>Compared to PT, participants in NT correctly retrieved more negative trained stimuli, and falsely recognized more negative synonyms of trained terms. NT also exhibited an enhanced retrieval of negative autobiographical memory. No significant differences were found between NT and PT in self-referential encoding and retrieval bias, or affective states.</p> </span> <span> <h3>Discussion</h3> <p>The results suggested an extensive and strong transfer effect from attention and interpretation bias modification to different facets of memory bias, being found in retrieving trained emotional stimuli, in memory intrusion of negative synonyms, and in autobiographic memory recall. The findings underscored the causality between three biases, supporting the combined cognitive bias hypothesis. It might also suggest an effective new approach to modify memory bias via attention and interpretation bias training.</p> </span>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"37 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140299911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic Potential of Embodied Cognition for Clinical Psychotherapies: From Theory to Practice 体现认知对临床心理疗法的治疗潜力:从理论到实践
IF 2.8 3区 心理学
Cognitive Therapy and Research Pub Date : 2024-03-21 DOI: 10.1007/s10608-024-10468-y
{"title":"Therapeutic Potential of Embodied Cognition for Clinical Psychotherapies: From Theory to Practice","authors":"","doi":"10.1007/s10608-024-10468-y","DOIUrl":"https://doi.org/10.1007/s10608-024-10468-y","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Background</h3> <p>This paper examines cognitive and body-based therapies through the lens of embodiment, framing treatments as constructed experiences shaped by individuals' subjective and intersubjective lived experiences. Embodiment is considered to have restorative qualities that have the potential to improve psychotherapy’s success. We address some of the limitations associated with traditional brain-based reductionist approaches and treatments in clinical psychotherapy. An argument is made for the integration of an embodied approach, empowering clinicians and researchers to evaluate and integrate embodied therapeutic processes leading to successful treatment outcomes.</p> </span> <span> <h3>Methods</h3> <p>This integrative review provides evidence-based practice initiatives and findings from a range of embodied research as it applies to body-based techniques in psychotherapy. It gathers and synthesizes both empirical and theoretical evidence relevant to impact the overall success of psychotherapeutic interventions. Data collection involved keyword searches of electronic databases, including PsycINFO, NCBI, PubMED, Frontiers, MEDLINE, EBM Reviews, and Google Scholar.</p> </span> <span> <h3>Results</h3> <p>We present an array of cognitive and body-based methodologies that can be employed to enhance embodied and enactive therapeutic practices, offering a fresh and promising perspective on psychotherapy. Analyses provide insights into current body-based therapeutic applications, highlighting how a deeper understanding of recent advances in neuroscience can enrich both therapists’ and clients’ meta-awareness of mind–body-environment connections on mental health.</p> </span> <span> <h3>Conclusions</h3> <p>We conclude that psychotherapy can benefit from the transformative process that occurs when individuals gain insights, skills, and self-awareness through embodied therapeutic experiences. In the context of embodied psychotherapy, learning to self-heal extends beyond the acquisition of information; it involves a deeper understanding of the connection between one’s body, thoughts, emotions, behaviors, and the interconnectedness of these elements within the environment/context. Through this process, along with the therapist, clients acquire valuable insights into the root causes of challenges, develop coping strategies, and enhance emotional regulation. The learning extends to practical skills for managing stress, improving communication, and fostering healthier relationships. Embodiment in psychotherapy encourages a form of experiential learning, where individuals actively engage with and reflect upon their internal and external world.</p> </span>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"1325 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140199994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship Between Interpersonal Emotion Regulation and Social Support and Their Effects on Depressive Symptoms in Korean Emerging Adults 人际情绪调节与社会支持之间的关系及其对韩国新兴成人抑郁症状的影响
IF 2.8 3区 心理学
Cognitive Therapy and Research Pub Date : 2024-03-16 DOI: 10.1007/s10608-024-10470-4
