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21-11-2024 | Original Article

The Content-Specificity of Interpretation Biases Across Emotional Disorders and Stress: Online Cross-Cultural Study

Auteurs: Zhen Zhang, Janna N. Vrijsen, Michele Schmitter, Ernst H. W. Koster, Eni S. Becker

Gepubliceerd in: Cognitive Therapy and Research

Abstract

Purpose

This research examined the content-specificity of interpretation bias across anxiety, depression and stress symptoms. Moreover, the role of cultural differences in the association between interpretation bias, affective symptoms, and stress experiences was investigated.

Methods

A sample (N = 234) of Dutch and Chinese participants was recruited during the COVID-19 pandemic restrictions, which acted as a natural stressor. We assessed participants’ interpretation biases specific to content of depressive mood, health threats, and COVID-19 concerns, alongside their symptoms of depression, anxiety, and health anxiety, and experiences of both general and pandemic-induced stress.

Results

The findings demonstrated correlations among various interpretation biases, emotional disorder symptoms, and stress experiences. However, linear regression analyses revealed significant associations only between symptom and stress indices and those interpretation biases that shared the same cognitive content. Intriguingly, these relationships did not vary significantly by nationality.

Conclusion

These results indicate both a general and a content-specific association between interpretation biases and various emotional disorder symptoms and stress experiences, with a pronounced emphasis on content-specificity. Furthermore, the study suggests a degree of cultural independence in the associations between interpretation biases, symptoms, and stress. These findings provide valuable insights into the manifestation of interpretation bias across different symptoms, stress experiences, and cultural contexts, enhancing our understanding of cognitive theories and their implications.

Beck, A. T. (1967). Depression. Clinical, experimental and theoretical aspects. New York (Hoeber) 1967.

Beck, A. T., & Clark, D. A. (2015). Anxiety and depression: An information processing perspective. Anxiety and self-focused attention (pp. 41–54). Routledge.

Beck, A. T., & Haigh, E. A. (2014). Advances in cognitive theory and therapy: The generic cognitive model. Annual Review of Clinical Psychology, 10, 1–24.PubMedCrossRef

Berna, C., Lang, T. J., Goodwin, G. M., & Holmes, E. A. (2011). Developing a measure of interpretation bias for depressed mood: An ambiguous scenarios test. Personality and Individual Differences, 51(3), 349–354.PubMedPubMedCentralCrossRef

Bradley, B. P., Mogg, K., Millar, N., & White, J. (1995). Selective processing of negative information: Effects of clinical anxiety, concurrent depression, and awareness. Journal of Abnormal Psychology, 104(3), 532.PubMedCrossRef

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912–920.CrossRef

Butler, G., & Mathews, A. (1983). Cognitive processes in anxiety. Advances in Behaviour Research and Therapy, 5(1), 51–62.CrossRef

Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4(1), 92–100.PubMedCrossRef

Chen, E., & Craske, M. G. (1998). Risk perceptions and interpretations of ambiguity related to anxiety during a stressful event. Cognitive Therapy and Research, 22(2), 137–148.CrossRef

Chen, J., Short, M., & Kemps, E. (2020). Interpretation bias in social anxiety: A systematic review and meta-analysis. Journal of Affective Disorders, 276, 1119–1130.PubMedCrossRef

Chun, C. A., Moos, R. H., & Cronkite, R. C. (2006). Culture: A fundamental context for the stress and coping paradigm. Handbook of Multicultural Perspectives on Stress and Coping. https://doi.org/10.1007/0-387-26238-5_2CrossRef

Clark, D. A., Beck, A. T., & Brown, G. (1989). Cognitive mediation in general psychiatric outpatients: A test of the content-specificity hypothesis. Journal of Personality and Social Psychology, 56(6), 958.PubMedCrossRef

Clark, D. A., Beck, A. T., & Stewart, B. L. (1990). Cognitive specificity and positive-negative affectivity: Complementary or contradictory views on anxiety and depression? Journal of Abnormal Psychology, 99(2), 148.PubMedCrossRef

Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100(3), 316–336.PubMedCrossRef

Cristea, I. A., Kok, R. N., & Cuijpers, P. (2015). Efficacy of cognitive bias modification interventions in anxiety and depression: Meta-analysis. The British Journal of Psychiatry, 206(1), 7–16.PubMedCrossRef

Du, X., Witthöft, M., Zhang, T., Shi, C., & Ren, Z. (2022). Interpretation bias in health anxiety: a systematic review and meta-analysis. Psychological Medicine, 53, 1–12.

