Trajectories of anxiety symptoms in adolescentstesting the model of emotional inertia

  1. Xavier Bornas 1
  2. Alejandro de la Torre-Luque 1
  3. Aina Fiol-Veny 1
  4. Maria Balle 1
  1. 1 Research Institute of Health Sciences. Uversitat Illes Balears
Journal:
International journal of clinical and health psychology

ISSN: 1697-2600

Year of publication: 2017

Volume: 17

Issue: 2

Pages: 192-196

Type: Article

DOI: 10.1016/J.IJCHP.2017.01.002 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: International journal of clinical and health psychology

Abstract

Two predictions derived from a recently introduced model of psychotherapy outcome were tested, assuming the dynamical relationship between the individual's emotional trajectory and the force of intervention necessary to change this trajectory: (a) only a high intensity treatment would succeed to lower the increasing trajectory of anxiety, and (b) high as well as low intensity treatments would equivalently lower the non-increasing trajectory of anxiety. Methods: Seventy-four adolescents (58.40% girls; M=14.65 years, SD=0.53) were randomly assigned to a high intensity treatment condition, a low intensity treatment condition, or a waiting list condition. Results: Only the high intensity treatment reduced the anxiety when participants showed an increasing trajectory (p<.01). None of the treatments reduced anxiety when a previously non-increasing trajectory was shown. Conclusions: These findings support the theoretical predictions and underscore the need to consider not only how severe the anxiety is but also the time course of anxiety in applied treatment settings.

Bibliographic References

  • Bornas, X., Llabres, J., Balle, M., de la Torre-Luque, A., & Fiol-Veny,A. (2014). The use of a secure social network for the study ofanxiety in adolescence. Revista de Psicopatología y PsicologíaClínica, 19, 171---184. http://dx.doi.org/10.5944/rppc.vol.19.num.3.2014.13899
  • Bornas, X., Noguera, M., Pincus, D., & Buela-Casal, G. (2014). Emo-tional inertia: A key to understanding psychotherapy processand outcome. International Journal of Clinical and Health Psy-chology, 14, 232---239. http://dx.doi.org/10.1016/j.ijchp.2014.03.001
  • Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Fran-cis, S. E. (2000). Assessment of symptoms of DSM-IV anxietyand depression in children: A revised child anxiety and depres-sion scale. Behaviour Research and Therapy, 38, 835---855.http://dx.doi.org/10.1016/S0005-7967(99)00130-8
  • De la Torre-Luque, A., Essau, C., Fiol-Veny, A., Balle, M., & Bornas,X. (2015, December). Super Skills for Life for Spanish adoles-cents: The Super-AD programme. Poster session presented atthe European Symposium on Adolescent Research, London.
  • De la Torre-Luque, A., Fiol-Veny, A., Balle, M., & Bornas, X.(2016). Heartbeat scaling in early adolescents: Its associationwith anxiety symptoms and sensitivity to punishment. Interna-tional Journal of Clinical and Health Psychology, 16, 287---294.http://dx.doi.org/10.1016/j.ijchp.2016.04.002
  • Essau, C., & Ollendick, T. (2013). The Super Skills for Life pro-gramme. London: University of Roehampton.
  • Kuppens, P., Allen, N. B., & Sheeber, L. B. (2010). Emotional iner-tia and psychological maladjustment. Psychological Science, 21,984---991. http://dx.doi.org/10.1177/0956797610372634
  • Kuppens, P., Oravecz, Z., & Tuerlinckx, F. (2010). Feelings change:Accounting for individual differences in the temporal dynam-ics of affect. Journal of Personality and Social Psychology, 99,1042---1060. http://dx.doi.org/10.1037/a0020962
  • National Institute for Health and Care Excellence, NICE (2011). Gen-eralised anxiety disorder in adults: management in primary,secondary and community care. London: British PsychologicalSociety.
  • Taboas, W., Ojserkis, R., & McKay, D. (2015). Change in disgustreactions following cognitive-behavioral therapy for child-hood anxiety disorders. International Journal of Clinicaland Health Psychology, 15, 1---7. http://dx.doi.org/10.1016/j.ijchp.2014.06.002