Cognitive Therapy and Research

, Volume 29, Issue 1, pp 7–27 | Cite as

The Looming Cognitive Style and Generalized Anxiety Disorder: Distinctive Danger Schemas and Cognitive Phenomenology

Article

Abstract

While great strides have been made in understanding the nature, role, and maintenance of maladaptive cognitive and affective avoidance strategies in generalized anxiety disorder (GAD), much remains to be learned about the nature of threat appraisals that are instigators of such compensatory self-protective responses. The looming cognitive style (LCS) is characterized by a distinctive cognitive phenomenology and tendency to construct mental scenarios and appraisals of unfolding threat and increasing danger. Research shows that the LCS functions as a danger schema and is related to worry and anxiety but not depression. Two studies were conducted to examine the role of the LCS in GAD. Results of these studies suggest that the LCS is present at higher levels in GADs but not in non-GADS or unipolar depressives. Study 1 used an analogue sample of students with a probable diagnosis of GAD. Study 2 investigated the distinctiveness and specificity of the LCS in clinically diagnosed patients and nonpsychopathology controls. Results of Study 2 indicate that the LCS is present in clinical GADs but not unipolar depressive disorders or nonpsychopathology controls. Collectively, results of both studies suggest that the LCS uniquely contributes to the discrimination and classification of GAD beyond the effects of anxious and depressive symptoms, worry, and thought suppression. Results are discussed in terms of their implications for extending current cognitive conceptualizations of GAD.

Key words

generalized anxiety disorder danger schemas looming vulnerability discrimination of anxiety from depression 
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References

