Skip to main content
Top
Gepubliceerd in:

16-06-2021 | Original Article

Effects of Cognitive Restructuring and Defusion for Coping with Difficult Thoughts in a Predominantly White Female College Student Sample

Auteurs: Jennifer Krafft, Korena S. Klimczak, Michael E. Levin

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2022

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Background

Understanding how cognitive processes are naturally used by untrained individuals in the moment to cope with difficult thoughts may help inform effective and efficient interventions.

Methods

This study investigated self-reported naturalistic use of two evidence-based processes, cognitive restructuring and cognitive defusion, in an untrained, predominantly White female college student sample (n = 194) through ecological momentary assessments over seven days.

Results

Cognitive restructuring and defusion had a large positive relationship. Both processes were also positively associated with increased momentary use of suppression and distraction. Only momentary defusion was associated with decreased rumination and negative affect at the same timepoint, while both defusion and restructuring were associated with positive affect and increased values progress at the same timepoint. Momentary defusion predicted later values progress, but only among those with low distress.

Conclusions

Overall, results suggest that both cognitive restructuring and cognitive defusion are used in a nonclinical, untrained population, that both processes are overall beneficial when used in the moment, and that defusion may be particularly relevant to certain aims such as lower rumination or values progress across time points. Replication among clinical and more diverse populations is needed.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.CrossRef
go back to reference Arch, J. J., & Craske, M. G. (2008). Acceptance and commitment therapy and cognitive behavioral therapy for anxiety disorders: Different treatments, similar mechanisms? Clinical Psychology: Science and Practice, 15, 263–279. Arch, J. J., & Craske, M. G. (2008). Acceptance and commitment therapy and cognitive behavioral therapy for anxiety disorders: Different treatments, similar mechanisms? Clinical Psychology: Science and Practice, 15, 263–279.
go back to reference Gillanders, D. T., Bolderston, H., Bond, F. W., Dempster, M., Flaxman, P. E., Campbell, L., Kerr, S., Tansey, L., Noel, P., Ferenbach, C., Masley, S., Roach, L., Lloyd, J., May, L., Clarke, S., & Remington, B. (2014). The development and initial validation of the Cognitive Fusion Questionnaire. Behavior Therapy, 45(1), 83–101. https://doi.org/10.1016/j.beth.2013.09.001CrossRefPubMed Gillanders, D. T., Bolderston, H., Bond, F. W., Dempster, M., Flaxman, P. E., Campbell, L., Kerr, S., Tansey, L., Noel, P., Ferenbach, C., Masley, S., Roach, L., Lloyd, J., May, L., Clarke, S., & Remington, B. (2014). The development and initial validation of the Cognitive Fusion Questionnaire. Behavior Therapy, 45(1), 83–101. https://​doi.​org/​10.​1016/​j.​beth.​2013.​09.​001CrossRefPubMed
go back to reference R Core Team. (2018). R: A language and environment for statistical computing. R Foundation for Statistical Computing. R Core Team. (2018). R: A language and environment for statistical computing. R Foundation for Statistical Computing.
go back to reference Stine, R. A. (1995). Graphical interpretation of variance inflation factors. The American Statistician, 49(1), 53–56. Stine, R. A. (1995). Graphical interpretation of variance inflation factors. The American Statistician, 49(1), 53–56.
go back to reference Twohig, M. P., & Levin, M. E. (2017). Acceptance and commitment therapy as a treatment for anxiety and depression: A review. Psychiatric Clinics, 40(4), 751–770.PubMed Twohig, M. P., & Levin, M. E. (2017). Acceptance and commitment therapy as a treatment for anxiety and depression: A review. Psychiatric Clinics, 40(4), 751–770.PubMed
go back to reference Wampold, B. E., Minami, T., Baskin, T. W., & Tierney, S. C. (2002). A meta-(re)analysis of the effects of cognitive therapy versus ‘other therapies’ for depression. Journal of Affective Disorders, 68, 159–165.CrossRef Wampold, B. E., Minami, T., Baskin, T. W., & Tierney, S. C. (2002). A meta-(re)analysis of the effects of cognitive therapy versus ‘other therapies’ for depression. Journal of Affective Disorders, 68, 159–165.CrossRef
go back to reference Wolitzky-Taylor, K. B., Arch, J. J., Rosenfield, D., & Craske, M. G. (2012). Moderators and non-specific predictors of treatment outcome for anxiety disorders: A comparison of cognitive behavioral therapy to acceptance and commitment therapy. Journal of Consulting and Clinical Psychology, 80, 786–799. https://doi.org/10.1037/a0029418CrossRefPubMed Wolitzky-Taylor, K. B., Arch, J. J., Rosenfield, D., & Craske, M. G. (2012). Moderators and non-specific predictors of treatment outcome for anxiety disorders: A comparison of cognitive behavioral therapy to acceptance and commitment therapy. Journal of Consulting and Clinical Psychology, 80, 786–799. https://​doi.​org/​10.​1037/​a0029418CrossRefPubMed
Metagegevens
Titel
Effects of Cognitive Restructuring and Defusion for Coping with Difficult Thoughts in a Predominantly White Female College Student Sample
Auteurs
Jennifer Krafft
Korena S. Klimczak
Michael E. Levin
Publicatiedatum
16-06-2021
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2022
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-021-10242-4

Andere artikelen Uitgave 1/2022

Cognitive Therapy and Research 1/2022 Naar de uitgave