Document Detail

Rethinking the role of worry in generalized anxiety disorder: evidence supporting a model of emotional contrast avoidance.
MedLine Citation:
PMID:  24680226     Owner:  NLM     Status:  In-Data-Review    
The Contrast Avoidance model (Newman & Llera, 2011) proposes that individuals with generalized anxiety disorder (GAD) are hypersensitive to sharp upward shifts in negative emotion that typically accompany negative events, and use worry to maintain sustained intrapersonal negativity in an attempt to avoid these shifts. Although research shows that worry increases negative emotionality and mutes further emotional reactivity to a stressor when compared to the worry period (e.g., Llera & Newman, 2010), no study has tracked changes in negative emotionality from baseline to worry inductions followed by a range of emotional exposures. Further, no study has yet assessed participants' subjective appraisals of prior worry on helping to cope with such exposures. The present study tested the main tenets of the Contrast Avoidance model by randomly assigning participants with GAD (n=48) and nonanxious controls (n=47) to experience worry, relaxation, and neutral inductions prior to sequential exposure to fearful, sad, and humorous film clips. Both physiological (nonspecific skin conductance responses [NS-SCRs]) and self-reported emotional changes were observed. Results indicated that worry boosted negative emotionality from baseline, which was sustained across negative exposures, whereas low negative emotionality during relaxation and neutral inductions allowed for sharp increases in response to exposures. Furthermore, GAD participants found worry to be more helpful than other conditions in coping with exposures, whereas control participants reported the opposite pattern. Results provide preliminary support for the Contrast Avoidance model. This suggests that treatment should focus on underlying avoidance patterns before attempting to reduce worry behavior.
Sandra J Llera; Michelle G Newman
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Publication Detail:
Type:  Journal Article     Date:  2014-01-03
Journal Detail:
Title:  Behavior therapy     Volume:  45     ISSN:  1878-1888     ISO Abbreviation:  Behav Ther     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-03-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1251640     Medline TA:  Behav Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  283-99     Citation Subset:  IM    
Copyright Information:
Copyright © 2014. Published by Elsevier Ltd.
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