The cognitive attentional syndrome: examining relations with mood and anxiety symptoms and distinctiveness from psychological inflexibility in a clinical sample.

Abstract:

:Wells's (2009) metacognitive theory suggests that inflexible and recurrent styles of thinking in response to negative thoughts, feelings, and beliefs underlie mood and anxiety symptoms. Wells termed such styles of thinking as the cognitive attentional syndrome (CAS). Using a clinical sample (N=132) of patients with either a primary mood or anxiety disorder, we examined relations between the CAS and mood (depression) and anxiety (generalized anxiety, social anxiety, obsessive-compulsive, and panic) symptoms. We also examined the distinctiveness of the CAS from the related construct of psychological inflexibility. The CAS shared significant positive associations with all of the assessed symptoms, but appeared particularly relevant to depression and generalized anxiety symptoms. Despite having a strong significant positive correlation with psychological inflexibility, the CAS tended to share unique relations with symptoms after controlling for psychological inflexibility. These results broadly support the purported transdiagnostic importance of Wells's theory and indicate that intervention strategies targeting the CAS might be useful in treating certain disorders.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Fergus TA,Valentiner DP,McGrath PB,Gier-Lonsway S,Jencius S

doi

10.1016/j.psychres.2013.04.020

keywords:

["Anxiety","Cognitive attentional syndrome (CAS)","Depression","Generalized anxiety disorder (GAD)","Metacognitive","Psychological inflexibility"]

subject

Has Abstract

pub_date

2013-11-30 00:00:00

pages

215-9

issue

1

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(13)00230-8

journal_volume

210

pub_type

杂志文章
  • Ability to use the wait-and-see strategy in pathological gamblers.

    abstract::Pathological gamblers (PGs) perform differently on neurocognitive tests than do healthy controls (HC). The aim of this study was to assess "waiting ability" - a major components of inhibition control-using a modified Stop Signal Task (SST) in a population of male PGs (N=55), and HCs (N=53). Results indicated no differ...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2015.09.038

    authors: Kertzman S,Vainder M,Visne T,Aizer A,Kotler M,Dannon PN

    更新日期:2015-12-15 00:00:00

  • Abnormal night sleep duration and inappropriate sleep initiation time are associated with elevated anxiety symptoms in Chinese rural adults: the Henan Rural Cohort.

    abstract::Sleep problems have been demonstrated to cause mental symptoms, such as anxiety. However, research on the association of the night sleep duration and sleep initiation time on anxiety symptoms in rural China is still lacking. The current study, therefore, explored the independent and combined association of the night s...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2020.113232

    authors: Zhou L,Zhang H,Luo Z,Liu X,Yang L,Hu H,Wang Y,Wang C,Wang F

    更新日期:2020-09-01 00:00:00

  • Positive and negative schizotypal symptoms relate to different aspects of crossover reaction time task performance.

    abstract::Although the expressions of both positive and negative symptoms in schizophrenia spectrum illnesses can each occur with varying degrees of severity, researchers have often dichotomized patients as generally positive or negative subtypes. Studies of schizophrenia and schizotypal personality disorder (SPD) have not typi...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/s0165-1781(98)00101-2

    authors: Sarkin AJ,Dionisio DP,Hillix WA,Granholm E

    更新日期:1998-11-16 00:00:00

  • Rational-emotive and cognitive-behavior therapy (REBT/CBT) versus pharmacotherapy versus REBT/CBT plus pharmacotherapy in the treatment of major depressive disorder in youth; a randomized clinical trial.

    abstract::Major depressive disorder is a highly prevalent and debilitating condition in youth, so developing efficient treatments is a priority for mental health professionals. Psychotherapy (i.e., cognitive behavioral therapy/CBT), pharmacotherapy (i.e., SSRI medication), and their combination have been shown to be effective i...

    journal_title:Psychiatry research

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.psychres.2014.11.021

    authors: Iftene F,Predescu E,Stefan S,David D

    更新日期:2015-02-28 00:00:00

  • Reduced amygdala-orbitofrontal connectivity during moral judgments in youths with disruptive behavior disorders and psychopathic traits.

    abstract::We used functional magnetic resonance imaging (fMRI) to investigate dysfunction in the amygdala and orbitofrontal cortex in adolescents with disruptive behavior disorders and psychopathic traits during a moral judgment task. Fourteen adolescents with psychopathic traits and 14 healthy controls were assessed using fMRI...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.pscychresns.2011.07.008

    authors: Marsh AA,Finger EC,Fowler KA,Jurkowitz ITN,Schechter JC,Yu HH,Pine DS,Blair RJR

    更新日期:2011-12-30 00:00:00

  • Clozapine reduces alcohol drinking in Syrian golden hamsters.

