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Background: Substance use seems to be related to the dysfunctional beliefs of an individual. People with dysfunctional beliefs use maladaptive coping methods in stressful situations and can start using substance which might ultimately lead to substance use disorder. Aims and Objectives: This study was done to evaluate the various sociodemographic variables and illness parameters in persons with substance use disorder and their association with important subscales of COPE, to find out the association between DAS and COPE and also to assess the dysfunctional beliefs and attitudes in persons with SUD and the coping methods used in terms of stress. Materials and Methods: The population of this descriptive and cross-sectional study were 44 patients who were admitted under psychiatry ward and consented to the study. The data were collected using the socio-demographic Information Form, The Dysfunctional Attitude Scale (DAS) and the Coping Assessment Questionnaire (COPE). DAS: It is a forty-item scale. 40-280 is the score range. COPE: It is a questionnaire which has 60 questions distributed over 15 sub-scales. Statistical Analysis: "Statistical Package for the Social Sciences (SPSSv22) (SPSS Inc., Chicago, USA)" has been used for analyzing the values. For continuous variables standard deviation has been calculated along with the mean. For categorical variables, percentages and Fisher's Exact have been used. Results: Statistically significant differences were found in the average scores of restraint coping, turning to religion, seeking emotional and social support and mental disengagement depending on the different reasons for reusing the substance (P =0.015, 0.041, 0.028, 0.033 respectively). There was a negative correlation of Dysfunctional Coping sub-scale of COPE (focus on and venting of emotions) with varied attitude sub-scale (r = -0.373, P =0.013) of DAS and DAS total (r = -0.307, P =0.043). Varied attitude subscale of DAS was positively correlated with Substance Use of Dysfunctional Coping sub-scale of COPE (r = +0.304, P =0.045) whereas Need for Approval sub-scale of DAS showed negative association (r =-0.451, P =0.002) with regards to one item (Positive Reinterpretation and Growth) of Emotion Focused Coping sub-scale of COPE. Individuals who started using substance between 21-25 years of age scored highest in varied attitude subscale (mean score=92.00) and in autonomous attitude subscale (mean score=34.60) of DAS. When we assessed various problem focused coping strategies using COPE scale, it was found that most of the people (n =37, 84%) scored in the range of 12-16 which was in the planning subscale compared to other subscales of problem focused coping. Conclusion: From our study, we can opine that screening of dysfunctional attitude and maladaptive coping in the vulnerable population may help in preventing and reducing substance use and decrease the number of relapses. [ABSTRACT FROM AUTHOR]

We examined the feasibility, acceptability, and clinical potential of a smartphone-based Approach-Avoidance Modification Training (AAMT) that required users to deliberately display anger and positive emotions (AAMT-AP) to move (dys-)functional stress-related beliefs away from and towards themselves, respectively. The per protocol sample consisted of N = 30 participants randomized to an AAMT-AP condition, a swipe control condition, or an inactive control condition. Feasibility and acceptability of the intervention and study design were assessed directly and changes in clinical outcomes (perceived stress (primary outcome), dysfunctional beliefs, symptoms of depression, and emotion regulation skills) one week after intervention completion. The results indicated that AAMT-AP was feasible and acceptable to participants. Moreover, notable effect sizes for clinical outcomes in comparison with both control conditions provided preliminary evidence for its therapeutic potential. Future research should evaluate the efficacy of AAMT-AP in sufficiently powered randomized controlled trials. [ABSTRACT FROM AUTHOR]

The aims of this study were to explore the influence of shift working nursing professionals' psychological inflexibility on their level of insomnia. Additionally, we investigated the mediation effect of depression and sleep-related cognitions on this association. An online survey was conducted among 202 nursing professionals at Asan Medical Center from July to August, 2023. Participants responded to questionnaires including the Insomnia Severity Index (ISI), Acceptance and Action Questionnaire-II (AAQ-II), Dysfunctional Beliefs and Attitudes about Sleep − 16 (DBAS-16), Glasgow Sleep Effort Scale (GSES), Patient Health Questionnaire-9 items (PHQ-9), and the Discrepancy between desired time in bed and desired total sleep time index (DBST index). Pearson's correlation and linear regression were performed to explore the factors predicting ISI scores. Mediation analysis was implemented. Linear regression revealed that insomnia severity was predicted by DBAS-16 (β = 0.15, p = 0.008), GSES (β = 0.48, p < 0.001), and PHQ-9 (β = 0.26, p < 0.001). Mediation analysis showed that the relationship between the psychological inflexibility of shift-working nursing professionals' and insomnia severity was fully mediated by depression, dysfunctional beliefs about sleep, and sleep effort. Psychological inflexibility does not directly influence insomnia severity, but depression, dysfunctional beliefs about sleep, and sleep effort fully mediate the relationship. [ABSTRACT FROM AUTHOR]

Abstract During adolescence, individuals are particularly vulnerable to developing eating disorders (EDs). To address the dysfunctional beliefs linked to these disorders, a new mobile app has been developed. This app, called GG eating disorders-Adolescents (GGED-AD), was created based on CBT to help adolescents work on their self-dialogue related to the core beliefs of eating disorders. The objective is to present the protocol for a randomized controlled trial to explore the efficacy of GGED-AD. Methods The study will be carried out in adolescents aged 13 to 16 from an educational center in the Valencian Community. The participants will be randomized into two groups: the experimental group will use the GGED-AD app during 14 consecutive days for approximately 5 min each day; and the control group will use a neutral app (GGNEUTRAL) during the same time. Both groups will complete instruments that assess dysfunctional beliefs related to eating disorders, eating symptoms, symptoms of depression and anxiety, body satisfaction and self-esteem before and after the intervention. A follow-up will be conducted one month later. Results A decrease in the degree of ascription to dysfunctional beliefs associated with eating disorders and eating symptomatology is expected, as well as an increase in body satisfaction and the self-esteem of the participants of the experimental group. Discussion The app in this study could help tackle and prevent ED-related symptoms in adolescents. Trial registration NCT06039514.

Introduction: Postpartum depression is a type of mood disorder that can affect pregnant women who have given birth and is affected by various factors, so the present study aims to predict postpartum depression based on marital satisfaction, satisfied body, and dysfunctional beliefs in women of Bukan City. Methods: The present study is descriptive-correlational. The population consisted of all women with pregnancy in the last month in the first half of 2022 in the city of Bukan in the number of 2980 according to Morgan's table and with informed written consent, 340 pregnant women referring to Shahid Qolipur Hospital in Bukan were selected by available sampling method and filled in the questionnaire. Beck-2 depression, Edinburgh postpartum depression, Enrich's marital satisfaction, Body image satisfaction, and Weisman and Beck's dysfunctional beliefs responded. The analysis was done using a stepwise regression method. Results: Marital satisfaction, physical satisfaction, and dysfunctional beliefs have a significant ability to predict postpartum depression at P < 0.01 level. This effect is inverse in marital and physical satisfaction and positive in dysfunctional beliefs. Also, marital satisfaction, with an effect size of 0.324, physical satisfaction, with an effect size of 0.497, and ineffective beliefs, with an effect size of 0.652, explain the postpartum depression variable. Also, the prevalence of postpartum depression among women in Bukan City is 30.6%, which is higher than the average of the articles recorded in this field. Conclusions: According to the results of the research, Marital satisfaction, physical satisfaction inversely, and dysfunctional beliefs directly and positively predict postpartum depression in pregnant women. [ABSTRACT FROM AUTHOR]

