Top

Journal of Psychopathology and Behavioral Assessment

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in:

18-08-2020

The Efficacy of Intolerance of Uncertainty Intervention on Anxiety and its Mediating Role by Multilayer Linear Model Analysis

Auteurs: Ji Li, Jinfan Gao, Qin Zhang, Chieh Li, Lixia Cui

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 1/2021

Abstract

Cognitive bias modification-interpretation (CBM-I) is a promising treatment modality for emotional disorders. But the moderate effect sizes emphasize the need to explore the potential mechanism of the CBM-I. Recent research has identified intolerance of uncertainty (IU) as a possible a trans-diagnostic risk and maintaining factor emotional disorders. The current study investigated the impact of a four-session IU-focused CBM-I on reduction of anxiety and determined whether IU mediated the relationship between IU interpretation bias and anxiety. 40 participants selected based on a high IU interpretation bias (IU-IB) were randomly assigned to an active (IU CBM-I) condition and a control CBM-I condition. By longitudinal design, anxiety and uncertainty questionnaires were administered before, after and one month after the intervention. Multilayer linear model analysis indicated that the active IU CBM-I was significantly associated with changes in anxiety from pre-to-post intervention as well as reductions in IU at post-intervention and month-one follow-up. The results also found that IU mediated the relationship between IU interpretation bias and anxiety.

vorige artikel Dyadic Affective Flexibility: Measurement Considerations and the Impact of Youth Internalizing Symptoms on Flexibility

volgende artikel Poor Mnemonic Discrimination Predicts Overgeneralization of Fear

We also conducted a sensitivity analysis that includes all randomized subjects and the pattern of findings was consistent with those reported for the completer sample.

Balsamo, M., Romanelli, R., Innamorati, M., Ciccarese, G., Carlucci, L., & Saggino, A. (2013). The state-trait anxiety inventory: Shadows and lights on its construct validity. Journal of Psychopathology and Behavioral Assessment, 35, 475–486. https://doi.org/10.1007/s10862-013-9354-5. CrossRef

Beard, C., & Amir, N. (2008). A multi-session interpretation modification program: Changes in interpretation and social anxiety symptoms. Behaviour Research and Therapy, 46(10), 1135–1141. CrossRef

Beck, A. T., & Clark, D. A. (1997). An information processing model of anxiety: Automatic and strategic processes. Behaviour Research and Therapy, 35(1), 49–58. CrossRef

Brosan, L., Hoppitt, L., Shelfer, L., Sillence, A., & Mackintosh, B. (2011). Cognitive bias modification for attention and interpretation reduces trait and state anxiety in anxious patients referred to an out-patient service: Results from a pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 42(3), 258–264. CrossRef

Buhr, K., & Dugas, M. J. (2002). The intolerance of uncertainty scale: Psychometric properties of the english version. Behaviour Research and Therapy, 40, 931–945. CrossRef

Capron, D. W., & Schmidt, N. B. (2016). Development and randomized trial evaluation of a novel computer-delivered anxiety sensitivity intervention. Behaviour Research and Therapy, 81, 47–55. https://doi.org/10.1016/j.brat.2016.04.001. CrossRefPubMed

Carleton, R. N. (2012). The intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Review of Neurotherapeutics, 12, 937–947. https://doi.org/10.1586/ern.12.82. CrossRefPubMed

Carleton, R. N. (2016a). Fear of the unknown: One fear to rule them all? Journal of Anxiety Disorders, 41, 5–21. https://doi.org/10.1016/j.janxdis.2016.03.011. CrossRefPubMed

Carleton, R. N. (2016b). Into the unknown: A review and synthesis of contemporary models involving uncertainty. Journal of Anxiety Disorders, 39, 30–43. https://doi.org/10.1016/j.janxdis.2016.02.007. CrossRefPubMed