Hyunmo Seong, Hajin Lim, Gi-Eun Jang, Gippeum Park, Jieun Kang, Sang Min Lee
{"title":"Relationship Between Interpersonal Emotion Regulation and Social Support and Their Effects on Depressive Symptoms in Korean Emerging Adults","authors":"Hyunmo Seong, Hajin Lim, Gi-Eun Jang, Gippeum Park, Jieun Kang, Sang Min Lee","doi":"10.1007/s10608-024-10470-4","DOIUrl":"https://doi.org/10.1007/s10608-024-10470-4","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Interpersonal emotion regulation (IER) involves the use of strategies by individuals to regulate their emotions through interactions with others. Research has shown that the IER is correlated with psychological symptoms and well-being. However, few studies have investigated the longitudinal relationships between IER and its related constructs.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A cross-lagged panel design was used to examine the reciprocal relationship between IER strategies and perceived social support and their impact on depressive symptoms. Data were collected from 213 emerging Korean adults (136 females; <i>M</i><sub>age</sub> = 25.4), categorized as students, job-seekers, or workers, on three occasions with six-month intervals.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Enhancing positive affect, an upregulation strategy for positive emotions, predicted an increased perception of social support and, consequently, a reduction in depressive symptoms. Soothing strategies were directly associated with increased depressive symptoms. Other IER strategies aimed at downregulating negative emotions did not have any significant effect on the perception of social support or depressive symptoms. Furthermore, perceived social support did not predict longitudinal changes in the tendency to use IER strategies.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>These findings suggest that IER strategies, especially those that focus on upregulating positive emotions, may enhance the perception of social support. This offers a promising avenue for designing interventions to support emerging adults facing difficulties in a variety of social and relational transitions.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"101 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140156614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Task Control in the Affordance Task as the Underlying Mechanism for the Imbalance Between the Goal-Directed and Habit Formation Systems in Obsessive–Compulsive Disorder 情境任务中的任务控制是强迫症患者目标导向系统和习惯形成系统失衡的基本机制
IF 2.8 3区 心理学
Cognitive Therapy and Research Pub Date : 2024-03-16 DOI: 10.1007/s10608-024-10469-x
{"title":"Task Control in the Affordance Task as the Underlying Mechanism for the Imbalance Between the Goal-Directed and Habit Formation Systems in Obsessive–Compulsive Disorder","authors":"","doi":"10.1007/s10608-024-10469-x","DOIUrl":"https://doi.org/10.1007/s10608-024-10469-x","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Background and Objectives</h3> <p>The habit formation model of obsessive–compulsive disorder (OCD) suggests that overreliance on stimulus-driven behaviors leads to repetitive compulsive rituals. Failure in task control, which leads to the stimulus-driven behaviors overriding the goal-driven system, could explain the mechanisms involved in this process.</p> </span> <span> <h3>Methods</h3> <p>Patients with OCD and non-psychiatric controls completed the affordance task to understand the role of task control in maintaining compulsive behaviors. In the affordance task, participants are required to respond to a stimulus with one hand, while the stimulus on screen triggers a motor activation in either the congruent (same) or incongruent (other) hand. The affordance effect (accuracy for incongruent minus congruent trials) measures task control—the ability to suppress irrelevant, stimulus-driven, behaviors.</p> </span> <span> <h3>Results</h3> <p>The affordance effect was larger in the OCD group, indicating a deficit in task control in those patients. Furthermore, a binary logistic regression analysis, using the affordances effect as a predictor and group as the outcome variable, revealed that the affordance effect correctly classified about 65% of the individuals with OCD compared to the non-psychiatric controls. The correlation between the affordance effect and OCD symptom-severity was not significant.</p> </span> <span> <h3>Limitations</h3> <p>Handedness was assessed through self-report and OCD symptoms were mild–moderate.</p> </span> <span> <h3>Conclusions</h3> <p>These findings strengthen the notion that task control deficits might account for the imbalance between the goal-directed and habit formation systems and that this deficit might be a risk factor for OCD but does not account for symptom-severity.</p> </span>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"57 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140152651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Altered Neural Activity during Negative Reinforcement in People with Obsessive-Compulsive Disorder 强迫症患者负强化过程中的神经活动变化
