Repetitive Negative Thinking as a Transdiagnostic Predictor of Depression and Anxiety Symptoms in Adolescents

McEvoy, Peter M.; Salmon, Karen; Jose, Paul E.; Gutenbrunner, Charlotte; Bryson, Kate; Dewhirst, Mary

doi:10.1177/1073191117693923

Cited by 63 publications

(49 citation statements)

References 57 publications

(109 reference statements)

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“…Different adaptations of the same questionnaire for children or adults often lead to different items and factor structures, thus making the interpretation and comparison of scores difficult [52]. In order to create a version of the IUS-12 which is suitable to people of different ages, Walker, Birrell, Rodgers, Leekam, and Freeston [53] rephrased some of the items of the IUS-12 and thus developed the IUS-Revised (IUS-R), a measure assessing IU across the lifespan.…”

Section: Introductionmentioning

confidence: 99%

Seeking certainty about Intolerance of Uncertainty: Addressing old and new issues through the Intolerance of Uncertainty Scale-Revised

et al. 2019

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Intolerance of Uncertainty is a trans-diagnostic process that spans a range of emotional disorders and it is usually measured through the Intolerance of Uncertainty Scale-12. The current study aims at investigating some issues in the assessment of Intolerance of Uncertainty (IU) through the Italian Intolerance of Uncertainty Scale-Revised, a measure adapted from the Intolerance of Uncertainty Scale-12 to assess IU across the lifespan. In particular we address the factor structure among a large community sample, measurement invariance across gender, age, and over time, together with reliability and validity of the overall scale and its subscales. The questionnaire was administered to community (N = 761; mean age = 35.86 ± 14.01 years) and undergraduate (N = 163; mean age = 21.16 ± 2.64 years) participants, together with other self-report measures assessing constructs theoretically related to IU. The application of a bifactor model shows that the Italian Intolerance of Uncertainty Scale-Revised possesses a robust general factor, thus supporting the use of the unit-weighted total score of the questionnaire as a measure of the construct. Furthermore, measurement invariance across gender, age, and over time is supported. Finally, the Italian Intolerance of Uncertainty Scale-Revised appears to possess adequate reliability and validity. These findings support the unidimensionality of the measure, a conceptually reasonable result in line with the trans-diagnostic nature of Intolerance of Uncertainty. In addition, this study and comparison with published factor structures of the Intolerance of Uncertainty Scale-12 and of the Intolerance of Uncertainty Scale-Revised identify some issues for the internal structure of the measure. In particular, concern is expressed for the Prospective IU subscale. In light of the promising psychometric properties, the use of the Italian Intolerance of Uncertainty Scale-Revised as a univocal measure is encouraged in both research and clinical practice.

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Section: Introductionmentioning

confidence: 99%

Seeking certainty about Intolerance of Uncertainty: Addressing old and new issues through the Intolerance of Uncertainty Scale-Revised

et al. 2019

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“…Repetitive negative thinking (RNT) is a transdiagnostic cognitive bias that involves repeated, frequent, and uncontrollable thoughts, manifesting in anxiety disorders as worry and catastrophic interpretations of events (McEvoy, Watson, Watkins, & Nathan, 2013). Research, mostly focused on mood disorders, has established that women frequently report greater RNT and rumination (a component of RNT) than men (Johnson & Whisman, 2013; McEvoy et al ., 2019; Nolen‐Hoeksema & Aldao, 2011; Nolen‐Hoeksema & Jackson, 2001), although some have reported no gender differences (Mahoney, McEvoy, & Moulds, 2012; McEvoy, Thibodeau, & Asmundson, 2014). The gender differences in rumination remain evident even when controlling for levels of depressive symptoms (Nolen‐Hoeksema & Aldao, 2011; Nolen‐Hoeksema & Jackson, 2001) and perceived stressor severity (Tamres et al ., 2002).…”

Section: Introductionmentioning

confidence: 99%

“…Studies that have assessed for gender differences in RNT have required participants to report their trait levels of RNT (i.e. their general tendency to use RNT during times of distress; (McEvoy et al ., 2019; Nolen‐Hoeksema & Aldao, 2011), or their state levels of RNT in relation to a recent distressing event (Mahoney et al ., 2012). Thus, it is possible that gender differences in RNT, when they arise, may be due to gender differences in the nature, frequency, or severity of daily stressful life events which in turn promotes recruitment of different coping strategies.…”

Section: Introductionmentioning

confidence: 99%

Gender differences in avoidance and repetitive negative thinking following symptom provocation in men and women with spider phobia

