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Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy 1/2019

24-08-2018

Aversive Indecisiveness Predicts Risks for and Symptoms of Anxiety and Depression Over Avoidant Indecisiveness

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 1/2019

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Abstract

Indecisiveness is defined as a maladaptive trait resulting in difficulty making decisions across time and situations. Indecisiveness is positively correlated with measures of anxiety, worry, and depression and has been listed as a symptom of Major Depressive Disorder for decades. Indecisiveness is also a distinguishing cognitive process associated with other disorders, such as Generalized Anxiety Disorder, Obsessive–Compulsive Disorder, and Hoarding Disorder. Recently, indecisiveness has been found to be represented by two distinct dimensions, labeled aversive and avoidant indecisiveness. Aversive indecisiveness, represented by anticipation of negative consequences as a result of decision-making, is associated with behavioral inhibition and anticipated regret about decisional choices. Avoidant indecisiveness, represented by a preference for decisional delay and avoidance, is associated with a withdrawal from reinforcement. In this investigation, we assessed if aversive indecisiveness, due to its anticipation of negative consequences resulting from decisions, was more predictive of trait and cognitive risks for emotional distress as well as anxiety, depression, worry, diminished cognitive flexibility, and avoidance than avoidant indecisiveness. Using a college sample (N = 185), we found that aversive indecisiveness was uniquely predictive of neuroticism, Intolerance of Uncertainty, anxiety, depression, self-consciousness, worry, diminished cognitive flexibility, and multiple forms of avoidance over avoidant indecisiveness. These results indicate that anticipating negative outcomes resulting from decisional choices is more critical to anxiety and depression than a preference for decisional delay and avoidance. The results also provide preliminary evidence that aversive indecisiveness fits within a nomological network of risks for and experience of anxiety and depression.
Literatuur
go back to reference American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author. American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
go back to reference Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York, NY: Guilford Press. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York, NY: Guilford Press.
go back to reference Cavanaugh, S. V. (1984). Diagnosing depression in the hospitalized patient with chronic medical illness. Journal of Clinical Psychiatry, 45(3), 13–17.PubMed Cavanaugh, S. V. (1984). Diagnosing depression in the hospitalized patient with chronic medical illness. Journal of Clinical Psychiatry, 45(3), 13–17.PubMed
go back to reference Clark, D. A., & Beck, A. T. (2010). Cognitive therapy of anxiety disorders: Science and practice. New York, NY: Guildford Press. Clark, D. A., & Beck, A. T. (2010). Cognitive therapy of anxiety disorders: Science and practice. New York, NY: Guildford Press.
go back to reference Costa, P. T., & McCrae, R. R. (1992). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Odessa, FL: Psychological Assessment Resources. Costa, P. T., & McCrae, R. R. (1992). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Odessa, FL: Psychological Assessment Resources.
go back to reference Gosselin, P., Langlois, F., Freeston, M. H., Ladouceur, R., Dugas, M. J., & Pelletier, O. (2002). Le Questionnaire d’Évitement Cognitif (QEC): Développement et validation auprès d’adultes et d’adolescents. Journal de Thérapie Comportementale et Cognitive, 12(1), 24–37. Gosselin, P., Langlois, F., Freeston, M. H., Ladouceur, R., Dugas, M. J., & Pelletier, O. (2002). Le Questionnaire d’Évitement Cognitif (QEC): Développement et validation auprès d’adultes et d’adolescents. Journal de Thérapie Comportementale et Cognitive, 12(1), 24–37.
go back to reference Gray, J. A., & McNaughton, N. (2000). The neuropsychology of anxiety: An enquiry into the functions of the septo-hippocampal system (2nd ed.). New York, NY: Oxford University Press. Gray, J. A., & McNaughton, N. (2000). The neuropsychology of anxiety: An enquiry into the functions of the septo-hippocampal system (2nd ed.). New York, NY: Oxford University Press.
go back to reference Jeronimus, B., Kotov, R., Riese, H., & Ormel, J. (2016). Neuroticism’s prospective association with mental disorders halves after adjustment for baseline symptoms and psychiatric history, but the adjusted association hardly decays with time: A meta-analysis on 59 longitudinal/prospective studies with 443 313 participants. Psychological Medicine. https://doi.org/10.1017/S0033291716001653.CrossRefPubMed Jeronimus, B., Kotov, R., Riese, H., & Ormel, J. (2016). Neuroticism’s prospective association with mental disorders halves after adjustment for baseline symptoms and psychiatric history, but the adjusted association hardly decays with time: A meta-analysis on 59 longitudinal/prospective studies with 443 313 participants. Psychological Medicine. https://​doi.​org/​10.​1017/​S003329171600165​3.CrossRefPubMed
