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Kelly, William E. "No time to worry: the relationship between worry, time structure, and time management." Personality and Individual Differences 35, no. 5 (October 2003): 1119–26. http://dx.doi.org/10.1016/s0191-8869(02)00322-7.
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Keim, Paul S., David H. Walker, and Raymond A. Zilinskas. "Time to Worry about Anthrax Again." Scientific American 316, no. 4 (March 14, 2017): 70–75. http://dx.doi.org/10.1038/scientificamerican0417-70.
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Jowsey, Tanisha, Lyndall Strazdins, and Laurann Yen. "Worry and time: the unseen costs of informal care." Chronic Illness 12, no. 4 (June 21, 2016): 249–60. http://dx.doi.org/10.1177/1742395316647788.
Повний текст джерелаАнотація:
Objectives The objective of this study is to examine the experiences of informal carers in terms of how their time spent caring is related to worry. Is worry about a care recipient a care practice, and if so, to what extent it can be understood temporally? Methods Classical phenomenology underpinned this study. Three qualitative studies of people living with chronic illness in Australia were conducted between 2009 and 2013. Semi-structured interviews were conducted. Interviews were audio recorded and transcribed verbatim. Phenomenological thematic analysis of the data was undertaken. Results Twenty-five informal carers participated. The findings pivot around three interconnected themes: time, worry and cost. Worry was identified as a temporally bound unseen cost to carers that informs carer identity irrespective of culture, ethnicity, or social status. Discussion Worry is a practice that most carers report engaging in and it is one that comes with a temporal cost—it keeps people busy looking after the needs of others during the day and it keeps some people awake when they would rather be sleeping. Worry takes time and effort, it informs people’s construction of their own sense of self, motivates acts of care, and informs carers’ imaginings of what their future and that of their loved one(s) may entail.
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Hagler, Donald J. "Not to worry (most of the time)." Catheterization and Cardiovascular Interventions 95, no. 5 (April 2020): 937–38. http://dx.doi.org/10.1002/ccd.28877.
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Davies, D. P., and B. O’Hare. "Weaning: a worry as old as time." Current Paediatrics 14, no. 2 (April 2004): 83–96. http://dx.doi.org/10.1016/j.cupe.2003.11.006.
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van Bommel, Majke H. D., Miranda P. Steenbeek, Joanna IntHout, Rosella P. M. G. Hermens, Nicoline Hoogerbrugge, Marline G. Harmsen, Helena C. van Doorn, et al. "Cancer worry among BRCA1/2 pathogenic variant carriers choosing surgery to prevent tubal/ovarian cancer: course over time and associated factors." Supportive Care in Cancer 30, no. 4 (January 8, 2022): 3409–18. http://dx.doi.org/10.1007/s00520-021-06726-4.
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Abstract Objective High cancer risks, as applicable to BRCA1 and BRCA2 pathogenic variant (PV) carriers, can induce significant cancer concerns. We examined the degree of cancer worry and the course of this worry among BRCA1/2-PV carriers undergoing surgery to prevent ovarian cancer, and identified factors associated with high cancer worry. Methods Cancer worry was evaluated as part of the multicentre, prospective TUBA-study (NCT02321228) in which BRCA1/2-PV carriers choose either novel risk-reducing salpingectomy with delayed oophorectomy or standard risk-reducing salpingo-oophorectomy. The Cancer Worry Scale was obtained before and 3 and 12 months after surgery. Cancer worry patterns were analysed using latent class growth analysis and associated factors were identified with regression analysis. Results Of all 577 BRCA1/2-PV carriers, 320 (57%) had high (≥ 14) cancer worry pre-surgery, and 54% had lower worry 12 months post-surgery than pre-surgery. Based on patterns over time, BRCA1/2-PV carriers could be classified into three groups: persistently low cancer worry (56%), persistently high cancer worry (6%), and fluctuating, mostly declining, cancer worry (37%). Factors associated with persistently high cancer concerns were age below 35 (BRCA1) or 40 (BRCA2), unemployment, previous breast cancer, lower education and a more recent BRCA1/2-PV diagnosis. Conclusions Some degree of cancer worry is considered normal, and most BRCA1/2-PV carriers have declining cancer worry after gynaecological risk-reducing surgery. However, a subset of these BRCA1/2-PV carriers has persisting major cancer concerns up to 1 year after surgery. They should be identified and potentially offered additional support. Clinical trial registration The TUBA-study is registered at ClinicalTrials.gov since December 11th, 2014. Registration number: NCT02321228.
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Winter, George. "Re-emergence of polio virus: time to worry?" Practice Nursing 33, Sup10 (October 1, 2022): S9—S10. http://dx.doi.org/10.12968/pnur.2022.33.sup10.s9.
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Kimball, Valerie. "Social-Emotional Development: Quirky or Time to Worry?" Pediatric Annals 45, no. 10 (October 1, 2016): e337-e339. http://dx.doi.org/10.3928/19382359-20160922-01.
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Smith, Nicholas J. J. "I’D DO ANYTHING TO CHANGE THE PAST (BUT I CANT DO "THAT")." American Philosophical Quarterly 54, no. 2 (April 1, 2017): 153–68. http://dx.doi.org/10.2307/44982133.
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Abstract This paper addresses a worry about backwards time travel. The worry is that there is something mysteriously inexplicable about the combination of commonplace events that will inevitably conspire to prevent the time traveler from doing something impossible such as killing her younger self. The worry is first distinguished from other problems for backwards time travel concerning its alleged impossibility or improbability. It is then shown that the worry is misplaced: there is in fact no real problem here. Yet the worry has been widely expressed—so a suggestion is also made as to why it is so easy to get into the position of thinking that there is a genuine problem here, when in fact there is not. Finally, in light of the resolution of the inexplicability worry, a new way of dealing with the other two problems for backwards time travel—concerning its alleged impossibility and improbability—is proposed.
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Fukasawa, Maiko, Maki Umeda, Tsuyoshi Akiyama, Naoko Horikoshi, Seiji Yasumura, Hirooki Yabe, Yuriko Suzuki, Evelyn J. Bromet, and Norito Kawakami. "Worry about Radiation and Its Risk Factors Five to Ten Years after the Fukushima Nuclear Power Plant Disaster." International Journal of Environmental Research and Public Health 19, no. 24 (December 16, 2022): 16943. http://dx.doi.org/10.3390/ijerph192416943.
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Worry about radiation persists long after nuclear power plant accidents. Young age, low socioeconomic status, being married, and disaster-related experiences are known to be associated with greater worry about radiation. This study explored the duration of the effects of these risk factors on worry about radiation after the 2011 Fukushima nuclear power plant accident, using the longitudinal data of randomly sampled non-evacuee community residents who were followed five to ten years after the accident. Questionnaire surveys were conducted five times with 1825 respondents (37.2% of the 4900 initial targets). We examined the interaction of time and risk factors of worry about radiation using a mixed model. Fear or anxiety immediately after the accident had effects on worry about radiation that continued even after 10 years, though it slightly attenuated with time. Family problems stemming from the disaster retained their effects. While direct damage and evacuation experience were significantly associated with worry about radiation in the early phase, their effects diminished and became non-significant during the study period. Being under the age of 65, having low educational attainment, and being married were significantly associated with worry about radiation, although the association with age weakened over time. Individuals who experience intense fear or anxiety post-nuclear power plant accidents or disaster-related family problems may need continuous monitoring for their worry about radiation even 10 years after such accidents.
