The latent structure of generalized anxiety disorder in midlife adults

Marcus, David K.; Sawaqdeh, Abere; Kwon, Paul

doi:10.1016/j.psychres.2013.12.011

Cited by 10 publications

(6 citation statements)

References 30 publications

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“…Yet in simple slopes analyses there was a significant reduction in GAD‐Q‐IV scores for the WOJ group over the intervention phase, but not for the TL. Studies show that GAD may be best represented as dimensional in nature, leading us to emphasize the continuous outcomes. Even so, chi‐square analyses also revealed that more WOJ users than TL users no longer met criteria for GAD at postassessment.…”

Section: Discussionmentioning

confidence: 99%

A BRIEF ECOLOGICAL MOMENTARY INTERVENTION FOR GENERALIZED ANXIETY DISORDER: A RANDOMIZED CONTROLLED TRIAL OF THEWORRY OUTCOME JOURNAL

LaFreniere

Newman

2016

Depress Anxiety

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Section: Discussionmentioning

confidence: 99%

A BRIEF ECOLOGICAL MOMENTARY INTERVENTION FOR GENERALIZED ANXIETY DISORDER: A RANDOMIZED CONTROLLED TRIAL OF THEWORRY OUTCOME JOURNAL

LaFreniere

Newman

2016

Depress Anxiety

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“…"more than one thing"). Following established procedures, a continuous generalized anxiety symptom count variable was constructed by taking the sum of reported "most day" responses to items (Marcus et al, 2014). To determine specificity, we also examined the 10 individual GAD items (e.g., "Were you restless because of your worry?")…”

Section: Methodsmentioning

confidence: 99%

“…Consistent with previous research (Kessler, Andrews, Mroczek, Ustun, & Wittchen, 1998), participants received this interview after being screened for the extent to which they worry “a lot more” than most people (cutoff: “a lot more”), the frequency of their worry (cutoff: “most days”), and how many things they worry about (cutoff: “more than one thing”). Following established procedures, a continuous generalized anxiety symptom count variable was constructed by taking the sum of reported “most day” responses to items (Marcus et al, 2014). To determine specificity, we also examined the 10 individual GAD items (e.g., “Were you restless because of your worry?”) to examine what symptoms of GAD were driving the association in a series of follow-up analyses.…”

Section: Methodsmentioning

confidence: 99%

“…While there has been building momentum in probing how SES moderates associations between reappraisal and aspects of mental health, there have been no studies examining associations with anxiety directly. Moreover, we have yet to examine whether results emerge for (a) measures of self-report and performance-based reappraisal (Bloch, Haase, & Levenson, 2014); (b) nonclinical and clinical symptoms of anxiety (Marcus, Sawaqdeh, & Kwon, 2014); (c) income and education aspects of SES; and (d) not only concurrently, but also longitudinally.…”

Section: Cognitive Reappraisal and Anxietymentioning

confidence: 99%

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Socioeconomic status as a moderator of the link between reappraisal and anxiety: Laboratory-based and longitudinal evidence.

Hittner¹,

Rim²,

Haase³

2019

Emotion

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Cognitive reappraisal reduces anxiety, but we know little about how socioeconomic status (SES) moderates this association. Drawing from developmental, affective, and health psychological frameworks, the present 2 studies investigated SES as a moderator of reappraisal and anxiety using performance-based (Study 1) and self-report (Study 1 and 2) measures of reappraisal; analyzing nonclinical (Study 1) and clinical (Study 2) symptoms of anxiety; and utilizing a small, laboratory-based study (Study 1) and a large-scale 9-year longitudinal study (Study 2). Across studies, findings showed that reappraisal predicted lower anxiety at low levels of SES but did not or less so at high levels of SES. These results were found for self-report measures of reappraisal; generalized across nonclinical and clinical symptoms of anxiety; and emerged both concurrently and prospectively across 9 years. Findings remained stable when controlling for a number of covariates, including age, gender, and race; were more robust for income than education; largely generalized across gender (except for a men-specific moderation effect for education in Study 2); and were directional such that SES did not moderate associations between anxiety and changes in reappraisal. These findings highlight the importance of considering socioeconomic context in the link between reappraisal and anxiety.

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“…Although some impugn the merits of retaining GAD as a separate diagnostic category in consequence of its relatively low reliability (for a review, see Andrews et al, 2010; for an alternative proposal, see Watson, 2005), extant literature has attempted to delineate core characteristics of GAD that legitimise its specificity among anxiety and mood disorders (Dugas, Marchand, & Ladouceur, 2005;Dupuy & Ladouceur, 2008). The diagnostic stability of GAD has been undermined by research demonstrating high levels of comorbidity with other anxiety and depressive disorders and lack of taxonicity (Brown et al, 2001;Marcus, Sawaqdeh, & Kwon, 2014;Ruscio, 2002). Relatively little research has been conducted to determine the specificity of GAD relevant constructs with respect to depressive disorders and other anxiety disorders.…”

mentioning

confidence: 99%

Identifying Individuals With Generalised Anxiety Disorder: A Receiver Operator Characteristic Analysis of Theoretically Relevant Measures

Curtiss

Klemanski

2015

Behav. change

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This article appraises the ability of several measures, assessing symptomatology theoretically relevant to generalised anxiety disorder (GAD), to accomplish successful classification of individuals with DSM-IV GAD and individuals with mood or other anxiety disorders. Participants were 197 individuals (average age = 36.43; 67.5% female) receiving treatment at a clinic, who completed pretreatment self-report measures. Receiver operator characteristic analyses and logistic regression analyses were employed to determine the classificatory abilities, including sensitivity and specificity, of several GAD relevant measures. The Penn State Worry Questionnaire (PSWQ) accomplished significant classification in both comparison group dyads: GAD-Anxiety and GAD-Mood. Whereas the general distress of depression subscale of the Mood and Anxiety Symptoms Questionnaire (MASQ) accomplished significant classification in the GAD-Anxiety group dyad, both the general distress of anxiety and anxious arousal subscales of the MASQ did so in the GAD-Mood group dyad. Only the PSWQ significantly predicted the presence of GAD, while controlling for other symptom variables. Though evidence supports the uniqueness of some symptoms of GAD, including worry, often considered pathognomonic to GAD, the modest areas under the curve, sensitivity, and specificity of the measures afford tenuous support for the utility of these measures. The lack of highly sensitive and specific symptomatology comport with critiques of GAD as a diagnostically delimited category.

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The latent structure of generalized anxiety disorder in midlife adults

Cited by 10 publications

References 30 publications

A BRIEF ECOLOGICAL MOMENTARY INTERVENTION FOR GENERALIZED ANXIETY DISORDER: A RANDOMIZED CONTROLLED TRIAL OF THEWORRY OUTCOME JOURNAL

A BRIEF ECOLOGICAL MOMENTARY INTERVENTION FOR GENERALIZED ANXIETY DISORDER: A RANDOMIZED CONTROLLED TRIAL OF THEWORRY OUTCOME JOURNAL

Socioeconomic status as a moderator of the link between reappraisal and anxiety: Laboratory-based and longitudinal evidence.

Identifying Individuals With Generalised Anxiety Disorder: A Receiver Operator Characteristic Analysis of Theoretically Relevant Measures

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