A test of the core process account of psychopathology in a heterogenous clinical sample of anxiety and depression: A case of the blind men and the elephant?

Journal of Anxiety Disorders

Volumn 46, Issue , 2017, Pages 4-10

  Mansell, Warren ^a   McEvoy, Peter M ^b,c  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

^b CURTIN UNIVERSITY   (Australia)

^c Centre for Clinical Interventions ^*  (Australia)

Author keywords

Common factor; Control theory; Transdiagnostic

Indexed keywords

ADULT; AGED; ANXIETY; ARTICLE; AVOIDANCE BEHAVIOR; CORE PROCESS; DEPRESSION; DISEASE ASSOCIATION; FEMALE; HELP SEEKING BEHAVIOR; HUMAN; MAJOR CLINICAL STUDY; MALE; MENTAL FUNCTION ASSESSMENT; PATIENT WORRY; RUMINATION; SELF REPORT; ADOLESCENT; AFFECT; ANXIETY DISORDER; ATTENTION; COGNITION; MIDDLE AGED; PSYCHOLOGY; SYMPTOM ASSESSMENT; THINKING; YOUNG ADULT;

ADOLESCENT; ADULT; AFFECT; AGED; ANXIETY; ANXIETY DISORDERS; ATTENTION; COGNITION; DEPRESSION; DEPRESSIVE DISORDER; FEMALE; HUMANS; MALE; MIDDLE AGED; SELF REPORT; SYMPTOM ASSESSMENT; THINKING; YOUNG ADULT;

EID: 84996802180     PISSN: 08876185     EISSN: 18737897     Source Type: Journal    
DOI: 10.1016/j.janxdis.2016.06.008     Document Type: Article

References (64)

