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11-05-2023

Context is belangrijk: kritiek en accommodatie door naasten in relatie tot de behandelattitude van mensen met angstklachten

Auteurs: Olivia A. Merritt, Karen Rowa, Christine L. Purdon

Gepubliceerd in: Gezinstherapie Wereldwijd | Uitgave 3/2023

Samenvatting

Achtergrond: veel mensen met angstklachten zoeken geen hulp vanwege negatieve ideeën over behandeling. Naasten (bijv. partner, familieleden, vrienden) zijn vaak nauw betrokken bij behandelbeslissingen, maar de rol van specifiek relationeel gedrag bij behandelambivalentie is nog niet eerder onderzocht.

Doelstellingen: In deze studie wordt de relatie onderzocht tussen sociale predictoren (accommodatie bij angstsymptomen en gepercipieerde kritiek door naasten) en behandelambivalentie.

Methode: Leden uit de gemeenschap die voldeden aan de criteria voor een angstgerelateerde stoornis (N = 65) en studenten met een hoge mate van angstklachten (N = 307) hebben deelgenomen aan een online studie. De deelnemers moesten zich voorstellen dat zij overwogen om te beginnen met Cognitieve Gedragstherapie (CGT) voor hun angstklachten en vulden vervolgens een vragenlijst in over behandelambivalentie. Daarna vulden zij vragenlijsten in over accommodatie en gepercipieerde kritiek door naasten. Aan de hand van lineaire regressie hebben we de voorspellende waarde van deze variabelen onderzocht, terwijl gecontroleerd werd voor het type steekproef (klinisch/analoog) en de behandelgeschiedenis.

Resultaten: Een sterkere reactie op kritiek van naasten en een grotere mate van accommodatie door naasten is gerelateerd aan meer ambivalente attitude van de deelnemers met angstsymptomen. Deze predictoren blijven significant, ook als is gecontroleerd voor behandelgeschiedenis en type steekproef

Conclusies: Als het gaat om behandelattitude is de relationele context belangrijk. Cliënten die ambivalente gevoelens hebben over een start maken met therapie, kunnen gebaat zijn bij een gesprek over de invloed van hun sociale omgeving op deze ambivalentie.

vorige artikel “We hebben haar te vroeg weggebracht”: schuldgevoel bij volwassen kinderen en partners na verhuizing van een familielid met dementie naar een zorginstelling

volgende artikel Relatie-ondermijnende uitspraken van psychotherapeuten bij cliënten met huwelijks- of relatieproblemen

Amiri, M., Chaman, R., & Khosravi, A. (2019). The relationship between health-promoting lifestyle and its related factors with self-efficacy and well-being of students. Osong Public Health and Research Perspectives, 10, 221.PubMedPubMedCentralCrossRef

Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176.CrossRef

Basharpoor, S., Heidari, F., & Narimani, M. (2020). Personality deviance, distress tolerance, and readiness to change in treatment-seeking substance users. Journal of Substance Use, 25, 211–216.CrossRef

Bögels, S. M., & Brechman-Toussaint, M. L. (2006). Family issues in child anxiety: attachment, family functioning, parental rearing and beliefs. Clinical Psychology Review, 26, 834–856.PubMedCrossRef

Bonabi, H., Müller, M., Ajdacic-Gross, V., Eisele, J., Rodgers, S., Seifritz, E., & Rüsch, N. (2016). Mental health literacy, attitudes to help seeking, and perceived need as predictors of mental health service use: a longitudinal study. Journal of Nervous and Mental Disease, 204, 321–324.PubMedCrossRef

Brewin, C. R., Andrews, B., & Furnham, A. (1996). Self-critical attitudes and parental criticism in young women. British Journal of Medical Psychology, 69, 69–78.PubMedCrossRef

Calvocoressi, L., Mazure, C. M., Kasl, S. V., Skolnick, J., Fisk, D., Vegso, S. J., & Price, L. H. (1999). Family accommodation of obsessive-compulsive symptoms: instrument development and assessment of family behavior. Journal of Nervous and Mental Disease, 187, 636–642.PubMedCrossRef

