Evaluation of a brief 4-session psychoeducation procedure for high worriers based on the mood-as-input hypothesis

Dash, S. R., Meeten, F., Jones, F. W. and Davey, G. (2014) Evaluation of a brief 4-session psychoeducation procedure for high worriers based on the mood-as-input hypothesis. Journal of Behavior Therapy and Experimental Psychiatry, 46. pp. 126-132. ISSN 0005-7916.


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Given the ubiquity of worrying as a consuming and distressing activity at both clinical and sub-clinical levels, it is important to develop theory-driven procedures that address worrying and allow worriers to manage this activity. This paper describes the development and testing of a psychoeducation procedure based on mood-as-input hypothesis, which is a transdiagnostic model that describes a proximal mechanism for perseverative worrying. The study used nonclinical participants meeting IAPT criteria indicating GAD symptomatology. In 4 sessions, participants in experimental groups received psychoeducation about the basic principles of the mood-as-input hypothesis and received guidance on how to identify and change worry-relevant goal-directed decision rules and negative moods. Participants in the psychoeducation conditions were compared with participants in a befriending control group. Psychoeducation about the model significantly reduced PSWQ scores at follow-up compared with the befriending control condition (a between-groups large effect size, Cohen's d = 1.05), and the homework tasks undertaken by the psychoeducation groups raised mood and reduced worry immediately. At follow up 48.2% of participants in the psychoeducation groups were below the recommended cut-off for identifying GAD symptomatology compared with 20% of participants in the control condition. This study was conducted on a small sample, high-worry student population, without a formal diagnosis. This brief, low-intensity procedure is potentially adaptable to online or self-help procedures, and can be integrated into fuller cognitive therapy packages.

Item Type: Article
Uncontrolled Keywords: Mood-as-input; Worry; Low-intensity intervention; Mood; Decision rules
Subjects: R Medicine > RC Internal medicine > RC0435 Psychiatry > RC0467 Clinical psychology
Divisions: Faculty of Social and Applied Sciences > School of Psychology, Politics and Sociology
Depositing User: Dr Fergal W. Jones
Date Deposited: 14 Oct 2014 15:56
Last Modified: 22 Jan 2016 11:32
URI: https://create.canterbury.ac.uk/id/eprint/12824

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Last edited: 29/06/2016 12:23:00