1. Alsawy, S., Mansell, W., Carey, T.A., McEvoy, P., Tai, S.J., Science and practice of transdiagnostic CBT: a perceptual control theory (PCT) approach. International Journal of Cognitive Therapy 7:4 (2014), 334–359.
2. American Psychiatric Association (1996). DSM-IV-TR: Diagnostic and statistical manual of mental disorders, text revision, Washington, DC: American Psychiatric Association.
3. Bardeen, J.R., Fergus, T.A., Orcutt, H.K., Testing a hierarchical model of distress tolerance. Journal of Psychopathology and Behavioral Assessment 35:4 (2013), 495–505.
4. Barlow, D.H., Allen, L.B., Choate, M.L., Toward a unified treatment for emotional disorders. Behavior Therapy 35:2 (2004), 205–230.
5. Beck, A.T., Haigh, E.A., Advances in cognitive theory and therapy: the generic cognitive model. Annual Review of Clinical Psychology 10 (2014), 1–24.
6. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II, 1996, San Antonio, TX.
7. Beck, A.T., Steer, R.A., Carbin, M.G., Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clinical Psychology Review 8 (1988), 77–100.
8. Bird, T., Mansell, W., Dickens, C., Tai, S., Is there a core process across depression and anxiety?. Cognitive Therapy and Research 37:2 (2013), 307–323.
9. Borkovec, T.D., Alcaine, O.M., Behar, E., Avoidance theory of worry and generalized anxiety disorder. Heimberg, R.G., Turk, C.L., Mennin, D.S., (eds.) Generalized anxiety disorder: advances in research and practice, 2004, Guilford Press, New York, NY, US, 77–108.
10. Buckholtz, J.W., Meyer-Lindenberg, A., Psychopathology and the human connectome: toward a transdiagnostic model of risk for mental illness. Neuron 74:6 (2012), 990–1004.
11. Cross-Disorder Group of the Psychiatric Genomics Consortium, Identification of risk loci with shared effects on five major psychiatric disorders: a genome-wide analysis. The Lancet 381:9875 (2013), 1371–1379.
12. Caspi, A., Houts, R.M., Belsky, D.W., Goldman-Mellor, S.J., Harrington, H., Israel, S., et al. The p factor one general psychopathology factor in the structure of psychiatric disorders?. Clinical Psychological Science 2:2 (2014), 119–137.
13. Clark, L.A., Watson, D., Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications. Journal of Abnormal Psychology 100:3 (1991), 316–336.
14. Cowdrey, F., Lomax, C., Gregory, J., Barnard, P., Could a unified theory of cognition and emotion further the transdiagnostic perspective? A critical analysis using Interacting Cognitive Subsystems as a case example. Psychopathology Review, 2016 http://dx.doi.org/10.5127/pr.044714.
15. Goldin, P.R., Morrison, A., Jazaieri, H., Brozovich, F., Heimberg, R., Gross, J.J., Group CBT versus MBSR for social anxiety disorder: a randomized controlled trial. Journal of Consulting and Clinical Psychology 84:5 (2016), 427–437.
16. Hagger, M.S., Avoiding the deja-variable phenomenon: social psychology needs more guides to constructs. Frontiers in Psychology 5 (2014), 1–2.
17. Hancock, K. M., Swain, J., Hainsworth, C. J., Dixon, A. L., Koo, S., & Munro, K. Acceptance and Commitment Therapy versus Cognitive Behavior Therapy for children with anxiety: outcomes of a randomized controlled trial. Journal of Clinical Child & Adolescent Psychology (in press). 10.1080/15374416.2015.1110822.
18. Harvey, A., Watkins, E., Mansell, W., Shafran, R., Cognitive behavioural processes across psychological disorders. 2004, Oxford University Press, Oxford.
19. Hayes, S.C., Wilson, K.G., Gifford, E.V., Follette, V.M., Strosahl, K., Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology 64 (1996), 1152–1168.
20. Higginson, S., Mansell, W., Wood, A.M., An integrative mechanistic account of psychological distress, therapeutic change and recovery: the perceptual control theory approach. Clinical Psychology Review 31:2 (2011), 249–259.
21. Hong, R.Y., Cheung, M.W.L., The structure of cognitive vulnerabilities to depression and anxiety evidence for a common core etiologic process based on a meta-analytic review. Clinical Psychological Science 3:6 (2015), 892–912.
22. Kelly, R.E., Mansell, W., Wood, A.M., Goal conflict and well-being: a review and hierarchical model of goal conflict, ambivalence: self-discrepancy and self-concordance. Personality and Individual Differences 85 (2015), 212–229.
