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Cognitive Therapy and Research

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01.12.2015 | Original Article

Measuring Beliefs About Distraction: Might the Function of Distraction Matter More than Distraction Itself?

verfasst von: Jessica M. Senn, Adam S. Radomsky

Erschienen in: Cognitive Therapy and Research | Ausgabe 6/2015

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Abstract

Distraction is often discouraged in exposure therapy for anxiety disorders, but little is known about how beliefs about distraction may impact treatment outcome (with or without distraction). One barrier to understanding the impact of these beliefs is the lack of an available measure to assess this construct. In addition to proposing a theoretical basis for beliefs about distraction, we created and validated a questionnaire assessing maladaptive beliefs about distraction, the Beliefs about Distraction Inventory. An exploratory factor analysis with an unselected student sample (N = 506, 86 % female) suggested a two-factor solution, conceptualized as “distraction is necessary”, and “distraction is effective”. A confirmatory factor analysis using a contamination-fearful sample (N = 132, 87 % female) demonstrated adequate model fit. In both samples, the measure exhibited strong reliability and validity. Preliminary findings revealed that beliefs that “distraction is necessary” were more strongly associated with anxious psychopathology than beliefs that “distraction is effective”. Results are discussed in terms of cognitive-behavioural theories and therapies for anxiety and related disorders.

The final version of the BADI (including the instructions and distraction techniques checklist) is available free of charge from either author for public use.

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, 176–181. doi:10.1037/1040-3590.10.2.176.CrossRef

Antony, M. M., McCabe, R. E., Leeuw, I., Sano, N., & Swinson, R. P. (2001). Effect of distraction and coping style on in vivo exposure for specific phobia of spiders. Behaviour Research and Therapy, 39, 1137–1150. doi:10.1016/S0005-7967(00)00089-9.CrossRefPubMed

Bados, A., Balaguer, G., & Saldaña, C. (2007). The efficacy of cognitive-behavioral therapy and the problem of drop-out. Journal of Clinical Psychology, 63, 585–592. doi:10.1002/jclp.20368.CrossRefPubMed

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215. doi:10.1037/0033-295X.84.2.191.CrossRefPubMed

Bandura, A. (1988). Self-efficacy conception of anxiety. Anxiety Research, 1, 77–98. doi:10.1080/10615808808248222.CrossRef

Beck, A. T., & Steer, R. A. (1990). Beck Anxiety Inventory manual. Toronto: Psychological Corporation.

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio, TX: Psychological Corporation.

Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246. doi:10.1037/0033-2909.107.2.238.CrossRefPubMed

Bentler, P. M., & Chou, C. P. (1987). Practical issues in structural modeling. Sociological Methods & Research, 16, 78–117. doi:10.1177/0049124187016001004.CrossRef

Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Beverly Hills, CA: Sage.

Byrne, B. M. (1989). A primer of LISREL: Basic applications and programming for confirmatory factor analytic models. New York, NY: Springer.CrossRef

Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4, 92–100. doi:10.1207/s15327558ijbm0401_6.CrossRefPubMed

Creamer, M., Foran, J., & Bell, R. (1995). The Beck Anxiety Inventory in a non-clinical sample. Behaviour Research and Therapy, 33, 477–485. doi:10.1016/0005-7967(94)00082-U.CrossRefPubMed

de Winter, J. C. F., & Dodou, D. (2012). Factor recovery by principal axis factoring and maximum likelihood factor analysis as a function of factor pattern and sample size. Journal of Applied Statistics, 39, 695–710. doi:10.1080/02664763.2011.610445.CrossRef

Field, A. (2009). Discovering statistics using SPSS (3rd ed.). London: Sage.

Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35. doi:10.1037/0033-2909.99.1.20.CrossRefPubMed

Gosselin, P., Langlois, F., Freeston, M. H., Ladouceur, R., Dugas, M. J., & Pelletier, O. (2002). Le Questionnaire d’évitement cognitif (QEC): Développement et validation auprès d’adultes et d’adolescents [The Cognitive Avoidance Questionnaire (CAQ): Development and validation among adult and adolescent samples]. Journal de Thérapie Comportementale et Cognitive, 12, 24–37.

