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Cognitive Therapy and Research

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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

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 Questionnaire–Close 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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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.

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), 176CrossRef

Barrowclough, C., & Hooley, J. M. (2003). Attributions and expressed emotion: A review. Clinical psychology review, 23(6), 849–880PubMedCrossRef

Bentley, J. W. (2021). Improving the statistical power and reliability of research using Amazon Mechanical Turk. Accounting Horizons, 35(4), 45–62CrossRef

Berger, I., Dor, T., Nevo, Y., & Goldzweig, G. (2008). Attitudes toward attention-deficit hyperactivity disorder (ADHD) treatment: parents’ and children’s perspectives. Journal of child neurology, 23(9), 1036–1042PubMedCrossRef

Berk, M., & Parker, G. (2009). The elephant on the couch: side-effects of psychotherapy. Australian & New Zealand Journal of Psychiatry, 43(9), 787–794CrossRef

Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R., & Young, S. L. (2018). Best practices for developing and validating scales for health, social, and behavioral research: a primer. Frontiers in public health, 6, 149PubMedPubMedCentralCrossRef

Chadda, R. K., & Deb, K. S. (2013). Indian family systems, collectivistic society and psychotherapy. Indian journal of psychiatry, 55(Suppl 2), S299PubMedPubMedCentralCrossRef

Chambless, D. L. (2012). Adjunctive couple and family intervention for patients with anxiety disorders. Journal of Clinical Psychology, 68(5), 548–560PubMedCrossRef

Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Sage

Chavira, D. A., Stein, M. B., Bailey, K., & Stein, M. T. (2003). Parental opinions regarding treatment for social anxiety disorder in youth. Journal of Developmental & Behavioral Pediatrics, 24(5), 315–322CrossRef

Chun Tie, Y., Birks, M., & Francis, K. (2019). Grounded theory research: A design framework for novice researchers. SAGE open medicine, 7. https://doi.org/10.1177/2050312118822927

Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N. … Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological medicine, 45(1), 11–27PubMedCrossRef

Constantino, M. J., Vîslă, A., Coyne, A. E., & Boswell, J. F. (2018). A meta-analysis of the association between patients’ early treatment outcome expectation and their posttreatment outcomes. Psychotherapy, 55(4), 473PubMedCrossRef

Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37–70PubMedCrossRef

Cuijpers, P., Cristea, I. A., Karyotaki, E., Reijnders, M., & Huibers, M. J. (2016). How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta-analytic update of the evidence. World psychiatry, 15(3), 245–258PubMedPubMedCentralCrossRef

Dadds, M. R., & Roth, J. H. (2001). Family processes in the development of anxiety problems.The developmental psychopathology of anxiety,278–303

David, D., Cristea, I., & Hofmann, S. G. (2018). Why cognitive behavioral therapy is the current gold standard of psychotherapy. Frontiers in psychiatry, 9, 4PubMedPubMedCentralCrossRef

Earnshaw, V., Smith, L., & Copenhaver, M. (2013). Drug addiction stigma in the context of methadone maintenance therapy: an investigation into understudied sources of stigma. International journal of mental health and addiction, 11(1), 110–122PubMedCrossRef

Gaskin, C. J., Lambert, S. D., Bowe, S. J., & Orellana, L. (2017). Why sample selection matters in exploratory factor analysis: implications for the 12-item World Health Organization Disability Assessment Schedule 2.0. BMC medical research methodology, 17(1), 1–9CrossRef

Geffken, G. R., Storch, E. A., Duke, D. C., Monaco, L., Lewin, A. B., & Goodman, W. K. (2006). Hope and coping in family members of patients with obsessive-compulsive disorder. Journal of anxiety disorders, 20(5), 614–629PubMedCrossRef

Gonzalez, J. M., Tinsley, H. E., & Kreuder, K. R. (2002). Effects of psychoeducational interventions on opinions of mental illness, attitudes toward help seeking, and expectations about psychotherapy in college students.Journal of College Student Development

