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23-09-2023 | Original Article

Burden-Related Interpretation Bias: A Novel Predictor of Perceived Burdensomeness and Suicidal Thoughts and Behaviors

Auteurs: Jeremy W. Pettit, Victor Buitron, Ryan M. Hill

Gepubliceerd in: Cognitive Therapy and Research

Abstract

Purpose

We examined whether the tendency to interpret situation-specific information as indicating one is a liability on others (i.e., burden-related interpretation bias) is associated with beliefs that one is a burden on others (perceived burdensomeness) and suicide thoughts and behaviors.

Methods

888 participants completed interpretation bias tasks and measures of perceived burdensomeness, suicide ideation and suicide attempt, and depressive symptoms.

Results

Burden-related interpretation bias was significantly associated with perceived burdensomeness, suicide ideation, and a lifetime suicide attempt. Perceived burdensomeness mediated the associations between burden-related interpretation bias and suicide thoughts and behaviors. These associations largely remained significant after controlling for depressive symptoms.

Conclusions

These results identify burden-related interpretations as an information processing bias related to the belief that one is a burden on others and suicide thoughts and behaviors. As such, they set the stage for the development and evaluation of approaches to intervene on burden-related interpretation bias to prevent and/or reduce suicide thoughts and behaviors.

Alleen toegankelijk voor geautoriseerde gebruikers

We are grateful to an anonymous reviewer for suggesting these analyses.

Amir, N., & Taylor, C. T. (2012). Interpretation training in individuals with generalized social anxiety disorder: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 80(3), 497–511. https://doi.org/10.1037/a0026928.CrossRefPubMedPubMedCentral

Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D (center for epidemiologic Studies Depression Scale). American Journal of Preventive Medicine, 10(2), 77–84.CrossRefPubMed

Beadel, J. R., Smyth, F. L., & Teachman, B. A. (2014). Change processes during cognitive bias modification for obsessive compulsive beliefs. Cognitive Therapy and Research, 38(2), 103–119. https://doi.org/10.1007/s10608-013-9576-6.CrossRef

Beard, C., & Amir, N. (2009). Interpretation in social anxiety: When meaning precedes ambiguity. Cognitive Therapy and Research, 33(4), 406–415. https://doi.org/10.1007/s10608-009-9235-0.CrossRefPubMedPubMedCentral

Boffa, J. W., Norr, A. M., Tock, J. L., Amir, N., & Schmidt, N. B. (2018). Development of the interpretation Bias Index for PTSD. Cognitive Therapy and Research, 42(5), 720–734. https://doi.org/10.1007/s10608-018-9915-8.CrossRefPubMedPubMedCentral

Bosco, F. A., Aguinis, H., Singh, K., Field, J. G., & Pierce, C. A. (2015). Correlational effect size benchmarks. Journal of Applied Psychology, 100(2), 431–449. https://doi.org/10.1037/a0038047.CrossRefPubMed

Buitron, V., Hill, R. M., Bose, D., Vaclavik, D., Rey, Y., & Pettit, J. W. (2022). Brief modular approach to target perceived burdensomeness in clinic-referred youth. Suicide & Life Threatening Behavior, 52(4), 752–762. https://doi.org/10.1111/sltb.12858.CrossRef

Chen, J. W., Short, M., & Kemps, E. (2020). Interpretation bias in social anxiety: A systematic review and meta-analysis. Journal of Affective Disorders, 276, 1119–1130. https://doi.org/10.1016/j.jad.2020.07.121.CrossRefPubMed

Chu, C., Buchman-Schmitt, J. M., Stanley, I. H., Hom, M. A., Tucker, R. P., Hagan, C. R., & Joiner, T. E. (2017). The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. Psychological Bulletin, 143(12), 1313–1345. https://doi.org/10.1037/bul0000123.CrossRefPubMedPubMedCentral

Dillon, K. H., Allan, N. P., Cougle, J. R., & Fincham, F. D. (2016). Measuring hostile interpretation bias: The WSAP-Hostility scale. Assessment, 23(6), 707–719. https://doi.org/10.1177/1073191115599052.CrossRefPubMed

Everaert, J., Podina, I. R., & Koster, E. H. W. (2017). A comprehensive meta-analysis of interpretation biases in depression. Clinical Psychology Review, 58, 33–48. https://doi.org/10.1016/j.cpr.2017.09.005.CrossRefPubMed

Everaert, J., Bronstein, M. V., Cannon, T. D., Klonsky, E. D., & Joormann, J. (2021). Inflexible interpretations of ambiguous social situations: A novel predictor of suicidal ideation and the beliefs that inspire it. Clinical Psychological Science, 9(5), 879–899. https://doi.org/10.1177/2167702621993867.CrossRef

Feng, Y. C., Krahe, C., Sumich, A., Meeten, F., Lau, J. Y. F., & Hirsch, C. R. (2019). Using event-related potential and behavioural evidence to understand interpretation bias in relation to worry. Biological Psychology, 148, https://doi.org/10.1016/j.biopsycho.2019.107746.

Gonsalves, M., Whittles, R. L., Weisberg, R. B., & Beard, C. (2019). A systematic review of the word sentence association paradigm (WSAP). Journal of Behavior Therapy and Experimental Psychiatry, 64, 133–148. https://doi.org/10.1016/j.jbtep.2019.04.003.CrossRefPubMedPubMedCentral

Hayes, A. (2022). Introduction to mediation, moderation, and conditional process analysis (3rd ed.).). Guilford.

