Abstract
Research on worry during the past 15 years hasrevealed a remarkable amount of knowledge about thispervasive human phenomenon. Worry involves apredominance of verbal thought activity, functions as atype of cognitive avoidance, and inhibits emotionalprocessing. Worry also produces not only anxiousexperience but depressive affect as well. Recentevidence suggests that the very private experience ofworry is developmentally connected to enmeshedchildhood relationships with the primary caregiver andis currently associated with significant interpersonalproblems, especially those involving tendency to be overly nurturing to others. At thephysiological level, worry is characterized peripherallyby parasympathetic deficiency and autonomic rigidity andcentrally by left-frontal activation.
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REFERENCES
Andrews, V. H., & Borkovec, T. D. (1988). The differential effects of induction of worry, somatic anxiety, and depression on emotional experience. Journal of Behavior Therapy and Experimental Psychiatry, 19, 21–26.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders(4th ed.). Washington, DC: Author.
Borkovec, T. D. (1979). Pseudo(experiential)-insomnia and idiopathic(objective) insomnia: Theoretical and therapeutic issues. Advances in Behaviour Research and Therapy, 2, 27–55.
Borkovec, T. D., & Hu, S. (1990). The effect of worry on cardiovascular response to phobic imagery. Behaviour Research and Therapy, 28, 69–73.
Borkovec, T. D., & Inz, J. (1990). The nature of worry in generalize d anxiety disorder: A predominance of thought activity. Behaviour Research and Therapy, 28, 153–158.
Borkovec, T. D., Lyonfields, J. D., Wiser, S. L., & Diehl, L. (1993). The role of worrisome thinking in the suppression of cardiovascular response to phobic imagery. Behaviour Research and Therapy, 31, 321–324.
Borkovec, T. D., & Newman, M. G. (in press). Worry and generalized anxiety disorder. In P. Salkovskis (Ed.), Comprehensive clinical psychology. Oxford, England: Elsevier Science.
Borkovec, T. D., & Roemer, L. (1995). Perceived functions of worry among generalized anxiety disorder subjects: Distraction from more emotional topics? Journal of Behavior Therapy and Experimental Psychiatry, 26, 25–30.
Butler, G., Wells, A., & Dewick, H. (1995). Differential effects of worry and imagery after exposure to a stressful stimulus: A pilot study. Behavioural and Cognitive Psychotherapy, 23, 45–56.
Carter, W., Johnson, M., & Borkovec, T. D. (1986). Worry: An electrocortical analysis. Advances in Behavioural Research and Therapy, 8, 193–204.
Cassidy, J. (1995). Attachment and generalized anxiety disorder. In D. C. &S. Toth (Eds.), Rochester symposium on developmental psychopathology: Emotion, cognition and representation(pp. 343–370). Rochester, NY: University of Rochester Press.
Davidson, R. (1992). Anterior cerebral asymmetry and the nature of emotion. Brain and Cognition, 20, 125–151.
Deffenbacher, J. L. (1980). Worry and emotionality in test anxiety. In I. G. Sarason (Ed.), Test anxiety: Theory, research and application. Hillside, NJ: Erlbaum.
Eysenck, M. W. (1992). Anxiety: The cognitive perspective. Hillsdale, NJ: Erlbaum.
Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.
Gray, J. A. (1982). Precis of “The neurophysiology of anxiety: An enquiry into the functions of the septo-hippocampal system.” Behavioral and Brain Sciences, 5, 469–534.
Hazlett-Stevens, H. (1997a, November). Cognitive flexibility in an analogue GAD population. Paper presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Miami.
Hazlett-Stevens, H. (1997b, November). The role of relaxation and worry in the reduction of fear: An investigation of speech anxiety.Paper presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Miami.
Heller, W., Etienne, M., & Miller, G. (1995). Patterns of perceptual asymmetry in depression and anxiety: Implications for neuropsychological models of emotion and psychopathology. Journal of Abnormal Psychology, 104, 327–333.
Heller, W., Nitschke, J., Etienne, M., & Miller, G. (1997). Patterns of regional brain activity differentiate types of anxiety. Journal of Abnormal Psychology, 106, 376–385.
Hembree, R. (1988). Correlates, causes, effects, and treatment of test anxiety. Review of Educational Research, 58, 47–77.
Hoehn-Saric, R., & McLeod, D. R. (1988). The peripheral sympathetic nervous system: Its role in normal and pathological anxiety. Psychiatric Clinics of North America, 11, 375–386.
Hoehn-Saric, R., McLeod, D. R., & Zimmerli, W. D. (1989). Somatic manifestations in women with generalized anxiety disorder: Physiological responses to psychological stress. Archives of General Psychiatry, 46, 1113–1119.
Horowitz, L. M., Rosenberg, S. E., & Bartholomew, K. (1993). Interpersonal problems, attachment styles, and outcome in brief dynamic therapy. Journal of Consulting and Clinical Psychology, 61, 549–560.
Joormann, J., & Stöber, J. (1997, July). Differentiating worry from somatic anxiety and depression: Common versus specific characteristics. Paper presented at the meeting of the Stress and Anxiety Research Society, Düsseldorf, Germany.
Lutzenberger, W., Elbert, T., Birbaumer, N., Ray, W. J., & Schupp, H. (1992). The scalp distribution of the fractal dimension of the EEG and its variation with mental tasks. Brain Topography, 5, 27–34.
Lutzenberger, W., Preissl, H., & Pulvermuller, F. (1995). Fractal dimension of electroencephalographic time series and underlying brain processes. Biological Cybernetics, 73,477–482.
Lyonfields, J. D., Borkovec, T. D., & Thayer, J. F. (1995). Vagal tone in generalized anxiety disorder and the effects of aversive imagery and worrisome thinking. Behavior Therapy, 26, 457–466.