IF 2.8 3区 心理学
Cognitive Therapy and Research Pub Date : 2024-03-04 DOI: 10.1007/s10608-024-10475-z
Benjamin Panny, Rebecca B. Price, Anna Wears, Susanne E. Ahmari
{"title":"Altered Neural Activity during Negative Reinforcement in People with Obsessive-Compulsive Disorder","authors":"Benjamin Panny, Rebecca B. Price, Anna Wears, Susanne E. Ahmari","doi":"10.1007/s10608-024-10475-z","DOIUrl":"https://doi.org/10.1007/s10608-024-10475-z","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Compulsive behaviors in Obsessive-Compulsive Disorder (OCD) are posited to be negatively reinforced via short-term negation of distress-inducing triggers, but neural activity during negative reinforcement in the context of OCD remains poorly understood.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>In 18 people with OCD and 16 healthy matched comparison subjects completing functional MRI, we tested the effect of a novel negative reinforcement behavioral paradigm. Three visual stimulus types (Compulsion-Related, Negative, Neutral) were displayed in the scanner and removed by participants pressing a button, yielding two analysis epochs: image presentation and image removal.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>OCD patients showed a larger increase in medial orbitofrontal cortex (mOFC; BA11) activation after image removal that was specific to compulsion-related images. People with OCD also showed altered patterns of deactivation following compulsion-related and negative image removal in the right and left amygdala, respectively. People with OCD also showed larger deactivations in the ventral tegmental area (VTA) after removal of all image types, and increased overall activation to negative images in the right nucleus accumbens (NAcc).</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>We provide initial data demonstrating altered neural activity during negative reinforcement in OCD patients, providing empirical support for dominant behavioral models emphasizing the role of negative reinforcement in etiology and maintenance of pathological compulsive behaviors.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"165 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140035947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social Anxiety, Drinking Game Motives, and Drinking Game Outcomes Among a Large Multisite Sample of University Students 多地点大学生大样本中的社交焦虑、饮酒游戏动机和饮酒游戏结果
IF 2.8 3区 心理学
Cognitive Therapy and Research Pub Date : 2024-03-04 DOI: 10.1007/s10608-024-10471-3
Katherine Walukevich-Dienst, Byron L. Zamboanga, Amie R. Newins, Makayla L. Dehmer, Lindsay S. Ham, Timothy J. Grigsby, Su Yeong Kim
{"title":"Social Anxiety, Drinking Game Motives, and Drinking Game Outcomes Among a Large Multisite Sample of University Students","authors":"Katherine Walukevich-Dienst, Byron L. Zamboanga, Amie R. Newins, Makayla L. Dehmer, Lindsay S. Ham, Timothy J. Grigsby, Su Yeong Kim","doi":"10.1007/s10608-024-10471-3","DOIUrl":"https://doi.org/10.1007/s10608-024-10471-3","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Undergraduates with higher levels of social anxiety may be motivated to participate in high-risk drinking events (e.g., playing drinking games [DG]) as a way to “fit in” or facilitate socialization with peers), putting them at an elevated risk of experiencing alcohol-related negative consequences (e.g., blacking out). The present study sought to test associations between social anxiety symptoms, DG behaviors and consequences, and DG-specific motives among a large, multisite sample of undergraduates.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Participants were 7,528 undergraduate students who endorsed current (past month) drinking. Participants completed a cross-sectional, self-report survey that included measures of DG behaviors, DG motives, and DG negative consequences as part of a large, multisite observational study.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Consistent with prior work, social anxiety symptoms were negatively associated with lifetime history of DG participation. Among participants who endorsed playing DG in the past 30 days, social anxiety was not associated with DG frequency or quantity, but it was positively associated with all DG motives and cumulative negative DG consequences.