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Articles

Look before you leap: the role of negative urgency in appraisals of ambiguous and unambiguous scenarios in individuals high in generalized anxiety disorder symptoms

ORCID Icon, , , , &
Pages 217-240 | Received 22 Sep 2017, Accepted 31 Jul 2018, Published online: 19 Sep 2018

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  • Anderson, K. G., Dugas, M. J., Koerner, N., Radomsky, A. S., Savard, P., & Turcotte, J. (2012). Interpretive style and intolerance of uncertainty in individuals with anxiety disorders: A focus on generalized anxiety disorder. Journal of Anxiety Disorders, 26, 823–832. doi: 10.1016/j.janxdis.2012.08.003
  • Awh, E., Vogel, E. K., & Oh, S. H. (2006). Interactions between attention and working memory. Neuroscience, 139, 201–208. doi: 10.1016/j.neuroscience.2005.08.023
  • Beck, A. T. (1976). Cognitive therapy and the emotional disorder. New York: International Universities Press.
  • Behar, E., Alcaine, O., Zuellig, A. R., & Borkovec, T. D. (2003). Screening for generalized anxiety disorder using the Penn State Worry Questionnaire: A receiver operating characteristic analysis. Journal of Behavior Therapy and Experimental Psychiatry, 34, 25–43. doi: 10.1016/S0005-7916(03)00004-1
  • Behar, E., DiMarco, I. D., Hekler, E. B., Mohlman, J., & Staples, A. M. (2009). Current theoretical models of generalized anxiety disorder (GAD): Conceptual review and treatment implications. Journal of Anxiety Disorders, 23, 1011–1023. doi: 10.1016/j.janxdis.2009.07.006
  • Berenbaum, H., Bredemeier, K., & Thompson, R. J. (2008). Intolerance of uncertainty: Exploring its dimensionality and associations with need for cognitive closure, psychopathology, and personality. Journal of Anxiety Disorders, 22, 117–125. doi: 10.1016/j.janxdis.2007.01.004
  • Berg, J. M., Latzman, R. D., Bliwise, N. G., & Lilienfeld, S. O. (2015). Parsing the heterogeneity of impulsivity: A meta-analytic review of the behavioral implications of the UPPS for psychopathology. Psychological Assessment, 27, 1129–1146. doi: 10.1037/pas0000111
  • Bomyea, J., Ramsawh, H., Ball, T. M., Taylor, C. T., Paulus, M. P., Lang, A. J., & Stein, M. B. (2015). Intolerance of uncertainty as a mediator of reductions in worry in a cognitive behavioral treatment program for generalized anxiety disorder. Journal of Anxiety Disorders, 33, 90–94. doi: 10.1016/j.janxdis.2015.05.004
  • Brosschot, J. F., Verkuil, B., & Thayer, J. F. (2017). Exposed to events that never happen: Generalized unsafety, the default stress response, and prolonged autonomic activity. Neuroscience & Biobehavioral Reviews, 74, 287–296. doi: 10.1016/j.neubiorev.2016.07.019
  • Buhr, K., & Dugas, M. J. (2002). The intolerance of uncertainty scale: Psychometric properties of the English version. Behaviour Research and Therapy, 40, 931–945. doi: 10.1016/S0005-7967(01)00092-4
  • Buhr, K., & Dugas, M. J. (2006). Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry. Journal of Anxiety Disorders, 20, 222–236. doi: 10.1016/j.janxdis.2004.12.004
  • Carleton, R. N. (2012). The intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Review of Neurotherapeutics, 12, 937–947. doi: 10.1586/ern.12.82
  • Carleton, R. N. (2016). Into the unknown: A review and synthesis of contemporary models involving uncertainty. Journal of Anxiety Disorders, 39, 30–43. doi: 10.1016/j.janxdis.2016.02.007
  • Carleton, R. N., Norton, M. A. P. J., & Asmundson, G. J. G. (2007). Fearing the unknown: A short version of the intolerance of uncertainty scale. Journal of Anxiety Disorders, 21, 105–117. doi: 10.1016/j.janxdis.2006.03.014
  • Clark, D. A., & Beck, A. T. (2011). The cognitive model of anxiety. In D. A. Clark & A. T. Beck (Eds.), Cognitive therapy of anxiety disorders: Science and practice. New York: Guilford Press.
