Specificity of generalized anxiety disorder symptoms and processes

Ladouceur, Robert; Dugas, Michel J.; Freeston, Mark H.; Rhéaume, Josée; Boisvert, Jean-Marie; Gagnon, Fabien; Thibodeau, Nicole

doi:10.1016/s0005-7894(99)80003-3

Cited by 169 publications

(123 citation statements)

References 33 publications

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“…The level of intolerance of uncertainty in the Ménière group appeared to be comparable to the scores of non-anxious people in other research (Buhr and Dugas, 2002;Buhr and Dugas, 2006), and lower than people with anxiety disorders (Holaway et al, 2006;Ladouceur et al, 1999). This suggests that while high levels of intolerance of uncertainty contribute to distress in the Ménière disease group, the distribution of intolerance of uncertainty within the Ménière group as a whole was comparable to normal populations.…”

Section: Discussionsupporting

confidence: 65%

“…The first study to investigate the impact of intolerance of uncertainty on distress in people with Ménière disease found that intolerance of uncertainty was indeed strongly associated with anxiety among people with Mé-nière disease . It has been suggested that intolerance of uncertainty may be an underpinning feature of anxiety disorders in general (Holaway et al, 2006), with people with anxiety disorders having higher levels of intolerance of uncertainty than nonclinical controls (Ladouceur et al, 1999). The purpose for including intolerance of uncertainty in this study, therefore, was to see whether the findings of the previous study could be replicated, and to assess whether intolerance of uncertainty contributes independently to distress in people with Ménière disease when included with health anxiety and PTSD.…”

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confidence: 99%

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The Contribution of Symptoms of Posttraumatic Stress Disorder, Health Anxiety and Intolerance of Uncertainty to Distress in Ménière's Disease

Kirby

Yardley

2009

Journal of Nervous &Amp; Mental Disease

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This study assessed whether symptoms of posttraumatic stress disorder (PTSD), health anxiety, and intolerance of uncertainty were associated with distress in members of the Ménière Society (n ϭ 800), and compared the extent of anxiety, depression, intolerance of uncertainty, and health anxiety with a healthy control group (n ϭ 484). PTSD symptoms were associated with anxiety, depression, and handicap. Health anxiety was associated with anxiety and depression. Intolerance of uncertainty was directly associated with anxiety; its association with depression and handicap was mediated by PTSD symptoms. The Ménière group reported more anxiety, depression, and health anxiety than the control group, but were not more intolerant of uncertainty. More than half of the Ménière group reported experiencing partial or full PTSD symptoms. As PTSD, health anxiety and intolerance of uncertainty are modifiable with psychological treatment, we advise that clinicians should screen patients with Ménière disease who are particularly distressed.

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Section: Discussionsupporting

confidence: 65%

mentioning

confidence: 99%

The Contribution of Symptoms of Posttraumatic Stress Disorder, Health Anxiety and Intolerance of Uncertainty to Distress in Ménière's Disease

Kirby

Yardley

2009

Journal of Nervous &Amp; Mental Disease

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“…[112] In their nonclinical adolescent sample, Laugesen et al [109] showed that compared to positive beliefs about worry and negative problem solving orientation, intolerance of uncertainty was the greatest predictor of the experience and severity of worry. In clinical samples, intolerance of uncertainty is more characteristic of GAD than other anxiety disorders, [107] and in nonclinical respondents intolerance of uncertainty is related to worry more than depression. [55] Patients with severe GAD also have a greater intolerance of uncertainty than those with milder forms of the disorder.…”

Section: Dsm-iv Criterion C: the Associated Symptoms Of Gadmentioning

confidence: 97%

“…However, positive beliefs about worry appear to be general markers of the anxiety disorders [55,107] and of severe worry in the absence of GAD [96] rather than specific markers of GAD, and so they may not have sufficient utility to be added to the associated symptoms criteria.…”

Section: Dsm-iv Criterion C: the Associated Symptoms Of Gadmentioning

confidence: 99%

Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V

Andrews¹,

Hobbs²,

Borkovec³

et al. 2010

Depress. Anxiety

234

187

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Background: Generalized anxiety disorder (GAD) has undergone a series of substantial classificatory changes since its first inclusion in DSM-III. The majority of these revisions have been in response to its poor inter-rater reliability and concerns that it may lack diagnostic validity. This article provides options for the revision of the DSM-IV GAD criteria for DSM-V. Method: First, searches were conducted to identify the evidence that previous DSM Work Groups relied upon when revising the DSM-III-R GAD and the overanxious disorder classifications. Second, the literature pertaining to the DSM-IV criteria for GAD was examined. Conclusions: The review presents a number of options to be considered for DSM-V. One option is for GAD to be re-labeled in DSM-V as generalized worry disorder. This would reflect its hallmark feature. Proposed revisions would result in a disorder that is characterized by excessive anxiety and worry generalized to a number of events or activities for 3 months or more. Worry acts as a cognitive coping strategy that manifests in avoidant behaviors. The reliability and validity of the proposed changes could be investigated in DSM-V validity tests and field trials. Depression and Anxiety 27:134-147, 2010.

