The metacognitive model of generalized anxiety disorder (GAD) : further examining theoretical underpinnings.

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Abstract

It has been suggested the metacognitive model of generalized anxiety disorder (GAD), a third-wave conceptualization that incorporates negative beliefs about worry itself, namely beliefs that worry is uncontrollable and dangerous, may be beneficial in understanding and treating GAD. However, there is a current gap in the literature regarding the underlying variables of this model and how they relate in an in-vivo setting. The present study aimed to investigate 1) variables within the metacognitive model (i.e., Type I worry, Type II worry, negative metacognitive beliefs, and positive metacognitive beliefs) and 2) the specific process of the model in an in-vivo setting (i.e., how much positive and negative metacognitive beliefs account for the variance of Type I and Type II worry and whether or not this matches theoretical predictions of the model). Study design included 102 undergraduate students who self-reported GAD symptomology. These individuals were invited to participate in an in-vivo study which included the inducement of a worry episode, followed by completion of self-report measures that assessed Type I and Type II worry and negative affect. Study results indicated that while positive and negative metacognitive beliefs assessed prior to the in-person study did not relate to Type I worry as predicted, negative metacognitive beliefs were uniquely related to Type II worry. The present results provide further support for the metacognitive model of GAD. Study implications for future research investigating the metacognitive model for GAD are discussed.

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Generalized anxiety disorder. Metacognitive model.

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