A review of cognitive conflicts research: a meta-analytic study of prevalence and relation to symptoms

Montesano, Adrián; López-González, M. Ángeles; Gutiérrez, Luis Ángel Saúl; Feixas, Guillem

doi:10.2147/ndt.s91861

Cited by 25 publications

(23 citation statements)

References 28 publications

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“…Los términos de búsqueda, el periodo de análisis y las fuentes consultadas siguen la metodología empleada en estudios previos (Montesano, López-González, Saúl y Feixas, 2015;Saúl et al, 2012). Para seleccionar los documentos originales primarios se empleó la siguiente ecuación de búsqueda en los campos título (TI), resumen (AB) o palabras clave (KW): [("date violence" OR "date abuse" OR "date aggression" OR "dating violence" OR "dating abuse" OR "dating aggression" OR "courtship violence" OR "courtship abuse" OR "premarital abuse" OR "premarital violence" OR "premarital aggression") AND ("prevalence" OR "incidence" OR "frequency")].…”

Section: Procedimiento De Búsquedaunclassified

Prevalencia de la Violencia en el Noviazgo: una Revisión Sistemática

Rubio-Garay¹,

López-González²,

Ortíz³

et al. 2017

Pap. Psicol.

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e considera violencia en las relaciones de noviazgo de los adolescentes y jóvenes (VRN) a cualquier tipo de agresión intencionada de un miembro de la pareja contra el otro durante el noviazgo. Las agresiones en el noviazgo suelen encuadrarse en tres grandes categorías (i.e., violencia física, psicológica y sexual) y, tal y como se puede ver en la Figura 1, se manifiestan de diferentes formas (Cornelius y Resseguie, 2007;Foshee, 1996;Foshee, Bauman, Linder, Rice y Wilcher, 2007;Leen et al., 2013;Shorey, Cornelius y Bell, 2008). Así y todo, la diferenciación entre las diversas formas de violencia es útil para facilitar su estudio, pero hay que tener presente que los diferentes tipos de agresión están interrelacionados y muy frecuentemente, tienen lugar de manera conjunta (Pozueco, Moreno, Blázquez y García-Baamonde, 2013;Stets y Henderson, 1991).Desde que James Makepeace (1981) ya alertara sobre la necesidad de prestar atención a la violencia que se producía durante el noviazgo, se ha ido generando un importante corpus de investigación empírica sobre diversos aspectos en esta materia (e.g., modelos teóricos, prevalencia, factores de riesgo asociados o programas de intervención). La gravedad de este fenómeno violento y su impacto en la sociedad actual, hacen necesaria la identificación de su prevalencia real y de los factores de riesgo asociados más relevantes. De esta forma, se podría incrementar la eficacia de los programas preventivos de la violencia contra la pareja implementados específicamente en los entornos educativos, ya que con frecuencia las primeras relaciones de noviazgo entre los adolescentes se inician en los centros de educación secundaria.En los últimos años se han realizado algunas revisiones sistemáticas sobre prevalencia de la violencia contra

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Section: Procedimiento De Búsquedaunclassified

Prevalencia de la Violencia en el Noviazgo: una Revisión Sistemática

Rubio-Garay¹,

López-González²,

Ortíz³

et al. 2017

Pap. Psicol.

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111

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“…Research conducted so far on IDs has shown that they are significantly more prevalent in clinical samples than in controls ( OR = 3.43; Montesano et al, 2015) and especially in depression. Specifically, researchers reported percentages of 68.3% of patients with a diagnosis of major depression (Feixas et al, 2014a) and 69.6% in a sample with dysthymia (Montesano et al, 2014) in contrast to roughly a third of non-clinical individuals.…”

Section: Introductionmentioning

confidence: 99%

Depression and Identity: Are Self-Constructions Negative or Conflictual?

Montesano¹,

Feixas²,

Caspar³

et al. 2017

Front. Psychol.

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Negative self-views have proved to be a consistent marker of vulnerability for depression. However, recent research has shown that a particular kind of cognitive conflict, implicative dilemma, is highly prevalent in depression. In this study, the relevance of these conflicts is assessed as compared to the cognitive model of depression of a negative view of the self. In so doing, 161 patients with major depression and 110 controls were assessed to explore negative self-construing (self-ideal discrepancy) and conflicts (implicative dilemmas), as well as severity of symptoms. Results showed specificity for the clinical group indicating a pattern of mixed positive and negative self-descriptions with a high rate of conflict. Regression analysis lent support to the conflict hypothesis in relation to clinically relevant indicators such as symptom severity, global functioning. However, self-ideal discrepancy was a stronger predictor of group membership. The findings showed the relevance of cognitive conflicts to compliment the well-consolidated theory of negative self-views. Clinical implications for designing interventions are discussed.

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“…Using the definition of cognitive conflicts as implicative dilemmas, several studies have found this notion clinically relevant to the understanding of psychological distress in a variety of different disorders. [9] Specifically, some authors indicate that the presence of implicative dilemmas was greater in people with depression than in control groups. [10,11] Moreover, depressed patients with implicative dilemmas presented lower levels of global functioning and more frequent history of suicide attempts.…”

Section: Introductionmentioning

confidence: 99%

A Dilemma-Focused Intervention for Depression: A Multicenter, Randomized Controlled Trial With a 3-Month Follow-Up

et al. 2016

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BackgroundSince long ago it has been asserted that internal conflicts are relevant to the understanding and treatment of mental disorders, but little research has been conducted to support the claim. The aim of this study was to test the differential efficacy of group cognitive behavioral therapy (CBT) plus an intervention focused on the dilemma(s) detected for each patient versus group individual CBT plus individual CBT for treating depression. A comparative controlled trial with a 3‐month follow‐up was conducted.MethodsOne hundred twenty‐eight adults meeting criteria for MDD and/or dysthymia, presenting at least one cognitive conflict (implicative dilemma or dilemmatic construct, assessed by the repertory grid technique) and who had completed seven sessions of group CBT were randomly assigned to eight sessions of individual manualized CBT or dilemma‐focused therapy (DFT). The Beck Depression Inventory‐II was administered at baseline, at the end of therapy and after 3 months’ follow‐up.ResultsMultilevel mixed effects modeling yielded no significant differences between CBT and DFT with the intention‐to‐treat sample. Equivalent effect sizes, remission, and response rates were found with completers as well. In combination with group CBT, both individual CBT and DFT significantly reduced depressive symptoms.ConclusionsBoth conditions obtained comparable results to those in the literature. Thus, the superiority of the adjunctive DFT was not demonstrated. Working with dilemmas can be seen as a promising additional target in the psychotherapy of depression, but further research is still required.

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A review of cognitive conflicts research: a meta-analytic study of prevalence and relation to symptoms

Cited by 25 publications

References 28 publications

Prevalencia de la Violencia en el Noviazgo: una Revisión Sistemática

Prevalencia de la Violencia en el Noviazgo: una Revisión Sistemática

Depression and Identity: Are Self-Constructions Negative or Conflictual?

A Dilemma-Focused Intervention for Depression: A Multicenter, Randomized Controlled Trial With a 3-Month Follow-Up

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