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Cognitive Therapy and Research

, Volume 26, Issue 2, pp 167–177 | Cite as

The Cognitive Content of Naturally Occurring Worry Episodes

  • Marianna Szabó
  • Peter F. Lovibond
Article

Abstract

Fifty-seven participants were selected to represent a wide range on the dimension of worry proneness. They monitored and listed their worrisome thoughts in a diary for 7 days, and rated the uncontrollability of each recorded worry episode. Content analysis revealed that 48% of worrisome thoughts could be categorized as reflecting a problem-solving process, 17% as anticipation of future negative outcomes, 11% as “rumination,” and 5% as reflecting “palliative” thoughts and “self blame.” The extent of negative outcome anticipation or problem solving did not covary with worry severity. Higher trait worry proneness and more frequent and uncontrollable worrying during the monitoring period were associated with more rumination and fewer reports of successful solutions to problems. The results suggest that worry consists largely of attempted problem solving, and that one possible mechanism in the emergence of pathological worry may be a failure to bring problem solving to a satisfactory conclusion.

worry GAD self-monitoring problem solving diary 

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REFERENCES

  1. American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders IV (DSMIV). Washington DC: Author.Google Scholar
  2. 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 (Chap. 1, pp. 5–35). Chichester: Wiley.Google Scholar
  3. Borkovec, T. D., & Roemer, L. (1995). Perceived functions of worry among generalized anxiety disorder subjects: Distraction from more emotionally distressing topics? Behavior Therapy and Experimental Psychiatry, 26, 25–30.Google Scholar
  4. Borkovec, T. D., Ray, W. J., & Stober, J. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological and interpersonal behavioural processes. Cognitive Therapy and Research, 22, 561–576.Google Scholar
  5. Cartwright-Hatton, S., & Wells, A. (1997). Beliefs about worry and intrusions: The meta-cognitions questionnaire and its correlates. Journal of Anxiety Disorders, 11, 279–296.Google Scholar
  6. Clark, D. A., & Purdon, C. L. (1995). The assessment of unwanted intrusive thoughts: A review and critique of literature. Behaviour Research and Therapy, 33, 967–976.Google Scholar
  7. Craske, M. G., Rapee, R. M., Jackel, L., & Barlow, D. H. (1989). Qualitative dimensions of worry in DSM-III-R generalized anxiety disorder subjects and nonanxious controls. Behaviour Research and Therapy, 27, 397–402.Google Scholar
  8. Davey, G.C. L. (1994). Pathological worrying as exacerbated problem solving. In G.C. L. Davey & F. Tallis (Eds.), Worrying: Perspectives on theory, assessment and treatment. (Chap. 2, pp. 35–61). Chichester: Wiley.Google Scholar
  9. Davey, G.C. L., & Levy, S. (1999). Internal statements associated with worrying. Personality and Individual Differences, 26, 21–23.Google Scholar
  10. Davey, G. C. L., Tallis, F., & Capuzzo, N. (1996). Beliefs about the consequences of worrying. Cognitive Therapy and Research, 20, 499–520.Google Scholar
  11. D'Zurilla, T. J., & Nezu, A. M. (1990). Development and preliminary evaluation of the Social Problem Solving Inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 2, 156–163.Google Scholar
  12. Freeston, M. H., Rheaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17, 791–802.Google Scholar
  13. Ladouceur, R., Blais, F., Freeston, M. H., & Dugas, M. J. (1998). Problem solving and problem orientation in Generalized Anxiety Disorder. Journal of Anxiety Disorders, 12, 139–152.Google Scholar
  14. Ladouceur, R., Talbot, F., & Dugas, M. (1997). Behavioural expressions of intolerance of uncertainty in worry. Behavior Modification, 21, 355–371.Google Scholar
  15. Mathews, A. (1990).Why worry? The cognitive function of anxiety. Behaviour Research and Therapy, 28, 455–468.Google Scholar
  16. Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn StateWorry Questionnaire. Behaviour Research and Therapy, 28, 487–495.Google Scholar
  17. Molina, S., Borkovec, T. D., Peasly, C., & Person, D. (1998). Content analysis of worrisome streams of consciousness in anxious and dysphoric participants. Cognitive Therapy and Research, 22, 109–123.Google Scholar
  18. Newman, M. G., Zuellig, A. R., Kachin, K. E., & Constantino, M. J. (1997, November). Examination of the reliability and validity of the GADQ-IV: A revised self-report measure of Generalised Anxiety Disorder. Poster presented at the 31st Conference of the Association for Advancement of Behavior Therapy, Miami, FL.Google Scholar
  19. Nolen-Hoeksema, S., Morrow, J., & Fredrickson, B. J. (1993). Response styles and the duration of episodes of depressed mood. Journal of Abnormal Psychology, 102, 20–28.Google Scholar
  20. Stanley, B., & Gibson, A. J. (1985). The prevalence of chronic psychiatric morbidity. British Journal of Psychiatry, 140, 372–376.Google Scholar
  21. Tallis, F., Davey, G. C. L., & Capuzzo, N. (1994). The phenomenology of nonpathological worry:Apreliminary investigation. In G. C. L. Davey & F. Tallis (Eds.),Worrying: Perspectives on theory, assessment and treatment (Chap. 3, pp. 61–91). Chichester: Wiley.Google Scholar
  22. Tallis, F., & Eysenck, M. W. (1994). Worry: Mechanisms and modulating influences. Behavioural and Cognitive Psychotherapy, 22, 37–56.Google Scholar
  23. Tallis, F., Eysenck, M., & Mathews, A. (1991). Elevated evidence requirements and worry. Personality and Individual Differences, 12, 21–27.Google Scholar
  24. Wells, A., & Morrison, A. P. (1994). Qualitative dimensions of normal worry and normal obsessions: A comparative study. Behaviour Research and Therapy, 32, 867–870.Google Scholar
  25. Wells, A. (1999). A cognitive model of generalized anxiety disorder. Behaviour Modification, 23, 526–555.Google Scholar

Copyright information

© Plenum Publishing Corporation 2002

Authors and Affiliations

  • Marianna Szabó
    • 1
  • Peter F. Lovibond
    • 1
  1. 1.School of PsychologyUniversity of New South WalesSydneyAustralia

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