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Lawton, George. "Is It Finally Time to Worry about Mobile Malware?" Computer 41, no. 5 (May 2008): 12–14. http://dx.doi.org/10.1109/mc.2008.159.
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Bosley, Hannah G., Devon B. Sandel, and Aaron J. Fisher. "Idiographic Dynamics of Positive Affect in GAD." European Journal of Psychological Assessment 36, no. 3 (May 2020): 500–509. http://dx.doi.org/10.1027/1015-5759/a000580.
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Abstract. Generalized anxiety disorder (GAD) is associated with worry and emotion regulation difficulties. The contrast-avoidance model suggests that individuals with GAD use worry to regulate emotion: by worrying, they maintain a constant state of negative affect (NA), avoiding a feared sudden shift into NA. We tested an extension of this model to positive affect (PA). During a week-long ecological momentary assessment (EMA) period, 96 undergraduates with a GAD analog provided four daily measurements of worry, dampening (i.e., PA suppression), and PA. We hypothesized a time-lagged mediation relationship in which higher worry predicts later dampening, and dampening predicts subsequently lower PA. A lag-2 structural equation model was fit to the group-aggregated data and to each individual time-series to test this hypothesis. Although worry and PA were negatively correlated in 87 participants, our model was not supported at the nomothetic level. However, idiographically, our model was well-fit for about a third (38.5%) of participants. We then used automatic search as an idiographic exploratory procedure to detect other time-lagged relationships between these constructs. While 46 individuals exhibited some cross-lagged relationships, no clear pattern emerged across participants. An alternative hypothesis about the speed of the relationship between variables is discussed using contemporaneous correlations of worry, dampening, and PA. Findings suggest heterogeneity in the function of worry as a regulatory strategy, and the importance of temporal scale for detection of time-lagged effects.
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Runciman, Brian. "This Time It's Personal." ITNOW 62, no. 1 (February 17, 2020): 6–7. http://dx.doi.org/10.1093/itnow/bwaa002.
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Abstract Is everyone talking ethics in IT right now? Combinations of anger, worry and helplessness are surely not the feelings computing wants to generate. But in 2020, there are justifiable fears about technology and plenty of misunderstanding about what it can and can't do. This year, BCS is focusing its research and main conference on what personal responsibility means in IT. Brian Runciman MBCS writes.
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Schroder, Hans S., D. Angus Clark, and Jason S. Moser. "Screening for Problematic Worry in Adults With a Single Item From the Penn State Worry Questionnaire." Assessment 26, no. 2 (February 1, 2017): 336–46. http://dx.doi.org/10.1177/1073191117694453.
Повний текст джерелаАнотація:
As the rapid assessment of mental health is a growing need, a quick and valid tool for the early detection of symptoms that can be flexibly deployed across a range of contexts may be especially beneficial. This is particularly true of anxiety problems, which when undetected contribute to health care costs and lost work productivity. Data from more than 10,000 respondents (primarily female undergraduates) were used to test whether a single item from the popular Penn State Worry Questionnaire could serve as a screening tool in settings where administration of the full scale is undesirable. Items were evaluated by examining item response theory models, screening capabilities, stability over time, convergence with other anxiety and depression measures, and a response time analysis that assessed how quickly participants responded to each item. Item 15 (“I worry all the time”) emerged as the strongest item: It was the most discriminating and reliable item, had sensitivity and specificity similar to the full scale, had the highest 1-month and 1-year retest coefficients, the highest convergent correlations with measures of anxiety and depression, and was responded to significantly faster than any other item. We suggest that in time-limited contexts, this item is suitable for screening.
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Parker, Patricia A., Susan K. Peterson, Yu Shen, Isabelle Bedrosian, Dalliah M. Black, Alastair M. Thompson, Jonathan C. Nelson, et al. "Prospective Study of Psychosocial Outcomes of Having Contralateral Prophylactic Mastectomy Among Women With Nonhereditary Breast Cancer." Journal of Clinical Oncology 36, no. 25 (September 1, 2018): 2630–38. http://dx.doi.org/10.1200/jco.2018.78.6442.
Повний текст джерелаАнотація:
Purpose The incidence of contralateral prophylactic mastectomy (CPM) has continued to increase. We prospectively examined psychosocial outcomes before and up to 18 months after surgery in women who did or did not have CPM. Methods Women with unilateral, nonhereditary breast cancer completed questionnaires before and 1, 6, 12, and 18 months after surgery. Primary psychosocial measures were cancer worry and cancer-specific distress. Secondary measures were body image, quality of life (QOL), decisional satisfaction, and decisional regret. Results A total of 288 women (mean age, 56 years; 58% non-Hispanic white) provided questionnaire data, of whom 50 underwent CPM. Before surgery, women who subsequently received CPM had higher cancer distress ( P = .04), cancer worry ( P < .001), and body image concerns ( P < .001) than women who did not have CPM. In a multivariable repeated measures model adjusted for time, age, race/ethnicity, and stage, CPM was associated with more body image distress ( P < .001) and poorer QOL ( P = .02). There was a significant interaction between time point and CPM group for cancer worry ( Pinteraction < .001), suggesting that CPM patients had higher presurgery cancer worry, but their postsurgery worry decreased over time and was similar to the worry of patients who did not have CPM. QOL was similar between CPM groups before surgery but declined 1 month after surgery and remained lower than patients who did not have CPM after surgery ( Pinteraction = .05). Conclusion These results may facilitate informed discussions between women and their physicians regarding CPM. Fear and worry may be foremost concerns at the time surgical decisions are made, when women may not anticipate the adverse future effect of CPM on body image and QOL.
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Tingvold, Maiken, Anna Kornadt, Isabelle Albert, Elke Murdock, Martine Hoffmann, and Josepha Nell. "Exploring the Relationship Between Subjective Age and Worry for Older Adults in Times of a Pandemic." Innovation in Aging 5, Supplement_1 (December 1, 2021): 591. http://dx.doi.org/10.1093/geroni/igab046.2271.
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Abstract Given the role of age as a risk factor in the covid pandemic, we examined the longitudinal cross-lagged relationship between subjective age and Covid-related worry, and possible moderators of this relationship. Data were obtained at two-time points (June and October 2020) by a phone/online survey, from N = 611 older participants (Mage = 69.92 years). Participants felt on average 10 and 8.5 years younger than their chronological ages at the two-time points, respectively. Younger subjective age at T1 increased the level of worry at T2 irrespective of age, perceived control and subjective health. Higher worry increased subjective age at T2, but only for those with worse subjective health. Our results show that subjective age and Covid-related worry interact over time. This relation needs to be explored further in order to understand the relationship between subjective age and well-being especially, but not only in the pandemic context.
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Trezise, Kelly, and Robert A. Reeve. "Worry and working memory influence each other iteratively over time." Cognition and Emotion 30, no. 2 (February 3, 2015): 353–68. http://dx.doi.org/10.1080/02699931.2014.1002755.
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Belpaeme, Tony, and Anthony F. Morse. "Time will tell – why it is too early to worry." Interaction Studies 11, no. 2 (June 30, 2010): 191–95. http://dx.doi.org/10.1075/is.11.2.02bel.
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Pruitt, Larry D., and Holly Hazlett-Stevens. "Can The Future-Oriented Nature of Worry be Experimentally Manipulated? The Effects of Personally Relevant Worry and Video-Related Imagery following Exposure to a Distressing Video." Journal of Experimental Psychopathology 1, no. 1 (January 2010): jep.008010. http://dx.doi.org/10.5127/jep.008010.
