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19-07-2022 | Original Article

How do close others to those with anxiety feel about treatment? Development and validation of the Treatment Concerns Questionnaire–Close Others

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

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2022

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Abstract

Background

The close others (e.g., family members, romantic partners) of people with anxiety and related disorders are typically involved in their treatment decisions. However, we know little about close others’ attitudes towards and concerns about their loved one starting cognitive-behavioural therapy (CBT).

Methods

Study one surveyed close others of those with anxiety and related disorders (n = 33) about their concerns about their loved one starting CBT. Thematic coding was completed, and items were developed to reflect these themes, comprising a measure of treatment concerns in close others. Study two involved the administration of the novel measure to a larger sample (n = 287) to evaluate its structure, reliability, and validity.

Results

Close others endorsed having treatment concerns of moderate intensity. The final 17-item measure, the Treatment Concerns QuestionnaireClose Others (TCQ-C), has a robust four-factor structure, with internally consistent subscales including “Adverse Reactions”, “Personal/Family Consequences”, “Lack of Commitment”, and “Ineffectiveness”. The measure shows moderate correlations with treatment expectations (convergent validity) and small correlations with respondent distress (discriminant validity).

Conclusions

The value of this measure for clinicians and future directions for research are discussed.
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1
Note that the initial report of Revelle’s omega for this subscale was 0.07. After investigation of multivariate outliers using R function “mahalanobis”, five were detected (p < .001). This value reflects reliability once these outliers were omitted.
 
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Metagegevens
Titel
How do close others to those with anxiety feel about treatment? Development and validation of the Treatment Concerns Questionnaire–Close Others
Auteurs
Olivia A. Merritt
Karen Rowa
Christine L. Purdon
Publicatiedatum
19-07-2022
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2022
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-022-10318-9

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