Irrational beliefs in employees with an adjustment, a depressive, or an anxiety disorder: A prospective cohort study

被引：15
作者：
Nieuwenhuijsen K. [1 ]
Verbeek J.H.A.M. [1 ]
de Boer A.G.E.M. [1 ]
Blonk R.W.B. [2 ]
van Dijk F.J.H. [1 ]
机构：
[1] Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, 1100 DD Amsterdam
[2] TNO Quality of Life, Hoofddorp
来源：
Journal of Rational-Emotive & Cognitive-Behavior Therapy | 2010年 / 28卷 / 2期
关键词：
Cognitive therapy; Common mental disorders; Follow-up studies; Irrational beliefs;
D O I：
10.1007/s10942-007-0075-0
中图分类号：
学科分类号：
摘要：
It remains unclear if patients with different types of common mental disorders, such as adjustment, anxiety and depressive disorders, have the same irrational ideas. The aim of this prospective cohort study (n = 190) is to investigate differences in level and type of irrational beliefs among these groups and to examine whether a change in irrational beliefs is related to symptom recovery. Irrational beliefs (IBI) and symptoms were measured at four points in time: at baseline, after 3, 6 and 12 months. Results showed that diagnostic groups differed in their level of irrational beliefs and this effect remained over time. Highest levels of irrationality were observed in the double diagnosis group, followed by the anxiety disorder group and the depression group. Participants with adjustment disorders showed the lowest levels of irrationality, comparable to a community sample. We did not find differences in the type of irrational beliefs between diagnostic groups. The level of irrationality declined over time for all diagnostic groups. No differences in decrease were observed between diagnostic groups. The magnitude and direction of change in irrational beliefs were related to the magnitude of recovery of depressive, anxiety and stress symptoms over time. These results support the application of general cognitive interventions, especially for patients with a depressive or an anxiety disorder. © The Author(s) 2007.
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页码：57 / 72
页数：15
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