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Gepubliceerd in: Cognitive Therapy and Research 3/2022

07-01-2022 | Original Article

The Relation Between Worry and Mental Health in Nonclinical Population and Individuals with Anxiety and Depressive Disorders: A Meta-Analysis

Auteurs: Andreea Vîslă, Céline Stadelmann, Edward Watkins, Richard E. Zinbarg, Christoph Flückiger

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2022

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Abstract

Background

Although worry is well-known to share a robust relationship with psychopathology, whether this association is higher in generalized anxiety disorder (GAD) versus other anxiety disorders and depressive disorder, and clinical versus nonclinical populations is unclear.

Methods

We conducted a meta-analysis in which the association between worry and various mental health indicators was quantitatively summarized using a random-effects model; additionally, several moderators were tested.

Results

Results synthesizing data from 120 correlational studies (138 independent samples) conducted over the past 35 years indicate a strong association between worry and poor mental health (r = .53) but also high heterogeneity. This association was not systematically impacted by the study population or whether individuals had a diagnosis of GAD or major depressive disorder (MDD). Participants’ age and how worry and mental health were measured moderated this association.

Conclusions

The main findings suggest that (1) worry is strongly associated with poor mental health, (2) worry is associated with poor mental health even outside of GAD and clinical populations included in the current meta-analysis, and (3) there are differences in this association across the lifespan. Overall, the results from this meta-analysis support earlier calls for intense worry to be assessed and treated, regardless of whether the individual has a diagnosis of GAD or MDD.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Voetnoten
1
We initially aimed to review experimental studies in which induced worry was contrasted to a neutral induction group in a separate analysis. We identified three experimental studies that met all our inclusion criteria (i.e., Llera & Newman, 2010, 2014; McLaughlin et al., 2007). Because of the low number of studies, we were not able to get a meta-analytic estimate for these studies. Moreover, we decided to not consider these studies in the omnibus analysis computed on observational studies based on the differences in the study design and worry dimensions being assessed (Ruscio & Borkovec, 2004).
 
