The impact of uncontrollability beliefs and thought-related distress on ecological momentary interventions for generalized anxiety disorder: A moderated mediation model

AbstractBackground:Anxiety and worry are central symptoms of Generalized Anxiety Disorder (GAD) that have been theorized to negatively impact cognitive functions. However, most of the research has focused on threat-related or emotionally-charged stimuli, and a surprisingly small number of investigations examined ‘cold’ cognitive functions using classic neuropsychological tests. Such investigations are particularly important given that some theoretical models suggest compensatory mechanisms associated with anxiety that in certain circumstances may result in intact performance. The aim of the present study is to assess the neuropsychological profile associated with GAD, using a comprehensive neuropsychological battery.Methods:A sample of 23 college students meeting criteria for DSM-5 GAD and 20 control participants completed a psychometrically valid comprehensive computerized neuropsychological battery and clinical questionnaires.Results:The GAD sample presented with significantly elevated symptomatic rates of anxiety, worry, depression and stress. However, no significant differences were found on any neuropsychological outcome measures or domain indexes. Effect sizes were small, some of which favored the GAD sample.Conclusion:Despite substantial psychopathological burden, GAD exhibited intact cognitive functioning. These results support the Cognitive Control Theory of Anxiety, suggesting that elevated primary anxiety may not impact ‘cold’ cognitive functions in the absence of threat or substantial cognitive load. Given that this is one of the only studies employing a comprehensive neuropsychological battery in GAD, more research is needed in this population to replicate these results and to examine the impact of anxiety on cognitive functions at varying degrees of cognitive load in this population.

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CEO Self-Monitoring and Corporate Entrepreneurship: A Moderated Mediation Model of the CEO-TMT Interface

Journal of Management ◽

10.1177/01492063211048436 ◽

2021 ◽

pp. 014920632110484

Author(s):

Jianhong Chen ◽

Zeki Simsek ◽

Yi Liao ◽

Ho Kwong Kwan

Keyword(s):

Organizational Context ◽

Moderated Mediation ◽

Corporate Entrepreneurship ◽

Top Management Teams ◽

Mediation Model ◽

Self Monitoring ◽

Behavioral Integration ◽

Moderated Mediation Model ◽

The Impact

Focusing on the interface between CEOs and top management teams (TMTs), we argue that CEO self-monitoring positively impacts a firm's pursuit of corporate entrepreneurship through the intervening role of TMT behavioral integration. We additionally argue that the impact becomes stronger as the firm's discretionary slack decreases because decreased slack creates an organizational context more favorable to the influences of both CEO self-monitoring and TMT behavioral integration. Results based on multisource (CEOs and TMTs) and multiwave data from 110 firms support the model and associated hypotheses.

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Insomnia and Quality of Life in Generalized Anxiety Disorder: Impact on Clinical Presentation and Response to Pregabalin and Venlafaxine-XR

European Psychiatry ◽

10.1016/s0924-9338(09)70767-9 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1 ◽

Cited By ~ 1

Author(s):

M.A. Mychaskiw ◽

J.M. Alvir ◽

B.K. Herman ◽

S. Pallanti ◽

A. Joshi

Keyword(s):

Quality Of Life ◽

Anxiety Disorder ◽

Generalized Anxiety Disorder ◽

Sleep Problems ◽

Generalized Anxiety ◽

Medical Outcomes ◽

Double Blind ◽

Disturbance Factor ◽

The Impact

Aims:To assess the impact of insomnia on quality of life (QoL) and functioning in patients with generalized anxiety disorder (GAD), and evaluate the efficacy of pregabalin and venlafaxine-XR in improving sleep and QoL.Methods:A double-blind trial in adults who met DSM-IV criteria for GAD, with a HAM-A total score ≥20,randomized to 8-weeks of flexible-dose treatment with pregabalin (300-600 mg/d, N=121), venlafaxine-XR (75-225 mg/d, N=125), or placebo (N=128).Results:At baseline, 64% of all subjects had insomnia (according to the Medical Outcomes Study Sleep scale [MOS]-Sleep Problems Index [SPI] criteria).While HAM-A total scores (minus the insomnia item) were similar for patients with and without baseline insomnia (25.7 vs. 25.0) those with reported significantly more impairment on the Quality of Life, Enjoyment, and Satisfaction Questionnaire (Q-LES-Q; 45.4 vs. 53.6; p< 0.0001) and Sheehan Disability Scale (SDS; 17.5 vs.14.3; p< 0.0001) than those without. At endpoint, there was a significantly greater mean improvement in MOS-sleep disturbance factor and MOS-SPI with pregabalin (-29.0 and -21.1, respectively) than venlafaxine-XR (-14.7 and -11.0) or placebo (-15.2 and -12.5; all p< 0.05). In more pregabalin (64%) than venlafaxine-XR (51%) or placebo (52%) subjects, abnormal baseline sleep had normalized by endpoint. Endpoint change in MOS-SPI significantly correlated with improvement in both Q-LES-Q and SDS-total scores (Spearman r-values, -0.48 and 0.46, respectively; both p< 0.0001; all subjects).Conclusion:Significantly greater impairment in QoL and functioning was observed in patients with high (vs. low) levels of insomnia. Pregabalin produced significantly greater improvement in insomnia than venlafaxine-XR or placebo.