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Although undergraduates with higher social anxiety levels were less likely to participate in DGs than those with lower social anxiety levels, among undergraduates who chose to participate in DGs, social anxiety was positively associated with multiple motivations to play DGs and alcohol-related consequences as a result of playing DGs.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"115 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140035971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hopelessness as a Mechanism of the Relationship between Physical Pain and Thoughts of Suicide: Results from Two Smartphone-Based Real-Time Monitoring Samples 无望感是身体疼痛与自杀想法之间关系的机制:基于智能手机的两个实时监测样本的结果
IF 2.8 3区 心理学
Cognitive Therapy and Research Pub Date : 2024-03-04 DOI: 10.1007/s10608-024-10472-2
Hannah R. Krall, Allison K. Ruork, Shireen L. Rizvi, Evan M. Kleiman
{"title":"Hopelessness as a Mechanism of the Relationship between Physical Pain and Thoughts of Suicide: Results from Two Smartphone-Based Real-Time Monitoring Samples","authors":"Hannah R. Krall, Allison K. Ruork, Shireen L. Rizvi, Evan M. Kleiman","doi":"10.1007/s10608-024-10472-2","DOIUrl":"https://doi.org/10.1007/s10608-024-10472-2","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Although there is research establishing that physical pain is a risk factor for suicidal ideation, there is limited understanding of how physical pain confers risk.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The current study uses ecological momentary assessment to explore hopelessness as a potential mechanism of physical pain’s effect on suicidal ideation in two distinct samples: an undergraduate population reporting elevated levels of suicidal ideation and an outpatient population with borderline personality disorder receiving comprehensive dialectical behavior therapy.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Our results demonstrated that hopelessness significantly mediated the relationship between physical pain and suicidal ideation in both samples. This implies that physical pain might increase hopelessness, which may in turn increase suicidal ideation.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Our study adds to a growing body of research of risk factors for suicide, and future research should explore this relationship between physical pain and hopelessness with suicidal behavior.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"8 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140035945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-Burdensomeness, Self-Esteem and Suicidal Ideation 自卑、自尊和自杀念头
IF 2.8 3区 心理学
Cognitive Therapy and Research Pub Date : 2024-02-28 DOI: 10.1007/s10608-024-10477-x
{"title":"Self-Burdensomeness, Self-Esteem and Suicidal Ideation","authors":"","doi":"10.1007/s10608-024-10477-x","DOIUrl":"https://doi.org/10.1007/s10608-024-10477-x","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Background</h3> <p>Low self-esteem and self-burdensomeness have been proposed as risk factors for suicidal ideation. Yet, self-burdensomeness may be more relevant to suicidal ideation than low self-esteem. The purpose of the present study was to investigate the association between self-esteem, self-burdensomeness, and suicidal ideation in a sample of adult outpatients.</p> </span> <span> <h3>Methods</h3> <p>Data from <em>N</em> = 202 patients (66.3% female; age: <em>M</em>[<em>SD</em>] = 39.87 [13.31], range: 19–73) who started therapy at an outpatient clinic were collected. A subsample of <em>n</em> = 111 patients (68.5% female; age: <em>M</em>[<em>SD</em>] = 38.50 [13.48], range: 20–73) also took part in a second assessment three-months later.</p> </span> <span> <h3>Results</h3> <p>Self-burdensomeness was shown to predict suicidal ideation concurrently and prospectively – after controlling for age, gender, depression, and self-esteem. Furthermore, self-burdensomeness completely mediated the association between self-esteem and suicidal ideation. However, the reverse relationship, where the association between self-burdensomeness and suicidal ideation is mediated by self-esteem, was not supported.</p> </span> <span> <h3>Conclusions</h3> <p>Self-burdensomeness might be understood as a driver of suicidal ideation. Findings point to the possibility that a focus on self-burdensomeness and/or low self-esteem might be relevant in the treatment of suicidal patients.</p> </span>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"5 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140008007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Does ‘High Anxiety Sensitivity’ Look Like? Using Cluster Analysis to Identify Distinct Profiles of High Anxiety Sensitive Treatment-Seekers 高度焦虑敏感 "是什么样的?利用聚类分析识别高度焦虑敏感型寻求治疗者的独特特征
