Reappraising beliefs about losing control: An experimental investigation

IF 1.7 4区 医学 Q3 PSYCHIATRY Journal of Behavior Therapy and Experimental Psychiatry Pub Date : 2025-01-15 DOI:10.1016/j.jbtep.2024.102004
Cailyn P.E.A. Fridgen, Adam S. Radomsky
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Abstract

Background and objectives

Beliefs about losing control over one's thoughts, emotions, behaviours, and/or bodily functions have been shown to cause obsessive-compulsive symptoms. The cognitive model of obsessive-compulsive disorder (OCD) suggests that catastrophic misappraisals of intrusions will lessen if underlying maladaptive beliefs are effectively reduced. The primary aim of this study was to experimentally investigate whether preexisting negative appraisals about losing control could be reduced by reappraising a previous perceived loss of control.

Methods

A sample of (n = 52) undergraduate participants underwent either a brief cognitive intervention or a control memory task. Negative appraisals about losing control and anxiety were measured before and after the manipulation.

Results

In comparison to participants in the control condition, participants in the experimental condition reported a significantly greater reduction in negative appraisals about having lost control (F(1, 50) = 10.79, p = .002, ηp2 = .18) and about losing control in the future (F(1, 50) = 7.82, p = .007, ηp2 = .14) but not anxiety F(1, 50) = .81, p = .37, ηp2 = .02). Limitations: The absence of an impact on anxiety may be attributed to an underpowered sample size or the lack of a more robust intervention.

Conclusions

Results suggest that pre-existing beliefs about losing control can be reduced via a brief cognitive reappraisal-based intervention. Findings are discussed with respect to clinical and phenomenological implications.
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重新评估失去控制的信念:一项实验调查。
背景和目的:关于失去对一个人的思想、情绪、行为和/或身体功能的控制的信念已被证明是导致强迫症状的原因。强迫症(OCD)的认知模型表明,如果潜在的适应不良信念被有效地减少,对入侵的灾难性错误评价将会减少。本研究的主要目的是通过实验研究是否可以通过重新评估先前感知到的失控来减少先前存在的关于失控的负面评价。方法:一组(n = 52)本科生参与者接受了一个简短的认知干预或一个对照记忆任务。在操纵前后测量失控和焦虑的负面评价。结果:与对照组相比,实验组受试者对失去控制的负面评价(F(1,50) = 10.79, p = 0.002, ηp2 = 0.18)和对未来失去控制的负面评价(F(1,50) = 7.82, p = 0.007, ηp2 = 0.14)显著降低,但对焦虑的负面评价F(1,50) = 0.81, p = 0.37, ηp2 = 0.02)没有显著降低。局限性:对焦虑没有影响可能是由于样本量不足或缺乏更有力的干预措施。结论:结果表明,预先存在的失控信念可以通过短暂的基于认知重评价的干预来减少。研究结果讨论了有关临床和现象学意义。
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来源期刊
CiteScore
3.60
自引率
5.60%
发文量
48
期刊介绍: The publication of the book Psychotherapy by Reciprocal Inhibition (1958) by the co-founding editor of this Journal, Joseph Wolpe, marked a major change in the understanding and treatment of mental disorders. The book used principles from empirical behavioral science to explain psychopathological phenomena and the resulting explanations were critically tested and used to derive effective treatments. The second half of the 20th century saw this rigorous scientific approach come to fruition. Experimental approaches to psychopathology, in particular those used to test conditioning theories and cognitive theories, have steadily expanded, and experimental analysis of processes characterising and maintaining mental disorders have become an established research area.
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