Self-Efficacy Effects on Symptom Experiences in Daily Life and Early Treatment Success in Anxiety Patients-Reference-Cited by-同舟云学术

Self-Efficacy Effects on Symptom Experiences in Daily Life and Early Treatment Success in Anxiety Patients

Published:2024-05-14 Issue: Volume: Page:
ISSN:2167-7026
Container-title:Clinical Psychological Science
language:en
Short-container-title:Clinical Psychological Science

Author:

Paersch Christina¹²³,Recher Dominique¹²,Schulz Ava¹,Henninger Mirka⁴,Schlup Barbara¹²,Künzler Florian⁵,Homan Stephanie¹²,Kowatsch Tobias⁵⁶⁷^ORCID,Fisher Aaron J.⁸^ORCID,Horn Andrea B.⁹^ORCID,Kleim Birgit¹²^ORCID

Affiliation:

1. Experimental Psychopathology and Psychotherapy, Department of Psychology, University of Zurich

2. Department of Psychiatry, Psychotherapy, and Psychosomatics, University Hospital of Psychiatry, University of Zurich

3. University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern

4. Psychological Methods, Evaluation, and Statistics, Department of Psychology, University of Zurich

5. Institute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland

6. School of Medicine, University of St. Gallen, St.Gallen, Switzerland

7. Centre for Digital Health Interventions, Department of Management, Technology, and Economics at ETH Zurich, Zurich, Switzerland

8. Department of Psychology, University of California, Berkeley

9. University Research Priority Program “Dynamics of Healthy Aging,” Department of Psychology, University of Zurich

Abstract

Self-efficacy is a key construct in behavioral science affecting mental health and psychopathology. Here, we expand on previously demonstrated between-persons self-efficacy effects. We prompted 66 patients five times daily for 14 days before starting cognitive behavioral therapy (CBT) to provide avoidance, hope, and perceived psychophysiological-arousal ratings. Multilevel logistic regression analyses confirmed self-efficacy’s significant effects on avoidance in daily life (odds ratio [ OR] = 0.53, 95% confidence interval [CI] = [0.34, 0.84], p = .008) and interaction effects with anxiety in predicting perceived psychophysiological arousal ( OR = 0.79, 95% CI = [0.62, 1.00], p = .046) and hope ( OR = 1.21, 95% CI = [1.03, 1.42], p = .02). More self-efficacious patients also reported greater anxiety-symptom reduction early in treatment. Our findings assign a key role to self-efficacy for daily anxiety-symptom experiences and for early CBT success. Self-efficacy interventions delivered in patients’ daily lives could help improve treatment outcome.

Funder

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/21677026231205262

Reference74 articles.

1. Bandura A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037/0033-295X.84.2.191

2. Bandura A. (1988). Self-efficacy conception of anxiety. Anxiety Research, 1(2), 77–98. https://doi.org/10.1080/10615808808248222

3. Bandura A., Cioffi D., Taylor C. B., Brouillard M. E. (1988). Perceived self-efficacy in coping with cognitive stressors and opioid activation. Journal of Personality and Social Psychology, 55(3), 479–488. https://doi.org/10.1037/0022-3514.55.3.479

4. Bandura A., Reese L., Adams N. E. (1982). Microanalysis of action and fear arousal as a function of differential levels of perceived self-efficacy. Journal of Personality and Social Psychology, 43(1), 5–21. https://doi.org/10.1037/0022-3514.43.1.5