  • Costa, P. T., Jr., & McCrae, R. R. (2017). The NEO Inventories as instruments of psychological theory. In T. A. Widiger (Ed.), The Oxford handbook of the five factor model. New York: Oxford University Press.
  • Cyders, M. A., & Coskunpinar, A. (2010). Is urgency emotionality? Separating urgent behaviors from effects of emotional experiences. Personality and Individual Differences, 48, 839–844. doi: 10.1016/j.paid.2010.02.009
  • Cyders, M. A., & Smith, G. T. (2008). Emotion-based dispositions to rash action: Positive and negative urgency. Psychological Bulletin, 134, 807–828. doi: 10.1037/a0013341
  • Davey, G. C., Hampton, J., Farrell, J., & Davidson, S. (1992). Some characteristics of worrying: Evidence for worrying and anxiety as separate constructs. Personality and Individual Differences, 13, 133–147. doi: 10.1016/0191-8869(92)90036-O
  • Dear, B. F., Titov, N., Sunderland, M., McMillan, D., Anderson, T., Lorian, C., & Robinson, E. (2011). Psychometric comparison of the generalized anxiety disorder scale-7 and the Penn State Worry Questionnaire for measuring response during treatment of generalised anxiety disorder. Cognitive Behaviour Therapy, 40, 216–227. doi: 10.1080/16506073.2011.582138
  • Dugas, M. J., Buhr, K., & Ladouceur, R. (2004). The role of intolerance of uncertainty in etiology and maintenance. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 143–163). New York: The Guilford Press.
  • Dugas, M. J., Anderson, K. G., Deschenes, S. S., & Donegan, E. (2010). Generalized anxiety disorder publications: Where do we stand a decade later? Journal of Anxiety Disorders, 24, 780–784. doi: 10.1016/j.janxdis.2010.05.012
  • Dugas, M. J., Freeston, M. H., & Ladouceur, R. (1997). Intolerance of uncertainty and problem orientation in worry. Cognitive Therapy and Research, 21, 593–606. doi: 10.1023/A:1021890322153
  • Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: aA preliminary test of a conceptual model. Behaviour Research and Therapy, 36(2), 215–226. doi: 10.1016/S0005-7967(97)00070-3
  • Dugas, M. J., Gosselin, P., & Ladouceur, R. (2001). Intolerance of uncertainty and worry: Investigating specificity in a nonclinical sample. Cognitive Therapy and Research, 25, 551–558. doi: 10.1023/A:1005553414688
  • Dugas, M. J., Hedayati, M., Karavidas, A., Buhr, K., Francis, K., & Phillips, N. A. (2005). Intolerance of uncertainty and information processing: Evidence of biased recall and interpretations. Cognitive Therapy and Research, 29, 57–70. doi: 10.1007/s10608-005-1648-9
  • Dugas, M. J., & Ladouceur, R. (2000). Treatment of GAD: Targeting intolerance of uncertainty in two types of worry. Behavior Modification, 24, 635–657. doi: 10.1177/0145445500245002
  • Dugas, M. J., & Robichaud, M. (2007). Cognitive-behavioral treatment for generalized anxiety disorder. New York: Taylor & Francis Group.
