Examining the symptom-level specificity of negative problem orientation in a clinical sample
Thomas A Fergus1, David P Valentiner, Kevin D Wu
1a Department of Psychology and Neuroscience , Baylor University , Waco , TX , USA.
Cognitive Behaviour Therapy
|December 11, 2014
Summary
Negative problem orientation (NPO) is linked to emotional disorders, particularly worry, depression, and social anxiety. This cognitive factor is not equally associated with all symptom types in these conditions.
Area of Science:
- Psychology
- Clinical Psychology
- Cognitive Science
Background:
- The symptom-level specificity of negative problem orientation (NPO) in emotional disorders remains unclear.
- Existing literature shows mixed findings regarding the precise relationship between NPO and specific symptoms.
Purpose of the Study:
- To investigate the symptom-level specificity of negative problem orientation (NPO).
- To examine the relationship between NPO and various symptom types in adults with anxiety, mood, or obsessive-compulsive disorders.
Main Methods:
- Utilized self-report measures for NPO and symptom types (worry, depression, obsessive-compulsive, panic, social anxiety).
- Employed zero-order and regression analyses, controlling for other assessed symptoms, in a clinical sample (N=132).
Main Results:
- NPO demonstrated small to moderate correlations with most assessed symptoms.
- Regression analyses revealed unique associations between NPO and worry, depression, and social anxiety symptoms.
- NPO showed a particularly strong association with worry.
Conclusions:
- Negative problem orientation is a cognitive variable common to emotional disorders.
- NPO's unique associations are primarily with worry, depression, and social anxiety, not all emotional disorder symptoms equally.
- Findings support NPO's role as a transdiagnostic cognitive factor in emotional disorders.
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