Prediction of Severity of Anxiety, Depression and Obsession Symptoms based on Negative Repetitive Thoughts by Mediating Role of Experimental Avoidance in Clinical Populations Referring to Counseling Centers in Tehran
International Journal of Applied Behavioral Sciences,
Vol. 10 No. 4 (2023),
25 December 2023
,
Page 21-30
https://doi.org/10.22037/ijabs.v10i4.44667
Abstract
Background and Aim:A deep understanding of the effective factors in creating and aggravating the symptoms of anxiety, depression and obsession is very vital for the development of treatment and prevention strategies, and also repeated negative thoughts can play an important role in the process of forming and strengthening these symptoms, and on the one hand, empiricism and avoidance of unpleasant experiences may also act as an effective mediating variable in these processes So. the present study was done to predict severity of anxiety, depression and obsession based on negative repetitive thoughts by mediating role of experimental avoidance in clinical population who are all male and femalewith anxiety and obsession disorders in 2023 in Tehran.
Materials and Methods:This was a descriptive correlation research in which structural equations were done on 228 male and female participants with anxiety, depression and obsession disorders were selected by available sampling by Kline method. to collect data, Spielberger state-trait anxiety inventory (STAI), Beck depression inventory, repetitive thought questionnaire and obsession compulsive questionnaire of Maudsely (MOCL) were used.
Results:Findings suggested that by increasing negative repetitive thoughts and experimental avoidance, anxiety, depression and obsession will be increased or vice versa. by decreasing negative repetitive thoughts and experimental avoidance, anxiety, depression and obsession will be decreased. Also, given to GFI=0/909, CFI=0/919, AGFI=0/837 and RMSEA=0/076 it can be said that measured model has good fitness.
Conclusion:According to results, severity of anxiety, depression and obsession are predictable based on negative repetitive thoughts. Because anxiety is caused by trying to control or resist unwanted negative thoughts that occur normally, also because OCD is a chronic anxiety disorder characterized by excessive mental preoccupation with subjective details and perfectionism. is, to the extent that it leads to the loss of flexibility and social function, and depression, which is the constant and continuous tendency of a person to experience uncomfortable thoughts and feelings, it is possible to predict the severity of symptoms of anxiety, depression and obsession based on negative thoughts and repetition Shundeh is concerned with the avoidance and direct efforts he made to get rid of a negative thought or emotion So, using strategies for control negative repetitive thoughts for improving mental health and decreasing anxiety and depression and obsession are necessary.
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References
Rezaei, S. A. K. Hatamian, P, Amjad, F. V, & Yousefkhani, M. P. The Relationship between Emotional Disorder and Repeated Negative Thoughts with Body Image Concern Due to the Mediating Role of Family Support in Women Applying for Cosmetic Surgery. Iranian Journal of Psychiatric Nursing (IJPN). 2022; 10(1): 18-27.
BALLESIO, Andrea, et al. Does cognitive behavior therapy for insomnia reduce repetitive negative thinking and sleep-related worry beliefs? A systematic review and meta-analysis. Sleep Medicine Reviews. 2021; 55: 1013-78.
- Yaztappeh, J. S, Lorestani, E, Zaheri, Y, Rezaei, M, Mohammadi, H, Kakabraee, K, ... & Mohebi, M. D. (2024). A Study of Emotion Regulation Difficulties, Repetitive Negative Thinking, and Experiential Avoidance in Adults with Stuttering: A Comparative Study. Iranian Journal of Psychiatry, 19(1), 79 -85.
DEREIX-CALONGE, Iduar, et al. Repetitive negative thinking longitudinally predicts the psychological adjustment of clinical psychology trainees. Psicología Conductual. 2020; 28(2): 227-43.
BANDELOW, Borwin; MICHAELIS, Sophie; WEDEKIND, Dirk. Treatment of anxiety disorders. Dialogues in clinical neuroscience. 2017; 19(2): 93-107.
Association, A.P. Diagnostic and Statistical of Mental Disorders. 5th ed. USA: American Psychiatric Association. 2013.
Clarke, E, & Kiropoulos, L. A. Mediating the relationship between neuroticism and depressive, anxiety and eatingdisorder symptoms: The role of intolerance of uncertainty and cognitive flexibility. Journal of Affective DisordersReports. 2021; 4, 100101
Agahheris, M, Goodarzi, G, & Rahravi, G.. (2021). The efficacy of Music for the mind applying on anxiety sensitivity among females with uterine, ovary, and breast cancer. International Journal of Applied Behavioral Sciences, 8(2), 70–80.