Повний текст джерелаАнотація:
In an attempted experimental manipulation of the future-oriented property of worry, a total of 174 college students were randomly assigned to one of five experimental conditions. After all participants viewed a distressing video, they were instructed to worry about a personally relevant topic while constraining their worry to outcomes that could occur within the next 15 minutes, within the next week, or within the next year, or they worried about a personally relevant topic without such a time constraint or engaged in imagery of the video. Predicted group differences in state anxiety reduction were not found, although this effect approached statistical significance (p = .07). Contrary to our prediction, the imagery group reported more subsequent video-related cognitive intrusions than the worry groups and no differences between the worry groups were found. Results suggest that worry about everyday concerns may effectively distract some individuals from previously experienced emotionally distressing material.
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Nelson, D., M. Lopian, and N. Bratt. "Investigating the role of attentional disengagement bias in the tendency, ability and persistence of worry." European Psychiatry 26, S2 (March 2011): 169. http://dx.doi.org/10.1016/s0924-9338(11)71880-6.
Повний текст джерелаАнотація:
IntroductionIndividuals with Generalised Anxiety Disorder (GAD) have an attentional bias towards threatening information. It is not known whether this results from facilitated engagement (faster orientation) or delayed disengagement (shifting attention away) from threat. Recent research has developed a new methodology designed to modify attentional disengagement from threat.ObjectivesUsing this paradigm, the present study assessed the causal role of attentional disengagement from threat and its impact on worry.MethodTwenty-four university students scoring below 56 on the Penn-State-Worry-Questionnaire were randomly assigned to either threat disengagement training, or non-threat disengagement training. Training was assessed using threat and non-threat test-trials. All participants then completed a novel worry task, assessing tendency, ability and persistency of worry. The hypothesis was that training to disengage from threat rather than non-threat stimuli would affect tendency, ability or persistence of worry.ResultsAccuracy and test-trial reaction-time data indicated disengagement training was successful; compared to the non-threat disengagement group, the threat disengagement group had faster reaction-times for non-threat valence test-trials, experienced marginally non-significantly more negative intrusions during active worry, and found it significantly more difficult to worry, when required to engage solely with worry without interruption in the worry task.ConclusionIt is possible to manipulate attentional bias to disengage from threat information, leading to fewer negative thought intrusions during active worry and increased difficulty in engaging solely with worry, thus suggesting that impaired disengagement has a causal role in the ability to worry.
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Kim, Yunhwan, and Curt Hagquist. "Trends in adolescent mental health during economic upturns and downturns: a multilevel analysis of Swedish data 1988-2008." Journal of Epidemiology and Community Health 72, no. 2 (December 4, 2017): 101–8. http://dx.doi.org/10.1136/jech-2017-209784.
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BackgroundA long-term trend of increasing mental health problems among adolescents in many Western countries indicates a great need to investigate if and how societal changes have contributed to the reported increase. Using seven waves of repeated cross-sectional data collected between 1988 and 2008 in Sweden, the current study examined if economic factors at the societal level (municipality unemployment rate) and at the individual level (worry about family finances), and their interaction could explain a secular trend in mental health problems.MethodsParticipants were 17 533 students of age 15–16 years (49.3% girls), from 14 municipalities in a county of Sweden. Data on adolescents’ mental health (psychosomatic problems) and worry about family finances were obtained using a self-report questionnaire. A series of multilevel regression analyses were conducted in order to explain the trends in adolescents’ mental health.ResultsThe results indicated that the individual-level predictor (worry about family finances) significantly explained the increasing rates of adolescents’ psychosomatic problems. This was particularly the case during the mid-1990s, which was characterised by a severe recession in Sweden with high unemployment rates. For example, after accounting for adolescents’ worry, a significant increase in psychosomatic symptoms between 1988 and 1998 among girls (b=0.112, P<0.05) disappeared (b=0.018, P>0.05) and a non-significant decrease between 1988 and 1995 among boys (b=−0.017, P>0.05) became significant (b=−0.142, P<0.05). Neither municipality unemployment rate nor its interaction with adolescents’ worry explained psychosomatic problems.ConclusionsThe findings demonstrate the effects of adolescents’ worry about family finances on a secular trend in mental health problems during an economically bleak period of time. The study highlights the need for repeated measurements including a large number of time points over a long time period in order to analyse time-specific putative explanatory factors for trends in adolescent mental health problems.
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Koubaa, Makram, Fatma Hammami, Lamia Gargouri, Houda Ben Ayed, Khaoula Rekik, Tarak Ben Jemaa, Chakib Marrakchi, Abdelmajid Mahfoudh, Jamel Dammak, and Mounir Ben Jemaa. "Hydatid disease among adults and children: it is time to worry!" Electronic Journal of General Medicine 16, no. 6 (September 10, 2019): em151. http://dx.doi.org/10.29333/ejgm/110172.
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Choi, Namkee G., Nancy M. Gell, Diana M. DiNitto, C. Nathan Marti, and Mark E. Kunik. "Depression and activity-limiting fall worry among older adults: longitudinal reciprocal relationships." International Psychogeriatrics 32, no. 4 (July 18, 2019): 495–504. http://dx.doi.org/10.1017/s1041610219000838.
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ABSTRACTObjectives:Late-life depression, falls, and fall worry are public health problems. While previous research confirms the cross-sectional relationship between depression and fall worry, few longitudinal studies have examined whether changes in fall worry are associated with changes in depressive illness and vice versa. This study examined longitudinal relationships between probable major depression (PMD) and activity-limiting fall worry (ALW).Design, Setting, Participants, Measurements:This longitudinal panel observational study used data from the National Health and Aging Trends Study (NHATS) waves 5 (referred to as T1 in this study) and 6 (T2), conducted in 2015 and 2016, respectively (N = 6,299, aged 65 and older). We examined associations of new and continued ALW between T1 and T2 with T2 PMD, controlling for T1 PMD; and associations of new and continued PMD between T1 and T2 with T2 ALW, controlling for T1 ALW. We used χ2 and t tests for descriptive statistics and logistic regression for multivariable analysis.Results:Those with new ALW at T2 had significantly greater odds of T2 PMD compared to those without ALW at both time points (AOR = 2.64, 95% CI = 1.98−3.51), and those with new PMD at T2 had significantly greater odds of T2 ALW (AOR = 2.42, 95% CI = 1.66−3.52). Those with continued PMD also had greater odds of T2 ALW compared to those without PMD at either time point (AOR = 2.31, 95% CI = 1.62−3.29).Conclusions:The findings add to knowledge about bidirectional (mutually reinforcing) relationships between depression and activity-limiting fall worry. Innovative interventions are needed to reduce both late-life depression and activity-limiting fall worry.
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Ratcliff, Chelsea, Aanand D. Naik, Lindsey Ann Martin, and Jennifer Moye. "Examining cancer survivorship trajectories: Exploring the intersection between qualitative illness narratives and quantitative screening instruments." Palliative and Supportive Care 16, no. 6 (December 28, 2017): 712–18. http://dx.doi.org/10.1017/s1478951517000967.
