Cognitive Behavioral Theory Research Articles

认知行为理论视角下大学生就业心理问题个案工作介入研究

认知行为理论视角下大学生就业心理问题个案工作介入研究

Challenging Interactions Between Patients With Severe Health Anxiety and the Healthcare System: A Qualitative Investigation.

Patients with severe health anxiety have complex interpersonal relationships with medical providers and others in their social context, often resulting in conflictual interactions with providers and perception of poor medical care. An adequate understanding of the causes and consequences of these interactions is lacking, particularly 1 informed by the experience of the patient. This study used qualitative methods to explore the development and maintenance of health anxiety from the perspective of patients with lived experience of coping with health anxiety and their interactions with the healthcare system. We conducted qualitative interviews with 11 primary care patients purposely sampled to describe their experience living with health anxiety, provider interactions, and social and family interactions surrounding health and health anxiety. We extracted themes related to living with health anxiety and interactions with providers and other significant relationships. Thematic content analysis revealed 5 themes including 3 causal themes, 1 response theme, and 1 theme reflecting factors that mitigate health anxiety. Causal themes included subthemes reflecting predisposing factors of the self, key stimulus events from patient learning history, and maladaptive social interaction factors. The response theme was comprised of 2 subthemes: logical conclusions and health anxiety symptoms. The mitigating factors theme included subthemes of a trusting care relationship and recognition of disconfirming evidence. The themes and constituent subthemes identified in this study largely map onto cognitive-behavioral theory of health anxiety, demonstrating alignment between patient experience and theory. The resulting model also identifies potential points of intervention in the developmental and maintenance process. We provide recommendations to maximize those points of intervention.

Evaluation of the effectiveness of stress management training on hardiness and anxiety of nurses of Noor Didehgan clinic in Karaj

Today, work and personal life are intertwined. It has created many problems. Nurses' jobs expose them to various stresses. The aim of this study was to investigate the effect of stress management training on the hardiness of nurses in Karaj. Method: The present study is a quasi-experimental study. The study population consisted of 30 nurses and was divided into two groups of 15 experimental and control using the available sampling method. The stress management training program based on cognitive-behavioral theory was performed on the experimental group for 16 hours. Research data using the scale of Kubasa (1). Hardiness Questionnaire. Also Beck Anxiety Questionnaire (2). Before and after the educational intervention, individuals from both groups were tested and collected. Findings: Data analysis was performed using descriptive statistical methods and analysis of covariance in SPSS software version 23. The results showed that the stress management training program and communication skills significantly reduced the mean score of anxiety (p <0.05) and increased the score of hardiness (p <0.05) in the experimental group compared to the control group. Conclusion: A stress management training program, based on cognitive-behavioral theory, can improve nurses' health by reducing anxiety symptoms and increasing the hardiness level.

Social Media Addiction- Risk Of Addiction In India Measured Through Bergen Social Media Addiction Scale(BSMAS

Background: Social Media usage is on the rise since its inception in the early 2000s. Though some aspects of Behavioral Addictions like Online gaming have been recognized as addictions, excessive social media usage requires more studies to validate the same. The study considers the General Pathological Internet Use aspect of the Cognitive Behavioural Model theory in its approach to deciphering Social Media Addiction.

A mixed methods investigation of reasons underlying fear of positive evaluation.

Fear of negative evaluation (FNE) is a hallmark feature of social anxiety disorder (SAD). There is also evidence that people with SAD fear receiving positive evaluation and that fear of positive evaluation (FPE) is distinct from FNE. However, researchers have speculated that concerns related to negative evaluation may actually underlie FPE. This study sought to advance our understanding of FPE by employing both quantitative and qualitative methods to assess the reasons underlying participants' endorsement of FPE on the Fear of Positive Evaluation Scale and the extent to which these reasons reflect FNE versus FPE in a sample of individuals with SAD (n = 47) and a nonclinical comparison group (n = 49). Results indicated that responses to the FPES items primarily reflected an underlying FNE. Consistent with contemporary cognitive-behavioural theories of SAD, fear of proximal or eventual negative judgement emerged as the most common reason for participants' responses on the FPES. However, participants reported other reasons that did not reflect FNE, such as fear of hurting people's feelings and uncertainty associated with positive evaluation. All of the reasons underlying participants' ratings on the FPES were reported by both the SAD group and the nonclinical comparison group; however, individuals with SAD endorsed each of the reasons to a greater extent. These findings suggest that the FPES does not exclusively assess FPE as intended; however, the emergence and endorsement of reasons other than FNE suggest that FPE exists as a distinct construct.

