Meaning-making as a mediator of anxiety and depression reduction during cognitive behavioral therapy intervention in participants with adjustment disorders
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Meaning-making as a mediator of anxiety and depression reduction during cognitive behavioral therapy intervention in participants with adjustment disorders

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Meaning-making as a mediator of anxiety and depression reduction during cognitive behavioral therapy intervention in participants with adjustment disorders

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dc.contributor.author Marco Salvador, José Heliodoro
dc.contributor.author Alonso Guillem, Sandra
dc.contributor.author Baños Rivera, Rosa María
dc.date.accessioned 2021-05-04T07:38:17Z
dc.date.available 2021-05-04T07:38:17Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/10550/79031
dc.description.abstract There is a consensus among researchers about the link between low meaning in life and anxiety and depressive symptoms. One unanswered question is whether meaning-making is a mediator of the change in anxiety and depression symptoms in participants with adjustment disorders during cognitive behavioural therapy (CBT) treatment. The aims of this study were (a) to analyse whether there was meaningmaking during the application of the CBT, (b) to analyse whether meaning-making was a mediator of anxiety psychopathology and (c) to analyse whether meaningmaking was a mediator of depressive symptoms. The sample was composed of 115 patients who satisfied the full Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria for adjustment disorder as their primary diagnosis and completed CBT treatment in a primary care mental health service: 74.78% women, n = 86, and 25.22% men, n = 29, with a mean age of 41.89 (standard deviation [SD] = 10.39) years. The diagnosis was established using the Structured Clinical Interview for DSM-5 (SCID-5), and participants filled out the Beck Anxiety Inventory, the Beck Depression Inventory and Purpose in Life questionnaires. The therapists were clinical psychologists with experience in clinical assessment. A repeated-measures analysis of variance (ANOVA) and two mediation analyses using the bootstrap method were performed. The results indicated that (a) There was meaning-making during the CBT because the treated sample showed a statistically significant improvement in meaning in life, and (b) meaning-making during the CBT was a partial mediator between anxiety symptoms and depressive symptoms before and after the treatment. The present study suggests that meaning in life could be an important variable in the psychopathology of adjustment disorders.
dc.language.iso eng
dc.relation.ispartof Clinical Psychology & Psychotherapy: an international journal of theory and practice, 2021, vol. 28, num. 2, p. 325-333
dc.rights.uri info:eu-repo/semantics/openAccess
dc.source Marco Salvador, José Heliodoro Alonso Guillem, Sandra Baños Rivera, Rosa María 2021 Meaning-making as a mediator of anxiety and depression reduction during cognitive behavioral therapy intervention in participants with adjustment disorders Clinical Psychology & Psychotherapy: an international journal of theory and practice 28 2 325 333
dc.subject Adaptació (Psicologia)
dc.subject Ansietat
dc.title Meaning-making as a mediator of anxiety and depression reduction during cognitive behavioral therapy intervention in participants with adjustment disorders
dc.type info:eu-repo/semantics/article
dc.date.updated 2021-05-04T07:38:17Z
dc.identifier.doi https://doi.org/10.1002/cpp.2506
dc.identifier.idgrec 141559

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