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The impact of mandatory policies on residents’ willingness to separate household waste: A moderated mediation model

Journal of Environmental Management ◽

10.1016/j.jenvman.2020.111226 ◽

2020 ◽

Vol 275 ◽

pp. 111226 ◽

Cited By ~ 1

Author(s):

Wei Li ◽

Zihan Jin ◽

Xiaoguang Liu ◽

Guomin Li ◽

Lei Wang

Keyword(s):

Moderated Mediation ◽

Household Waste ◽

Mediation Model ◽

Moderated Mediation Model ◽

The Impact

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Job insecurity and performance in public and private sectors: a moderated mediation model

Journal of Organizational Effectiveness People and Performance ◽

10.1108/joepp-02-2020-0021 ◽

2020 ◽

Vol 7 (2) ◽

pp. 237-253

Author(s):

Antonio Chirumbolo ◽

Antonino Callea ◽

Flavio Urbini

Keyword(s):

Job Insecurity ◽

Moderated Mediation ◽

Performance Outcomes ◽

Economic Sector ◽

Mediation Model ◽

Content Type ◽

Moderated Mediation Model ◽

And Performance ◽

The Impact ◽

The Relationship

PurposeThe purpose of this study was to extend our knowledge of the relationship between quantitative and qualitative job insecurity and performance. On the basis of stress theories, we hypothesised that qualitative job insecurity (QLJI) would mediate the negative effect of quantitative job insecurity (QTJI) on two different indicators of performance: task performance (TP) and counterproductive work behaviours (CPWBs). In addition, the authors hypothesised that the effect of QTJI on QLJI would be moderated by the economic sector (public vs private) in which employees worked. Therefore, the authors empirically tested a moderated mediation model via PROCESS.Design/methodology/approachParticipants were 431 employees from various Italian organisations. Data were collected using a self-report questionnaire measuring QTJI, QLJI, TP and CPWBs.FindingsThe results indicated that economic sector moderated the relationship between quantitative and QLJI. Both quantitative and QLJI were related to performance outcomes. Furthermore, QLJI mediated the effect of QTJI on TP and CPWB. However, this mediation was particularly apparent among employees in the private sector, supporting our hypothesised moderated mediation model.Practical implicationsThe results suggest that managers of private and public organisations need to apply different policies to reduce the impact of job insecurity on CPWBs and increase the TP of their employees.Originality/valueThis study attempted to examine the job insecurity–performance relationship in more depth. For the first time, the effects of both job insecurity dimensions on performance were simultaneously investigated, with economic sector as a moderator and QLJI as a mediator.

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The Impact of Psychological Empowerment of Project-Oriented Employees on Project Success: A Moderated Mediation Model

Economic Research-Ekonomska Istraživanja ◽

10.1080/1331677x.2020.1756374 ◽

2020 ◽

Vol 33 (1) ◽

pp. 1311-1329 ◽

Cited By ~ 1

Author(s):

Jabran Khan ◽

Mehwish Malik ◽

Sharjeel Saleem

Keyword(s):

Project Success ◽

Psychological Empowerment ◽

Moderated Mediation ◽

Mediation Model ◽

Moderated Mediation Model ◽

The Impact

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Impact of Progression of Parkinson's Disease and Various Other Factors on Generalized Anxiety Disorder

Journal of Neurosciences in Rural Practice ◽

10.4103/jnrp.jnrp_52_18 ◽

2018 ◽

Vol 09 (03) ◽

pp. 287-290 ◽

Cited By ~ 2

Author(s):

Abdul Qayyum Rana ◽

Hamza Ansari ◽

Abdul Rehman M. Qureshi ◽

Eraad Rahman

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Anxiety Disorder ◽

Generalized Anxiety Disorder ◽

Ethnically Diverse ◽

Influential Factors ◽

Generalized Anxiety ◽

Increased Risk ◽

The Impact ◽

The Relationship

ABSTRACT Objective: While much research has been conducted toward understanding the relationship between prevalence of Parkinson's disease (PD) and generalized anxiety, little has been done considering additional influential factors in the relationship by means of a large ethnically diverse sample. Our study strives to fulfill these deficits in the literature as we set out to determine the impact of progression of PD, age, gender, and Hoehn and Yahr (H and Y) staging of PD on generalized anxiety. Methods: A retrospective chart review analysis was performed on PD patients who were regularly examined in a community-based PD and movement disorders center from 2005 to 2010. Results: This study consisted of 310 patients with PD among whom 12% had generalized anxiety. Neither age nor gender was significant onset predictors at P = 0.05. The impact of progression of H and Y Stages 2–3 and 2–4 increased the odds of generalized anxiety disorder (GAD) prevalence though it was statistically insignificant at P = 0.05. Conclusions: Clinicians should not expect the risk of developing anxiety to depend on gender nor change as a function of age though it may increase with symptomatic progression of PD as outlined by H and Y. To the best of our knowledge, this is the largest and most ethnically diverse prevalence study with a focus on generalized anxiety and PD. Significant Outcomes and Limitations: The symptomatic progression of PD, but not age or gender, may be associated with an increased risk for GAD. This study lacked adjustment for potential confounders such as depression and PD medications.

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