Top

Gepubliceerd in:

15-10-2018 | Original Article

Acceptance and Cognitive Reappraisal as Regulation Strategies for Symptom Annoyance in Individuals with Medically Unexplained Physical Symptoms

Auteurs: Maria Kleinstäuber, Japhia-Marie Gottschalk, Judith Ruckmann, Thomas Probst, Winfried Rief

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2019

Abstract

Emotion processing has been demonstrated to have a strong impact on somatic symptom perception. In the current quasi-experimental trial associations between the application of emotion regulation strategies and symptom-related outcomes were examined in subjects with medically unexplained physical symptoms (MUS; n = 48) and in mentally healthy individuals (n = 48). Somatic symptoms were repeatedly induced four times in both samples. After each symptom induction, participants were instructed to apply another of four emotion regulation strategies. Symptom-related outcomes were rated before and after a strategy was applied. Hierarchical linear models showed that in the MUS group cognitive reappraisal was significantly and acceptance was marginally associated with lower symptom annoyance scores compared with compassionate self-support. In healthy subjects distraction was associated with better mood scores compared with compassionate self-support. Future research should examine the effects of acceptance and cognitive reappraisal strategies applied by MUS subjects over a longer period of time.

vorige artikel An Examination of Perseverative Thinking and Perception of Threat from Emotion as Mechanisms Underlying the Relationship Between Distress Intolerance and Internalizing Symptoms

volgende artikel Drive for Thinness Versus Fear of Fat: Approach and Avoidance Motivation Regarding Thin and Non-thin Images in Women

Alleen toegankelijk voor geautoriseerde gebruikers

Allen, L. A., Woolfolk, R. L., Escobar, J. I., Gara, M. A., & Hamer, R. M. (2006). Cognitive-behavioral therapy for somatization disorder: A randomized controlled trial. Archives of Internal Medicine, 166, 1512–1518. https://doi.org/10.1001/archinte.166.14.1512.CrossRefPubMed

Arnold, B. S., Alpers, G. W., Suess, H., Friedel, E., Kosmuetzky, G., Geier, A., et al. (2008). Affective pain modulation in fibromyalgia, somatoform pain disorder, back pain, and healthy controls. European Journal of Pain, 12, 329–338. https://doi.org/10.1016/j.ejpain.2007.06.007.CrossRefPubMed

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory II (BDI-II). Manual. San Antonio: Psychological Corporation.

Berking, M., & Whitely, B. (2014). Affect regulation training. A practitioners` manual. Heidelberg: Springer.

Bogaerts, K., Janssens, T., De Peuter, S., Van Diest, I., & Van den Bergh, O. (2010). Negative affective pictures can elicit physical symptoms in high habitual symptom reporters. Psychology & Health, 25, 685–698. https://doi.org/10.1080/08870440902814639.CrossRef

Bogaerts, K., Notebaert, K., Van Diest, I., Devriese, S., De Peuter, S., & Van den Bergh, O. (2005). Accuracy of respiratory symptom perception in different affective contexts. Journal of Psychosomatic Research, 58, 537–543. https://doi.org/10.1016/j.jpsychores.2004.12.005.CrossRef

Bogaerts, K., Rayen, L., Lavrysen, A., Van Diest, I., Janssens, T., Schruers, K., et al. (2015). Unraveling the relationship between trait negative affectivity and habitual symptom reporting. PLoS ONE, 10, e0115748. https://doi.org/10.1371/journal.pone.0115748.CrossRefPubMedPubMedCentral

Bowen, D. J., Kreuter, M., Spring, B., Cofta-Woerpel, L., Linnan, L., Weiner, D., et al. (2009). How we design feasibility studies. American Journal of Preventive Medicine, 36, 452–457. https://doi.org/10.1016/j.amepre.2009.02.002.CrossRefPubMedPubMedCentral

Bowers, H., & Wroe, A. (2016). Beliefs about emotions mediate the relationship between emotional suppression and quality of life in irritable bowel syndrome. Journal of Mental Health, 25, 154–158. https://doi.org/10.3109/09638237.2015.1101414.CrossRefPubMed

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, 1121–1128. https://doi.org/10.1007/s10067-017-3590-0.CrossRefPubMedPubMedCentral

Branstetter-Rost, A., Cushing, C., & Douleh, T. (2009). Personal values and pain tolerance: Does a values intervention add to acceptance? Journal of Pain, 10, 887–892. https://doi.org/10.1016/j.jpain.2009.01.001.CrossRefPubMed