2
Other worry measures that were used in less than five samples per measure.
 
Literatuur
go back to reference American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed.). Author. American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed.). Author.
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Author. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Author.
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Author. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Author.
go back to reference Barlow, D. H., Farchione, T. J., Bullis, J. R., Gallagher, M. W., Murray-Latin, H., Sauer-Zavala, S., … Ametaj, A. (2017). The unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders: A randomized clinical trial. JAMA Psychiatry, 74, 875–884. https://doi.org/10.1001/jamapsychiatry.2017.2164 Barlow, D. H., Farchione, T. J., Bullis, J. R., Gallagher, M. W., Murray-Latin, H., Sauer-Zavala, S., … Ametaj, A. (2017). The unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders: A randomized clinical trial. JAMA Psychiatry, 74, 875–884. https://​doi.​org/​10.​1001/​jamapsychiatry.​2017.​2164
go back to reference *Boehnke, K., Fuss, D., & Mandy, R. (2001). Values and well-being: The mediating role of worries. In P. Schmuck & Sheldon, K. M. (Eds.), Life goals and well-being: Towards a positive psychology of human striving. (pp. 85–101). Hogrefe & Huber Publishers. *Boehnke, K., Fuss, D., & Mandy, R. (2001). Values and well-being: The mediating role of worries. In P. Schmuck & Sheldon, K. M. (Eds.), Life goals and well-being: Towards a positive psychology of human striving. (pp. 85–101). Hogrefe & Huber Publishers.
go back to reference Borkovec, T. D. (1994). The nature, functions, and origins of worry. In G. C. L. Davey & F. Tallis (Eds.), Worrying: Perspectives on theory, assessment and treatment (pp. 5–33). Wiley. Borkovec, T. D. (1994). The nature, functions, and origins of worry. In G. C. L. Davey & F. Tallis (Eds.), Worrying: Perspectives on theory, assessment and treatment (pp. 5–33). Wiley.
go back to reference Borkovec, T. D., Alcaine, O., & Behar, E. S. (2004). Avoidance theory of worry and generalized anxiety disorder. In R. Heimberg, D. Mennin, & C. Turk (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 77–108). Guilford. Borkovec, T. D., Alcaine, O., & Behar, E. S. (2004). Avoidance theory of worry and generalized anxiety disorder. In R. Heimberg, D. Mennin, & C. Turk (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 77–108). Guilford.
go back to reference Cohen, J. (1988). Statistical power analysis for the social sciences (2nd ed.). Lawrence Erlbaum. Cohen, J. (1988). Statistical power analysis for the social sciences (2nd ed.). Lawrence Erlbaum.
go back to reference Cooper, H., Hedges, L. V., & Valentine, J. C. (2009). The handbook of research synthesis and meta-analysis (2nd ed.). Russell Sage Foundation. Cooper, H., Hedges, L. V., & Valentine, J. C. (2009). The handbook of research synthesis and meta-analysis (2nd ed.). Russell Sage Foundation.
go back to reference Del Re, A. C., & Hoyt, W. T. (2010). MAc: Meta-analysis with correlations. R Package Version, 1(1), 1. Del Re, A. C., & Hoyt, W. T. (2010). MAc: Meta-analysis with correlations. R Package Version, 1(1), 1.
go back to reference 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). Guilford. 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). Guilford.
go back to reference *Fresco, D. M., Frankel, A. N., Mennin, D. S., Turk, C. L., & Heimberg, R. G. (2002). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective states. Cognitive Therapy and Research, 26, 179–188. https://doi.org/10.1023/A:1014517718949 *Fresco, D. M., Frankel, A. N., Mennin, D. S., Turk, C. L., & Heimberg, R. G. (2002). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective states. Cognitive Therapy and Research, 26, 179–188. https://​doi.​org/​10.​1023/​A:​1014517718949
go back to reference Hunter, J. E., & Schmidt, F. L. (2004). Methods of meta-analysis: Correcting error and bias in research findings. SAGE.CrossRef Hunter, J. E., & Schmidt, F. L. (2004). Methods of meta-analysis: Correcting error and bias in research findings. SAGE.CrossRef
go back to reference Lenze, E. J., & Wetherell, J. L. (2011). A lifespan view of anxiety disorders. Dialogues in Clinical Neuroscience, 13, 381–399.CrossRef Lenze, E. J., & Wetherell, J. L. (2011). A lifespan view of anxiety disorders. Dialogues in Clinical Neuroscience, 13, 381–399.CrossRef
