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Psychometric properties of Persian version of Cognitive Behavioural Avoidance Scale: results from student, general population and clinical samples in Iran

Published online by Cambridge University Press:  06 May 2020

Reza Moloodi*
Affiliation:
Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Keith Dobson
Affiliation:
Department of Psychology, University of Calgary, Calgary, Canada
Ladan Fata
Affiliation:
Medical Education and Development Center, Iran University of Medical Sciences, Tehran, Iran
Abbas Pourshahbaz
Affiliation:
Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Parvaneh Mohammadkhani
Affiliation:
Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Fereshteh Mootabi
Affiliation:
Family Research Institute, Shahid Beheshti University, Tehran, Iran
Maryam Kami
Affiliation:
Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Kaveh Ziai
Affiliation:
Private Practice, Tehran, Iran
Ata Ghaderi
Affiliation:
Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden
*
*Corresponding author. Email: [email protected]

Abstract

Background:

There is no published evidence about the psychometric properties of the Cognitive Behavioral Avoidance Scale (CBAS) in Eastern cultures.

Aims:

The current research evaluated the psychometric properties of a Persian version of the CBAS.

Method:

The research consisted of two studies. In Study 1, a university student sample (n = 702) completed the CBAS, the Beck Depression Inventory-II, the Thought Control Questionnaire and the Anxious Thoughts Inventory. In Study 2, a general population sample (n = 384) and a clinical sample (n = 152) completed the CBAS, the Young Compensation Inventory and the Depression, Anxiety, Stress Scale-21.

Results:

Exploratory factor analysis of the data from Study 1 suggested a four-factor solution for CBAS. The CBAS had acceptable internal consistency and test–re-test reliability, and showed significant correlations with depression symptoms and anxious thoughts. Confirmatory factor analysis of the data from Study 2 indicated good fit between the four-factor model and data. The CBAS had a significant relationship with depression, anxiety and stress symptoms, but no associations with schema compensatory behaviour strategy. Finally, the CBAS and its subscales successfully distinguished a clinical sample from a general population sample.

Conclusions:

The findings provide preliminary evidence for reliability and validity of the CBAS among Iranian student, general population and clinical samples.

Type
Main
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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References