Carleton, R. N., Norton, M. A., & Asmundson, G. J. (2007). Fearing the unknown: A short version of the intolerance of uncertainty scale. Journal of Anxiety Disorders, 21(1), 105–117. https://doi.org/10.1016/j.janxdis.2006.03.014. CrossRefPubMed

Carleton, R. N., Mulvogue, M. K., Thibodeau, M. A., McCabe, R. E., Antony, M. M., & Asmundson, G. J. (2012). Increasingly certain about uncertainty: Intolerance of uncertainty across anxiety and depression. Journal of Anxiety Disorders, 26(3), 468–479. https://doi.org/10.1016/j.janxdis.2012.01.011. CrossRefPubMed

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (Vol. 2). Hillsdale: Lawrence Erlbaum.

Cristea, I. A., Kok, R. N., & Cuijpers, P. (2015). Efficacy of cognitive bias modification interventions in anxiety and depression: Meta-analysis. British Journal of Psychiatry, 206(1), 7–16. CrossRef

Dugas, M. J., Brillon, P., Savard, P., Turcotte, J., Gaudet, A., & Ladoucuer, R. (2010). A randomized clinical trial of cognitive-behavioral therapy and applied relaxation for adults with generalized anxiety disorder. Behavior Therapy, 41, 46–58. CrossRef

Fourtounas, A., & Thomas, S. J. (2016). Cognitive factors predicting checking, procrastination and other maladaptive behaviours: Prospective versus inhibitory intolerance of uncertainty. Journal of Obsessive-Compulsive and Related Disorders, 9, 30–35. https://doi.org/10.1016/j.jocrd.2016.02.003. CrossRef

Giannini, M., & Loscalzo, Y. (2016). Social anxiety and adolescence: Interpretation bias in an italian sample. Scandinavian Journal of Psychology, 57(1), 65–72. CrossRef

Gosselin, P., Ladouceur, R., Evers, A., Laverdiere, A., Routhier, S., & Tremblay-Picard, M. (2008). Evaluation of intolerance of uncertainty: Development and validation of a new self-report measure. Journal of Anxiety Disorders, 22(8), 1427–1439. https://doi.org/10.1016/j.janxdis.2008.02.005. CrossRefPubMed

Hirsch, C. R., Meeten, F., Krahe, C., & Reeder, C. (2016). Resolving ambiguity in emotional disorders: The nature and role of interpretation biases. Annual Review of Clinical Psychology, 12(1), 281–305. CrossRef

Hong, R. Y., & Cheung, M. W. L. (2014). The structure of cognitive vulnerabilities to depression and anxiety. Clinical Psychological Science, 3(6), 892–912. https://doi.org/10.1177/2167702614553789. CrossRef

Hoppitt, L., Illingworth, J. L., MacLeod, C., Hampshire, A., Dunn, B. D., & Mackintosh, B. (2014). Modifying social anxiety related to a real-life stressor using online cognitive bias modification for interpretation. Behaviour Research and Therapy, 52, 45–52. https://doi.org/10.1016/j.brat.2013.10.008. CrossRefPubMedPubMedCentral

Koerner, N., & Dugas, M. J. (2006). A Cognitive Model of Generalized Anxiety Disorder: the Role of Intolerance of Uncertainty. Worry and its Psychological Disorders: Theory, Assessment and Treatment. John Wiley & Sons, Ltd.

Krebs, G., Pile, V., Grant, S. (2017). Research review: cognitive bias modification of interpretations in youth and its effect on anxiety: a meta-analysis. Journal of Child Psychology & Psychiatry.

Li, W., & Qian, M. (1995). Revision of the state-trait anxiety inventory with sample of chinese college students. Actacentiarum Naturalum Universitis Pekinesis, 1, 108–112.

Macleod, C., & Mathews, A. (2012). Cognitive bias modification approaches to anxiety. Annual Review of Clinical Psychology, 8(1), 189–217. CrossRef

Oglesby, M. E., Allan, N. P., & Schmidt, N. B. (2017). Randomized control trial investigating the efficacy of a computer-based intolerance of uncertainty intervention. Behav Res Ther, 95, 50–57.

