Volume 13, Issue 2 (1-2019)                   bjcp 2019, 13(2): 89-98 | Back to browse issues page


XML Persian Abstract Print


1- M.Sc., Shiraz University Faculty of Education and Psychology Department of Clinical Psychology , bita.fateme@yahoo.com
2- Associate Professor, Shiraz University Faculty of Education and Psychology Department of Clinical Psychology
3- Professor, Shiraz University Faculty of Education and Psychology Department of Clinical Psychology
Full-Text [PDF 963 kb]   (2195 Downloads)     |   Abstract (HTML)  (4867 Views)
Full-Text:   (3050 Views)
Abstract
The purpose of this study was examination of effect of worry on both physiological and emotional responding to negative emotional stimuli. This study was a semi-experimental research design with pretest, posttest and control group. 41 participants with generalized anxiety disorder (21 person induce relaxation and 20 person induce worry) and 39 nonanxious control participants (19 person induce relaxation and 20 person induce worry) were randomly assigned to engage in worry and relaxation inductions prior to exposure to fear and sadness-inducing film clips. Participants of this study were assessed by positive and negetive affect and the pulse oximetery equipment.
Results indicated that worry leads to reduced heart rate and negative affect responding to the fearful film clip and relaxation increases negative affect in response to the sad and fearful clip. Aditionally worry leads to more decrease in heart rate responding to the fearful film clip in GAD group (vs. normal).
Worry may facilitate avoidance of processing negative emotions by a way of preventing a negative emotional contrast.
Keywords:
worry, generalized anxiety disorder, emotional contrast, negetive affect, heart rate
Type of Study: Research | Subject: Special
Received: 2015/07/23 | Accepted: 2018/10/23 | Published: 2019/12/1