Egan, L. J., & Dennis-Tiwary, T. A. (2018). Dynamic measures of anxiety-related threat bias: Links to stress reactivity. Motivation and Emotion, 42, 546–554.PubMedPubMedCentralCrossRef

Elfenbein, H. A., & Ambady, N. (2002). On the universality and cultural specificity of emotion recognition: A meta-analysis. Psychological Bulletin, 128(2), 203.PubMedCrossRef

Enkel, T., Gholizadeh, D., Bohlen, V., Halbach, O., Sanchis-Segura, C., Hurlemann, R., Spanagel, R., & Vollmayr, B. (2010). Ambiguous-cue interpretation is biased under stress-and depression-like states in rats. Neuropsychopharmacology, 35(4), 1008–1015.PubMedCrossRef

Everaert, J., Podina, I. R., & Koster, E. H. (2017). A comprehensive meta-analysis of interpretation biases in depression. Clinical Psychology Review, 58, 33–48.PubMedCrossRef

Eysenck, M. W. (2000). Anxiety, cognitive biases, and beliefs. Emotions and beliefs: How feelings influence thoughts, 171–184.

Eysenck, M. W., Mogg, K., May, J., Richards, A., & Mathews, A. (1991). Bias in interpretation of ambiguous sentences related to threat in anxiety. Journal of Abnormal Psychology, 100(2), 144.PubMedCrossRef

Garnefski, N., & Kraaij, V. (2006). Cognitive emotion regulation questionnaire–development of a short 18-item version (CERQ-short). Personality and Individual Differences., 41(6), 1045–1053.CrossRef

Greenberg, M. S., & Beck, A. T. (1989). Depression versus anxiety: A test of the content-specificity hypothesis. Journal of Abnormal Psychology, 98(1), 9.PubMedCrossRef

Hallion, L. S., & Ruscio, A. M. (2011). A meta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychological Bulletin, 137(6), 940.PubMedCrossRef

Heppner, P. P., Myers, J. E., Wei, M., & Heppner, M. J. (2004). Coping as a moderator of relations between reactivity to interpersonal stress, health status, and maladaptive health behaviors in rural men. Journal of Counseling Psychology, 51(4), 438.

Hindash, A. H. C., & Amir, N. (2012). Negative interpretation bias in individuals with depressive symptoms. Cognitive Therapy and Research, 36, 502–511.CrossRef

Hirsch, C. R., Meeten, F., Krahé, C., & Reeder, C. (2016). Resolving ambiguity in emotional disorders: The nature and role of interpretation biases. Annual Review of Clinical Psychology, 12, 281–305.PubMedCrossRef

Holmes, E. A., O’Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., & Bullmore, E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry, 7(6), 547–560.PubMedPubMedCentralCrossRef

Ingram, R. E., & Luxton, D. D. (2005). Vulnerability-stress models. Development of Psychopathology: A Vulnerability-Stress Perspective, 46(2), 32–46.

Joormann, J., & Gotlib, I. H. (2006). Is this happiness I see? Biases in the identification of emotional facial expressions in depression and social phobia. Journal of Abnormal Psychology, 115(4), 705.PubMedCrossRef

Kessler, R. C., Nelson, C. B., McGonagle, K. A., Liu, J., Swartz, M., & Blazer, D. G. (1996). Comorbidity of DSM-III-R major depressive disorder in the general population: Results from the US National Comorbidity Survey. The British Journal of Psychiatry, 168(30), 17–30.CrossRef

Kitayama, S., Mesquita, B., & Karasawa, M. (2006). Cultural affordances and emotional experience: Socially engaging and disengaging emotions in Japan and the United States. Journal of Personality and Social Psychology, 91(5), 890.PubMedCrossRef

Kuo, B. C. H. (2011). Culture’s consequences on coping: Theories, evidences, and dimensionalities. Journal of Cross-Cultural Psychology, 42(6), 1084–1100.CrossRef

