Worry and Generalized Anxiety Disorder: A Review

Newman, Michelle G.; Cho, S.; Kim, H.

doi:10.1016/b978-0-12-809324-5.05108-7

Cited by 8 publications

(7 citation statements)

References 160 publications

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“…Generalized Anxiety Disorder (GAD) is one of the most common yet serious forms of anxiety disorder, characterized by persistent, excessive, and uncontrollable worry about everyday events or activities [1]. Symptoms include fatigue, difficulty in concentrating, sleep trouble, irritability, restlessness, and muscle tension [2].…”

Section: Introductionmentioning

confidence: 99%

The psychometric properties of the Generalized Anxiety Disorder scale (GAD-7) among Korean university students

Lee

Kim

2019

Psychiatry and Clinical Psychopharmacology

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OBJECTIVE: The seven-item Generalized Anxiety Disorder scale (GAD-7) is a practical self-report measure that screens for the severity of Generalized Anxiety Disorder in primary care. Previous studies have shown that the GAD-7 is theoretically sound, but the results regarding its psychometric properties have been somewhat inconsistent with both adult and student samples. Despite these findings, the psychometric properties of the GAD-7 have remained untested among Korean university students, for whom the identification of efficient measures of these constructs is especially important. To determine the psychometric properties of the GAD-7, the present study examined the internal consistency, convergent validity, and underlying factor structure of the GAD-7 with a sample of Korean university students. METHODS: The sample consisted of 582 students attending a four-year university in South Korea. All participants completed the Korean version of the GAD-7, the Depression Anxiety, and Stress Scale-21 (DASS-21), and the Patient Health Questionnaire (PHQ-9). The factor structure of the GAD-7 was assessed by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and its convergent validity was determined by investigating its correlations with the DASS-21 and PHQ-9. RESULTS: CFA procedures confirmed that a modified one-factor model was an acceptable solution. The internal consistency of the scale was excellent. The GAD-7 showed a moderate to strong correlation with the three subscales of the DASS-21 and with the PHQ-9, confirming convergent validity. CONCLUSIONS: The findings indicate that the modified GAD-7 is a reliable and valid instrument for assessing generalized anxiety symptoms in university students. Its use for research and health care practice is warranted.

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Section: Introductionmentioning

confidence: 99%

The psychometric properties of the Generalized Anxiety Disorder scale (GAD-7) among Korean university students

Lee

Kim

2019

Psychiatry and Clinical Psychopharmacology

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“…In depression, rumination focuses on one’s own bad character as evidenced in habitual ways of acting (repeated but not specific events; Watkins, 2008 ). In generalized anxiety disorder people are preoccupied with and worry about ill-defined and generalized bad things to come ( Watkins, 2008 ; Newman et al, 2017 ). And in what has been termed embitterment, thinking is focused on perpetrators and revenge ( Linden and Maercker, 2011 ).…”

Section: Rumination and Reflectionmentioning

confidence: 99%

Differences Between Subclinical Ruminators and Reflectors in Narrating Autobiographical Memories: Innovative Moments and Autobiographical Reasoning

et al. 2021

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Reasoning may help solving problems and understanding personal experiences. Ruminative reasoning, however, is inconclusive, repetitive, and usually regards negative thoughts. We asked how reasoning as manifested in oral autobiographical narratives might differ when it is ruminative versus when it is adaptive by comparing two constructs from the fields of psychotherapy research and narrative research that are potentially beneficial: innovative moments (IMs) and autobiographical reasoning (AR). IMs captures statements in that elaborate on changes regarding an earlier personal previous problem of the narrator, and AR capture the connecting of past events with other parts of the narrator’s life or enduring aspects of the narrator. A total of N = 94 university students had been selected from 492 students to differ maximally on trait rumination and trait adaptive reflection, and were grouped as ruminators (N = 38), reflectors (N = 37), and a group with little ruminative and reflective tendencies (“unconcerned,” N = 19). Participants narrated three negative personal experiences (disappointing oneself, harming someone, and being rejected) and two self-related experiences of more mixed valence (turning point and lesson learnt). Reflectors used more IMs and more negative than positive autobiographical arguments (AAs), but not more overall AAs than ruminators. Group differences were not moderated by the valence of memories, and groups did not differ in the positive effect of narrating on mood. Trait depression/anxiety was predicted negatively by IMs and positively by AAs. Thus, IMs are typical for reflectors but not ruminators, whereas the construct of AR appears to capture reasoning processes irrespective of their ruminative versus adaptive uses.

