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Gepubliceerd in: Cognitive Therapy and Research 6/2011

01-12-2011 | Original Article

Dyadic Moderators of the Effectiveness of Problem-Focused and Emotional-Approach Coping Interventions

Auteurs: John P. Baker, Howard Berenbaum

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2011

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Abstract

A prospective dyadic study examined whether supportive or unsupportive behaviors of a partner and individual differences in attention to emotion moderated the effectiveness of problem-focused and emotional-approach coping interventions. At Time 1, dimensions of emotional experience were assessed using self-report. Several days later participants (two friends of the same gender) were randomly assigned to either a problem-focused or an emotional-approach coping intervention. Positive affect, negative affect, and anhedonic depression were measured at Time 1 and at Time 2, 2 weeks subsequent to the intervention. The levels of perceived support provided by a partner, an individual’s own level of attention to emotion, and individual × partner interactions moderated the success of the coping interventions.
Voetnoten
1
In our past research, we examined whether or not another dimension of emotional experience, clarity of emotions, would interact with the coping intervention to predict outcome. We did not expect clarity of emotions to moderate the differential effectiveness of the coping intervention as Baker and Berenbaum (2008), a study like the current one that occurred in an interpersonal context, found that only attention to emotions, not clarity, was a significant moderator. Since clarity was a moderator in Baker and Berenbaum (2007), a diary study, we did include clarity in our analyses for the sake of thoroughness and discriminant validity.
 
2
We found the alpha of TAS-20 externally oriented thinking (EOT) to be .64 which is consistent with the alphas for our previous two studies (.63 and .64, respectively and is consistent with other studies (Kooiman et al. 2002). This is rather low for an 8-item single-factor scale and is a potential limitation in our study. Kooiman et al. (2002) has been critical of the low reliability of the EOT scale and has suggested combining it with other scales. Following his advice we combined it with TMMS Attention subscale.
 
3
To test for discriminant validity, we did examine a Coping Intervention × Clarity/Communication × Past Behavior 3-way interaction. Therefore, parallel APIM analyses were conducted for thoroughness though we did not expect to find significance.
 
4
In our APIM analyses we did not include Actor’s Past Unsupportive Behavior, Attention (partner), and the attendant interactions (e.g., Coping Intervention × Actor’s Past Unsupportive Behavior; Coping Intervention × Attention (partner)) as previous analyses revealed no statistical significance, and we also hypothesized such terms would not likely be theoretically significant. But we did conduct exploratory APIM analyses which included all such terms. The Coping Intervention × Partner Past Unsupportive Behavior × Attention 3-way interactions predicting NA and anhedonic depression remained statistically significant when including the attendant interactions.
 
5
We previously did not find a Coping Intervention × Clarity interaction. We tested, but did not find, a Coping Intervention × Actor Clarity × Partner Past Unsupportive Behavior nor a Coping Intervention × Actor Clarity × Partner Past Supportive Behavior.
 
6
In Fig. 1 we only illustrate the 3-way interaction for NA, as the pattern is identical for anhedonic depression.
 
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Metagegevens
Titel
Dyadic Moderators of the Effectiveness of Problem-Focused and Emotional-Approach Coping Interventions
Auteurs
John P. Baker
Howard Berenbaum
Publicatiedatum
01-12-2011
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2011
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-011-9386-7