An Idiographic Single-Case Study Examining the Use of Rational Emotive Behavior Therapy (REBT) with Three Amateur Golfers to Alleviate Social Anxiety

Performance anxiety has been studied in relation to golf performance, but one phenomenon that has received scant attention is social anxiety. One potential intervention that could reduce social anxiety in golfers is rational emotive behavior therapy (REBT), a cognitive-behavioral approach for which research interest is growing. The current study used an idiographic single-case study design to assess the effects of REBT on the social anxiety of 3 male amateur golfers. REBT was employed both on and off the golf course to ensure integration of REBT into the golfers’ performance, offering a methodological advancement of past research. Data were collected prior to, during, and after the REBT intervention. Visual analysis following single-case guidelines revealed substantial reductions in irrational beliefs and social anxiety in all three golfers. Social validation data indicated the positive receipt of REBT by the golfers and supported the visual analysis findings. This current study supports the effectiveness of REBT and extends the research by applying REBT in a “real-world” performance setting, offering methodological advances and providing clear implications for future research and practice.     

When time is of the essence: The use of rational emotive behavior therapy (REBT) informed single-session therapy (SST) to alleviate social and golf-specific anxiety,and improve wellbeing and performance,in amateur golfers

Anxieties associated with the social evaluative nature of golf are present in the majority of athletes and impact directly on their wellbeing and objective performance. One potential intervention that could reduce social anxiety in golfers is rational emotive behavior therapy (REBT). There is limited research into the effectiveness of REBT in reducing social anxiety and even less research to assess if REBT can be delivered in time-constricted situations when the expectations for immediate results are high, as is the case with many handicap golfers. The current study used an idiographic single-case study design to assess the effects of REBT-informed single-session therapy (SST) on the social anxiety of five amateur golfers. REBT was employed in a short telephone call to target the performance issue, followed up with a single face-to-face session. Data were collected prior to, immediately following, and four weeks after the REBT intervention. Visual analysis following single-case guidelines revealed substantial reductions in irrational beliefs and social anxiety as well as improvements in wellbeing, scoring average, competition placings and handicap reductions in four out of five golfers. Discussion with golfers at a telephone follow-up indicated the positive receipt of REBT by the golfers and supported the visual analysis findings. This current study supports the effectiveness of REBT and also extends the research by demonstrating that REBT-informed SST can be an effective intervention, in a time-restricted environment, for those golfers with a clear target problem and who are ready to take care of business, providing clear implications for future research and practice.     

Examining the Efficacy of Rational-Emotive Behavior Therapy (REBT) on Irrational Beliefs and Anxiety in Elite Youth Cricketers

The use of rational-emotive behavior therapy (REBT) in sport psychology has received scant research attention. Therefore, this study examines the efficacy of REBT (comprising three counselling sessions and two homework assignments) in decreasing irrational beliefs and cognitive-anxiety in four elite youth cricketers using a single-case multiple-baseline across-participants design. Visual and statistical analyses indicated that REBT reduced irrational beliefs and cognitive-anxiety in all participants. The applied issues surrounding the use of REBT in a youth sport context are discussed, along with guidance for its future use in sport psychology research.     

Psychological well-being and exercise addiction: The treatment effects of an REBT intervention for females

Whilst there is growing research on the benefits of Rational Emotive Behaviour Therapy (REBT) for athletic performance and wellbeing, there has been little attention on the effectiveness of REBT for the exercising population. Recent evidence suggests that REBT may be helpful for males who show signs of exercise addiction, but the effects for females are currently unknown. The current study aims to build on the extant research by adopting a single-case research design to examine the effects of REBT on irrational beliefs, exercise addiction symptomology, psychological distress, and unconditional self-acceptance (USA) of three female exercisers. Self-report data were collected at pre-, during, and post-REBT timepoints. Visual analyses revealed reductions in irrational beliefs and psychological distress, and increases in USA, maintained two-weeks post-REBT. Exercise addiction symptomology also reduced during the intervention, and this was maintained for two out of the three exercisers post-REBT. Social validation data supported these findings. The study adds weight to the efficacy of REBT in improving exercise addiction and its comorbidities.     