Oglesby, M. E., & Schmidt, N. B. (2017). The role of threat level and intolerance of uncertainty in anxiety: An experimental test of IU theory. Behavior Therapy, 48(4), 427–434. https://doi.org/10.1016/j.beth.2017.01.005. CrossRefPubMed

Oglesby, M. E., Raines, A. M., Short, N. A., Capron, D. W., & Schmidt, N. B. (2016). Interpretation bias for uncertain threat: A replication and extension. Journal of Behavior Therapy and Experimental Psychiatry, 51, 35–42. https://doi.org/10.1016/j.jbtep.2015.12.006. CrossRefPubMed

Pepperdine, E., Lomax, C., & Freeston, M. H. (2018). Disentangling intolerance of uncertainty and threat appraisal in everyday situations. Journal of Anxiety Disorders, 57, 31–38. https://doi.org/10.1016/j.janxdis.2018.04.002. CrossRefPubMed

Roma, V. G., & Hope, D. A. (2017). Are we certain about which measure of intolerance of uncertainty to use yet? Cognitive Behaviour Therapy, 46(4), 327–338. https://doi.org/10.1080/16506073.2016.1252792. CrossRefPubMed

Salemink, E., Kindt, M., Rienties, H., & van den Hout, M. (2014). Internet-based cognitive bias modification of interpretations in patients with anxiety disorders: A randomised controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 45(1), 186–195. https://doi.org/10.1016/j.jbtep.2013.10.005. CrossRefPubMed

Spielberger, C. D. (1970). STAI manual for the state-trait anxiety inventory. Self-Evaluation Questionnaire, 1–24.

Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists Press.

Stevens, E. S., Behar, E., & Jendrusina, A. A. (2018). Enhancing the efficacy of cognitive bias modification for social anxiety. Behavior Therapy, S000578941830025X.

Stice, E., Presnell, K., Gau, J., & Shaw, H. (2007). Testing mediators of intervention effects in randomized controlled trials: An evaluation of two eating disorder prevention programs. Journal of Consulting and Clinical Psychology, 75(1), 20–32. https://doi.org/10.1037/0022-006X.75.1.20. CrossRefPubMedPubMedCentral

Stice, E., Rohde, P., Seeley, J. R., & Gau, J. M. (2010). Testing mediators of intervention effects in randomized controlled trials: An evaluation of three depression prevention programs. Journal of Consulting and Clinical Psychology, 78(2), 273–280. https://doi.org/10.1037/a0018396. CrossRefPubMedPubMedCentral

Wilson, J. K., & Rapee, R. M. (2005). Interpretative biases in social phobia: Content specificity and the effects of depression. Cognitive Therapy and Research, 29(3), 315–331. CrossRef

Titel: The Efficacy of Intolerance of Uncertainty Intervention on Anxiety and its Mediating Role by Multilayer Linear Model Analysis
Auteurs: Ji Li
Jinfan Gao
Qin Zhang
Chieh Li
Lixia Cui
Publicatiedatum: 18-08-2020
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 1/2021
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-020-09832-5

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 1/2021

Identity Impairment as a Central Dimension in Personality Pathology

Dyadic Affective Flexibility: Measurement Considerations and the Impact of Youth Internalizing Symptoms on Flexibility

Adult Retrospective Reports of Externalizing Behavior: Distinct Dimensions and Key Associations for Past Conduct Disorder Ratings

Proactive and Reactive Aggression Towards Siblings Versus Peers

Discrepancies Between Teacher- and Child- Reports of Proactive and Reactive Aggression: Does Prosocial Behavior Matter?

Portuguese Validation of the Brief Peer Conflict Scale: Validity, Reliability and Invariance across Gender