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“…Aunque el concepto de intolerancia a la incertidumbre fue propuesto inicialmente como una característica personal de vulnerabilidad hacia el trastorno de ansiedad generalizada (Ladouceur et al, 1999), existe abundante evidencia que sugiere se trata de una variable transdiagnóstica, más que de una variable específi ca del trastorno de ansiedad generalizada, representando un factor de vulnerabilidad cognitiva de la mayor parte de los trastornos de ansiedad y de los trastornos depresivos (Carleton et al, 2012), así como también de los trastornos alimentarios (Sternheim, Startup y Schmidt, 2011). La intolerancia a la incertidumbre es una respuesta negativa a la ambigüedad; es la tendencia a reaccionar negativamente a los sucesos o situaciones percibidas como inciertas.…”

Section: Conceptos Y Procesos Psicopatológicos Transdiagnósticosunclassified

Transdiagnóstico: Nueva frontera en psicología clínica = Transdiagnostic: A New frontier in clinical psychology

Sandín

Chorot²,

Valiente³

2012

RPPC

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Resumen: El transdiagnóstico ha recibido recientemente un elevado interés por parte de la psicopatología y la terapia cognitivo-conductual (TCC), especialmente en relación con los trastornos de ansiedad y los trastornos depresivos. El presente artículo proporciona una revisión sobre el transdiagnóstico como nueva perspectiva en el campo de la psicología clínica. Se describen los fundamentos psicopatológicos conceptuales y las implicaciones para la investigación y la intervención clínica. Basándonos en conceptos procedentes de información obtenida a partir de datos de tipo cognitivo, emocional y de aprendizaje, identificamos los principales factores, procesos y/o mecanismos transdiagnósticos que subyacen a los trastornos emocionales y a otros trastornos mentales, los cuales proporcionan una estructura para la implementación de los principios terapéuticos básicos de la TCC transdiagnóstica. El artículo concluye resaltando la relevancia teórica y práctica de la perspectiva transdiagnóstica y su potencial contribución al desarrollo de la psicología clínica.Palabras clave: Transdiagnóstico; psicopatología; terapia cognitiva-conductual; trastornos emocionales; ansiedad; depresión. Transdiagnostic: A new frontier in clinical psychologyAbstract: Recently, transdiagnostic has received considerable interest from psychopathology and cognitive-behavior therapy (CBT), especially with regard to anxiety and depressive disorders. This article provides a review on transdiagnostic as a new perspective in the field of clinical psychology. The conceptual psychopathological fundamentals and their implications for research and clinical interventions are described. Based on concepts emerging from cognitive, emotional and learning data, we identified the main transdiagnostic factors, processes and/or mechanisms across emotional and other mental disorders, which provide a framework for implementing the basic therapeutic principles of transdiagnostic CBT. The article concludes highlighting the theoretical and applied relevance of the transdiagnostic approach and its potential contribution to developments in clinical psychology.Keywords: Transdiagnostic; psychopathology; cognitive-behavior therapy; emotional disorders; anxiety; depression. El sol es nuevo cada díaHeráclito de Éfeso La terapia de conducta, o terapia cognitivoconductual (TCC), es una disciplina aplicada que posee una efectividad superior a cualquier otra forma de terapia de los trastornos mentales, especialmente de los trastornos emocionales.Correspondencia: Bonifacio Sandín, Universidad Nacional de Educación a Distancia, Facultad de Psicología, Juan del Rosal 10, 28040 Madrid, España. Correo-e: bsandin@psi.uned.es El estatus y desarrollo científi co que posee actualmente la TCC se debe al hecho de consistir en un tratamiento basado en los principios, mecanismos y procesos que rigen la conducta anormal proporcionados por otras disciplinas científicas (teóricas) de la psicología, tales como la psicopatología, la psicología del aprendizaje o la psicología cognitiva. Ello, ...

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Specificity of generalized anxiety disorder symptoms and processes

Cited by 169 publications

References 33 publications

The Contribution of Symptoms of Posttraumatic Stress Disorder, Health Anxiety and Intolerance of Uncertainty to Distress in Ménière's Disease

The Contribution of Symptoms of Posttraumatic Stress Disorder, Health Anxiety and Intolerance of Uncertainty to Distress in Ménière's Disease

Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V

Transdiagnóstico: Nueva frontera en psicología clínica = Transdiagnostic: A New frontier in clinical psychology

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