Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-22T08:16:30.623Z Has data issue: false hasContentIssue false

Psychological Inflexibility Mediates the Effects of Self-Efficacy and Anxiety Sensitivity on Worry

Published online by Cambridge University Press:  20 February 2014

Francisco J. Ruiz*
Affiliation:
Universidad de Zaragoza (Spain)
*
*Correspondence concerning this article should be addressed to Francisco J. Ruiz. Facultad de Ciencias Sociales y Humanas. Ciudad Escolar s/n. 4. Universidad de Zaragoza. 44003 Teruel (Spain). E-mail: [email protected]

Abstract

Recent research has found low levels of general self-efficacy (GSE: beliefs about the ability to appropriately handle a wide range of stressors) and high levels of anxiety sensitivity (AS: fear of the negative consequences of experiencing anxiety) to be relevant predictors of pathological worry. This study examined the role of psychological inflexibility (PI: the dominance of private experiences over chosen values and contingencies in guiding action), the central component of the acceptance and commitment therapy model of psychopathology, in the effect of GSE and AS on worry. A total of 132 nonclinical participants completed questionnaires assessing the constructs of interest. Partial correlations and regression analyses showed that both GSE and AS were independent predictors of pathological worry after controlling for each other. However, mediation analyses revealed that psychological inflexibility completely mediated the independent effects of both GSE and AS on pathological worry. Theoretical and treatment implications of the results are discussed.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baessler, J., & Schwarzer, R. (1996). Evaluación de la autoeficacia: Adaptación española de la Escala de Autoeficacia General [Self-efficacy evaluation: Spanish adaptation of the General Self-Efficacy Scale]. Ansiedad y Estrés, 2, 18.Google Scholar
Berenbaum, H. (2010). An initiation-termination two-phase model of worrying. Clinical Psychology Review, 30, 962975. http://dx.doi.org/10.1016/j.cpr.2010.06.011 CrossRefGoogle ScholarPubMed
Berenbaum, H., Thompson, R. J., & Bredemeier, K. (2007). Perceived threat: Exploring its association with worry and its hypothesized antecedents. Behaviour Research and Therapy, 45, 24732482. http://dx.doi.org/10.1016/j.brat.2007.03.015 CrossRefGoogle ScholarPubMed
Blais, M. A., Otto, M. W., Zucker, B. G., McNally, R. M., Schmidt, N. B., Fava, M., & Pollack, M. H. (2001). The anxiety sensitivity index: Item analysis and suggestions for refinement. Journal of Personality Assessment, 77, 272294. http://dx.doi.org/10.1207/S15327752JPA7702_10 CrossRefGoogle ScholarPubMed
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., … Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire - II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42, 676688. http://dx.doi.org/10.1016/j.beth.2011.03.007 Google Scholar
Borkovec, T. D. (1994). The nature, functions and origins of worry. In Davey, G. & Tallis, F. (Eds.), Worrying: Perspectives on theory, assessment and treatment (pp. 533). Sussex, UK: Wiley & Son.Google Scholar
Floyd, M., Garfield, A., & LaSota, M. T. (2005). Anxiety sensitivity and worry. Personality and Individual Differences, 38, 12231229. http://dx.doi.org/10.1016/j.paid.2004.08.005 CrossRefGoogle Scholar
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44, 125. http://dx.doi.org/10.1016/j.brat.2005.06.006 CrossRefGoogle ScholarPubMed
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy. An experiential approach to behavior change. New York, NY: Guilford Press.Google Scholar
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. D. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 11521168. http://dx.doi.org/10.1037/0022-006X.64.6.1152 CrossRefGoogle ScholarPubMed
Kenny, D. A. (2013, October 21). Mediation. Unpublished instrument. Retrieved from http://davidakenny.net/cm/mediate.htm Google Scholar
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487495. http://dx.doi.org/10.1016/0005-7967(90)90135-6 CrossRefGoogle ScholarPubMed
Peterson, R. A., & Reiss, R. J. (1992). Anxiety sensitivity index manual (2 nd Ed.). Worthington, OH: International Diagnostic Systems.Google Scholar
Preacher, K. J., & Hayes, A. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717731. http://dx.doi.org/10.3758/BF03206553 Google Scholar
Preacher, K. J., & Kelley, K. (2011). Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods, 16, 93115. http://dx.doi.org/10.1037/a0022658 Google Scholar
Rector, N. A., Szacun-Shimizu, K., & Leybman, M. (2007). Anxiety sensitivity within the anxiety disorders: Disorder-specific sensitivities and depression comorbidity. Behaviour Research and Therapy, 45, 19671975. http://dx.doi.org/10.1016/j.brat.2006.09.017 Google Scholar
Reiss, S., & McNally, R. J. (1985). The expectancy model of fear. In Reiss, S. & Bootzin, R. R. (Eds.), Theoretical issues in behavior therapy (pp. 107121). New York, NY: Academic Press.Google Scholar
Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 5468. http://dx.doi.org/10.1093/clipsy/9.1.54 Google Scholar
Roemer, L., Salters, K., Raffa, S. D., & Orsillo, S. M. (2005). Fear and avoidance of internal experiences in GAD: Preliminary tests of a conceptual model. Cognitive Therapy and Research, 29, 7188. http://dx.doi.org/10.1007/s10608-005-1650-2 Google Scholar
Ruiz, F. J. (2010). A review of Acceptance and Commitment Therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10, 125162.Google Scholar
Ruiz, F. J. (2012). Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis. International Journal of Psychology and Psychological Therapy, 12.Google Scholar
Ruiz, F. J., Langer, A. I., Luciano, C., Cangas, A. J., & Beltrán, I. (2013). Measuring experiential avoidance and psychological inflexibility: The Spanish translation of the Acceptance and Action Questionnaire. Psicothema, 25, 123129.Google ScholarPubMed
Sandín, B., Chorot, P., & McNally, R. J. (2001). Anxiety Sensitivity Index: Normative data and its differentiation from trait anxiety. Behaviour Research and Therapy, 39, 213219. http://dx.doi.org/10.1016/S0005-7967(00)00009-7 CrossRefGoogle ScholarPubMed
Sandín, B., Chorot, P., Valiente, R. M., & Lostao, L. (2009). Validación española del cuestionario de preocupación PSWQ: Estructura factorial y propiedades psicométricas [Spanish validation of the PSWQ worry questionnaire: Factor structure and psychometric properties]. Revista de Psicopatología y Psicología Clínica, 14, 107122.Google Scholar
Santanello, A. W., & Gardner, F. L. (2007). The role of experiential avoidance in the relationship between maladaptive perfectionism and worry. Cognitive Therapy and Research, 31, 319332. http://dx.doi.org/10.1007/s10608-006-9000-6 Google Scholar
Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy Scale. In Weinman, J., Wright, S., & Johnston, M. (Eds.), Measures in health psychology: A user’s portfolio (pp. 3537). Windsor, UK: Nefer-Nelson.Google Scholar
Taylor, S., & Cox, B. J. (1998). An expanded anxiety sensitivity index: Evidence for a hierarchic structure in a clinical sample. Journal of Anxiety Disorders, 12, 463483. http://dx.doi.org/10.1016/S0887-6185(98)00028-0 Google Scholar
Waters, A. M., & Craske, M. G. (2005). Generalized anxiety disorder. In Antony, M. M., Ledley, D. R., & Heimberg, R. G. (Eds.), Improving outcomes and preventing relapse in cognitive behavioral therapy (pp. 77127). New York, NY: Guilford Press.Google Scholar