Negative Beliefs about Worry Predict Generalized Anxiety Disorder

2010 ◽  
Author(s):  
Jason C. Levine ◽  
Colleen Kehoe ◽  
Haley Newman ◽  
Valerie Rountree ◽  
Raymond Fleming
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Generalized Anxiety ◽  
Negative Beliefs

Metacognitive Theory and Therapy for Worry and Generalized Anxiety Disorder: Review and Status

2010 ◽  
Vol 1 (1) ◽  
pp. jep.007910 ◽  
Author(s):  
Adrian Wells
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Specific Treatment ◽  
Generalized Anxiety ◽  
Behavioural Treatment ◽  
Negative Thinking ◽  
Negative Beliefs ◽  
Negative Appraisal ◽  
Cognitive Behavioural ◽  
Applied Relaxation

The metacognitive model of pathological worry and Generalized Anxiety Disorder (GAD) makes a crucial distinction between two types of worry and explains the persistence and uncontrollability of negative thinking as an effect of specific metacognitions. The negative appraisal of worry (meta-worry) and negative beliefs about worry are central to the development of GAD. Furthermore, GAD is associated with paradoxes in mental control such as the use of extended thinking to reduce thinking. Evidence is reviewed that supports major tenets of the model. A specific treatment, metacognitive therapy is described that focuses on modifying metacognitive beliefs and reducing the use of worry to cope with thoughts. The empirical status of the model is reviewed and evidence from recent trials of this treatment is summarized. The treatment appears to be effective and initial trials suggest it is associated with greater levels of recovery than approaches comprised of applied relaxation or cognitive-behavioural treatment focused on intolerance of uncertainty.

Dysfunctional metacognition across psychopathologies: A meta-analytic review

2017 ◽  
Vol 45 ◽  
pp. 139-153 ◽  
Author(s):  
X. Sun ◽  
C. Zhu ◽  
S.H.W. So
Keyword(s):  
Anxiety Disorder ◽  
Obsessive Compulsive Disorder ◽  
Generalized Anxiety Disorder ◽  
Total Sample ◽  
Generalized Anxiety ◽  
Healthy Individuals ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Negative Beliefs ◽  
Analytic Review

AbstractBackground:Dysfunctions in metacognition have been reported in individuals with anxiety disorders. Although recent studies have examined metacognition in other disorders, how dysfunctional metacognition compares across disorders is not clear. This review aimed to ascertain the importance of dysfunctional metacognition in various psychopathologies, and to identify similarities and differences in metacognitive profiles across disorders.Methods:Forty-seven studies were selected from 586 articles published between 1990 and August 2015, including a total sample of 3772 patients and 3376 healthy individuals. Studies that measured metacognition using the Meta-Cognitions Questionnaire (MCQ) and its variants were included. We conducted five meta-analyses including 49 to 55 effect sizes, comparing psychiatric patients to healthy individuals on respective metacognitive dimensions of the MCQ.Results:We found elevated metacognitive dysfunctions in patients, as a group, on all MCQ dimensions. Group effects were large and robust for the two negative beliefs (i.e., beliefs about the uncontrollability and danger of thoughts, and beliefs about the need to control thoughts), and moderate and unstable for the positive beliefs. Patients showed decreased cognitive confidence and heightened cognitive self-consciousness on moderate to large levels. Moderator analyses revealed that negative beliefs about uncontrollability and danger of thoughts were most prevalent in generalized anxiety disorder, whereas heightened cognitive self-consciousness was more characteristic in obsessive-compulsive disorder. Generalized anxiety disorder, obsessive-compulsive disorder and eating disorders manifested more similar metacognitive profiles than other disorders.Conclusions:Our findings supported dysfunctional metacognition as common processes across psychopathologies, with certain dimensions being more prevalent in particular disorders.

scholarly journals A Disorder-Specific, Cognitively Focused Group Treatment for Childhood Generalized Anxiety Disorder: Development and Case Illustration of the No Worries! Program

2015 ◽  
Vol 29 (4) ◽  
pp. 275-301 ◽  
Author(s):  
Monique C. Holmes ◽  
Caroline L. Donovan ◽  
Lara J. Farrell
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Group Treatment ◽  
Treatment Programs ◽  
Generalized Anxiety ◽  
Cognitive Avoidance ◽  
Cognitive Variables ◽  
Negative Beliefs ◽  
Negative Problem Orientation