  • Eysenck, M. W., Mogg, K., May, J., Richards, A., & Mathews, A. (1991). Bias in interpretation of ambiguous sentences related to threat in anxiety. Journal of Abnormal Psychology, 100, 144–150. doi: 10.1037/0021-843X.100.2.144
  • Fracalanza, K., Koerner, N., & Antony, M. M. (2014). Testing a procedural variant of written imaginal exposure for generalized anxiety disorder. Journal of Anxiety Disorders, 28, 559–569. doi: 10.1016/j.janxdis.2014.05.011
  • Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17, 791–802. doi: 10.1016/0191-8869(94)90048-5
  • Gagnon, J., Daelman, S., McDuff, P., & Kocka, A. (2013). UPPS dimensions of impulsivity. Journal of Individual Differences., 34, 48–55. doi: 10.1027/1614-0001/a000099
  • Gagnon, J., McDuff, P., Daelman, S., & Fournier, S. (2015). Is hostile attributional bias associated with negative urgency and impulsive behaviors? A social-cognitive conceptualization of impulsivity. Personality and Individual Differences, 72, 18–23. doi: 10.1016/j.paid.2014.08.011
  • Grenier, S., Barrette, A. M., & Ladouceur, R. (2005). Intolerance of uncertainty and intolerance of ambiguity: Similarities and differences. Personality and Individual Differences, 39, 593–600. doi: 10.1016/j.paid.2005.02.014
  • Hayes, S., Hirsch, C. R., Krebs, G., & Mathews, A. (2010). The effects of modifying interpretation bias on worry in generalized anxiety disorder. Behaviour Research and Therapy, 48, 171–178. doi: 10.1016/j.brat.2009.10.006
  • Hirsch, C., & Mathews, A. (1997). Interpretative inferences when reading about emotional events. Behaviour Research and Therapy, 35, 1123–1132. doi: 10.1016/S0005-7967(97)80006-X
  • Hirsch, C. R., Hayes, S., & Mathews, A. (2009). Looking on the bright side: Accessing benign meanings reduces worry. Journal of Abnormal Psychology, 118, 44–54. doi: 10.1037/a0013473
  • Hunot, V., Churchill, R., Teixeira, V., & Silva De Lima, M. (2007). Psychological therapies for generalised anxiety disorder. Cochrane Database of Systematic Reviews, 1, 1–75. doi: 10.1002/14651858.CD001848.pub3
  • Johnson, S. L., Carver, C. S., & Joormann, J. (2013). Impulsive responses to emotion as a transdiagnostic vulnerability to internalizing and externalizing symptoms. Journal of Affective Disorders, 150, 872–878. doi: 10.1016/j.jad.2013.05.004
  • Kagan, J. (2002). Surprise, uncertainty, and mental structures. Cambridge: Harvard University Press.
  • Kahneman, D, & Tversky, A. (1982). Variants of uncertainty. Cognition, 11, 143–157. doi: 10.1016/0010-0277(82)90023-3
  • Kirschner, H., Hilbert, K., Hoyer, J., Lueken, U., & Beesdo-Baum, K. (2016). Psychophsyiological reactivity during uncertainty and ambiguity processing in high and low worriers. Journal of Behavior Therapy and Experimental Psychiatry, 50, 97–105. doi: 10.1016/j.jbtep.2015.06.001
  • Koerner, N., & Dugas, M. J. (2006). A cognitive model of generalized anxiety disorder: The role of intolerance of uncertainty. In G. C. L. Davey & A. Wells (Eds.), Worry and its psychological disorders: Theory, assessment and treatment (pp. 201–216). Chichester: Wiley.
  • Koerner, N., & Dugas, M. J. (2008). An investigation of appraisals in individuals vulnerable to excessive worry: The role of intolerance of uncertainty. Cognitive Therapy and Research, 32, 619–638. doi: 10.1007/s10608-007-9125-2
  • Koerner, N., Mejia, T., & Kusec, A. (2017). What’s in a name? Intolerance of uncertainty, other uncertainty-relevant constructs, and their differential relations to worry and generalized anxiety disorder. Cognitive Behaviour Therapy, 46, 141–161. doi: 10.1080/16506073.2016.1211172
  • Krohne, H. W. (1989). The concept of coping modes: Relating cognitive person variables to actual coping behavior. Advances in Behaviour Research and Therapy, 11, 235–248. doi: 10.1016/0146-6402(89)90027-1
  • Ladouceur, R., Gosselin, P., & Dugas, M. J. (2000). Experimental manipulation of intolerance of uncertainty: A study of a theoretical model of worry. Behaviour Research and Therapy, 38, 933–941. doi: 10.1016/S0005-7967(99)00133-3
  • Laugesen, N., Dugas, M. J., & Bukowski, W. M. (2003). Understanding adolescent worry: The application of a cognitive model. Journal of Abnormal Child Psychology, 31, 55–64. doi:
  • Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: The Guilford Press.
  • Loewenstein, G. F., Weber, E. U., Hsee, C. K., & Welch, N. (2001). Risk as feelings. Psychological Bulletin, 127, 267–286. doi:10.1037/0033-2909.127.2.267
  • Luhmann, C. C., Ishida, K., & Hajcak, G. (2011). Intolerance of uncertainty and decisions about delayed, probabilistic rewards. Behavior Therapy, 42, 378–386. doi: 10.1016/j.beth.2010.09.002
  • Lynam, D. R., & Miller, J. D. (2004). Personality pathways to impulsive behavior and their relations to deviance: Results from three samples. Journal of Quantitative Criminology, 20, 319–341. doi:
  • MacLeod, C., & Rutherford, E. (2004). Information processing approaches: Assessing the selective functioning of attention, interpretation, and retrieval. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 109–142). New York: The Guilford Press.