IF 2.8 3区 心理学
Cognitive Therapy and Research Pub Date : 2024-02-27 DOI: 10.1007/s10608-024-10476-y
Janine V. Olthuis, Emma M. Connell, Margo C. Watt, Sherry H. Stewart
{"title":"What Does ‘High Anxiety Sensitivity’ Look Like? Using Cluster Analysis to Identify Distinct Profiles of High Anxiety Sensitive Treatment-Seekers","authors":"Janine V. Olthuis, Emma M. Connell, Margo C. Watt, Sherry H. Stewart","doi":"10.1007/s10608-024-10476-y","DOIUrl":"https://doi.org/10.1007/s10608-024-10476-y","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background/Purpose</h3><p>Anxiety sensitivity (AS) is a transdiagnostic risk factor for mental health disorders. While its lower order factors – social, physical, and cognitive concerns – and their associations with emotional disorders have been examined independently of each other, research has not fully appreciated that these factors might appear to different degrees in individuals, with psychopathology implications.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>We used cluster analysis to investigate how the lower order AS factors appear in treatment-seekers with high AS and how these manifestations of AS (i.e., the different clusters) are uniquely associated with psychopathology. Participants (<i>N</i> = 154; from two studies) were high AS treatment-seeking adults with anxiety and/or depressive disorders who completed a diagnostic interview and self-report measures of AS and anxiety and depression symptoms.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>A four-cluster solution emerged including a Multidimensional cluster (33.8% of the sample) and Social (28.6%), Physical (21.4%), and Cognitive (16.2%) clusters. Validation analyses revealed cross-cluster differences in age, gender, ethnicity, and psychopathology, the latter reflecting known associations between AS and mental health (e.g., depression symptoms were significantly highest in the Cognitive and Multidimensional clusters).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Results provide valuable insight into the heterogeneity of high AS as it appears clinically, with implications for best matching treatment approaches for this population.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"7 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139977308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of Excessive Reassurance Seeking in Social Anxiety 社交焦虑症患者过度寻求保证的预测因素
IF 2.8 3区 心理学
Cognitive Therapy and Research Pub Date : 2024-02-23 DOI: 10.1007/s10608-024-10473-1
Van Bui, David A. Moscovitch
{"title":"Predictors of Excessive Reassurance Seeking in Social Anxiety","authors":"Van Bui, David A. Moscovitch","doi":"10.1007/s10608-024-10473-1","DOIUrl":"https://doi.org/10.1007/s10608-024-10473-1","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>There has been limited research conducted on the nature and consequences of excessive reassurance seeking in individuals with social anxiety, who tend to worry about the impression they make in evaluative social contexts. We examined the effects of self-reported trait social anxiety, low self-certainty, and engagement in post-event processing on reassurance seeking behaviours.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The sample consisted of 399 non-clinical undergraduate participants who completed self-report questionnaires in an online pre-registered correlational study.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Partially consistent with our preregistered hypothesis, hierarchical regression analyses revealed that each predictor variable explained unique variance in reassurance seeking behaviours over and above the others, but interaction effects were non-significant for the main outcome variable measuring overall reassurance-seeking. Ancillary analyses revealed a significant three-way interaction between social anxiety symptoms, self-certainty, and post-event processing on engagement in evaluative threat-related reassurance seeking specifically.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Future prospective, naturalistic, and experimental research is needed to verify that evaluative threat-related reassurance seeking in social anxiety may be driven by heightened self-doubt and engagement in post-event processing, which may hinder socially anxious individuals from receiving high-quality support from those in their social network.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"15 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139948939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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