Chambless, D. L., & Blake, K. D. (2009). Construct validity of the perceived criticism measure. Behavior Therapy, 40(2), 155–163.PubMedCrossRef

Chambless, D. L., & Steketee, G. (1999). Expressed emotion and behavior therapy outcome: a prospective study with obsessive–compulsive and agoraphobic outpatients. Journal of Consulting and Clinical Psychology, 67(5), 658.PubMedCrossRef

Chambless, D. L., Bryan, A. D., Aiken, L. S., Steketee, G., & Hooley, J. M. (1999). The structure of expressed emotion: a three-construct representation. Psychological Assessment, 11(1), 67.CrossRef

Chambless, D. L., Bryan, A. D., Aiken, L. S., Steketee, G., & Hooley, J. M. (2001). Predicting expressed emotion: a study with families of obsessive–compulsive and agoraphobic outpatients. Journal of Family Psychology, 15(2), 225.PubMedCrossRef

Choo, J., & Kang, H. (2015). Predictors of initial weight loss among women with abdominal obesity: a path model using selfefficacy and health-promoting behaviour. Journal of Advanced Nursing, 71, 1087–1097.PubMedCrossRef

Christiana, J. M., Gilman, S. E., Guardino, M., Mickelson, K., Morselli, P. L., Olfson, M., & Kessler, R. C. (2000). Duration between onset and time of obtaining initial treatment among people with anxiety and mood disorders: an international survey of members of mental health patient advocate groups. Psychological Medicine, 30, 693–703.PubMedCrossRef

Cohen, S., & Panebianco, C. (2020). The role of personality and self-efficacy in music students’ health-promoting behaviours. Musicae Scientiae, 26. https://doi.org/10.1177/1029864920966771.CrossRef

Elhai, J. D., Schweinle, W., & Anderson, S. M. (2008). Reliability and validity of the attitudes toward seeking professional psychological help scale-short form. Psychiatry Research, 159, 320–329.PubMedCrossRef

Emmelkamp, P. M. G., Kloek, J., Blaauw, E., & Wilson, P. H. (1992). Principles and practice of relapse prevention. New York: Guilford.

Gersh, E., Hallford, D. J., Rice, S. M., Kazantzis, N., Gersh, H., Gersh, B., & McCarty, C. A. (2017). Systematic review and meta-analysis of dropout rates in individual psychotherapy for generalized anxiety disorder. Journal of Anxiety Disorders, 52, 25–33.PubMedCrossRef

Gillis, A. J. (1993). Determinants of a health-promoting lifestyle: an integrative review. Journal of Advanced Nursing, 18, 345–353.PubMedCrossRef

Hinojosa-Marqués, L., Monsonet, M., Kwapil, T. R., & Barrantes-Vidal, N. (2021). The impact of family environment on self-esteem and symptoms in early psychosis. PloS One, 16, e249721.PubMedPubMedCentralCrossRef

Hooley, J. M., & Teasdale, J. D. (1989). Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. Journal of Abnormal Psychology, 98(3), 229.PubMedCrossRef

Jennings, K. S., Cheung, J. H., Britt, T. W., Goguen, K. N., Jeffirs, S. M., Peasley, A. L., & Lee, A. C. (2015). How are perceived stigma, self-stigma, and self-reliance related to treatment-seeking? A three-path model. Psychiatric Rehabilitation Journal, 38, 109–116. https://doi.org/10.1037/prj0000138.CrossRefPubMed

Johnson, E. M., & Coles, M. E. (2013). Failure and delay in treatment-seeking across anxiety disorders. Community Mental Health Journal, 49, 668–674.PubMedCrossRef

Kagan, E. R., Peterman, J. S., Carper, M. M., & Kendall, P. C. (2016). Accommodation and treatment of anxious youth. Depression and Anxiety, 33, 840–847.PubMedCrossRef

Kam, B., Mendoza, H., & Masuda, A. (2019). Mental health help-seeking experience and attitudes in Latina/o American, Asian American, Black American, and White American college students. International Journal for the Advancement of Counselling, 41, 492–508.CrossRef

Kessler, R. C. (1997). The prevalence of psychiatric comorbidity. In S. Wetzler &W & C. Sanderson (red.), Treatment strategies for patients with psychiatric comorbidity (pag. 23–48). John Wiley & Sons.