    abstract::Alcohol abuse contributes substantially to the overall morbidity of schizophrenia. While typical antipsychotic medications do not limit alcohol use in patients with schizophrenia, emerging data suggest that the atypical antipsychotic clozapine does. To further elucidate the effects of these antipsychotics on alcohol u...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2004.05.005

    authors: Green AI,Chau DT,Keung WM,Dawson R,Mesholam RI,Schildkraut JJ

    更新日期:2004-08-30 00:00:00

  • White matter abnormalities associated with disruptive behavior disorder in adolescents with and without attention-deficit/hyperactivity disorder.

    abstract::Disruptive behavior disorders (DBD) are among the most commonly diagnosed mental disorders in children and adolescents. Some important characteristics of DBD vary based on the presence or absence of comorbid attention-deficit/hyperactivity disorder (ADHD), which may affect the understanding of and treatment decision-m...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.pscychresns.2012.01.005

    authors: Wang Y,Horst KK,Kronenberger WG,Hummer TA,Mosier KM,Kalnin AJ,Dunn DW,Mathews VP

    更新日期:2012-06-30 00:00:00

  • Decreased regional homogeneity in insula and cerebellum: a resting-state fMRI study in patients with major depression and subjects at high risk for major depression.

    abstract::Functional disconnectivity during the resting state has been observed in subjects with major depressive disorder (MDD), and in subjects at high genetic risk for major depression during task performance. It is hypothesized that functional impairments in certain brain areas are present in patients with MDD and in their ...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.pscychresns.2010.03.004

    authors: Liu Z,Xu C,Xu Y,Wang Y,Zhao B,Lv Y,Cao X,Zhang K,Du C

    更新日期:2010-06-30 00:00:00

  • Double jeopardy in the United States: Early onset bipolar disorder and treatment delay.

    abstract:BACKGROUND:Evidence is emerging that early onset bipolar disorder and the duration of the delay to first treatment are both risk factors for poor treatment outcome. We report on the incidence and implications of these two risk factors in patients from the United States (US) versus Europe. METHODS:Age of onset and age ...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2020.113274

    authors: Post RM,Altshuler LL,Kupka R,McElroy SL,Frye MA,Rowe M,Grunze H,Suppes T,Keck PE Jr,Nolen WA

    更新日期:2020-10-01 00:00:00

  • Symptom overlap in posttraumatic stress disorder and major depression.

    abstract::Over the past decade there has been consistent criticism of the diagnostic criteria of posttraumatic stress disorder (PTSD) because of its high comorbidity with other mental disorders. Part of the problem surrounding PTSD may be related to the heterogeneity of its symptoms. In fact, recent research has identified a su...

    journal_title:Psychiatry research

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.psychres.2011.10.022

    authors: Gros DF,Price M,Magruder KM,Frueh BC

    更新日期:2012-04-30 00:00:00

  • The influence of daytime napping versus controlled activity on the subjective well-being of patients with major depression.

    abstract::While the impact of sleep on cognitive functions such as memory is under extensive study, the role of sleep in modulating a persons' subjective well-being remains largely uncharacterized, especially in groups with psychiatric disorders. To gather more information on this topic a study was conducted with 20 patients su...

    journal_title:Psychiatry research

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.psychres.2012.06.020

    authors: Peth J,Regen F,Bajbouj M,Heuser I,Anghelescu I,Hornung OP

    更新日期:2012-12-30 00:00:00

  • Reduced risk of stroke among psychiatric patients receiving ECT: A population-based cohort study in Taiwan.

    abstract::Electroconvulsive therapy (ECT) as well as the diseases it treats have been associated with stroke and cognitive impairment. We investigate the relationship between ECT and the subsequent development of stroke in patients with different severe mental illnesses. Tapping Taiwan's National Health Insurance Research Datab...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2019.04.024

    authors: Hsieh KY,Tsai KY,Chou FH,Chou YM

    更新日期:2019-06-01 00:00:00

  • Associated illness severity in schizophrenia and diabetes mellitus: A systematic review.

    abstract:OBJECTIVE:We aimed to elucidate whether schizophrenia and type II diabetes mellitus may present with associated illness severity, in light of accumulating evidence to suggest both conditions have important shared inflammatory components with many shared inflammatory genetic factors. METHODS:We conducted a systematic r...

    journal_title:Psychiatry research

    pub_type: 杂志文章,评审

    doi:10.1016/j.psychres.2017.06.027

    authors: Perry BI,Salimkumar D,Green D,Meakin A,Gibson A,Mahajan D,Tahir T,Singh SP

    更新日期:2017-10-01 00:00:00

  • Plasma homovanillic acid in adolescents with bulimia nervosa.