Arbuckle, J. L. (2014). Amos (version 23.0). Chicago, USA: IBM SPSS.Google Scholar
Asghari Moghaddam, M. A., Saed, F., Dibajnia, P., & Zangeneh, J. (2008). A preliminary validation of the Depression, Anxiety and Stress Scales (DASS) in a non-clinical sample. Clinical Psychology & Personality, 1, 2338. [in Persian]Google Scholar
Ataie, S., Fata, L., & Ahmadi Abhari, A. (2014). Rumination and cognitive behavioral avoidance in Depressive and Social Anxiety Disorders: comparison between dimensional and categorical approaches. Iranian Journal of Psychiatry and Clinical Psychology, 19, 283295. [in Persian]Google Scholar
Barlow, D. H., Allen, L. B., & Choate, M. L. (2016). Toward a unified treatment for emotional disorders – republished article. Behavior Therapy, 47, 838853. https://doi.org.10.1016/j.beth.2016.11.005CrossRefGoogle Scholar
Barlow, D. H., & Farchione, T. J. (2017). Applications of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. New York, USA: Oxford University Press.CrossRefGoogle Scholar
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory-II Manual. San Antonio, TX, USA: The Psychological Corporation.Google Scholar
Boelen, P. A., & Eisma, M. C. (2015). Anxious and depressive avoidance behavior in post-loss psychopathology: a longitudinal study. Anxiety, Stress, & Coping, 28, 587600. https://doi.org.10.1080/10615806.2015.1004054CrossRefGoogle ScholarPubMed
Brockmeyer, T., Kulessa, D., Hautzinger, M., Bents, H., & Backenstrass, M. (2015). Differentiating early-onset chronic depression from episodic depression in terms of cognitive-behavioral and emotional avoidance. Journal of Affective Disorders, 175, 418423. https://doi.org.10.1016/j.jad.2015.01.045CrossRefGoogle ScholarPubMed
Çakir, Z. (2016). Sıkıntıya Toleranssızlık Ölçeği ve Bilişsel-Davranışsal Kaçınma Ölçeğinin psikometrik özelliklerinin incelenmesi. Anatolian Journal of Psychiatry /Anadolu Psikiyatri Dergisi, 17, 2432. https://doi.org.10.5455/apd.207723Google Scholar
Dobson, D. J. G., & Dobson, K. S. (2018). Evidence-Based Practice of Cognitive-Behavioral Therapy (2nd edn). New York, USA: Guilford Publications.Google Scholar
Fata, L., Moutabi, F., Moloodi, R., & Ziai, K. (2010). Psychometric properties of Persian version of thought control questionnaire and anxious thought inventory in Iranian students. Journal of Psychological Models and Methods, 1, 81104. [in Persian]Google Scholar
Harris, R. (2019). ACT Made Simple: An Easy-to-Read Primer on Acceptance and Commitment Therapy. New Harbinger Publications.Google Scholar
Hernández-Guzmán, L., Dobson, K. S., Caso-Niebla, J., González-Montesinos, M., Epp, A., Arratíbel-Siles, M. L., & Wierzbicka-Szymczak, E. (2009). La versión en español de la Escala Cognitivo-Conductual de Evitación (CBAS). Revista Latinoamericana de Psicología, 41, 99108.Google Scholar
Hofmann, S. G., & Hay, A. C. (2018). Rethinking avoidance: toward a balanced approach to avoidance in treating anxiety disorders. Journal of Anxiety Disorders, 55, 1421. https://doi.org.10.1016/j.janxdis.2018.03.004CrossRefGoogle Scholar
IBM Corporation (2016). IBM SPSS Statistics for Windows, version 24.0. Armonk, NY, USA: IBM Corp.Google Scholar
LuKaraosmanoglu, H. A., Soygut, G., & Kabul, A. (2013). Psychometric properties of the Turkish Young Compensation Inventory. Clinical Psychology and Psychotherapy, 20, 171179. https://doi.org.10.1002/cpp.787CrossRefGoogle Scholar
Levin, M. E., Krafft, J., Pierce, B., & Potts, S. (2018). When is experiential avoidance harmful in the moment? Examining global experiential avoidance as a moderator. Journal of Behavior Therapy and Experimental Psychiatry, 61, 158163. https://doi.org/10.1016/j.jbtep.2018.07.005CrossRefGoogle ScholarPubMed
McElroy, E., Casey, P., Adamson, G., Filippopoulos, P., & Shevlin, M. (2018). A comprehensive analysis of the factor structure of the Beck Depression Inventory-II in a sample of outpatients with adjustment disorder and depressive episode. Irish Journal of Psychological Medicine, 35, 5361. https://doi.org.10.1017/ipmCrossRefGoogle Scholar
Moloodi, R., Pourshahbaz, A., Mohammadkhani, P., Fata, L., & Ghaderi, A. (2017). Psychometric properties of the Persian version of Clinical Perfectionism Questionnaire: findings from a clinical and non-clinical sample in Iran. Personality and Individual Differences, 119, 141146. https://doi.org/10.1016/j.paid.2017.07.003CrossRefGoogle Scholar
