RESUMEN
This study investigated whether an analysis of narrative style (word use and cross-clausal syntax) of patients with symptoms of generalised anxiety and depression disorders can help predict the likelihood of successful participation in guided self-help. Texts by 97 people who had made contact with a primary care mental health service were analysed. Outcome measures were completion of the guided self-help programme, and change in symptoms assessed by a standardised scale (CORE-OM). Regression analyses indicated that some aspects of participants' syntax helped to predict completion of the programme, and that aspects of syntax and word use helped to predict improvement of symptoms. Participants using non-finite complement clauses with above-average frequency were four times more likely to complete the programme (95% confidence interval 1.4 to 11.7) than other participants. Among those who completed, the use of causation words and complex syntax (adverbial clauses) predicted improvement, accounting for 50% of the variation in well-being benefit. These results suggest that the analysis of narrative style can provide useful information for assessing the likelihood of success of individuals participating in a mental health guided self-help programme.
Asunto(s)
Ansiedad/psicología , Ansiedad/terapia , Trastorno Depresivo/psicología , Trastorno Depresivo/terapia , Lingüística , Vocabulario , Adulto , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Evaluación de Procesos y Resultados en Atención de Salud , Participación del Paciente/métodos , Valor Predictivo de las Pruebas , Reproducibilidad de los ResultadosRESUMEN
This paper reports two studies that uniquely explore how time perspective (TP) predicts general self-efficacy (GSE) towards goal achievement. In Study 1, participants (N = 162) identified a goal they wished to achieve within the near future then completed questionnaires. For those who achieved their goal, the 'past positive' and 'future' TPs were found to positively predict GSE, whereas 'present fatalism' negatively predicted GSE. Study 2 explored whether accessing time related information that may not normally be used to determine GSE via a writing intervention can promote both near and distant-future goal achievement. Participants (N = 139) were randomly assigned to one of four writing conditions and results reveal that GSE towards goal achievement can increase with a focus on both a 'positive past' with a projective positive 'future' TP. Thus, focusing on particular TPs may function to enhance (or prevent) goal achievement.