Factor Structure of the Revised Indecisiveness Scale and Association with Risks for and Symptoms of Anxiety, Depression, and Attentional Control

AbstractIndecisiveness is trait-like difficulty making decisions across time and situations. Past investigations indicate that indecisiveness is associated with Major Depressive Disorder, Generalized Anxiety Disorder, and Obsessive –Compulsive Disorder as well as with neuroticism, Intolerance of Uncertainty (IU), and avoidance. The most used measure of indecisive is Frost and Shows’ (Behav Res Therapy, 1993. http://doi.org/10.1016/0005-7967(93)90121-a) Indecisiveness Scale (IS), which has been revised to remove situation-s pecific indecision items. Research evaluating the original and revised IS (RIS) has found diverse factors, ranging from one to three, and scale content, reflecting positive attitudes towards decision-making, fears about decision-making consequences, and decisional avoidance. Given this variability a cross investigations, we performed exploratory and confirmatory factor analyses using the revised IS to evaluate competing factor models. Our analyses supported a two-factor model with Aversive Indecisiveness (RIS-AI) and Positive Attitudes Towards Decision-Making (RIS-Positive) best fitting the dat a for 511 participants. We also found that RIS-AI was a unique predictor of anxious arousal, IU, and multiple forms of avoidance over RIS-Positive. RIS-AI was also a stronger positive predictor of worry, general emotional distress, and self-appraised difficulty with attentional focus than RIS-Positi ve. In contrast, RIS-Positive uniquely and negatively pr...
Source: Journal of Rational-Emotive and Cognitive-Behavior Therapy - Category: Psychiatry & Psychology Source Type: research

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ConclusionsHighly central memories were associated with a distinct emotional experience and emotion regulation strategies. Brooding, when remembering highly central events, was robustly associated with all types of internalizing symptoms. Other emotion regulation strategies showed less consistent patterns, and emotion regulation for low centrality memories was related only to worry. Overall, the findings underscore the importance that memory centrality has for understanding emotion regulation when experiencing elevated depressive and anxiety symptoms.
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
AbstractAlthough the effectiveness of dialectical behavior therapy (DBT) in the treatment of generalized anxiety disorder (GAD) has not been addressed to date, cognitive behavior therapy (CBT) is the gold-standard psychotherapy for GAD patients. The present study investigated effects of DBT versus CBT on emotion regulation and mindfulness in GAD patients. Conducted in Iran, 68 GAD patients were randomly assigned to one of two groups: CBT or DBT. Assessment was performed at pre-treatment, post-treatment, and at 3  months follow-up. Evaluation included the Generalized Anxiety Disorder scale (GAD-7), Structured Clinical ...
Source: Journal of Contemporary Psychotherapy - Category: Psychiatry & Psychology Source Type: research
ConclusionDespite similar standards for socially- and achievement-oriented roles, people with MDD and/or GAD are less likely to meet their standards and gain satisfaction from these roles. Having MDD, independent of GAD, is associated with putting less effort into achievement-oriented roles.
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
DiscussionThis trial will report findings on the initial efficacy of a novel digital CBT intervention for GAD. Results have the potential to contribute towards the evidence base for digital CBT for GAD and increase the dissemination of CBT.Trial registrationISRCTN,ISRCTN12765810. Registered on 11 January 2019.
Source: Trials - Category: Research Source Type: clinical trials
DiscussionThis trial should provide data on the clinical and cost-effectiveness of a CBT-informed psychological therapy for older victims of crime with anxiety and/or depressive symptoms and should demonstrate a model of integrated cross-agency working. Our findings should provide evidence for policy-makers, commissioners and clinicians responding to the needs of older victims of crime.Trial registrationInternational Standard Randomised Controlled Trials Number, ID:ISRCTN16929670. Registered on 3 August 2016.
Source: Trials - Category: Research Source Type: clinical trials
CONCLUSIONS: Our prospective study discovers importance of the role of adverse childhood experiences, self-stigma, dissociation and comorbid personality disorder in effectiveness of combined cognitive-behavioural therapy and pharmacotherapy treatment in patients with treatment-resistant panic disorder. PMID: 32200586 [PubMed - as supplied by publisher]
Source: Neuroendocrinology Letters - Category: Endocrinology Tags: Neuro Endocrinol Lett Source Type: research
DiscussioniCBT might implicate novel ways to increase the access to evidence-based interventions in this specific population. The distinct focus on effectiveness and cost-effectiveness of youthCOACHCD in patients with chronic somatic conditions, as well as intervention safety, will most likely provide important new insights in the field of paediatric e-mental health. A particular strength of the present study is its implementation directly into routine collaborative health care. As such, this study will provide important insights for health care policy and stakeholders and indicate how iCBT can be integrated into existing ...
Source: Trials - Category: Research Source Type: clinical trials
Generalized anxiety disorder (GAD), with uncontrollable worry at its core, is a common psychological disorder with considerable individual and societal costs. Cognitive behavior therapy (CBT) is recommended as the first-line treatment for GAD; however, further investigation into its effectiveness in routine clinical care is indicated and improvement is required in treatment outcomes for worry. Improvements to CBT need to be guided by experimental research that identifies key mechanisms maintaining core aspects of the disorder. This paper summarizes how theory-driven experimental research guided selection and refinements of...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
AbstractStudies have shown that individuals with emotional disorders expect and recall more negative and less positive information than healthy individuals. However, no study of emotional disorders has investigated affective forecastingand affective memory within the same individuals. Using ecological momentary assessment, we compared daily affective experiences to forecasts and memories in 145 adults with generalized anxiety disorder (GAD), major depressive disorder (MDD), comorbid GAD/MDD, or no psychopathology. All three clinical groups forecast, experienced, and remembered more negative affect than controls; positive a...
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
DiscussionThis randomised controlled trial will provide preliminary evidence on whether this intervention, requiring relatively low levels of therapist input, is safe and clinically effective. If this is shown to be the case, Internet Cognitive Therapy for adolescents has the potential to provide a service to the large population of adolescents with untreated SAD.Trial registrationISRCTN Registry,ISRCTN15079139. Version 1 registered on 06/02/2019.
Source: Trials - Category: Research Source Type: clinical trials
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