Kia MS, Hashemian K, Abolmaali K. Comparison of Effectiveness of Transactional Analysis, Exposure and Response Prevention and Intensive Short Term Dynamic Psychotherapy on Students' Academic Anxiety. International Journal of Applied Behavioral Sciences. 2023;10(2):1-8.
Gueserse M, Zali A, Hassanzadeh S, Hatami M, Ahadi M. The Effectiveness of TranscranialDirect Current Stimulation (TDCS) on Anxiety, Depression, and Physical Symptoms of People with Chronic Pain. International Journal of Applied Behavioral Sciences. 2021 Jan 1;8(3):52-62.
Wetherall, K, Robb, K. A, & O'Connor, R. C. (). Social ranktheory of depression: A systematic review of self-perceptions ofsocial rank and their relationship with depressive symptoms andsuicide risk. Journal of affective disorders. 2019; 24(6): 300-319.
Hagerty B, Bathish M, Kuchman T.Development and testing of a self-regulation model for recurrent depression. Journal ofHealth Psychology. 2018; 25(10): 1-11.
Kean, J Hsu, Mullarkey, M, Dobias, M, Beevers, C. Symptom-level network analysis distinguishes the unique associations of repetitive negative thinking and experiential avoidance on depression and anxiety in a transdiagnostic clinical sample. Psychol Psychother. 2022; 10(22): 193-216.
Hinduja S, Darzi A, Ertugrul IO, Provenza N, Gadot R, Storch E, Sheth S, Goodman W, Cohn J. Multimodal prediction of obsessive-compulsive disorder, comorbid depression, and energy of deep brain stimulation. Authorea Preprints. 2024 Jan 26. 1-16.
Zhu C, Huang Y, Zhu W, Jiang X, Liang Y, Tang W, Xu Z. Comparison of Disease Severity, Anxiety and Depression in Obsessive-Compulsive Disorder Patients with Different Insight. Actas Españolas de Psiquiatría. 2024 Feb 5;52(1):10-8.
Cui, Q, Sheng, W, Chen, Y, Pang, Y, Lu, F, Tang, Q, Chen, H. Dynamicchanges of amplitude of low- frequency fluctuations in patients withgeneralized anxiety disorder. Human brain mapping. 2020; 41(6): 1667-1676.
- Xu J, Ironside ML, Broos HC, Johnson SL, Timpano KR. Urged to feel certain again: The role of emotion‐related impulsivity on the relationships between intolerance of uncertainty and OCD symptom severity. British Journal of Clinical Psychology. 2024 Feb 13.
Hunt, C. Differences in OCD symptom presentations across age, culture, andgender: A quantitative review of studies using the Y -BOCS symptomchecklist. Journal of Obsessive - Compulsive and Related Disorders. 2021; 26 (17):100533.
Trafford, A. A, Wroe, A. L, Brown, G, & Luzon, O. What You See isWhat You Do: magery and the Moral Judgements of Individuals with OCD.Journal of Obsessive -Compulsive and Related Disorders. 2018; 16 (1): 50 -55.
Van Oosterom, A. T. The influence of obsessions on the relationship between
intolerance of uncertainty and drive for activity in anorexia nervosa. 2021. (Master's thesis).47, 777-780
Minawi, Nawal. Examining the relationship between anxiety, depression and obsession with negative thoughts. The 7th international conference of knowledge and technology of educational sciences, social studies and psychology of Iran. Payam Noor University of Khuzestan. Iran. 2021.
Hayes SC, Wilson KG, Gifford EV, Follette VM, Strosahl K. Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. J Consult Clin Psychol. 1996; 64:1152–68.
Marx BP, Sloan DM. Peritraumatic dissociation and experiential avoidance as predictors of posttraumatic stress symptomatology. Behav Res Ther. 2005; 43:569–83.
Ahmadi F, Goodarzi MA, Taghavi MR, Imani M. Modeling the structural relationships between trauma exposure with substance use tendency, depression symptoms, and suicidal thoughts in individuals with earthquake trauma experience: the mediatory role of peritraumatic dissociation and experiential avoidance. BMC psychiatry. 2024 Mar 1;24(1):171-181.
Browning, M. E, Van Kirk, N. P, & Krompinger, J. W. Examining depression
symptoms within OCD: the role of experiential avoidance. Behavioural and Cognitive Psychotherapy. 2022; 50(4): 367_380.
Gushanas, K. L. The role of parental experiential avoidance (PEA) in theaccommodation of pediatric obsessive-compulsive disorder (POCD). 2019. (Doctoraldissertation). 367-380.
