Beliefs about emotions as a transdiagnostic construct. Conceptualization in the cognitive-behavioural therapies

Monika J. Sawicka

Department of Clinical Psychology, Development and Education, University of Warmia and Mazury in Olsztyn; Doctoral Studies in Psychology, University of Gdańsk
https://orcid.org/0000-0001-6603-5415


Abstrakt

Aim

The aim of the article is to discuss the concept of beliefs about emotions in the context of emotional regulation and conceptualization in different cognitive-behavioural therapy approaches.

Theses

The thesis is that beliefs about emotions are a transdiagnostic construct, meaning that their occurrence is not limited to specific nosological categories, and they influence the maintenance of symptoms across several classes of disorders, and they are measurable in both clinical and non-clinical populations.

Conclusion

The analysis of research results regarding the prevalence of negative beliefs about emotions in different groups allows for recognition of their transdiagnostic nature. In the first part, a comprehensive definition of the phenomenon and potential sources of its formation within cognitive and learning theories were presented. The factors mediating the relationship between beliefs about emotions and well-being were discussed, with particular emphasis on avoidance strategies. As a summary of these relationships, a general working model was proposed. In the second part, therapeutic procedures from the field of cognitive-behavioural therapy were presented as an approach with scientifically proven effectiveness. The application of these methods can directly or indirectly, through perpetuating factors, lead to a change in beliefs about emotions and contribute to the reduction of psychological and physical suffering.


Słowa kluczowe:

beliefs about emotions, emotional regulation, psychotherapy, well-being


Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217‒237. DOI: 10.1016/j.cpr.2009.11.004.
Crossref   Google Scholar

Barlow, D. H., Farchione, T. J., Bullis, J. R., Gallagher, M. W., Murray-Latin, H., Sauer-Zavala, S., & Cassiello-Robbins, C. (2017). The unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders: A randomized clinical trial. JAMA Psychiatry, 74(9), 875‒884. DOI: 10.1001/jamapsychiatry.2017.2164.
Crossref   Google Scholar

Barrett, L. F. (2012). Emotions are real. Emotion, 12(3), 413. DOI: 10.1037/a0027555.
Crossref   Google Scholar

Becerra, R., Preece, D. A., Gross, J. J. (2020). Becerra, R., Preece, D. A., & Gross, J. J. (2020). Assessing beliefs about emotions: Development and validation of the Emotion Beliefs Questionnaire. PLOS ONE, 15(4). DOI: 10.1371/journal.pone.0231395.
Crossref   Google Scholar

Bowers, H., Wroe, A. L., & Pincus, T. (2017). ‘Isn’t it ironic?’ Beliefs about the unacceptability of emotions and emotional suppression relate to worse outcomes in fibromyalgia. Clinical Rheumatology, 36(5), 1121‒1128. DOI:10.1007/s10067-017-3590-0.
Crossref   Google Scholar

Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006). Acceptability and suppression of negative emotion in anxiety and mood disorders. Emotion, 6(4), 587. DOI: 10.1037/1528-3542.6.4.587.
Crossref   Google Scholar

De Castella, K., Goldin, P., Jazaieri, H., Ziv, M., Dweck, C. S., & Gross, J. J. (2013). Beliefs about emotion: Links to emotion regulation, well-being, and psychological distress. Basic and Applied Social Psychology, 35(6), 497‒505. DOI: 10.1080/01973533.2013.840632.
Crossref   Google Scholar

Gámez, W., Chmielewski, M., Kotov, R., Ruggero, C., & Watson, D. (2011). Development of a measure of experiential avoidance: the Multidimensional Experiential Avoidance Questionnaire. Psychological Assessment, 23(3), 692. DOI: 10.1037/a0023242.
Crossref   Google Scholar