Hazlett-Stevens, H., Ullman, J. B., & Craske, M. G. (2004). Factor structure of the Penn State Worry Questionnaire: Examination of a method factor. Assessment, 11, 361–370. doi:10.1177/1073191104269872.CrossRefPubMed

Helbig-Lang, S., & Petermann, F. (2010). Tolerate or eliminate? A systematic review on the effects of safety behavior across anxiety disorders. Clinical Psychology Science and Practice, 17, 218–233. doi:10.1111/j.1468-2850.2010.01213.x.CrossRef

Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227–239. doi:10.1348/014466505X29657.CrossRefPubMed

John, O. P., Donahue, E. M., & Kentle, R. L. (1991). The big five inventory—Versions 4a and 54. Berkeley: University of California, Berkeley, Institute of Personality and Social Research.

Johnstone, K. A., & Page, A. C. (2004). Attention to phobic stimuli during exposure: The effect of distraction on anxiety reduction, self-efficacy and perceived control. Behaviour Research and Therapy, 42, 249–275. doi:10.1016/S0005-7967(03)00137-2.CrossRefPubMed

Kamphuis, J. H., & Telch, M. J. (2000). Effects of distraction and guided threat reappraisal on fear reduction during exposure-based treatments for specific fears. Behaviour Research and Therapy, 38, 1163–1181. doi:10.1016/S0005-7967(99)00147-3.CrossRefPubMed

Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford Press.

Loehlin, J. C. (1992). Latent variable models: An introduction to factor, path, and structural analysis (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.

Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation of Australia.

Miller, S. M. (1980). When is a little information a dangerous thing? Coping with stressful life-events by monitoring vs. blunting. In S. Levine, & H. Ursin (Eds.), Coping and health, (pp. 145–169). New York: Plenum Press.

Miller, S. M. (1987). Monitoring and blunting: Validation of a questionnaire to assess styles of information seeking under threat. Journal of Personality and Social Psychology, 52, 345–353. doi:10.1037/0022-3514.52.2.345.CrossRefPubMed

Mulaik, S. A., James, L. R., Van Alstine, J., Bennett, N., Lind, S., & Stilwell, C. D. (1989). Evaluation of goodness-of-fit indices for structural equation models. Psychological Bulletin, 105, 430–445. doi:10.1037/0033-2909.105.3.430.CrossRef

Muris, P., de Jong, P., Merckelbach, H., & van Zuuren, F. J. (1993a). Monitoring coping style and exposure outcome in spider phobics. Behavioural and Cognitive Psychotherapy, 21, 329–333. doi:10.1017/S1352465800011656.CrossRef

Muris, P., de Jong, P., Merckelbach, H., & van Zuuren, F. J. (1993b). Is exposure therapy outcome affected by a monitoring coping style? Advances in Behaviour Research and Therapy, 15, 291–300. doi:10.1016/0146-6402(93)90014-S.CrossRef

Muris, P., van Zuuren, F. J., de Jong, P. J., de Beurs, E., & Hanewald, G. (1994). Monitoring and blunting coping styles: The Miller Behavioural Style Scale and its correlates, and the development of an alternative questionnaire. Personality and Individual Differences, 17, 9–19. doi:10.1016/0191-8869(94)90257-7.CrossRef

Nolen-Hoeksema, S. (1991). Responses to depression questionnaire. Unpublished manuscript, Department of Psychology, Stanford University, Stanford, California.