23. Kendler, K.S., Aggen, S.H., Knudsen, G.P., Røysamb, E., Neale, M.C., Reichborn-Kjennerud, T., The structure of genetic and environmental risk factors for syndromal and subsyndromal common DSM-IV axis I and all axis II disorders. American Journal of Psychiatry 168 (2011), 29–39, 10.1176/appi.ajp.2010.10030340.
24. Kocovski, N.L., Fleming, J.E., Hawley, L.L., Ho, M.H.R., Antony, M.M., Mindfulness and acceptance-based group therapy and traditional cognitive behavioral group therapy for social anxiety disorder: mechanisms of change. Behaviour Research and Therapy 70 (2015), 11–22.
25. Lecrubier, Y., Sheehan, D.V., Weiller, E., Amorim, P., Bonora, I., Sheehan, K.H., et al. The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. European Psychiatry 12:5 (1997), 224–231.
26. Leyro, T.M., Zvolensky, M.J., Bernstein, A., Distress tolerance and psychopathological symptoms and disorders: a review of the empirical literature among adults. Psychological Bulletin 136 (2010), 576–600.
27. MacLeod, C., Mathews, A., Anxiety and the allocation of attention to threat. The Quarterly Journal of Experimental Psychology 40 (1988), 653–670.
28. Mahoney, A.E., McEvoy, P.M., A transdiagnostic examination of intolerance of uncertainty across anxiety and depressive disorders. Cognitive Behaviour Therapy 41:3 (2012), 212–222.
29. Mahoney, A.E., McEvoy, P.M., Moulds, M.L., Psychometric properties of the Repetitive Thinking Questionnaire in a clinical sample. Journal of Anxiety Disorders 26:2 (2012), 359–367.
30. Mansell, W., Control theory and psychopathology: an integrative approach. Psychology and Psychotherapy: Theory, Research and Practice 78:2 (2005), 141–178.
31. Mansell, W., The seven C's of CBT: a consideration of the future challenges for cognitive behaviour therapy. Behavioural and Cognitive Psychotherapy 36 (2008), 641–649.
32. Mansell, W., Core processes of psychopathology and recovery: does the Dodo bird effect have wings?. Clinical Psychology Review 31:2 (2011), 189–192.
33. Mansell, W., Carey, T.A., Tai, S.J., Classification of psychopathology and unifying theory: the ingredients of a Darwinian paradigm shift in research methodology. Psychopathology Review 2 (2015), 129–153, 10.5127/pr.036114.
34. Mansell, W., Harvey, A., Watkins, E., Shafran, R., Conceptual foundations of the transdiagnostic approach to CBT. Journal of Cognitive Psychotherapy 23:1 (2009), 6–19.
35. McEvoy, P.M., Brans, S., Common versus unique variance across measures of worry and rumination: predictive utility and mediational models for anxiety and depression. Cognitive Therapy and Research 37:1 (2013), 183–196.
36. McEvoy, P.M., Mahoney, A.E., To be sure, to be sure: intolerance of uncertainty mediates symptoms of various anxiety disorders and depression. Behavior Therapy 43:3 (2012), 533–545.
37. McEvoy, P., Tribodeau, M., Asmundson, G., Trait repetitive negative thinking: a brief transdiagnostic assessment. Journal of Experimental Psychopathology 5:3 (2014), 382–398.
38. McEvoy, P.M., Erceg-Hurn, D.M., Anderson, R.A., Campbell, B.N.C., Nathan, P.R., Mechanisms of change during group metacognitive therapy for repetitive negative thinking in primary and non-primary generalized anxiety disorder. Journal of Anxiety Disorders 35 (2015), 19–26.
39. McEvoy, P.M., Erceg-Hurn, D.M., Anderson, R.A., Campbell, B.N.C., Swan, A., Saulsman, L.M., et al. Group metacognitive therapy for repetitive negative thinking in primary and non-primary generalized anxiety disorder: an effectiveness trial. Journal of Affective Disorders 175 (2015), 124–132.
40. McEvoy, P. M., LeBeau, R. T., Page, A. C., & Craske, M. G. Acceptance, safety behaviours, escape and avoidance scale (AcSEAS): a transdiagnostic assessment. (in preparation).
41. McEvoy, P.M., Mahoney, A.E., Moulds, M.L., Are worry, rumination, and post-event processing one and the same? Development of the Repetitive Thinking Questionnaire. Journal of Anxiety Disorders 24:5 (2010), 509–519.