Muscularity rationality: An examination of the use of Rational Emotive Behaviour Therapy (REBT) upon exercisers at risk of muscle dysmorphia

Research in the area of body image suggests that muscularity dissatisfaction is a prominent concern among men and women. At its apex, this concern manifests into a convoluted and debilitating body image disorder termed muscle dysmorphia (MD), characterised by a marked preoccupation with ones (subjective) muscularity and leanness inadequacy. Prevention of MD is critical, however, empirical evidence informing intervention protocols are profoundly scarce. The principal aim of this study was to examine the effectiveness of a one-to-one Rational Emotive Behaviour Therapy (REBT) intervention, comprising five, 60-min one-to-one sessions, in decreasing MD symptomatology, irrational beliefs and increasing unconditional self-acceptance in a mixed-sex cohort of four exercisers at-risk of MD. A single-case, staggered multiple-baseline across participant A-B design was adopted to examine the effects of REBT. Visual and statistical analyses, and social validation data, indicated reductions in MD, irrational beliefs, and increases in unconditional self-acceptance across all participants from pre-post intervention phases, with reductions upheld at a 6-month follow-up. This study highlights the potential role of rational and irrational beliefs in the onset and maintenance of MD. This study is the first to report the application of a CBT approach to MD symptomology, and has demonstrated the use of REBT as a potential preventative approach for individuals at risk of MD. Practitioners working with individuals at risk of MD should take a benefit-focussed approach to support individuals in developing unconditional self-acceptance beliefs, as well as a problem-focussed approach to support individuals in reducing irrational beliefs.     

The Effect of Rational Emotive Behavior Therapy on Irrational Career Beliefs of Students of Electrical Electronics and Other Engineering Trades in Technical Colleges in Nigeria

Irrational beliefs are factors that can explain students’ emotional and/or pragmatic problems. Irrational career beliefs are career myths, maladaptive cognitions and inaccurate beliefs regarding career and the work world which impact negatively on career decision-making. The present research investigated the effectiveness of rational emotive behavior therapy (REBT) on irrational career beliefs of students of electrical electronics, automobile trade, building/woodwork and mechanical trades in technical colleges in Nigeria. Using a pretest–posttest control group, 173 participants were assessed quantitatively at four time points. One-way ANOVA, repeated-measures ANOVA and paired sample t test were utilized for analysis of data. Posttest results indicated that the irrational career beliefs of the REBT participants declined significantly compared to a waitlist control group. Furthermore, results of both 3- and 6-months follow-up evaluations showed that the significant reduction in irrational career beliefs of the REBT participants was maintained. Therefore, supporting interventions which aim to promote functional career beliefs and thoughts among the citizens, beginning from the early school years to the graduate school level and in the workplaces, should be considered a top policy issue in Nigeria. Further studies are needed to examine whether exposing students to an REBT program can lead to less anxiety related to career decision-making and improved career self-efficacy beliefs.     

Self-Compassion,Self-Esteem,and Irrational Beliefs

Assumptions associated with Rational-Emotive Behavior Therapy (REBT) suggest that self-compassion, but not self-esteem, should be incompatible with irrational beliefs and with the emotional disturbances that they produce. In this study, 184 university students responded to a self-compassion scale along with measures of irrational beliefs, self-esteem, depression, and anxiety. As expected, self-compassion correlated negatively with irrationality, predicted better mental health, and explained inverse connections of self-esteem with irrational beliefs. In support of REBT, the irrationality of low frustration tolerance also partially mediated the inverse self-compassion relationship with anxiety. Other findings for self-esteem and for the irrational belief of self-worth, nevertheless, suggested complexities for the REBT conceptual framework. These data most importantly confirmed self-compassion as part of what REBT would describe as an effective personal philosophy.     

Irrational and Metacognitive Beliefs Mediate the Relationship Between Content Beliefs and GAD Symptoms: A Study on a Normal Population