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AbstractObjectiveThis article examines the associations of quantitatively refined trajectories of adjustment to cancer survivorship determined by previously published qualitative narrative analysis.MethodPatients completed measures of cancer-related worry (Cancer Related Worries Scale), depression (Patient Health Questionnaire-9), posttraumatic growth (Benefit Finding Scale), and open-ended survey questions 6, 12, and 18 months postdiagnosis of head and neck, esophageal, gastric, or colorectal cancer. Previously published narrative analysis revealed five distinct survivorship “paths,” which were combined into four paths in the present article: Moving On, Seeing the World Differently, Taking One Day at a Time, and Never the Same. To determine the association of qualitatively determined paths with quantitatively assessed adjustment (i.e., Cancer Related Worries Scale, Patient Health Questionnaire-9, Benefit Finding Scale), we used linear multilevel modeling to regress the adjustment variables on time, path, the time-by-path interaction, and relevant covariates (age, stage, cancer site, ethnicity, and Deyo score).ResultsThere was a significant main effect of path on cancer worry, depression, and posttraumatic growth (p < 0.02 for all). Patients in the Moving On group reported consistently low worry, depression, and growth compared to the other groups. Patients in the Seeing the World Differently and Taking One Day at a Time paths both reported moderate worry and depression; but those in the Seeing the World Differently path reported the highest posttraumatic growth, whereas patients in the Taking One Day at a Time path reported little growth. Finally, patients in the Never the Same path reported the highest worry and depression but lowest posttraumatic growth.Significance of resultsThis longitudinal study reinforces the notion that cancer survivorship is not a one-size-fits-all experience nor a dichotomized experience of “distress” or “no distress.” Additionally, this hypothesis-generating study suggests future directions for potential self-report measures to help clinicians identify cancer survivors’ trajectory to develop a more patient-centered survivorship care plan.
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Denovan, Andrew, Neil Dagnall, and George Lofthouse. "Neuroticism and Somatic Complaints: Concomitant Effects of Rumination and Worry." Behavioural and Cognitive Psychotherapy 47, no. 4 (November 7, 2018): 431–45. http://dx.doi.org/10.1017/s1352465818000619.
Повний текст джерелаАнотація:
Background: Neuroticism is associated with inflated somatic symptom reporting. Worry and rumination are a cognitive concomitant of neuroticism and potentially mediate the neuroticism–somatic complaint relationship. Aims: The present study examined the degree to which worry and rumination mediated the relationship between neuroticism and somatic complaints. Method: A sample of 170 volunteers, recruited via convenience sampling, took part. Participants completed a series of self-report measures: the Eysenck Personality Questionnaire Revised-Short Form, Penn State Worry Questionnaire, the Ruminative Response Scale and the Somatic Symptom Scale-8. Results: Analysis revealed significant positive correlations between neuroticism, rumination and worry. Neuroticism, rumination and worry also correlated positively with somatic complaints. Using structural equation modelling, a mediational model indicated that rumination fully mediated the relationship between neuroticism and somatic complaints. Conclusions: Findings are consistent with the symptom perception hypothesis and have implications for healthcare in terms of managing individuals who present with multiple somatic complaints. Future research would benefit from adopting a longitudinal approach to test how rumination interacts with neuroticism and somatic complaints over time.
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Bresner, Lauren, Rita Banach, Gary Rodin, Lehana Thabane, Shereen Ezzat, and Anna M. Sawka. "Cancer-Related Worry in Canadian Thyroid Cancer Survivors." Journal of Clinical Endocrinology & Metabolism 100, no. 3 (March 1, 2015): 977–85. http://dx.doi.org/10.1210/jc.2014-3169.
Повний текст джерелаАнотація:
Context: Little is known about cancer-related worry in thyroid cancer survivors. Objectives: We quantified cancer-related worry in Canadian thyroid cancer survivors and explored associated factors. Design, Setting, and Participants: We performed a cross-sectional, self-administered, written survey of thyroid cancer survivor members of the Thyroid Cancer Canada support group. Independent factors associated with cancer-related worry were identified using a multivariable linear regression analysis. Main Outcome Measure: We used the Assessment of Survivor Concerns (ASC) questionnaire, which includes questions on worry about diagnostic tests, second primary malignancy, recurrence, dying, health, and children's health. Results: The response rate for eligible members was 60.1% (941 of 1567). Most respondents were women (89.0%; 837 of 940), and the age was < 50 years in 54.0% of participants (508 of 941). Thyroid cancer was diagnosed within ≤ 5 years in 66.1% of participants (622 of 940). The mean overall ASC score was 15.34 (SD, 4.7) (on a scale from 6 [least worry] to 24 [most worry]). Factors associated with increased ASC score included: younger age (P < .001), current suspected or proven recurrent/persistent disease (ie, current proven active disease or abnormal diagnostic tests) (P < .001), partnered marital status (P = .021), having children (P = .029), and ≤5 years since thyroid cancer diagnosis (P = .017). Conclusions: In a population of Canadian thyroid cancer survivors, cancer-related worry was greatest in younger survivors and those with either confirmed or suspected disease activity. Family status and time since thyroid cancer diagnosis were also associated with increased worry. More research is needed to confirm these findings and to develop effective preventative and supportive strategies for those at risk.
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Isham, Louise, Heidemarie Grafahrend, Alecia Nickless, Katherine Pugh, Steve Pleasants, Nicola Smedley, Daniel Freeman, and Alison Mulligan. "Group-Based Worry Intervention for Persecutory Delusions: an Initial Feasibility Study." Behavioural and Cognitive Psychotherapy 46, no. 5 (June 20, 2018): 619–25. http://dx.doi.org/10.1017/s1352465818000383.
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Background: A one-to-one cognitive behavioural therapy intervention targeting worry significantly reduces both worry and persecutory delusions (Freeman et al., 2015). Aim: To adapt this intervention for group delivery and conduct a feasibility trial within routine clinical practice. Method: Thirteen participants were randomized to a weekly 8-session worry intervention group (n = 7) or wait-list control (n = 6). Results: All but one participant completed measures at all time points. Participants attended an average of six therapy sessions. Conclusions: Recruitment, retention and therapy uptake were feasible. Observed treatment effects were in the expected direction, but may be diluted compared with one-to-one interventions.
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Sani, Zuwaira, Oche Mansur Oche, Ahmad Yakubu, and Nwobodo Emmanuel. "Assessment of Worries of Pregnant Women in Sokoto Northwestern Nigeria." Annals of Clinical and Experimental Medicine 1, no. 1 (June 1, 2020): 62–65. http://dx.doi.org/10.47838/acem.26011977.11162020.asmeda.10.0.
Повний текст джерелаАнотація:
Background: Women experience multiple worries during the childbearing period, nearly every pregnant woman or her partner will worry about something pregnancy-related at one point or another. The objectives of the study were to assess the worries of pregnant women using the Cambridge Worry Scale, compare the degree of worries between primigravida and multiparae pregnant women and compare the worries of pregnant women by their stage of pregnancy. Materials and method: The study was a cross-sectional descriptive study design. Four health centers were randomly selected and 361 pregnant women were recruited for the study. Data collection instrument was a self-administered / interviewer-administered questionnaire developed using the Cambridge worry scale Result and Conclusion: Ranking of worries of pregnant women using mean score value showed that pregnant women worry more about child-birth (1.99), their health (1.79), and the possibility of something wrong with the baby (1.70) and money (1.40). This study was able to assess the worries of pregnant women using the Cambridge Worry Scale. It is recommended that health care personnel should take more time in assessing pregnant women for the wellbeing of both the mother and baby.
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Robbins, James M., and Laurence J. Kirmayer. "Transient and persistent hypochondriacal worry in primary care." Psychological Medicine 26, no. 3 (May 1996): 575–89. http://dx.doi.org/10.1017/s0033291700035650.
