Unique associations of revised-reinforcement sensitivity theory constructs with social anxiety
- Gomez, Rapson, Stavropoulos, Vasileios, Watson, Shaun, Brown, Taylor, Corr, Philip
- Authors: Gomez, Rapson , Stavropoulos, Vasileios , Watson, Shaun , Brown, Taylor , Corr, Philip
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Mental Health and Addiction Vol. 20, no. 5 (2022), p. 2838-2850
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- Description: Revised reinforcement sensitivity theory (r-RST) is a major neuropsychological theory of motivation, emotion, and personality. We report the results of a study that examined the unique relationships of the r-RST constructs with two forms of anxiety: social interaction and social performance. Five hundred and seventy-two adults completed the Reinforcement Sensitivity Theory of Personality Questionnaire (RST-PQ) alongside measures of social interaction anxiety and social performance anxiety. Regression results revealed that, as predicted, both social interaction anxiety and social performance anxiety were linked uniquely and positively with the behavioral inhibition system (BIS) scale score. In addition, social performance anxiety was associated uniquely and positively with the fight-flight-freeze system (FFFS) scale score. The theoretical and clinical implications of the findings for social anxiety are discussed. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
- Authors: Gomez, Rapson , Stavropoulos, Vasileios , Watson, Shaun , Brown, Taylor , Corr, Philip
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Mental Health and Addiction Vol. 20, no. 5 (2022), p. 2838-2850
- Full Text:
- Reviewed:
- Description: Revised reinforcement sensitivity theory (r-RST) is a major neuropsychological theory of motivation, emotion, and personality. We report the results of a study that examined the unique relationships of the r-RST constructs with two forms of anxiety: social interaction and social performance. Five hundred and seventy-two adults completed the Reinforcement Sensitivity Theory of Personality Questionnaire (RST-PQ) alongside measures of social interaction anxiety and social performance anxiety. Regression results revealed that, as predicted, both social interaction anxiety and social performance anxiety were linked uniquely and positively with the behavioral inhibition system (BIS) scale score. In addition, social performance anxiety was associated uniquely and positively with the fight-flight-freeze system (FFFS) scale score. The theoretical and clinical implications of the findings for social anxiety are discussed. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Reinforcement sensitivity theory of personality questionnaire : measurement and structural invariance across age and gender groups
- Gomez, Rapson, Stavropoulos, Vasileios, Watson, Shaun, Footitt, Trent, Corr, Philip
- Authors: Gomez, Rapson , Stavropoulos, Vasileios , Watson, Shaun , Footitt, Trent , Corr, Philip
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Mental Health and Addiction Vol. 21, no. 1 (2023), p. 131-144
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- Description: Revised reinforcement sensitivity theory (r-RST) of personality is a major neuropsychological theory of motivation, emotion, and personality. To measure the specific components of r-RST, the Reinforcement Sensitivity Theory of Personality Questionnaire (RST-PQ; Corr & Cooper(Psychological Assessment 28(11), 1427–1400, 2016) has been developed. The current study examined the measurement (configural, metric, scalar, and residual) and structural (factor variances, covariances) invariance across gender and age groups for an exploratory structural equation modeling (ESEM) version of the theorized six-factor oblique model. A total of 901 adults (M = 32.07, SD = 16.38) from the general community completed ratings of the RST-PQ. Multiple-group confirmatory factor analysis (CFA) supported full measurement and structural invariance. There was also no difference for the six latent mean scores across gender and age. The psychometric and practical implications of the findings are discussed. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
- Authors: Gomez, Rapson , Stavropoulos, Vasileios , Watson, Shaun , Footitt, Trent , Corr, Philip
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Mental Health and Addiction Vol. 21, no. 1 (2023), p. 131-144
- Full Text:
- Reviewed:
- Description: Revised reinforcement sensitivity theory (r-RST) of personality is a major neuropsychological theory of motivation, emotion, and personality. To measure the specific components of r-RST, the Reinforcement Sensitivity Theory of Personality Questionnaire (RST-PQ; Corr & Cooper(Psychological Assessment 28(11), 1427–1400, 2016) has been developed. The current study examined the measurement (configural, metric, scalar, and residual) and structural (factor variances, covariances) invariance across gender and age groups for an exploratory structural equation modeling (ESEM) version of the theorized six-factor oblique model. A total of 901 adults (M = 32.07, SD = 16.38) from the general community completed ratings of the RST-PQ. Multiple-group confirmatory factor analysis (CFA) supported full measurement and structural invariance. There was also no difference for the six latent mean scores across gender and age. The psychometric and practical implications of the findings are discussed. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Factor structure of the symptoms of alcohol use, gaming, and gambling addictions
- Gomez, Rapson, Stavropoulos, Vasileios, Brown, Taylor, Watson, Shaun
- Authors: Gomez, Rapson , Stavropoulos, Vasileios , Brown, Taylor , Watson, Shaun
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Mental Health and Addiction Vol. 21, no. 5 (2023), p. 3345-3361
- Full Text: false