Cognitive Behavioral Therapy (CBT), Rational Emotive Behavior Therapy (REBT) and Metacognitive Therapy (MCT) models show both similarities and differences in conceptualizing anxiety. This work assumes that REBT’s irrational and MCT’s metacognitive beliefs play a mediation role while CBT’s disorder specific content beliefs act as triggers. This hypothesis is tested using a regression model in which metacognitive and irrational beliefs play a mediation role while content disorder beliefs are independent variables. This paper applied this model to generalized anxiety disorder (GAD), a psychiatric diagnosis in which anxiety is the major feature. In GAD, the specific content beliefs are negative problem orientation and intolerance of uncertainty. Therefore, 149 non clinical subjects completed 4 self-report questionnaires: the Negative Orientation to the Problems Questionnaire and the Intolerance of Uncertainty Scale as measures for content cognitive beliefs, the Attitudes and Beliefs Scale for irrational beliefs, and the Metacognitive Questionnaire 30 Items Version for metacognitive beliefs. The generalized anxiety disorder questionnaire was chosen in order to measure anxiety as dependent variable. Regression analyses confirmed that irrational and metacognitive beliefs mediate the relation between cognitive content beliefs and GAD. We clinically interpret mediation as a second level regulation.     

An experimental test of a core REBT hypothesis: evidence that irrational beliefs lead to physiological as well as psychological arousal

While numerous studies support Rational Emotive Behavior Therapy and Theory (REBT), they tend to be limited by their use of correlational designs, simulated scenarios and self-report measures. This study tested a core REBT hypothesis in an experimental design using multiple physiological as well as psychological measures. Ninety patients from a medical practice were placed in a real-life stressful situation while holding either a rational, an irrational, or an indifference belief. Those holding a rational belief reported the greatest increase in concern whereas those holding an irrational belief reported the greatest increase in anxiety. Of particular significance, those holding a rational belief showed a decrease in systolic blood pressure whereas those holding an irrational belief showed an increase (diastolic blood pressure increased in both conditions). These results not only support the core REBT hypothesis, but also suggest a way to differentiate between beliefs and emotions by measuring physiological as well as psychological changes.     

改变“低挫折容忍度”的心理干预及效果评估 —— 一位奥运银牌运动员的个案研究

研究目的是描述对一名奥运选手L在奥运会前一年中进行的心理干预,以改变其“低挫折容忍度”的过程,以及评价这一理性情绪行为疗法与心理技能训练相结合的心理干预的效果。在不同的时间点采用各种评估方法对干预效果进行评估,主要的评估方法包括采用目标获得评价表进行的运动员L自我评估和教练员评估,运动员L、教练员、及搭档的“阶段性总结”评价,以及对L比赛行为的录像资料分析。通过各种评估方法所获得的结果的一致性证明了该干预方法在改变运动员的问题行为方面是有效的。通过对运动员L的问题行为的改变,提升了他在比赛中的运动表现,该运动员与其搭档在2004年雅典奥运会乒乓球男子双打项目上获得了银牌     

A Psychometric Review of Measures of Irrational Beliefs: Implications for Psychotherapy

In this study, measures of irrational beliefs based on the principles of Rational Emotive Behavior Therapy (REBT) were reviewed and contrasted based on psychometric characteristics and quality of guidelines for interpretation. The use of measures of irrational beliefs is an important component of the assessment of presenting problems in psychotherapy and may inform clinical decision making. Additionally, these measures are a helpful way to identify change in irrational beliefs and to measure the effectiveness of specific interventions to facilitate such change. While there are a number of measures of beliefs, there is considerable variability in their psychometric properties and utility for assessment. The majority of the tests are not produced by a publishing company, nor do they provide test manuals. The reliability and validity evidence presented in the publications varies considerably as do the size and quality of standardization samples, which impacts upon the ability to draw normative conclusions. Analyses demonstrated that most measures of irrational beliefs do not provide the evidence needed to adequately address the Standards for Educational and Psychological Testing (Standards; American Educational Research Association [AERA], American Psychological Association [APA], National Council on Measurement in Education [NCME] 1999). Discussion of the implications of this review for the development of future measures of irrational thinking by researchers as well as recommendations in the test selection process for an REBT practitioner is offered.     