García-Escalera, J., Valiente, R. M., Sandín, B., Ehrenreich-May, J., Prieto, A., & Chorot, P. (2020). The unified protocol for transdiagnostic treatment of emotional disorders in adolescents (UP-A) adapted as a school-based anxiety and depression prevention program: an initial cluster randomized wait-list-controlled trial. Behavior Therapy, 51(3), 461‒473. DOI: 10.1016/j.beth.2019.08.003.
Crossref   Google Scholar

Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281‒291. DOI: 10.1017/S0048577201393198.
Crossref   Google Scholar

Harvey, A. G., Watkins, E., & Mansell, W. (2004). Cognitive behavioural processes across psychological disorders: A transdiagnostic approach to research and treatment. New York: Oxford University Press, USA.
Crossref   Google Scholar

Hayes, S. C., & Hofmann, S. G. (Eds.). (2018). Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy. Oakland, CA: New Harbinger Publications.   Google Scholar

Hayes, S. C., Strosahl, K. D., & Wilson, K. G., (2013). Terapia akceptacji i zaangażowania. Proces i praktyka uważnej zmiany [Acceptance and commitment therapy: The process and practice of mindful change]. Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego.   Google Scholar

Hong, E. J., & Kangas, M. (2022). The Relationship between Beliefs about Emotions and Emotion Regulation: A Systematic Review. Behaviour Change, 39(4), 205‒234. DOI: 10.1017/bec.2021.23.
Crossref   Google Scholar

Kaufman, E. A., Xia, M., Fosco, G., Yaptangco, M., Skidmore, C. R., & Crowell, S. E. (2016). The Difficulties in Emotion Regulation Scale Short Form (DERS-SF): Validation and replication in adolescent and adult samples. Journal of Psychopathology and Behavioral Assessment, 38(3), 443‒455. DOI: 10.1007/s10862-015-9529-3.
Crossref   Google Scholar

König, H., König, H. H., & Konnopka, A. (2020). The excess costs of depression: a systematic review and meta-analysis. Epidemiology and Psychiatric Sciences, 29. DOI: 10.1017/S2045796019000180.
Crossref   Google Scholar

Larionow, P., & Mudło-Głagolska, K. (2022). The Polish translation of the Emotion Beliefs Questionnaire (EBQ): copy of questionnaire and scoring instructions. DOI: 10.31234/osf.io/2k54b.
Crossref   Google Scholar

Leahy, R. L. (2002). A model of emotional schemas. Cognitive and Behavioral Practice, 9(3), 177‒190. DOI: 10.1016/S1077-7229(02)80048-7.
Crossref   Google Scholar

Leahy, R. L., & Napolitano, L. (2006). Do metacognitive beliefs about worry differ across the personality disorders. In Meetings of Anxiety Disorders Association of America, Miami, FL.   Google Scholar

Leahy, R. L., Tirch, D., & Napolitano, L. A. (2014). Regulacja emocji w psychoterapii. Podręcznik praktyka [Emotion regulation in psychotherapy: A practitioner’s guide]. Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego.   Google Scholar

Linehan M. (1993). Cognitive-behavioural treatment of borderline personality disorders. New York: Guilford Press.   Google Scholar

Linehan, M. M. (2016a). Terapia dialektyczno-behawioralna (DBT): trening umiejętności: materiały i ćwiczenia dla pacjentów [DBT Skills Training Manual]. Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego.   Google Scholar

Linehan, M. M. (2016b). Terapia dialektyczno-behawioralna (DBT): trening umiejętności. Podręcznik terapeuty [DBT Skills Training Manual]. Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego.   Google Scholar

Lynch, T. R. (2018). Radically open dialectical behavior therapy: Theory and practice for treating disorders of overcontrol. Oakland, CA: New Harbinger Publications.   Google Scholar

Mansell, W., Harvey, A., Watkins, E. D., & Shafran, R. (2009). Conceptual foundations of the transdiagnostic approach to CBT. Journal of Cognitive Psychotherapy, 23(1), 6‒19. DOI: 10.1891/0889-8391.23.1.6.
Crossref   Google Scholar

