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An Empirical Assessment of REBT Models of Psychopathology and Psychological Health in the Prediction of Anxiety and Depression Symptoms

Published online by Cambridge University Press:  28 March 2017

Horea-Radu Oltean*
Affiliation:
Doctoral School ‘Evidence-based assessment and psychological interventions’, Babes-Bolyai University, Cluj-Napoca, Cluj, Romania and The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeş-Bolyai University, Cluj-Napoca, Romania
Philip Hyland
Affiliation:
National College of Ireland, Dublin, and Centre for Global Health, Trinity College Dublin, Dublin, Ireland
Frédérique Vallières
Affiliation:
Centre for Global Health, Trinity College Dublin, Dublin, Ireland
Daniel Ovidiu David
Affiliation:
The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeş-Bolyai University, Cluj-Napoca, Romania and Icahn School of Medicine at Mount Sinai, New York
*
Correspondence and requests for reprints should be addressed to Horea-Radu Oltean, The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeş-Bolyai University, No. 37, Republicii Street 37, 400015, Cluj-Napoca, Cluj, Romania. E-mail: Horea.OLTEAN@ubbonline.ubbcluj.ro

Abstract

Aims: This study aimed to assess the validity of two models which integrate the cognitive (satisfaction with life) and affective (symptoms of anxiety and depression) aspects of subjective well-being within the framework of rational emotive behaviour therapy (REBT) theory; specifically REBT's theory of psychopathology and theory of psychological health. Method: 397 Irish and Northern Irish undergraduate students completed measures of rational/irrational beliefs, satisfaction with life, and anxiety/depression symptoms. Structural equation modelling techniques were used in order to test our hypothesis within a cross-sectional design. Results: REBT's theory of psychopathology (χ2 = 373.78, d.f. = 163, p < .001; comparative fit index (CFI) = .92; Tucker Lewis index (TLI) = .91; root mean square error of approximation (RMSEA) = .06 (95% CI = .05 to .07); standardized root mean square residual (SRMR) = .07) and psychological health (χ2 = 371.89, d.f. = 181, p < .001; CFI = .93; TLI = .92; RMSEA = .05 (95% CI = .04 to .06); SRMR = .06) provided acceptable fit of the data. Moreover, the psychopathology model explained 34% of variance in levels of anxiety/depression, while the psychological health model explained 33% of variance. Conclusions: This study provides important findings linking the fields of clinical and positive psychology within a comprehensible framework for both researchers and clinicians. Findings are discussed in relation to the possibility of more effective interventions, incorporating and targeting not only negative outcomes, but also positive concepts within the same model.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