Guilford, J. P. (1952). When not to factor analyze. Psychological bulletin, 49(1), 26PubMedCrossRef

Hennink, M. M., Kaiser, B. N., & Marconi, V. C. (2017). Code saturation versus meaning saturation: how many interviews are enough? Qualitative health research, 27(4), 591–608PubMedCrossRef

Henshaw, E., Sabourin, B., & Warning, M. (2013). Treatment-seeking behaviors and attitudes survey among women at risk for perinatal depression or anxiety. Journal of Obstetric Gynecologic & Neonatal Nursing, 42(2), 168–177CrossRef

Irani, F., Dankert, M., & Siegel, S. J. (2004). Patient and family attitudes toward schizophrenia treatment. Current Psychiatry Reports, 6(4), 283–288PubMedCrossRef

Kazdin, A. E., Holland, L., & Crowley, M. (1997). Family experience of barriers to treatment and premature termination from child therapy. Journal of consulting and clinical psychology, 65(3), 453PubMedCrossRef

Kees, J., Berry, C., Burton, S., & Sheehan, K. (2017). An analysis of data quality: Professional panels, student subject pools, and Amazon’s Mechanical Turk. Journal of Advertising, 46(1), 141–155CrossRef

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

Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford publications

Koerner, N., Dugas, M. J., Savard, P., Gaudet, A., Turcotte, J., & Marchand, A. (2004). The Economic Burden of Anxiety Disorders in Canada. Canadian Psychology/Psychologie canadienne, 45(3), 191CrossRef

Kushner, M. G., & Sher, K. L. (1991). The relation of treatment fearfulness and psychological service utilization: an overview. Professional Psychology Research and Practice, 22, 196–203CrossRef

Leaf, P. J., Bruce, M. L., & Tischler, G. L. (1986). The differential effect of attitudes on the use of mental health services. Social Psychiatry, 21(4), 187–192PubMedCrossRef

Loerinc, A. G., Meuret, A. E., Twohig, M. P., Rosenfield, D., Bluett, E. J., & Craske, M. G. (2015). Response rates for CBT for anxiety disorders: Need for standardized criteria. Clinical psychology review, 42, 72–82PubMedCrossRef

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), 335–343PubMedCrossRef

Lucksted, A., McFarlane, W., Downing, D., & Dixon, L. (2012). Recent developments in family psychoeducation as an evidence-based practice. Journal of marital and family therapy, 38(1), 101–121PubMedCrossRef

Maria Bermúdez, J., Kirkpatrick, D. R., Hecker, L., & Torres-Robles, C. (2010). Describing Latinos families and their help-seeking attitudes: Challenging the family therapy literature. Contemporary Family Therapy, 32(2), 155–172CrossRef

Marshall, B., Cardon, P., Poddar, A., & Fontenot, R. (2013). Does sample size matter in qualitative research?: A review of qualitative interviews in IS research. Journal of computer information systems, 54(1), 11–22CrossRef

Mojaverian, T., Hashimoto, T., & Kim, H. S. (2013). Cultural differences in professional help seeking: A comparison of Japan and the US. Frontiers in psychology, 3, 615PubMedPubMedCentralCrossRef

Morrissey-Kane, E., & Prinz, R. J. (1999). Engagement in child and adolescent treatment: The role of parental cognitions and attributions. Clinical child and family psychology review, 2(3), 183–198PubMedCrossRef

Orford, J., Kerr, C., Copello, A., Hodgson, R., Alwyn, T., Black, R. … Slegg, G. (2006). Why people enter treatment for alcohol problems: Findings from UK Alcohol Treatment Trial pre-treatment interviews. Journal of Substance Use, 11(3), 161–176CrossRef

Otte, C. (2011). Cognitive behavioral therapy in anxiety disorders: current state of the evidence. Dialogues in clinical neuroscience, 13(4), 413PubMedPubMedCentralCrossRef

