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09-07-2020 | Original Article

Cognitive Control Training as an Augmentation Strategy to CBT in the Treatment of Fear of Failure in Undergraduates

Auteurs: Nathan Van den Bergh, Sarah Vermeersch, Kristof Hoorelbeke, Jasmien Vervaeke, Rudi De Raedt, Ernst H. W. Koster

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2020

Abstract

Background

Previous research in the context of depression indicates that Cognitive Control Training (CCT) has the potential to reduce maladaptive emotion regulation, such as rumination. However, as a stand-alone intervention, CCT does not seem to increase adaptive emotion regulation. We examined whether CCT combined with a traditional fear of failure intervention program would improve emotion regulation and psychopathology symptoms.

Methods

102 students participating in a group-based cognitive behavior therapy (CBT) program targeting fear of failure were randomized to CCT or active placebo conditions, performing ten 15-min sessions of the adaptive Paced Auditory Serial Addition Task or an adaptive speed-of-response task, respectively. Primary outcome measures were Repetitive Negative Thinking (RNT) and symptoms related to depression, anxiety and stress. Secondary outcomes included adaptive cognitive emotion regulation strategies.

Results

Task-specific cognitive transfer was observed in the CCT condition. In both conditions, RNT and symptoms were reduced. In contrast to our hypotheses, the CCT condition did not significantly differ from the active control condition in terms of treatment effects.

Conclusions

The current study is among the first to investigate the added value of combining CCT with CBT in an anxious sample. CCT did not augment effects of a CBT-based fear of failure treatment.

vorige artikel Emotion Malleability Beliefs and Emotion Experience and Regulation in the Daily Lives of People with High Trait Social Anxiety

volgende artikel Evaluation of the Factor Structure and Content Specificity of the Interpretation Bias Task (IBT)

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Effects of (potential) violations of test assumptions due to the distribution of variables were evaluated using non-parametric tests. However, the main analysis proved to be robust, adding to the validity of the reported findings.

As preregistered, we hypothesized that the differential effects of training on depression, anxiety and stress symptoms may be mediated by the changes in RNT. In line with null findings regarding emotional transfer, mediation analyses did not reveal any direct or indirect effects of non-adaptive PASAT performance gains for depression, anxiety and stress symptoms (see Supplemental Material 2).

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Titel: Cognitive Control Training as an Augmentation Strategy to CBT in the Treatment of Fear of Failure in Undergraduates
Auteurs: Nathan Van den Bergh
Sarah Vermeersch
Kristof Hoorelbeke
Jasmien Vervaeke
Rudi De Raedt
Ernst H. W. Koster
Publicatiedatum: 09-07-2020
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10129-w

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