During adolescence, individuals are particularly vulnerable to developing eating disorders (EDs). To address the dysfunctional beliefs linked to these disorders, a new mobile app has been developed. This app, called GG eating disorders-Adolescents (GGED-AD), was created based on CBT to help adolescents work on their self-dialogue related to the core beliefs of eating disorders. The objective is to present the protocol for a randomized controlled trial to explore the efficacy of GGED-AD. Methods The study will be carried out in adolescents aged 13 to 16 from an educational center in the Valencian Community. The participants will be randomized into two groups: the experimental group will use the GGED-AD app during 14 consecutive days for approximately 5 min each day; and the control group will use a neutral app (GGNEUTRAL) during the same time. Both groups will complete instruments that assess dysfunctional beliefs related to eating disorders, eating symptoms, symptoms of depression and anxiety, body satisfaction and self-esteem before and after the intervention. A follow-up will be conducted one month later. Results A decrease in the degree of ascription to dysfunctional beliefs associated with eating disorders and eating symptomatology is expected, as well as an increase in body satisfaction and the self-esteem of the participants of the experimental group. Discussion The app in this study could help tackle and prevent ED-related symptoms in adolescents. Trial registration NCT06039514. [ABSTRACT FROM AUTHOR]

A module has recently been developed within a mobile application (app) with the purpose of addressing dysfunctional beliefs associated with eating disorders (ED). The aim was to conduct a preliminary efficacy study by analyzing changes after use of the app in a general adult population. A quasi-experimental design was used in which 86 people completed a baseline assessment, and of them, 32 used the app daily for 3 minutes over a period of 15 days and completed the post-treatment assessment. Results before and after use of the app showed a decrease in mean scores for dysfunctional beliefs about perfectionism associated with physical appearance, vulnerability to weight gain, and the importance of thought control, as well as an increase in self-esteem. No significant reduction in eating symptomatology or depressive symptoms was observed. The results suggest that the app could be useful in reducing dysfunctional beliefs associated with ED. [ABSTRACT FROM AUTHOR]

Abstract Background Cognitive retraining or remediation approaches dispense high levels of stimulation and new learning tasks, leading to an increased neural connections, which facilitate rapid recovery in patients with neurological as well as psychiatric conditions. Objectives The current study aimed to investigate the effect of cognitive retraining (CR) in depressive disorders. We assigned 40 patients with mild to moderate depression to two sample groups, with 20 participants each: CR alone and CR with medicine. A 6-week CR module was delivered, and participants’ scores on measures such as the Beck Depression Inventory-II, Metacognition Questionnaire 30, World Health Organization Quality of Life- Brief, and Global Assessment of Functioning were compared. Results Analysis using Stata/IC version 16 included descriptive statistics, paired and independent t-tests, analysis of covariance, and propensity score matching. Cohen's d was computed to determine the effect size. Within-group analysis revealed statistically significant differences in pre-post scores of the outcome measures (p .05) even when covariates were controlled, or nearest neighbor match analysis was carried out. CR is effective in alleviating symptoms and dysfunctional metacognitive beliefs in addition to enhancing functioning and quality of life. Conclusions CR-based interventions may be essential mental health services owing to growing research in psychotherapy via virtual modes such as tele- and video-conferencing. These interventions can substantiate both prevention and remedy.

Abstract Background Stress levels and thus the risk of developing related physical and mental health conditions are rising worldwide. Dysfunctional beliefs contribute to the development of stress. Potentially, such beliefs can be modified with approach-avoidance modification trainings (AAMT). As previous research indicates that effects of AAMTs are small, there is a need for innovative ways of increasing the efficacy of these interventions. For this purpose, we aim to evaluate the feasibility of the intervention and study design and explore the efficacy of an innovative emotion-based AAMT version (eAAMT) that uses the display of emotions to move stress-inducing beliefs away from and draw stress-reducing beliefs towards oneself. Methods We will conduct a parallel randomized controlled pilot study at the Friedrich-Alexander-Universität Erlangen-Nürnberg, Germany. Individuals with elevated stress levels will be randomized to one of eight study conditions (n = 10 per condition) — one of six variants of the eAAMT, an active control intervention (swipe-based AAMT), or an inactive control condition. Participants in the intervention groups will engage in four sessions of 20–30 min (e)AAMT training on consecutive days. Participants in the inactive control condition will complete the assessments via an online tool. Non-blinded assessments will be taken directly before and after the training and 1 week after training completion. The primary outcome will be perceived stress. Secondary outcomes will be dysfunctional beliefs, symptoms of depression, emotion regulation skills, and physiological stress measures. We will compute effect sizes and conduct mixed ANOVAs to explore differences in change in outcomes between the eAAMT and control conditions. Discussion The study will provide valuable information to improve the intervention and study design. Moreover, if shown to be effective, the approach can be used as an automated smartphone-based intervention. Future research needs to identify target groups benefitting from this intervention utilized either as stand-alone treatment or an add-on intervention that is combined with other evidence-based treatments. Trial registration The trial has been registered in the German Clinical Trials Register (Deutsches Register Klinischer Studien; DRKS00023007 ; September 7, 2020).

Objective: Previous studies have associated sexual narcissism with aggressive behaviours prevalent among most Cluster B populations. Recent evidence shows that certain characteristics of sexual narcissism could be beneficial for sexual and marital satisfaction. The present study is an exploration of the role of narcissism in Sexual dysfunctions. Method: A cross-sectional design involving a sample of 62 men aged 22-60 years was used for the study. The sample consisted of 31 men having sexual dysfunctions and a matched control group of 31 men free from sexual dysfunctions. Tools used were the International Index for Erectile Functioning, Modified MINI, Sexual Dysfunctional Beliefs Questionnaire, Sexual Narcissism Scale, and Questionnaire for Cognitive Schema Activation in Sexual Context. Scores were subjected to discriminant analysis, and relevant variables were correlated to assess the strength of the association. Results: Results indicated that beliefs about Female Sexual Power (FSP), Helplessness Schema, and Exploitative behaviours of Sexual Narcissism were the best predictors that differentiated the two groups. The higher the scores on these variables, the lower the erectile functioning. FSP shared a positive correlation with both Exploitation and Helplessness, while the latter two variables were unrelated. Conclusions: A higher need to stick to traditional gender roles and fear of being overpowered could be contributing to sexually exploitative behaviours and relationship distress, which in turn, could affect self-efficacy and contribute to Sexual dysfunction.

