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15-08-2015 | Original Article

Shared and Distinct Cognitive/Affective Mechanisms in Intrusive Cognition: An Examination of Worry and Obsessions

Auteurs: Richard J. Macatee, Nicholas P. Allan, Agnieszka Gajewska, Aaron M. Norr, Amanda Medley Raines, Brian J. Albanese, Joseph W. Boffa, Norman B. Schmidt, Jesse R. Cougle

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2016

Abstract

Generalized anxiety disorder and obsessive–compulsive disorder are defined by chronic intrusive thoughts. The aim of the present study was to evaluate the relationship between cognitive (attentional control) and motivational (negative urgency) mechanisms potentially underlying worry and obsessions. Participants (N = 526) completed an online questionnaire battery consisting of self-report measures of worry, OCD symptoms, attentional control (AC), negative urgency (NU), and trait negative affect. After controlling for trait negative affect, self-reported AC was negatively related to worry, repugnant obsessions, and ordering symptoms. Greater NU was associated with increased worry and repugnant obsessions. Further, self-reported AC and NU interacted such that greater NU was associated with greater worry at high but not low levels of AC. AC and NU were independently associated with repugnant obsessions. Perceived executive functioning impairments may confer risk for intrusive thoughts, particularly worries, whereas distress-driven impulsivity may contribute to the involuntary, ego-dystonic features of intrusions.

vorige artikel Tracking the Emotional Highs but Missing the Lows: Hypomania Risk is Associated With Positively Biased Empathic Inference

volgende artikel The Metacognitive Model of Anxiety in Children: Towards a Reliable and Valid Measure

A two-factor model of the ACS, consisting of an Attention Focusing and an Attention Shifting factor, did not provide adequate fit to the data. Further, an EFA of the ACS revealed that a two-factor solution comprised of negatively- and positively-keyed items best fit the data. We used the negatively-keyed items in the current analyses because these items were most likely to share stronger associations with psychopathology, although results of the current study were consistent regardless of whether the negatively- or positively-keyed items were used. Negatively-keyed items were reverse-coded so higher AC factor scores indicated greater AC.

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Titel: Shared and Distinct Cognitive/Affective Mechanisms in Intrusive Cognition: An Examination of Worry and Obsessions
Auteurs: Richard J. Macatee
Nicholas P. Allan
Agnieszka Gajewska
Aaron M. Norr
Amanda Medley Raines
Brian J. Albanese
Joseph W. Boffa
Norman B. Schmidt
Jesse R. Cougle
Publicatiedatum: 15-08-2015
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 1/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-015-9714-4

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