Kessler, R. C., & Greenberg, P. E. (2002). The economic burden of anxiety and stress disorders. Neuropsychopharmacology: The Fifth Generation of Progress, 67, 982–992.

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.PubMedCrossRef

Kessler, R. C., Ruscio, A. M., Shear, K., & Wittchen, H. U. (2009). Epidemiology of anxiety disorders. In M. B. Stein & T. Steckler (red.), Current topics in behavioral neurosciences: behavioral neurobiology of anxiety and its treatment (pag. 21–35). Berlin: Springer.CrossRef

Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: Guilford.

Koerner, N., Dugas, M. J., Savard, P., Gaudet, A., Turcotte, J., & Marchand, A. (2004). The economic burden of anxiety disorders in Canada. Canadian Psychology, 45, 191.CrossRef

Lebowitz, E. R., Woolston, J., Bar-Haim, Y., Calvocoressi, L., Dauser, C., Warnick, E., & Leckman, J. F. (2013). Family accommodation in pediatric anxiety disorders. Depression and anxiety, 30(1), 47–54.PubMedCrossRef

Lebowitz, E. R., Scharfstein, L., & Jones, J. (2015). Child-report of family accommodation in pediatric anxiety disorders: comparison and integration with mother-report. Child Psychiatry & Human Development, 46, 501–511.CrossRef

Lebowitz, E. R., Panza, K. E., & Bloch, M. H. (2016). Family accommodation in obsessive-compulsive and anxiety disorders: a five-year update. Expert Review of Neurotherapeutics, 16(1), 45–53.PubMedCrossRef

Lewinsohn, P. M., Gotlib, I. H., Lewinsohn, M., Seeley, J. R., & Allen, N. B. (1998). Gender differences in anxiety disorders and anxiety symptoms in adolescents. Journal of Abnormal Psychology, 107, 109.PubMedCrossRef

Li, W., Dorstyn, D. S., & Denson, L. A. (2014). Psychosocial correlates of college students’ help-seeking intention: a metaanalysis. Professional Psychology: Research and Practice, 45, 163.CrossRef

Lou, C., Zhou, X., Lebowitz, E. R., Williams, L. L., & Storch, E. A. (2020). Assessing symptom accommodation of social anxiety symptoms among chinese adults: Factor structure and psychometric properties of family accommodation scale anxiety—adult report. Frontiers in Psychology, 11, 1018.PubMedPubMedCentralCrossRef

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343.PubMedCrossRef

Masland, S. R., & Hooley, J. M. (2015). Perceived criticism: a research update for clinical practitioners. Clinical Psychology: Science and Practice, 22(3), 211.

Masland, S. R., Hooley, J. M., Tully, L. M., Dearing, K., & Gotlib, I. H. (2015). Cognitive-processing biases in individuals high on perceived criticism. Clinical Psychological Science, 3(1), 3–14.CrossRef

McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011). Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research, 45, 1027–1035.PubMedPubMedCentralCrossRef

Merlo, L. J., Lehmkuhl, H. D., Geffken, G. R., & Storch, E. A. (2009). Decreased family accommodation associated with improved therapy outcome in pediatric obsessive–compulsive disorder. Journal of Consulting and Clinical Psychology, 77(2), 355.PubMedPubMedCentralCrossRef

Merritt, O. A., & Purdon, C. L. (2020). Scared of compassion: fear of compassion in anxiety, mood, and non-clinical groups. British Journal of Clinical Psychology, 59, 354–368.PubMedCrossRef

Mojtabai, R., Olfson, M., & Mechanic, D. (2002). Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Archives of General Psychiatry, 59, 77–84.PubMedCrossRef

Moscovitch, D. A., Shaughnessy, K., Waechter, S., Xu, M., Collaton, J., Nelson, A. L., & Purdon, C. (2015). A model for recruiting clinical research participants with anxiety disorders in the absence of service provision: Visions, challenges, and norms within a Canadian context. The Journal of Nervous and Mental Disease, 203(12), 943–957.PubMedCrossRef

