Skip to main content
Top
Gepubliceerd in:

06-09-2018 | Original Article

An Examination of Perseverative Thinking and Perception of Threat from Emotion as Mechanisms Underlying the Relationship Between Distress Intolerance and Internalizing Symptoms

Auteurs: Katherine A. McDermott, Hillary L. Smith, Jesse R. Cougle

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Distress intolerance (DI) represents the perceived inability to withstand and manage upsetting emotional and physical internal experiences. Recent research suggests that DI is relevant to a number of clinical disorders; however the mechanisms underlying the association between DI and internalizing symptoms are unclear. It may be that DI is primarily a construct characterized by the perception of negative emotions as threatening. This possibility is consistent with current DI treatments, which focus on repeatedly exposing participants to emotional distress so that threat disconfirmation and habituation will result. However, an alternative line of research suggests that associations between DI and internalizing symptoms can be accounted for by perseverative thinking, a style of thought characterized by repetitive and passive sustained attention on information, particularly negative information. Using path analysis, the current study simultaneously compared pathways between DI and internalizing symptoms through appraisal of negative emotion and perseverative thinking in a sample of Mechanical Turk participants (N = 175). Results demonstrated a significant indirect effect through perseverative thinking for models examining depressive symptoms, OCD symptoms, worry, and fear of negative evaluation. In contrast, the indirect effect through appraisal of negative emotion was significant only for the model examining OCD symptoms. Potential clinical and theoretical implications are discussed.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRef
go back to reference Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research and Therapy, 35(1), 79–89.CrossRef Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research and Therapy, 35(1), 79–89.CrossRef
go back to reference Dear, B. F., Titov, N., Sunderland, M., McMillan, D., Anderson, T., Lorian, C., & Robinson, E. (2011). Psychometric comparison of the Generalized Anxiety Disorder Scale-7 and the Penn State Worry Questionnaire for measuring response during treatment of generalised anxiety disorder. Cognitive Behaviour Therapy, 40(3), 216–227. https://doi.org/10.1080/16506073.2011.582138.CrossRefPubMed Dear, B. F., Titov, N., Sunderland, M., McMillan, D., Anderson, T., Lorian, C., & Robinson, E. (2011). Psychometric comparison of the Generalized Anxiety Disorder Scale-7 and the Penn State Worry Questionnaire for measuring response during treatment of generalised anxiety disorder. Cognitive Behaviour Therapy, 40(3), 216–227. https://​doi.​org/​10.​1080/​16506073.​2011.​582138.CrossRefPubMed
go back to reference Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487–495.CrossRefPubMed Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487–495.CrossRefPubMed
go back to reference Muthén, L. K., & Muthén, B. O. (2010). Mplus user’s guide (6th ed.). Los Angeles: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2010). Mplus user’s guide (6th ed.). Los Angeles: Muthén & Muthén.
go back to reference Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., Erickson, T., & Cashman-McGrath, L. (2002). Preliminary reliability and validity of the generalized anxiety disorder questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33(2), 215–233. https://doi.org/10.1016/S0005-7894(02)80026-0.CrossRef Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., Erickson, T., & Cashman-McGrath, L. (2002). Preliminary reliability and validity of the generalized anxiety disorder questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33(2), 215–233. https://​doi.​org/​10.​1016/​S0005-7894(02)80026-0.CrossRef
go back to reference Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.CrossRef Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.CrossRef
go back to reference Winward, J. L., Bekman, N. M., Hanson, K. L., Lejuez, C. W., & Brown, S. A. (2014). Changes in emotional reactivity and distress tolerance among heavy drinking adolescents during sustained abstinence. Alcoholism: Clinical and Experimental Research, 38(6), 1761–1769. https://doi.org/10.1111/acer.12415.CrossRef Winward, J. L., Bekman, N. M., Hanson, K. L., Lejuez, C. W., & Brown, S. A. (2014). Changes in emotional reactivity and distress tolerance among heavy drinking adolescents during sustained abstinence. Alcoholism: Clinical and Experimental Research, 38(6), 1761–1769. https://​doi.​org/​10.​1111/​acer.​12415.CrossRef
Metagegevens
Titel
An Examination of Perseverative Thinking and Perception of Threat from Emotion as Mechanisms Underlying the Relationship Between Distress Intolerance and Internalizing Symptoms
Auteurs
Katherine A. McDermott
Hillary L. Smith
Jesse R. Cougle
Publicatiedatum
06-09-2018
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2019
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-018-9960-3

Andere artikelen Uitgave 3/2019

Cognitive Therapy and Research 3/2019 Naar de uitgave