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“…Furthermore, research also indicates that individuals with GAD have a higher risk of being divorced, lacking close relationships, and having more problematic family relationships compared with individuals who have other anxiety disorders (Newman et al, 2013). Presence of these negative social factors are associated with elevated symptoms and worse prognoses for GAD (Newman, Cho, & Kim, 2016).…”

Section: Biological Cognitive and Social Aspects Of Gadmentioning

confidence: 99%

“…Suffering from GAD increase the risk of developing other anxiety disorders as well as mood disorders and substance abuse disorders (Ruscio et al, 2007). The most common comorbid disorders are depressive disorders, social phobias, panic disorders and alcohol or substance abuse disorders (Newman et al, 2016). Common comorbid personality disorders include obsessive compulsive personality disorder and avoidant personality disorder.…”

Section: Comorbiditymentioning

confidence: 99%

Development and evaluation of an internet-based treatment for generalized anxiety disorder : An acceptance-based approach

Dahlin

2020

Linköping Studies in Behavioural Science

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Ni är många som varit med på den resa som lett fram till den här avhandlingen. En del av er genom ert engagemang i allt arbete som ligger bakom en avhandling. Andra för att ni är en del av mitt liv och därigenom påverkat den jag är och vad jag gör. Tack till er alla för att ni finns i mitt liv! Särskilda tack vill jag rikta till… Min huvudhandledare Gerhard Andersson för all den tid, kunskap och tilltro som du har fyllt mitt liv med sedan jag sökte upp dig som psykologstudent och ville göra ett examensarbete. Det har blivit många lärorika och inspirerande år med samarbeten, artiklar och till slut en avhandling. Jag ser fram mot fler spännande samarbeten och lärdomar även efter detta. Min bihandledare Per Carlbring för din entusiasm, energi och blixtsnabba arbete i alla de studier vi gjort tillsammans. Utan dig skulle det vara mycket tråkigare att forska! Erik Andersson för din inspirerande insats som opponent på mitt halvtidsseminarium. Det var verkligen en positiv injektion i arbetet med avhandlingen. Alexander Rozental för din värdefulla feedback i egenskap av opponent på slutseminariet. Tack vare dig känner jag mig bättre rustad för disputationen, något jag är mycket tacksam för. Min opponent på disputationen, Rikard Wicksell. Tack för ditt engagemang! Alla forskarkollegor och doktorander som jag stött på genom åren. Ni har alla berikat min tillvaro och forskning. Jag vill även specifikt tacka Matilda Berg för din glädje, närvaro och nyfikenhet i våra samtal, du har verkligen haft en positiv inverkan på min tid som doktorand. Tack Örn Kolbeinsson och Anton Käll för alla stimulerande samtal och att ni delat med er av er kunskap om metod. Tack Tomas Lindegaard för spännande samtal om olika perspektiv i behandling. Alla som arbetat i studierna och medförfattare.

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Worry and Generalized Anxiety Disorder: A Review

Cited by 8 publications

References 160 publications

The psychometric properties of the Generalized Anxiety Disorder scale (GAD-7) among Korean university students

The psychometric properties of the Generalized Anxiety Disorder scale (GAD-7) among Korean university students

Differences Between Subclinical Ruminators and Reflectors in Narrating Autobiographical Memories: Innovative Moments and Autobiographical Reasoning

Development and evaluation of an internet-based treatment for generalized anxiety disorder : An acceptance-based approach

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