  1. Alloy, L. B., Abramson, L. Y., Raniere, D., & Dyller, I. (1999). Research methods in adult psychopathology. In P. C. Kendall, J. N. Butcher & G. N. Holmbeck (Eds.), Handbook of research methods in clinical psychology (2nd ed.). New York: Wiley.Google Scholar
  2. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
  3. Baumeister, R. F., & Bratslavsky, E. (1999). Passion, intimacy, and time: Passionate love as a function of change in intimacy. Personality and Social Psychology Review, 3, 49–67.PubMedGoogle Scholar
  4. Beck, A. T., & Clark, D. A. (1997). An information processing model of anxiety: Automatic and strategic processes. Behaviour Research and Therapy, 35, 49–58.PubMedGoogle Scholar
  5. Beck, A. T., & Emery, G. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.Google Scholar
  6. Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897.PubMedGoogle Scholar
  7. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.Google Scholar
  8. Beck, R., & Perkins, T. S. (2001). Cognitive content-specificity for anxiety and depression: A meta-analysis. Cognitive Therapy and Research, 25, 651–663.Google Scholar
  9. Borkovec, T. D. (1994). The nature, functions, and origins of worry. In G. C. L. Davey & F. Tallis (Eds.), Worrying: Perspectives on theory assessment, and treatment. New York: Wiley.Google Scholar
  10. Borkovec, T. D., & Inz, J. (1990). The nature of worry in generalized anxiety disorder: A predominance of thought activity. Behaviour Research and Therapy, 28, 153–158.PubMedGoogle Scholar
  11. Borkovec, T. D., Ray, W. J., & Stoeber, J. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal behavioral processes. Cognitive Therapy and Research, 22, 561–576.Google Scholar
  12. Brown, T. A., DiNardo, P. A., Lehman, C. L., & Campbell, L. A. (2001). Reliability of DSM-IV anxiety and mood disorders: Implications for classification of emotional disorders. Journal of Abnormal Psychology, 110, 49–58.PubMedGoogle Scholar
  13. Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: A preliminary test of a conceptual model. Behaviour Research and Therapy, 36, 215–226.PubMedGoogle Scholar
  14. Fisher, P. L., & Durham, R. A. (1999). Recovery rates in generalized anxiety disorder following psychological therapy: An analysis of clinically significant change in STAI-T across outcome studies since 1990. Psychological Medicine, 29, 1425–1434.PubMedGoogle Scholar
  15. Geer, J. H. (1965). The development of a scale to measure fear. Behaviour Research and Therapy, 3, 45–53.PubMedGoogle Scholar
  16. Gilbert, P. (2001). Evolutionary approaches to psychopathology: The role of natural defenses. Australian and New Zealand Journal of Psychiatry, 35, 17–27.PubMedGoogle Scholar
  17. Greenberg, P. E., Sisitsky, T., Kessler, R. C., Finkelstein, S. N., Berndt, E. R., Davidson, J. R. T., et al. (1999). The economic burden of anxiety disorders in the 1990s. Journal of Clinical Psychiatry, 60, 427–435.PubMedGoogle Scholar
  18. Hamilton, M. (1958). The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50–55.Google Scholar
  19. Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.CrossRefPubMedGoogle Scholar
  20. Hoehn-Saric, R., Hazlett, R. L., & McLeod, D. R. (1993). Generalized anxiety disorder with early and late onset of anxiety symptoms. Comprehensive Psychiatry, 34, 291–298.PubMedGoogle Scholar
  21. Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371–375.Google Scholar
  22. Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2002). Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice, 9, 85–90.Google Scholar
  23. Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487–496.PubMedGoogle Scholar
  24. Newman, M. G., Zuellig, A. R., Kachin, K. E., Costantino, M. J., Przeworski, A., Erickson, T., et al. (2002). Preliminary reliability and validity of the Generalized Anxiety Disorder Questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33, 215–233.Google Scholar
  25. Noyes, R., Woodman, C., Garvey, M. J., Cook, B. L., Suelzer, M., Clancy, J., et al. (1992). Generalized anxiety disorder versus panic disorder: Distinguishing characteristics and patterns of comorbidity. Journal of Nervous and Mental Disease, 180, 396–370.Google Scholar
  26. Ortony, A., Clore, G. L., & Collins, A., (1988). The cognitive structure of emotions. New York, NY: Cambridge University Press.Google Scholar
  27. Riskind, J. H. (1997). Looming vulnerability to threat: A cognitive paradigm for anxiety. Behaviour Research and Therapy, 35, 386–404.Google Scholar
  28. Riskind, J. H. (2004). Looming cognitive style and affect regulation. Unpublished manuscript, George Mason University.Google Scholar
  29. Riskind, J. H., & Alloy, L. B. (in press). Cognitive vulnerability to emotional disorders: Theory, design, and methods. In L. B. Alloy & J. H. Riskind (Eds.), Cognitive vulnerability to emotional disorders. New Jersey: Earlbaum.Google Scholar
  30. Riskind, J. H., & Williams, N. L. (in press a). A unique vulnerability common to all anxiety disorders: The looming maladaptive style. In L. B. Alloy & J. H. Riskind (Eds.), Cognitive vulnerability to emotional disorders. New Jersey: Earlbaum.Google Scholar
  31. Riskind, J. H., & Williams, N. L. (in press b). Cognitive vulnerability to anxiety: The looming cognitive style as a superordinate vulnerability factor to anxiety disorders. Journal of Social and Clinical Psychology.Google Scholar
  32. Riskind, J. H., Williams, N. L., Gessner, T., Chrosniak, L. D., & Cortina, J. (2000). The looming maladaptive style: Anxiety, danger, and schematic processing. Journal of Personality and Social Psychology, 79, 837–852.PubMedGoogle Scholar
  33. Roemer, L., Borkovec, M., Posa, S., & Borkovec, T. D. (1995). A self-report diagnostic measure of generalized anxiety disorder. Journal of Behavior Therapy and Experimental Psychiatry, 26, 345–350.PubMedGoogle Scholar
  34. Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive behavioral models. Clinical Psychology: Science and Practice, 8, 54–68.Google Scholar
  35. Sanavio, E. (1988). Obsessions and compulsions: The Padua Inventory. Behaviour Research and Therapy, 26, 169–177.PubMedGoogle Scholar
  36. Taylor, S. E., Pham, L. B., Rivkin, I. D., & Armor, D. A. (1998). Harnessing the imagination: Mental stimulation, self-regulation, and coping. American Psychologist, 53, 429–439.PubMedGoogle Scholar
  37. Tversky, A. & Kahneman, D. (1974). Judgment under uncertainty: Heuristics and biases. Science 1124–1131.Google Scholar
  38. van Oppen, P., Hoekstra, R. J., & Emmelkamp, P. M. G. (1995). The structure of obsessive-compulsive symptoms. Behaviour Research and Therapy, 33, 15–23.PubMedGoogle Scholar
  39. Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448–457.PubMedGoogle Scholar
  40. Wells, A. (1995). Meta-cognition and worry: A cognitive model of generalized anxiety disorder. Behavioural and Cognitive Psychotherapy, 23, 301–320.CrossRefGoogle Scholar
  41. Wegner, D. M., & Zanakos, S. (1994). Chronic thought suppression. Journal of Personality, 62, 615–640.Google Scholar
  42. Williams, N. L. (2002). The cognitive interactional model of appraisal and coping: Implications for anxiety and depression. Unpublished doctoral dissertation, George Mason University, Fairfax.Google Scholar
  43. Williams, N. L., Olatunji, B. O., Riskind, J. H., & Elwood, L. S. (in press). Cognitive vulnerabilities to contamination fears and obsessional thoughts.Google Scholar
  44. Williams, N. L., Shahar, G., Riskind, J. H., & Joiner, T. E. (in press). The looming cognitive style has a general effect on an anxiety disorder symptoms factor: Further support for a cognitive model of vulnerability to anxiety. Journal of Anxiety Disorders.Google Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.George Mason UniversityUSA
  2. 2.University of ArkansasUSA
  3. 3.Department of Psychology MSN 3F5George Mason UniversityFairfax

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