Papadopoulos, C., Foster, J., & Caldwell, K. (2013). ‘Individualism-collectivism’as an explanatory device for mental illness stigma. Community mental health journal, 49(3), 270–280PubMedCrossRef

Pescosolido, B. A. (1992). Beyond rational choice: The social dynamics of how people seek help. American journal of sociology, 97(4), 1096–1138CrossRef

Polcin, D. L., & Beattie, M. (2007). Relationship and institutional pressure to enter treatment: Differences by demographics, problem severity, and motivation. Journal of Studies on Alcohol and Drugs, 68(3), 428–436PubMedCrossRef

Remes, O., Brayne, C., Van Der Linde, R., & Lafortune, L. (2016). A systematic review of reviews on the prevalence of anxiety disorders in adult populations.Brain and behavior, 6(7), e00497

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

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(2), 330PubMedCrossRef

Roness, A., Mykletun, A., & Dahl, A. A. (2005). Help-seeking behaviour in patients with anxiety disorder and depression. Acta psychiatrica scandinavica, 111(1), 51–58PubMedCrossRef

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), 979–993PubMedCrossRef

Snowden, L. R., & Yamada, A. M. (2005). Cultural differences in access to care. Annual Review of Clinical Psychology(2005), 1(1), 143–166CrossRef

Somers, J. M., Goldner, E. M., Waraich, P., & Hsu, L. (2006). Prevalence and incidence studies of anxiety disorders: a systematic review of the literature. The Canadian Journal of Psychiatry, 51(2), 100–113PubMedCrossRef

Sun, S., Hoyt, W. T., Brockberg, D., Lam, J., & Tiwari, D. (2016). Acculturation and enculturation as predictors of psychological help-seeking attitudes (HSAs) among racial and ethnic minorities: A meta-analytic investigation. Journal of counseling psychology, 63(6), 617PubMedCrossRef

Szapocznik, J., & Prado, G. (2007). Negative effects on family functioning from psychosocial treatments: A recommendation for expanded safety monitoring. Journal of Family Psychology, 21(3), 468–478. https://doi.org/10.1037/0893-3200.21.3.468CrossRefPubMed

Tarnowski, K. J., Simonian, S. J., Bekeny, P., & Park, A. (1992). Acceptability of interventions for childhood depression. Behavior modification, 16(1), 103–117PubMedCrossRef

Thompson-Hollands, J., Edson, A., Tompson, M. C., & Comer, J. S. (2014). Family involvement in the psychological treatment of obsessive–compulsive disorder: A meta-analysis. Journal of Family Psychology, 28(3), 287PubMedPubMedCentralCrossRef

Thompson-Hollands, J., Kerns, C. E., Pincus, D. B., & Comer, J. S. (2014). Parental accommodation of child anxiety and related symptoms: Range, impact, and correlates. Journal of anxiety disorders, 28(8), 765–773PubMedPubMedCentralCrossRef

Thornton, P. (2017, May 22). Psychotherapy is Hard Work… Why Bother? Anxiety and Depression Association of America. https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/psychotherapy-hard-workwhy-bother

Tsogia, A., Copello, J., & Orford, D. (2001). Entering treatment for substance misuse: A review of the literature. Journal of Mental Health, 10(5), 481–499CrossRef

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(6), 603–613PubMedCrossRef

Watkins, M. W. (2018). Exploratory factor analysis: A guide to best practice. Journal of Black Psychology, 44(3), 219–246CrossRef

Younger, J., Gandhi, V., Hubbard, E., & Mackey, S. (2012). Development of the Stanford Expectations of Treatment Scale (SETS): a tool for measuring patient outcome expectancy in clinical trials. Clinical Trials, 9(6), 767–776PubMedCrossRef

Zhang, B., & Gearhart, S. (2020). Collecting online survey data: A comparison of data quality among a commercial panel & MTurk. Survey Practice, 13

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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Abstract

Background

Methods

Results

Conclusions

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