Graham

Weiner

2020

British J Clinic Psychol

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Objectives. Women's greater prevalence of anxiety disorders compared to men is widely assumed to be partly due to gender differences in cognitive and behavioural factors that perpetuate anxiety, such as repetitive negative thinking (RNT) and avoidance. However, past studies assessing this assumption have not controlled for gender differences in baseline symptom severity, the type of stressful life experiences against which RNT and avoidance are measured, or emotional reactivity to these experiences. Design. Using a two-group design, the present study controlled for these confounds by comparing avoidance and RNT in relation to a controlled symptom provocation task in spider phobic men and women with equivalent spider fear severity on the Fear of Spiders Questionnaire. Methods. Participants engaged in a behavioural approach test (BAT) involving a live spider, during which they were assessed for avoidance (physical proximity to the spider) and subjective distress. Two weeks later, participants reported on their levels of negative affect and RNT experienced during the preceding weeks in relation to the BAT. Results. Women exhibited greater avoidance and reported greater RNT than men, despite reporting comparable distress and negative affect. Gender remained a significant predictor of avoidance when accounting for distress and also remained a significant predictor of RNT when accounting for depressive symptoms and negative affect. Conclusions. These results provide in vivo evidence that heightened avoidance and RNT may perpetuate anxiety symptoms in women independently of gender differences in symptom severity, daily experiences, or emotional reactivity. Practitioner Points Following symptom provocation, men and women with spider phobia differ in cognitive and behavioural coping responses. Women exhibit greater avoidance and repetitive negative thinking than men, and these differences are not attributable to gender differences in symptom severity or emotional reactivity. These findings provide novel evidence for gender differences in maintaining factors that perpetuate anxiety disorders whilst accounting for confounding factors present in prior research.

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“…The RTQ has demonstrated good internal consistency in community samples (α = 0.89) and has demonstrated convergent validity with measures of negative affect and psychological distress ( McEvoy et al, 2014 ). There is evidence to suggest that the RTQ performs equally as well in adolescents aged 13- to 17-years ( McEvoy et al, 2019 ).…”

Section: Methodsmentioning

confidence: 99%

Guided Internet-delivered cognitive behaviour therapy for perfectionism in a non-clinical sample of adolescents: A study protocol for a randomised controlled trial

Jones

Howell

Tonta

et al. 2020

Internet Interventions

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Background Perfectionism is elevated across a range of psychopathologies and has been shown to impede treatment outcomes. There is also evidence suggesting elevated perfectionism may contribute to the onset and maintenance of non-suicidal self-injury. There is a growing body of evidence suggesting that Internet-delivered cognitive-behavioural therapy for perfectionism reduces perfectionism and symptoms of psychological disorders and that reductions are maintained at 3-month and 6-month follow-up. There may also be reductions in non-suicidal self-injury, although no study has investigated this potential benefit. Given that associations between perfectionism and psychopathology are observed across both adults and adolescents, the need for the development of interventions targeting adolescents is essential for early intervention and prevention. Methods The present study will employ a randomised controlled trial to examine the efficacy of 8-week guided Internet-delivered cognitive-behavioural therapy for perfectionism in adolescents compared to a waitlist control group. The primary outcome is perfectionism, and secondary outcomes include symptoms of psychological disorders, well-being, and non-suicidal self-injury. Outcomes will be assessed at pre-intervention, post-intervention, 1-month follow-up, 3-month follow-up, and 6-month follow-up. A minimum of 240 participants will be recruited online through social media, Australian universities, and schools across Australia. Generalised linear mixed models will be used to test for changes in outcomes between the intervention group and the waitlist control. Discussion The outcomes of this trial will contribute to the literature on perfectionism and psychopathology in adolescents, as well as the efficacy of guided Internet-delivered interventions for adolescents. Trial registration The trial was registered on the 20th of June 2019 at the Australia New Zealand Clinical Trials Registry (ACTRN12619000881134). Trial status This is protocol version 1.0. Participant recruitment began on 31 July 2019 and is still actively running with an anticipated completion date in the fourth quarter of 2020.

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Repetitive Negative Thinking as a Transdiagnostic Predictor of Depression and Anxiety Symptoms in Adolescents

Cited by 63 publications

References 57 publications

Seeking certainty about Intolerance of Uncertainty: Addressing old and new issues through the Intolerance of Uncertainty Scale-Revised

Seeking certainty about Intolerance of Uncertainty: Addressing old and new issues through the Intolerance of Uncertainty Scale-Revised

Gender differences in avoidance and repetitive negative thinking following symptom provocation in men and women with spider phobia

Guided Internet-delivered cognitive behaviour therapy for perfectionism in a non-clinical sample of adolescents: A study protocol for a randomised controlled trial

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