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- Description: Alcohol use, gaming, and gambling addictions are recognized in some form by the major clinical classification symptoms. The current study applied confirmatory factor analysis (CFA) models to compare four different models comprising the symptoms of these addictions. The four models were one-factor (all different types of addiction symptoms loading on a single factor), two-factor (alcohol use and internet/gambling latent factors), three-factor (alcohol use, internet gaming, and gambling symptoms loading only on their respective target latent factors), and bi-factor (alcohol use, internet gaming, and gambling symptoms loading on their respective target latent factor and also on the general addiction factor) models. A general community sample of 968 adults (males = 622, females = 315) completed rating scales with symptoms for the three addictions and also for drug use addiction and distress. Both the three-factor and bi-factor models showed a good fit. However, between these models, only the factors of the three-factor model showed good clarity, reliabilities, and external validities, thereby suggesting that this be the best model to represent ratings of alcohol use, internet gaming, and gambling together. The theoretical, taxonomic, and clinical implications of the findings are discussed. © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
A reevaluation of the factor structure, reliability, and validity of the spiritual well-being questionnaire (SWBQ)
- Gomez, Rapson, Watson, Shaun
- Authors: Gomez, Rapson , Watson, Shaun
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Religion and Health Vol. 62, no. 3 (2023), p. 2112-2130
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- Description: The 20-item Gomez and Fisher (Personal Individ Differ 35:1975–1991, 2003) Spiritual Well-Being Questionnaire (SWBQ) is a widely used measure of spiritual well-being. Its theoretical model is a higher-order model with primary factors for personal, communal, environmental, and transcendental well-being, and a secondary global spiritual well-being factor. The current study, conducted in Australia, reevaluated the factor structure of the SWBQ. Unlike previous studies, the current study also used exploratory structural equation modeling (ESEM) to examine the factor structure of the SWBQ and selected the preferred model using not only global model fit values, but also the clarity, reliabilities, and validities of the factors in the models. A total of 227 adults (males = 63; females = 164; M age = 26.1 years; SD = 5.2 years) completed the SWBQ. Based on the model selection criteria applied in the study, the ESEM model with four group factors was selected as the preferred model. However, there was also adequate support for the proposed theoretical higher-order model and the first-order oblique model with the four well-being factors. Concerning our preferred model, its factors showed reasonable clarity for factor loadings and (omega) reliabilities. However, only the communal domain scale was supported empirically for external validity. The implications of the findings for the theoretical model, the use of the SWBQ, and future studies are discussed. In this respect, there are three potential models (theorized higher-order model, 4-factor first-order oblique model, and the ESEM model proposed in this study) that warrant further detailed investigation with a larger, more representative population and additional validation measures. © 2022, The Author(s).
- Authors: Gomez, Rapson , Watson, Shaun
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Religion and Health Vol. 62, no. 3 (2023), p. 2112-2130
- Full Text:
- Reviewed:
- Description: The 20-item Gomez and Fisher (Personal Individ Differ 35:1975–1991, 2003) Spiritual Well-Being Questionnaire (SWBQ) is a widely used measure of spiritual well-being. Its theoretical model is a higher-order model with primary factors for personal, communal, environmental, and transcendental well-being, and a secondary global spiritual well-being factor. The current study, conducted in Australia, reevaluated the factor structure of the SWBQ. Unlike previous studies, the current study also used exploratory structural equation modeling (ESEM) to examine the factor structure of the SWBQ and selected the preferred model using not only global model fit values, but also the clarity, reliabilities, and validities of the factors in the models. A total of 227 adults (males = 63; females = 164; M age = 26.1 years; SD = 5.2 years) completed the SWBQ. Based on the model selection criteria applied in the study, the ESEM model with four group factors was selected as the preferred model. However, there was also adequate support for the proposed theoretical higher-order model and the first-order oblique model with the four well-being factors. Concerning our preferred model, its factors showed reasonable clarity for factor loadings and (omega) reliabilities. However, only the communal domain scale was supported empirically for external validity. The implications of the findings for the theoretical model, the use of the SWBQ, and future studies are discussed. In this respect, there are three potential models (theorized higher-order model, 4-factor first-order oblique model, and the ESEM model proposed in this study) that warrant further detailed investigation with a larger, more representative population and additional validation measures. © 2022, The Author(s).
Evaluation of various support intensities of digital mental health treatment for reducing anxiety and depression in adults : protocol for a mixed methods, adaptive, randomized clinical trial
- Andrews, Brooke, Klein, Britt, McLaren, Suzanne, Watson, Shaun, Corboy, Denise
- Authors: Andrews, Brooke , Klein, Britt , McLaren, Suzanne , Watson, Shaun , Corboy, Denise
- Date: 2023
- Type: Text , Journal article
- Relation: JMIR Research Protocols Vol. 12, no. (2023), p.
