Dugas Michel J, Giguère Marchal Katia, Cormier Stéphanie, Bouchard Stéphane, Gouin Jean-Philippe, Shafran Roz
Département de Psychoéducation et de Psychologie, Université du Québec en Outaouais, Gatineau, Quebec, Canada.
Department of Psychology, Concordia University, Montreal, Quebec, Canada.
Clin Psychol Psychother. 2023 Jul-Aug;30(4):852-861. doi: 10.1002/cpp.2843. Epub 2023 Mar 8.
Because the diagnostic criteria of generalized anxiety disorder (GAD) are not tied to specific worry domains (worry is 'generalized'), research on the content of worry in GAD is lacking. To our knowledge, no study has addressed vulnerability for specific worry topics in GAD. The goal of the current study, a secondary analysis of data from a clinical trial, is to explore the relationship between pain catastrophizing and worry about health in a sample of 60 adults with primary GAD. All data for this study were collected at pretest, prior to randomization to experimental condition in the larger trial. The hypotheses were that (1) pain catastrophizing would be positively related to the severity of GAD, (2) the relationship between pain catastrophizing and the severity of GAD would not be explained by intolerance of uncertainty and psychological rigidity, and (3) pain catastrophizing would be greater in participants reporting worry about health compared to those not reporting worry about health. All hypotheses were confirmed, suggesting that pain catastrophizing may be a threat-specific vulnerability for health-related worry in GAD. The implications of the current findings include a better understanding of the ideographic content of worry, which could help focus treatment interventions for individuals with GAD.
由于广泛性焦虑症（GAD）的诊断标准并不局限于特定的担忧领域（担忧是“广泛性的”），因此缺乏对GAD中担忧内容的研究。据我们所知，尚无研究探讨GAD中针对特定担忧主题的易感性。本研究是对一项临床试验数据的二次分析，其目的是在60名患有原发性GAD的成年人样本中探索疼痛灾难化与对健康的担忧之间的关系。本研究的所有数据均在预测试时收集，即在更大规模试验中随机分配到实验条件之前。研究假设为：（1）疼痛灾难化与GAD的严重程度呈正相关；（2）疼痛灾难化与GAD严重程度之间的关系无法由对不确定性的不耐受和心理僵化来解释；（3）与未报告对健康担忧的参与者相比，报告对健康担忧的参与者的疼痛灾难化程度更高。所有假设均得到证实，这表明疼痛灾难化可能是GAD中与健康相关担忧的特定威胁易感性。当前研究结果的意义包括更好地理解担忧的个性化内容，这有助于为GAD患者的治疗干预提供重点。
