A multi-modal investigation of the roles of distress tolerance and emotional reactivity in obsessive-compulsive symptoms

Emerging evidence implicates important roles of poor distress tolerance and heightened emotional reactivity in obsessive-compulsive disorder. To date, investigations have relied mostly on self-report measures, and we sought to extend the literature by examining the relationship between OC symptoms and distress tolerance, as well as emotional reactivity, using three laboratory assessments. Nonclinical participants (N=167) viewed emotional films associated with four different negative emotions and also completed mirror tracing and handgrip persistence tasks. Greater obsessions scores were predictive of poorer emotional tolerance for a sad film and shorter persistence on the mirror tracing task. Among men only, obsessions were negatively correlated with persistence on the handgrip task. Associations between increased emotional reactivity and washing symptoms also emerged. These findings provide further evidence for the role of poor distress tolerance in obsessions and suggest heightened emotional reactivity may play a role in compulsive washing.     

Incremental Validity of Mindfulness Skills in Relation to Emotional Dysregulation among a Young Adult Community Sample

The present investigation examined the incremental predictive validity of mindfulness skills, as measured by the Kentucky Inventory of Mindfulness Skills (KIMS), in relation to multiple facets of emotional dysregulation, as indexed by the Difficulties in Emotion Regulation Scale (DERS), above and beyond variance explained by negative affectivity, anxiety sensitivity, and distress tolerance. Participants were a nonclinical community sample of 193 young adults (106 women, 87 men; M_age = 23.91 years). The KIMS Accepting without Judgment subscale was incrementally negatively predictive of all facets of emotional dysregulation, as measured by the DERS. Furthermore, KIMS Acting with Awareness was incrementally negatively related to difficulties engaging in goal-directed behavior. Additionally, both observing and describing mindfulness skills were incrementally negatively related to lack of emotional awareness, and describing skills also were incrementally negatively related to lack of emotional clarity. Findings are discussed in relation to advancing scientific understanding of emotional dysregulation from a mindfulness skills-based framework.     

Psychometric Properties of the Perceived Social Support from Family and Friends Scale: Data from an Adolescent Sample in Ghana

Several studies have found that perceived social support plays a crucial role in the psychological and physical wellbeing of young people. A number of instruments measuring perceived social support have been developed and validated, including the Perceived Social Support from Family and Friends subscales. The psychometric properties of the Perceived Social Support from Family and Friends subscales have been demonstrated in a range of samples, although not in Ghana. The purpose of this study is to investigate the psychometric properties of the Perceived Social Support from Family and Friends subscales in Ghanaian adolescents using data from a school-based survey (N?=?770; 14–21 years). Participants completed a self-report questionnaire containing the Perceived Social Support from Family and Friends subscales, the Adolescent Stress Questionnaire, and the 12-item General Health Questionnaire. An exploratory factor analysis in addition to simultaneous confirmatory factor analyses with structural equation modelling were performed to evaluate the factor structure and factorial validity of the subscales along with Cronbach’s α and intercorrelations. Three factors and two factors were extracted for the Friends and Family subscales respectively. While the unidimensional model of the friends subscale had a better fit with the data than the three-factor model, the two-factor model of the family subscale had a better fit than the unidimensional model, even though the unidimensional models of both subscales produced higher internal consistency coefficients. With respect to construct validity, the family subscale demonstrated some evidence of convergent and discriminant validity, but the friends subscale demonstrated some evidence of only discriminant validity, in terms of the association between social support and common mental illness and perceived stress. It appears that the Perceived Social Support subscales are useful instruments for assessing social support from family and friends and could therefore be used to further our understanding about the role of social support in stressful life events and psychological functioning of Ghanaian adolescents, although further research is required for the friends subscale.     

Emotional Abuse Questionnaire (EAQ): A New Scale for Measuring Emotional Abuse and Psychological Maltreatment1

Emotional abuse is the core of all other kinds of child abuses and maltreatments. The significant and serious outcomes of other kinds of abuses are often due to the emotional aspects. Moreover, emotional abuse has several forms, and each form may lead to different adverse outcomes for children and adolescents. Unfortunately, there is not a comprehensive instrument to assess all categories of emotional abuse. A 30-item self-report questionnaire was developed for ages 12 years and older. The sample included 328 students aged 12 to 19 years selected randomly from students referred to different student counseling centers. Exploratory factor analysis categorized the scale into six subscales. Confirmatory factor analysis revealed that all items were fitted with the subscales significantly. Content and concurrent validity demonstrated good validity and reliability for each subscale. Overall reliability was also significantly acceptable.     

Diagnostic Discrimination of Patients with Different OCD Main Symptom Domains from each Other and from Anxious and Depressive Controls

The extent to which the subscales of multidimensional OCD measures accurately distinguish patients with specific OCD main symptom domains from controls at different cutscores has not yet been examined. Diagnostic accuracy of OCD measures usually is determined by comparing the total scores of heterogeneous OCD samples and controls and therefore may underestimate the measures’ discrimination potential. In the current study, subtype-specific diagnostic accuracy and criterion-related validity of the Obsessive-Compulsive Inventory-Revised (OCI-R) subscales were examined in 327 patients with OCD, anxiety, and/or depressive disorders. All subscales demonstrated good to excellent criterion-related validity and diagnostic accuracy for distinguishing patients with specific OCD main symptom domains from controls. As expected, the single OCI-R subscales lead to more accurate diagnostic decisions than the total scale. Thus, the subscale-specific cutscores significantly improve the OCI-R’s utility for subtype-specific treatment planning and outcome measurement. Furthermore, an alternative classification algorithm distinguishing patients with OCD from controls based on subscale cutscores leads to a better sensitivity, but also to a lower specificity than discrimination based on the total scale cutscore.     

When to Use Broader Internalising and Externalising Subscales Instead of the Hypothesised Five Subscales on the Strengths and Difficulties Questionnaire (SDQ): Data from British Parents,Teachers and Children

The Strengths and Difficulties Questionnaire (SDQ) is a widely used child mental health questionnaire with five hypothesised subscales. There is theoretical and preliminary empirical support for combining the SDQ’s hypothesised emotional and peer subscales into an ‘internalizing’ subscale and the hypothesised behavioral and hyperactivity subscales into an ‘externalizing’ subscale (alongside the fifth prosocial subscale). We examine this using parent, teacher and youth SDQ data from a representative sample of 5–16 year olds in Britain (N = 18,222). Factor analyses generally supported second-order internalizing and externalizing factors, and the internalizing and externalizing subscales showed good convergent and discriminant validity across informants and with respect to clinical disorder. By contrast, discriminant validity was poorer between the emotional and peer subscales and between the behavioral, hyperactivity and prosocial subscales. This applied particularly to children with low scores on those subscales. We conclude that there are advantages to using the broader internalizing and externalizing SDQ subscales for analyses in low-risk samples, while retaining all five subscales when screening for disorder.     

Construct validity of the relationship profile test: impact of gender, gender role, and gender role stereotype

Research supports the construct validity of the Relationship Profile Test (RPT; Bornstein & Languirand, 2003), a 30-item, self-report measure of destructive overdependence (DO), dysfunctional detachment (DD), and healthy dependency. In this investigation, we assessed the relationships of gender, gender role, and gender role stereotype ratings to RPT subscale scores. In Study 1, we replicated earlier patterns of gender differences in RPT scores, assessed cross-sample consistency in gender difference effect sizes, and provided preliminary nonclinical norms for the RPT subscales. Study 2 showed that--as expected--DO items are perceived as stereotypically feminine, whereas DD items are perceived as stereotypically masculine. In Study 3, we examined the relationships of RPT subscale scores to masculinity, femininity, and androgyny scores. We discuss the theoretical, empirical, and clinical implications of these findings.     

Construct validity of the relationship profile test: a self-report measure of dependency-detachment

This study evaluated the construct validity of the Relationship Profile Test (RPT; Bornstein & Languirand, 2003), a 30-item self-report measure of dependency-detachment that yields three subscale scores: (a) destructive overdependence, (b) dysfunctional detachment, and (c) healthy dependency. Scores on the RPT subscales generally showed the expected patterns of intercorrelations and gender differences, and comparison of RPT scores with scores on other tests supported the convergent and discriminant validity of each RPT subscale. Results of internal and retest reliability analyses were generally supportive as well, and suggested that the three RPT subscales assess aspects of the traits they purport to measure     

Relationship of purported measures of pathological and nonpathological dissociation to self-reported psychological distress and fantasy immersion

In order to investigate both the psychometric structure of the Dissociative Experiences Survey (DES) and the discriminant validity of the DES-Taxon (Waller, Putnam, & Carlson, 1996) as a specific marker of pathological dissociation, 376 non-clinical community based respondents completed the DES and a battery of psychopathology and imaginative involvement self-report measures. The DES was scored for both the Taxon and the DES-Absorption subscale. A DES subscale purported to tap normative dissociative processes. The two DES subscales demonstrated substantial overlap, both with each other (r = .80) and with the self-report measures with both DES scales comparably associated with high levels of psychological distress. Both DES subscales were also associated with elevated levels of "normative" imaginative involvement (fantasy proneness, absorption, daydreaming immersion). We conclude that both DES scales are largely indistinguishable from each other in relation to other self-report measures of psychopathology and fantasy access.     

The Abbreviated Dysregulation Inventory: Dimensionality and Psychometric Properties in Portuguese Adolescents

Psychological dysregulation is a complex and multidimensional construct encompassing cognitive, emotional, and behavioral dimensions. Research on psychological dysregulation emphasizes its importance in relation to several psychological disorders. However, assessing psychological dysregulation is often problematic because many of the existing instruments address a specific dysregulation dimension at a time, predominantly emotional dysregulation. The Abbreviated Dysregulation Inventory (ADI) was developed to assess three dimensions of psychological dysregulation: emotional, cognitive and behavioral. This study’s goal was to analyze the factor structure, internal consistency, and validity in relation to external variables of the Portuguese version of the ADI in a sample of 511 adolescents aged between 12 and 19 years old. The 3-factor solution was confirmed, and high internal consistency was found for the three subscales. Peculiar findings on the cognitive dysregulation subscale raised issues addressed in the discussion section. Results indicated that dysregulation associates positively with aggressive behavior and negatively with quality of life. Age and gender presented small influence on the cognitive and behavioral subscales scores, respectively. Findings suggested that ADI can be a valuable self-report measure to assess cognitive, behavioral or emotional dysregulation in youths, within research and psychological intervention settings.     

Factor structure and initial validation of a brief measure of perceived emotional and physical distress tolerance in post-9/11 US Veterans

Distress tolerance (i.e., perceived or actual capacity to tolerate aversive internal states) has received considerable research attention as a transdiagnostic risk-factor underlying the development and maintenance of psychopathology. Lower levels of emotional distress tolerance have been linked to psychopathology (e.g. Posttraumatic Stress Disorder) within Military populations; however, the association of physical distress tolerance to psychopathology in this population has been under-researched. This research gap may be due in part to a paucity of comprehensive, temporally stable and brief measures of distress tolerance that have been validated within Military populations, which may hinder further examination and refinement of the construct. Addressing this problem, the current study evaluates the psychometric properties of a novel and brief measure of emotional and physical distress tolerance in a sample of United States post-9/11 Veterans. Participants were 307 Veterans (M_age = 38.9, 67.7% male) who completed the 10-item Distress Tolerance Inventory at baseline and annual follow-up. Exploratory structural equation modeling was used to examine the optimal latent factor structure and longitudinal invariance of the DTI measurement model, along with correlational analyses to examine the convergent properties of the DTI subscales. The DTI reflected a longitudinally invariant two-factor structure (emotional and physical distress tolerance), with excellent internal consistency and preliminary evidence of convergent validity. Thus, the DTI represents a brief, reliable and temporally stable measure of physical and emotional distress tolerance.     

Development and validation of a measure of children's automatic thoughts: the children's automatic thoughts scale

The aim of this study was to describe the history, factor structure and psychometric properties of the Children's Automatic Thoughts Scale (CATS). The CATS is a self-report measure designed to assess a wide range of negative self-statements in children and adolescents. The results of confirmatory factor analyses supported four distinct but strongly correlated factors relating to automatic thoughts on physical threat, social threat, personal failure and hostility. The internal consistency of the total score and subscales was high and test-retest reliability at 1 and 3 months was acceptable. The CATS effectively discriminated between control children and adolescents, and clinically anxious, depressed, or behavior disorder children and adolescents, and showed good discriminant validity across clinical subgroups on the subscales. Results suggest that the CATS is a promising instrument in the assessment of a range of negative automatic thoughts across both internalizing and externalizing problems in young people.     

Perceptions of teacher’s feedback and learning environment as predictors of intrinsic motivation in physical education

Objectives: To investigate whether the perceptions of different domains of the learning environment in physical education, such as perceived teacher feedback, perceived challenge, perceived competitiveness and perceived threat to sense of self, are related to intrinsic motivation.Method: School children (N=783; n=375 boys, n=408 girls) aged 12–15 yrs completed three questionnaires. The physical education learning environment scale (PELES) was used to investigate the perceived threat to sense of self, perceived challenge and perceived competitiveness. The perceptions of the teacher’s feedback (PTF) questionnaire was developed for this study. The construct validity of factor structure of the instrument was confirmed by confirmatory factor analysis (CFA). Students’ intrinsic motivation was assessed by the intrinsic motivation inventory (IMI).Results: For middle school students, the most important predictors of intrinsic motivation were the perceived threat to sense of self, perceived challenge and perceived positive general feedback. Exploratory factor analyses (EFA) and CFA provided evidence of the adequate construct validity for the PTF and confirmed the construct validity for the PELES.Conclusion: Teachers need to create a learning environment that leads students to perceive it as non-threatening and challenging. They should seek to provide positive general feedback to create a more stimulating learning environment.     

Reduced approach motivation following nonreward: Extension of the BIS/BAS scales

The current study describes the development and validation of a new subscale to be used with the BIS/BAS scales (Carver & White, 1994). This subscale measures lowered approach motivation following nonreward. Factor analysis of the new subscale was carried out within a sample of 308 University students, test–retest reliability was established within a sample of 62 individuals, and construct validity was explored in a sample of 86 individuals by comparing scores on the new subscale with those on an existing self-report measure of apathy and on a behavioural measure of persistence. Reliability and validity of the new frustrative nonreward responsiveness subscale was found to be adequate within the populations studied. The findings are discussed in relation to theoretical accounts of BAS and BIS sensitivity.     

Incremental validity of mindfulness-based attention in relation to the concurrent prediction of anxiety and depressive symptomatology and perceptions of health

This investigation evaluated the role of mindfulness-based attention in concurrently predicting anxiety and depressive symptomatology and perceived health functioning in a community sample of 170 young adults (95 females; mean age (Mage) = 22.2 years, SD = 7.6). Partially consistent with prediction, results indicated that, relative to negative and positive affectivity and emotional expression and processing associated with approach-oriented coping, mindfulness-based attention incrementally predicted anhedonic depressive, but not anxious arousal, symptoms. Additionally, consistent with prediction, mindfulness-based attention demonstrated incremental validity in relation to perceived health, and the degree of impairment of health in terms of physical and mental functioning. Results are discussed in relation to the construct development of mindfulness-based attention, and specifically, the role(s) of this factor in emotional and physical health processes.     

Medication use and the assessment of agoraphobic avoidance

Many anxiety disorder patients who present for behaviour therapy are already taking anxiolytic medications. The present study added a new subscale to the Mobility Inventory labelled ‘Without Medication’ to assess possible reliance on medication for coping with phobic situations. 121 Patients with panic-related disorders were administered the scale. The results supported the reliability and validity of the existing Mobility Inventory subscales in general and of the new subscale in particular. It appears to reliably assess a clinically important domain that is not measured in traditional self-report measures of phobic avoidance.     

Scary warnings and rational precautions: A review of the psychology of fear appeals

Abstract

Research into the effects of fear-arousal on precautionary motivation and action is reviewed. Current models do not adequately distinguish between emotional (i.e., fear arousal) and cognitive (i.e., threat perception) responses to fear appeals and, in general, are not well supported. Evidence suggesting that (i) coping appraisals are more powerful predictors of precautionary action than threat perception and that (ii) fear control processes may interfere with precautionary motivation, recommends cautious and limited use of fear appeals in health promotion. It seems likely that fear arousal is less important in motivating precautionary action than perceptions of action effectiveness and self-efficacy. Moreover, perceived personal relevance may be critical to the emotional and cognitive impact of threat information. Available findings are summarised in the form of a process model that highlights the potential complexity of fear arousal effects. Sequential measurement of fear arousal, other than by self-report, is recommended in studies seeking to clarify these effects.