42. McEvoy, P.M., Moulds, M.L., Mahoney, A.E., Mechanisms driving pre-and post-stressor repetitive negative thinking: metacognitions, cognitive avoidance, and thought control. Journal of Behavior Therapy and Experimental Psychiatry 44:1 (2013), 84–93.
43. McEvoy, P.M., Nathan, P., Norton, P.J., Efficacy of transdiagnostic treatments: a review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy 23:1 (2009), 20–33.
44. McHugh, R.K., Murray, H.W., Barlow, D.H., Balancing fidelity and adaptation in the dissemination of empirically-supported treatments: the promise of transdiagnostic interventions. Behaviour Research and Therapy 47:11 (2009), 946–953.
45. McManus, F., Shafran, R., Cooper, Z., What does a transdiagnostic approach have to offer the treatment of anxiety disorders?. British Journal of Clinical Psychology 49:4 (2010), 491–505.
46. Mennin, D.S., Ellard, K.K., Fresco, D.M., Gross, J.J., United we stand: emphasizing commonalities across cognitive-behavioral therapies. Behavior Therapy 44:2 (2013), 234–248.
47. Meyer, T.J., Miller, M.L., Metzger, R.L., Borkovec, T.D., Development and validation of the Penn State worry questionnaire. Behaviour Research and Therapy 28:6 (1990), 487–495.
48. Newby, J.M., McKinnon, A., Kuyken, W., Gilbody, S., Dalgleish, T., Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical Psychology Review 40 (2015), 91–110.
49. Patel, T., Mansell, W., Veale, D., The Cognitive Behavioural Processes Questionnaire: a preliminary analysis within student, mixed clinical and community samples and the identification of a core transdiagnostic process. Cognitive Therapy and Research 39:2 (2015), 193–203.
50. Powers, W.T., Behavior: the control of perception. 1973, Hawthorne, New York, USA.
51. Powers, W.T., Living control systems III: the fact of control. 2008, Benchmark Publications Inc., New Caan, CT, USA.
52. Powers, W.T., Clark, R.K., McFarland, R.L., A general feedback theory of human behavior. Part I. Perceptual and Motor Skills 11 (1960), 71–88.
53. Powers, W.T., Clark, R.K., McFarland, R.L., A general feedback theory of human behavior. Part II. Perceptual and Motor Skills 11 (1960), 309–323.
54. Salkovskis, P.M., The importance of behaviour in the maintenance of anxiety and panic: a cognitive account. Behavioural Psychotherapy 19 (1991), 6–19.
55. Salkovskis, P.M., Empirically grounded clinical interventions: cognitive-behavioural therapy progresses through a multi-dimensional approach to clinical science. Behavioural and Cognitive Psychotherapy 30 (2002), 3–9.
56. Segerstrom, S.C., Tsao, J.C., Alden, L.E., Craske, M.G., Worry and rumination: Repetitive thought as a concomitant and predictor of negative mood. Cognitive Therapy and Research 24:6 (2000), 671–688.
57. Sheehan, D.V., Lecrubier, Y., Sheehan, K.H., Amorim, P., Janavs, J., Weiller, E., et al. The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry 59:Suppl. 20 (1998), 22–33.
58. Sheehan, D.V., Lecrubier, Y., Sheehan, K.H., Janavs, J., Weiller, E., Keskiner, A., et al. The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. European Psychiatry 12:5 (1997), 232–241.
59. Spinhoven, P., Drost, J., de Rooij, M., van Hemert, A.M., Penninx, B.W., A longitudinal study of experiential avoidance in emotional disorders. Behavior Therapy 45:6 (2014), 840–850.
60. Sprinkle, S.D., Lurie, D., Insko, S.L., Atkinson, G., Jones, G.L., Logan, A.R., Bissada, N.N., Criterion validity, severity cut scores, and test-retest reliability of the beck depression inventory-II in a university counseling center sample. Journal of Counseling Psychology 49:3 (2002), 381–385.
61. Swain, J., Hancock, K., Hainsworth, C., Bowman, J., Mechanisms of change: exploratory outcomes from a randomised controlled trial of acceptance and commitment therapy for anxious adolescents. Journal of Contextual Behavioral Science 4:1 (2015), 56–67.
62. Treynor, W., Gonzalez, R., Nolen-Hoeksema, S., Rumination reconsidered: a psychometric analysis. Cognitive Therapy and Research 27:3 (2003), 247–259.
63. Wells, A., Matthews, G., Attention and emotion: a clinical perspective. 1994, Psychology Press.
64. Williams, K.E., Chambless, D.L., Ahrens, A., Are emotions frightening? An extension of the fear of fear construct. Behaviour Research and Therapy 35:3 (1997), 239–248.