The Contribution of Worry Behaviors to the Diagnosis of Generalized Anxiety Disorder

Brown, Timothy A.; Tung, Esther S.

doi:10.1007/s10862-018-9683-5

Cited by 9 publications

(7 citation statements)

References 33 publications

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“…The findings were also consistent with our hypothesis that the GAD and healthy control groups would not differ in the amount of effort they expended in their two roles. These findings involving the GAD group may be surprising given that GAD is associated with avoidance and procrastination (e.g., Brown & Tung, 2018). Future studies should examine mechanisms, such as procrastination and anticipatory anhedonia, and their relations to effort expended in daily roles.…”

Section: Discussionmentioning

confidence: 94%

Standards for Socially-and Achievement-Oriented Roles in Major Depressive Disorder and Generalized Anxiety Disorder

et al. 2020

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Background: People with major depressive disorder (MDD) and generalized anxiety disorder (GAD) have elevated trait perfectionism. We tested whether they hold perfectionistic standards for specific life roles and examined the extent to which they met their own expectations for, gained satisfaction from, and expended effort in these roles.Methods: Seventy-four women with MDD, GAD, both disorders, or no mental disorders (CTL) described their standards for a socially-and achievement-oriented roles, coded for perfectionism. Using ecological momentary assessment, participants reported the extent to which they met, how much satisfaction they gained from, and how much effort they expended in each role.Results: Although the clinical groups endorsed elevated trait perfectionism, they did not differ from CTLs in their role-specific standards. Compared to CTLs, the clinical groups reported meeting their standards to a lesser extent and receiving less satisfaction from both roles. The two MDD groups reported expending less effort in achievement-oriented, but not socially-oriented, roles than the other two groups. Conclusion:Despite similar standards for socially-and achievement-oriented roles, people with MDD and/or GAD are less likely to meet their standards and gain satisfaction from these roles. Having MDD, independent of GAD, is associated with putting less effort into achievementoriented roles.

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Section: Discussionmentioning

confidence: 94%

Standards for Socially-and Achievement-Oriented Roles in Major Depressive Disorder and Generalized Anxiety Disorder

et al. 2020

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“…In line with Gray's (1982Gray's ( , 1990) neurophysiological theory of anxiety, this paradoxical effect may be explained by an activation of the Behavioral Inhibition System (BIS) to reduce the contrast between the encountered relaxed states and the expected future negative states (Llera & Newman, 2014;Newman & Llera, 2011; see also Grawe, 2006). The activation of the BIS and its preventive motivational focus may lead persons suffering from GAD to spent considerable time trying to avoid events and situations rather than proactively engaging in activities consistent with their personal values, goals, and needs (Brown & Tung, 2018;Mahoney et al, 2016;Michelson et al, 2011;Strauman et al, 2015). Compared to no-treatment and treatment as usual, cognitive behavioral therapy (CBT) and other bona fide psychotherapeutic interventions are available to effectively treat individuals with GAD (e.g., Hanrahan, et al, 2013;van Dis et al, 2020).…”

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confidence: 99%

Exploring change in cognitive-behavioral therapy for generalized anxiety disorder—A two-arms ABAB crossed-therapist randomized clinical implementation trial.

Flückiger¹,

Vîslă²,

Wolfer³

et al. 2021

Journal of Consulting and Clinical Psychology

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Objective: There is little evidence-based knowledge of how psychotherapists should handle both sudden gains and more gradual session-by-session changes, either in general or in individuals suffering from generalized anxiety disorder. Methods: Using an ABAB crossed-therapist randomized clinical implementation trial design (N = 80 patients and 20 therapists), we contrasted a Prolonged Focus on Change (PFC, N = 40) implementation with a State-Of-The-Art (SOTA, N = 40) implementation. Both implementations were based on a widely used cognitive behavioral therapy approach (Mastery of your Anxiety and Worry package) with the only difference that in the PFC implementation, the therapists were instructed to systematically explore eventual changes at the beginning of the therapy sessions. Results: Based on a 3-level hierarchical linear model, PFC implementation showed faster symptom reduction in worry over therapy (i.e., linear change) and a decelerated (quadratic) change until 12-month follow-up in comparison to the SOTA implementation. Conclusion: These findings provide clinically useful information about potential short-term and long-term effects of exploring occurring change in GAD populations. Randomized clinical implementation trial designs are a step forward allowing to experimentally investigate basic psychotherapeutic strategies in process-based psychotherapy.What is the public health significance of this article? This randomized clinical implementation trial provides empirical evidence for good clinical wisdom that exploring occurring change is helpful to facilitate further change during therapy. These results underscore the relevance of understanding patient's proactive engagement in change behaviors, competences, skills, and behavioral preferences in individuals that suffer from generalized anxiety disorder to positively impact worry outcomes.

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“…The IVI questionnaire posed a question on the participants' concerns or worries about several factors due to their eyesight. The Diagnostic and Statistical Manual of Mental Disorders V (DSM-V) Workshop on Anxiety Disorder proposed four worry behaviors to be included in the diagnosis criteria of generalized anxiety disorder (GAD) (Brown & Tung 2018). Worry behaviors contributed modestly to the diagnostic classification of GAD and may be salient to treatment planning, treatment response, and the natural course of the disorder.…”

Section: Discussionmentioning

confidence: 99%

Anxiety Disorder among Older Adults with Visual Impairment in Ekiti, Nigeria: Implications for the Potential Opportunity to Mitigate the Impact of the Disability and Prevent Psychological Harm

Aina

Ajayi²,

Omotoye³

et al. 2023

FMI

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Highlights: Anxiety is an important morbidity among visually impaired older adults. There is potential for stakeholders to specifically channel their interventions towards particular IVI domains in order to reduce anxiety prevalence. ABSTRACT: Visual impairment is a significant morbidity among adults globally. It has negative impacts on work force participation and productivity, as and well as higher depression and anxiety disorder rates. In the case of older adults, vision impairment can contribute to social isolation and a greater likelihood of early entry into nursing or care homes. This hospital-based, cross-sectional study was designed to determine anxiety disorder’s prevalence among the study population and which Impact of Visual Impairment (IVI) domain is most correlated with anxiety disorder. The study was carried out at the Ophthalmology Clinic of the Ekiti State University Teaching Hospital, Ado Ekiti, Nigera. Questionnaires were used to collect information from 115 respondents. Information sought included sociodemographic information, anxiety status, and visual impairment’s impact on daily functions. The Hospital Anxiety and Depression Scale (HADS) was used to assess anxiety disorder, while the IVI scale was used to assess the impact of visual impairment. The IVI scale is an instrument used for determining the impact of visual impairment under three domains: (reading and accessing information, mobility and independence, and emotional well-being). Anxiety disorder was detected in 10.4% of all the respondents, and the IVI’s mobility and independence domain of IVI was most strongly correlated with anxiety disorder.

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The Contribution of Worry Behaviors to the Diagnosis of Generalized Anxiety Disorder

Cited by 9 publications

References 33 publications

Standards for Socially-and Achievement-Oriented Roles in Major Depressive Disorder and Generalized Anxiety Disorder

Standards for Socially-and Achievement-Oriented Roles in Major Depressive Disorder and Generalized Anxiety Disorder

Exploring change in cognitive-behavioral therapy for generalized anxiety disorder—A two-arms ABAB crossed-therapist randomized clinical implementation trial.

Anxiety Disorder among Older Adults with Visual Impairment in Ekiti, Nigeria: Implications for the Potential Opportunity to Mitigate the Impact of the Disability and Prevent Psychological Harm

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