    abstract::Dopaminergic abnormalities in bulimia nervosa have been reported in some studies, but results are not consistent across studies. In the present study, clinical characteristics, plasma level of homovanillic acid (pHVA) and two scales - the Eating Attitudes Test (EAT) and the Beck Depression Inventory (BDI) - were asses...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2008.06.046

    authors: Castro-Fornieles J,Deulofeu R,Martínez-Mallen E,Baeza I,Fernández L,Lázaro L,Toro J,Vila M,Bernardo M

    更新日期:2009-12-30 00:00:00

  • Impaired identity recognition of faces with emotional expressions in body dysmorphic disorder.

    abstract::Individuals with body dysmorphic disorder (BDD) are preoccupied with perceived physical defects or flaws, often facial features, which may be due to distorted perception. Previous studies have demonstrated abnormalities in visual processing of faces and figures, and misinterpretations of emotional expressions. The obj...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2009.01.016

    authors: Feusner JD,Bystritsky A,Hellemann G,Bookheimer S

    更新日期:2010-10-30 00:00:00

  • Exploration of dimensions of psychopathology in neuroleptic-naïve patients with recent-onset schizophrenia/schizophreniform disorder.

    abstract::Previous studies have suggested that schizophrenic psychopathology segregates into three orthogonal dimensions, viz., psychosis, negative and disorganization. Most of these reports were based on studies on medicated patients with varying degrees of chronicity. The present study aimed at exploring the dimensionality of...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/s0165-1781(03)00199-9

    authors: John JP,Khanna S,Thennarasu K,Reddy S

    更新日期:2003-11-01 00:00:00

  • Altered pineal serotonin binding in some suicides.

    abstract::Serotonergic abnormalities have been regularly reported in the brains of suicide victims. Because of evidence that pineal function is altered in depressed subjects and that serotonin-releasing axons may innervate the pineal, we assayed tritiated serotonin binding in a series of control and suicide pineals. High affini...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/0165-1781(90)90131-n

    authors: Sparks DL,Little KY

    更新日期:1990-04-01 00:00:00

  • Effectiveness of a psychosocial intervention for relapse prevention in patients with schizophrenia receiving risperidone via long-acting injection.

    abstract::Schizophrenia is a chronic disorder that is usually characterized by relapses alternating with periods of full or partial remission. We examined whether combined therapy with a psychosocial intervention for relapse prevention (PIRP) and risperidone administered by long-acting injection (RLAI) would be more effective i...

    journal_title:Psychiatry research

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.psychres.2008.06.043

    authors: Lee SH,Choi TK,Suh S,Kim YW,Kim B,Lee E,Yook KH

    更新日期:2010-02-28 00:00:00

  • Cognitive predictors of reactive and proactive aggression in a forensic sample: A comparison with a non-clinical sample.

    abstract::This study aimed at examining cognitive predictors of reactive and proactive aggression in a forensic-psychiatric (n = 80) and a non-clinical sample (n = 98; Brugman et al., 2015). Three different cognitive predictors were incorporated: (1) attentional bias towards aggressive stimuli (measured with Emotional Stroop ta...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2018.08.095

    authors: Brugman S,Lobbestael J,Sack AT,Cima MJ,Schuhmann T,Emmerling F,Arntz A

    更新日期:2018-11-01 00:00:00

  • Biological measures and cellular immunological function in depressed psychiatric inpatients.

    abstract::Thirty depressed psychiatric inpatients, including 18 with a diagnosis of major depression, and 25 hospital staff controls were compared with respect to cellular immune function--that is, mitogen responsiveness to concanavalin A (con A), phytohemagglutinin (PHA), and pokeweed mitogen (PWM); natural killer cell (NK) ac...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/0165-1781(91)90127-b

    authors: Levy EM,Borrelli DJ,Mirin SM,Salt P,Knapp PH,Peirce C,Fox BH,Black PH

    更新日期:1991-02-01 00:00:00

  • Association study of polymorphisms in the alpha 7 nicotinic acetylcholine receptor subunit and catechol-o-methyl transferase genes with sensory gating in first-episode schizophrenia.

    abstract::The purpose of the current study was to explore the association of auditory P50 sensory gating (P50) and prepulse inhibition (PPI) of schizophrenia with polymorphisms in the CHRNA7 and COMT genes. One hundred and fourty patients with schizophrenia participated in this study. They were administered the tests P50 and PP...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2013.03.027

    authors: Liu X,Hong X,Chan RC,Kong F,Peng Z,Wan X,Wang C,Cheng L

    更新日期:2013-10-30 00:00:00

  • Cognition in late onset depression.