Mathews, A. (1990). Why worry? The cognitive function of anxiety. Behaviour Research and Therapy, 28, 455–468.
Mathews, A., & MacLeod, C. (1994). Cognitive approaches to emotion and emotional disorders. Annual Review of Psychology, 45, 25–50.
Metzger, R. L., Miller, M. L., Cohen, M., Sofka, M., & Borkovec, T. D. (1990). Worry changes decision making: The effect of negative thoughts on cognitive processing. Journal of Clinical Psychology, 46, 78–88.
Molina, S., Borkovec, T. D., Peasely, C., & Person, D. (1998). Content analysis of worrisome streams of consciousness in anxious and dysphoric participants. Cognitive Therapy and Research, 22,109–123.
Monroe, L. J. (1967). Psychological and physiological differences between good and poor sleepers. Journal of Abnormal Psychology, 72, 255–264.
Mowrer, O. H. (1947). On the dual nature of learning: A re-interpretation of “conditioning” and “problem-solving.” Harvard Educational Review, 17, 102–148.
Nolen-Hoeksema, S. (1996). Chewing the cud and other ruminations. In R. S. Wyer (Ed.), Advances in social cognition(pp. 135–144). Hillsdale, NJ: Erlbaum.
Osgood, C., Suci, G., & Tannenbaum, P. (1957). The measurement of meaning. Urbana: University of Illinois Press.
Paivio, A. (1986). Mental representations: A dual coding approach. New York: Oxford University Press.
Paivio, A., & Marschark, M. (1991). Integrative processing of concrete and abstract sentences. In A. Paivio (Ed.), Images in the mind: The evolution of a theory(pp. 134–154). New York: Harvester Wheatsheaf.
Parkinson, L., & Rachman, S. (1981). The nature of intrusive thoughts. Advances in Behaviour Research and Therapy, 3, 101–110.
Pincus, A. L., & Borkovec, T. D. (1994, June ). Interpersonal problem sin generalized anxiety disorder: Preliminary clustering of patients' interpersonal dysfunction. Paper presented at the annual meeting of the American Psychological Society, New York.
Porges, S. W. (1992). Autonomic regulation and attention. In B. A. Campbell, H. Hayne, & R. Richardson (Eds.), Attention and information processing in infants and adults(pp. 201–223). Hillside, NJ: Erlbaum.
Pribram, C. (1981). Emotions. In S. Filskov & T. Boll (Eds.), Handbook of clinical neuropsychology(pp. 102–134). New York: Wiley.
Ray, W. J., & Cole, H. W. (1985). EEG alpha reflects attentional demands, beta reflects emotional and cognitive processes. Science, 228, 750–752.
Richards, J. E. (1987). Infant visual development and respiratory sinus arrhythmia. Child Development, 58, 488–496.
Roemer, L., Molina, S., & Borkovec, T. D. (1997). The nature of generalized anxiety disorder: Worry content. Journal of Nervous and Mental Disease, 185, 314–319.
Roemer, L., Molina, S., Litz, B. T., & Borkovec, T. D. (1997). A preliminary investigation of the role of potentially traumatizing events in generalized anxiety disorder. Depression and Anxiety, 4, 134–138.
Schönpflug, W. (1989). Anxiety, worry, prospective orientation, and prevention. In C. D. Spielberger & I. G. Sarason (Eds.), Stress and anxiety(pp. 245–258). Washington, DC: Hemisphere.
Seipp, B. (1991). Anxiety and academic performance: A meta-analysis of findings. Anxiety Research, 4, 27–41.
Smith, L. C. (1984). Semantic satiation affects category membership decision time but not lexical priming. Memory & Cognition, 12, 483–488.
Stöber, J. (1997, November). Worry and problem elaboration: Reduced concreteness and imagery for worrisome topics. Paper presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Miami.
Thayer, J., & Borkovec, T. D. (July, 1995). Cardiovascular evidence for higher-order classical aversive conditioning in generalized anxiety disorder. Paper presented at the World Congress of Behavioural and Cognitive Therapies, Copenhagen, Denmark.
Thayer, J. F., Friedman, B. H., & Borkovec, T. D. (1996). Autonomic characteristics of generalized anxiety disorder and worry. Biological Psychiatry, 39, 255–266.
Tucker, D. M. (1981). Lateral brain function, emotion, and conceptualization. Psychological Bulletin, 89, 19–46.
Tucker, D., Antes, J., Stenslie, C., & Barnhardt, T. (1978). Anxiety and lateral cerebral function. Journal of Abnormal Psychology, 87, 487–491.
Tucker, D. M., & Newman, J. P. (1981). Verbal versus imaginal cognitive strategies in the inhibition of emotional arousal. Cognitive Therapy and Research, 5, 197–202.
Tyler, S., & Tucker, D. (1982). Anxiety and perceptual structure: Individual difference s in neuropsychological function. Journal of Abnormal Psychology, 91, 210–220.
Vasey, M. W., & Borkovec, T. D. (1992). A catastrophizing assessment of worrisome thoughts. Cognitive Therapy and Research, 16, 1–16.
Vrana, S. R., Cuthbert, B. N., & Lang, P. J. (1986). Fear imagery and text processing. Psychophysiology, 23, 247–253.
Wells, A. (1995). Meta-cognition and worry: A cognitive model of generalized anxiety disorder. Behavioural and Cognitive Psychotherapy, 23, 301–320.
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Borkovec, T.D., Ray, W.J. & Stober, J. Worry: A Cognitive Phenomenon Intimately Linked to Affective, Physiological, and Interpersonal Behavioral Processes. Cognitive Therapy and Research 22, 561–576 (1998). https://doi.org/10.1023/A:1018790003416
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DOI: https://doi.org/10.1023/A:1018790003416