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SynopsisWe present a 12-month prospective study of hypochondriacal worry in primary care. Data were obtained from 546 family medicine patients at the time of a physician visit for a new illness and again 1 year later. Patients were divided into four groups based on scores on the Illness Worry Scale: non-hypochondriacal (N = 460), transient hypochondriacal (N = 34); emerging hypochondriacal (N = 21); and persistent hypochondriacal (N = 31). Persistent patients had significantly more serious medical history but no more serious current illness than those low on illness worry. Patients with persistent illness worry were more likely than others to have a diagnosis of major depression or anxiety disorder, were more likely to believe that their most important significant other would pathologize new symptoms, yet were less likely to have been encouraged to see the doctor by them. Patients who became less worried over the year reported corresponding decreases in distress, attentiveness to bodily sensations, emotional vulnerability and pathological symptom attributions. We conclude that depressive or anxiety disorders, fears of emotional instability, pathological symptom attributional styles and interpersonal vulnerability provide the best prognostic evidence for enduring illness worry.
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Robertson, Emily L., Paul J. Frick, James V. Ray, Laura C. Thornton, Tina D. Wall Myers, Laurence Steinberg, and Elizabeth Cauffman. "The Associations Among Callous-Unemotional Traits, Worry, and Aggression in Justice-Involved Adolescent Boys." Clinical Psychological Science 6, no. 5 (May 14, 2018): 671–84. http://dx.doi.org/10.1177/2167702618766351.
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Previous research has reported that elevations on both callous-unemotional (CU) traits and anxiety (measured as trait worry) among adolescents are associated with a particularly severe pattern of aggressive behavior. In the current study, we tested whether elevated trait worry would add only to the prediction of less severe and reactive aggression assessed by self-report but not to more severe violence, proactive aggression, and official records of violent arrests. First-time male juvenile offenders ( N = 1,216) were assessed at 6-month intervals for 30 months. Contrary to predictions, our analyses found both CU traits and worry independently predicted self-reported violent offenses (regardless of violence severity) and aggression (both proactive and reactive) across 30 months after their first arrest. However, when using arrest records, only CU traits were associated with violent offenses. This suggests that the additive effects of anxiety and worry in predicting risk for later violence may be limited to self-report.
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Rublee, Maria Rost. "Time to Worry, Mate? The Construction of Maritime Security Perceptions Down Under." Pacific Focus 32, no. 3 (December 2017): 351–74. http://dx.doi.org/10.1111/pafo.12101.
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Harries, Judith. "Try on a no-need-to-worry suit." Early Years Educator 22, no. 12 (July 2, 2021): S6—S7. http://dx.doi.org/10.12968/eyed.2021.22.12.s6.
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During a period in all our lives where worrying and anxiety has reached epic proportions due to the pandemic, take time to read and share some of these great stories and activities with the children in your setting.
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Smith, Louise E., Henry WW Potts, Richard Amlôt, Nicola T. Fear, Susan Michie, and G. James Rubin. "How has the emergence of the Omicron SARS-CoV-2 variant of concern influenced worry, perceived risk and behaviour in the UK? A series of cross-sectional surveys." BMJ Open 12, no. 8 (August 2022): e061203. http://dx.doi.org/10.1136/bmjopen-2022-061203.
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ObjectivesTo investigate changes in beliefs and behaviours following news of the Omicron variant and changes to guidance understanding of Omicron-related guidance, and factors associated with engaging with protective behaviours.DesignSeries of cross-sectional surveys (1 November to 16 December 2021, five waves of data collection).SettingOnline.ParticipantsPeople living in England, aged 16 years or over (n=1622–1902 per wave).Primary and secondary outcome measuresLevels of worry and perceived risk, and engagement with key behaviours (out-of-home activities, risky social mixing, wearing a face covering and testing uptake).ResultsDegree of worry and perceived risk of COVID-19 (to oneself and people in the UK) fluctuated over time, increasing slightly around the time of the announcement about Omicron (p<0.001). Understanding of rules in England was varied, ranging between 10.3% and 91.9%, with people overestimating the stringency of the new rules. Rates of wearing a face covering and testing increased over time (p<0.001). Meeting up with people from another household decreased around the time of the announcement of Omicron (29 November to 1 December), but then returned to previous levels (p=0.002). Associations with protective behaviours were investigated using regression analyses. There was no evidence for significant associations between out-of-home activity and worry or perceived risk (COVID-19 generally or Omicron-specific, p≥0.004; Bonferroni adjustment p<0.002 applied). Engaging in highest risk social mixing and always wearing a face covering were associated with worry and perceived risk about COVID-19 (p≤0.001). Always wearing a face covering in shops was associated with having heard more about Omicron (p<0.001).ConclusionsAlmost 2 years into the COVID-19 outbreak, the emergence of a novel variant of concern only slightly influenced worry and perceived risk. The main protective behaviour (wearing a face covering) promoted by new guidance showed significant re-uptake, but other protective behaviours showed little or no change.
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Baiano, Chiara, Isa Zappullo, and Massimiliano Conson. "Tendency to Worry and Fear of Mental Health during Italy’s COVID-19 Lockdown." International Journal of Environmental Research and Public Health 17, no. 16 (August 15, 2020): 5928. http://dx.doi.org/10.3390/ijerph17165928.
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Background: We tested whether the tendency to worry could affect psychological responses to quarantine by capitalizing on the opportunity of having collected data before the COVID-19 outbreak on measures of worry, anxiety, and trait mindfulness in a group of university students. Methods: Twenty-five participants completed self-report measures assessing worry (Penn State Worry Questionnaire, PSWQ), anxiety (Anxiety Sensitivity Index, ASI-3), and trait mindfulness (Mindful Attention Awareness Scale, MAAS) at T0 (pre-lockdown, 4 November 2019–17 February 2020) and T1 (at the end of lockdown, 26 April–30 April 2020). We compared assessments at the two time points in the whole sample and in high and low worriers (defined at T0 by scores on PSWQ respectively above and below 1.5 SD from mean of the Italian normative sample). Outcomes: High worriers showed at T1 a significant increase of anxiety sensitivity and fear of mental health in comparison to low worriers. Moreover, in the whole sample, at T1 trait mindfulness was inversely related to worry and fear of mental health. Interpretation: A valuable approach to support individuals experiencing anxiety related to the COVID-19 outbreak could be represented by mindfulness-based interventions improving the ability to focus attention and awareness on the present moment.
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Iqbal, Samreen, and Muhammad Jafri. "Pregnancy and Covid-19: Some Thing to Worry About?" Journal of Bahria University Medical and Dental College 10, no. 3 (September 8, 2020): 169–70. http://dx.doi.org/10.51985/jbumdc2020044.
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Pregnancy is a special time, full of excitement and anticipation, but for expectant mothers facing the outbreak of the coronavirus disease (COVID-19), fear, anxiety and uncertainty are clouding this otherwise happy time. Coronavirus disease 2019 (COVID-19) has led to the deadliest pandemic observed in more than a 100 years.1 Around 131 million women give birth annually. This population is particularly vulnerable to emerging infectious pathogens due to alterations in immune, respiratory, and cardiovascular physiology that occurs during pregnancy
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YANG, ERIC TIMOTHY. "Conservation, discontinuous time, and causal continuity." Religious Studies 45, no. 1 (February 4, 2009): 85–93. http://dx.doi.org/10.1017/s0034412508009815.
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AbstractWilliam Vallicella poses a dilemma for continuous-creation accounts of conservation, which he attempts to solve by conjoining presentism and four-dimensionalism. I claim that presentist four-dimensionalism fails to appreciate the real problem behind continuous creation and persistence, which is a presumption of the discontinuity of time. I will argue that if we assume that time is discontinuous, then, (1) presentist four-dimensionalism cannot alone account for persistence, and (2) created entities are also not in clear need of conservation in Vallicella's solution. Lastly, I conclude by suggesting that the worry over persistence for continuous creation is a problem only if persistence requires causal continuity.
