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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

07-11-2016

Assessment of Emotional Avoidance in Adolescents: Psychometric Properties of a New Multidimensional Measure

Auteurs: Sarah M. Kennedy, Jill Ehrenreich-May

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2017

Abstract

Emotional avoidance—which includes cognitive and attentional processes that function as means of avoiding or dampening emotional experiences—may be a transdiagnostic risk and maintenance factor for emotional disorders. However, existing measures generally assess separate aspects of emotional avoidance, and few multidimensional measures exist for adolescents. The aim of the current study was to establish the psychometric properties of a new multidimensional measure of emotional avoidance for adolescents--the Emotional Avoidance Strategy Inventory for Adolescents (EASI-A; Fairholme et al. 2008)--employing an exploratory structural equation modeling framework. Analyses yielded a three-factor structure for the EASI-A, including subscales measuring Avoidance of Emotion Expression, Avoidance of Thoughts and Feelings, and Distraction. Moderate correlations were observed between the EASI-A and a measure of thought suppression, and the EASI-A was significantly associated with anxiety and depression symptoms. The EASI-A is a new, psychometrically sound measure that will aid in the assessment of avoidance as a vulnerability factor for psychopathology and as an outcome and mechanism for treatments of emotional disorders in adolescents.

vorige artikel Examining the Role of Implicit Emotional Judgments in Social Anxiety and Experiential Avoidance

volgende artikel Construct Validity of the Acquired Capability for Suicide Scale: Factor Structure, Convergent and Discriminant Validity

Abela, J. Z., Rochon, A., Vanderbilt, E. (2000). The children’s response style questionnaire. Unpublished measure.

Abela, J. Z., Vanderbilt, E., & Rochon, A. (2004). A test of the integration of the response styles and social support theories of depression in third and seventh grade children. Journal of Social and Clinical Psychology, 23(5), 653–674.CrossRef

Abramowitz, J. S., Tolin, D. F., & Street, G. P. (2001). Paradoxical effects of thought suppression: A meta-analysis of controlled studies. Clinical Psychology Review, 21, 683–703.CrossRefPubMed

Adrian, M., Zeman, J., & Veits, G. (2011). Methodological implications of the affect revolution: A 35-year review of emotion regulation assessment in children. Journal of Experimental Child Psychology, 110, 171–197.CrossRefPubMed

Aldao, A. (2013). The future of emotion regulation research capturing context. Perspectives on Psychological Science, 8, 155–172.CrossRefPubMed

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217–237.CrossRefPubMed

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washintgon, DC.

Asparouhov, T., & Muthén, B. (2009). Exploratory structural equation modeling. Structural Equation Modeling: A Multidisciplinary Journal, 16(3), 397–438.CrossRef

Bagby, R. M., Rector, N. A., Segal, Z. V., Joffe, R. T., Levitt, A. J., Kennedy, S. H., & Levitan, R. D. (1999). Rumination and distraction in major depression: Assessing response to pharmacological treatment. Journal of Affective Disorders, 55(2–3), 225–229.CrossRefPubMed

Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35, 205–230.CrossRef

Barlow, D. H., Sauer-Zavala, S., Carl, J. R., Bullis, J. R., & Ellard, K. K. (2014). The nature, diagnosis, and treatment of neuroticism: Back to the future. Clinical Psychological Science, 2, 344–365.CrossRef

Bentler, P. M. (1990). Comparative fit indices in structural models. Psychological Bulletin, 107, 238–246.CrossRefPubMed

Blalock, J. A., & Joiner, T. E. (2000). Interaction of cognitive avoidance coping and stress in predicting depression and anxiety: Gender differences. Cognitive Therapy and Research, 24, 47–65.CrossRef

Butler, E. A., Egloff, B., Wlhelm, F. H., Smith, N. C., Erickson, E. A., & Gross, J. J. (2003). The social consequences of expressive suppression. Emotion, 3(1), 48–67.CrossRefPubMed

Campbell-Sills, L., & Barlow, D. H. (2007). Incorporating emotion regulation into conceptualizations and treatments of anxiety and mood disorders. In J. J. Gross & J. J. Gross (Eds.), Handbook of emotion regulation (pp. 542–559). New York: Guilford Press.

Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006). Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behaviour Research and Therapy, 44(9), 1251–1263.CrossRefPubMed

Carthy, T., Horesh, N., Apter, A., Edoe, M. D., & Gross, J. J. (2010). Emotional reactivity and cognitive regulation in anxious children. Behaviour Research and Therapy, 48, 384–393.CrossRefPubMed

Cattell, R. B. (1978). The scientific use of factor analysis in behavioral and life sciences. New York: Plenum Press.CrossRef

Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behaviour Research and Therapy, 38, 835–855.CrossRefPubMed

Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005). Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample. Behaviour Research and Therapy, 43, 309–322.CrossRefPubMed

Chorpita, B.F., Daleiden, E.L., Ebesutani, C., Young, J., Becker, K.D., Nakamura, B.J., . . . Trent, L. (2011). Evidence‐based treatments for children and adolescents: an updated review of indicators of efficacy and effectiveness. Clinical Psychology: Science and Practice, 18, 154–172.

Chu, B.C., Hoffman, L., Johns, A., Reyes-Portillo, J., Hansford, A. (2014). Transdiagnostic behavior therapy for bullying-related anxiety and depression: Initial development and pilot study. Cognitive and Behavioral Practice.

Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37, S5–S27.CrossRefPubMed

Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60, 837–844.CrossRefPubMed

Costello, E. J., Copeland, W., & Angold, A. (2011). Trends in psychopathology across the adolescent years: What changes when children become adolescents, and when adolescents become adults? Journal of Child Psychology and Psychiatry, 52, 1015–1025.CrossRefPubMedPubMedCentral

Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46, 5–27.CrossRefPubMed

Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10–23.CrossRefPubMedPubMedCentral

Dalgleish, T., Yiend, J., Schweizer, S., & Dunn, B. D. (2009). Ironic effects of emotion suppression when recounting distressing memories. Emotion, 9(5), 744–749.CrossRefPubMed

Davis, E. L., Quiñones-Camacho, L. E., & Buss, K. A. (2016). The effects of distraction and reappraisal on children’s parasympathetic regulation of sadness and fear. Journal of Experimental Child Psychology, 142, 344–358.CrossRefPubMed

Dimidjian, S., Barrera, M., Jr., Martell, C., Muñoz, R. F., & Lewinsohn, P. M. (2011). The origins and current status of behavioral activation treatments for depression. Annual Review of Clinical Psychology, 7, 1–38.CrossRefPubMed

Ehrenreich, J. T., Kennedy, S. M., Mash, J. A., Bilek, E. L., Buzzella, B. A., Bennett, S., Barlow, D. H. (in press). Unified protocols for the treatment of emotional disorders in adolescents and children: Therapist guide. Oxford University Press.

Enders, C. K. (2010). Applied missing data analysis. New York: Guilford.

Erskine, J. A., Kvavilashvili, L., & Kornbrot, D. E. (2007). The predictors of thought suppression in young and old adults: Effects of rumination, anxiety, and other variables. Personality and Individual Differences, 42, 1047–1057.CrossRef

Fairholme, Ehrenreich-May, Ellard, Boisseau, Farchione, & Barlow, (2008). Emotional Avoidance Strategy Inventory for Adolescents (EASI-A). Unpublished measure. Boston University, Boston, MA & University of Miami, Miami, FL.

Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28(10), 857.CrossRefPubMed

Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.CrossRefPubMed

Gilbert, K. E. (2012). The neglected role of positive emotion in adolescent psychopathology. Clinical Psychology Review, 32, 467–481.CrossRefPubMed

Gosselin, P., Langlois, F., Freeston, M. H., Ladouceur, R., Laberge, M., & Lemay, D. (2007). Cognitive variables related to worry among adolescents: Avoidance strategies and faulty beliefs about worry. Behavior Research and Therapy, 45, 225–233.CrossRef

Gross, J. J. (1998). The emerging field of emotion regulation. Review of General Psychology, 2, 271–299.CrossRef

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362.CrossRefPubMed

Gullone, E., & Taffe, J. (2012). The emotion regulation questionnaire for children and adolescents (ERQ-CA): a psychometric evaluation. Psychological Assessment, 24, 409–417.CrossRefPubMed

Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and Commitment Therapy: An experiential approach to behavior change. New York: Guilford Press.