go back to reference Koerner, N., & Dugas, M. J. (2006). A cognitive model of generalized anxiety disorder: The role of intolerance of uncertainty. In G. C. L. Davey & A. Wells (Eds.), Worry and its psychological disorders: Theory, assessment, and treatment (pp. 201–216). Hoboken, NJ: Wiley.CrossRef Koerner, N., & Dugas, M. J. (2006). A cognitive model of generalized anxiety disorder: The role of intolerance of uncertainty. In G. C. L. Davey & A. Wells (Eds.), Worry and its psychological disorders: Theory, assessment, and treatment (pp. 201–216). Hoboken, NJ: Wiley.CrossRef
go back to reference Lauderdale, S. A. (2017). Evaluating the distinction between aversive indecisiveness and procrastination: Relationships with anxiety, anxiety vulnerability, and personality traits. Poster presented at the 51st annual convention of the Association for Behavioral and Cognitive Therapies, San Diego, CA. Lauderdale, S. A. (2017). Evaluating the distinction between aversive indecisiveness and procrastination: Relationships with anxiety, anxiety vulnerability, and personality traits. Poster presented at the 51st annual convention of the Association for Behavioral and Cognitive Therapies, San Diego, CA.
go back to reference Leahy, R. L. (1997). An investment model of depressive resistance. Journal of Cognitive Psychotherapy, 11(1), 3–19.CrossRef Leahy, R. L. (1997). An investment model of depressive resistance. Journal of Cognitive Psychotherapy, 11(1), 3–19.CrossRef
go back to reference Leahy, R. L. (2001). Depressive decision making: Validation of the portfolio theory model. Journal of Cognitive Psychotherapy, 15(4), 341–362.CrossRef Leahy, R. L. (2001). Depressive decision making: Validation of the portfolio theory model. Journal of Cognitive Psychotherapy, 15(4), 341–362.CrossRef
go back to reference Leahy, R. L. (2004). Decision making and psychopathology. In R. L. Leahy (Ed.), Contemporary cognitive therapy: Theory, research, and practice (pp. 116–138). New York, NY: Guilford Press. Leahy, R. L. (2004). Decision making and psychopathology. In R. L. Leahy (Ed.), Contemporary cognitive therapy: Theory, research, and practice (pp. 116–138). New York, NY: Guilford Press.
go back to reference Leahy, R. L., Holland, S. J. F., & McGinn, L. K. (2012a). Treatment plans and interventions for depression and anxiety disorders (2nd ed.). New York, NY: Guilford Press. Leahy, R. L., Holland, S. J. F., & McGinn, L. K. (2012a). Treatment plans and interventions for depression and anxiety disorders (2nd ed.). New York, NY: Guilford Press.
go back to reference Riskind, J. H., & Williams, N. L. (2006). A unique vulnerability common to all anxiety disorders: The Looming Maladaptive Style. In L. B. Alloy & J. H. Riskind (Eds.), Cognitive vulnerability to emotional disorders (pp. 175–206). Mahwah, NJ: Lawrence Erlbaum Associates. Riskind, J. H., & Williams, N. L. (2006). A unique vulnerability common to all anxiety disorders: The Looming Maladaptive Style. In L. B. Alloy & J. H. Riskind (Eds.), Cognitive vulnerability to emotional disorders (pp. 175–206). Mahwah, NJ: Lawrence Erlbaum Associates.
go back to reference Steiger, J. H. (1980). Tests for comparing elements of a correlation matrix. Psychological Bulletin, 87(2), 245–251.CrossRef Steiger, J. H. (1980). Tests for comparing elements of a correlation matrix. Psychological Bulletin, 87(2), 245–251.CrossRef
go back to reference Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston, MA: Allyn & Bacon/Pearson Education. Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston, MA: Allyn & Bacon/Pearson Education.
go back to reference Zinbarg, R. E., Mineka, S., Bobova, L., Craske, M. G., Vrschek-Schallhorn, S., Griffith, J., et al. (2016). Testing a hierarchical model of neuroticism and its cognitive facets: Latent structure and prospective prediction of first onsets of anxiety and unipolar mood disorders during 3 years in late adolescence. Clinical Psychological Science. https://doi.org/10.1177/2167702615618162.CrossRefPubMedPubMedCentral Zinbarg, R. E., Mineka, S., Bobova, L., Craske, M. G., Vrschek-Schallhorn, S., Griffith, J., et al. (2016). Testing a hierarchical model of neuroticism and its cognitive facets: Latent structure and prospective prediction of first onsets of anxiety and unipolar mood disorders during 3 years in late adolescence. Clinical Psychological Science. https://​doi.​org/​10.​1177/​2167702615618162​.CrossRefPubMedPubMedCentral
Metagegevens
Titel
Aversive Indecisiveness Predicts Risks for and Symptoms of Anxiety and Depression Over Avoidant Indecisiveness
Publicatiedatum
24-08-2018
Gepubliceerd in
Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 1/2019
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI
https://doi.org/10.1007/s10942-018-0302-x

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