Brooks, S. K., Chalder, T., & Rimes, K. A. (2017). Chronic fatigue syndrome: Cognitive, behavioural and emotional processing vulnerability factors. Behavioural and Cognitive Psychotherapy, 45, 156–169. https://doi.org/10.1017/S1352465816000631.CrossRefPubMed

Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159. https://doi.org/10.1037/0033-2909.112.1.155.CrossRefPubMed

Constantinou, E., Bogaerts, K., Van Oudenhove, L., Tack, J., Van Diest, I., & Van den Bergh, O. (2015). Healing words: Using affect labeling to reduce the effects of unpleasant cues on symptom reporting in IBS patients. International Journal of Behavioral Medicine, 22, 512–520. https://doi.org/10.1007/s12529-014-9449-8.CrossRefPubMed

De Gucht, V., & Heiser, W. (2003). Alexithymia and somatisation: A quantitative review of the literature. Journal of Psychosomatic Research, 54, 425–434. https://doi.org/10.1016/S0022-3999(02)00467-1.CrossRefPubMed

de Waal, M. W., Arnold, I. A., Eekhof, J. A., & van Hemert, A. M. (2004). Somatoform disorders in general practice: Prevalence, functional impairment and comorbidity with anxiety and depressive disorders. British Journal of Psychiatry, 184, 470–476. https://doi.org/10.1192/bjp.184.6.470.CrossRefPubMed

Deary, I. J., Scott, S., & Wilson, J. A. (1997). Neuroticism, alexithymia and medically unexplained symptoms. Personality and Individual Differences, 22, 551–564. https://doi.org/10.1016/S0191-8869(96)00229-2.CrossRef

Derogatis, L. R. (1992). The Brief Symptom Inventory (BSI): Administration, scoring, and procedures manual II. Baltimore: Clinical Psychometric Research.

Diedrich, A., Grant, M., Hofmann, S. G., Hiller, W., & Berking, M. (2014). Self-compassion as an emotion regulation strategy in major depressive disorder. Behaviour Research and Therapy, 58, 43–51. https://doi.org/10.1016/j.brat.2014.05.006.CrossRefPubMed

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured clinical interview for DSM-IV axis I disorders (SCID). New York: New York State Psychiatric Institute, Biometrics Research.

Fletcher, L., & Hayes, S. C. (2005). Relational frame theory, acceptance and commitment therapy, and a functional analytic definition of mindfulness. Journal of Rational-Emotive and Cognitive Behavior Therapy, 23, 315–336. https://doi.org/10.1007/s10942-005-0017-7.CrossRef

Gross, J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271–299. https://doi.org/10.1037/1089-2680.2.3.271.CrossRef

Gutierrez, O., Luciano, C., Rodriguez, M., & Fink, B. C. (2004). Comparison between an acceptance-based and a cognitive-control-based protocol for coping with pain. Behavior Therapy, 35, 767–783. https://doi.org/10.1016/S0005-7894(04)80019-4.CrossRef

Hayes, S. C., Bissett, R. T., Korn, Z., Zettle, R. D., Rosenfarb, I. S., Cooper, L. D., et al. (1999). The impact of acceptance versus control rationales on pain tolerance. Psychological Record, 49, 33–47. https://doi.org/10.1007/BF03395305.CrossRef

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and Commitment Therapy: An experiential approach to behavior change (2nd ed.). New York: The Guilford Press.

Hiller, W., Rief, W., & Brähler, E. (2006). Somatization in the population: From mild bodily misperceptions to disabling symptoms. Social Psychiatry and Psychiatric Epidemiology, 41, 704–712. https://doi.org/10.1007/s00127-006-0082-y.CrossRefPubMed

Hyphantis, T., Goulia, P., & Carvalho, A. F. (2013). Personality traits, defense mechanisms and hostility features associated with somatic symptom severity in both health and disease. Journal of Psychosomatic Research, 75, 362–369. https://doi.org/10.1016/j.jpsychores.2013.08.014.CrossRefPubMed

Jackson, T., Yang, Z., Li, X., Chen, H., Huang, X., & Meng, J. (2012). Coping when pain is a potential threat: The efficacy of acceptance versus cognitive distraction. European Journal of Pain, 16, 390–400. https://doi.org/10.1002/j.1532-2149.2011.00019.x.CrossRefPubMed