Lamers, F., van Oppen, P., Comijs, H. C., Smit, J. H., Spinhoven, P., van Balkom, A. J., & Penninx, B. W. (2011). Comorbidity patterns of anxiety and depressive disorders in a large cohort study: the Netherlands Study of Depression and Anxiety (NESDA). The Journal of Clinical Psychiatry, 72(3), 341–348.PubMedCrossRef

Lawson, C., & MacLeod, C. (1999). Depression and the interpretation of ambiguity. Behaviour Research and Therapy, 37(5), 463–474.PubMedCrossRef

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343.PubMedCrossRef

MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95(1), 15.PubMedCrossRef

Mathews, A., & Mackintosh, B. (2000). Induced emotional interpretation bias and anxiety. Journal of Abnormal Psychology, 109(4), 602.PubMedCrossRef

Mathews, A., & MacLeod, C. (2002). Induced processing biases have causal effects on anxiety. Cognition & Emotion, 16(3), 331–354.CrossRef

Mathews, A., & MacLeod, C. (2005). Cognitive vulnerability to emotional disorders. Annual Review of Clinical Psychology, 1, 167–195.PubMedCrossRef

McNally, R. J. (1996). Cognitive bias in the anxiety disorders.

Mesquita, B., & Frijda, N. H. (1992). Cultural variations in emotions: A review. Psychological Bulletin, 112(2), 179.PubMedCrossRef

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(6), 487–495.PubMedCrossRef

Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology, 49(1), 377–412.PubMedCrossRef

Moffitt, T. E., Harrington, H., Caspi, A., Kim-Cohen, J., Goldberg, D., Gregory, A. M., & Poulton, R. (2007). Depression and generalized anxiety disorder: Cumulative and sequential comorbidity in a birth cohort followed prospectively to age 32 years. Archives of General Psychiatry, 64(6), 651–660.PubMedCrossRef

Mogg, K., Bradbury, K. E., & Bradley, B. P. (2006). Interpretation of ambiguous information in clinical depression. Behaviour Research and Therapy, 44(10), 1411–1419.PubMedCrossRef

Mogg, K., & Bradley, B. P. (2005). Attentional bias in generalized anxiety disorder versus depressive disorder. Cognitive Therapy and Research, 29(1), 29–45.CrossRef

Mogg, K., Bradley, B. P., & Williams, R. (1995). Attentional bias in anxiety and depression: The role of awareness. British Journal of Clinical Psychology, 34(1), 17–36.PubMedCrossRef

Mogg, K., Bradley, B. P., Williams, R., & Mathews, A. (1993). Subliminal processing of emotional information in anxiety and depression. Journal of Abnormal Psychology, 102(2), 304.PubMedCrossRef

Nieto, I., Robles, E., & Vazquez, C. (2020). Self-reported cognitive biases in depression: A meta-analysis. Clinical Psychology Review, 82, 101934.PubMedCrossRef

Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61(1), 115–121.PubMedCrossRef

Norenzayan, A., & Heine, S. J. (2005). Psychological universals: What are they and how can we know? Psychological Bulletin, 131(5), 763.PubMedCrossRef

Platt, B., Waters, A. M., Schulte-Koerne, G., Engelmann, L., & Salemink, E. (2017). A review of cognitive biases in youth depression: Attention, interpretation and memory. Cognition and Emotion, 31(3), 462–483.PubMedCrossRef

Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General Psychiatry. https://doi.org/10.1136/gpsych-2020-100213CrossRefPubMedPubMedCentral

Reid, S. C., Salmon, K., & Lovibond, P. F. (2006). Cognitive biases in childhood anxiety, depression, and aggression: Are they pervasive or specific? Cognitive Therapy and Research, 30, 531–549.CrossRef

Rozenman, M., Gonzalez, A., Logan, C., & Goger, P. (2020). Cognitive bias modification for threat interpretations: Impact on anxiety symptoms and stress reactivity. Depression and Anxiety, 37(5), 438–448.PubMedPubMedCentralCrossRef

Rude, S. S., Valdez, C. R., Odom, S., & Ebrahimi, A. (2003). Negative cognitive biases predict subsequent depression. Cognitive Therapy and Research, 27, 415–429.CrossRef

