Essay Body Flashcards
Descrobe the metacognition body?
Suggests that gad is developed through chronic worry.
Split into 2 types of worry (what if and worry about worry)
- type 2.mainrains GAD through negative appraisals of worry
- try and get rid if worry through suppression of worries and avoidance
What is type 1 worry?
Negative what if? Worry
Positively appraising worry
If I worry about all of thr outcomes, I will be prepared.
What is type 2 worry?
Worrying about worrying
Negative appraisals of worry occur triggering worry about worry and trigger8ng maladaptive behaviours
-maintains GAD
What is the vicious cycle of the metacog model?
The maladaptive eebhaviours (avoidance and suppression) prohibited indicidual to learn productive strategies for managing worry and stress
Who provides support evidence for the metacog model (Wells, 1997)?
Mahoney et al (2018)
What’s the aim of Mahoney et al (2018) Study?
Examined mediating effects of maladaptive behaviours on gad symptoms and key cognitive factors
And vice versa
What are the cognitive factors for mahoney et al (2018)?
Worry
Gad symptoms
Intolerance of uncertainty
Metacognition
Cognitive avoidance
What is the sample for mahoney et al (2018)?
2 samples
125 and 292 for validating maladaptive behaviours psychometrics
Mediation was explored
What did mahoney et al (2018) find?
Maladaptive behaviours mediated relationship between gad and intolerance of uncertainty, metacog and avoidance
Cog mediates maladaptive behaviours also
What are the takeaways for mahoney et al (2018l?
Supports model as metacog, maladaptive behaviours and worry associates with gad
What are the limitations of mahoney et al (2018l?
Cross sectional design prohibit# exploration of causality
What are the focused claims of Wells (1997 midel)?
Worry coe to gad
Worry 2 is the maintenance of gad
Worry causes damage to cognitive and emotion regulation
Those with gad having maladaptive thought patterns of tho8ght control
What is thr psychological intervention for GAD?
CBT
What paper for CBT treatment to GAD?
Stefan et al (2019)
What 3 types of CBT are investigated in Stefan et al (2019)?
Cognitive therapy/ borkovec’s treatment package
-Acceptance and Commitment therapy
- rational emotive behaviour therapy
What is Stefan et al (2019) study aims?
RCT to see wh8ch CBT is mist effective at treating GAD
What is Stefan et al (2019l sample?
71 ppts diagnosed with GAD not under medicinal intervention
What are fhe key results in the Stefan et al (2019 study?
No sign difference between each cbt therapy znd severity of symptoms
All improved severity of symptoms
Results of sensitivity analysis?
Detect intersction effects as small as .25
What was stefan et al (2019) power?
.30 to.39
What is the limitations of Stefan et al (2019) study?
Small sample
Possible reason why no observable differences between intervention groups
What are the bio intervention for GAD?
SSRIs and SNRIs
What study is used fir thr bio intervention of GAD?
Perna et al (2016)
What was Perna et al (2016) study?
Systematic review
7 RCTs for GAD
8 CTs for GAD
Accord8ng to Stefan et al (2019) why are ssris and snris good for GAD?
Good long term treatment
Sognricsntt reduces relapse rates
What SSRI and SNRI are good for GAD?
Escitalopram
Venlafaxine FR
What we’re the relapse rates reduction between meds snd placebos?
10-19% vs 39-50%
What is the limitations to the bio treatment of GAD?
These SSRIs and SNRIs are most specid8x to older adults
Relapsemore likely when undergoing cbt without medicinal treatment
