Testing a cognitive model of generalized anxiety disorder in the eating disorders

被引:21
作者
Konstantellou, Anna [1 ]
Campbell, Mari [1 ,3 ]
Eisler, Ivan [1 ,3 ]
Simic, Mima [3 ]
Treasure, Janet [2 ]
机构
[1] Kings Coll London, Inst Psychiat PO73, Sect Family Therapy, London SE5 8AF, England
[2] Kings Coll London, Inst Psychiat, Dept Psychiat, Sect Eating Disorders,Guys Hosp, London SE1 9RT, England
[3] S London & Maudsley NHS Fdn Trust, Child & Adolescent Eating Disorders Serv, London, England
关键词
Generalized anxiety disorder; Intolerance of uncertainty; Worry; Eating disorders; ATTITUDES TEST; PSYCHOMETRIC PROPERTIES; ANOREXIA-NERVOSA; INTOLERANCE; UNCERTAINTY; VALIDATION; WORRY; COMORBIDITY; THERAPY; SAMPLE;
D O I
10.1016/j.janxdis.2011.04.005
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Generalized anxiety disorder (GAD) is one of the most common comorbid disorders found in individuals with eating disorders. Despite this, little is known of shared vulnerability factors between the two disorders. The aim of the present study was to examine the four main components of a cognitive model for GAD in the eating disorders. One hundred and sixty-two females took part. Three groups were formed comprising of 19 participants with an eating disorder and GAD, 70 with an eating disorder without GAD and 73 healthy controls. All completed self-report questionnaires that measured eating attitudes, levels of GAD, intolerance of uncertainty, positive beliefs about worry, negative problem orientation, and cognitive avoidance. Participants with an eating disorder and GAD scored the highest on all four components when compared to healthy individuals and on most components when compared to those with an eating disorder. Participants with an eating disorder without GAD scored higher on all components compared to healthy controls. Findings extend our understanding of shared vulnerability factors between the eating disorders and GAD. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:864 / 869
页数:6
相关论文
共 54 条
[1]  
[Anonymous], 2001, ANN M WORLD C BEH CO
[2]  
[Anonymous], 1994, AM PSYCHIATR ASSOC
[3]   Outcomes of eating disorders: A systematic review of the literature [J].
Berkman, Nancy D. ;
Lohr, Kathleen N. ;
Bulik, Cynthia M. .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2007, 40 (04) :293-309
[4]   Intolerance of uncertainty and social anxiety [J].
Boelen, Paul A. ;
Reijntjes, Albert .
JOURNAL OF ANXIETY DISORDERS, 2009, 23 (01) :130-135
[5]   Delusion formation and reasoning biases in those at clinical high risk for psychosis [J].
Broome, M. R. ;
Johns, L. C. ;
Valli, I. ;
Woolley, J. B. ;
Tabraham, P. ;
Brett, C. ;
Valmaggia, L. ;
Peters, E. ;
Garety, P. A. ;
McGuire, P. K. .
BRITISH JOURNAL OF PSYCHIATRY, 2007, 191 :S38-S42
[6]   The intolerance of uncertainty scale: psychometric properties of the English version [J].
Buhr, K ;
Dugas, MJ .
BEHAVIOUR RESEARCH AND THERAPY, 2002, 40 (08) :931-945
[7]   The Intolerance of Uncertainty Index: Replication and Extension With an English Sample [J].
Carleton, R. Nicholas ;
Gosselin, Patrick ;
Asmundson, Gordon J. G. .
PSYCHOLOGICAL ASSESSMENT, 2010, 22 (02) :396-406
[8]   "It's not just the judgements-It's that I don't know": Intolerance of uncertainty as a predictor of social anxiety [J].
Carleton, R. Nicholas ;
Collimore, Kelsey C. ;
Asmundson, Gordon J. G. .
JOURNAL OF ANXIETY DISORDERS, 2010, 24 (02) :189-195
[9]   When simplifying life is not so bad: the link between rigidity, stressful life events, and mental health in an undergraduate population [J].
Ciarrochi, J ;
Said, T ;
Deane, FP .
BRITISH JOURNAL OF GUIDANCE & COUNSELLING, 2005, 33 (02) :185-197
[10]  
Cohen J., 1998, Statistical power analysis for the behavioral sciences, V4