Modeling of the effect of coping with stress styles on GAD by brain's executive functions

Authors

Department of Psychology, Faculty of Psychology and Educational Sciences, Al-Zahra University, Tehran, Iran

Abstract

Introduction: The purpose of this study was to investigate the executive functions (EFs) as the mediators between coping with stress styles and generalized anxiety disorder (GAD). We examined two styles of coping with stress (problem focused coping (PFC) and emotion focused coping (EFC)) and eight executive functions (inhibition, flexibility, focusing, working memory, decision making, reasoning, problem solving, and meta-cognition).Method: This research was administrated in 250 GAD clinical patients that selected as available samples. SCID interview and DASS-21 applied to diagnose the moderate level of GAD as well as to quantification of the data. The N-Back, Strop, Tower of London and the other tests were the software tests to measure the executive functions.Results: Results showed that the model of coping with stress styles with eight EF mediators to GAD contains the goodness of fit. Both inhibition and flexibility were the mediators that affected GAD were determined as proprietary EFs of this disorder. The meta-cognition was an EF that was affected from both inhibition and working memory.Conclusion: Findings generally showed that PFC is not applied by GAD patients and do not affect GAD except by meta-cognition whereas EFC affect it by inhibition, flexibility, working memory and decision making.

Keywords


  1. Stuss D, Knight R. Principles of frontal lobe function. Oxford: Oxford University Press; 2002.
  2. Gazzaniga MS. Cerebral specialization and inter hemispheric communication: Does the corpus callosum enable the human condition? J Brain. 2000;137(7):1293-326.
  3. Baddeley A, Banse R, Huang Y, Page M. Working memory and emotion: detecting the hedonic detector. J Cogn Psychol. 2012;24(1):6-16.
  4. Salloway S, Boyle P, Correia S, Malloy P, Cahn-Weiner D, Schneider L, et al. The Relationship of MRI Sub-cortical Hyper-intensities to Treatment Response in a Placebo-Controlled Trial of Sertraline in Geriatric Depressed Outpatients. Ame J Gen Psycho. 2003;10:107-11.
  5. Barkley RA, Murphy KR, Fischer M. ADHD in adults: What the science says. New York: Guilford.; 2008.
  6. Barkley RA. Executive functions and self-regulation: An evolutionary neuropsychological perspective. Neuropsy Rev. 2001;11:1-29.
  7. Lazarus A, Folkman S. Stress, appraisal and coping New York: Springer; 1984.
  8. APA. Diagnostic and statistical manual of mental disorders (5 th Edition). Washington DC: Author; 2014.
  9. Koenigs M, Grafmanb J. The functional neuro-anatomy of depression: Distinct roles for ventromedial and dorsolateral prefrontal cortex. Behave Brain Res. 2009;201(2):239-4.
  10. Shahabi Z. Investigation of the personality types and Optimism / pessimism in Government offices in Tehran[Dissertation]. Tehran: Al-Zahra University; 2011. [Persian]
  11. Hughes A, Beier M, Hartoonian N, Turner A, Amtmann D, Ehde D. Self-efficacy as a longitudinal predictor of perceived cognitive impairment in individuals with multiple sclerosis. Arch Phys Med Rehabil. 2015;96(5):913-19.
  12. Pu S, Nakagome K, Yamada T, Yokoyama K, Matsumura H, Mitani H, et al. The relationship between the prefrontal activation during a verbal fluency task and stress-coping style in major depressive disorder: A near infrared spectroscopy study. J Psych Res. 2012;46:1427-34.
  13. Cook S, Salmon P, Dunn G, Holcombe C, Cornford P, Fisher P. A prospective study of the association of Meta cognitive beliefs and processes with persistent emotional distress after diagnosis of cancer. J Cog Ther. 2015;39(1):51-60.
  14. McAvinue L, Golemme M, Castorina M, Tatti E, Pigni F, Salomone S, et al. Evaluation of working memory training scheme in older adults. Front Aging Neurosci. 2013;5:20-30.
