Journal of Cognitive Psychotherapy最新文献

University students, especially those with attention-deficit/hyperactivity disorder (ADHD), experience distress due to procrastination. However, the existing treatment for adult ADHD does not adequately address procrastination. A brief procrastination-focused cognitive behavioral therapy program was developed for the current study, and its effects on procrastination, depression, and life satisfaction were assessed. Using a single-case AB design, procrastination behaviors and mood during the baseline and intervention periods were recorded. Data from 24 students with ADHD symptoms (mean age = 20.42 years, SD = 1.50) were analyzed using interrupted time series and counterfactual analyses. The effects of the program on the depressive symptoms and life satisfaction were also examined. The intervention changed the trajectory of the students' procrastination behaviors, significantly reducing them compared with baseline. They also reported improved life satisfaction following the intervention. This novel intervention appears effective in reducing procrastination among university students with ADHD symptoms.

This study was conducted to test the reliability and validity of the Pathogenic Belief Scale (PBS) on adult individuals. Participants consisted of 299 adults, including 189 (63.2%) females and 110 (36.8%) males, with a mean age of 21.16 years (SD = 3.68). Personal Information Form, Pathogenic Belief Scale-R, Cognitive Distortions Scale, and Dysfunctional Attitude Scale were used as data collection tools. The three-dimensional structure of the PBS was confirmed by confirmatory factor analysis on the Turkish sample (χ² = 204.990, df = 186, χ²/df = 1.102, comparative fit index = 0.997, normed fit index = 0.997, standardized root mean square residual = .058, and root-mean-square error of approximation = .019 (90% confidence interval [.001, .032]). Factor loadings were found to be between .470 and .761. The analyses also showed that the internal consistency reliability coefficients were at a quite good level for the undeserving dimension (α = .874, ω = 0.875), the cannot rely on others dimension (α = 0.794, ω = 0.799), and the interpersonal guilt dimension (α = .847, ω = 0.857). The Turkish version of the PBS is a valid and reliable tool that can be used to evaluate the pathogenic beliefs of individuals. The research results were discussed, and certain inferences were made for the future in line with the limitations.

Childhood maltreatment (CM) is associated with elevated depression and anxiety in young adulthood; however, there is a dearth of research identifying the intermediary pathways that link CM to these phenomena. The present study investigated two psychological factors-contrast avoidance, sensitivity to and avoidance of sudden negative emotional shifts, and anxiety sensitivity, the fear of arousal-related body sensations-as potential mediators of the relationship between CM and psychological distress in young adulthood. Our sample consisted of 280 undergraduate students who completed self-report measures of childhood maltreatment, anxiety sensitivity, contrast avoidance (i.e., the Contrast Avoidance Questionnaire), and psychological distress. We constructed a series of parallel mediation models to test whether contrast avoidance and anxiety sensitivity mediate the relationships between child maltreatment and psychological distress. CM was related to anxiety and stress indirectly through both contrast avoidance and anxiety sensitivity but was related to depression only through contrast avoidance. There were no significant differences in the magnitude of the indirect effects between contrast avoidance and anxiety sensitivity for the models predicting anxiety and stress. Contrast avoidance and anxiety sensitivity both appear to play important roles in understanding how early experiences of CM relate to psychological distress in young adulthood. Theoretical and clinical implications are discussed.

Introduction: Following a period of social isolation from the COVID-19 pandemic, social interactions may be particularly complicated for individuals with elevated levels of social anxiety. One potential implication relates to the use of face masks. Face masks have been used as an effective tool to prevent the transmission of COVID-19. However, for individuals with elevated social anxiety, face masks may be a form of avoidance and type of safety behavior and discontinued use of face masks may be associated with increases in social anxiety. In response to these possibilities, the purpose of this study was to develop a measure to assess potential anxiety-related reactions to face masks. Method: Participants were 564 nonreferred young adults who completed a measure developed for this study to assess behaviors and reactions to face masks (Reaction to Face Masks Questionnaire), including anxiety and avoidance behaviors. Measures of social anxiety, more general avoidance, and safety behaviors were also included. Results: Based on an exploratory factor analysis, a two-factor model was retained. Safety-Seeking and Avoidance (SSA) measures reductions in social anxiety derived from a feeling of safety when wearing a face mask, and Social Interference measures increases in social anxiety symptoms related to the interference/inhibition of social interactions related to wearing masks. Both subscales were found to be associated with general measures of social anxiety, more general avoidance, and safety behaviors; however, the correlations were more robust for the SSA subscale. Discussion: Based on the current findings, general social anxiety and common correlates of social anxiety, including safety-seeking behaviors, were found to be associated with face mask anxiety and avoidance. Implications for future research and potential clinical practice are discussed.

There is emerging interest in understanding positive affect dysfunction in relation to anxiety, including worry. This set of two studies examined the association between the inhibition of affect expression (general affect expressivity in Study 1, positive affect expressivity in Study 2) and worry, with a particular interest in the moderating role of proneness to experience positive affect. Subjects were US-residing adults (Study 1 N = 502, Study 2 N = 250) who were recruited through a crowdsourcing website and completed self-report measures of study variables. Moderated regression was used to examine study predictions that affect expression would negatively correlate with worry when coupled with diminished positive affect. Proneness toward negative affect was included as a covariate within multivariate analyses. An interactive effect between affect expressivity and positive affect was supported in Study 2 (positive affect expressivity) but not Study 1 (general affect expressivity) in relation to worry. A diminished tendency to express positive affect was associated with greater worry when coupled with less positive affect. Study results and future directions are discussed in terms of the potential emotion-regulatory functions of positive affect expressivity as it relates to worry.