Japanese Journal of Behavior Therapy

Development and Validation of an Anxious Depression Scale (ADS)

Haruna SUYAMA, Chika YOKOYAMA, Chika KOMATSU, Kyoko NOGUCHI, Yui KANEK ...

Article type: Article
2013 Volume 39 Issue 2 Pages 87-97
Published: May 31, 2013
Released on J-STAGE: April 06, 2019

DOIhttps://doi.org/10.24468/jjbt.39.2_87

JOURNAL FREE ACCESS

Show abstractHide abstract

The purpose of the present study was to develop and evaluate a self-report Anxious Depression Scale (ADS). The Anxious Depression Scale assesses symptoms of anxious depression, which is a depressive condition comorbid with anxiety disorders. The participants, 114 outpatients having any anxiety disorder with depression, 153 outpatients having any anxiety disorder without depression, 80 outpatients with major depression, and 97 undergraduate students, completed the Anxious Depression Scale and other clinical scales relating to depression and anxiety. Exploratory factor analysis revealed that the Anxious Depression Scale, including 20 items, appropriately fell into 4 factors: "behavioral/emotional symptoms," "physical symptoms," "aggressive emotions (dynamic emotions) ," and "non-aggressive emotions (static emotions)." Internal consistency of the scale and each subscale was sufficiently high (α=0.74-0.87). The results of an analysis of variance showed that the patients with anxious depression had higher scores than the other participants on all subscales and also had a higher sum on the Anxious Depression Scale. Furthermore, the Anxious Depression Scale scores correlated moderately with other self-report measures of depression. The Anxious Depression Scale is able to measure specifically the severity of anxious depression. Differences in depressive symptoms of each type of anxious disorder were discussed.

View full abstract

Download PDF (938K)
The Implicit Relational Assessment Procedure (IRAP) as a Methodology for Testing Natural Verbal Relations and Psychological Flexibility

Tomu OHTSUKI, Naoko KISHITA, Ayako KUBO, Hironori SHIMADA

Article type: Article
2013 Volume 39 Issue 2 Pages 99-110
Published: May 31, 2013
Released on J-STAGE: April 06, 2019

DOIhttps://doi.org/10.24468/jjbt.39.2_99

JOURNAL FREE ACCESS

Show abstractHide abstract

The present study aimed to test the reliability and validity of the Implicit Relational Assessment Procedure (IRAP). The validity of the D_<IRAP> scores was examined as an index of verbal relations, and the response latencies, as an index of psychological flexibility. Undergraduate students (N=32) completed the Anxiety-Implicit Relational Assessment Procedure. To examine the test-retest reliability, 24 of the participants completed the Anxiety-Implicit Relational Assessment Procedure again 1 week after their first participation. To test the validity of the Implicit Relational Assessment Procedure, relations among the Anxiety-Implicit Relational Assessment Procedure, explicit and implicit social anxiety, explicit psychological flexibility, and avoidance behavior were examined. The Dirap scores and response latencies of the Anxiety-Implicit Relational Assessment Procedure revealed good test-retest reliability. Furthermore, the present study provides support for the validity of D_<IRAP> scores as an index of verbal relations, and for moderate validity of response latencies as an index of psychological flexibility.

View full abstract

Download PDF (1069K)
Collaborative Approach for Adolescents with Obsessive-Compulsive Disorder

Naomi KOBAYASHI, Toko IGARASHI

Article type: Article
2013 Volume 39 Issue 2 Pages 111-120
Published: May 31, 2013
Released on J-STAGE: April 06, 2019

DOIhttps://doi.org/10.24468/jjbt.39.2_111

JOURNAL FREE ACCESS

Show abstractHide abstract

Treatment of obsessive-compulsive disorder in childhood and adolescence requires cognitive behavior therapy (CBT) alone and/or the combination of medication with cognitive behavior therapy. The present case study describes psychotherapy for a high school girl with obsessive-compulsive disorder using a collaborative approach that included the client, her mother, and the therapist. The client had a history of unsuccessful medical and psychiatric single visits due to her resistance to share her symptoms and distress. The psychotherapy employed the treatment program of March & Mulle (2006/2008) ; the client was actively and spontaneously involved in her own treatment. Her symptoms successfully improved after 8 sessions within 4.5 months. Several key issues, such as establishing a trustful therapeutic relationship, as well as a "team" relationship, providing client-focused psycho-education to the client and her mother as her key person, and the clients daily based intervention including home visits are described. Especially, the importance of a collaborative approach for adolescent clients was discussed.

View full abstract

Download PDF (1056K)
[title in Japanese]

Article type: Appendix
2013 Volume 39 Issue 2 Pages 133-
Published: May 31, 2013
Released on J-STAGE: April 06, 2019

DOIhttps://doi.org/10.24468/jjbt.39.2_133_3

JOURNAL FREE ACCESS

Download PDF (88K)

Register with J-STAGE for free!