Klaus, K., Rief, W., Brahler, E., Martin, A., Glaesmer, H., & Mewes, R. (2013). The distinction between “medically unexplained” and “medically explained” in the context of somatoform disorders. International Journal of Behavioral Medicine, 20, 161–171. https://doi.org/10.1007/s12529-012-9245-2.CrossRefPubMed

Koechlin, H., Coakley, R., Schechter, N., Werner, C., & Kossowskya, J. (2018). The role of emotion regulation in chronic pain: A systematic literature review. Journal of Psychosomatic Research, 107, 38–45. https://doi.org/10.1016/j.jpsychores.2018.02.002.CrossRefPubMed

Kohl, A., Rief, W., & Glombiewski, J. A. (2013). Acceptance, cognitive restructuring, and distraction as coping strategies for acute pain. Journal of Pain, 14, 305–315. https://doi.org/10.1016/j.jpain.2012.12.005.CrossRefPubMed

Kohl, A., Rief, W., & Glombiewski, J. A. (2014). Do fibromyalgia patients benefit from cognitive restructuring and acceptance? An experimental study. Journal of Behavior Therapy and Experimental Psychiatry, 45, 467–474. https://doi.org/10.1016/j.jbtep.2014.06.006.CrossRefPubMed

Köteles, F., & Witthöft, M. (2017). Somatosensory amplification—An old construct from a new perspective. Journal of Psychosomatic Research, 101, 1–9. https://doi.org/10.1016/j.jpsychores.2017.07.011.CrossRefPubMed

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64, 258–266. https://doi.org/10.1097/00006842-200203000-00008.CrossRefPubMed

Leventhal, H., Phillips, L. A., & Burns, E. (2016). The common-sense model of self-regulation (CSM): A dynamic framework for understanding illness self-management. Journal of Behavioral Medicine, 39, 935–946. https://doi.org/10.1007/s10865-016-9782-2.CrossRefPubMed

Lininger, M., Spybrook, J., & Cheatham, C. C. (2015). Hierarchical linear model: Thinking outside the traditional repeated-measures analysis-of-variance box. Journal of Athletic Training, 50, 438–441. https://doi.org/10.4085/1062-6050-49.5.09.CrossRefPubMedPubMedCentral

Lumley, M. A., Schubiner, H., Lockhart, N. A., Kidwell, K. M., Harte, S. E., Clauw, D. J., et al. (2017). Emotional awareness and expression therapy, cognitive behavioral therapy, and education for fibromyalgia: A cluster-randomized controlled trial. Pain, 158, 2354–2363. https://doi.org/10.1097/j.pain.0000000000001036.CrossRefPubMedPubMedCentral

Margraf, J. (1994). Mini-DIPS: Diagnostic short-interview for mental disorders [Mini-DIPS: Diagnostisches Kurz-Interview bei psychischen Störungen]. Berlin: Springer.CrossRef

Masedo, A. I., & Esteve, M. R. (2007). Effects of suppression, acceptance and spontaneous coping on pain tolerance, pain intensity and distress. Behaviour Research and Therapy, 45, 199–209. https://doi.org/10.1016/j.brat.2006.02.006.CrossRefPubMed

Mewes, R., Rief, W., Stenzel, N., Glaesmer, H., Martin, A., & Brahler, E. (2009). What is “normal” disability? An investigation of disability in the general population. Pain, 142, 36–41. https://doi.org/10.1016/j.pain.2008.11.007.CrossRefPubMed

Neff, K. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101. https://doi.org/10.1080/15298860390129863.CrossRef

Neff, K. D., Kirkpatrick, K. L., & Rude, S. S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41, 139–154. https://doi.org/10.1016/j.jrp.2006.03.004.CrossRef

Nix, G., Watson, C., Pyszczynski, T., & Greenberg, J. (1995). Reducing depressive affect through external focus of attention. Journal of Social and Clinical Psychology, 14, 36–52. https://doi.org/10.1521/jscp.1995.14.1.36.CrossRef

Paez-Blarrina, M., Luciano, C., Gutierrez-Martinez, O., Valdivia, S., Rodriguez-Valverde, M., & Ortega, J. (2008). Coping with pain in the motivational context of values: Comparison between an acceptance-based and a cognitive control-based protocol. Behavior Modification, 32, 403–422. https://doi.org/10.1177/0145445507309029.CrossRefPubMed

Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks: Sage Publications.

