Internet-delivered interpretation training reduces worry and anxiety in individuals with generalized anxiety disorder: A randomized controlled experiment.

Hirsch, Colette R.; Krahé, Charlotte; Whyte, Jessica; Krzyzanowski, Hannah; Meeten, Frances; Norton, Sam; Mathews, Andrew

doi:10.1037/ccp0000660

Cited by 29 publications

(12 citation statements)

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“…This approach was found to be effective in promoting more positive interpretations, which in turn reduce levels of worry, anxiety and depression, in noncancer populations suffering from anxiety and depression. [34][35][36] This could be adapted to promote more resilient interpretations in women living beyond BC and tested in future efficacy trials.…”

Section: Discussionmentioning

confidence: 99%

An experimental study to identify key psychological mechanisms that promote and predict resilience in the aftermath of treatment for breast cancer

et al. 2021

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Objective: Women living with and beyond breast cancer (BC) frequently encounter cancer-related information in day-to-day life. The extent they are emotionally resilient to this information differs between women. Identifying key modifiable psychological mechanisms predicting resilience in these women could highlight targets for interventions to improve resilience in others. This study investigates resilience over time in women living beyond BC and how this relates to individual differences in the way the brain processes information.Methods: Seventy women within a year of finishing first-line treatment for BC (clinical and community recruitment) completed computerised tasks to assess the tendency to attend to cancer information (dot-probe task), the tendency to draw negative cancer-related interpretations from ambiguous information (ambiguous scenarios task) and extent of executive functioning (attentional network task). Questionnaires were completed assessing resilience, and other clinically relevant psychological variables (fear of cancer recurrence, distress, quality of life, and worry) at the time of the laboratory tasks (T1) and again 6 months later (T2). Results:The only cognitive process associated with self-reported resilience was interpretation bias. Generating more negative cancer-related interpretations of ambiguous information at T1 significantly predicted resilience at T2, whilst controlling for T1 resilience and other clinically relevant variables. Furthermore, resilience scores were relatively stable over time and moderately correlated with other clinically relevant variables. Conclusions:This study is the first to identify a key cognitive mechanism that predicts resilience in women living beyond BC. This finding suggests interventions to reduce cancer-related interpretations of ambiguous information could promote resilience in women living beyond BC.

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Section: Discussionmentioning

confidence: 99%

An experimental study to identify key psychological mechanisms that promote and predict resilience in the aftermath of treatment for breast cancer

et al. 2021

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“…Our findings on interpretation bias add to a growing body of literature that explores the impact of this cognitive bias in other populations, including adolescents with eating disorders, individuals with anxiety disorders, pregnant women, parents and their offspring ( Hirsch et al, 2021 ; Rowlands et al, 2020 ; Subar & Rozenman, 2021 ). All highlight the risk of negative outcomes for negative interpretation biases.…”

Section: Discussionmentioning

confidence: 56%

Psychological processes associated with resilience in UK-based unpaid caregivers during the COVID-19 pandemic

Wilson

Onwumere

Hirsch

2022

Clin. Psychol. Eur.

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Background Unpaid caregivers have faced and dealt with additional challenges during the COVID-19 pandemic. Understanding the psychological processes associated with their resilience is warranted. The objective of this study was to examine the associations between resilience with mental distress, emotion regulation strategies (i.e., reappraisal and suppression) and interpretation bias in adult caregivers. Method Participants were living in the UK, aged 18+, and consisted of 182 unpaid caregivers of an adult aged 18+ living with a long-term health condition, and 120 non-caregivers. Data were collected in an online study during the first national UK COVID-19 lockdown (May and September 2020). Hierarchical multiple regression analyses explored whether emotion regulation strategies and interpretation bias explained unique variance in levels of resilience in caregivers whilst controlling for anxiety and depression. Results Compared to non-caregivers, caregivers reported higher levels of anxiety, depression, negative interpretation bias and lower levels of resilience. Emotion regulation strategies did not differ between groups. Within caregivers, greater resilience was associated with lower mood disturbance, a positive interpretation bias, and greater use of cognitive reappraisal and lower use of suppression strategies to regulate emotions. Emotion regulation and interpretation bias together predicted an additional 15% of variance in current levels of resilience. Conclusion Our findings indicate that psychological mechanisms such as emotion regulation strategies, particularly reappraisal, and interpretation bias are associated with resilience in caregivers. Although preliminary, our findings speak to exciting clinical possibilities that could form the target of interventions to improve resilience and lower mental distress in unpaid caregivers.

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“…The copyright holder for this preprint this version posted July 31, 2022. ; https://doi.org/10.1101/2022.07.29.22274386 doi: medRxiv preprint by uncertain consequences [115]. These two clinical conditions exhibit distinct comorbidities.…”

Section: Other Support For a New Dimension Of Dass-21mentioning

confidence: 99%

“…Rapee [107] had identified hyperventilation and subtle onset of PD at an older age than people presenting with GAD. Panic is characterized by a set of sympathetic autonomic responses that culminate in anticipatory seizures, subjective discomfort and fear of losing control and/or dying [108][109][110][111][112][113][114], whereas GAD can be defined as a clinical condition held from distortions concerning ambiguous situations that are characterized by uncertain consequences [115]. These two clinical conditions exhibit distinct comorbidities.…”

Section: Sample Characteristics and New Approach For Psychometric Pro...mentioning

confidence: 99%

Network analysis applied to DASS-21: Emergence of a new dimension

Alvarenga

Bandeira

Guilhermino

et al. 2022

Preprint

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The DASS-21 has been studied in different samples and cultures as a brief tool for screening and referral to specialized interventions, thus presenting the prerogative to be characterized as a complex system (CS). CS is a new approach to data analysis assumes that items on a scale are components integrated as a network. Despite this, to date network analysis has not been applied to verify the psychometric properties of the DASS-21. This was a non-clinical sample consisting of college students and professionals (N = 4017), aged 18 years or older (M = 31.16; SD = 10.308), from different Brazilian regions. The data collection was done through electronic forms composed by a sociodemographic questionnaire and DASS-21. Participants could forward the form to other potential respondents. Uni, bi, and multivariate analyses were used, and, among them, exploratory graph analysis (EGA) and boostrap EGA (BootEGA). EGA e BootEGA generated a model with four factors. The four-factor model from DASS-21 showed better fit rates compared to the others replicated in this research. The new four factor model has excellent composite reliability and is invariant regard to gender and type of activity performed. This research was composed of a non-probabilistic and convenience sample, without equitable geographical distribution of the participants and whose answers to this study were provided only by the web-based forms. The DASS-21 presented a new factor model composed of four distinct dimensions with excellent intrinsic features.

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Internet-delivered interpretation training reduces worry and anxiety in individuals with generalized anxiety disorder: A randomized controlled experiment.

Cited by 29 publications

References 58 publications

An experimental study to identify key psychological mechanisms that promote and predict resilience in the aftermath of treatment for breast cancer

An experimental study to identify key psychological mechanisms that promote and predict resilience in the aftermath of treatment for breast cancer

Psychological processes associated with resilience in UK-based unpaid caregivers during the COVID-19 pandemic

Network analysis applied to DASS-21: Emergence of a new dimension

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