Generalized anxiety disorder (GAD) is a highly prevalent, chronic, and costly mental disorder in children, and there is a comparative lack of research on specific treatments for GAD, relative to other anxiety disorders. Furthermore, treatment programs for child GAD, unlike those for adults, are almost uniformly transdiagnostic in nature and do not specifically target the cognitive variables (e.g., intolerance of uncertainty, negative beliefs about worry, cognitive avoidance, and negative problem orientation) demonstrated to be correlated with the disorder. However, helping children to understand and address these rather complex cognitive factors is difficult. This article describes the development of a disorder-specific, cognitively focused group treatment program for child GAD (the No Worries! Program) that aims to target the cognitive variables and symptoms correlated with the GAD. It provides a detailed discussion of the strategies taught to children and highlights some of the challenges involved. A case study is presented to demonstrate the feasibility of achieving successful outcomes with complex presentations.

scholarly journals The Relative Deprivation Trap: How Feeling Deprived Relates to Symptoms of Generalized Anxiety Disorder

2020 ◽  
Vol 39 (10) ◽  
pp. 897-922
Author(s):  
Jonah Nadler ◽  
Martin V. Day ◽  
Shadi Beshai ◽  
Sandeep Mishra
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Experiential Avoidance ◽  
Relative Deprivation ◽  
Cognitive Appraisals ◽  
Generalized Anxiety ◽  
Cognitive Predictors ◽  
Subjective Socioeconomic Status ◽  
Negative Beliefs

Introduction: How income inequality associates with poorer mental health remains unclear. Personal relative deprivation (PRD) involves appraising oneself as unfairly disadvantaged relative to similar others and has been associated with poorer mental health and negative cognitive appraisals. As generalized anxiety disorder (GAD) is associated with negative cognitive appraisals, PRD may relate to the experience of GAD and its cognitive predictors, intolerance of uncertainty (IU), positive beliefs about worry (PBW), negative beliefs about worry (NBW), and experiential avoidance (EA). Method: In two observational studies (Study 1, N = 588; Study 2, N = 301) participants completed measures of PRD, cognitive predictors and symptoms of GAD, subjective socioeconomic status (SES), self-efficacy, and self-esteem. Results: A relationship between PRD and GAD was found across studies, which was simultaneously mediated by IU and NBW. These results remained when controlling for subjective SES but were weakened when controlling for self-concept factors. Discussion: This research supports the possibility that the experience of deprivation may “trap” people in thinking patterns that contribute to anxious symptomology.

scholarly journals The Combined Contribution of Fear and Perceived Danger of COVID-19 and Metacognitions to Anxiety Levels during the COVID-19 Pandemic

2021 ◽  
Author(s):  
Orkun Aydın ◽  
Kuzeymen Balıkçı ◽  
Yasin Arslan ◽  
Pınar Ünal-Aydın ◽  
Ece Müezzin ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Emotional State ◽  
Generalized Anxiety ◽  
Future Studies ◽  
Negative Beliefs ◽  
Anxiety Levels ◽  
Perceived Danger ◽  
Study Participants

AbstractDespite a wide base of research suggesting a major role for dysfunctional metacognitions in contributing to anxiety, their role in explaining psychological distress in the context of the COVID-19 pandemic remains unclear. In this study we investigated whether metacognitions would predict anxiety, while controlling for fear and perceived danger of COVID-19. A total of 862 individuals were included in this study. Participants completed sociodemographic questions, emotional state questions relating to COVID-19, the Metacognitions Questionnaire‐30, and the Generalized Anxiety Disorder-7. Results showed that both negative beliefs about thoughts concerning uncontrollability and danger, and cognitive self-consciousness were significant predictors of anxiety beyond the fear and perceived danger of COVID-19. Future studies involving clinical populations are needed to investigate the longer-term impact of metacognitions in the maintenance and exacerbation of anxiety associated with the fear and perceived danger of COVID-19.