- Full Text:
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- Description: Background: Anxiety and depression are leading causes of disease worldwide, requiring timely access to evidence-based treatment. Digital mental health (dMH) interventions increase accessibility to evidence-based psychological services delivered in a variety of web-based formats (eg, self-help and therapist-assisted interventions). Robust and rigorous studies of adaptive web-based intervention designs are scarce. No identified randomized clinical trial has investigated the efficacy of a 2-stage adaptive design, whereby the program-only condition or no support dMH treatment program is augmented by either low or high therapist assistance, if a participant does not improve or engage in the program-only condition. Objective: The primary objective is to assess whether low or high therapist-assisted support delivered via video chat is more effective in reducing anxiety and depressive symptoms compared with a dMH program–only condition. The secondary objective is to evaluate the role of motivation; self-efficacy; and preferences in participant engagement, adherence, and clinical outcomes (anxiety and depression symptoms) among the 3 treatment conditions (program only, low-intensity therapist assistance, and high-intensity therapist assistance). A mixed methods analysis of factors affecting participant attrition, participant reasons for nonengagement and withdrawal, and therapist training and implementation of dMH interventions will be completed. Qualitative data regarding participant and therapist experiences and satisfaction with video chat assessment and treatment will also be analyzed. Methods: Australian adults (N=137) with symptoms or a diagnosis of anxiety or depression will be screened for eligibility and given access to the 8-module Life Flex dMH treatment program. On day 15, participants who meet the augmentation criteria will be stepped up via block randomization to receive therapist assistance delivered via video chat for either 10 minutes (low intensity) or 50 minutes (high intensity) per week. This adaptive trial will implement a mixed methods design, with outcomes assessed before the intervention (week 0), during the intervention (weeks 3 and 6), after the intervention (week 9), and at the 3-month follow-up (week 21). Results: The primary outcome measures are for anxiety (Generalized Anxiety Disorder–7) and depression severity (Patient Health Questionnaire–9). Measures of working alliance, health status, health resources, preferences, self-efficacy, and motivation will be used for secondary outcomes. Qualitative methods will be used to explore participant and therapist experiences of video chat assessment and treatment, participant reasons for withdrawal and nonengagement, and therapist training and implementation experiences. Data collection commenced in November 2020 and was completed at the end of March 2022. Conclusions: This is the first mixed methods adaptive trial to explore the comparative efficacy of different intensity levels of self-help and a therapist-assisted dMH intervention program delivered via video chat for adults with anxiety or depression. Anticipated results may have implications for the implementation of dMH interventions. © Brooke Andrews, Britt Klein, Suzanne McLaren, Shaun Watson, Denise Corboy. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 28.04.2023.
- Authors: Andrews, Brooke , Klein, Britt , McLaren, Suzanne , Watson, Shaun , Corboy, Denise
- Date: 2023
- Type: Text , Journal article
- Relation: JMIR Research Protocols Vol. 12, no. (2023), p.
- Full Text:
- Reviewed:
- Description: Background: Anxiety and depression are leading causes of disease worldwide, requiring timely access to evidence-based treatment. Digital mental health (dMH) interventions increase accessibility to evidence-based psychological services delivered in a variety of web-based formats (eg, self-help and therapist-assisted interventions). Robust and rigorous studies of adaptive web-based intervention designs are scarce. No identified randomized clinical trial has investigated the efficacy of a 2-stage adaptive design, whereby the program-only condition or no support dMH treatment program is augmented by either low or high therapist assistance, if a participant does not improve or engage in the program-only condition. Objective: The primary objective is to assess whether low or high therapist-assisted support delivered via video chat is more effective in reducing anxiety and depressive symptoms compared with a dMH program–only condition. The secondary objective is to evaluate the role of motivation; self-efficacy; and preferences in participant engagement, adherence, and clinical outcomes (anxiety and depression symptoms) among the 3 treatment conditions (program only, low-intensity therapist assistance, and high-intensity therapist assistance). A mixed methods analysis of factors affecting participant attrition, participant reasons for nonengagement and withdrawal, and therapist training and implementation of dMH interventions will be completed. Qualitative data regarding participant and therapist experiences and satisfaction with video chat assessment and treatment will also be analyzed. Methods: Australian adults (N=137) with symptoms or a diagnosis of anxiety or depression will be screened for eligibility and given access to the 8-module Life Flex dMH treatment program. On day 15, participants who meet the augmentation criteria will be stepped up via block randomization to receive therapist assistance delivered via video chat for either 10 minutes (low intensity) or 50 minutes (high intensity) per week. This adaptive trial will implement a mixed methods design, with outcomes assessed before the intervention (week 0), during the intervention (weeks 3 and 6), after the intervention (week 9), and at the 3-month follow-up (week 21). Results: The primary outcome measures are for anxiety (Generalized Anxiety Disorder–7) and depression severity (Patient Health Questionnaire–9). Measures of working alliance, health status, health resources, preferences, self-efficacy, and motivation will be used for secondary outcomes. Qualitative methods will be used to explore participant and therapist experiences of video chat assessment and treatment, participant reasons for withdrawal and nonengagement, and therapist training and implementation experiences. Data collection commenced in November 2020 and was completed at the end of March 2022. Conclusions: This is the first mixed methods adaptive trial to explore the comparative efficacy of different intensity levels of self-help and a therapist-assisted dMH intervention program delivered via video chat for adults with anxiety or depression. Anticipated results may have implications for the implementation of dMH interventions. © Brooke Andrews, Britt Klein, Suzanne McLaren, Shaun Watson, Denise Corboy. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 28.04.2023.
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