Oliver, N. S., & Page, A. C. (2008). Effects of internal and external distraction and focus during exposure to blood-injury-injection stimuli. Journal of Anxiety Disorders, 22, 283–291. doi:10.1016/j.janxdis.2007.01.006.CrossRefPubMed

Parrish, C. L., Radomsky, A. S., & Dugas, M. J. (2008). Anxiety-control strategies: Is there room for neutralization in successful exposure treatment? Clinical Psychology Review, 28, 1400–1412. doi:10.1016/j.cpr.2008.07.007.CrossRefPubMed

Radomsky, A. S., Ouimet, A. J., Ashbaugh, A. R., Lavoie, S. L., Parrish, C. L., & O’Connor, K. P. (2006). Psychometric properties of the French and English versions of the Vancouver Obsessional Compulsive Inventory and the Symmetry Ordering and Arranging Questionnaire. Cognitive Behaviour Therapy, 35, 164–173. doi:10.1080/16506070600827198.CrossRefPubMed

Rodebaugh, T. L., Woods, C. M., & Heimberg, R. G. (2007). The reverse of social anxiety is not always the opposite: The reverse-scored items of the social interaction anxiety scale do not belong. Behavior Therapy, 38, 192–206. doi:10.1016/j.beth.2006.08.001.CrossRefPubMed

Rodriguez, B. I., & Craske, M. G. (1993). The effects of distraction during exposure to phobic stimuli. Behaviour Research and Therapy, 31, 549–558. doi:10.1016/0005-7967(93)90106-5.CrossRefPubMed

Rose, M. P., & McGlynn, F. D. (1997). Toward a standard experiment for studying post-treatment return of fear. Journal of Anxiety Disorders, 11, 263–277. doi:10.1016/S0887-6185(97)00010-8.CrossRefPubMed

Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, 19, 6–19. doi:10.1017/S0141347300011472.CrossRef

Salkovskis, P. M., Clark, D. M., & Gelder, M. G. (1996). Cognitive-behaviour links in the persistence of panic. Behaviour Research and Therapy, 37, 559–574.CrossRef

Schmid-Leuz, B., Elsesser, K., Lohrmann, T., Jöhren, P., & Sartory, G. (2007). Attention focusing versus distraction during exposure in dental phobia. Behaviour Research and Therapy, 45, 2691–2703. doi:10.1016/j.brat.2007.07.004.CrossRefPubMed

Sexton, K. A., & Dugas, M. J. (2008). The cognitive avoidance questionnaire: Validation of the English translation. Journal of Anxiety Disorders, 22, 355–370. doi:10.1016/j.janxdis.2007.04.005.CrossRefPubMed

Steketee, G., Bransfield, S., Miller, S. M., & Foa, E. B. (1989). The effect of information and coping style on the reduction of phobic anxiety during exposure. Journal of Anxiety Disorders, 3, 69–85. doi:10.1016/0887-6185(89)90002-9.CrossRef

Stevens, J. P. (2009). Applied multivariate statistics for the social sciences (5th ed.). New York: Routledge.

Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston, MA: Pearson Education Inc.

Telch, M. J., Valentiner, D. P., Ilai, D., Young, P. R., Powers, M. B., & Smits, J. A. J. (2004). Fear activation and distraction during emotional processing of claustrophobic fear. Journal of Behavior Therapy and Experimental Psychiatry, 35, 219–232. doi:10.1016/j.jbtep.2004.03.004.CrossRefPubMed

Thordarson, D. S., Radomsky, A. S., Rachman, S., Shafran, R., Sawchuk, C. N., & Hakstian, A. R. (2004). The Vancouver Obsessional Compulsive Inventory (VOCI). Behaviour Research and Therapy, 42, 1289–1314. doi:10.1016/j.brat.2003.08.007.CrossRefPubMed

Thwaites, R., & Freeston, M. H. (2005). Safety-seeking behaviours: Fact or fiction? How can we clinically differentiate between safety behaviours and adaptive coping strategies across anxiety disorders? Behavioural and Cognitive Psychotherapy, 33, 177–188.CrossRef

Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10. doi:10.1007/BF02291170.CrossRef

Veale, D. (1999). Cognitive therapy in the treatment of obsessive-compulsive disorder. Advances in Psychiatric Treatment, 5, 61–70. doi:10.1192/apt.5.1.61.CrossRef

Titel: Measuring Beliefs About Distraction: Might the Function of Distraction Matter More than Distraction Itself?
verfasst von: Jessica M. Senn
Adam S. Radomsky
Publikationsdatum: 01.12.2015
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 6/2015
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-015-9703-7

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