An Integrative Model for Understanding Obsessive-Compulsive Disorder: Merging Cognitive Behavioral Theory with Insights from Clinical Neuroscience.

Several models have been proposed for the emergence and maintenance of obsessive-compulsive disorder (OCD). Although these models have provided important insights and inspired treatment development, no single model has yet sufficiently accounted for the complexed phenotype of the disorder. In the current paper, we propose a novel model that integrates elements from cognitive behavioral models of OCD with neurocognitive approaches to the disorder. This Reciprocal Interaction Model (RIM) for OCD is based on two assumptions: (a) similar observed symptoms can stem from different etiological processes; and (b) neuropsychological deficits (such as reduced response inhibition and overreliance on the habit formation system) and cognitive behavioral processes (such as temporary reduction in anxiety after engaging in compulsive behaviors) mutually affect each other such that abnormalities in one system influence the second system and vice-versa-creating a vicious cycle of pathological processes. Indeed, the bidirectional inhibitory connection between anxiety/obsessions and executive control is at the heart of the model. We begin by briefly reviewing the current models for OCD. We then move on to describe the RIM, the supporting evidence for the model, the model's predictions, and potential clinical implications.

Advances in the Study of Dialectical Behavioural Therapy in The Cognitive Regulation of Emotions in Borderline Personality Disorder

Borderline personality disorder (BPD) is a psychological disorder that is common and difficult to cure, in which patients often display with strong negative emotions. Dialectical behavioural therapy (DBT), a comprehensive psychotherapeutic approach based on traditional cognitive-behavioural theory, is now widely used in the treatment of psychological disorders. This article is a systematic review of the current research on cognitive regulation of emotions in DBT for BPD, with the hope of providing a useful reference for the treatment of BPD.

Reducing eating disorders risk in Turkish female university students using cognitive behavioural theory: A randomized controlled feasibility trial

Reducing eating disorders risk in Turkish female university students using cognitive behavioural theory: A randomized controlled feasibility trial

Analysis of Psychological Well-Being of Secondary School Teachers; A Review of Literature

Purpose: The goal of the study was to conduct an investigation into the psychological wellbeing of teachers in secondary schools.
 Methodology: The research strategy used was a desktop review. Google Scholar was used to track the foundational references and relevant scholarly articles. To fulfill the inclusion criterion, papers from the past ten years were used.
 Findings: Teachers' mental health was found to be correlated with both their self-efficacy and their work surroundings, independent of their demographics. Teachers' psychological well-being was found to be positively correlated with their levels of affective and normative commitment, which in turn was found to be positively correlated with teachers' levels of job satisfaction, desire to get involved in their work, and sense of competence on the job.
 Unique Contribution to Theory, Policy and Practice: Based on the findings of this study, it is clear that assisting educators in developing their teaching competency and efficacy, as well as providing them with the tools they need to cope with workplace pressures, can have a positive effect on their mental health. It is also advised that, at the program level, supportive environments for both educators and students should be established. Psychotherapy based on the Cognitive Behavioral Theory (CBT) will be used to examine how emotions and actions are expressed through one's ability to think. This theory should be applied in future as it proposes new methods of thinking that will result in better behavioral and emotional reactions.

The Effects of Gender Factors on Students’ Entrepreneurial Career Intention (ECI) and Entrepreneurial Career Selection Behaviour (ECSB) for Entrepreneurial Career Intention Intervention Program (ECIP)

The main objective of this study is to evaluate the effects of gender factors on entrepreneurial career intention and entrepreneurial career selection behavior in an experimental study of the Entrepreneurial Career Intention Intervention Program (ECIP). The program uses modules developed with the integration of Cognitive Behavioral Therapy (CBT) and Theory of Planned Behavior (TPB). The study population was counseling students at Sultan Azlan Shah University in Perak, Malaysia. The sampling was conducted through purposive sampling method which involved100 students as the respondents. The data was analyzed using SPPS, and the results show that gender has no influence on the treatment in the intervention program.