Background: Cognitive retraining or remediation approaches dispense high levels of stimulation and new learning tasks, leading to an increased neural connections, which facilitate rapid recovery in patients with neurological as well as psychiatric conditions. Objectives: The current study aimed to investigate the effect of cognitive retraining (CR) in depressive disorders. We assigned 40 patients with mild to moderate depression to two sample groups, with 20 participants each: CR alone and CR with medicine. A 6-week CR module was delivered, and participants' scores on measures such as the Beck Depression Inventory-II, Metacognition Questionnaire 30, World Health Organization Quality of Life- Brief, and Global Assessment of Functioning were compared. Results: Analysis using Stata/IC version 16 included descriptive statistics, paired and independent t-tests, analysis of covariance, and propensity score matching. Cohen's d was computed to determine the effect size. Within-group analysis revealed statistically significant differences in pre-post scores of the outcome measures (p <.05) and large effect size (d = 3.41; d = 3.60) in both groups. The difference in scores of outcome measures between the groups was not significant (p >.05) even when covariates were controlled, or nearest neighbor match analysis was carried out. CR is effective in alleviating symptoms and dysfunctional metacognitive beliefs in addition to enhancing functioning and quality of life. Conclusions: CR-based interventions may be essential mental health services owing to growing research in psychotherapy via virtual modes such as tele- and video-conferencing. These interventions can substantiate both prevention and remedy. [ABSTRACT FROM AUTHOR]

The current scientific enquiry of deep brain stimulation (DBS) does not capture the breadth of DBS-induced changes to an individual's life. Considering that DBS is applied in severe and complex cases, it is ethically and clinically necessary to consider the patient perspective and personally relevant outcomes. This lived experience investigation of people with obsessive compulsive disorder (OCD) undergoing DBS aims to provide a comprehensive evaluation of DBS-induced effects associated with OCD psychopathology. Six patients and six carers completed semi-structured open-ended interviews. A blended approach of interpretative phenomenological, inductive, and thematic analysis techniques was employed. Profound psychopathological changes were expressed; individuals felt more alive, had improved cognitive affective control, greater engagement in the world, and were able to manage their OCD. Through suppression of the condition, self-constructs were able to re-emerge and develop. A framework describing the progression of phenomenological changes, and a theoretical model describing changes in the cognitive appraisal of intrusions influencing recovery are proposed. This is the first identified qualitative investigation of DBS-induced changes in psychiatric patients and carers. Findings have implications for patient education and recovery models of OCD, and scientific understanding of DBS effects. [ABSTRACT FROM AUTHOR]

Objective: Previous studies have associated sexual narcissism with aggressive behaviours prevalent among most Cluster B populations. Recent evidence shows that certain characteristics of sexual narcissism could be beneficial for sexual and marital satisfaction. The present study is an exploration of the role of narcissism in Sexual dysfunctions. Method: A cross-sectional design involving a sample of 62 men aged 22-60 years was used for the study. The sample consisted of 31 men having sexual dysfunctions and a matched control group of 31 men free from sexual dysfunctions. Tools used were the International Index for Erectile Functioning, Modified MINI, Sexual Dysfunctional Beliefs Questionnaire, Sexual Narcissism Scale, and Questionnaire for Cognitive Schema Activation in Sexual Context. Scores were subjected to discriminant analysis, and relevant variables were correlated to assess the strength of the association. Results: Results indicated that beliefs about Female Sexual Power (FSP), Helplessness Schema, and Exploitative behaviours of Sexual Narcissism were the best predictors that differentiated the two groups. The higher the scores on these variables, the lower the erectile functioning. FSP shared a positive correlation with both Exploitation and Helplessness, while the latter two variables were unrelated. Conclusions: A higher need to stick to traditional gender roles and fear of being overpowered could be contributing to sexually exploitative behaviours and relationship distress, which in turn, could affect self-efficacy and contribute to Sexual dysfunction. [ABSTRACT FROM AUTHOR]

Background: Stress levels and thus the risk of developing related physical and mental health conditions are rising worldwide. Dysfunctional beliefs contribute to the development of stress. Potentially, such beliefs can be modified with approach-avoidance modification trainings (AAMT). As previous research indicates that effects of AAMTs are small, there is a need for innovative ways of increasing the efficacy of these interventions. For this purpose, we aim to evaluate the feasibility of the intervention and study design and explore the efficacy of an innovative emotion-based AAMT version (eAAMT) that uses the display of emotions to move stress-inducing beliefs away from and draw stress-reducing beliefs towards oneself. Methods: We will conduct a parallel randomized controlled pilot study at the Friedrich-Alexander-Universität Erlangen-Nürnberg, Germany. Individuals with elevated stress levels will be randomized to one of eight study conditions (n = 10 per condition) — one of six variants of the eAAMT, an active control intervention (swipe-based AAMT), or an inactive control condition. Participants in the intervention groups will engage in four sessions of 20–30 min (e)AAMT training on consecutive days. Participants in the inactive control condition will complete the assessments via an online tool. Non-blinded assessments will be taken directly before and after the training and 1 week after training completion. The primary outcome will be perceived stress. Secondary outcomes will be dysfunctional beliefs, symptoms of depression, emotion regulation skills, and physiological stress measures. We will compute effect sizes and conduct mixed ANOVAs to explore differences in change in outcomes between the eAAMT and control conditions. Discussion: The study will provide valuable information to improve the intervention and study design. Moreover, if shown to be effective, the approach can be used as an automated smartphone-based intervention. Future research needs to identify target groups benefitting from this intervention utilized either as stand-alone treatment or an add-on intervention that is combined with other evidence-based treatments. Trial registration: The trial has been registered in the German Clinical Trials Register (Deutsches Register Klinischer Studien; DRKS00023007; September 7, 2020). [ABSTRACT FROM AUTHOR]

Background and Objective We considered the concept of the DBST, the discrepancy between a patient’s desired time in bed (TIB) and desired total sleep time (TST). The DBST index can be used to easily assess a patient’s thoughts on their desired TST and dysfunctionally long TIB. This study aimed to explore whether the DBST index can predict the severity of insomnia. Methods A total of 374 members of the general population participated in this e-survey study. The participants answered questions regarding their bedtime, sleep onset time, wake-up time, desired TST, and desired TIB, and psychological symptoms were assessed using the Insomnia Severity Index (ISI), Patients Health Questionnaire–9 items (PHQ-9), Dysfunctional Beliefs and Attitudes about Sleep–16 items (DBAS-16), and Glasgow Sleep Effort Scale (GSES). Results The DBST index was significantly correlated with the ISI (r = 0.20, p < 0.01), PHQ-9 (r = 0.15, p < 0.01), GSES (r = 0.14, p < 0.01), DBAS-16 (r = 0.16, p < 0.01), desired TST (r = -0.62, p < 0.01), and desired TIB (r = 0.52, p < 0.01). Linear regression analysis showed that insomnia severity was predicted by persistent preoccupation with sleep (beta = 0.64, p < 0.001), dysfunctional beliefs about sleep (beta = 0.06, p < 0.001), depression (beta = 0.23, p < 0.001), and DBST (beta = 0.32, p = 0.035). The DBST directly influenced insomnia severity, and this association was shown to be mediated by dysfunctional beliefs and attitudes about sleep, preoccupation with sleep, and depression. Conclusions The DBST index could be a possible new sleep index due to its relationship with insomnia severity, depression, dysfunctional beliefs about sleep, and preoccupation with sleep. Further studies are needed to explore the consistency of the clinical sample.

Cognitive behavioral therapy for insomnia (CBT-I) is one of the most common treatments for insomnia and is considered as the first-line treatment. People who struggle to fall asleep or stay asleep or those who do not find sleep refreshing can benefit over four to six sessions of CBT-I. Although CBT-I has many benefits, it does have some drawbacks. Therefore, a brief version needs to be developed for use in clinical practice. This study proposes the following concepts that can be readily applied in clinical practice: 1) Concept 1, 17 hours of activity and 7 hours of sleep; 2) Concept 2, discrepancy between desired time in bed and desired total sleep time; 3) Concept 3, time in bed during 24 hours; and 4) Concept 4, taking sleeping pills 7 hours before the waking up time. These concepts based on sleep indices could easily help patients with insomnia and may serve as a foundation for the development of Sleep Index-based CBT-I.