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Parger, Anna-Maria, Daniela Muhr, Christian F. Singer, and Yen Y. Tan. "Abstract P4-12-10: Cancer worry among healthy BRCA mutation carriers in Austria: A pilot study." Cancer Research 82, no. 4_Supplement (February 15, 2022): P4–12–10—P4–12–10. http://dx.doi.org/10.1158/1538-7445.sabcs21-p4-12-10.
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Abstract Background: Breast cancer risk in BRCA mutation carriers is up to 10 times higher compared to the general population. To support these patients, it is imperative to understand the worry that these patients face when they find out that they are a pathogenic mutation carrier. The aim of this study was to assess cancer worry among healthy BRCA mutation carriers using the 8-item cancer worry instrument. As there is no German version available, the aim of the study was two-fold. One was to translate the cancer worry scale (CWS) into German, and the second was to pilot the questionnaire to compare cancer worry between BRCA mutation carriers and gender. Methods: Healthy patients who underwent genetic counselling/testing at the Medical University of Vienna/Vienna General Hospital were randomly identified from 2015-2020. The English version of the 8-item CWS was forward and backwards translated by independent interpreters. A final version was composed together with medical doctors, a breast care nurse and a psychologist. The final version was piloted to a small group of healthy BRCA mutation carriers. A total of 63 potential participants [BRCA1: N=41 (65%), BRCA2: N=22 (35%); female: N=50 (79%), male: N=13 (21%)] were identified and invited to participate in the study. An invitation pack including an invitation letter, a patient consent form and the translated instrument was sent out in January 2021. Non-responders were followed up twice by phone calls. With the feedback, a final version was put together with another independent translator and confirmed by the committee. Results: Of 63 potential participants, 35 (female: 30, 85% vs. male: 5, 14%) returned the questionnaire after 2 follow-up calls, giving a response rate of 56%. Twenty-eight individuals (80%) carry a BRCA1 mutation, while remaining 7 (20%) were BRCA2 mutation carriers. All participants were native German speakers. Their age when completing the questionnaire differ significantly between BRCA1 (median age: 40 years; range: 26-68 years) and BRCA2 (median age: 51 years; range: 30-64 years) carriers (p=0.028). Almost half of all participants work full time (46%) and have an average or high income (69% = more than 18.000 Euros/year net income). It is noteworthy, that 57% underwent prophylactic surgery, such as mastectomy, adnexectomy, salpingectomy or both, mastectomy and adnexectomy. Of 35 respondents who completed the CWS, 27 (77%) reported high cancer worry. All male responders reported high cancer worry versus 22 females. Although no significant difference. was observed between gender, it is remarkable that men worry more about the possibility of family members developing cancer than their female counterparts (60% male vs 24% female). However, no one indicated that their worry interferes with their ability to conduct daily activities. Interestingly, those with average or high income report higher cancer worry than their counterparts (p= 0.024), and those who underwent risk-reducing surgery, regardless of type of surgery, were found to have significantly less cancer worry compared to those who did not undergo risk-reducing surgery (p=0.014). There were no differences observed in cancer worry between BRCA mutation group (81% BRCA1 vs 71% BRCA2, p=0.615), employment status (p=0.064), marital status (p=0.306), education (p=0.875), or being more physically active (p=0.715). Conclusion: Our results show that although men were less motivated to participate, they worry more than their female counterparts. In addition, those who with higher income also experience higher cancer worry. To our knowledge, this is the first time CWS has been translated to German and for use in the high-risk BRCA population. Our results are hampered by small sample size and remain to be validated in a larger study. Citation Format: Anna-Maria Parger, Daniela Muhr, Christian F Singer, Yen Y Tan. Cancer worry among healthy BRCA mutation carriers in Austria: A pilot study [abstract]. In: Proceedings of the 2021 San Antonio Breast Cancer Symposium; 2021 Dec 7-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2022;82(4 Suppl):Abstract nr P4-12-10.
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Qasim, Tahira Bano, Ansa Sahar, Tooba Nihal, and Asma Bashir. "The Effect of Overthinking on Mental Health: A Case Study from University Students in Multan District." Review of Applied Management and Social Sciences 5, no. 2 (June 30, 2022): 255–62. http://dx.doi.org/10.47067/ramss.v5i2.233.
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Overthinking is most common in students nowadays after the COVID-19 pandemic in Pakistan. The main reason behind this is due to lockdown or quarantine at home for a long time. The coronavirus infected many people some have died, and this may cause worry and ruminative thoughts that result in mental illness. This research is designed to study the significant exposure of overthinking in which we take five factors related to overthinking. For this purpose, we used a sample of 150 students from different universities in Multan via purposive and snowball sampling. The variables of the study are Rumination, Depression, Brooding, Worry, and the Mental health of the students. These were measured on the Likert scale through the questionnaire. The findings concluded that there is a positive correlation among all the variables of the study. From the correlation matrix, we see that mental health is strongly correlated with rumination and worry. Mental health is one of the causes of overthinking, it is used as a dependent variable in this study. Furthermore, a multiple linear regression model is used to check the effect of rumination, brooding, depression, and worry on mental health. Results show that rumination and worry were the significant exposures for making changes in mental health. The study concluded that as rumination and worry increase, mental health disturbs so which may result in overthinking in the students. This study will be helpful for worldwide students to overcome mental health problem and fight against overthinking during any pandemic.
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Gauvreau, Philippe, and Stéphane Bouchard. "Preliminary Evidence for the Efficacy of EMDR in Treating Generalized Anxiety Disorder." Journal of EMDR Practice and Research 2, no. 1 (March 2008): 26–40. http://dx.doi.org/10.1891/1933-3196.2.1.26.
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This preliminary study sought to evaluate the potential effectiveness of eye movement desensitization and reprocessing (EMDR) as a treatment modality for generalized anxiety disorder (GAD). Using a single-case design with multiple baselines across four subjects, the effectiveness of 15 EMDR sessions was evaluated. Results indicate that subsequent to targeting the experiential contributors to GAD and the current and anticipated situations that caused excessive worry, the scores of anxiety and of excessive worry dropped to levels below diagnostic threshold and in two cases to full remission of GAD symptoms. At both posttreatment and at 2 months follow-up, all four participants no longer presented with GAD diagnosis. In addition, time-series analyses (ARMA) indicate statistically significant improvement on both daily measures of worry and anxiety over the course of the EMDR treatment.
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Clancy, F., D. B. O’Connor, and A. Prestwich. "Do Worry and Brooding Predict Health Behaviors? A Daily Diary Investigation." International Journal of Behavioral Medicine 27, no. 5 (May 18, 2020): 591–601. http://dx.doi.org/10.1007/s12529-020-09898-1.
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Abstract Background Meta-analyses have reported associations between perseverative cognition (both worry and brooding) and increased engagement in health-risk behaviors, poorer sleep, and poorer physiological health outcomes. Method Using a daily diary design, this study investigated the within- and between-person relationships between state and trait perseverative cognition and health behaviors (eating behavior, physical activity, alcohol consumption, and sleep) both cross-sectionally and prospectively. Participants (n = 273, 93% students, Mage = 20.2, SD = 4.11, 93% female) completed morning and evening diaries across 7 consecutive days. Results Multilevel modeling analyses revealed that, cross-sectionally, higher levels of state worry were associated with more time spent sitting and higher levels of state brooding predicted less daily walking. Conclusion Worry and brooding may represent useful intervention targets for improving inactivity and walking levels, respectively.