Assessing the Factorial Validity of the Attitudes and Belief Scale 2-Abbreviated Version: A Call for the Development a Gold Standard Method of Measuring Rational and Irrational Beliefs

Rational emotive behaviour therapy (REBT) does not possess a measure of rational and irrational beliefs that meets internationally recognised standards for acceptable psychometric properties. Without such a measure the theory/practice of REBT cannot be rigorously evaluated, thus undermining its scientific veracity. The current study investigates the validity and reliability of a recently developed measure of rational and irrational beliefs: the Attitudes and Belief Scale 2-Abbreviated Version (ABS-2-AV). University students from three countries completed the ABS-2-AV (N = 397). An alternative models framework using confirmatory factor analysis indicated that a theoretically consistent eight-factor model of the ABS-2-AV provided the best fit of the data. A number of post hoc modifications were required in order to achieve acceptable model fit results, and these modifications revealed important methodological limitations with the ABS-2-AV. Results indicated that the validity of the ABS-2-AV was undermined due to items measuring both the psychological process of interest (rational and irrational beliefs) and the context in which these beliefs processes are presented. This is a serious methodological limitation of the ABS-2 and all questionnaires derived from it, including the ABS-2-AV. This methodological limitation resulted in the ABS-2-AV possessing poor internal reliability. These limitations are discussed in relation to the broader REBT literature and the impact such problems have on research and practice. A call is made for REBT researchers to come together to develop a “gold standard” method of assessing rational and irrational beliefs that meets international standard for psychometric excellence.     

Exploring the Effects of Rational Emotive Behavior Therapy on the Irrational Beliefs and Self-Determined Motivation of Triathletes

The present study addresses proposals that Rational Emotive Behavior Therapy (REBT) can influence self-determined motivation. Triathletes received REBT education, followed by either Rational Emotive Personal-Disclosure Mutual-Sharing (REPDMS) or Personal-Disclosure Mutual-Sharing. Measurements of irrational beliefs and self-determined motivation were collected prior to REBT (baseline), during the REBT education period, and after the REPDMS session (postintervention). An ABC single-case design was adopted, allowing for statistical and visual analysis of data over time and between groups. Findings indicate that REBT led to decreased irrational beliefs and increased self-determined motivation. REPDMS appeared to have no influence on irrational beliefs over and above REBT education.     

Irrational Beliefs and Unconditional Self-Acceptance. II. Experimental Evidence for a Causal Link between Two Key Features of REBT

In a test of two key features of REBT, causal relationships between irrational beliefs and unconditional self-acceptance were experimentally investigated in a sample of 106 non-clinical participants using a priming technique. Priming participants with statements of irrational belief resulted in a decrease in unconditional self-acceptance whereas priming participants with statements of rational belief resulted in an increase in unconditional self-acceptance. In contrast, priming participants with statements about unconditional self-acceptance did not result in an increase in rational thinking and priming participants with statements about conditional self-acceptance did not result in an increase in irrational thinking. The present study is the first to provide evidence of a causal link between rational/irrational thinking and unconditional/conditional self-acceptance. The findings have important implications for the core hypothesis of REBT and underscore the advantages of experimental over correlational studies in theory-testing.     

An Investigation of Irrational Beliefs and Death Anxiety as a Function of HIV Status

The present study investigated the relationship of irrational beliefs and death anxiety as a function of human immunodeficiency virus (HIV) status in homosexual and bisexual men. Recruited for this study were 101 HIV-seropositive participants (34 asymptomatic, 30 symptomatic, and 37 symptomatic and diagnosed with AIDS) and a contrast group (40 HIV-seronegative). In the primary analysis, HIV-negative participants in this study could not be differentiated from asymptomatic, symptomatic, and AIDS diagnosed HIV-infected participants on measures of death anxiety and irrational beliefs regardless of the status or severity of illness. In addition, irrational beliefs strongly predicted death anxiety for all participants. Results from post hoc analyses suggested that HIV status produced an interaction effect with level of total irrational beliefs and together predicted death anxiety. Even in these analyses, total irrational beliefs explained more of the variance of death anxiety than HIV status. These results are discussed within the context of the need for expanding cognitive-behavioral treatment options for HIV-infected individuals.     

Effects of relationship education on emerging adults' relationship beliefs and behaviors

In this multisite study, we used a randomized controlled trial to examine how a relationship education intervention affected emerging adults' maladaptive relationship beliefs, mutuality, relationship decision making, relationship quality, and psychological distress. In addition, we explored whether one intervention modality (i.e., facilitated group discussion) was more/less effective than another (i.e., self‐facilitated online) and whether there were differential effects for participants in a relationship. We found that the facilitated group evidenced a decline in maladaptive relationship beliefs and an improvement in deliberate decision making. Moreover, facilitated group participants in a relationship reported higher levels of mutuality. Contrary to our hypothesis, there were no changes in relationship quality or psychological distress. Implications for the content and delivery of relationship education for emerging adults are discussed.     

Alexithymia, Irrational Beliefs, and the Rational-Emotive Explanation of Emotional Disturbance

In recent discussions of Rational-Emotive Behavior Therapy (REBT), Ellis has argued that unconscious processes supplement irrational beliefs in explaining psychopathology. The hypothesis of this investigation was that these unconscious processes reflect alexithymia. University students responded to the three factors from the Toronto Alexithymia Scale, the Malouff and Schutte Belief Scale (MSBS), 5 subscales from the Survey of Personal Beliefs, and instruments recording depression, anxiety, and neuroticism. As hypothesized, alexithymia and irrational beliefs predicted greater emotional disturbance while also displaying some small positive correlations with each other. In multiple regressions, both types of variables combined to predict emotional disturbance, with alexithymia explaining the greater amount of variance. Alexithymic difficulties in identifying emotions had uniquely negative mental health implications. The MSBS and the Low Frustration Tolerance subscale were the most noteworthy measures of a pathogenic irrationality. These data supported the claim that the unconscious processes of REBT could be conceptualized in terms of alexithymia.     

Can the REBT theory explain loneliness? Theoretical and clinical applications

Loneliness is a common psychological experience affecting a significant minority of the general population. Loneliness may in part be related to the existence of dysfunctional cognitive evaluations. To date, however, loneliness has yet to be explicitly assessed within a cognitive-behavioural theoretical framework. The current study sought to determine the association between negative cognitions, within the context of Rational Emotive Behaviour Therapy (REBT), and the experience of loneliness. A multinational sample of university students (n = 397) completed self-report assessments of rational and irrational beliefs, and loneliness. Structural equation modelling results found that the REBT model of psychopathology, and the REBT model of psychological health, provided satisfactory representations of loneliness, explaining 36% and 23% of variance in loneliness, respectively. Several dysfunctional (“Demandingness”, “Catastrophising” and “Self-Downing” beliefs) and functional (“Preferences” and “Self-Acceptance” beliefs) cognitions were directly and indirectly associated with loneliness. These results highlight that cognitions and loneliness are meaningfully related, and indicate that cognitive-behavioural models may be useful in understanding loneliness. More specifically, current results suggest that REBT may offer a viable psychotherapeutic approach to treating loneliness.     

The “ABCs” of REBT I: A Preliminary Study of Errors and Confusions in Counselling and Psychotherapy Textbooks

In this study, a random sample of twenty counselling and psychotherapy textbooks were studied with respect to the errors and confusions made by the authors of these textbooks with respect to the ??ABCs?? of REBT. A total of 240 of such errors/confusions were found with most being made about beliefs at ??B??, particularly about irrational beliefs. A variety of errors and confusions were also made about (i) the relationship between ??B?? and ??C?? (including whether or not such a relationship is causal), (ii) the relationship between irrational beliefs and disturbed responses at ??C??, (iii) ??A?? and (iv) ??emotional ??Cs??. Twenty errors were even made about the name of the therapy! It was suggested that one way of addressing this state of affairs would be for the Albert Ellis Institute to commission a group of REBT experts to write a document especially for authors of counselling and psychotherapy textbooks and for publishers of these works that specifies clearly and accurately agreed wisdom about the ??ABCs?? of REBT. The weaknesses of the current study were noted and suggestions for future research made.     

Personality dimensions and emotional problems: The mediating role of irrational beliefs in Pakistani adult non‐clinical sample

This study presents the first examination of the relation between the Big Five personality traits, irrational beliefs and emotional problems in Pakistan, which is an understudied country in the psychological distress literature. A total of 195 participants (aged 25–60 years), employees at COMSATS University, completed a demographic information sheet, the Big Five Personality Questionnaire, the Irrational Belief Inventory and two subscales of the Brief Symptom Inventory including depression and anxiety. Direct effects of neuroticism, openness and conscientiousness were also observed for depression and anxiety. Structural Equation Modelling demonstrated that irrational beliefs played a significant mediating role in the relationship between neuroticism and anxiety and neuroticism and depression. The results highlight the importance of cognitive beliefs in functionally linking personality traits and emotional problems.