Nam, S. K., Chu, H. J., Lee, M. K., Lee, J. H., Kim, N., & Lee, S. M. (2010). A meta-analysis of gender differences in attitudes toward seeking professional psychological help. Journal of American College Health, 59, 110–116.PubMedCrossRef

Nam, S. K., Choi, S. I., Lee, J. H., Lee, M. K., Kim, A. R., & Lee, S. M. (2013). Psychological factors in college students’ attitudes toward seeking professional psychological help: a meta-analysis. Professional Psychology: Research and Practice, 44, 37.CrossRef

Ng, T. P., Jin, A. Z., Ho, R., Chua, H. C., Fones, C. S., & Lim, L. (2008). Health beliefs and help seeking for depressive and anxiety disorders among urban Singaporean adults. Psychiatric Services, 59, 105–108.PubMedCrossRef

Norcross, J. C., Hedges, M., & Castle, P. H. (2002). Psychologists conducting psychotherapy in 2001: a study of the Division 29 membership. Psychotherapy: Theory, Research, Practice, Training, 39, 97.CrossRef

Pescosolido, B. A. (1992). Beyond rational choice: the social dynamics of how people seek help. American Journal of Sociology, 97, 1096–1138. https://doi.org/10.1086/229863.CrossRef

Picco, L., Abdin, E., Chong, S. A., Pang, S., Shafie, S., Chua, B. Y., & Subramaniam, M. (2016). Attitudes toward seeking professional psychological help: factor structure and socio-demographic predictors. Frontiers in Psychology, 7, 547.PubMedPubMedCentralCrossRef

Porter, E., Chambless, D. L., Keefe, J. R., Allred, K. M., & Brier, M. J. (2019). Social anxiety disorder and perceived criticism in intimate relationships: comparisons with normal and clinical control groups. Behavior Therapy, 50, 241–253.PubMedCrossRef

Price, M., & Anderson, P. L. (2012). Outcome expectancy as a predictor of treatment response in cognitive behavioral therapy for public speaking fears within social anxiety disorder. Psychotherapy, 49(2), 173.PubMedCrossRef

Reavley, N. J., Cvetkovski, S., Jorm, A. F., & Lubman, D. I. (2010). Help-seeking for substance use, anxiety and affective disorders among young people: results from the 2007 Australian National Survey of Mental Health and Wellbeing. Australian & New Zealand Journal of Psychiatry, 44, 729–735.CrossRef

Renshaw, K. D. (2008). The predictive, convergent, and discriminant validity of perceived criticism: a review. Clinical Psychology Review, 28(3), 521–534.PubMedCrossRef

Renshaw, K. D., Chambless, D., & Steketee, G. (2001). Comorbidity fails to account for the relationship of expressed emotion and perceived criticism to treatment outcome in patients with anxiety disorders. Journal of Behavior Therapy and Experimental Psychiatry, 32(3), 145–158.PubMedCrossRef

Renshaw, K. D., Chambless, D. L., & Steketee, G. (2003). Perceived criticism predicts severity of anxiety symptoms after behavioral treatment in patients with obsessive-compulsive disorder and panic disorder with agoraphobia. Journal of Clinical Psychology, 59(4), 411–421.PubMedCrossRef

Renshaw, K. D., Steketee, G., & Chambless, D. L. (2005). Involving family members in the treatment of OCD. Cognitive Behaviour Therapy, 34(3), 164–175.PubMedCrossRef

Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: family social environments and the mental and physical health of offspring. Psychological Bulletin, 128, 330.PubMedCrossRef

Roness, A., Mykletun, A., & Dahl, A. A. (2005). Help-seeking behaviour in patients with anxiety disorder and depression. Acta Psychiatrica Scandinavica, 111, 51–58.PubMedCrossRef

Ross, L., Lepper, M., & Ward, A. (2010). History of social psychology: insights, challenges, and contributions to theory and application. In S. T. Fiske, D. T. Gilbert & G. Lindzey (red.), Handbook of social psychology (pag. 3–50). John Wiley & Sons. https://doi.org/10.1002/9780470561119.socpsy001001.CrossRef