Background: The hypothesized cognitive model of negative symptoms, proposed nearly twenty years ago, is the most prevalent psychological framework for conceptualizing negative symptoms in schizophrenia spectrum disorders (SSDs). The aim of this study was to comprehensively validate the model for the first time, specifically by quantifying the relationships between negative symptom severity and all related dysfunctional beliefs., Methods: A systematic search was conducted using MEDLINE and PsychINFO, supplemented by manual reviews of reference lists and Google Scholar. Eligible studies were peer-reviewed with data on the direct cross-sectional association between negative symptoms and at least one relevant dysfunctional belief in SSD patients. Screening and data extraction were completed by independent reviewers. Random-effects meta-analyses were performed to pool effect size estimates of z -transformed Pearson's r correlations. Moderators of these relationships, as well as subset analyses for negative symptom domains and measurement instruments, were also assessed., Results: Significant effects emerged for the relationships between negative symptoms and defeatist performance beliefs (k = 38, n = 2808), r = 0.23 (95% CI, 0.18-0.27), asocial beliefs (k = 8, n = 578), r = 0.21 (95% CI, 0.12-0.28), low expectancies for success (k = 55, n = 5664), r = -0.21 (95% CI, -0.15 - -0.26), low expectancies for pleasure (k = 5, n = 249), r = -0.19 (95% CI, -0.06 - -0.31), and internalized stigma (k = 81, n = 9766), r = 0.17 (95% CI, 0.12-0.22), but not perception of limited resources (k = 10, n = 463), r = 0.08 (95% CI, -0.13 - 0.27)., Conclusions: This meta-analysis provides support for the cognitive model of negative symptoms. The identification of specific dysfunctional beliefs associated with negative symptoms is essential for the development of precision-based cognitive-behavioral interventions.

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Copyright of Cuadernos de Psicología del Deporte is the property of Cuadernos de Psicologia del Deporte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The Personality Beliefs Questionnaire-Short Form (PBQ-SF) is the short-form version of PBQ (Beck and Beck in The personality belief questionnaire, 1991) and was developed by Butler et al. (Cogn Therapy Res 31(3): 357–370, 2007) to assess dysfunctional beliefs based on cognitive formulations of personality disorders. This study designed to examine the factor structure, internal consistency, and convergent validity of the Persian PBQ-SF in a sample of 502 university students in Iran (M age = 23.22, SD = 4.99, 56.6% women). Confirmatory factor analysis supported the proposed ten-factor model. The internal consistency of the Persian version of PBQ-SF ranged from.56 (Avoidant) to.81 (Histrionic), while MIC values indicated reliabilities in the acceptable range for all PBQ-SF factors. Also, expected associations between PBQ-SF factors (e.g., Narcissism and Antisocial) and external correlates (e.g., Disinhibition and Antagonism) supported the measure's convergent validity. The findings indicated that the Persian version of the PBQ-SF has sound psychometric properties and is a valid and reliable tool for assessing dysfunctional beliefs. [ABSTRACT FROM AUTHOR]

We explored the reliability and validity of the Korean version of the Positive and Negative Sleep Appraisal Measure (PANSAM) scale using pre-existing sleep-related questionnaires among the general population. Through an online survey, data from 400 South Korean participants were collected from 10 to 18 January 2022. Symptoms were measured with the PANSAM, Insomnia Severity Index (ISI), the 16-item Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS-16), the Glasgow Sleep Effort Scale (GSES), and the discrepancy between desired time in bed and the desired total sleep time (DBST) index. The four PANSAM subscales were reliable and valid tools for measuring individuals' dysfunctional beliefs about sleep. A confirmatory factor analysis revealed that the full-scale and four-factor model showed a good fit. The full scale and each subscale were significantly correlated with ISI, DBAS-16, and GSES scores. The DBST index was significantly correlated with Subscales 2 and 3. In conclusion, the Korean version of the PANSAM scale and its four subscales can be applied when clinicians measure dysfunctional beliefs regarding sleep among the general population in South Korea. The PANSAM should be explored among other clinical groups to elucidate its applicability as a trans-diagnostic tool while conducting cognitive behavioral therapy for insomnia. [ABSTRACT FROM AUTHOR]

Objective: Dysfunctional beliefs about sleep and pain are common among individuals experiencing recurrent pain and may inadvertently maintain insomnia symptoms. Thus, the present study sought to determine the level at which pain-related beliefs about sleep may predict insomnia and assess whether pain-related beliefs about sleep predict attitudes towards insomnia treatment above other known factors.Patients/methods: Data consisted of 999 individuals (M age = 44.18, 45.75% male) who participated in an online study about sleep and health across the lifespan. Beliefs about sleep and pain were measured via the pain-related beliefs and attitudes scale (PBAS) while insomnia and pain were assessed using the insomnia severity index (ISI) and a visual analogy scale, respectively. Attitudes towards insomnia treatment was measured using the insomnia treatment acceptability scale (ITAS).Results and Conclusion: A score of 6.10 out of 10 on PBAS optimized sensitivity (66.40%) and specificity (66.90%) for insomnia classification. Pain-related beliefs about sleep predicted treatment acceptability of both behavioral (β = .46, p <. 001) and pharmacological treatments (β = 0.50, p < .001) over and above insomnia symptoms, pain severity, or sleep-self efficacy. Results underscore the importance of cognitive-behavioral factors as it relates to insomnia among individuals with comorbid pain and are relevant to the developments of models which seek to understand attitudes towards insomnia treatment. [ABSTRACT FROM AUTHOR]

Background: One of the most important issues in family psychology that has become more important with social change is marital adjustment. The present study was conducted to predict marital adjustment based on dysfunctional beliefs and self-sacrifice motivations. Methods: This study was a correlational study and was conducted in 2020. The statistical population of the study included married women in Babolsar city. In the present study, 305 people were selected using the available sampling method and responded to the tools. The scales of marital adjustment, self-sacrifice motivations and dysfunctional beliefs were used to collect data. SPSS software was used to analyze the data and the multiple regression method was used to test the research hypotheses. Results: The results showed that the variable of dysfunctional beliefs is a negative and significant predictor of marital adjustment (β=-0.50, P=0.001). The approach motive of sacrifice was a positive and significant predictor of marital adjustment (β=0.26, P=0.001). However, the avoidance motive of sacrifice variable was not able to predict the marital adjustment (β=0.14, P=0.178). In addition, the results showed that 31% of the variance of the dependent variable is predicted by independent variables. Conclusion: The results showed that dysfunctional beliefs and approach motive of sacrifice play a role in marital adjustment. Therefore, implementing intervention programs to strengthen the approach motive of sacrifice and reduce dysfunctional beliefs can help improve marital adjustment.

