THE NATURE OF WORRY IN GENERALIZED ANXIETY DISORDER - A PREDOMINANCE OF THOUGHT ACTIVITY
THE NATURE OF WORRY IN GENERALIZED ANXIETY DISORDER - A PREDOMINANCE OF THOUGHT ACTIVITY
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DOI：
10.1016/0005-7967(90)90027-g
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发表时间：
1990-01-01
影响因子：
4.1
通讯作者：
INZ, J
中科院分区：
文献类型：
--
作者：
BORKOVEC, TD;INZ, J
间接证据表明，担忧主要涉及思维活动，而不是想象中的活动，这是认知过程中的一种区别，对某些焦虑维持和调整理论具有潜在的关键作用。这项研究对比了广泛性焦虑症患者和匹配的非焦虑对照组受试者在自我放松期和忧虑期报告思想和图像出现的频率。在患者完成12个疗程的治疗后，对他们进行了重复评估。对这些时期的心理状态进行抽样调查，结果显示：(A)在放松过程中，无焦虑的受试者报告的表象占优势，而受试者表现出相同数量的思维和表象；(B)非焦虑受试者在焦虑时转为以思维占优势；(C)受试者在成功治疗后表现出思维和表象频率的正常化。这些结果的组合表明，担忧在内容上主要是类似于思考的。有人推测，担忧可能起到了对情绪意象及其伴随的躯体感觉的动机回避的作用。
Indirect evidence suggests that worry primarily involves thought, rather than imaginal, activity, a distinction within cognitive process that is potentially crucial to some theories of anxiety maintenance and modification. The present study contrasted the frequencies of reporting the presence of thoughts and images among generalized anxiety disorder clients and matched, nonanxious control subjects during a self-relaxation period and a worry period. Repetition of the assessment was conducted with clients after they completed 12 sessions of therapy. Sampling of mentation during these periods revealed that (a) during relaxation, nonanxious subjects reported a predominance of imagery whereas clients show equal amounts of thought and imagery, (b) nonanxious subjects shifted to a predominance of thought during worry, and (c) clients showed a normalization of thought and image frequencies after successful therapy. This combination of results suggests that worry is principally thought-like in content. The speculation is offered that worry may function as motivated avoidance of emotional imagery and its attendant somatic sensations.