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Measuring Beliefs About Distraction: Might the Function of Distraction Matter More than Distraction Itself?

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Abstract

Distraction is often discouraged in exposure therapy for anxiety disorders, but little is known about how beliefs about distraction may impact treatment outcome (with or without distraction). One barrier to understanding the impact of these beliefs is the lack of an available measure to assess this construct. In addition to proposing a theoretical basis for beliefs about distraction, we created and validated a questionnaire assessing maladaptive beliefs about distraction, the Beliefs about Distraction Inventory. An exploratory factor analysis with an unselected student sample (N = 506, 86 % female) suggested a two-factor solution, conceptualized as “distraction is necessary”, and “distraction is effective”. A confirmatory factor analysis using a contamination-fearful sample (N = 132, 87 % female) demonstrated adequate model fit. In both samples, the measure exhibited strong reliability and validity. Preliminary findings revealed that beliefs that “distraction is necessary” were more strongly associated with anxious psychopathology than beliefs that “distraction is effective”. Results are discussed in terms of cognitive-behavioural theories and therapies for anxiety and related disorders.

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Notes

  1. The final version of the BADI (including the instructions and distraction techniques checklist) is available free of charge from either author for public use.

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Acknowledgments

This research was supported by a doctoral research award from the Canadian Institutes for Health Research which was awarded to the first author, and by a Canadian Institutes of Health Research operating grant awarded to the second author (FRN 119283). We would like to express our gratitude to Michael Lacoursiere, who assisted with data collection. We are also grateful to the anonymous reviewers who provided insightful comments and suggestions on an earlier version of this manuscript.

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Correspondence to Adam S. Radomsky.

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All procedures performed involving human participants were in accordance with the ethical standards of Human Research Ethics Committee at Concordia University, the Canadian Psychological Association’s Code of Ethics for Psychologists, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

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Senn, J.M., Radomsky, A.S. Measuring Beliefs About Distraction: Might the Function of Distraction Matter More than Distraction Itself?. Cogn Ther Res 39, 826–840 (2015). https://doi.org/10.1007/s10608-015-9703-7

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