Hilt, L. M., McLaughlin, K. A., & Nolen-Hoeksema, S. (2010). Examination of the response styles theory in a community sample of young adolescents. Journal of Abnormal Child Psychology, 38(4), 545–556.CrossRefPubMedPubMedCentral

Hofmann, S. G., Heering, S., Sawyer, A. T., & Asnaani, A. (2009). How to handle anxiety: the effects of reappraisal, acceptance, and suppression strategies on anxious arousal. Behaviour Research and Therapy, 47, 389–394.CrossRefPubMedPubMedCentral

Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30, 179–185.CrossRefPubMed

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3, 424–453.CrossRef

Huffziger, S., & Kuehner, C. (2009). Rumination, distraction, and mindful self-focus in depressed patients. Behaviour Research and Therapy, 47(3), 224–230.CrossRefPubMed

Johnstone, K. A., & Page, A. C. (2004). Attention to phobic stimuli during exposure: The effect of distraction on anxiety reduction, self-efficacy and perceived control. Behaviour Research and Therapy, 42(3), 249–275.CrossRefPubMed

Kennedy, S. M., Grossman, R. A., & Ehrenreich-May, J. (2016). Revisiting the factor structure of the White Bear Suppression Inventory in adolescents: An exploratory structural equation modeling approach. Personality and Individual Differences, 92, 186–190.CrossRef

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602.CrossRefPubMed

Kingston, R. E. F., Watkins, E. R., & Nolen-Hoeksema, S. (2014). Investigating functional properties of depressive rumination: Insight and avoidance. Journal of Experimental Psychopathology, 5, 244–258.CrossRef

Lang, P. J. (1977). Imagery in therapy: An information processing analysis of fear. Behavior Therapy, 8, 862–868.CrossRef

Lewinsohn, P. M. (1974). A behavioral approach to depression. In R. J. Friedman & M. M. Katz (Eds.), The psychology of depression: Contemporary theory and research (pp. 157–178). New York: Wiley.

MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1, 130–149.CrossRef

Marsh, H. W., Morin, A. J., Parker, P. D., & Kaur, G. (2014). Exploratory structural equation modeling: An integration of the best features of exploratory and confirmatory factor analysis. Annual Review of Clinical Psychology, 10, 85–110.CrossRefPubMed

Martell, C. R., Addis, M. E., Jacobson, N. S. (2001). Depression in context: strategies for guided action. WW Norton & Co.

McLaughlin, K. A., Mennin, D. S., & Farach, F. J. (2007). The contributory role of worry in emotion generation and dysregulation in generalized anxiety disorder. Behavior Research and Therapy, 45, 1735–1752.CrossRef

McLean, C. P., Miller, N. A., & Hope, D. A. (2007). Mediating social anxiety and disordered eating: the role of expressive suppression. Eating Disorders: The Journal of Treatment & Prevention, 15(1), 41–54.CrossRef

McRae, K., Gross, J.J., Weber, J., Robertson, E.R., Sokol-Hessner, P., Ray, R.D., . . . & Ochsner, K.N. (2012). The development of emotion regulation: An fMRI study of cognitive reappraisal in children, adolescents, and young adults. Social Cognitive and Affective Neuroscience, 7, 11–22.

Miers, A. C., Blöte, A. W., Heyne, D. A., & Westenberg, P. M. (2014). Developmental pathways of social avoidance across adolescence: The role of social anxiety and negative cognition. Journal of Anxiety Disorders, 28, 787–794.CrossRefPubMed

Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., & Robinson, L. R. (2007). The role of the family context in the development of emotion regulation. Social Development, 16, 361–388.CrossRefPubMedPubMedCentral

Muris, P., Merckelbach, R., & Horselenberg, R. (1996). Individual differences in thought suppression. The White Bear Suppression Inventory: Factor structure, reliability, validity and correlates. Behaviour Research and Therapy, 34, 501–513.CrossRefPubMed

Muthén, L. K., & Muthén, B. O. (2012). 1998–2012. Mplus user’s guide (7th ed.). Los Angeles: Muthén & Muthén.

