Borkovec T D, Inz J
Pennsylvania State University, Department of Psychology, University Park 16802.
Behav Res Ther. 1990;28(2):153-8. doi: 10.1016/0005-7967(90)90027-g.
Indirect evidence suggests that worry primarily involves thought, rather than imaginal, activity, a distinction within cognitive process that is potentially crucial to some theories of anxiety maintenance and modification. The present study contrasted the frequencies of reporting the presence of thoughts and images among generalized anxiety disorder clients and matched, nonanxious control subjects during a self-relaxation period and a worry period. Repetition of the assessment was conducted with clients after they completed 12 sessions of therapy. Sampling of mentation during these periods revealed that (a) during relaxation, nonanxious subjects reported a predominance of imagery whereas clients show equal amounts of thought and imagery, (b) nonanxious subjects shifted to a predominance of thought during worry, and (c) clients showed a normalization of thought and image frequencies after successful therapy. This combination of results suggests that worry is principally thought-like in content. The speculation is offered that worry may function as motivated avoidance of emotional imagery and its attendant somatic sensations.
间接证据表明，担忧主要涉及思维活动，而非想象活动，这是认知过程中的一种区别，对某些焦虑维持和调节理论可能至关重要。本研究对比了广泛性焦虑症患者与匹配的非焦虑对照受试者在自我放松期和担忧期报告思维和意象出现频率的情况。在患者完成12次治疗后，对他们进行了重复评估。这些时期内的心理活动抽样显示：（a）在放松期间，非焦虑受试者报告的意象占主导，而患者报告的思维和意象数量相当；（b）非焦虑受试者在担忧期间转变为以思维为主导；（c）成功治疗后，患者的思维和意象频率恢复正常。这些结果共同表明，担忧在内容上主要类似思维。有人推测，担忧可能起到了主动回避情绪意象及其伴随的躯体感觉的作用。
