Verkuil Bart, Brosschot Jos F, Thayer Julian F
Leiden University, Institute for Psychological Research, Clinical and Health Psychology Unit, Leiden, The Netherlands.
Behav Res Ther. 2007 Aug;45(8):1835-44. doi: 10.1016/j.brat.2007.02.004. Epub 2007 Feb 22.
Worry is crucial in the development and maintenance of anxiety disorders and has been associated with several other adverse health outcomes. Yet, little is known about the frequency and perseveration of worry in daily life, and its predictability by widely used trait questionnaires. In this study 432 students completed the Penn State Worry Questionnaire (PSWQ), the Worry Domains Questionnaire (WDQ) and the State-Trait Anxiety Inventory-Trait version (STAI-T) and kept a log of worry frequency and duration during six consecutive days and nights. The results showed that worry is a very common phenomenon that is predicted by the two trait worry questionnaires, independent of trait anxiety. The often clinically utilized PSWQ predicted worry duration better than the WDQ, and exclusively predicted night-time worry and several other indices of perseverative and potentially pathogenic worry. Although this study provides some support for the predictive validity of the PSWQ and the WDQ, these questionnaires did not account for the larger part of variance in daily worry. Future studies of worry and its associated perseverative processes should consider using momentary assessments.
担忧在焦虑症的发展和维持过程中至关重要,并且与其他一些不良健康结果相关。然而,对于日常生活中担忧的频率和持续性,以及广泛使用的特质问卷对其的预测能力,我们知之甚少。在本研究中,432名学生完成了宾夕法尼亚州立大学担忧问卷(PSWQ)、担忧领域问卷(WDQ)和状态-特质焦虑量表-特质版(STAI-T),并连续六天六夜记录担忧的频率和持续时间。结果表明,担忧是一种非常普遍的现象,两种特质担忧问卷能够对其进行预测,且与特质焦虑无关。临床常用的PSWQ在预测担忧持续时间方面比WDQ表现更好,并且专门预测夜间担忧以及其他一些持续性和潜在致病性担忧的指标。尽管本研究为PSWQ和WDQ的预测效度提供了一些支持,但这些问卷并未解释日常担忧中大部分的变异。未来关于担忧及其相关持续性过程的研究应考虑使用即时评估。