André T. Möller

POSTTRAUMATIC STRESS AND DEPRESSIVE SYMPTOMATOLOGY IN A SAMPLE OF BATTERED WOMEN FROM SOUTH AFRICA

This study investigated the incidence of depression, posttraumatic stress symptomatology, anger, and guilt in a sample of 40 battered women in a shelter. Analysis indicated that 63% of the 40 scored moderate to severe on depression, 59% manifested high posttraumatic stress symptoms, while 38.4% and 54.5% reported problems with anger and guilt, respectively. Frequency and severity of physical abuse were not correlated with depressive or posttraumatic stress symptomatology.

Rational-Emotive Behavior Therapy in the Treatment of Adult Victims of Childhood Sexual Abuse

This study investigated the effectiveness of Rational-emotive behavior therapy in the treatment of adult victims of childhood sexual abuse. A sample of 42 women, seeking help for their psychological distress associated with childhood sexual abuse, was selected by means of an assessment interview and the Trauma Sympton Checklist, and randomly assigned to a treatment (n=28) and a delayed treatment control group (n=14). The treatment group participated in 10 weekly sessions of group Rational-emotive behavior therapy and was followed up 8 weeks after termination of treatment. Repeated measurements were obtained by means of the Beck Depression Inventory, State-Trait Anxiety Scale, State-Trait Anger Scale, Guilt Inventory, Coopersmith Self-Esteem Inventory and Golombok-Rust Inventory of Sexual Satisfaction. Results indicated significant reductions in depression, State anxiety, State anger, State guilt and low self-esteem. These improvements were maintained at follow-up.

Clinically Significant Change After Cognitive Restructuring for Adult Survivors of Childhood Sexual Abuse

This study investigated the outcome of cognitive restructuring for adult survivors of childhood sexual abuse in terms of clinically significant change. Twenty-six participants were assessed for depression, State anxiety, State anger, State guilt and self-esteem before and after 10 weekly sessions of group Rational-emotive behavior therapy, and at follow-up after 8 weeks. In contrast to a previous analysis of the data in terms of statistical significance, indicating significant improvements on all variables from pre- to posttreatment, an analysis based on clinically significant change showed a differentiated treatment effect. Cognitive restructuring was found to be highly effective in facilitating recovery on anxiety, depression and anger, but less effective for guilt and low self-esteem. Only 3 patients (11, 54%) recovered on all 5 variables, while 10 patients (38, 46%) showed recovery on at least 4 variables. Relationship to the perpetrator and pre-treatment irrational evaluative beliefs (measured by means of the Survey of Personal Beliefs) were found to be the best predictors of treatment outcome. A poor response to treatment was associated with the perpetrator being a close family member and with more Other-directed Shoulds, while recovery was associated with the perpetrator being a friend or stranger and with more Awfulizing, Self-directed Shoulds and negative Self-worth beliefs.

Dysfunctional Beliefs and Marital Conflict in Distressed and Non-Distressed Married Individuals

To test the hypothesis that the irrational evaluative beliefs, postulated by Rational-emotive behavior therapy, are related to marital conflict, 17 individuals from distressed marriages and 20 from non-distressed marriages participated in the Articulated Thoughts during Simulated Situations procedure. Four scenes, representing different dimensions of marital conflict (power/control, boundaries, expressive investment and instrumental investment), were used. On all the scenes, the distressed group showed significantly more irrational cognitions than the non-distressed group, while the scenes elicited significantly more positive thoughts with the non-distressed individuals compared to the distressed group. The results also showed that the non-distressed group displayed significantly more positive than negative thoughts for all the conflict scenes combined. However, no significant difference between positive and negative thoughts was found for the distressed group.

Effect of auditory subliminal stimulation on GSR.

The present study was designed to investigate the possible effect of auditory subliminal stimulation on GSR. 38 undergraduate students were exposed subliminally to emotional words while GSR was monitored. The results confirmed the hypothesis that auditory subliminal stimulation would effect a significant increase in GSR.

Irrational Cognitions and the Fear of Flying

In order to test the hypothesis that the fear of flying is associated with irrational evaluative beliefs, as postulated by Rational Emotive Behavior Therapy for anxiety disorders, 15 fearful flyers and 7 non-fearful flyers participated in the Articulated Thoughts during Simulated Situations procedure. Six experimental scenes depicting some basic fears associated with the fear of flying and six supposedly non-anxiety provoking flight-related control scenes were used. The fear of flying group displayed significantly more irrational thoughts and significantly higher subjective ratings of anxiety on all experimental and five control scenes compared to the non-fearful flyers. Their negative cognitions were predominantly characterized by awfulizing and low frustration tolerance. The results are interpreted as offering support for the cognitive view that anxiety, and the fear of flying, are associated with negative cognitions characterized by a preoccupation with danger and with an overestimation of the seriousness of the perceived threat (awfulizing) and an underestimation of coping abilities (low frustration tolerance).

Judgement of risk in traumatized and nontraumatized emergency medical service personnel

This study investigated the hypothesis that posttraumatic stress is associated with a judgement of risk bias, defined as an overestimation of the likelihood of the occurrence of adverse events, as proposed by information-processing theories of posttraumatic stress disorder. Emergency medical service personnel with high PTSD symptomatology (n = 27) and without PTSD symptoms (n = 74) completed the PTSD Symptom Scale: Self-report version, the Work Experiences Questionnaire, the Beck Depression Inventory, and an Event Probability Questionnaire. Analysis showed that individuals with high PTSD symptomatology exhibited significantly more judgement of risk bias, that this cognitive bias was towards a wider range of threats than those involving only the threat of external harm, and that intrusion was its best predictor.

EFFECTIVENESS OF A PROBLEM-SOLVING TRAINING PROGRAM

The relationship between problem-solving efficiency, defined in terms of the quality of alternative soludons selected, and measures of behavioral competence (self-efficacy and locus of control) was investigated as well as the effectiveness of a problem-solving training program. Subjects were 29 undergraduate students assigned to an effective (n = 16) and an ineffective (n = 13) problem-solving group. Analysis indicated that the ineffective problem-solvers appraised their problem-solving skills more negatively and reported low self-efficacy expectations and an external control orientation. Problem-solving training led to improved general self-efficacy expectancies, greater confidence in problem-solving, a more internal control orientation, and improved problem-solving skills. These improvements were maintained at follow-up after two months.

Comparison of integrated cognitive restructuring plus exposure with exposure alone in group treatment of generalised social anxiety disorder

In this study we compared the efficacy of integrated cognitive restructuring plus exposure with exposure alone in the treatment of social anxiety disorder (social phobia). Compared to a wait-list control condition, both treatments resulted in significant improvements and maintained their effects on some dependent variables. Although no significant differences were found between the effects of the two active treatments, effect size analysis did suggest certain effect differences.

Irrational beliefs and marital conflict.

To test the hypothesis that the major irrational evaluative beliefs postulated by Rational Emotive Behavior Therapy are related to marital conflict, 15 married couples participated in a thought-listing procedure. During this procedure, three idiosyncratic scenes portraying marital conflict and three control scenes free of conflict were identified for and presented to each member of the dyad. Analysis indicated that the conflict-portraying scenes were associated with significantly more irrational evaluative beliefs and significantly fewer rational cognitions than the control scenes.