go back to reference Mennin, D. S., Turk, C. L., Heimberg, R. G., & Carmin, C. (2004). Focusing on the regulation of emotion: A new direction for conceptualizing generalized anxiety disorder. In M. A. Reinecke & D. A. Clark (Eds.), Cognitive therapy over the lifespan: Evidence and practice (pp. 60–89). Cambridge University Press. Mennin, D. S., Turk, C. L., Heimberg, R. G., & Carmin, C. (2004). Focusing on the regulation of emotion: A new direction for conceptualizing generalized anxiety disorder. In M. A. Reinecke & D. A. Clark (Eds.), Cognitive therapy over the lifespan: Evidence and practice (pp. 60–89). Cambridge University Press.
go back to reference *Merino, H., Senra, C., & Ferreiro, F. (2016). Are worry and rumination specific pathways linking neuroticism and symptoms of anxiety and depression in patients with generalized anxiety disorder, major depressive disorder and mixed anxiety-depressive disorder? PLoS ONE, 11, e0156169. https://doi.org/10.1371/journal.pone.0156169 *Merino, H., Senra, C., & Ferreiro, F. (2016). Are worry and rumination specific pathways linking neuroticism and symptoms of anxiety and depression in patients with generalized anxiety disorder, major depressive disorder and mixed anxiety-depressive disorder? PLoS ONE, 11, e0156169. https://​doi.​org/​10.​1371/​journal.​pone.​0156169
go back to reference *Mourady, D., Richa, S., Karam, R., Papazian, T., Hajj Moussa, F., El Osta, N., … Rabbaa Khabbaz, L. (2017). Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women. PLOS ONE, 12: e0178181. https://doi.org/10.1371/journal.pone.0178181 *Mourady, D., Richa, S., Karam, R., Papazian, T., Hajj Moussa, F., El Osta, N., … Rabbaa Khabbaz, L. (2017). Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women. PLOS ONE, 12: e0178181. https://​doi.​org/​10.​1371/​journal.​pone.​0178181
go back to reference Schmucker, C. M., Blümle, A., Schell, L. K., Schwarzer, G., Oeller, P., Cabrera, L., … Meerpohl, J. J. (2017). Systematic review finds that study data not published in full text articles have unclear impact on meta-analyses results in medical research. PLoS ONE, 12, e0176210. https://doi.org/10.1371/journal.pone.0176210 Schmucker, C. M., Blümle, A., Schell, L. K., Schwarzer, G., Oeller, P., Cabrera, L., … Meerpohl, J. J. (2017). Systematic review finds that study data not published in full text articles have unclear impact on meta-analyses results in medical research. PLoS ONE, 12, e0176210. https://​doi.​org/​10.​1371/​journal.​pone.​0176210
go back to reference Viechtbauer, W. (2017). metafor: Meta-analysis package for R. R package version 2.0-0. Viechtbauer, W. (2017). metafor: Meta-analysis package for R. R package version 2.0-0.
go back to reference Wahl, K., Ehring, T., Kley, H., Lieb, R., Meyer, A., Kordon, A., … Schönfeld, S. (2019). Is repetitive negative thinking a transdiagnostic process? A comparison of key processes of RNT in depression, generalized anxiety disorder, obsessive-compulsive disorder, and community controls. Journal of Behavior Therapy and Experimental Psychiatry, 64, 45–53. https://doi.org/10.1016/j.jbtep.2019.02.006 Wahl, K., Ehring, T., Kley, H., Lieb, R., Meyer, A., Kordon, A., … Schönfeld, S. (2019). Is repetitive negative thinking a transdiagnostic process? A comparison of key processes of RNT in depression, generalized anxiety disorder, obsessive-compulsive disorder, and community controls. Journal of Behavior Therapy and Experimental Psychiatry, 64, 45–53. https://​doi.​org/​10.​1016/​j.​jbtep.​2019.​02.​006
go back to reference World Health Organization. (2004). Promoting mental health: Concepts, emerging evidence, practice (Summary Report). World Health Organization. World Health Organization. (2004). Promoting mental health: Concepts, emerging evidence, practice (Summary Report). World Health Organization.
go back to reference Zbozinek, T. D., Rose, R. D., Wolitzky-Taylor, K. B., Sherbourne, C., Sullivan, G., Stein, M. B., … Craske, M. G. (2012). Diagnostic overlap of generalized anxiety disorder and major depressive disorder in a primary care sample. Depression and Anxiety, 29(12), 1065–1071. https://doi.org/10.1002/da.22026 Zbozinek, T. D., Rose, R. D., Wolitzky-Taylor, K. B., Sherbourne, C., Sullivan, G., Stein, M. B., … Craske, M. G. (2012). Diagnostic overlap of generalized anxiety disorder and major depressive disorder in a primary care sample. Depression and Anxiety, 29(12), 1065–1071. https://​doi.​org/​10.​1002/​da.​22026
Metagegevens
Titel
The Relation Between Worry and Mental Health in Nonclinical Population and Individuals with Anxiety and Depressive Disorders: A Meta-Analysis
Auteurs
Andreea Vîslă
Céline Stadelmann
Edward Watkins
Richard E. Zinbarg
Christoph Flückiger
Publicatiedatum
07-01-2022
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2022
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-021-10288-4

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