The French Version of the Revised Child Anxiety and Depression Scale (RCADS) in a Nonclinical Sample

2015 ◽  
Vol 74 (3) ◽  
pp. 119-127 ◽  
Author(s):  
Martine Bouvard ◽  
Anne Denis ◽  
Jean-Luc Roulin
Keyword(s):  
Factor Analysis ◽  
Anxiety Disorder ◽  
Confirmatory Factor Analysis ◽  
Generalized Anxiety Disorder ◽  
Child Anxiety ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Generalized Anxiety ◽  
French Version ◽  
Confirmatory Factor

This article investigates the psychometric properties of the Revised Child Anxiety and Depression Scale (RCADS). A group of 704 adolescents completed the questionnaires in their classrooms. This study examines potential confirmatory factor analysis factor models of the RCADS as well as the relationships between the RCADS and the Screen for Child Anxiety Related Emotional Disorders-Revised (SCARED-R). A subsample of 595 adolescents also completed an anxiety questionnaire (Fear Survey Schedule for Children-Revised, FSSC-R) and a depression questionnaire (Center for Epidemiological Studies Depression Scale, CES-D). Confirmatory factor analysis of the RCADS suggests that the 6-factor model reasonably fits the data. All subscales were positively intercorrelated, with rs varying between .48 (generalized anxiety disorder-major depression disorder) and .65 (generalized anxiety disorder-social phobia/obsessive-compulsive disorder). The RCADS total score and all the RCADS scales were found to have good internal consistency (> .70). The correlations between the RCADS subscales and their SCARED-R counterparts are generally substantial. Convergent validity was found with the FSSC-R and the CES-D. The study included normal adolescents aged 10 to 19. Therefore, the findings cannot be extended to children under 10, nor to a clinical population. Altogether, the French version of the RCADS showed reasonable psychometric properties.

Psychometric Properties of the Spontaneous and Deliberate Mind Wandering Scales

2019 ◽  
Vol 35 (6) ◽  
pp. 878-890 ◽  
Author(s):  
David Marcusson-Clavertz ◽  
Oscar N. E. Kjell
Keyword(s):  
Anxiety Disorder ◽  
Psychometric Properties ◽  
Generalized Anxiety Disorder ◽  
Social Desirability ◽  
Cognitive Task ◽  
Experience Sampling ◽  
Well Being ◽  
Mind Wandering ◽  
Generalized Anxiety ◽  
Psychological Variables

Abstract. Thinking about task-unrelated matters (mind wandering) is related to cognition and well-being. However, the relations between mind wandering and other psychological variables may depend on whether the former commence spontaneously or deliberately. The current two studies investigated the psychometric properties of the Spontaneous and Deliberate Mind Wandering Scales (SDMWS; Carriere, Seli, & Smilek, 2013 ). Study 1 evaluated the stability of the scales over 2 weeks ( N = 284 at Time 1), whereas Study 2 ( N = 323) evaluated their relations to Generalized anxiety disorder symptoms, Openness, Social desirability, and experience-sampling reports of intentional and unintentional mind wandering during an online cognitive task. The results indicated that the SDMWS were better fitted with a two-factor than a one-factor solution, although the fit was improved with the exclusion of one item. The scales exhibited strong measurement invariance across gender and time, and moderately high test-retest reliability. Spontaneous mind wandering predicted Generalized anxiety disorder and experience-sampling reports of unintentional mind wandering, whereas Deliberate mind wandering predicted Openness and experience-sampling reports of intentional mind wandering. Furthermore, Spontaneous mind wandering showed a negative association with social desirability of weak-to-medium strength. In sum, the scales generally showed favorable psychometric properties.

BDNF Val⁶⁶Met polymorphism to generalized anxiety disorder pathways: Indirect effects via attenuated parasympathetic stress-relaxation reactivity.

2020 ◽  
Vol 129 (3) ◽  
pp. 237-247 ◽  
Author(s):  
Hsin-An Chang ◽  
Wen-Hui Fang ◽  
Yia-Ping Liu ◽  
Nian-Sheng Tzeng ◽  
Jia-Fwu Shyu ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Stress Relaxation ◽  
Generalized Anxiety Disorder ◽  
Indirect Effects ◽  
Generalized Anxiety
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