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References

Anderson, J. C. and Gerbing, D. W. (1988). Structural equation modeling in practice: a review and recommended two-step approach. Psychological Bulletin, 103, 411423. https://doi.org/10.1037/0033-2909.103.3.411 Google Scholar
Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. New York: International Universities Press.Google Scholar
Beutel, M. E., Glaesmer, H., Wiltink, J., Marian, H. and Brähler, E. (2010). Life satisfaction, anxiety, depression and resilience across the life span of men. The Aging Male: The Official Journal of the International Society for the Study of the Aging Male, 13, 3239. doi:10.3109/13685530903296698 Google Scholar
Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F. and Bohlmeijer, E. (2013). Positive psychology interventions: a meta-analysis of randomized controlled studies. BMC Public Health, 13, 120. doi: 10.1186/1471-2458-13-119 Google Scholar
Bridges, K. R. and Harnish, R. J. (2010). Role of irrational beliefs in depression and anxiety: a review. Health, 2, 862877. doi: 10.4236/health.2010.28130 CrossRefGoogle Scholar
Ciarrochi, J. (2004). Relationships between dysfunctional beliefs and positive and negative indices of well-being: a critical evaluation of the common beliefs survey-III. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 22, 171188. doi: 10.1023/B:JORE.0000047306.55720.4e Google Scholar
David, D. (2015). Rational emotive behavior therapy (REBT). In Cautin, R. L. and Lilienfeld, S. O. (eds), Encyclopedia of Clinical Psychology. New Jersey: Wiley-Blackwell.Google Scholar
David, D. and Cramer, D. (2009). Rational and irrational beliefs in human feelings and psychophysiology. In David, D., Lynn, S. J. and Ellis, A. (eds), Rational and Irrational Beliefs: Research, Theory, and Clinical Practice. New York: Oxford University Press, Inc.Google Scholar
David, D., Lynn, S. J. and Ellis, A. (2009). Rational and Irrational Beliefs: Research, Theory, and Clinical Practice. New York: Oxford University Press, Inc.Google Scholar
David, D., Montgomery, G. H., Macavei, B. and Bovbjerg, D. H. (2005). An empirical investigation of Albert Ellis's binary model of distress. Journal of Clinical Psychology, 61, 499516. doi: 10.1002/jclp.20058 Google Scholar
Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542575.Google Scholar
Diener, E., Emmons, R. A., Larsen, R. J. and Griffin, S. (1985). The Satisfaction With Life Scale. Journal of Personality Assessment, 49, 7175. https://doi.org/10.1207/s15327752jpa4901_13 Google Scholar
Diener, E., Inglehart, R. and Tay, L. (2013). Theory and validity of life satisfaction scales. Social Indicators Research, 112, 497527. doi: 10.1007/s11205-012-0076-y Google Scholar
Diener, E., Oishi, S. and Lucas, R. E. (2003). Personality, culture, and subjective well-being: emotional and cognitive evaluations of life. Annual Review of Psychology, 54, 403425. doi: 10.1146/annurev.psych.54.101601.145056 Google Scholar
DiGiuseppe, R., Leaf, R., Exner, T. and Robin, M. V. (1988). The development of a measure of rational/irrational thinking. Paper presented at the World Congress of Behaviour Therapy, Edinburgh, UK.Google Scholar
DiGiuseppe, R. A., Doyle, K. A., Dryden, W. and Backx, W. (2014). A Practitioner's Guide to Rational-emotive Behavior Therapy. New York: Oxford University Press.Google Scholar
DiLorenzo, T. A., David, D. and Montgomery, G. H. (2007). The interrelations between irrational cognitive processes and distress in stressful academic settings. Personality and Individual Differences, 42, 765776. doi: 10.1016/j.paid.2006.08.022 Google Scholar
Eldeleklioğlu, J. (2015). Predictive effects of subjective happiness, forgiveness, and rumination on life satisfaction. Social Behavior and Personality: An International Journal, 43, 15631574. doi: 10.2224/sbp.2015.43.9.1563 Google Scholar
Ellis, A. (1962). Reason and Emotion in Psychotherapy. Oxford: Lyle Stuart.Google Scholar
Ellis, A. (1994). Reason and Emotion in Psychotherapy. New Jersey: Carol Publishing Group.Google Scholar
Goldberg, D. P. and Williams, P. (1988). A User's Guide to the General Health Questionnaire. Berkshire, UK: NFER-NELSON.Google Scholar
Himle, D. P., Thyer, B. A. and Papsdorf, J. D. (1982). Relationships between rational beliefs and anxiety. Cognitive Therapy and Research, 6, 219223. doi: 10.1007/BF01183895 Google Scholar