Distinguishing the Dimensions of the Original Dysfunctional Attitude Scale in an Archival Clinical Sample

The Dysfunctional Attitude Scale measures depression related enduring beliefs and is one of the central measures of cognitive behavioral (CBT) research and theory. It has been the central marker of etiological claims of CBT, and so any change to the understanding of the composition of the DAS would have potentially far-reaching implications for a large body of literature. We sought to capitalize on advances in psychometric techniques since the original 100-item DAS was last analyzed in a sufficiently large clinical sample to provide a definitive measurement model of this important instrument. Beyond the two dimensions usually found on the shorter forms of the scale, we identified the following subscales: imperatives, cognitive flexibility, and negative expectancy. This richer and more precise DAS structure renews its potential to meet the challenge of predicting who is prone to develop depression or experience a recurrence.

Why Is Maternal Control Harmful? The Relation between Maternal Control, Insecure Attachment and Antisocial Personality Disorder Features in Chinese College Students: A Sequential Mediation Model.

Background: Previous work has indicated that a negative parenting style is associated with antisocial personality disorder features in Chinese college students, yet few studies have explored the unique role of negative mothering in children’s antisocial personality disorder. Methods: The current study mainly examined the sequential mediation effect of parental antipathy and neglect (PAN) and mother negative loving (a form of insecure attachment) in the association between mother control and adulthood antisocial personality disorder features (ASPD features) in the framework of attachment theory and cognitive–behavioral theory. A community sample of 1547 Chinese college students filled in the Parental Bonding Instrument, the Childhood Experience of Care and Abuse Questionnaire, the Adult Attachment Questionnaire and the Personality Diagnostic Questionnaire-4+. Results: A sequential mediation model analysis showed that maternal control significantly predicted PAN, mother negative loving, as well as ASPD features. Conclusions: Mother control and mother negative loving appear to advance on the development and exacerbation of ASPD features in college students.

Intervention of Islamic Cognitive Behavioral Theory (I-CBT) Against Jealous Women in Polygamy

Intervention of Islamic Cognitive Behavioral Theory (I-CBT) Against Jealous Women in Polygamy

Mediators of Effects on Physical Activity and Sedentary Time in an Activity Tracker and Behavior Change Intervention for Adolescents: Secondary Analysis of a Cluster Randomized Controlled Trial.

BackgroundAdolescence is a critical age where steep declines in physical activity and increases in sedentary time occur. Promoting physical activity should therefore be a priority for short- and long-term health benefits. Wearable activity trackers in combination with supportive resources have the potential to influence adolescents’ physical activity levels and sedentary behavior. Examining the pathways through which such interventions work can inform which mediators to target in future studies.ObjectiveThe aim of this paper is to examine the impact of the Raising Awareness of Physical Activity (RAW-PA) intervention on potential mediators of behavior change after intervention, and whether these mediated the intervention effects on physical activity and sedentary time at 6-month follow-up.MethodsRAW-PA was a 12-week intervention, grounded in social cognitive theory and behavioral choice theory, aimed at increasing physical activity among inactive adolescents through combining a wearable activity tracker with digital resources delivered via a private Facebook group (n=159 complete cases). The targeted potential mediators were identified from previous studies conducted in adolescents and included self-efficacy, peer support, family support, teacher support, self-regulation strategies, barriers, and enjoyment. Outcomes included sedentary time as well as light- and moderate-to-vigorous–intensity physical activity. A series of mixed linear models were used to estimate intervention effects on physical activity and sedentary behavior at follow-up and on potential mediators after intervention and to test whether there were indirect effects of the intervention on physical activity and sedentary behavior via mediators.ResultsAdolescents in the intervention group (n=75) engaged in higher sedentary time and lower light intensity at 6-month follow-up compared to the wait-list controls (n=84). There were no intervention effects for moderate-to-vigorous–intensity physical activity. The intervention group perceived more barriers to physical activity than the wait-list control group at 6-month follow-up (mean adjusted difference=1.77; 95% CI 0.19-3.34; P=.03). However, indirect effects for each outcome were not statistically significant, indicating that perceived barriers to physical activity did not mediate intervention effects for physical activity or sedentary time.ConclusionsRAW-PA did not beneficially impact hypothesized mediators in these inactive adolescents, despite strategies being designed to target them. This suggests that the lack of overall intervention effects on physical activity and sedentary time observed in the RAW-PA study could be due to the limited impact of the intervention on the targeted mediators. Future studies should consider different strategies to target theoretically informed potential mediators and identify intervention strategies that effectively target key mediators to improve physical activity among inactive adolescents. Finally, intervention effects according to level of wearable tracker use or level of engagement with the intervention should be explored. This may provide important insights for designing successful wearable activity tracker interventions.Trial RegistrationAustralian New Zealand Clinical Trials Registry ACTRN12616000899448; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370716&isReview=trueInternational Registered Report Identifier (IRRID)RR2-10.1186/s12889-016-3945-5

Impact of Education for Sustainable Development on Cognition, Emotion, and Behavior in Protected Areas.

