Negative urgency and generalized anxiety disorder symptom severity: The role of self-reported cognitive processes

Malivoire, Bailee L.; Stewart, Kathleen E.; Tallon, Kathleen; Ovanessian, Melina M.; Pawluk, Elizabeth J.; Koerner, Naomi

doi:10.1016/j.paid.2019.03.021

Cited by 9 publications

(3 citation statements)

References 62 publications

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“…Twenty-five participants were excluded based on this criterion. Lastly, consistent with the procedure in Malivoire et al ( 2019 ), participants were also presented with a single-item question at the end of the survey asking whether their data were accurate and should be included for analyses. Two additional participants were excluded for indicating their data were invalid leaving a final sample of 233.…”

Section: Methodsmentioning

confidence: 99%

Correlates of Dampening and Savoring in Generalized Anxiety Disorder

et al. 2022

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Chronic worry and generalized anxiety disorder (GAD) symptoms are associated with infrequent savoring, and high dampening, of positive emotions. The goal of the present study was to investigate the indirect role of GAD-relevant processes, including intolerance of uncertainty (IU), fear of negative emotional contrasts, and negative beliefs about positive emotion and its regulation, in the relationship between GAD symptom severity and the tendency to engage in dampening and not savor positive emotions. Community participants ( N = 233) completed questionnaires online. In separate models, IU, fear of negative emotional contrasts, and negative beliefs about positive emotion and its regulation fully mediated the relationships between GAD symptom severity and greater dampening and lower savoring. However, controlling for depression, only IU remained a significant mediator. A post hoc latent analysis of the mediators provided support for an underlying construct that may reflect intolerance of uncomfortable states. Intolerance of uncomfortable states was found to significantly mediate the relationship between GAD symptoms and greater dampening and lower savoring. Difficulty withstanding uncertainty may be particularly relevant in understanding why people with elevated GAD symptoms engage in efforts to avoid experiencing positive emotions. Further, the findings suggest that there may be a common factor underlying a variety of GAD-associated constructs reflecting a broad intolerance of uncomfortable inner states. Theoretical and clinical implications are discussed. Supplementary Information The online version contains supplementary material available at 10.1007/s41811-022-00145-x.

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Section: Methodsmentioning

confidence: 99%

Correlates of Dampening and Savoring in Generalized Anxiety Disorder

et al. 2022

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“…For instance, individuals with GAD avoid situations that trigger worry, seek reassurance to reduce worry, and over-plan in an attempt to minimize uncertainty (Beesdo-Baum et al, 2012; Fresco, Mennin, Heimberg, & Ritter, 2013; Michelson, Lee, Orsillo, & Roemer, 2011). There is also evidence that individuals with GAD engage in rash decision-making and impulsive behavior in response to negative affect and worst-case-scenario appraisals to self-regulate (Malivoire et al, 2018, 2019; Pawluk & Koerner, 2013, 2016). Furthermore, 70% of individuals who attempt suicide have been found to have an anxiety disorder (Nepon, Belik, Bolton, & Sareen, 2010) and consequently, GAD may increase the risk for suicidal ideation and attempts (Nepon et al, 2010; Sareen et al, 2005).…”

Section: 1 | Dbt Skills For Gadmentioning

confidence: 99%

Exploring DBT skills training as a treatment avenue for generalized anxiety disorder.

Malivoire

2020

Clinical Psychology: Science and Practice

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A noteworthy number of treatment seekers with generalized anxiety disorder (GAD) do not achieve high end‐state functioning following cognitive‐behavioral therapy. Dialectical behavioral therapy (DBT) skills training may be an effective alternative treatment for GAD, especially for those with complex comorbidities and elevated emotion dysregulation. This article reviews the advantages of DBT skills training for GAD, including the emphasis on emotion dysregulation, inclusion of acceptance‐based strategies, and the dialectical approach. The theoretical support for DBT skills is reviewed, and treatments for GAD involving DBT skills are critically evaluated to assess the potential for DBT skills training for GAD. Further, this article conjectures on clinical presentations of GAD that would benefit from DBT skills training.

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“…Of particular interest is the impulsivity aspect of this finding. There is a small emerging literature demonstrating that chronic worry is associated with elevated negative urgencythe tendency to behave rashly and without much forethought when experiencing heightened negative arousal (Malivoire et al, 2019;Pawluk and Koerner, 2013;Pawluk and Koerner, 2016). In general, there is minimal understanding of the role of impulsivity in chronic worry, given that worry and anxiety are usually viewed as problems of excessive inhibition and avoidance, not disinhibition.…”

Section: Discussionmentioning

confidence: 99%

Interpersonal dysfunction in individuals high in chronic worry: relations with interpersonal problem-solving

Malivoire

Koerner

2021

Behav. Cogn. Psychother.

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Background: Interpersonal dysfunction has been proposed as an important maintenance factor in chronic worry and generalized anxiety disorder (GAD). Perceptions of problems and the problem-solving process as threatening, and unhelpful (e.g. avoidant, impulsive) problem-solving styles are implicated in worry and have also been suggested to be associated with dysfunctional interpersonal styles. Aims: The present study assessed the relationships between interpersonal dysfunction and problem-solving orientation, approach, and effectiveness in a sample of individuals high in chronic worry and investigated the indirect effect of interpersonal dysfunction on GAD symptom severity through negative problem-solving beliefs and approaches. Method: Fifty-nine community participants completed questionnaires and an interpersonal problem-solving task. Results: Greater interpersonal dysfunction was significantly associated with greater negative problem-solving orientation and greater habitual avoidant and impulsive/careless problem-solving styles. Greater interpersonal dysfunction was associated with poorer effectiveness of solutions when the task problem involved conflict with a romantic partner. Negative problem-solving orientation fully mediated the relationship between interpersonal dysfunction and GAD symptoms. Conclusions: These findings support that problem-solving processes are implicated in interpersonal dysfunction and that negative beliefs about problem-solving account for the relationship between interpersonal dysfunction and GAD symptoms. Theoretical implications are discussed.

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Negative urgency and generalized anxiety disorder symptom severity: The role of self-reported cognitive processes

Cited by 9 publications

References 62 publications

Correlates of Dampening and Savoring in Generalized Anxiety Disorder

Correlates of Dampening and Savoring in Generalized Anxiety Disorder

Exploring DBT skills training as a treatment avenue for generalized anxiety disorder.

Interpersonal dysfunction in individuals high in chronic worry: relations with interpersonal problem-solving

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