Rowa, K., Gifford, S., McCabe, R., Milosevic, I., Antony, M. M., & Purdon, C. (2014). Treatment fears in anxiety disorders: development and validation of the treatment ambivalence questionnaire. Journal of Clinical Psychology, 70(10), 979–993.PubMedCrossRef

Safren, S. A., Heimberg, R. G., & Juster, H. R. (1997). Clients’ expectancies and their relationship to pretreatment symptomatology and outcome of cognitive-behavioral group treatment for social phobia. Journal of Consulting and Clinical Psychology, 65(4), 694.PubMedCrossRef

Santana, L., & Fontenelle, L. F. (2011). A review of studies concerning treatment adherence of patients with anxiety disorders. Patient Preference and Adherence, 5, 427.PubMedPubMedCentral

Selles, R. R., Rowa, K., McCabe, R., Purdon, C., & Storch, E. A. (2013). Prevalence and clinical correlates of treatment concerns in a sample of treatment seeking youth with obsessive–compulsive disorder. Journal of Obsessive-Compulsive and Related Disorders, 2, 286–291.CrossRef

Sheehan, D. V. (2014). The mini-international neuropsychiatric interview, version 7.0 for DSM‑5 (M.I.N.I 7.0). Jacksonville: Medical Outcomes Systems.

Steketee, G. (1993). Social support and treatment outcome of obsessive compulsive disorder at 9‑month follow-up. Behavioural and Cognitive Psychotherapy, 21(2), 81–95.CrossRef

Steketee, G., Lam, J. N., Chambless, D. L., Rodebaugh, T. L., & McCullouch, C. E. (2007). Effects of perceived criticism on anxiety and depression during behavioral treatment of anxiety disorders. Behaviour Research and Therapy, 45(1), 11–19.PubMedCrossRef

Strauss, C., Hale, L., & Stobie, B. (2015). A meta-analytic review of the relationship between family accommodation and OCD symptom severity. Journal of Anxiety Disorders, 33, 95–102.PubMedCrossRef

Taylor, S., Abramowitz, J. S., & McKay, D. (2012). Non-Adherence and non-response in the treatment of anxiety disorders. Journal of Anxiety Disorders, 26(5), 583–589.PubMedCrossRef

Vogel, D. L., Wester, S. R., Wei, M., & Boysen, G. A. (2005). The role of outcome expectations and attitudes on decisions to seek professional help. Journal of Counseling Psychology, 52, 459.CrossRef

Wang, P. S., Berglund, P., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 603–613.PubMedCrossRef

White, J. D., Strong, J. E., & Chambless, D. L. (1998). Validity of the perceived criticism measure in an undergraduate sample. Psychological Reports, 83(1), 83–97.PubMedCrossRef

Wood, J., McLeod, B. D., Sigman, M., Hwang, W.-C., & Chu, B. C. (2003). Parenting and childhood anxiety: theory, empirical findings, and future directions. Journal of Child Psychology and Psychiatry, 44, 134–151.PubMedCrossRef

Wu, M. S., McGuire, J. F., Martino, C., Phares, V., Selles, R. R., & Storch, E. A. (2016). A meta-analysis of family accommodation and OCD symptom severity. Clinical Psychology Review, 45, 34–44.PubMedCrossRef

Titel: Context is belangrijk: kritiek en accommodatie door naasten in relatie tot de behandelattitude van mensen met angstklachten
Auteurs: Olivia A. Merritt
Karen Rowa
Christine L. Purdon
Publicatiedatum: 11-05-2023
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Gezinstherapie Wereldwijd / Uitgave 3/2023
Print ISSN: 1566-0206
Elektronisch ISSN: 1876-5874
DOI: https://doi.org/10.1007/s12440-023-00199-z

“We hebben haar te vroeg weggebracht”: schuldgevoel bij volwassen kinderen en partners na verhuizing van een familielid met dementie naar een zorginstelling

Bohn Stafleu van Loghum

Context is belangrijk: kritiek en accommodatie door naasten in relatie tot de behandelattitude van mensen met angstklachten

Samenvatting

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