Najmi, S., Riemann, B. C., & Wegner, D. M. (2009). Managing unwanted intrusive thoughts in obsessive-compulsive disorder: Relative effectiveness of suppression, focused distraction, and acceptance. Behaviour Research and Therapy, 47(6), 494–503.CrossRefPubMed

Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569.CrossRefPubMed

Nolen-Hoeksema, S., & Morrow, J. (1993). Effects of rumination and distraction on naturally occurring depressed mood. Cognition and Emotion, 7(6), 561–570.CrossRef

Nunnaly, J. C. (1978). Psychometric theory. New York: McGraw-Hill.

Oliver, N. S., & Page, A. C. (2003). Fear reduction during in vivo exposure to blood-injection stimuli: Distraction vs. attentional focus. British Journal of Clinical Psychology, 42(1), 13–25.CrossRefPubMed

Ollendick, T. H., Jarrett, M. A., Grills-Taquechel, A. E., Hovey, L. D., & Wolff, J. C. (2008). Comorbidity as a predictor and moderator of treatment outcome in youth with anxiety, affective, attention deficit/hyperactivity disorder, and oppositional/conduct disorders. Clinical Psychology Review, 28(8), 1447–1471.CrossRefPubMed

Parrish, C. L., Radomsky, A. S., & Dugas, M. J. (2008). Anxiety-control strategies: Is there room for neutralization in successful exposure treatment? Clinical Psychology Review, 28(8), 1400–1412.CrossRefPubMed

Penfold, K., & Page, A. C. (1999). The effect of distraction on within-session anxiety reduction during brief in vivo exposure for mild blood-injection fears. Behavior Therapy, 30(4), 607–621.CrossRef

Roelofs, J., Rood, L., Meesters, C., Dorsthorst, V., Bögels, S., Alloy, L. B., & Nolen-Hoeksema, S. (2009). The influence of rumination and distraction on depressed and anxious mood: A prospective examination of the response styles theory in children and adolescents. European Child & Adolescent Psychiatry, 18, 635–642.CrossRef

Salkovskis, P. M. (1996). The cognitive approach to anxiety: Threat beliefs, safety-seeking behavior, and the special case of health anxiety and obsessions. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 48–74). New York: Guilford Press.

Schwartz, J. J., & Koenig, L. J. (1996). Response styles & negative affect among adolescents. Cognitive Therapy And Research, 20(1), 13–36.CrossRef

Silk, J. S., Steinberg, L., & Morris, A. S. (2003). Adolescents’ emotion regulation in daily life: Links to depressive symptoms and problem behavior. Child Development, 74, 1869–1880.CrossRefPubMed

Singer, A. R., & Dobson, K. S. (2007). An experimental investigation of the cognitive vulnerability to depression. Behaviour Research and Therapy, 45(3), 563–575.CrossRefPubMed

Spinhoven, P., & van der Does, A. W. (1999). Thought suppression, dissociation, and psychopathology. Personality and Individual Differences, 27, 877–886.CrossRef

Spinhoven, P., Drost, J., de Rooij, M., van Hemert, A. M., & Penninx, B. W. (2014). A longitudinal study of experiential avoidance in emotional disorders. Behavior Therapy, 45, 840–850.CrossRefPubMed

Spinhoven, P., Drost, J., de Rooij, M., van Hemert, A. M., & Penninx, B. W. (2016). Is experiential avoidance a mediating, moderating, independent, overlapping, or proxy risk factor in the onset, relapse and maintenance of depressive disorders?. Cognitive Therapy and Research, 40(2), 150–163.