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Wickens, Zoe. "Cause for worry in children's eye health research findings." Optician 2019, no. 8 (August 2019): 218331–1. http://dx.doi.org/10.12968/opti.2019.8.218331.
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Freeman, Daniel, Graham Dunn, Helen Startup, and David Kingdon. "An explanatory randomised controlled trial testing the effects of targeting worry in patients with persistent persecutory delusions: the Worry Intervention Trial (WIT)." Efficacy and Mechanism Evaluation 2, no. 1 (March 2015): 1–36. http://dx.doi.org/10.3310/eme02010.
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BackgroundPersecutory delusions are a key experience in psychosis, at the severe end of a paranoia continuum in the population. Treatments require significant improvement. Our approach is to translate recent advances in understanding delusions into efficacious treatment. In our research we have found worry to be an important factor in the occurrence of persecutory delusions. Worry brings implausible ideas to mind, keeps them there and makes the experience distressing. Reducing worry should lead to reductions in persecutory delusions.ObjectiveThe objective was to test the clinical efficacy of a brief cognitive–behavioural intervention for worry for patients with persistent persecutory delusions and determine how the treatment might reduce delusions. Embedded within the trial were theoretical studies to improve the understanding of worry in psychosis.DesignParticipants were randomised either to the psychological intervention added to standard care or to standard care. Assessments, carried out by an assessor blind to allocation, were carried out at 0 weeks, 8 weeks (post treatment) and 24 weeks.SettingPatients were recruited from mental health secondary services: Oxford Health NHS Foundation Trust and Southern Health NHS Foundation Trust.ParticipantsA total of 150 patients with persistent persecutory delusions in the context of non-affective psychosis took part.InterventionThe six-session manualised cognitive–behavioural therapy (CBT) intervention aimed to reduce time worrying and did not dispute the content of delusions.Main outcome measuresThe main outcomes measures were of worry (Penn State Worry Questionnaire; PSWQ) and persecutory delusions (Psychotic Symptom Rating Scales; PSYRATS). Secondary outcome measures were paranoia, overall psychiatric symptoms, psychological well-being, rumination and a patient-chosen outcome.ResultsIn total, 95% of the patients provided primary outcome follow-up data. For the primary outcomes, in an intention-to-treat analysis, when compared with treatment as usual, the therapy led to highly significant reductions in both worry [PSWQ: 6.35, 95% confidence interval (CI) 3.30 to 9.40;p < 0.001] and the persecutory delusions (PSYRATS: 2.08, 95% CI 0.64 to 3.51;p = 0.005). The intervention also led to significant improvements in all of the secondary outcomes. All gains were maintained. A planned mediation analysis indicated that change in worry explained 66% of the change in the delusions. We also found that patients without intervention report a passive relationship with worry, feeling unable to do anything about it; worry brings on depersonalisation experiences; and the patient group has very low levels of psychological well-being.ConclusionsThis was the first large randomised controlled trial specifically focused on the treatment of persecutory delusions. Long-standing delusions were significantly reduced by a brief CBT intervention targeted at worry. The intervention also improved well-being and overall levels of psychiatric problems. An evaluation of the intervention in routine clinical setting is now indicated. We envisage developing the intervention booklets for online and app delivery so that the intervention, with health professional support, has the possibility for greater self-management.Trial registrationCurrent Controlled Trials ISRCTN23197625.FundingThis project was funded by the Efficacy and Mechanism Evaluation (EME) programme, a MRC and NIHR partnership.
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Ullrich, Christina Kathleen, Angie Mae Rodday, and Susan Kenyon Parsons. "Parent distress related to child health outcomes during hematopoietic stem cell transplant (HSCT)." Journal of Clinical Oncology 32, no. 31_suppl (November 1, 2014): 31. http://dx.doi.org/10.1200/jco.2014.32.31_suppl.31.
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31 Background: HSCT offers possible cure yet remains intensive and high risk. Parent distress related to potential child outcomes during HSCT is unexplored. Methods: Parents of children undergoing HSCT (n=363) at 8 US transplant centers completed the Child Health Ratings Inventories (CHRIs) measuring parent and child general health and QOL at baseline (BL) through 12 mos post HSCT. Main outcomes: responses to 2 CHRIs items regarding parent worry about child "health worse" and "might die," rated on a 5-point Likert scale ranging from none to all of the time, and transformed to 1-100 (higher, more worry). Analyses focus on BL to D45 when parent worry decrease was pronounced. Clinical data were abstracted from charts. BL personal, clinical and HSCT course characteristics with p<0.2 on univariate analysis were entered into multivariable models adjusting for transplant center, then eliminated by backward selection (p<0.1). Results: Parents were 83% female, 77% White, median age 38.7 yr (IQR 33-44). Child median age was 9.6 yr (IQR 6-14). Most (72%) had cancer; 78% underwent allogeneic HSCT. By D45, 33% had systemic infection, 33% acute graft versus host disease (aGVHD) and 20% intermediate/poor Bearman toxicity score. Mean parent "might die" worry decreased from BL (41.9, SD 8.3) to D45 (26.6, SD 24.6) (p<0.001). "Health worse" worry similarly decreased. Despite this, ongoing worry risk factors exist including younger child age, solid tumor and hematologic malignancy but not HSCT course characteristics (Table). Conclusions: Some parents remain at risk for unmitigated distress about child health, largely irrespective of the HSCT course. Enhanced supports such as palliative care consultation may be of benefit. [Table: see text]
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Bordes, Julien, Philippe Goutorbe, Ambroise Montcriol, Henry Boret, Eric Dantzer, and Eric Meaudre. "Cytomegalovirus reactivation in critically ill burn patients: it’s time to worry about it!" Critical Care 18, no. 1 (2014): 410. http://dx.doi.org/10.1186/cc13742.
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Mara, P., K. Shumway, and G. Andrews. "B-76 Benefits of Solution Focused Therapy for Collegiate Athletes." Archives of Clinical Neuropsychology 34, no. 6 (July 25, 2019): 1024. http://dx.doi.org/10.1093/arclin/acz034.159.
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Abstract Objective Collegiate athletes experience competition anxiety as their greatest impedance to optimal performance. Competition anxiety encompasses both somatic and cognitive symptoms (Smith, Smoll, Cumming, & Grossbard, 2006). Somatic symptoms are more likely to impact performance (Mabweazara, Leach, & Andrews, 2017). Solution-Focused Therapy is an effective intervention used to decrease competition anxiety (Bell, Skinner, & Halbrook, 2011). This study sought to discover if Solution-Focused Therapy decreases anxiety levels in team sports athletes compared to individual sports. Method The study consisted of college athletes (7 women, 10 men) who volunteered to participate. Anxiety was measured through self-report questionnaires (General Anxiety Disorder Scale and the Sports Anxiety Scale) measured both pre and posttest. Solution-Focused Therapy was administered through 5 hour-long sessions by Masters level clinicians-in-training. The independent variable was sport (team or individual). The dependent variables included level of anxiety, worry, and concentration disruption. Results A MANOVA was used to analyze the data. A main effect for time occurred for anxiety scores (p = .006, n2 = .422). A main effect for time was found for worry (p = .027, n2 = .302) and a significant interaction occurred between type of sport and time (p = .044, n2 = .260). Those in individual sports had larger decreases in worry. There were no significant differences in concentration difficulties (p = .770). Conclusion Participation in Solution-Focused Therapy decreased anxiety overall for athletes in both team and individual sports. Athletes in individual sports appear to benefit from Solution-Focused Therapy to decrease worry more than those in team sports. Solution-Focused therapy is beneficial for managing anxiety in collegiate athletes.
