WORRY AND ITS PSYCHOLOGICAL DISORDERS
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1 WORRY AND ITS PSYCHOLOGICAL DISORDERS Theory, Assessment and Treatment Edited by Graham C.L. Davey University of Sussex, UK and Adrian Wells University of Manchester, UK
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3 WORRY AND ITS PSYCHOLOGICAL DISORDERS
4 The Wiley Series in CLINICAL PSYCHOLOGY Adrian Wells (Series Advisor) Graham C.L. Davey and Adrian Wells (Editors) Titles published under the series editorship of: School of Psychological Sciences, University of Manchester, UK Worry and Its Psychological Disorders: Theory, Assessment and Treatment J. Mark G. Williams School of Psychology, (Series Editor) University of Wales, Bangor, UK Richard G. Moore and Anne Garland Ross G. Menzies and Padmal de Silva (Editors) David Kingdon and Douglas Turkington (Editors) Hermine L. Graham, Alex Copello, Max J. Birchwood and Kim T. Mueser (Editors) Jenny A. Petrak and Barbara Hedge (Editors) Gordon J.G. Asmundson, Steven Taylor and Brian J. Cox (Editors) Kees van Heeringen (Editor) Craig A. White Steven Taylor Alan Carr Max Birchwood, David Fowler and Chris Jackson (Editors) Dominic H. Lam, Steven H. Jones, Peter Hayward and Jenifer A. Bright A list of earlier titles in the series follows the index. Cognitive Therapy for Chronic and Persistent Depression Obsessive-Compulsive Disorder: Theory, Research and Treatment The Case Study Guide to Cognitive Behaviour Therapy of Psychosis Substance Misuse in Psychosis: Approaches to Treatment and Service Delivery The Trauma of Sexual Assault: Treatment, Prevention and Practice Health Anxiety: Clinical and Research Perspectives on Hypochondriasis and Related Conditions Understanding Suicidal Behaviour: The Suicidal Process Approach to Research, Treatment and Prevention Cognitive Behaviour Therapy for Chronic Medical Problems: A Guide to Assessment and Treatment in Practice Understanding and Treating Panic Disorder: Cognitive-Behavioural Approaches Family Therapy: Concepts, Process and Practice Early Intervention in Psychosis: A Guide to Concepts, Evidence and Interventions Cognitive Therapy for Bipolar Disorder: A Therapist s Guide to Concepts, Methods and Practice
5 WORRY AND ITS PSYCHOLOGICAL DISORDERS Theory, Assessment and Treatment Edited by Graham C.L. Davey University of Sussex, UK and Adrian Wells University of Manchester, UK
6 Copyright C 2006 John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex PO19 8SQ, England Telephone (+44) (for orders and customer service enquiries): cs-books@wiley.co.uk Visit our Home Page on All Rights Reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except under the terms of the Copyright, Designs and Patents Act 1988 or under the terms of a licence issued by the Copyright Licensing Agency Ltd, 90 Tottenham Court Road, London W1T 4LP, UK, without the permission in writing of the Publisher. Requests to the Publisher should be addressed to the Permissions Department, John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex PO19 8SQ, England, or ed to permreq@wiley.co.uk, or faxed to (+44) Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The Publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the Publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Other Wiley Editorial Offices John Wiley & Sons Inc., 111 River Street, Hoboken, NJ 07030, USA Jossey-Bass, 989 Market Street, San Francisco, CA , USA Wiley-VCH Verlag GmbH, Boschstr. 12, D Weinheim, Germany John Wiley & Sons Australia Ltd, 42 McDougall Street, Milton, Queensland 4064, Australia John Wiley & Sons (Asia) Pte Ltd, 2 Clementi Loop #02-01, Jin Xing Distripark, Singapore John Wiley & Sons Canada Ltd, 22 Worcester Road, Etobicoke, Ontario, Canada M9W 1L1 Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Library of Congress Cataloging-in-Publication Data Worry and its psychological disorders : theory, assessment, and treatment / edited by Graham C. L. Davey and Adrian Wells. p. cm. (The Wiley series in clinical psychology) Includes bibliographical references and indexes. ISBN-13: (cloth : alk. paper), ISBN-10: (cloth : alk. paper) ISBN-13: (pbk. : alk. paper), ISBN-10: X (pbk. : alk. paper) 1. Worry Treatment. 2. Anxiety Treatment. 3. Clinical psychology. I. Davey, Graham. II. Wells, Adrian. III. Series. [DNLM: 1. Anxiety Disorders diagnosis. 2. Anxiety Disorders therapy. 3. Psychological Theory. WM 172 W ] RC531.W dc British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library ISBN (hbk) (pbk) ISBN (hbk) X (pbk) Typeset in 10/12pt Palatino by TechBooks, New Delhi, India Printed and bound in Great Britain by TJ International, Padstow, Cornwall This book is printed on acid-free paper responsibly manufactured from sustainable forestry in which at least two trees are planted for each one used for paper production.