  • Mahoney, A. E. J., Hobbs, M. J., Newby, J. M., Williams, A. D., Sunderland, M., & Andrews, G. (2016). The Worry Behaviors Inventory: Assessing behavioral avoidance associated with generalized anxiety disorder. Journal of Affective Disorders, 203, 256–264. doi: 10.1016/j.jad.2016.06.020
  • Mathews, A. (1990). Why worry? The cognitive function of anxiety. Behaviour Research and Therapy, 28, 455–468. doi: 10.1016/0005-7967(90)90132-3
  • Mathews, A., Richards, A., & Eysenck, M. (1989). Interpretation of homophones related to threat in anxiety states. Journal of Abnormal Psychology, 98, 31–34. doi: 10.1037/0021-843X.98.1.31
  • Matthews, B. A., & Norris, F. H. (2002). When is believing “seeing”? Hostile attribution bias as a function of self-reported aggression. Journal of Applied Social Psychology, 32, 1–31. doi: 10.1111/j.1559-1816.2002.tb01418.x
  • Meeten, F., Dash, S. R., Scarlet, A. L. S., & Davey, G. C. L. (2012). Investigating the effect of intolerance of uncertainty on catastrophic worrying and mood. Behaviour Research and Therapy, 50, 690–698. doi: 10.1016/j.brat.2012.08.003
  • Mennin, D. S., Fresco, D. M., Ritter, M., & Heimberg, R. G. (2015). An open trial of emotion regulation therapy for generalized anxiety disorder and cooccurring depression. Depression and Anxiety, 32, 614–623. doi: 10.1002/da.22377
  • Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487–495. doi: 10.1016/0005-7967(90)90135-6
  • Mobini, S., Grant, A., Kass, A. E., & Yeomans, M. R. (2007). Relationships between functional and dysfunctional impulsivity, delay discounting and cognitive distortions. Personality and Individual Differences, 43, 1517–1528. doi: 10.1016/j.paid.2007.04.009
  • Mobini, S., Pearce, M., Grant, A., Mills, J., & Yeomans, M. R. (2006). The relationship between cognitive distortions, impulsivity, and sensation seeking in a non-clinical population sample. Personality and Individual Differences, 40, 1153–1163. doi: 10.1016/j.paid.2005.11.006
  • Molina, S., & Borkovec, T. D. (1994). The Penn State Worry Questionnaire: Psychometric properties and associated characteristics. In G. C. L. Davey & T. D. Borkovec (Eds.), Worrying: Perspectives on theory, assessment, and treatment (pp. 265–283). Oxford: Wiley.
  • Moore, M. T., Anderson, N. L., Barnes, J. M., Haigh, E. A. P., & Fresco, D. M. (2014). Using the GAD-Q-IV to identify generalized anxiety disorder in psychiatric treatment-seeking and primary care medical samples. Journal of Anxiety Disorders, 28, 25–30. doi: 10.1016/j.janxdis.2013.10.009
  • Newman, M. G., & Llera, S. J. (2011). A novel theory of experiential avoidance in generalized anxiety disorder: A review and synthesis of research supporting a contrast avoidance model of worry. Clinical Psychology Review, 31, 371–382. doi: 10.1016/j.cpr.2011.01.008
  • Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., Erickson, T., & Cashman-McGrath, L. (2002). Preliminary reliability and validity of the Generalized Anxiety Disorder Questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33, 215–233. doi: 10.1016/S0005-7894(02)80026-0
  • Oglesby, M. E., Raines, A. M., Short, N. A., Capron, D. W., & Schmidt, N. B. (2016). Interpretation bias for uncertain threat: A replication and extension. Journal of Behavior Therapy and Experimental Psychiatry, 51, 35–42. doi: 10.1016/j.jbtep.2015.12.006
  • Patton, J. H., & Stanford, M. S. (1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 51, 768–774.
