期刊
CLINICAL PSYCHOLOGY REVIEW
卷 31, 期 3, 页码 371-382出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.cpr.2011.01.008
关键词
Generalized anxiety disorder; Emotion; Emotional processing; Emotional avoidance; Emotion-regulation; Cognitive-behavioral therapy
资金
- NIMH NIH HHS [R01 MH058593-05, R01 MH058593-04, R01 MH039172-13, R01 MH058593-03, R01 MH058593-02, R01 MH58593-02] Funding Source: Medline
An important emphasis of the literature on generalized anxiety disorder (GAD) has been to achieve a greater understanding of the function of emotion (e.g., avoidance, dysregulation) in the etiology and maintenance of this disorder. The purpose of the following paper is to propose a new way of conceptualizing emotional sequelae in GAD by detailing the Contrast Avoidance Model of Worry. In presenting this model, we review theory and data that led to our current position, which is that individuals with GAD are more sensitive to feeling emotionally vulnerable to unexpected negative events, and that worry (the key pathological feature of GAD) is employed to prolong and maintain a negative emotional state thereby avoiding an unexpected negative emotional shift, or contrast experience. We also discuss implications for treatment given the presence of a new target for emotional exposure techniques. Finally, we establish the Contrast Avoidance Model within the framework of extant theories and models of pathogenic processes of GAD. (C) 2011 Elsevier Ltd. All rights reserved.
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