  15. Dahlin K. Effects of working memory training on reading in children with special needs. J Read Writ. 2011;24:479-91.
  16. Mueller EM. Future-oriented decision-making in generalized anxiety disorder is evident across different versions of the Iowa Gambling task. J Behave Ther Exp Psych. 2010;41:165-71.
  17. Verkuil B. Effects of explicit and implicit preservative cognition on cardiac recovery after cognitive stress. Int J Psychophysio. 2009;74:220-8.
  18. Devisser L. Trait anxiety affects decision-making differently in healthy men and women: Towards gender-specific endophenotypes of anxiety. J Neuropsychol. 2010;48:1598-606.
  19. Russo M, Mahon K, Burdick K. Measuring cognitive functions in MDD: Merging assessment tools. J Dep Anx. 2015;32:262-9.
  20. Kiosses D, Ravdin L, Gross J, Raue P, Kotbi N, Alexopoulos G. Problem adaptation therapy for older adults with major depression and cognitive impairment as randomized clinical trial. JAMA Psych. 2015;72(1):22-30.
  21. Han G. Selective neuro-cognitive impairments in adolescents with major depressive disorder. J Adolesc. 2012;35:11-20.
  22. Ebrahimi-kheirabadi A, Moradi, A., Hasani, J. Effectiveness of cognitive-behavioral therapy in attentional bias components of patients with generalized anxiety disorder: A single subject study. J Behav Sci. 2015;9(2):121-8. [Persian]
  23. Lincoln TM, Lange J, Burau J, Exner C, S. M. The effect of state anxiety on paranoid ideation and jumping to conclusions: An experimental investigation. Schizo Bullet. 2010;36(6):1140-8.
  24. Lovibond S, Lovibond P. Manual for the Depression Anxiety Stress Scales (DASS). New South Wales: Psychology Foundation Monograph; 1995.
  25. Wason P, Johnson-Laird P. Psychology of reasoning: structure and content. Cambridge: Harvard University; 1972.
  26. Chen Y, Mitra S, Schlaghecken F. Sub-processes of working memory in the N-back test: An investigation using ERPs. Clinic Neurophysio. 2008;119(7):1546-59.
  27. Strop J. Studies of interference in serial verbal reactions. J Exp Psychol. 1935;28:643-62.
  28. Culbertson W, Zillmer E. The tower of London DX: a standard approach to assessing executive functioning in children. Arch Neurophysio. 1998;13:285-301.
  29. Roth R, Isquith P, Gioia G. Behavior Rating Inventory of Executive Function Adult Version. Lutz: Psychological Assessment Resources Inc; 2005.
  30. Brown T, Akiyama M, White I, Jayaratne T, Anderson E. Differentiating contemporary racial prejudice from old-fashioned racial prejudice. Race Soci Prob. 2009;1(2):97-110.
  31. Aghauseffi A. The Role of personality and coping styles in depression and the application of treatment on personality and depression[Dissertation]. Tehran: Tarbiat Modarres University; 2011. [Persian]
  32. Kafer K, Hunter M. On testing the validity of planning/problem-solving tasks in a normal population. J Inter Neuropsychol Soci. 1997;3:108-19.
  33. Kane M, Conway A, Miura T, Colfesh G. Working Memory, Attention Control and the N-Back Task: A Question of Construct Validity. J Exp Psycho Learn Memo Cogn. 2007;33(3):615-22.
  34. May C, Hasher L. Synchrony effects in inhibitory control over thought and action. J Exp Psycho Hum Percept Perform. 1998;24:363-79.
  35. Mani A, Sahraian A, Fouladivanda Z. Assessment of cognitive inhibition in patients with obsessive-compulsive disorder. Shiraz E-Med J. 2014;15(2):1-4.
  36. Calvin E, Hunter S, Ross R. Preschoolers of mothers with affective and anxiety disorders show impairments in cognitive inhibition during a chimeric animal strop. Int Neuropsych Dis J. 2013;1(1):1-15.
  37. Sattary-Najaf-Abady R, Heidary H. The effectiveness of meta-cognitive treatment on test anxiety. J Behave Sci. 2015;9(1):27-32. [Persian]
  38. Shaabani F, Soliemanifar O, Rezaei Z, Rasouli M, Rasouli A. The mediating role of self-efficacy beliefs (general and social) on the relationship between negative self-statements and social anxiety. J Behav Sci. 2015;9(1):85-94.