Moos, R. H., & Schaefer, J. A. (1993). Coping resources and processes: current concepts and measures. In Goldberger, L. & Breznitz, S. (eds), Handbook of Stress: Theoretical and Clinical Aspects (2nd edn, pp. 234257). New York, USA: Free Press.Google Scholar
Ottenbreit, N. D., & Dobson, K. S. (2004). Avoidance and depression: the construction of the Cognitive Behavioral Avoidance Scale. Behaviour Research and Therapy, 42, 293313. https://doi.org/10.1016/S0005-7967(03)00140-2CrossRefGoogle ScholarPubMed
Ottenbreit, N. D., Dobson, K. S., & Quigley, L. (2014a). A psychometric evaluation of the cognitive-behavioral avoidance scale in women with major depressive disorder. Journal of Psychopathology and Behavioral Assessment, 36, 591599. doi: 10.1007/s10862-014-9416-3CrossRefGoogle Scholar
Ottenbreit, N. D., Dobson, K. S., & Quigley, L. (2014b). An examination of avoidance in major depression in comparison to social anxiety disorder. Behaviour Research and Therapy, 56, 8290. https://doi.org/10.1016/j.brat.2014.03.005CrossRefGoogle ScholarPubMed
Quigley, L., Wen, A., & Dobson, K. S. (2017). Avoidance and depression vulnerability: an examination of avoidance in remitted and currently depressed individuals. Behaviour Research and Therapy, 97, 183188. https://doi.org.10.1016/j.brat.2017.07.015CrossRefGoogle ScholarPubMed
Rochefort, C., Baldwin, A. S., & Chmielewski, M. (2018). Experiential avoidance: an examination of the construct validity of the AAQ-II and MEAQ. Behavior Therapy, 49, 435449. https://doi.org.10.1016/j.beth.2017.08.008CrossRefGoogle ScholarPubMed
Röthlin, P., Grosse Holtforth, M., Bergomi, C., Berking, M., Ottenbreit, N. D., & Caspar, F. (2010). Vermeidung und Depression. Diagnostica, 56, 4655. https://doi.org.10.1026/0012-1924/a000008CrossRefGoogle Scholar
Scholten, S., Velten, J., Bieda, A., Zhang, X. C., & Margraf, J. (2017). Testing measurement invariance of the Depression, Anxiety, and Stress Scales (DASS-21) across four countries. Psychological Assessment, 29, 1376. https://doi.org.10.1037/pas0000440CrossRefGoogle ScholarPubMed
Sundag, J., Zens, C., Ascone, L., Thome, S., & Lincoln, T. M. (2018). Are schemas passed on? A study on the association between early maladaptive schemas in parents and their offspring and the putative translating mechanisms. Behavioural and Cognitive Psychotherapy, 46, 738753. https://doi.org.10.1017/S1352465818000073CrossRefGoogle Scholar
Toosi, F., Rahimi, C., & Sajjadi, S. (2017). Psychometric properties of beck depression inventory-II for high school children in Shiraz City, Iran. International Journal of School Health, 4. https://doi.org.10.5812/intjsh.41069Google Scholar
Vandromme, H., Raes, F., Defranc, A., & Hermans, D. (2007). De Cognitive-Behavioral Avoidance Scale (CBAS-NL): Een vragenlijst voor vermijdingsgedrag bij depressie. Gedragstherapie, 40, 285301.Google Scholar
von Glischinski, M., von Brachel, R., & Hirschfeld, G. (2019). How depressed is ‘depressed’? A systematic review and diagnostic meta-analysis of optimal cut points for the Beck Depression Inventory revised (BDI-II). Quality of Life Research, 28, 11111118. https://doi.org.10.1007/s11136-018-2050-xCrossRefGoogle Scholar
Wheaton, M. G., & Pinto, A. (2019). Transdiagnostic Factors in Obsessive-Compulsive Personality Disorder. In Fontenelle, L. F. & Yücel, M. (eds), A Transdiagnostic Approach to Obsessions, Compulsions and Related Phenomena (pp. 345–356). Cambridge, UK: Cambridge University Press. https://doi.org.10.1016/j.addbeh.2016.11.021Google Scholar
Wells, A. (1994). A multi-dimensional measure of worry: development and preliminary validation of the anxious thoughts inventory. Anxiety, Stress, and Coping, 6, 289299. https://doi.org.10.1080/10615809408248803CrossRefGoogle Scholar
Wells, A., & Davies, M. I. (1994). The thought control questionnaire: a measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32, 871878. https://doi.org.10.1016/0005-7967(94)90168-6CrossRefGoogle ScholarPubMed
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema Therapy: A Practitioner’s Guide. Guilford Publications.Google Scholar
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