Rief, W., Burton, C., Frostholm, L., Henningsen, P., Kleinstäuber, M., Kop, W. J., et al. (2017). Core outcome domains for clinical trials on somatic symptom disorder, bodily distress disorder and functional somatic syndromes: EURONET-SOMA recommendations. Psychosomatic Medicine, 79, 1008–1015. https://doi.org/10.1097/PSY.0000000000000502.CrossRefPubMed

Rief, W., Heuser, J., & Fichter, M. M. (1996a). What does the Toronto Alexithymia Scale TAS-R measure? Journal of Clinical Psychology. 52, 423–429. https://doi.org/10.1002/(Sici)1097-4679(199607)52:4%3C423::Aid-Jclp6%3E3.0.Co;2-Q CrossRefPubMed

Rief, W., Heuser, J., Mayrhuber, E., Stelzer, I., Hiller, W., & Fichter, M. M. (1996b). The classification of multiple somatoform symptoms. Journal of Nervous and Mental Disease, 184, 680–687.CrossRefPubMed

Rief, W., Hiller, W., & Margraf, J. (1998). Cognitive aspects of hypochondriasis and the somatization syndrome. Journal of Abnormal Psychology, 107, 587–595. https://doi.org/10.1037//0021-843X.107.4.587.CrossRefPubMed

Rief, W., Mewes, R., Martin, A., Glaesmer, H., & Braehler, E. (2010). Are psychological features useful in classifying patients with somatic symptoms? Psychosomatic Medicine, 72, 648–655. https://doi.org/10.1097/Psy.0b013e3181d73fce.CrossRefPubMed

Rimes, K. A., Ashcroft, J., Bryan, L., & Chalder, T. (2016). Emotional suppression in chronic fatigue syndrome: Experimental study. Health Psychology, 35, 979–986. https://doi.org/10.1037/hea0000341.CrossRefPubMed

Roche, B., Forsyth, J. P., & Maher, E. (2007). The impact of demand characteristics on brief acceptance- and control-based interventions for pain tolerance. Cognitive and Behavioral Practice, 14, 381–393. https://doi.org/10.1016/j.cbpra.2006.10.010.CrossRef

Schobel, J., Pryss, R., Probst, T., Schlee, W., Schickler, M., & Reichert, M. (2018). Learnability of a configurator empowering end users to create mobile data collection instruments: Usability study. JMIR Mhealth and Uhealth, 6, e148. https://doi.org/10.2196/mhealth.9826.CrossRefPubMedPubMedCentral

Schwarz, J., Gottschalk, J.-M., Ruckmann, J., Rief, W., & Kleinstäuber, M. (2016). An experimental paradigm to repeatedly induce somatic symptoms. Journal of Psychosomatic Research, 82, 24–30. https://doi.org/10.1016/j.jpsychores.2016.01.007.CrossRefPubMed

Sharpe, M., Mayou, R., & Bass, C. (1995). Concepts, theories and terminology. In R. Mayou, C. Bass, & M. Sharpe (Eds.), Treatment of functional somatic symptoms (pp. 3–16). Oxford: Oxford University Press.

Sibelli, A., Chalder, T., Everitt, H., Chilcot, J., & Moss-Morris, R. (2018). Positive and negative affect mediate the bidirectional relationship between emotional processing and symptom severity and impact in irritable bowel syndrome. Journal of Psychosomatic Research, 105, 1–13. https://doi.org/10.1016/j.jpsychores.2017.11.016.CrossRefPubMed

Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.CrossRef

Thakur, E. R., Holmes, H. J., Lockhart, N. A., Carty, J. N., Ziadni, M. S., Doherty, H. K., et al. (2017). Emotional awareness and expression training improves irritable bowel syndrome: A randomized controlled trial. Neurogastroenterology and Motility. https://doi.org/10.1111/nmo.13143.CrossRefPubMedPubMedCentral

Torous, J., Kiang, M. V., Lorme, J., & Onnela, J. P. (2016). New tools for new research in psychiatry: A scalable and customizable platform to empower data driven smartphone research. JMIR Mental Health, 3, e16. https://doi.org/10.2196/mental.5165.CrossRefPubMedPubMedCentral