7 CONTENTS About the Editors... ix List of Contributors... xi Preface... xv Part I Chapter 1 Chapter 2 The Nature of Worry The Epidemiology of Worry and Generalized Anxiety Disorder... 3 Robert M. Holaway, Thomas L. Rodebaugh, and Richard G. Heimberg Worry and Rumination: Styles of Persistent Negative Thinking in Anxiety and Depression Costas Papageorgiou Chapter 3 Worry in Psychopathology Christine Purdon and Jennifer Harrington Chapter 4 Worry and Information-processing Gerald Matthews and Gregory J. Funke Chapter 5 Worry in Older Adults Julie L. Wetherell Chapter 6 Worry in Childhood and Adolescence 81 Sam Cartwright-Hatton Part II Chapter 7 The Assessment of Worry The Penn State Worry Questionnaire (PSWQ) Helen M. Startup and Thane M. Erickson
8 vi CONTENTS Chapter 8 Chapter 9 Chapter 10 Part III Chapter 11 Chapter 12 Chapter 13 Chapter 14 Part IV Chapter 15 Chapter 16 Chapter 17 The Anxious Thoughts Inventory and Related Measures of Metacognition and Worry Adrian Wells Assessment of Generalized Anxiety Disorder Cynthia L. Turk and Andrew T. Wolanin The Catastrophising Interview Procedure Graham C.L. Davey Theories of Chronic and Pathological Worry The Metacognitive Model of Worry and Generalised Anxiety Disorder Adrian Wells A Cognitive Model of Generalized Anxiety Disorder: The Role of Intolerance of Uncertainty Naomi Koerner and Michel J. Dugas A Mood-As-Input Account of Perseverative Worrying Graham C.L. Davey The Cognitive Avoidance Theory of Worry Nicholas J. Sibrava and T.D. Borkovec Treatment Methods Metacognitive Therapy for Worry and Generalised Anxiety Disorder Adrian Wells Applied Relaxation and Cognitive Therapy for Pathological Worry and Generalized Anxiety Disorder T.D. Borkovec A Cognitive-Behavioral Treatment Targeting Intolerance of Uncertainty Melisa Robichaud and Michel J. Dugas
9 CONTENTS vii Chapter 18 Chapter 19 Chapter 20 Pharmacological Treatments for Worry: Focus on Generalised Anxiety Disorder Ian M. Anderson and Marisha E. Palm Case Histories: Treating Worry Across Disorders Paul King The Efficacy of Psychological Treatments for Generalised Anxiety Disorder? Peter L. Fisher Chapter 21 Predictors of Treatment Outcome Robert C. Durham Index
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11 ABOUT THE EDITORS Graham Davey is Professor of Psychology at the University of Sussex in Brighton, UK. He has been an active researcher in areas associated with anxiety and its disorders, especially pathological worrying, phobias, and perseverative psychopathologies generally. He has published his research in many high-impact international journals including Journal of Abnormal Psychology, Behavioral & Brain Sciences, Journal of Experimental Psychology, and Behaviour Research & Therapy. He has authored or edited a total of 11 books, including Davey, G.C.L. (1997) (Ed) Phobias: A handbook of theory, research and treatment, Chichester: Wiley, and Davey, G.C.L. & Tallis, F. (1994) (Eds) Worrying: Perspectives on theory, assessment and treatment, Chichester: Wiley. He was elected President of the British Psychological Society from Adrian Wells is Professor of Clinical & Experimental Psychopathology at the University of Manchester, and Professor II in Clinical Psychology at the Norwegian University of Science and Technology, Trondheim. He is Honorary Consultant Clinical Psychologist in Manchester Mental Health Trust. He has published over 100 scientific papers and book chapters in the area of cognitive theory and therapy of emotional disorders. His books include Wells, A. (1997) Cognitive Therapy of Anxiety Disorders: A Practice Manual and Conceptual Guide, Chichester, UK: Wiley, and Wells, A. (2000) Emotional Disorders and Metacognition: Innovative Cognitive Therapy, Chichester, UK: Wiley. He is the originator of metacognitive therapy and has also contributed to the development of cognitive therapy for anxiety disorders. He is a founding fellow of the Academy of Cognitive Therapy, USA.