Hyland, P. and Boduszek, D. (2012). Resolving a difference between cognitive therapy and rational emotive behaviour therapy: towards the development of an integrated CBT model of psychopathology. Mental Health Review Journal, 17, 104116. doi: 10.1108/13619321211270425 Google Scholar
Hyland, P., Maguire, R., Shevlin, M. and Boduszek, D. (2014a). Rational beliefs as cognitive protective factors against post-traumatic stress symptoms. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 32, 297312. doi: 10.1007/s10942-014-0195-2 Google Scholar
Hyland, P., Shevlin, M., Adamson, G. and Boduszek, D. (2014b). The moderating role of rational beliefs in the relationship between irrational beliefs and post-traumatic stress symptomology. Behavioural and Cognitive Psychotherapy, 42, 312326. doi: 10.1017/S1352465813000064 Google Scholar
Hyland, P., Shevlin, M., Adamson, G. and Boduszek, D. (2014c). The organization of irrational beliefs in post-traumatic stress symptomology: testing the predictions of REBT theory using structural equation modelling. Journal of Clinical Psychology, 70, 4859. doi: 10.1002/jclp.22009 Google Scholar
Hyland, P., Shevlin, M., Adamson, G. and Boduszek, D. (2014d). Modeling the structure of the attitudes and belief scale 2 using CFA and bifactor approaches: toward the development of an abbreviated version. Cognitive Behaviour Therapy, 43, 6071. https://doi.org/10.1080/16506073.2013.777467 Google Scholar
Kinsella, T. (2012). The relationship between social anxiety, self-esteem, satisfaction with life and social networking among adolescents (Doctoral dissertation). Retrieved from DBS eSource (10788/473). Available at: http://esource.dbs.ie/handle/10788/473 (last accessed 27 February 2017).Google Scholar
Kline, R. B. (2011). Principles and Practice of Structural Equation Modeling. Guilford Press.Google Scholar
Koivumaa-Honkanen, H., Kaprio, J., Honkanen, R., Viinamäki, H. and Koskenvuo, M. (2004). Life satisfaction and depression in a 15-year follow-up of healthy adults. Social Psychiatry and Psychiatric Epidemiology, 39, 994999. doi: 10.1007/s00127-004-0833-6 Google Scholar
Luhmann, M., Hofmann, W., Eid, M. and Lucas, R. E. (2012). Subjective well-being and adaptation to life events: a meta-analysis on differences between cognitive and affective well-being. Journal of Personality and Social Psychology, 102, 592615. doi: 10.1037/a0025948 Google Scholar
Muthén, L. K. and Muthén, B. O. (2013). Mplus: statistical analysis with latent variables (version 7.11) [Software]. Los Angeles, USA: Muthén & Muthén.Google Scholar
Pavot, W. and Diener, E. (2008). The Satisfaction With Life Scale and the emerging construct of life satisfaction. The Journal of Positive Psychology, 3, 137152. https://doi.org/10.1080/17439760701756946 CrossRefGoogle Scholar
Preacher, K. J. and Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879891. https://doi.org/10.3758/BRM.40.3.879 Google Scholar
Samaranayake, C. B. and Fernando, A. T. (2011). Satisfaction with life and depression among medical students in Auckland, New Zealand. The New Zealand Medical Journal, 124, 1217.Google ScholarPubMed
Seligman, M. E. P. and Csikszentmihalyi, M. (2000). Positive psychology: an introduction. American Psychologist, 55, 514. doi: 10.1037/0003-066X.55.1.5 CrossRefGoogle ScholarPubMed
Shevlin, M. and Adamson, G. (2006). Alternative factor models and factorial invariance of the GHQ-12: a large sample analysis using confirmatory factor analysis. Psychological Assessment, 17, 231236. https://doi.org/10.1037/1040-3590.17.2.231 Google Scholar
Vera-Villarroel, P., Urzúa, A., Celis-Atenas, P. P. K. and Silva, J. (2012). Evaluation of subjective well-being: analysis of the satisfaction with life scale in Chilean population. Universitas Psychologica, 11, 719727.Google Scholar
Walen, S. R., DiGiuseppe, R. and Dryden, W. (1992). A Practitioner's Guide to Rational-Emotive Therapy. New York: Oxford University Press.Google Scholar
Wood, A. M. and Johnson, J. (2016). The Wiley Handbook of Positive Clinical Psychology. New Jersey: John Wiley & Sons.Google Scholar
Wood, A. M. and Tarrier, N. (2010). Positive clinical psychology: a new vision and strategy for integrated research and practice. Clinical Psychology Review, 30, 819829. doi: 10.1016/j.cpr.2010.06.003 CrossRefGoogle ScholarPubMed
Yuan, K.-H. and Bentler, P. M. (2000). Three likelihood-based methods for mean and covariance structure analysis with non-normal missing data. Sociological Methodology, 30, 165200. https://doi.org/10.1111/0081-1750.00078 Google Scholar
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