Abstract
The states-of-mind (SOM) model, and information theoretic model of positive and negative cognitions/affects, was examined in 73 agoraphobics completing cognitive and behavioral treatments. The SOM model posits that a positive dialogue represents an optimal cognitive balance for coping with stress. The primary aims of the present study included delineating differential cognitive trajectories across treatments and assessment phases; comparing SOMs between subjects achieving low versus high endstate functioning, improvement, and tripartite concordance versus disconcordance on measures of psychophysiology, behavior and anxiety; and, studying the clinical significance of changes in SOM with the use of normative cohorts. The results corroborate prior SOM studies regarding its differential, convergent, external, and social-clinical validity. However, superior functioning was associated with higher SOMS than predicted. Methodologic, conceptual, and psychometric issues raised by some of the findings are discussed, with implications for clinical research.
Published Version
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