Depression, anxiety, stress (DAS) are triggers of tension-type headaches. The current research investigates how irrational cognitions, according to the theory of Rational Emotive Behaviour Therapy (tREBT), are associated with DAS. We determine how tREBT predicts well-being and happiness outcomes of people experiencing tension-type headaches through DAS. We use the Hybrid Model of Learning in Personality (HMLP) to provide a detailed model of cognitions associated with tREBT. This research aims to advance understanding of the psychological factors associated with tension-type headaches, and our measurement model of tREBT may help reverse declining research interest. Across two studies, using physicians and family members as third-party assessors of patients with tension-type headaches, we use HMLP to show how irrational cognitions are expressed through DAS in the prediction of patient well-being and happiness. Our results provide a new understanding of cognitions associated with tREBT, a measurement model of tREBT, and we identify cognitions associated with tension-type headaches. We conclude that learning and cognitive processes related to the development and maintenance of irrational beliefs are important in the prediction of the severity of tension-type headaches and their well-being outcomes. This information can be used to develop clinical applications, such as programs designed to increase success of health-promotion activities. We believe HMLP offers researchers a validated model of cognitive mechanisms associated with REBT and will encourage more mainstream empirical research of this theory and therapy. [ABSTRACT FROM AUTHOR]

Although dysfunctional career decision-making beliefs represent an important assessment and intervention area in career counseling, the empirical foundation and the general mechanism of the dysfunctionality of dysfunctional career decision-making beliefs remain not fully clear. Based on the dual-process theory of career decision-making, the current study used a sample of U.S. college students (n = 200) and examined a longitudinal mediation model in which dysfunctional career decision-making beliefs predict subsequent career decidedness, career commitment, and academic major satisfaction through ambiguity aversion. The results supported the hypothesized mediation model in that dysfunctional career decision-making beliefs negatively predicted subsequent career decidedness, career commitment, and academic major satisfaction, and ambiguity aversion mediated all three links. Therefore, the present study not only shows that dysfunctional career decision-making has a pervasive detrimental role in career decision-making but also sheds light on the intricate relationship between dysfunctional career decision-making beliefs and ambiguity management in career decision-making. The limitations of this study and suggestions for future research are also discussed. [ABSTRACT FROM AUTHOR]

Abstract Background This study investigates the association of reassurance seeking with obsessive compulsive (OC) symptoms, dysfunctional beliefs, and negative emotions. Methods Reassurance Seeking Questionnaire, Obsessive-Compulsive Inventory, Obsessive Beliefs Questionnaire, Trait Anger Expression Inventory, and Guilt Inventory were applied to 53 obsessive compulsive disorder (OCD) patients and 591 non-clinical participants. Results The results showed that the severity of the OC symptoms significantly predicted the carefulness of OCD patients during reassurance seeking, indicating increased carefulness during reassurance seeking as the severity of OC symptoms increased. Moreover, feelings of guilt increased with increasing intensity of reassurance seeking. In addition, carefulness during reassurance seeking significantly predicted the level of anxiety. Responsibility/threat estimation, perfectionism/need for certainty, and importance/control of thoughts significantly predicted the OC symptoms. Moreover, the dysfunctional beliefs directly associated with an increased need to seek reassurance from different sources and seek reassurance more carefully. In terms of mediational effect, the results revealed that the individuals who had distorted beliefs were more likely to have OC symptoms and, in turn, the OC symptoms increased carefulness during reassurance seeking. The analysis of the model test revealed mostly similar results to those obtained for the clinical sample. Conclusions The findings revealed a close relationship between OC symptoms and reassurance-seeking behaviors.

The problem of loneliness is caused by a disunity and alienation of modern society, dissatisfaction with the basic social needs for acceptance and support. The fact that the subjective feeling of loneliness does not coincide with the real degree of social isolation determines the need to study the cognitive aspects. The aim of this study is to show the role of cognitive structures in loneliness in women. A survey of 144 women aged 26-55 years was conducted. Using the UCLA Loneliness Scale and the Differential Loneliness Experience Questionnaire, loneliness was measured as a global experience, positive and negative attitudes towards it. Cognitive models were studied using the Dysfunctional Attitude Scale, Young Schema Questionnaire, the author's questionnaire that reveals cultural myths and gender stereotypes about loneliness. A comparative analysis of the groups showed no differences in the perception of loneliness among women with different family situations; it also does not depend on having children and their number. Age was found to be a significant determinant of perceptions of loneliness and family circumstances. Cognitive models influence women's loneliness to a greater extent than family situation. The publication describes correlations between perceived loneliness and individual dysfunctional attitudes, and builds regression models of predictors of loneliness in different age groups. The study shows the prevalence of cultural stereotypes about the need for marriage and motherhood, and a special female vulnerability in relationships. The construct "tolerance to loneliness" is proposed and described, which reveals the positive potential of this experience for selfknowledge and self-development. [ABSTRACT FROM AUTHOR]

Cognitive-behavioral therapy for insomnia (CBT-i) is considered the treatment of choice for this disorder, but it is not widely implemented in clinical settings. This study aims to examine the efficacy of a group format of CBT-i in the Spanish National Health System. Fifty-two participants with a primary insomnia disorder (55.8% women; Mage = 47.19, SD = 11.02) were assigned to a CBT-i (n =17) or waiting list condition (n = 21). Treatment consisted of eight group therapy sessions (2 hours/week). Significant improvements in insomnia severity, sleep quality, and insomnia-related dysfunctional beliefs and attitudes were observed in patients who received CBT-i. Emotional symptoms also decreased after the intervention in the CBT-i group. Findings support the efficacy of a group protocol of cognitive-behavioral therapy for insomnia with a group protocol for patients with primary insomnia disorder. We also suggest a role of insomnia-related dysfunctional beliefs and attitudes in the maintenance of this disorder. [ABSTRACT FROM AUTHOR]

Lisha Dai,1 Zan Xu,2 Meng Yin,1 Xiang Wang,1 Yunlong Deng1,31Clinical Psychology Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, People’s Republic of China; 2Student Affairs Department, Central South University, Changsha, Hunan 410000, People’s Republic of China; 3Psychosomatic Health Institute, The Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, People’s Republic of ChinaPurpose: The cognitive behavioral model is considered the most comprehensive for explaining the pathogenesis of health anxiety (HA). The model proposes 4 dysfunctional beliefs that play a vital role in developing and sustaining HA: a) the likelihood of contracting or having an illness, b) awfulness of the illness, c) difficulty coping with illness, and d) inadequacy of medical services. The Health Cognitions Questionnaire (HCQ), widely used in English populations, was developed for assessing these core cognitions. As HA is a growing problem in China, we translated the HCQ into a Chinese version (CHCQ) and examined its psychometric properties. These core cognitions were compared among individuals with and without medical conditions.Methods: A set of questionnaires that included the CHCQ and the Short Health Anxiety Inventory (SHAI) was used to gather data from 1,319 Chinese college students. After 4 weeks, 145 of the students completed the CHCQ again. The validity, reliability, and measurement invariance were evaluated among individuals with various medical conditions.Results: The final CHCQ included 19 items. A 4-factor structure was well suited to the data. Good internal consistency (Cronbach’s α for total score was 0.849, subscales ranged from 0.753 to 0.841), test–retest reliability (the interclass correlation coefficient for total score was 0.762, subscales ranged from 0.626 to 0.683), and criterion validity of the CHCQ were demonstrated. Measurement and structural invariance were established. Individuals with a diagnosed disease scored higher on the likelihood-of-illness subscale (Cohen’s d =0.22, p < 0.01) than those without an illness.Conclusion: The CHCQ shows promise for the assessment of 4 core HA-related cognitions in the Chinese population.Keywords: health anxiety, dysfunctional beliefs, health cognitions, cognitive behavioral model

Metacognition is defined as the ability to reflect on one’s mental state and to govern thoughts and beliefs. Metacognitive dysfunctions are typical of several psychopathologic conditions, and also a feature of insomnia disorder, possibly playing a crucial role in its genesis and maintenance. In the context of insomnia, metacognition describes how individuals react to their own sleep-related thoughts and beliefs, boosting the hyperarousal state experienced by these patients. Up to now, no studies evaluated the effect of cognitive behavioral therapy for insomnia (CBT-I) on metacognitive functioning. Therefore, the aim of our study was to evaluate the effect of CBT-I administered in group format in patients with insomnia disorder. As expected, all patients showed significant improvements in both insomnia and sleep diary parameters after treatment. Furthermore, an improvement was observed also in dysfunctional metacognitive levels, assessed by means of the Metacognitions Questionnaire-Insomnia (MCQ-I). However, 63% of patients still showed a MCQ-I score above the clinical cutoff after treatment. Dividing the sample on the basis of MCQ-I questionnaire scores after CBT-I, we found that patients, who still presented metacognitive impairment, received significant beneficial effects from CBT-I both on insomnia symptoms and on dysfunctional beliefs, but not on dysfunctional metacognitive functioning. These findings suggest that metacognition should be carefully evaluated in insomnia patients and further studies are needed to evaluate long-term implications of this remaining dysfunction.

Background and Objectives: Depressive states represent a normal and physiological response to the experience of loss. However, it is possible to identify some elements that allow distinguishing physiological depressive states from pathological ones. Over the years, research has confirmed that a stable tendency to negative self-evaluation is a transdiagnostic factor that triggers and amplifies dysfunctional emotional reactivity, thus contributing to the shift from normal to pathological reaction. In this sense, the secondary problem, or meta-emotional problem, referring to the negative evaluation of one's depressive state and the consequent dysfunctional attempts to solve it, seems to play an important role. The aim of the present study is to investigate how dysfunctional beliefs and the evaluations of depressive symptoms (meta-emotional problems) are related to depression severity.Methods: We asked to a community sample to focus on the depressive symptoms they regard as most distressful and evaluate them through specific questionnaires. One-hundred and eighty nine participants were asked to complete a set of questionnaires: (1) the Meta-Emotional Problem Questionnaire; (2) the Center for Epidemiologic Studies Depression Scale; (3) the Beck Depression Inventory; (4) the Dysfunctional Attitude Scale-24 in order to investigate the relation between dysfunctional beliefs, meta-emotional problems, and depressive symptoms severity.Results: Our results show that higher levels of depression are associated both to more pervasive dysfunctional attitudes and increased evaluation of meta-emotional problem. In addition, we conduct a regression analysis to disentangle the impact of the two different measures of depressive symptoms (i.e., BDI-II and CES-D) with two explanatory variables (dysfunctional attitudes and meta-emotional problem). Results show that meta-emotional problem remains a significant and robust predictor of the severity of depressive symptomatology, while dysfunctional beliefs has a rather weak and non-significant relation with the criterion. In other words, meta-emotional problem consistently explains the higher variance of depressive symptoms than dysfunctional beliefs. In conclusion, our study shows a clear link between meta-emotional problem and depression severity. This is relevant for clinical practice, as it highlights the importance of specifically targeting beliefs about the depressive condition in cognitive-behavioral treatment of depression, since they represent crucial factors maintaining depressive symptomatologies.

Metacognition is defined as the ability to reflect on one's mental state and to govern thoughts and beliefs. Metacognitive dysfunctions are typical of several psychopathologic conditions, and also a feature of insomnia disorder, possibly playing a crucial role in its genesis and maintenance. In the context of insomnia, metacognition describes how individuals react to their own sleep-related thoughts and beliefs, boosting the hyperarousal state experienced by these patients. Up to now, no studies evaluated the effect of cognitive behavioral therapy for insomnia (CBT-I) on metacognitive functioning. Therefore, the aim of our study was to evaluate the effect of CBT-I administered in group format in patients with insomnia disorder. As expected, all patients showed significant improvements in both insomnia and sleep diary parameters after treatment. Furthermore, an improvement was observed also in dysfunctional metacognitive levels, assessed by means of the Metacognitions Questionnaire-Insomnia (MCQ-I). However, 63% of patients still showed a MCQ-I score above the clinical cutoff after treatment. Dividing the sample on the basis of MCQ-I questionnaire scores after CBT-I, we found that patients, who still presented metacognitive impairment, received significant beneficial effects from CBT-I both on insomnia symptoms and on dysfunctional beliefs, but not on dysfunctional metacognitive functioning. These findings suggest that metacognition should be carefully evaluated in insomnia patients and further studies are needed to evaluate long-term implications of this remaining dysfunction. [ABSTRACT FROM AUTHOR]

Background and Objectives: Depressive states represent a normal and physiological response to the experience of loss. However, it is possible to identify some elements that allow distinguishing physiological depressive states from pathological ones. Over the years, research has confirmed that a stable tendency to negative self-evaluation is a transdiagnostic factor that triggers and amplifies dysfunctional emotional reactivity, thus contributing to the shift from normal to pathological reaction. In this sense, the secondary problem, or meta-emotional problem , referring to the negative evaluation of one's depressive state and the consequent dysfunctional attempts to solve it, seems to play an important role. The aim of the present study is to investigate how dysfunctional beliefs and the evaluations of depressive symptoms (meta-emotional problems) are related to depression severity. Methods: We asked to a community sample to focus on the depressive symptoms they regard as most distressful and evaluate them through specific questionnaires. One-hundred and eighty nine participants were asked to complete a set of questionnaires: (1) the Meta-Emotional Problem Questionnaire; (2) the Center for Epidemiologic Studies Depression Scale; (3) the Beck Depression Inventory; (4) the Dysfunctional Attitude Scale-24 in order to investigate the relation between dysfunctional beliefs, meta-emotional problems, and depressive symptoms severity. Results: Our results show that higher levels of depression are associated both to more pervasive dysfunctional attitudes and increased evaluation of meta-emotional problem. In addition, we conduct a regression analysis to disentangle the impact of the two different measures of depressive symptoms (i.e., BDI-II and CES-D) with two explanatory variables (dysfunctional attitudes and meta-emotional problem). Results show that meta-emotional problem remains a significant and robust predictor of the severity of depressive symptomatology, while dysfunctional beliefs has a rather weak and non-significant relation with the criterion. In other words, meta-emotional problem consistently explains the higher variance of depressive symptoms than dysfunctional beliefs. In conclusion, our study shows a clear link between meta-emotional problem and depression severity. This is relevant for clinical practice, as it highlights the importance of specifically targeting beliefs about the depressive condition in cognitive-behavioral treatment of depression, since they represent crucial factors maintaining depressive symptomatologies. [ABSTRACT FROM AUTHOR]

Objectives: Bipolar disorder (BD) is a mental health problem characterized by episodes of mania and depression which can lead to significant difficulties impairing one's daily functioning. Cross‐sectional research has highlighted self‐esteem and dysfunctional beliefs in those with this diagnosis, but there has been little research into how self‐esteem and dysfunctional beliefs relate to symptoms of mania and depression over time. Design: A secondary data analysis of a prospective cohort study was used. Methods: Forty patients with BD attending a community adult mental health service completed the Dysfunctional Attitudes Scale, Rosenberg Self‐Esteem Scale, Brief Hypomanic Attitudes and Positive Predictions Inventory, Centre for Epidemiologic Studies Depression Scale, and Altman Self‐Rating Mania Scale at two time points 4 months apart. Results: Cross‐sectional correlations revealed significant associations between elevated goal attainment dysfunctional beliefs and higher symptoms of mania; however, this did not hold over time. Elevated dependency‐related dysfunctional beliefs and lower self‐esteem were linked to higher symptoms of depression, and this relationship held over time. There was no impact of achievement‐related dysfunctional beliefs on mood. Extreme appraisals were correlated with higher depression symptoms at baseline, but this did not hold over time. Conclusions: Findings suggest lower self‐esteem and specific dysfunctional beliefs around dependency may precede symptoms of depression. Further research is required to further explore these associations. Practitioner points: Elevated dysfunctional beliefs around dependency on others and lower levels of self‐esteem may precede symptoms of depression in BD.Therapeutic interventions and relapse prevention targeting these psychological factors may help reduce the risk of depression relapse. [ABSTRACT FROM AUTHOR]