Manser, R., Cooper, M., & Trefusis, J. (2012). Beliefs about emotions as a metacognitive construct: Initial development of a self‐report questionnaire measure and preliminary investigation in relation to emotion regulation. Clinical Psychology & Psychotherapy, 19(3), 235‒246. DOI: 10.1002/cpp.745.
Crossref   Google Scholar

Mauss, I. B., Levenson, R. W., McCarter, L., Wilhelm, F. H., & Gross, J. J. (2005). The tie that binds? Coherence among emotion experience, behavior, and physiology. Emotion, 5(2), 175. DOI: 10.1037/1528-3542.5.2.175.
Crossref   Google Scholar

Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2002). Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice, 9(1), 85‒90. DOI: 10.1093/clipsy.9.1.85.
Crossref   Google Scholar

Mowrer, O. H. (1960). Learning theory and behavior. John Wiley & Sons Inc. DOI: 10.1037/10802-000.
Crossref   Google Scholar

Popiel, A., & Pragłowska, E. (2008). Psychoterapia poznawczo-behawioralna – teoria i praktyka [Cognitive-behavioural therapy – theory and practice]. Warszawa: Wydawnictwo Paradygmat.   Google Scholar

Rimes, K. A., & Chalder, T. (2010). The Beliefs about Emotions Scale: validity, reliability and sensitivity to change. Journal of Psychosomatic Research, 68(3), 285‒292. DOI: 10.1016/j.jpsychores.2009.09.014.
Crossref   Google Scholar

Sawicka, M. J., Sawicki, A. J., Bieleninik, Ł., & Bidzan, M. [in preparation]. The Beliefs about Emotions Scale: Polish adaptation and its relation to experiential avoidance and mental health. Two cross-sectional studies on the Polish sample.   Google Scholar

Scherer, K. R. (2009). The dynamic architecture of emotion: Evidence for the component process model. Cognition and Emotion, 23(7), 1307‒1351. DOI: 10.1080/02699930902928969.
Crossref   Google Scholar

Schmidt, U., & Treasure, J. (2006). Anorexia nervosa: Valued and visible. A cognitive‐interpersonal maintenance model and its implications for research and practice. British Journal of Clinical Psychology, 45(3), 343‒366. DOI: 10.1348/014466505X53902.
Crossref   Google Scholar

Sydenham, M., Beardwood, J., & Rimes, K. A. (2017). Beliefs about emotions, depression, anxiety and fatigue: A mediational analysis. Behavioural and Cognitive Psychotherapy, 45(1), 73‒78. DOI: 10.1017/S1352465816000199.
Crossref   Google Scholar

Trincas, R., Bilotta, E., & Mancini, F. (2016). Specific beliefs about emotions are associated with different emotion-regulation strategies. Psychology, 7(13), 1682. DOI: 10.4236/psych.2016.713159.
Crossref   Google Scholar

Yosopov, L. (2020). The Relationship between Perfectionism and Procrastination: Examining Trait and Cognitive Conceptualizations, and the Mediating Roles of Fear of Failure and Overgeneralization of Failure. Electronic Thesis and Dissertation Repository. 7267. https://ir.lib.uwo.ca/etd/7267.   Google Scholar

Young, J. E., Klosko, J. S., & Weishaar, M. E. (2006). Schema therapy: A practitioner’s guide. New York London: Guilford Press.   Google Scholar


Opublikowane
2022-12-31

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Sawicka, M. J. (2022). Beliefs about emotions as a transdiagnostic construct. Conceptualization in the cognitive-behavioural therapies. Przegląd Psychologiczny, 65(4), 95–108. https://doi.org/10.31648/przegldpsychologiczny.9102

Monika J. Sawicka 
Department of Clinical Psychology, Development and Education, University of Warmia and Mazury in Olsztyn; Doctoral Studies in Psychology, University of Gdańsk
https://orcid.org/0000-0001-6603-5415