Spokas, M., Luterek, J. A., & Heimberg, R. G. (2009). Social anxiety and emotional suppression: The mediating role of beliefs. Journal of Behavior Therapy and Experimental Psychiatry, 40(2), 283–291.CrossRefPubMed

Srivastava, S., Tamir, M., McGonigal, K. M., John, O. P., & Gross, J. J. (2009). The social costs of emotional suppression: A prospective study of the transition to college. Journal of Personality and Social Psychology, 96(4), 883–897.CrossRefPubMedPubMedCentral

Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173–180.CrossRefPubMed

Sumter, S. R., Bokhorst, C. L., & Westenberg, P. M. (2009). Social fears during adolescence: Is there an increase in distress and avoidance? Journal of Anxiety Disorders, 23, 897–903.CrossRefPubMed

Tan, P. Z., Forbes, E. E., Dahl, R. E., Ryan, N. D., Siegle, G. J., Ladouceur, C. D., & Silk, J. S. (2012). Emotional reactivity and regulation in anxious and nonanxious youth: A cell‐phone ecological momentary assessment study. Journal of Child Psychology and Psychiatry, 53(2), 197–206.CrossRefPubMed

Telch, M. J., Valentiner, D. P., Ilai, D., Young, P. R., Powers, M. B., & Smits, J. J. (2004). Fear activation and distraction during the emotional processing of claustrophobic fear. Journal of Behavior Therapy And Experimental Psychiatry, 35(3), 219–232.CrossRefPubMed

U.S. Census Bureau (2010). The Hispanic population: 2010. Retrieved from http://www.census.gov/content/dam/Census/library/publications/2011/dec/c2010br-04.pdf.

Vanderhasselt, M., Baeken, C., Van Schuerbeek, P., Luypaert, R., & De Raedt, R. (2013). Inter-individual differences in the habitual use of cognitive reappraisal and expressive suppression are associated with variations in prefrontal cognitive control for emotional information: An event related fMRI study. Biological Psychology, 92(3), 433–439.CrossRefPubMed

Vijayakumar, N., Whittle, S., Yucel, M., Dennison, M., Simmons, J., & Allen, N. B. (2014). Thinning of the lateral prefrontal cortex during adolescence predicts emotion regulation in females. Social Cognitive and Affective Neuroscience, 9, 1845–1854.CrossRefPubMedPubMedCentral

Vincken, M. J. B., Meesters, C., Engelhard, I. M., & Schouten, E. (2012). Psychometric qualities of the White Bear Suppression Inventory in a Dutch sample of children and adolescents. Personality and Individual Differences, 52, 301–305.CrossRef

Von Hippel, P. T. (2009). How to impute interactions, squares, and other transformed variables. Sociological Methodology, 39, 265–291.CrossRef

Wegner, D. M., & Zanakos, S. (1994). Chronic thought suppression. Journal of Personality, 62, 615–640.CrossRef

Wegner, D. M., Schneider, D. J., Carter, S. R., & White, T. L. (1987). Paradoxical effects of thought suppression. Journal of Personality and Social Psychology, 53(1), 5.CrossRefPubMed

Werner, K., & Gross, J. J. (2010). Emotion regulation and psychopathology: A conceptual framework. In A. Kring & D. Sloan (Eds.), Emotion regulation and psychopathology (pp. 13–37). New York: Guilford Press.

Werner-Seidler, A., Banks, R., Dunn, B. D., & Moulds, M. L. (2013). An investigation of the relationship between positive affect regulation and depression. Behavior Research and Therapy, 51, 46–56.CrossRef

West, S. G., Finch, J. F., & Curran, P. J. (1995). Structural equation models with non-normal variables: problems and remedies. In R. Hoyle (Ed.), Structural Equation Modeling: Concepts, Issues, and Applications (pp. 56–75). Newbury Park: Sage.

Worthington, R. L., & Whittaker, T. A. (2006). Scale development research a content analysis and recommendations for best practices. The Counseling Psychologist, 34, 806–838.CrossRef

Zahn-Waxler, C., Shirtcliff, E. A., & Marceau, K. (2008). Disorders of childhood and adolescence: Gender and psychopathology. Annual Review of Clinical Psychology, 4, 275–303.CrossRefPubMed

Zeman, J., Cassano, M., Perry-Parrish, C., & Stegall, S. (2006). Emotion regulation in children and adolescents. Journal of Developmental and Behavioral Pediatrics, 27, 155–168.CrossRefPubMed

Titel: Assessment of Emotional Avoidance in Adolescents: Psychometric Properties of a New Multidimensional Measure
Auteurs: Sarah M. Kennedy
Jill Ehrenreich-May
Publicatiedatum: 07-11-2016
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2017
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-016-9581-7

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