Education for sustainable development (ESD) of protected areas is proposed to deal with global climate change and biodiversity conversation. It focuses on the “quality education” and “protection” of the United Nations’ sustainable development goals (UN SDGs), not only taking protected areas as the education place, but also as the theme and content of education. Based on cognitive-behavior theory and social emotional learning theory, this study constructs a “cognitive–emotion–behavior” dimension framework of ESD in protected areas, selecting Potatso National Park in Yunnan as a case study. Based on 529 valid visitor questionnaires, this study uses structural equation modeling to verify theoretical hypotheses, and analyzes the impact of ESD in protected areas on public cognition, emotion, and behavior. The results show that: (1) Cognitive and emotional factors jointly drive the behavioral intentions of ESD in protected areas, and social-emotional factors are slightly higher than cognitive factors; (2) Environmental knowledge, personal norms, nature connectedness, and places attachment positively affects behavioral intentions; (3) Indigenous knowledge has an impact on behavioral intentions through emotional mediation, and personal norms have an impact on behavioral intentions through direct effects; (4) Gender and visit frequency are important moderating variables in the ESD of protected areas. These conclusions provide the following suggestions for further development of ESD. First, by forming environment-friendly social norms and focusing on the mining and presentation of indigenous knowledge, the behavioral intention can also be enhanced to a certain extent; second, improving people’s emotion can also promote people’s behavioral intention, especially referring to optimizing nature connectedness, strengthening place attachment, and creating emotional connections; Third, specific groups of people should be taught specifically, and improve the supporting services of ESD.

Family Dysfunction and Cyberchondria among Chinese Adolescents: A Moderated Mediation Model.

Cyberchondria has become a severe health problem and a significant public concern. In addition to the impacts that cyberchondria involves, individual psychological and behavioral factors have been identified. However, the role of family function and the mediating and moderating mechanisms underlying these relations are not understood well, especially among adolescents. Based on family functioning and cognitive-behavioral theory, this study sought to examine whether family dysfunction was associated with cyberchondria, and a moderated mediation model was prepared as a means of exploring whether health anxiety was a mediator of relationships between family dysfunction and cyberchondria, as well as whether optimism moderated these mediating processes. A total of 2074 Chinese adolescents (mean = 15.08 years, SD = 1.79) reported their demographic information, family dysfunction, health anxiety, optimism, and cyberchondria. The findings showed that family dysfunction was positively related to cyberchondria. Moreover, health anxiety partially mediated the relationship between family dysfunction and cyberchondria. Finally, optimism moderated the interplay among health anxiety and cyberchondria. Consistent with the expectancy-value models, this positive relationship was weaker for adolescents with a higher level of optimism. These results suggest that it is vital to simultaneously consider individual and family factors as a means of understanding adolescent cyberchondria when performing cyberchondria intervention programs.

‘The Silence Kills Me.’: ‘Silence’ as a Trigger of Speaking-Related Anxiety in the English-Medium Classroom