Salkovskis, P. M., Rimes, K. A., Warwick, H. M. C., & Clark, D. M. (2002). The Health Anxiety Inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine, 32(5), 843–853.PubMedCrossRef

Sandi, C. (2013). Stress and cognition. Wiley Interdisciplinary Reviews: Cognitive Science, 4(3), 245–261.PubMed

Slavin, L. A., Rainer, K. L., McCreary, M. L., & Gowda, K. K. (1991). Toward a multicultural model of the stress process. Journal of Counseling & Development, 70(1), 156–163.CrossRef

Spijkers, W., Jansen, D. E., & Reijneveld, S. A. (2015). Psychometric properties of the Depression, Anxiety and Stress Scale (DASS-21) in a large non-clinical sample. Parenting and child psychosocial problems Effectiveness of parenting support in Preventive Child Healthcare, 57.

Subar, A. R., Humphrey, K., & Rozenman, M. (2022). Is interpretation bias for threat content specific to youth anxiety symptoms/diagnoses? A systematic review and meta-analysis. European Child & Adolescent Psychiatry, 31(9), 1341–1352.CrossRef

Swann, W. B. J. (1983). Self-Verification: Bringing Reality into Harmony with the Self. Psyhological Perspective on the Self.

Taghavi, M. R., Dalgleish, T., Moradi, A. R., Neshat-Doost, H. T., & Yule, W. (2003). Selective processing of negative emotional information in children and adolescents with generalized anxiety disorder. British Journal of Clinical Psychology, 42(3), 221–230.PubMedCrossRef

Te Poel, F., Hartmann, T., Baumgartner, S. E., & Tanis, M. (2017). A psychometric evaluation of the Dutch Short Health Anxiety Inventory in the general population. Psychological Assessment, 29(2), 186.CrossRef

Tran, T. B., Siemer, M., & Joormann, J. (2011). Implicit interpretation biases affect emotional vulnerability: A training study. Cognition and Emotion, 25(3), 546–558.PubMedCrossRef

Tsai, J. L., Knutson, B., & Fung, H. H. (2006). Cultural variation in affect valuation. Journal of Personality and Social Psychology, 90(2), 288.PubMedCrossRef

Vancleef, L. M., Peters, M. L., & De Jong, P. J. (2009). Interpreting ambiguous health and bodily threat: Are individual differences in pain-related vulnerability constructs associated with an on-line negative interpretation bias? Journal of Behavior Therapy and Experimental Psychiatry, 40(1), 59–69.PubMedCrossRef

Veer, I. M., Riepenhausen, A., Zerban, M., Wackerhagen, C., Puhlmann, L. M., Engen, H., & Kalisch, R. (2021). Psycho-social factors associated with mental resilience in the Corona lockdown. Translational Psychiatry, 11(1), 67.PubMedPubMedCentralCrossRef

Wang, K., Shi, H. S., Geng, F. L., Zou, L. Q., Tan, S. P., Wang, Y., & Chan, R. C. (2016). Cross-cultural validation of the depression anxiety stress scale–21 in China. Psychological Assessment, 28(5), e88.PubMedCrossRef

Warda, G., & Bryant, R. A. (1998). Cognitive bias in acute stress disorder. Behaviour Research and Therapy, 36(12), 1177–1183.PubMedCrossRef

Zhang, Y., Liu, R., Li, G., Mao, S., & Yuan, Y. (2015). The reliability and validity of a Chinese-version Short Health Anxiety Inventory: An investigation of university students. Neuropsychiatric Disease and Treatment, 11, 1739.PubMedPubMedCentral

Titel: The Content-Specificity of Interpretation Biases Across Emotional Disorders and Stress: Online Cross-Cultural Study
Auteurs: Zhen Zhang
Janna N. Vrijsen
Michele Schmitter
Ernst H. W. Koster
Eni S. Becker
Publicatiedatum: 21-11-2024
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-024-10549-y

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The Content-Specificity of Interpretation Biases Across Emotional Disorders and Stress: Online Cross-Cultural Study

Abstract

Purpose

Methods

Results

Conclusion

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Abstract

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