Doaistic Cognitive Therapy On Anxiety Disorders: From Theory To Practice

Part I The Development, Reliability, and Validity Examination of Involvement-Detachment ScaleObjective: To develop a scale for the evaluating of involvement and detachment of anxiety disorder patients and to examine the reliability and validity of the scale.Methods: a. The primary Involvement-Detachment Scale (IDS) that included 13 items was developed based on the theory of Daoistic Cognitive Therapy, experts counseling, and group discussion.b. Preliminary test was carried out in 152 college students who were re-examined after 3 months to examine the content validity and stability coefficients.c. A community sample was tested by IDS, affective scale, and type A behavior scale to examine the internal consistency, construction validity, and empirical validity of IDS.d. 76 anxiety disorder patients who met one of the diagnostic criteria of general anxiety disorder, panic disorder, obsessive-compulsive disorder, and phobic disorder of CCMD-3 were tested by IDS, SCL-90, EPQ, and type A behavior scale and the results were compared with those of 76 normal paired controls derived from the community sample for the further examination of empirical validity of IDS.Results: a. One item was excluded based on the results of item analysis. Then the formal version of IDS was consisted of 12 items.b. Two factors were extracted in the factor analysis. The correlations between the items and the scale ranged from 0.297-0.581 and the correlations between the factors and there composites ranged from 0.337-0.655. The correlations between the IDS and the affective scale, type A behavioral scale were statistically significant. The stability coefficients and Cronbach's a coefficients of IDS and the two factors were 0.5247, 0.6735, 0.3890 and 0.6486, 0.6498, 0.4139, respectively.c. Score of IDS of patients was statistically significant lower than that of the controls while the standard deviation was higher. The score ofIDS of patients was negatively correlated to the score of type A behavior scale and SCL-90 (r=-0.312, -0.306, P<0.05), and the standard deviation of IDS was positively correlated to the scores of SCL-90 and N score of EPQ and negatively correlated to the P score of EPQ (r=0.373, 0.424, -0.339, P<0.05).Conclusion: The reliability and validity of IDS are good and meet the psychometric standard.