    abstract::The aim of study was to assess cognition in patients with late onset depression in a symptom-free remission period measuring event-related potentials and reaction times (RT) in a modified computer version of the Stroop test. Thirty four patients with late-onset depression were included after they had reached remission...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2013.01.032

    authors: Pišljar M,Repovš G,Pirtošek Z

    更新日期:2013-11-30 00:00:00

  • A decrease in protein level and a missense polymorphism of KIF17 are associated with schizophrenia.

    abstract::It has been shown that the dysfunction of N-methyl-d-asparate (NMDA) receptors-mediated neurotransmission plays a role in the pathophysiology of schizophrenia. Especially, GluN2B, a subunit of NMDA receptors, associated trafficking complex is altered in the prefrontal cortex of schizophrenia. The kinesin superfamily m...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2015.09.031

    authors: Ratta-Apha W,Mouri K,Boku S,Ishiguro H,Okazaki S,Otsuka I,Sora I,Arinami T,Shirakawa O,Hishimoto A

    更新日期:2015-12-15 00:00:00

  • Pain Avoidance and Its Relation to Neural Response to Punishment Characterizes Suicide Attempters with Major Depression Disorder.

    abstract::Diminished neural responses to punitive stimulus related to high level of pain avoidance may be biomarkers in distinguishing patients with history of suicide attempts from those without such histories. Outpatients with Major Depression Disorder (MDD, n=44) and healthy controls (HCs, n=28) were administered the Beck De...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2020.113507

    authors: Song W,Li H,Sun F,Guo T,Jiang S,Wang X

    更新日期:2020-12-01 00:00:00

  • Prepulse inhibition and P50 suppression: commonalities and dissociations.

    abstract::Patients with schizophrenia exhibit reduced levels of both prepulse inhibition of the startle reflex (PPI) and condition-test suppression of the P50 event-related potential. This study investigated the extent to which PPI and P50 suppression, which exhibit similar parametric sensitivities, are intrinsically auditory p...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2005.11.002

    authors: Oranje B,Geyer MA,Bocker KB,Leon Kenemans J,Verbaten MN

    更新日期:2006-08-30 00:00:00

  • Changes in oxidative stress markers in patients with schizophrenia: the effect of antipsychotic drugs.

    abstract::The aim of this study was to investigate the serum levels or activities of oxidative stress markers in patients with schizophrenia in acute phase and evaluate the changes in superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), glutathione (GSH) and thiobarbituric acid-reactive substances (TBARS) a...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2013.01.023

    authors: Tsai MC,Liou CW,Lin TK,Lin IM,Huang TL

    更新日期:2013-10-30 00:00:00

  • 'Not just right' experiences and incompleteness in body dysmorphic disorder.

    abstract::The current studies examined the role of 'not just right' experiences (NJREs) and incompleteness (INC) in body dysmorphic disorder (BDD). In Study 1, a clinical BDD sample endorsed more severe NJREs than healthy controls, when controlling co-occurring symptoms of depression and anxiety. In Study 2, INC predicted react...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2016.11.038

    authors: Summers BJ,Matheny NL,Cougle JR

    更新日期:2017-01-01 00:00:00

  • Chronic imipramine treatment and weight gain.

    abstract::A study of weight change in subjects treated with imipramine was performed on recurrent depressive outpatients. The patients (n = 52) were treated with imipramine (200-250 mg/day) and psychotherapy for 16 weeks. Each individual was weighed upon entry to the study (drug-free) and then weekly thereafter for 16 weeks. Of...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/0165-1781(86)90074-0

    authors: Fernstrom MH,Krowinski RL,Kupfer DJ

    更新日期:1986-04-01 00:00:00

  • Abnormal functional connectivity based on nodes of the default mode network in first-episode drug-naive early-onset schizophrenia.

    abstract::Schizophrenia is considered a connectivity disorder. Further, the functional connectivity (FC) of the default-mode network (DMN) has gained the interest of researchers. However, few studies have been conducted on the abnormal connectivity of DMN in early-onset schizophrenia (EOS). In this study, the key brain regions ...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.psychres.2020.113578

    authors: Peng Y,Zhang S,Zhou Y,Song Y,Yang G,Hao K,Yang Y,Li W,Lv L,Zhang Y

    更新日期:2021-01-01 00:00:00

  • Preliminary investigation of the impulsive and neuroanatomical characteristics of compulsive sexual behavior.

    abstract::In recent years, there has been increased interest in a clinical syndrome characterized by excessive sexual thoughts, sexual urges, and/or sexual behaviors that has many aspects in common with impulse control disorders. This study provides a preliminary examination of the impulsive aspects of this syndrome, compulsive...

    journal_title:Psychiatry research

    pub_type: 杂志文章

    doi:10.1016/j.pscychresns.2009.04.008

    authors: Miner MH,Raymond N,Mueller BA,Lloyd M,Lim KO

    更新日期:2009-11-30 00:00:00