Some lay beliefs people hold are harmful to their romantic relationships because they reduce relationship satisfaction. Two studies were conducted in two different national settings (N = 253 in the UK and N = 132 in Hungary) to test the effects of three potential dysfunctional beliefs: an aversion to disagreement between the partners, an expectation that mindreading should happen, and a belief that relationships are formed due to destiny. When predicting two different indices of relationship satisfaction, consistently across both national settings, results revealed that an aversion to disagreement was negatively linked with relationship outcomes, whereas the other two beliefs were not. Findings are discussed in terms of their applied value: Those working with struggling couples will want to know which lay beliefs, out of several potentially dysfunctional beliefs, have the strongest negative effect on relationship outcomes because those should be tackled first in interventions. [ABSTRACT FROM AUTHOR]

Lairun Jin,1 Jun Zhou,1 Hui Peng,2 Shushu Ding,1 Hui Yuan1 1School of Public Health, Wannan Medical College, Wuhu, Anhui, People’s Republic of China; 2Department of Hospital Infection Management, Yijishan Hospital of Wannan Medical College, Wuhu, Anhui, People’s Republic of China Objective: The aims of this study were to evaluate a subset of sleep-related cognitions and to examine whether dysfunctional beliefs and attitudes about sleep were associated with sleep quality in college students. Patients and methods: A total of 1,333 college students were enrolled in this study by randomized cluster sampling. A brief version of Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS-16) was administered to college students at several colleges. Sleep quality was also assessed using the Pittsburgh Sleep Quality Index (PSQI). The DBAS-16 scores were analyzed across different demographic variables, corresponding subscales of 7-item PSQI, and relevant sleep behavior variables. Results: A total of 343 participants were poor sleepers, while 990 were good sleepers, as defined by PSQI. The DBAS-16 scores were lower in poor sleepers than in good sleepers (46.32 ± 7.851 vs 49.87 ± 8.349, p < 0.001), and DBAS-16 scores were lower in females and nonmedical students when compared with those in males and medical students, respectively (48.20 ± 8.711 vs 49.73 ± 7.923, p = 0.001; 48.56 ± 8.406 vs 49.88 ± 8.208, p = 0.009, respectively). The total score for sleep quality, as measured by PSQI, was negatively correlated with the DBAS-16 total score (r = −0.197, p < 0.01). There were significant differences in PSQI scores between individuals with attitudes and those without attitudes about sleep with respect to good sleep habits (p < 0.001), self-relaxation (p = 0.001), physical exercise (p < 0.001), taking sleeping pills (p = 0.004), and taking no action (p < 0.001). Conclusion: Dysfunctional beliefs about sleep are associated with sleep quality and should be discouraged, especially for females and nonmedical college students. Keywords: sleep, dysfunctional beliefs, college students, sleep quality, cognition

Caregivers of people with dementia who endorse dysfunctional beliefs about caregiving are at high risk of experiencing higher levels of distress. These dysfunctional beliefs are presented in the form of rules, verbal statements that specify what responsibilities one should expect in order to be a "good caregiver," and are characterized as rigid, unrealistic, or highly demanding. Previous studies relied exclusively on self-report measures when assessing such dysfunctional beliefs about caregiving. The objectives of this study were: 1) to develop and validate an Implicit Relational Assessment Procedure (IRAP) to measure implicit dysfunctional beliefs about caregiving (CARE-IRAP), and 2) considering the relatively high age of the sample, to analyze the adaptation of the IRAP for older adults, comparing the IRAP performance between older adult caregivers and middle-aged caregivers. Participants were 123 dementia family caregivers with a mean age of 62.24 ± 12.89. Adaptations were made to the IRAP by adjusting the accuracy and response time criteria. The sample was split into middle-aged caregivers (below 60 years) and older adult caregivers (60 or older). The CARE-IRAP scores presented significant positive correlations with explicit measures of dysfunctional beliefs about caregiving and experiential avoidance in caregiving. A similar pattern of results was observed across the two age groups. The results revealed that caregivers endorse implicit dysfunctional beliefs about caregiving and offer preliminary support for the use of the IRAP as a valid measure of implicit caregiving beliefs. This exploratory study is the first to adapt the IRAP criteria to older adults, and future studies should further explore criteria suitable for this population. [ABSTRACT FROM AUTHOR]

With reference to the rational emotive behavior therapy (REBT) framework model, the purpose of the present study was to develop a multidimensional scale regarding dysfunctional beliefs of young people, and to clarify its factor structure. In line with this purpose, the dysfunctional beliefs questionnaire (DBQ) was developed. It is composed of four subscales measuring self-criticizing, catastrophizing, demandingness and frustration intolerance. Results reveal that the DBQ shows a good four-factor structure that represents the four subscales of the theoretical framework model. Furthermore, this result demonstrates adequate internal consistency reliability and supports the validity of the DBQ in terms of construct convergent (assessed with the personality belief questionnaire) and divergent validity (assessed with intelligence and coping strategies). Findings also show that dysfunctional beliefs are negatively correlated with intelligence and blunting coping and partially correlated with monitoring coping. Clinical implications and the potential utility of examining the combined influence of other cognitive factors are highlighted. [ABSTRACT FROM AUTHOR]

Background: This study investigates the association of reassurance seeking with obsessive compulsive (OC) symptoms, dysfunctional beliefs, and negative emotions. Methods: Reassurance Seeking Questionnaire, Obsessive-Compulsive Inventory, Obsessive Beliefs Questionnaire, Trait Anger Expression Inventory, and Guilt Inventory were applied to 53 obsessive compulsive disorder (OCD) patients and 591 non-clinical participants. Results: The results showed that the severity of the OC symptoms significantly predicted the carefulness of OCD patients during reassurance seeking, indicating increased carefulness during reassurance seeking as the severity of OC symptoms increased. Moreover, feelings of guilt increased with increasing intensity of reassurance seeking. In addition, carefulness during reassurance seeking significantly predicted the level of anxiety. Responsibility/threat estimation, perfectionism/need for certainty, and importance/control of thoughts significantly predicted the OC symptoms. Moreover, the dysfunctional beliefs directly associated with an increased need to seek reassurance from different sources and seek reassurance more carefully. In terms of mediational effect, the results revealed that the individuals who had distorted beliefs were more likely to have OC symptoms and, in turn, the OC symptoms increased carefulness during reassurance seeking. The analysis of the model test revealed mostly similar results to those obtained for the clinical sample. Conclusions: The findings revealed a close relationship between OC symptoms and reassurance-seeking behaviors. [ABSTRACT FROM AUTHOR]

