Interpretation Training to Target Repetitive Negative Thinking in Generalized Anxiety Disorder and Depression

被引:62
|
作者
Hirsch, Colette R. [1 ]
Krahe, Charlotte [1 ]
Whyte, Jessica [1 ]
Loizou, Sofia [1 ]
Bridge, Livia [1 ]
Norton, Sam [1 ]
Mathews, Andrew [2 ]
机构
[1] Kings Coll London, Dept Psychol, Inst Psychiat Psychol & Neurosci, De Crespigny Pk, London SE5 8AF, England
[2] Univ Calif Davis, Dept Psychol, Davis, CA 95616 USA
关键词
generalized anxiety disorder (GAD); depression; interpretation bias; cognitive bias modification (CBM); repetitive negative thinking; COGNITIVE BIAS MODIFICATION; MENTAL-IMAGERY; WORRY; THREAT; MEMORY; INTERVENTION; SUPPRESSION; RUMINATION; MEDIATION; ATTENTION;
D O I
10.1037/ccp0000310
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: Repetitive negative thinking (RNT) for example, worry in generalized anxiety disorder (GAD) and rumination in depression, is often targeted during psychological treatments. To test the hypothesis that negative interpretation bias contributes to worry and rumination, we assessed the effects of inducing more positive interpretations in reducing RNT. Method: Volunteers diagnosed with GAD (66) or depression (65) were randomly allocated to one of two versions of cognitive bias modification for interpretation (CBM-I), either with or without RNT priming prior to training, or a control condition, each involving 10 Internet-delivered sessions. Outcome measures of interpretation bias, a behavioral RNT task and self-reported worry, rumination, anxiety and depression were obtained at baseline, after home-based training and at 1-month follow-up (self-report questionnaires only). Results: CBM-I training, across diagnostic groups, promoted a more positive interpretation bias and led to reductions in worry, rumination, and depressive symptoms, which were maintained at follow-up. Anxiety symptoms were reduced only in the GAD group at follow-up. There were no differences between CBM-I versions; brief priming of RNT did not influence CBM-I effectiveness. Level of interpretation bias post training partially mediated the effects of CBM-I on follow-up questionnaire scores. Conclusions: In contrast to some recent failures to demonstrate improvements following Internet-delivered CBM, we found that self-reported RNT and negative mood were reduced by CBM-I. This is consistent with a causal role for negative interpretation bias in both worry and rumination, suggesting a useful role for CBM-I within treatments for anxiety and depression.
引用
收藏
页码:1017 / 1030
页数:14
相关论文
共 50 条
  • [31] Efficacy of a Two-Session Repetitive Negative Thinking-Focused Acceptance and Commitment Therapy (ACT) Protocol for Depression and Generalized Anxiety Disorder: A Randomized Waitlist Control Trial
    Ruiz, Francisco J.
    Pena-Vargas, Andres
    Ramirez, Eduar S.
    Suarez-Falcon, Juan C.
    Garcia-Martin, Maria B.
    Garcia-Beltran, Diana M.
    Henao, Angela M.
    Monroy-Cifuentes, Andrea
    Sanchez, Pili D.
    [J]. PSYCHOTHERAPY, 2020, 57 (03) : 444 - 456
  • [32] Interpretation Training in Individuals With Generalized Social Anxiety Disorder: A Randomized Controlled Trial
    Amir, Nader
    Taylor, Charles T.
    [J]. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2012, 80 (03) : 497 - 511
  • [33] Cognitive bias modification for interpretation with and without prior repetitive negative thinking to reduce worry and rumination in generalised anxiety disorder and depression: protocol for a multisession experimental study with an active control condition
    Krahe, Charlotte
    Mathews, Andrew
    Whyte, Jessica
    Hirsch, Colette R.
    [J]. BMJ OPEN, 2016, 6 (12):
  • [34] Episodic future thinking in generalized anxiety disorder
    Wu, Jade Q.
    Szpunar, Karl K.
    Godovich, Sheina A.
    Schacter, Daniel L.
    Hofmann, Stefan G.
    [J]. JOURNAL OF ANXIETY DISORDERS, 2015, 36 : 1 - 8
  • [35] Impact of repetitive transcranial magnetic stimulation on generalized anxiety disorder in treatment-resistant depression
    Griffiths, Chris
    O'Neill-Kerr, Alex
    De Vai, Robert
    da Silva, Ksenija
    [J]. ANNALS OF CLINICAL PSYCHIATRY, 2019, 31 (04) : 236 - 241
  • [36] The association between attention control, anxiety, and depression: the indirect effects of repetitive negative thinking and mood recovery
    Kertz, Sarah J.
    Stevens, Kimberly T.
    Klein, Keith P.
    [J]. ANXIETY STRESS AND COPING, 2017, 30 (04): : 456 - 468
  • [37] Repetitive negative thinking predicts depression and anxiety symptom improvement during brief cognitive behavioral therapy
    Kertz, Sarah J.
    Koran, Jennifer
    Stevens, Kimberly T.
    Bjoergvinsson, Throestur
    [J]. BEHAVIOUR RESEARCH AND THERAPY, 2015, 68 : 54 - 63
  • [38] Social anxiety disorder in children: investigating the relative contribution of automatic thoughts, repetitive negative thinking and metacognitions
    Esbjorn, Barbara Hoff
    Falch, Anette
    Walczak, Monika Anna
    Normann, Nicoline
    Breinholst, Sonja
    [J]. BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPY, 2021, 49 (02) : 159 - 171
  • [39] Effects of Modifying Interpretation Bias on Transdiagnostic Repetitive Negative Thinking
    Hirsch, Colette R.
    Krahe, Charlotte
    Whyte, Jessica
    Bridge, Livia
    Loizou, Sofia
    Norton, Sam
    Mathews, Andrew
    [J]. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2020, 88 (03) : 226 - 239
  • [40] A longitudinal investigation of perfectionism and repetitive negative thinking in perinatal depression
    Egan, Sarah J.
    Kane, Robert T.
    Winton, Karen
    Eliot, Catherine
    McEvoy, Peter M.
    [J]. BEHAVIOUR RESEARCH AND THERAPY, 2017, 97 : 26 - 32