References
1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. [DOI:10.1176/appi. books.9780890425596]
2. Amiri, S. and Isazadegan, A. (2016). [Assessment of affect and brain-behavioral systems based on cycle of morningness and eveningness (Persian)]. Contemporary Psychology, 10(2), 101-112.
3. Bandelow, B., Boerner R., Kasper, S., Linden, M., Wittchen H.U., Moller, H.J. (2013). The diagnosis and treatment of generalized anxiety disorder. Deutsches Arzteblatt, 1110, 300-310. [DOI:10.3238/arztebl.2013.0300] [PMid: 23671 484] [PMCid:PMC3651952]
4. Besharat, M. A. (2008), [Investigating the Psychometric Properties of the Persian Version of the Positive and Negative Emotions List (Persian)]. Research report of Tehran University.
5. Bita, F. and Mohamadi, N. (2017), [The Psychometric Properties of the Generalized Anxiety Disorder Questionnaire-IV (Persian)]. Journal of Psychological Models and Methods, 8(29), 87-104.
6. Borkovec, T. D., Alcaine, O. & Behar E. S. (2004). Avoidance theory of worry and generalized anxiety disorder. In: Heimberg, R., Mennin, D., Turk, C., (Eds.), Generalized anxiety disorder: Advances in research and practice. Guilford; New York: 77–108.
7. Borkovec, T. D., Ray, W. J., & Stöber, J. (1998).Worry: a cognitive phenomenon intimately linked to affective, physiological, and interpersonal behavioral processes. Cognitive Therapy and Research, 22, 561–576. [DOI:10.102 3/A:1018790003416]
8. Cohen, J. (1988) statistical power analysis for the behavioral sciences, 2th edition, lawerence erlbaum associates, publishers Hillsdale, New Jersey, p 315.
9. Fisher, A. J., Granger, D. A., & Newman, M. G. (2010). Sympathetic arousal moderates self-reported physiological arousal symptoms at baseline and physiological flexibility in response to a stressor in generalized anxiety disorder. Biological Psychology, 83, 191-200. [DOI:10.1016/j.bio psycho.2009.12.007] [PMid:20036309]
10. Fisher, A. J., & Newman, M. G. (2013). Heart rate and autonomic response to stress after experimental induction of worry versus relaxation in healthy, high-worry, and generalized anxiety disorder individuals. Biological Psychology, 93, 65-74. [DOI:10.1016/j.biopsycho.2013.01. 012] [PMid:23384513]
11. Friedman, B.H. (2007). An autonomic flexibility-neurovisceral integration model of anxiety and cardiac vagal tone. Biological Psychology, 74, 185-199. [DOI:10.1016/j.bio psycho.2005.08.009] [PMid:17069959]
12. Hallion, L. S., & Ruscio, A. M. (2013). Should uncontrollable worry be removed from the definition of GAD? A test of incremental validity. Journal of Abnormal Psychology, 122, (2), 369-375. [DOI:10.1037/a0031731] [PMid:23713499]
13. Kessler, R.C., Chiu, W.T., Demler, O., & Walters, E.E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627. https:// doi.org/10.1001/archpsyc.62.6.617, [DOI:10.1001/arch psyc.62.6.593] [PMCid:PMC2847357]
14. Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence of age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602. https://doi.org/10.1001/archpsyc. 62.6.617, [DOI:10.1001/archpsyc.62.6.593] [PMid:159398 37]
15. Llera, S. J. & Newman M. G. (2010). Effects of worry on physiological and subjective reactivity to emotional stimuli in generalized anxiety disorder and nonanxious control participants. Emotion, 10(5), 640–650. [DOI:10.1037/a0019 351] [PMid:21038947]
16. Llera, S. J., & Newman, M. G. (2014). Rethinking the role of worry in generalized anxiety disorder: Evidence supporting a model of emotional contrast avoidance. Behavior Therapy, 45, 3, 283-299. https://doi.org/10.1016/j.beth. 2013.12.011, PMid:24680226
17. Mahmood Alilou, M. (2006). [Worry and its relation with checking and washing subtypes of (OCD) (Persian)]. Contemporary Psychology, 1(1), 3-10.
18. McLaughlin, K. A., Borkovec, T. D. & Sibrava, N. J. (2007). The Effects of Worry and Rumination on Affect States and Cognitive Activity. Behavior Therapy, 38, 1, 23-38. [DOI:10.1016/j.beth.2006.03.003] [PMid:17292692]
19. 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 Psychological: Science and Practice, 9, 85–90. [DOI: 10.1093/clipsy.9.1.85]
20. Mezzacappa, E., Tremblay, R. E., Kindlon, D., Saul, J. P., Arseneault, L., Seguin, J., et al. (1997). Anxiety, antisocial behavior, and heart rate regulation in adolescent males. Journal of Child Psychology and Psychiatry, 38, 457–469. [DOI:10.1111/j.1469-7610.1997.tb01531.x] [PMid:92324 91]
21. Mohammadi N. (2011). [The factor structure of state and trait forms of positive and negative affect scales (Persian)]. Journal of Behavioral Sciences (JBS), 5(1), 21-26.
22. Newman, M. G., Castonguay, L. G., Borkovec, T. D. & Molnar, C. (2004). Integrative psychotherapy. In: Heimberg, R. G., Turk, C.L. & Mennin, D. S., (Eds.), Generalized anxiety disorder: Advances in research and practice. Guilford Press: New York: 320–350.
23. Newman, M. G. & Llera, S. J., (2011). A novel theory of experiential avoidance in generalized anxiety disorder: A review and synthesis of research supporting a contrast avoidance model of worry, Clinical Psychology Reviews, 31(3), 371–382. [DOI:10.1016/j.cpr.2011.01.008] [PMid: 21334285] [PMCid:PMC3073849]
24. Newman, M. G., Llera, S. J., Erickson, T. E., Przeworski, A., & Castonguay, L. G. (2013). Worry and Generalized Anxiety Disorder: A review and synthesis of research on its nature, etiology, and treatment. Annual Review of Clinical Psychology, 9, 275-297. [DOI:10.1146/annurev-clinpsy-05 0212-185544] [PMid:23537486] [PMCid:PMC 4964851]
25. Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., Erickson, T. & Cashman-McGrath, L. (2002). Prelim-inary 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. [DOI:10.1016/S0005-7894 (02)80026-0]
26. Roemer, L., & Orsillo, S. M. (2002). Expanding our onceptualization of and treatment for generalized anxiety disorder: integrating mindfulness / acceptance - based approaches with existing cognitive - behavioral models. Clinical Psychology: Science and Practice, 9, 54–68. [DOI: 10.1093/clipsy/9.1.54]
27. Roemer, L., Salters, K., Raffa, S. D. & Orsillo, S. M. (2005). Fear and avoidance of internal experiences in GAD: Preliminary tests of a conceptual model. Cognitive Therapy and Research. 29, 1, 71–88. [DOI:10.1007/s10608-005-1650-2]
28. Seeley, S. H., Mennin, D. S., Aldao, A., McLaughlin, K. A., Rottenberg, J. and Fresco, D. A. (2016). Impact of Comorbid Depressive Disorders on Subjective and Physiological Responses to Emotion in Generalized Anxiety Disorder. Cognit Ther Res; 40(30): 290–303. [DOI:10.1007/s10608–015–9744-y] [PMid:27660375] [PMCid: PMC5029787]
30. Stapinski, L. A., Abbott, M. J., & Rapee, R. M. (2010). Evaluating the cognitive avoidance model of generalised anxiety disorder: Impact of worry on threat appraisal, perceived control and anxious arousal. Behaviour Research and Therapy, 48, 1032-1040. [DOI:10.1016/j.brat. 2010.07.005] [PMid:20688319]
31. Thayer, J. F., Friedman, B. H., & Borkovec, T. D. (1996). Autonomic characteristics of generalized anxiety disorder and worry. Biological Psychiatry, 39, 255–266. [DOI:10. 1016/0006-3223(95)00136-0]
32. Watson, D., Clark, L. A. &Tellegen, A. (1988). Development and validation of a brief measure of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54 (6), 1063-1070. [DOI:10.1037/0022-3514. 54.6.1063]
33. Wells, A. & Carter, K. (2001). Further tests of a cognitive model of generalized anxiety disorder: metacognitions and worry in GAD, panic disorder, social phobia, depression, and nonpatients. Behavior Therapy, 32, 85–102. [DOI:10.1016/ S0005-7894(01)80045-9]
34. Zemestani, M. and Imani, M. (2016). [Effectiveness of transdiagnostic treatment on depression/anxiety symptoms and emotion regulation (Persian)]. Contemporary Psychology, 11(1), 21-32.

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.