University of Derby, Kedleston Rd, Derby, DE22 1GB, UK.
University of Derby, Kedleston Rd, Derby, DE22 1GB, UK.
J Behav Ther Exp Psychiatry. 2019 Mar;62:65-71. doi: 10.1016/j.jbtep.2018.09.002. Epub 2018 Sep 7.
The effect of a worry manipulation on the clinical constructs intolerance of uncertainty (IU), negative beliefs about the consequences of worry (NCOW), positive beliefs about the consequences of worry (PCOW), in addition to the emotions anxiety and sadness, was examined.
A non-clinical sample was split into two groups, a worry group (n = 29), who were asked to generate 20 potential worries about a hypothetical scenario, and a control group (n = 28), who were asked to generate 2 potential worries about the same scenario. Subsequently, participants were asked to complete measures of IU, NCOW, PCOW, sadness and anxiety.
The worry group scored significantly higher than the control group on measures of IU, NCOW and PCOW but not on measures of sadness and anxiety.
Possible limitations of the current study include the use of a student sample and the use of a hypothetical worry scenario.
The results suggest that engaging in worry can increase scores on measures of the beliefs and thought patterns often used to causally explain worry. The results are in line with recent research showing bidirectionality between anxiety related symptoms and their associated clinical constructs, and are consistent with an approach which sees anxiety symptoms as part of an evolved integrated threat management system that alerts the individual to threats to goals or challenges, and coordinates cognitive, behavioral, and affective reactions to enable effective responding to these threats and challenges.
本研究考察了担忧操作对不确定性容忍度（IU）、担忧后果的消极信念（NCOW）、担忧后果的积极信念（PCOW）以及焦虑和悲伤情绪等临床结构的影响。
将非临床样本分为两组，担忧组（n=29）被要求针对一个假设情景生成 20 个潜在的担忧，对照组（n=28）被要求针对同一情景生成 2 个潜在的担忧。随后，参与者被要求完成 IU、NCOW、PCOW、悲伤和焦虑的测量。
担忧组在 IU、NCOW 和 PCOW 测量上的得分显著高于对照组，但在悲伤和焦虑测量上没有显著差异。
本研究的可能局限性包括使用学生样本和假设的担忧情景。
研究结果表明，进行担忧可以增加 IU、NCOW 和 PCOW 测量上的得分。这与最近的研究结果一致，表明焦虑相关症状与其相关的临床结构之间存在双向关系，这与将焦虑症状视为进化的综合威胁管理系统的一部分的观点一致，该系统提醒个体注意对目标或挑战的威胁，并协调认知、行为和情感反应，以有效地应对这些威胁和挑战。