Hill, R. M., & Pettit, J. W. (2014). Perceived burdensomeness and suicide-related behaviors in clinical samples: Current evidence and future directions. Journal of Clinical Psychology, 70(7), 631–643. https://doi.org/10.1002/jclp.22071.CrossRefPubMed

Hill, R. M., & Pettit, J. W. (2019). Pilot randomized controlled trial of LEAP: A selective preventive intervention to reduce adolescents’ perceived burdensomeness. Journal of Clinical Child and Adolescent Psychology, 48(sup1), S45–S56. https://doi.org/10.1080/15374416.2016.1188705.CrossRefPubMed

Hill, R. M., Rey, Y., Marin, C. E., Sharp, C., Green, K. L., & Pettit, J. W. (2015). Evaluating the interpersonal needs questionnaire: Comparison of the reliability, factor structure, and predictive validity across five versions. Suicide & Life Threatening Behavior, 45(3), 302–314. https://doi.org/10.1111/sltb.12129.CrossRef

Hill, R. M., Hunt, Q. A., Oosterhoff, B., Yeguez, C. E., & Pettit, J. W. (2019). Perceived burdensomeness among adolescents: A mixed-methods analysis of the contexts in which perceptions of burdensomeness occur. Journal of Social and Clinical Psychology, 38(7), 585–604. https://doi.org/10.1521/jscp.2019.38.7.585.CrossRef

Hill, R. M., Hussain, Z., Vieyra, B., & Gallagher, A. (2022). Reporting ethical procedures in suicide prevention research: Current status and recommendations. Archives of Suicide Research, 1–18. https://doi.org/10.1080/13811118.2022.2131493.

Hindash, A. H. C., & Amir, N. (2012). Negative interpretation bias in individuals with depressive symptoms. Cognitive Therapy and Research, 36(5), 502–511. https://doi.org/10.1007/s10608-011-9397-4.CrossRef

Hirsch, C. R., Meeten, F., Krahe, C., & Reeder, C. (2016). Resolving ambiguity in emotional disorders: The nature and role of interpretation biases. Annual Review of Clinical Psychology, 12, 281–305. https://doi.org/10.1146/annurev-clinpsy-021815-093436.CrossRefPubMed

Irwin, M., Artin, K. H., & Oxman, M. N. (1999). Screening for depression in the older adult: Criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D). Archives of Internal Medicine, 159(15), 1701–1704. https://doi.org/10.1001/archinte.159.15.1701.CrossRefPubMed

Joiner, T. E. (2005). Why people die by suicide. Harvard University Press.

Luxton, D. D., Rudd, M. D., Reger, M. A., & Gahm, G. A. (2011). A psychometric study of the suicide ideation scale. Archives of Suicide Research, 15(3), 250–258. https://doi.org/10.1080/13811118.2011.589720.CrossRefPubMed

Moser, J. S., Hajcak, G., Huppert, J. D., Foa, E. B., & Simons, R. F. (2008). Interpretation bias in social anxiety as detected by event-related brain potentials. Emotion, 8(5), 693–700. https://doi.org/10.1037/a0013173.CrossRefPubMedPubMedCentral

Rice, S. P. M., & Shorey-Fennell, B. R. (2020). Comparing the psychometric properties of common measures of positive and negative emotional experiences: Implications for the assessment of subjective wellbeing. Journal of Well-Being Assessment, 4, 37–56. https://doi.org/10.1007/s41543-020-00025-1.CrossRef

Rudd, M. D. (1989). The prevalence of suicidal ideation among college students. Suicide & Life Threatening Behavior, 19(2), 173–183. https://doi.org/10.1111/j.1943-278x.1989.tb01031.x.CrossRef

Schmidt, N. B., Norr, A. M., Allan, N. P., Raines, A. M., & Capron, D. W. (2017). A randomized clinical trial targeting anxiety sensitivity for patients with suicidal ideation. Journal of Consulting and Clinical Psychology, 85(6), 596–610. https://doi.org/10.1037/ccp0000195.CrossRefPubMed

Schmidt, N. B., Capron, D., Raines, A. M., Albanese, B., Short, N., Mathes, B. M., & Allan, N. (2023). Evaluating the long-term (three year) durability of brief interventions targeting risk factors for psychopathology. Journal of Anxiety Disorders, 96, 102710. https://doi.org/10.1016/j.janxdis.2023.102710.CrossRefPubMed

Schoth, D. E., & Liossi, C. (2017). A systematic review of experimental paradigms for exploring biased interpretation of ambiguous information with emotional and neutral associations. Frontiers in Psychology, 8, https://doi.org/10.3389/fpsyg.2017.00171.

Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. Jr. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. https://doi.org/10.1037/a0018697.CrossRefPubMedPubMedCentral

Van Orden, K. A., Cukrowicz, K. C., Witte, T. K., & Joiner, T. E. (2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the interpersonal needs questionnaire. Psychological Assessment, 24(1), 197–215. https://doi.org/10.1037/a0025358.CrossRefPubMed

Woud, M. L., Pawelczak, S., Rinck, M., Lindenmeyer, J., Souren, P., Wiers, R. W., & Becker, E. S. (2014). Alcohol-related interpretation bias in alcohol-dependent patients. Alcoholism-Clinical and Experimental Research, 38(4), 1151–1159. https://doi.org/10.1111/acer.12334.CrossRefPubMed

Titel: Burden-Related Interpretation Bias: A Novel Predictor of Perceived Burdensomeness and Suicidal Thoughts and Behaviors
Auteurs: Jeremy W. Pettit
Victor Buitron
Ryan M. Hill
Publicatiedatum: 23-09-2023
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-023-10433-1

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Abstract

Purpose

Methods

Results

Conclusions

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