The purposes of this research were (1) to analyse the psychometric properties of the Inferential Confusion Questionnaire‐Expanded Version (ICQ‐EV) in a Spanish population; (2) to explore the role of inferential confusion in obsessive–compulsive disorder (OCD); and (3) to compare the inferential confusion construct in nonclinical and clinical samples. A sample of 342 nonclinical participants and 66 patients with OCD completed the ICQ‐EV Spanish adaptation as well as a set of questionnaires. Results confirmed a good fit of the ICQ‐EV Spanish version to the original unifactorial structure and excellent internal consistency and test–retest reliability. Moreover, results confirmed that the ICQ‐EV predicts Obsessing, Checking, Washing, and Hoarding symptoms, independently of the contribution of dysfunctional beliefs. In addition, OCD patients scored significantly higher on the ICQ‐EV than nonclinical participants. The Spanish version of the ICQ‐EV is a reliable instrument to assess inferential confusion, and further support is provided for the relevance of the inferential confusion construct in OCD. [ABSTRACT FROM AUTHOR]

Study Objectives: Various models of insomnia stress the role of cognitive components, such as dysfunctional sleep-related beliefs, in maintenance and exacerbation of insomnia. This study aimed to use network analysis to identify the particular beliefs that are central and have strong associations with insomnia severity. In addition, we aimed to use a relative importance network to map out predictive pathways between types of dysfunctional beliefs and insomnia severity., Methods: This study was a retrospective study, with data collected from 219 patients with insomnia. Patients' responses to the Dysfunctional Beliefs about Sleep Scale-16 (DBAS-16) and Insomnia Severity Index (ISI) were collected. All network analyses were performed using R Studio to produce 3 networks: (1) DBAS-16 network, (2) DBAS-16 and ISI network, and (3) relative importance network containing DBAS-16 subscales and ISI., Results: Beliefs reflecting overestimation of negative consequences of sleep (eg, "insomnia is ruining life"), loss of ability (eg, "worry about losing abilities to sleep"), and unpredictability (eg, "can't predict sleep quality") were identified as most central and strongly associated with insomnia severity. Worry/helplessness about insomnia had the largest predictive value on insomnia severity, and also acted as a mediator between other subscales and insomnia severity., Conclusions: The results of our study suggest that overestimation of negative consequences, loss of ability, and unpredictability are key beliefs that exacerbate and maintain insomnia, thus supporting existing cognitive models of insomnia., Citation: Cha EJ, Hong S, Kim S, Chung S, Jeon HJ. Contribution of dysfunctional sleep-related cognitions on insomnia severity: a network perspective. J Clin Sleep Med. 2024;20(5):743-751., (© 2024 American Academy of Sleep Medicine.)

Background: According to cognitive behavioural theory, cognitive factors (i.e. underlying general dysfunctional beliefs and (situation) specific illness beliefs) are theorized to lead to outcomes like anxiety and depression. In clinical practice, general dysfunctional beliefs are generally not tackled directly in short-term-therapy. Aims: The goal of the present study was to investigate the associations of general versus specific illness beliefs on anxiety and depressive symptoms and psychiatric disorders among a subgroup of patients with inflammatory bowel disease (IBD) with poor mental quality of life (QoL). Method: This study concerns cross-sectional data, collected at baseline from a randomized clinical trial. One hundred and eighteen patients, recruited at four Dutch hospitals, with poor QoL (score ≤23 on the mental health subscale of the Short-Form 36-item Health-Survey; SF-36) were included. General dysfunctional beliefs were measured by the Dysfunctional Attitude Scale (DAS), specific illness beliefs by the Illness Perceptions Questionnaire-Revised (IPQ-R), anxiety and depressive symptoms by the Hospital Anxiety and Depression Scale (HADS), and psychiatric disorders by the Structured Clinical Interview for DSM-IV Axis-I Disorders (SCID-I). Results: Univariate analyses showed associations between the level of anxiety and/or depression and general dysfunctional beliefs and four specific illness beliefs (consequences, personal control, emotional representations and treatment control). Among patients with IBD with psychiatric disorders, only the DAS was significantly associated with anxiety and depression (DAS added to IPQ-R and IPQ-R added to DAS). Conclusions: Psychological interventions may have to target general dysfunctional beliefs of patients with IBD with co-morbid psychiatric disorders to be effective. These patients with IBD are especially in need of psychological treatment. [ABSTRACT FROM AUTHOR]

To facilitate research on the cognitive model of obsessive-compulsive disorder (OCD), leaders in the field of OCD (Obsessive-Compulsive Cognitions Working Group [OCCWG]) developed and validated the Interpretation of Intrusions Inventory-31 (III-31). The current sought to adapt and validate this important measure for the Mexican population using a large sample of emerging adults (N = 457). Specifically, we evaluated the factor structure and convergent validity of the III-31 for the Mexican population. Based on a series of confirmatory factor analyses, previously established one-, two-, and three-factor models were found to be a poor fit with current data. However, an exploratory factor analysis yielded a two-factor solution, with one factor assessing the harmfulness and danger of intrusive thoughts (Harmfulness/Danger), and the other assessing exaggerated responsibility and efforts to control intrusions (Responsibility/Control). Satisfactory convergent validity was found with the severity of dysfunctional beliefs and OCD symptoms. Implications and limitations of study results are discussed. [ABSTRACT FROM AUTHOR]

This case study is a reflective account of a consultation with a (then) 37-year-old male professional golfer and former Ryder Cup player who had lost his status on the European golf tour and was working outside of the sport in order to make a living. Needs analysis suggested that the client had poor performances, low self-confidence, and dysfunctional beliefs (e.g., "My swing is not good enough"). An eclectic philosophical approach was adopted to address these issues (e.g., strength-based training, overlearning, hypnosis, promoting an external focus of attention, cognitive restructuring, and a clutch-based visualization). The effectiveness of the interventions was determined by the player's performance and his underlying emotions and beliefs. The client provided social validation for the consultation approach. The interventions in this case study elevated positive emotions (e.g., confidence and optimism), changed dysfunction beliefs (e.g., "I am always a bridesmaid"), and enhanced performance (winning major championships). The case study illustrates a protracted engagement with a client and the evolution of a professional relationship. The case is discussed in light of a self-fulfilling-prophecy effect and a consultancy that targets the conscious and unconscious mind of an elite golfer. Recommendations are offered for consultants working with elite golfers. [ABSTRACT FROM AUTHOR]

Objective: To find out the association of dysfunctional beliefs and attitudes about sleep with sleep quality in undergraduate medical and dental students. Methodology: This was a cross sectional study which included undergraduate medical and dental students of Peshawar, conducted from December 2018 to March 2019. Participants were asked to fill out Dysfunctional beliefs about sleep scale (DBAS-16) and Pittsburgh sleep quality index (PSQI) to determine the type of individual beliefs and attitudes about sleep and quality of sleep. The data were analysed using SPSS version 25. Chronbach's alpha was used to measures reliability of the scales. Chi square test was applied to find out the relationship between quality and expectations about sleep and also to find difference in both based on gender and institute, considering a p-value of <0.05 to be significant. Results: The mean age of the sample (n=1199) was 20.90 ± 1.98 years. Majority of the students were females (n= 742, 61.9%). Unrealistic expectations about sleep were reported by 1060 (88.4%) students on DBAS and 1119 (93.3%) reported poor sleep quality on PSQI. Regarding expectation about sleep, no significant difference was observed in terms of gender and institutes using chi-square test (p=.850 and .363 respectively). However, female students showed significantly poor sleep quality (p=.000) as compared to male students. Conclusion: The study concluded that a large number of medical and dental students have dysfunctional beliefs about sleep which leads to poor quality of sleep. [ABSTRACT FROM AUTHOR]