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13 LIST OF CONTRIBUTORS Ian M. Anderson T.D. Borkovec Neuroscience and Psychiatry Unit, University of Manchester, Room G809 Stopford Building, Oxford Road, Manchester M13 9PT, UK Department of Psychology, 544 Moore Bldg., Penn State University, University Park, PA 16802, USA Sam Cartwright-Hatton The University of Manchester Department of Child Psychiatry, Royal Manchester Children s Hospital, Pendlebury, Manchester M27 4HA, UK Graham C.L. Davey Michel J. Dugas Robert C. Durham Thane M. Erickson Peter L. Fisher Gregory J. Funke Jennifer Harrington Richard G. Heimberg Department of Psychology, University of Sussex, Brighton BN1 9QH, UK Department of Psychology (PY-170), Concordia University, 7141 Sherbrooke Street West, Montreal, Quebec H4B 1R6, Canada Department of Psychiatry, University of Dundee, Ninewells Hospital & Medical School, Dundee DD1 9SY, UK Department of Psychology, 544 Moore Bldg., Penn State University, University Park, PA 16802, USA The University of Manchester, Department of Clinical Psychology, Rawnsley Building, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK Department of Psychology, University of Cincinnati, Cincinnati, OH 45221, USA Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada Adult Anxiety Clinic, Department of Psychology, Temple University, 1701 North 13th Street, Philadelphia, PA , USA
14 xii LIST OF CONTRIBUTORS Robert M. Holaway Paul King Naomi Koerner Gerald Matthews Marisha E. Palm Costas Papageorgiou Christine Purdon Melisa Robichaud Thomas L. Rodebaugh Nicholas J. Sibrava Helen M. Startup Cynthia L. Turk Adrian Wells Adult Anxiety Clinic, Department of Psychology, Temple University, 1701 North 13th Street, Philadelphia, PA , USA North Manchester General Hospital, Department of Clinical Psychology, Delauneys Road, Crumpsall, Manchester M8 5RB, UK Department of Psychology (PY-170), Concordia University, 7141 Sherbrooke Street West, Montreal, Quebec H4B 1R6, Canada Department of Psychology, University of Cincinnati, Cincinnati, OH , USA Neuroscience and Psychiatry Unit, University of Manchester, Room G807 Stopford Building, Oxford Road, Manchester M13 9PT, UK Senior Lecturer/Consultant Clinical Psychologist, Doctoral Programme in Clinical Psychology, Institute for Health Research, Lancaster University, Lancaster LA1 4YT, UK Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada Department of Psychology (PY-170), Concordia University, 7141 Sherbrooke Street West, Montreal, Quebec H4B 1R6, Canada Adult Anxiety Clinic, Department of Psychology, Temple University, 1701 North 13th Street, Philadelphia, PA , USA Department of Psychology, 544 Moore Bldg., Penn State University, University Park, PA 16802, USA Department of Psychology, PO Box 77, Institute of Psychiatry, Denmark Hill, London SE5 8AF, UK Department of Psychology, Washburn University, 1700 College Avenue, Topeka, KS 66621, USA The University of Manchester, Department of Clinical Psychology, Rawnsley Building, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
15 LIST OF CONTRIBUTORS xiii Julie L. Wetherell Assistant Professor in Residence, Department of Psychiatry, University of California, San Diego, VA San Diego Healthcare System, 3350 La Jolla Village Drive (116B), San Diego, CA 92161, USA Andrew T. Wolanin Department of Psychology, La Salle University, 1900 W. Olney Ave., Philadelphia, PA 19141, USA
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