Van Breukelen, G. J. (2006). ANCOVA versus change from baseline: More power in randomized studies, more bias in nonrandomized studies [corrected]. Journal of Clinical Epidemiology, 59, 920–925. https://doi.org/10.1016/j.jclinepi.2006.02.007.CrossRefPubMed

Van Dessel, N., Den Boeft, M., Van der Wouden, J. C., Kleinstäuber, M., Leone, S. S., Terluin, B., et al. (2014). Non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS) in adults. Cochrane Database of Systematic Reviews, 11, CD011142. https://doi.org/10.1002/14651858.CD011142.pub2.CrossRef

van Eck van der Sluijs, J. V., Ten Have, M., Rijnders, C., van Marwijk, H., de Graaf, R., & van der Feltz-Cornelis, C. (2015). Medically unexplained and explained physical symptoms in the general population: Association with prevalent and incident mental disorders. PLoS ONE, 10, e0123274. https://doi.org/10.1371/journal.pone.0123274.CrossRefPubMedPubMedCentral

van Ravesteijn, H. J., Suijkerbuijk, Y. B., Langbroek, J. A., Muskens, E., Lucassen, P. L., van Weel, C., et al. (2014). Mindfulness-based cognitive therapy (MBCT) for patients with medically unexplained symptoms: Process of change. Journal of Psychosomatic Research, 77, 27–33. https://doi.org/10.1016/j.jpsychores.2014.04.010.CrossRefPubMed

Vowles, K. E., McNeil, D. W., Gross, R. T., McDaniel, M. L., Mouse, A., Bates, M., et al. (2007). Effects of pain acceptance and pain control strategies on physical impairment in individuals with chronic low back pain. Behavior Therapy, 38, 412–425. https://doi.org/10.1016/j.beth.2007.02.001.CrossRefPubMed

Weiss, F. D., Rief, W., Martin, A., Rauh, E., & Kleinstäuber, M. (2016). The heterogeneity of illness behaviors in patients with medically unexplained physical symptoms. International Journal of Behavioral Medicine, 23, 319–326. https://doi.org/10.1007/s12529-015-9533-8.CrossRefPubMed

Titel: Acceptance and Cognitive Reappraisal as Regulation Strategies for Symptom Annoyance in Individuals with Medically Unexplained Physical Symptoms
Auteurs: Maria Kleinstäuber
Japhia-Marie Gottschalk
Judith Ruckmann
Thomas Probst
Winfried Rief
Publicatiedatum: 15-10-2018
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 3/2019
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-018-9973-y

Andere artikelen Uitgave 3/2019

Trait Anxiety and Biased Prospective Memory for Targets Associated with Negative Future Events

Original Article

Predictors of Dropout in Internet-Based Cognitive Behavioral Therapy for Depression

Original Article

Hopelessness: A Network Analysis

Original Article

Drive for Thinness Versus Fear of Fat: Approach and Avoidance Motivation Regarding Thin and Non-thin Images in Women

Original Article

A Double-Blind Placebo Controlled Study of Intranasal Oxytocin’s Effect on Emotion Recognition and Visual Attention in Outpatients with Emotional Disorders

Original Article

The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes

Open Access
Original Article

Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

Registreer

Login

Acceptance and Cognitive Reappraisal as Regulation Strategies for Symptom Annoyance in Individuals with Medically Unexplained Physical Symptoms

Abstract

Andere artikelen Uitgave 3/2019

Trait Anxiety and Biased Prospective Memory for Targets Associated with Negative Future Events

Predictors of Dropout in Internet-Based Cognitive Behavioral Therapy for Depression

Hopelessness: A Network Analysis

Drive for Thinness Versus Fear of Fat: Approach and Avoidance Motivation Regarding Thin and Non-thin Images in Women

A Double-Blind Placebo Controlled Study of Intranasal Oxytocin’s Effect on Emotion Recognition and Visual Attention in Outpatients with Emotional Disorders

The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes

Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

Registreer

Login

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Trait Anxiety and Biased Prospective Memory for Targets Associated with Negative Future Events

Predictors of Dropout in Internet-Based Cognitive Behavioral Therapy for Depression

Hopelessness: A Network Analysis

Drive for Thinness Versus Fear of Fat: Approach and Avoidance Motivation Regarding Thin and Non-thin Images in Women

A Double-Blind Placebo Controlled Study of Intranasal Oxytocin’s Effect on Emotion Recognition and Visual Attention in Outpatients with Emotional Disorders

The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes