Delusional verbalizations and beliefs

This study evaluated the intensity of delusional beliefs during the modification of delusional verbalizations with three chronically mentally ill inpatients. The multiple-baseline across responses design was used to evaluate the efficacy of a behavioral treatment package to modify delusional verbalizations. Results revealed that changes were obtained in delusional verbalizations to personal questions without corresponding changes in the subjects' delusional beliefs. Changes in delusional verbalizations were well-maintained for two subjects during a 6-month follow-up period. Mixed results were obtained for generalization probe interviews.     

Adjustment to chronic low back pain--the relative influence of fear-avoidance beliefs, catastrophizing, and appraisals of control

The present study investigated the relative extent to which patients' adjustment to chronic low back pain (CLBP) was influenced by their fear-avoidance beliefs, their tendency to catastrophize, and their appraisals of control. Eighty-three CLBP patients completed a series of self-report measures before participating in a physical therapist-led intervention. Hierarchical multiple regression analyses revealed that patients' perceptions of their ability to decrease pain explained a small, but statistically significant, proportion of the variance in pain intensity. In addition, patients' levels of catastrophizing, as well as their fear-avoidance beliefs about both work and physical activity, were independently associated with levels of disability. Interestingly, however, when exploring the relative predictive utility of these three psychological factors, it became evident that fear-avoidance beliefs about physical activity (FABs-PA) were the only significant predictor of patients' disability. Specifically, those patients who exhibited higher levels of FABs-PA tended to report greater levels of disability, even after adjusting for age, sex and pain intensity.     

Negative beliefs about low back pain are associated with persistent high intensity low back pain

While previous cross-sectional studies have found that negative beliefs about low back pain are associated with pain intensity, the relationship between back beliefs and persistent low back pain is not well understood. This cohort study aimed to examine the role of back beliefs in persistent low back pain in community-based individuals. A hundred and ninety-two participants from a previous musculoskeletal health study were invited to take part in a two-year follow-up study. Beliefs about back pain were assessed by the Back Beliefs Questionnaire (BBQ) at baseline and low back pain intensity was measured by the Chronic Pain Grade Questionnaire at baseline and follow-up. Of the 150 respondents (78.1%), 16 (10.7%) reported persistent high intensity low back pain, 12 (8.0%) developed high intensity low back pain, in 16 (10.7%) their high intensity low back pain resolved and 106 (70.7%) experienced no high intensity low back pain. While participants were generally positive about low back pain (BBQ mean (SD) = 30.2 (6.4)), those with persistent high intensity pain reported greater negativity (BBQ mean (SD) = 22.6 (4.9)). Negative beliefs about back pain were associated with persistent high intensity low back pain after adjusting for confounders (M (SE) = 23.5 (1.6) vs. >30.1 (1.7), p < .001). This study found negative back beliefs were associated with persistent high intensity low back pain over 2 years in community-based individuals. While further longitudinal studies are required, these findings suggest that targeting beliefs in programs designed to treat and prevent persistent high intensity low back pain may be important.     

Schémas cognitifs, croyances addictives et défenses dans la consommation et l’addiction au cannabis de jeunes adultes

Theoretical background

Integrating the cognitive approaches based on the model of Beck et al. (1993) information treatment, the Young (1994) model of maladapted schemas, the integrative approach of Plutchik (1995) and the clinical approach based on defense mechanisms (Bond, 1995), this study aimed at investigating: (a) the role of the hyperactivated maladapted schemas, (b) the addictive beliefs, (c) the suractivation of the conscious derives of defensive mechanisms and (d) the relationships between these cognitive and defensive variables, in young people's cannabis intensity addiction.

Method

Forty-four young adults, 25 females and 19 males, have completed a self-reported questionnaire estimating: (a) the intensity of cannabis addiction (Décamps et al., 2008), (b) the Rusinek (2006) adaptation of Young's maladapted schemas and (c) the questionnaire of addictive beliefs of Tison and Hautekeete (1998) and the defensive styles questionnaire of Bond et al. (1983) and Bond (1995). Non-parametric statistical analysis has been conducted on three subject's groups (“non-users”, “users non addicted”, “users-addicted”) to test the implications and the links between hypothesized psychological factors (e.g., schemas, beliefs and defences) in cannabis use intensity.

Results and discussion

The intensity of cannabis addiction is correlated significantly with: (a) an hyperactivation of three maladapted schemas: inadequate autocontrol, dependence and fear of lose the control, (b) a hyperactivation of permissive, anticipatory and relief oriented beliefs and (c) a higher activation of the defence “sublimation” and a lower activation of the “displacement”. “sublimation” is correlated with the global activation of 13 schemas that are correlated with the positive relief-oriented beliefs, which are correlated with the “displacement” defence, which is correlated with the anticipatory beliefs. The results showed that the permissive beliefs have the power to differentiate the “non-consumption”, the “consumption without addiction” and “the addiction” to cannabis. Our interpretation displays that greater attention to the dysfunctional beliefs will be required in future researches and should be essential targets in cognitive therapy of this substance use disorder.     

Gender Differences in Pain Perception: The Mediating Role of Self-Efficacy Beliefs

The purpose of this study was to assess the extent to which the gender differences in response to the cold pressor test (CPT) are mediated by self-efficacy beliefs. One hundred twelve college undergraduates (69 women and 43 men) engaged in CPT and completed self-report measures of demographic information, physical self-efficacy (i.e., expectations about one's overall physical capabilities), and task-specific self-efficacy (i.e., beliefs about one's ability to cope successfully with the upcoming CPT). In addition, participants provided subjective ratings of pain intensity every 30 s during CPT and were evaluated for tolerance during CPT (up to 4 min). Consistent with past research, men reported lower average subjective ratings of pain intensity and showed higher tolerance for CPT. Path analyses indicated that associations between gender and pain perception were fully mediated by self-efficacy beliefs. Men reported greater physical self-efficacy and task-specific self-efficacy than women did. In turn, higher task-specific self-efficacy ratings predicted increases in tolerance for pain and lower ratings of average pain intensity. Findings indicate that self-efficacy beliefs are one factor that accounts for gender differences in responses to painful stimulation. Future researchers should evaluate conditions under which heightened self-efficacy may be beneficial and harmful, and they should employ experimental designs that incorporate opportunities for use of both communal–interpersonal and individualistic coping strategies in light of possible gender differences in preferred approaches to coping with pain.     

Essentialist beliefs about homosexuality: structure and implications for prejudice

The structure of beliefs about the nature of homosexuality, and their association with antigay attitudes, were examined in three studies (Ns = 309, 487, and 216). Contrary to previous research, three dimensions were obtained: the belief that homosexuality is biologically based, immutable, and fixed early in life; the belief that it is cross-culturally and historically universal; and the belief that it constitutes a discrete, entitative type with defining features. Study 1 supported a three-factor structure for essentialist beliefs about male homosexuality. Study 2 replicated this structure with confirmatory factor analysis, extended it to beliefs about lesbianism, showed that all three dimensions predicted antigay attitudes, and demonstrated that essentialist beliefs mediate associations between prejudice and gender, ethnicity, and religiosity. Study 3 replicated the belief structure and mediation effects in a community sample and showed that essentialist beliefs predict antigay prejudice independently of right-wing authoritarianism, social dominance orientation, and political conservatism.     

Commentary on Three Articles on Self‐practice/Self‐reflection in Cognitive‐Behavioural Therapy

The commentary embraces three valuable contributions to the development of professional practice: (a) engagement with self‐practice/self‐reflection as a professional self‐development: the role of therapist beliefs; (b) spontaneous self‐practice of cognitive‐behavioural therapy (CBT) by aboriginal counsellors during and following CBT training: a retrospective analysis of the facilitating conditions and impact; (c) developing metacompetence in low intensity CBT interventions: evaluating a self‐practice/self‐reflection programme for experienced low intensity CBT practitioners. Each article provides different perspectives of the self‐practice and self‐reflection benefits for efficient therapy and their use as powerful resources in therapeutic training skills in general and CBT in particular. Conclusions of their contributions close the commentary.     

Exploring the Roles of Emotions, Motivations, Self-Efficacy, and Secondary Control Following Critical Unexpected Life Events

We examined individuals’ retrospective accounts and personal analyses regarding how their emotional, motivational, and epistemological beliefs coalesced to affect their long-term coping and resilience following a critical life event. Analyses from interviewed subjects who had encountered significant life-changing events revealed three major themes that influenced their decisions, abilities for self-regulation, and life course paths: (1) types of unexpected events, (2) types and intensity of emotional responses to the critical event, and (3) beliefs about primary control (i.e., personal agency and self-efficacy) and mediated control (i.e., external sources of influence). Regarding the extent to which participants experienced resiliency and current satisfaction with their lives, a dominant theme was their ability to see their critical life events as part of a larger tapestry—involving issues of personal and externally mediated controls—that provided a framework for their positive redirections, perceptions of self-efficacy, and abilities for coping and self-regulation.     

Motivational determinants of reading comprehension: A comparison of French,Caucasian–American,and African–American adolescents

The relationships between adolescents' reading comprehension and their metacognitive knowledge and self-system beliefs were studied in three groups of subjects: French nationals, Caucasian Americans, and African Americans. Subjects were tested on measures of reading comprehension, metacognitive knowledge about reading processes, attributional beliefs, and academic self-concept. Correlation and regression analyses indicated cultural differences in the predictors of reading comprehension among the three groups. For French and Caucasian Americans, reading comprehension scores were related to metacognitive knowledge, academic self-concept, and attributions of success to ability. However, metacognition and motivational beliefs were mostly unrelated to comprehension performance for African Americans. Results are discussed in terms of verification of a model of motivational influences on performance, of cultural and ethnic group differences in beliefs, and the implications for generalizability of research results.     

The effects of self-beliefs and relationship beliefs on adjustment to a relationship stressor

A longitudinal study of college students involved in long-distance romantic relationships was conducted to examine the associations of positive self-beliefs and positive relationship beliefs to general distress, relationship status at the end of the semester (together vs. broken up), adjustment to a relationship stressor (physical separation), and adjustment to breakup. It was expected that positive self-beliefs (self-esteem, perceived control mastery, optimism) would predict the general psychological health outcome and that positive relationship beliefs (e.g., optimism about the future of the relationship) would predict the three relationship outcomes. Results confirmed predictions. Despite the positive correlation between self-beliefs and relationship beliefs, positive self-beliefs were associated with less psychological distress but were not associated with the three relationship outcomes. Relationship beliefs were associated with all three of the relationship outcomes. Positive relationship beliefs were adaptive in terms of relationship status, but were related to worse adjustment to the separation and worse adjustment to the breakup.     

An Examination of the Joint Effects of Affective Experiences and Job Beliefs on Job Satisfaction and Variations in Affective Experiences over Time

This study investigated the joint influences of episodic levels of pleasant mood at work and beliefs about one's job on judgments of job satisfaction, as well as examining the prediction of the patterns of affective states over time. Twenty-four managerial workers completed a diary during work hours which required them to report their mood state at four different times during the workday. The diaries were completed for 16 workdays. At a separate time they completed a measure of overall satisfaction, a Valence-Instrumentality-Expectancy (VIE) measure of beliefs about the job and two dispositional variables, dispositional happiness and affect intensity. Results showed that average levels of pleasant mood over the 16 days and VIE beliefs about the job made significant and independent contributions to the prediction of overall job satisfaction and did so over and above the contribution of dispositional happiness. Results also indicated that individual differences in affective intensity predicted the variability of pleasant mood over time as well as mean levels of mood activation. Finally, spectral analyses applied to the series of mood observations showed that the variability over time in the series of mood observations showed two definite cycles, one corresponding to a daily cycle and one corresponding to a two-period oscillation in mood. Results are discussed in terms of the joint influences of affective experiences and job beliefs on job attitudes and the importance of studying affect over time independent of job satisfaction. Copyright 1999 Academic Press.     

There’s More Than Catastrophizing in Chronic Pain: Low Frustration Tolerance and Self-Downing Also Predict Mental Health in Chronic Pain Patients

Among the potential range of irrational beliefs that could be used as predictors of physical and mental health, catastrophizing is the process that has received most attention in chronic pain research. Other irrational processes such as demandingness, low frustration tolerance, and self-downing have rarely been studied. The goal of this study was to explore whether this wider range of beliefs is associated with health in chronic pain patients beyond catastrophizing. A total of 492 chronic pain patients completed a measure of irrational beliefs, a measure of physical and mental health, and a numerical rating scale designed to assess pain intensity and interference. Irrational processes were more strongly associated with mental than with physical health. Low frustration tolerance and self-downing were found to be significantly related to mental health even after controlling for the effect of catastrophizing. Processes other than catastrophizing appear to have potentially important relationships with the mental health of people with chronic pain. These results may offer new intervention targets for practitioners.     

The Role of Trauma-Specific Irrational Beliefs and Sociodemographic Risk Factors in Posttraumatic Stress Responses

Posttraumatic stress responses have been linked to a range of social-cognitive and sociodemographic factors. Rational emotive behaviour therapy suggests that responding to a traumatic life event with a set of irrational beliefs should play a crucial role in predicting the development of posttraumatic stress disorder (PTSD: Ellis in Overcoming destructive beliefs, feelings, and behaviours: new directions for rational emotive behaviour therapy, Prometheus Books, Amherst, 2001). The current study assessed the role of trauma-specific irrational beliefs in the prediction of clinically relevant posttraumatic stress responses, while controlling for a range of important sociodemographic factors. A sample of 313 trauma-exposed military and law enforcement personnel took part in the current study and were divided into two groups according to the intensity of reported PTSD symptomology. Results of the binary logistic regression indicated that trauma-specific Catastrophizing, Low Frustration Tolerance, and Depreciation beliefs, respectively, significantly predicted belonging to the group reporting strong symptoms of PTSD compared to those reporting mild symptoms of PTSD. These results provide important evidence of the role of irrational beliefs in posttraumatic stress responses and highlight the importance of considering context-specific variants of each irrational belief process.     

Predicting protestant work ethic beliefs

Two correlational studies attempt to determine the aetiology of Protestant Work Ethic (PWE) beliefs by looking at the relationship between it and various theoretically related variables. In the first study, three demographic and seven psychographic variables were regressed onto the PWE using step-wise multiple regression. Five of the ten predictors were significant indicating that people with high internal and powerful other locus of control beliefs, limited educaztion, conservativel free-enterprise economic beliefs, and strong postponement of gratification beliefs and practices were most likely to endorse the PWE. In the second study parents and college-age children completed the same questionnaire to indicate family resemblances in PWE beliefs. Using a within-family analysis it was found that there were family resemblances in PWE, economic and voting beliefs and that sons were less similar to their parents than were daughters. Results provide partial support for both McClelland's and Weber's theses, and underline other results suggesting the role of psychological conservatism in the development of PWE beliefs.     

Beliefs about hearing voices

People who experience auditory verbal hallucinations (AVHs) vary in whether they believe their AVHs are self-generated or caused by external agents. It remains unclear whether these differences are influenced by the “intensity” of the voices, such as their frequency or volume, or other aspects of their phenomenology. We examined 35 patients with schizophrenia or schizoaffective disorder who experienced AVHs. Patients completed a detailed structured interview about their AVHs, including beliefs about their cause. In response, 20 (57.1%) reported that their AVHs were self-generated, 9 (25.7%) were uncertain, and 6 (17.1%) reported that their AVHs were caused by external agents. Several analytical approaches revealed little or no evidence for associations between either AVH intensity or phenomenology and beliefs about the AVH’s cause; the evidence instead favoured the absence of these associations. Beliefs about the cause of AVHs are thus unlikely to be explained solely by the phenomenological qualities of the AVHs.     

Irrational beliefs and self-esteem: Predictors of depressive symptoms in children?

The role of self-esteem and irrational beliefs in predicting depressive symptoms in 965 children aged 8 to 13 years was investigated using multiple regression analysis. The results provided empirical support for a cognitive basis for depression in a large non-clinical sample. Three irrational beliefs together with self-esteem accounted for 28% of the variation in childhood depressive symptoms. For boys, 24% of variation in depressive symptoms was attributed to two irrational beliefs and self-esteem, whilst for girls 32% of variation was accounted for by three irrational beliefs and self-esteem. Global beliefs about self as a person were found to be predictive of depressive symptoms in conjunction with irrational beliefs. Therapeutic implications are discussed. Currently, Dr. Burnett is Senior Lecturer in Research Methods within the School of Learning and Development at the Queensland University of Technology as well as Director of the Research Concentration in Cognition in Learning and Development.     

Fertility Behavior and Psychological Stress: The Mediating Influence of Gender Norm Beliefs Among Egyptian Women

The influence of gender norms on women's family planning experiences is a finding that cuts across numerous studies included in Family Health International's multi-country Women's Studies Project. This paper explores findings from one of these studies on the mediating influence of beliefs about gender norms on the relationship between fertility behavior and psychological well-being. Using cross-sectional survey data from 4,908 Egyptian women, hierarchical multiple regression models were tested with depression and anxiety as the dependent variables. Independent variables included three demographic variables, two measures of beliefs about gender norms developed from survey items using exploratory factor analytic techniques, and two fertility behavior variables—use of family planning and number of children. Gender norm beliefs predicted both anxiety and depression. The statistical analyses demonstrated a separate effect of family planning use on anxiety, independent of gender norm beliefs, but the effect of family planning behaviors on depression disappeared when gender norms beliefs were included in the regression model, which indicates a mediating effect of gender norm beliefs. Although cross-sectional data do not allow for the determination of causality among the three types of variables, a conceptual framework is offered for the possible causal mechanisms for the identified relationships.     

The cognitive and affective dimensions of moral conviction: implications for attitudinal and behavioral measures of interpersonal tolerance

The present studies investigate the role of both cognitive and affective dimensions of moral conviction in contributing to negative interpersonal responses. After demonstrating that the cognitive and affective dimensions of moral conviction are distinct constructs, the studies show that the cognitive dimension is sufficient to produce many forms of interpersonal intolerance. Simply believing an issue to be moral (i.e., objectively grounded, non-negotiable) results in greater intolerance for (Study 1), less sharing with (Study 2), and greater distancing from (Study 3) people with divergent attitudes. The emotional intensity with which beliefs are experienced is not alone explanatory. Nonetheless, it interacts with moral beliefs to produce the highest levels of interpersonal intolerance, distancing from dissimilar others, and context insensitivity. This interaction pattern between moral beliefs and affect was specific to emotional intensity and not other measures of attitude strength (Study 3).     

Adolescents’ regulatory emotional self-efficacy beliefs and daily affect intensity

Self-efficacy beliefs in emotion regulation were shown to foster well-being and psychosocial adaptation over time. In this study, we investigated their relationship with daily affect intensity among 199 adolescents aged 15–19. Participants completed the Regulatory Emotional Self-Efficacy Scale measuring perceived capability to manage the experience and expression of negative emotions (SE-NE) and positive emotions (SE-PO). Through Experience Sampling Method, for 1 week they also repeatedly rated their positive affect (happiness and contentment) and negative affect (anger, anxiety, sadness). Multilevel regression models revealed an additive intensifying predictive effect of SE-PO and SE-NE on happiness and contentment, and a single direct negative effect of SE-NE on sadness. Models also highlighted an interactive effect of SE-PO and SE-NE on all negative affect variables, such that only at low SE-PO levels did high SE-NE predict lower negative affect. Findings support the relation between adolescents’ regulatory emotional self-efficacy beliefs and their daily affect intensity, bringing forward suggestions for intervention.     

The association between reality-based beliefs and indirectly experienced traumatization

The purpose of the study was to examine the association between belief types and the magnitude of indirect traumatization. Specific types of beliefs were defined in terms of the cognitive orientation theory, which is a cognitive-motivational approach to the understanding, predicting, and changing of behaviors. Belief types that were analyzed included beliefs about self, general beliefs, beliefs about norms, and goal beliefs as they relate to personal growth. Study participants included 38 rescuers (body handlers), 37 nurses, and 31 rehabilitation workers who treated injured civilians that had been exposed to politically motivated violence. The Cognitive Orientation for Posttraumatic Growth Scale was used to assess beliefs about personal growth. The Revised Posttraumatic Stress Disorder Inventory was administered to evaluate indirect traumatization. The results indicate that three of the four belief types related to personal growth were associated with the level of indirect traumatization. Optimistic and positive beliefs about self and general beliefs were associated with a lower level of indirect traumatization symptomatology, suggesting that these types of beliefs may counteract indirect traumatization. On the other hand, stronger goal beliefs were associated with greater indirect traumatization. The negative association between positive goal beliefs and indirect trauma may be related to the gap the individual perceives between the hoped-for ideals and the trauma-stricken reality. These results indicate the importance of cognitive beliefs and their possible role in determining the response to indirect traumatization.