  • Pawluk, E. J., & Koerner, N. (2013). A preliminary investigation of impulsivity in generalized anxiety disorder. Personality and Individual Differences, 54, 732–737. doi: 10.1016/j.paid.2012.11.027
  • Pawluk, E. J., & Koerner, N. (2016). The relationship between negative urgency and generalized anxiety disorder symptoms: The role of intolerance of negative emotions and intolerance of uncertainty. Anxiety, Stress, & Coping, 29, 606–615. doi: 10.1080/10615806.2015.1134786
  • Pawluk, E. J., Koerner, N., Tallon, K., & Antony, M. M. (2017). Unique correlates of problem solving effectiveness in individuals with generalized anxiety disorder. Cognitive Therapy and Research, 1–10. doi: 10.1007/s10608-017-9861-x
  • Rassin, E., & Muris, P. (2005). Indecisiveness and the interpretation of ambiguous situations. Personality and Individual Differences, 39, 1285–1291. doi: 10.1016/j.paid.2005.06.006
  • Ree, M. J., French, D., MacLeod, C., & Locke, V. (2008). Distinguishing cognitive and somatic dimensions of state and trait anxiety: Development and validation of the state-trait inventory for cognitive and somatic anxiety (STICSA). Behavioural and Cognitive Psychotherapy, 36, 313–332. doi: 10.1017/S1352465808004232
  • Richards, A., & French, C. C. (1992). An anxiety-related bias in semantic activation when processing threat/neutral homographs. Quarterly Journal of Experimental Psychology, 45, 503–525. doi: 10.1080/02724989208250625
  • Roney, C. J. R., & Sorrentino, R. M. (1995). Self-evaluation motives and uncertainty orientation: Asking the “who” question. Personality and Social Psychology Bulletin, 21, 1319–1329. doi: 10.1177/01461672952112009
  • Rosellini, A. J., & Brown, T. A. (2011). The NEO Five-Factor Inventory: Latent structure and relationships with dimensions of anxiety and depressive disorders in a large clinical sample. Assessment, 18, 27–38. doi: 10.1177/1073191110382848
  • Salters-Pedneault, K., Roemer, L., Tull, M. T., Rucker, L., & Mennin, D. S. (2006). Evidence of broad deficits in emotion regulation associated with chronic worry and generalized anxiety disorder. Cognitive Therapy and Research, 30, 469–480. doi: 10.1007/s10608-006-9055-4
  • Sexton, K. A., & Dugas, M. J. (2009). Defining distinct negative beliefs about uncertainty: Validating the factor structure of the Intolerance of Uncertainty Scale. Psychological Assessment, 21, 176–186. doi: 10.1037/a0015827
  • Smith, G. T., & Cyders, M. A. (2016). Integrating affect and impulsivity: The role of positive and negative urgency in substance use risk. Drug and Alcohol Dependence, 163, 3–12. doi: 10.1016/j.drugalcdep.2015.08.038
  • Startup, H. M., & Erickson, T. M. (2006). The Penn State Worry Questionnaire (PSWQ). In G. C. L. Davey & A. Wells (Eds.), Worry and its psychological disorders: Theory, assessment and treatment (pp. 101–120). Chichester: Wiley.
  • Startup, H. M., & Davey, G. C. L. (2003). Inflated responsibility and the use of stop rules for catastrophic worrying. Behaviour Research and Therapy, 41, 495–503. doi: 10.1016/S0005-7967(02)00245-0
  • Tversky, A., & Kahneman, D. (1974). Judgment under uncertainty: Heuristics and biases. Science, 185, 1124–1131. doi: 10.1126/science.185.4157.1124
  • van der Heiden, C., Melchior, K., Muris, P., Bouwmeester, S., Bos, A. E., & van der Molen, H. T. (2010). A hierarchical model for the relationships between general and specific vulnerability factors and symptom levels of generalized anxiety disorder. Journal of Anxiety Disorders, 24(2), 284–289. doi: 10.1016/j.janxdis.2009.12.005
  • Whiteside, S. P., & Lynam, D. R. (2001). The five factor model and impulsivity: Using a structural model of personality to understand impulsivity. Personality and Individual Differences, 30, 669–689. doi: 10.1016/S0191-8869(00)00064-7
  • Whiteside, S. P., Lynam, D. R., Miller, J. D., & Reynolds, S. K. (2005). Validation of the UPPS impulsive behaviour scale: A four-factor model of impulsivity. European Journal of Personality, 19, 559–574. doi: 10.1002/per.556

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