Classroom interpersonal dynamics play a key role in shaping the interactional profiles of language learners and the development of their speaking skills. However, it can be challenging for learners to navigate social interactions with classmates, especially if they lack confidence in their L2 self. This is especially true for first-year undergraduates in Japan who often struggle to adapt to unfamiliar communicative language lessons taught in the target language. King’s (2013) examination of learner silence established a connection between low oral participation, anxiety, and social inhibition. In some cases, however, silence is not just a non-verbal cue of speaking-related anxiety (Maher & King, 2020); it can also be a contributing factor to avoiding talk. Using King’s (2014) cognitive-behavioural model of silent L2 learners’ anxiety, this paper examines how ‘silence’ can trigger speaking-related anxiety in Japanese university English-medium classrooms. The study used a cognitive-behavioural theory (CBT)-based approach to gain insights into students’ perceptions of their in-class behaviours. Forty-five semi-structured interviews were conducted with 17 participants using an interview schedule based on a CBT formulation to explore students’ silent behaviour, associated thoughts and feelings, and behavioural triggers. Multiple recurrent forms of classroom ‘silence’ reported by the participants included using Japanese when English was expected, finishing speaking turns quickly, and taking on the listener role rather than initiating discourse. The findings reveal ‘silence’ as a trigger of speaking-related anxiety. The discomfort some participants felt during a display of ‘silence’ seemed to trigger a fear of being negatively evaluated by classmates, leading to self-doubt about their language proficiency and social performance. These findings contribute further insights into the causes of speaking-related anxiety and learner ‘silence’. Our study points towards using CBT-based approaches to improve speaking confidence by increasing learners’ awareness of their anxiety triggers.

Responding strategically to natural hazards: the role of hazard experience, infrastructure vulnerability, and risk perception in transit agency coordination with stakeholders

How public organizations respond strategically to natural hazards is relevant for maintaining functionality and protecting citizens. An essential component of strategic response is coordinating with multiple organizations in ways that provide resources and mutual support. Drawing from resource dependence and cognitive behavior theories, we investigate how different contextual factors predict coordination strategy. We focus on transit agencies in the US and develop hypotheses about how the experience of natural hazards, the transit infrastructure conditions, and public managers’ risk perceptions determine their coordination as responses to immediate and future extreme weather events. This study aims to contribute to the strategic management of natural hazards literature. In particular, we expect that the findings will illuminate how transit agencies consider service area vulnerabilities as part of their strategic coordination efforts. Further, the study will provide insights to managers who are facing the need to balance organizational capacity, risk, and equity.

Safe-Sex Behavioral Intention of Chinese College Students: Examining the Effect of Sexual Knowledge Using the Theory of Planned Behavior.

Numerous contemporary studies have examined safe sexual behavior among college students. In China, families are reluctant to discuss sexual behavior, thus understanding and exploring the sexual knowledge of college students and the promotion of safe sexual behavior is essential. On the basis of the theory of planned behavior (TPB), a cognitive behavioral theory that is widely used to predict human social behavior, we conducted an in-depth investigation of the factors influencing the sexual behavioral intentions of Chinese college students. We referenced the relevant literature to develop a TPB-based model for analyzing differences in sexual knowledge. Our statistical analysis revealed the following: (1) subjective norms and behavior control are key variables that influence the safe sexual behavior of college students; (2) attitudes and safe-sex behavioral intentions are influential in groups with extensive sexual knowledge; (3) behavioral control and subjective norms influence the differences in the comparative sexual knowledge of students. On the basis of the present results, we propose research recommendations and directions for the development of sex education in China.

The association of perfectionism, health-focused self-concept, and erroneous beliefs with orthorexia nervosa symptoms: A moderated mediation model.

Orthorexia nervosa (ON) is a putative eating disorder linked to perfectionism among people who eat healthily (or who want to eat healthily). However, little is known about the process by which perfectionism fosters ON symptoms. Like the Transdiagnostic Cognitive-Behavioral Theory of Eating Disorders, we hypothesized that perfectionism among people who eat healthily (or who want to eat healthily) fosters ON symptoms indirectly by cultivating a health-focused self-concept (i.e., placing overriding importance on health for self-definition and self-worth). We also hypothesized that a health-focused self-concept would be associated with ON symptoms among people who have erroneous beliefs about the safety and efficacy of maladaptive healthy eating strategies. To test this moderated mediation model, a sample of people following a healthy eating diet plan and/or who believe they are leading a healthy eating lifestyle (N=456) were recruited from Amazon's Mechanical Turk and completed measures that assessed perfectionism, health-focused self-concept, ON symptoms, and erroneous beliefs about the safety and efficacy of maladaptive healthy eating strategies. They also completed a measure of appearance-focused self-concept. Health-focused and appearance-focused self-concepts were empirically distinct. As expected, perfectionism was indirectly and positively associated with ON symptoms via a health-focused self-concept. Importantly, the indirect association was only observed among participants high, but not low, in erroneous beliefs. The findings support the role of perfectionism in ON. The findings also advance knowledge by identifying a health-focused self-concept and erroneous beliefs as potential factors in the etiology and maintenance of ON.