Evaluating Change in Beliefs About the Importance/Control of Thoughts as a Mediator of CBM-I and Responses to an ICT Stressor.

Evaluating Change in Beliefs About the Importance/Control of Thoughts as a Mediator of CBM-I and Responses to an ICT Stressor.
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DOI:
10.1016/j.jocrd.2014.07.002
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发表时间:
2014-10-01
影响因子:
1.8
通讯作者:
Parsons, E. Marie
Parsons, E. Marie
中科院分区:
医学4区
文献类型:
--
作者:
Clerkin, Elise M.;Magee, Joshua C.;Parsons, E. Marie

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这项研究评估了认知偏见修改-解释(CBM-I)程序的改编,该程序旨在改变对与思想重要性和控制(ICT)信念相关的侵入性思想的解释。ICT信念域高的个体被随机分配到两种条件之一:(a)积极(n = 38)条件,其中侵入性想法的场景与良性解释反复配对;或(B)控制(n = 39)条件,其中侵入性想法的场景与50%良性和50%威胁性解释配对。此外,参与者还参与了ICT压力源任务。结构方程模型与偏差校正自举法被用来检查培训对ICT相关的解释,信念和ICT压力源响应的影响。正如预测的那样,在积极(与对照)的训练条件下,个人报告减少ICT相关的解释和信念。此外,有一个小的,统计学上显着的间接(即,中介)的影响,培训措施的信息和通信技术的压力反应,这发生在减少信息和通信技术相关的信念。总之,结果表明,培训是有效的影响解释和信念与思想的重要性/控制,并可能有临床效用,以改变这个信念域。
This study evaluated an adaptation of a Cognitive Bias Modification-Interpretation (CBM-I) procedure designed to shift interpretations of intrusive thoughts related to beliefs about the Importance and Control of Thoughts (ICT). Individuals high in the ICT belief domain were randomly assigned to one of two conditions: (a) a positive (n = 38) condition in which scenarios about intrusive thoughts were repeatedly paired with benign interpretations; or (b) a control (n = 39) condition in which scenarios about intrusive thoughts were paired with 50% benign and 50% threatening interpretations. Further, participants engaged in an ICT stressor task. Structural equation modeling with bias-corrected bootstrapping was used to examine the effects of training on ICT-relevant interpretations, beliefs, and ICT stressor responding. As predicted, individuals in a positive (vs. control) training condition reported decreases in ICT-relevant interpretations and beliefs. Further, there was a small, statistically significant indirect (i.e., mediated) effect of training on measures of ICT stressor responding, which occurred via decreases in ICT-relevant beliefs. In sum, results indicate that training was effective in influencing interpretations and beliefs tied to Importance/Control of Thoughts and that there may be clinical utility to shifting this belief domain.
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