Yarollahi, N. A, & Shairi, M. R. Investigation the role of experiential
avoidance on anticipation general healthin non-clinical samples. Shenakht
journal of psychology & psychiatry. 2018; 5(3):1-11. Doi: 10.29252/shenakht.5.3.1.
Ferreira, C, Palmeira, L, Trindade, I. A,& Catarino, F. When thought
suppression backfires: its moderatoreffect on eating psychopathology. Eating
and Weight Disorders-Studies onAnorexia, Bulimia and Obesity. 2015; 20(3):355-362.
Kachooei, M, Ashrafi, E, Momeni Rouchi,M, Hosseinpour, A, & Hafezi, P.
Prediction of eating disorder symptomsamong female students based onexperiential avoidance and mindfulness.Medical Science Journal of Islamic AzadUnivesity-Tehran Medical Branch. 2019; 29(1): 92-99.
Camilla, C, Olga, L, Newland, J, Kingston, J. Examining the role of cognitive fusion and experiential avoidance in predicting anxiety and depression. Psychol Psychother. 2020; 93(3): 456-473.doi: 10.1111/papt.12233.
Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory; Palo Alto, CA, Ed. Palo Alto: Spielberger. 1983.
Zanganeh Qashlaghi, et al. The effectiveness of cognitive behavioral therapy on depression and anxiety in women with breast cancer. Journal of the Faculty of Medicine of Mashhad University of Medical Sciences. 2020; 63(5): 2967_2974.
Beck, A. T, Alford, B. A. Depression: Causes and treatment: University of Pennsylvania Press. 2009.
Salarifer M, PourEtemad R. The relationship between metacognitive beliefs and depressive disorder and anxiety. Journal of Revelation. 2011; 13 (4): 29-38. (Persian).
HATAMIAN, Peyman, et al. The Relationship between Emotional Disorder and Repeated Negative Thoughts with Body Image Concern Due to the Mediating Role of Family Support in Women Applying for Cosmetic Surgery. Iranian Journal of Psychiatric Nursing. 2022; 10(1): 18-27.
McEvoy PM, Mahoney AE, Moulds ML. Are worry, rumination, and post-event processing one and the same: Development of the Repetitive Thinking Questionnaire. Journal of anxiety disorders. 2010 Jun 1;24(5):509-19.
Hatamian P, Moradi A. Comparing Unhealthy Eating Behaviors and Attitudes and Negative Repeating Thoughts in Night Shift and Day Shift Nurses. Iranian Journal of Psychiatric Nursing. 2018 Feb 10;5(6):31-6.
Hodgson, R. J, & Rachman, S. Obsessionalcompulsive complains. Behaviour Research and Therapy. 1977; 15(5): 389-395.
Ghassemzadeh, H, Mojtabai, R, Khamseh, A, Ebrahimkhani, N, Issazadegan, A. A, & Saif-Nobakht, Z. Symptoms of OCD in a sample of Iranian patients. International Journal of Social Psychiatry. 2002; 48(1): 20-28.
Ghassemzadeh, H, Khamseh, A, & Ebrahimkhani, N. Demographic variables and clinical features of obsessive-compulsive disorder In Iranian patients (Second report), In B. E. Ling (Ed.), Obsessivecompulsivedisorder research. 2005; New York: Nova Science Publishers, Inc. 243-271.
Bond, F.W, Hayes, S.C, Baer, R.A, Carpenter, K.M, Guenole, N, Orcutt, H.K, et al. (). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy. 2011; 42(4): 676-88.
Abbasi, Imane; Fetty, Laden; Molodi, Reza and Zarrabi, Hamid. psychometric adequacy of the Persian version of Acceptability and Practice Questionnaire - Second Edition, Psychological Methods and Models. 2013; 2(10): 65-80.
Mehrabi, Ali; Mohammad Khani, Parvaneh; Dolatshahi, Abbas; Porschehbaz, Gholamreza; Khairabadi, Gholamreza. Investigating the mediating role of emotion dysregulation in the relationship between negative affect, dysfunctional attitudes and negative automatic thoughts with depression symptoms. Cognitive and behavioral science research. 2022; 1(2): 112-131.
Ardestani, Shirin; Ki Khosravani, Mavlad; Amini, Naser. The effectiveness of acceptance and commitment therapy on experiential avoidance, uncertainty intolerance and positive metacognitive beliefs in women with obsessive compulsive disorder. A biannual journal of adolescent and youth psychological studies. 2022; 3(1):209-221.
Ameri, Narjes; Najafi, Mahmoud. Investigating the mediating role of psychological distress (stress, anxiety and depression) in the relationship between experiential avoidance and obsessive-compulsive symptoms in students. Psychological studies.2021.17(4):11-31
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