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Morriss, Jayne, Nicolò Biagi, and Carien M. van Reekum. "It’s not over yet: The impact of worry on emotional recovery." Journal of Experimental Psychopathology 11, no. 2 (April 1, 2020): 204380872092994. http://dx.doi.org/10.1177/2043808720929940.
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Emotional reactivity and recovery are crucial for maintaining well-being. It remains unknown, however, to what extent emotion modulates the time course of recovery assessed using a simple categorization task and how this varies based on individual differences in worry. To address these questions, 35 participants viewed emotional pictures, followed by abstract greeble targets, which were to be categorized. Greebles were presented between 100 ms and 4,000 ms after picture offset. Physiological measures including skin conductance level and the corrugator supercilii were recorded and served as indicators of responsivity to emotional pictures. Measures of reaction time (RT) and accuracy scores were taken as indicators of the impact of emotion on facilitation or interference to the greeble target. Effects of interference and facilitation were observed up to 4,000 ms after emotional pictures on RT and accuracy scores. High worry was associated with greater (1) corrugator supercilii and skin conductance level to negative versus positive and neutral pictures and (2) interference from emotional pictures on accuracy scores. Overall, these findings suggest that subsequent processing is still impacted up to 4,000 ms after the offset of emotional pictures, particularly for negative events in individuals with high worry.
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Neudert, Marie Kristin, Rudolf Stark, Laura Kress, and Andrea Hermann. "Trait Worry and Neural Correlates of Emotion Regulation." Zeitschrift für Psychologie 225, no. 3 (July 2017): 214–22. http://dx.doi.org/10.1027/2151-2604/a000305.
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Abstract. Pathological worrying is of high transdiagnostic relevance and is related to maladaptive emotion regulation processes. Dysfunctional emotion regulation and its underlying neural mechanisms might contribute to the maintenance of fear over time. Therefore, this functional magnetic resonance imaging (fMRI) study aims at investigating the association of trait worry with neural correlates of emotion regulation. Twenty-six healthy females were instructed to passively look at aversive pictures, to distract themselves with a neutral thought, or to down- and up-regulate negative feelings via cognitive reappraisal in response to repeatedly presented aversive pictures. Trait worry was not related to cognitive reappraisal but to distraction, which leads to a greater reduction of self-reported negative feelings and insula activation in individuals with higher trait worry. The current study indicates that the neural mechanisms underlying distraction seem to be altered in pathological worrying and may prevent adaptive emotional processing of aversive stimuli leading to the maintenance of fear.
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Sorgaard, K. W., M. Nivison, V. Hansen, and T. Øiesvold. "Acknowledging illness and treatment needs in first-time admitted psychiatric patients." European Psychiatry 26, no. 7 (October 2011): 446–51. http://dx.doi.org/10.1016/j.eurpsy.2011.02.006.
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AbstractPurposeHelp-seeking and service utilization depends on the patients’ interpretation of their illness and treatment needs. Worry, denial of illness, need for treatment and need for hospitalization in first-time admitted patients was studied.SubjectsNew patients in two mental hospitals were consecutively recruited. Three hundred and thirty-four satisfied the inclusion criteria and 251 gave informed consent. One hundred and ninety-six had complete datasets (56% of those eligible).MethodsDemography was recorded with the Minimal Basic Dataset by Ruud et al. (1993) [45]. Experiences of hospitalisation were measured with the Patient's Experience of Hospitalisation Questionnaire by Carskey et al. (1992) [9]. MINI was used for diagnosing and SCL-90-R by Derogatis (1997) [13] for subjective symptoms. Standard multiple regressions were performed with the PEH subscales (Denial, Worry, Need for treatment and Need for hospitalisation) as dependents and demography, diagnosis and SCL-90-R subscales as explanatory variables.Results(a) Psychoticism and the diagnosis of schizophrenia were associated with little worrying, denial of illness, of treatment needs and of need for hospitalisation. (b) Anxiety and affective disorders were related to worries, acknowledgement of illness, need for treatment and for hospitalisation.ConclusionsIn contrast to patients with mainly anxiety and affective disorders, psychotic patient tended to deny illness-related worries, that they had an illness and that they needed treatment and hospitalisation. An affective disorder together with suicidal thoughts (not attempts) was a strong drive towards hospital admission.
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Green, Sheryl M., Briar Inness, Melissa Furtado, Randi E. McCabe, and Benicio N. Frey. "Evaluation of an Augmented Cognitive Behavioural Group Therapy for Perinatal Generalized Anxiety Disorder (GAD) during the COVID-19 Pandemic." Journal of Clinical Medicine 11, no. 1 (December 31, 2021): 209. http://dx.doi.org/10.3390/jcm11010209.
Повний текст джерелаАнотація:
The perinatal period is considered a window of vulnerability given the increased risk of psychiatric difficulties during this time, such as mood and anxiety disorders (ADs). Pre-pandemic rates of ADs in perinatal women were one in five but have since increased with the onset of the COVID-19 pandemic (COVID). In addition, recent research suggests that the focus of worry has shifted during the pandemic, with perinatal women reporting significantly more COVID-specific worries. The objective of this study was to augment our current evidence-based Cognitive Behavioural Group Therapy (CBGT) for perinatal anxiety protocol by targeting intolerance of uncertainty and tailoring existing strategies to address COVID-related worry and impact. Pregnant (n = 19) and postpartum (n = 49) women were recruited from regular clinic patient flow from a university-affiliated teaching hospital between September 2020 and March 2021. Improvements in generalized anxiety symptoms, worry, intolerance of uncertainty, and mood were observed at post-treatment, maintained at 3-months, and the intervention received high ratings of treatment satisfaction. This is the first study to examine an augmented CBGT for perinatal women with GAD during the pandemic and supports the inclusion of strategies that target intolerance of uncertainty as well as specific pandemic and perinatal worry content for effective outcomes.
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Davey, Graham C. L., Frances Meeten, and Andy P. Field. "What’s Worrying Our Students? Increasing Worry Levels over Two Decades and a New Measure of Student Worry Frequency and Domains." Cognitive Therapy and Research 46, no. 2 (October 9, 2021): 406–19. http://dx.doi.org/10.1007/s10608-021-10270-0.
Повний текст джерелаАнотація:
Abstract Background The frequency and severity of mental health problems in student populations have been a growing cause for concern worldwide, and studies have identified measures of a number of mental health symptoms that have been steadily increasing in frequency and intensity over the past 20–25 years. Methods In two studies we investigate the levels and domains of pathological worrying in university student participants. Study 1 is a retrospective study of Penn State Worry Questionnaire (PSWQ) data collected between 2001 and 2019. Study 2 describes the development of the Student Worry Questionnaire, a short and easily delivered measure of student worrying that identifies both frequency of worry as well as the student-relevant domains across which worrying occurs. Results Study 1 revealed a steady increase in student worry scores of around 20% between 2001 and 2019, with a significant positive correlation between year of data collection and mean PSWQ score. The domain scores in Study 2 indicated that academic work was a significantly higher worry than any of the other domains, and worries about intimate relationships and ‘what people think of me’ were also worries that scored higher than either financial or health worries. Conclusions The present studies indicate that pathological worrying can be added to the list of anxiety- and stress-related symptoms that have been shown to be on the increase in student populations in recent decades, and we discuss whether these increases represent a greater willingness to report symptoms or a genuine increase in experienced symptoms over time.