Lecture 3: Cognitive models Anxiety Flashcards
verschil anxiety and fear
fear: immediate respone when faced with threat
anxiety: stress response just from thoughts
new brain =
imagination, thinking, planning, rumination, mentalizing, self monitoring
wat zei paul gilbert
we have a new brain due to evolution, old brain is what animals also have
old brain =
motives: harm avoidance, reproducing, competing, caring
emotions: anger, anxiety, disgust, sadness, joy
behaviour: fight, flight, freeze, submission
welk brein zorgt voor dingen zoals anxiety
new brain (door rumination and imagination etc)
welke soort memories kan je hebben
verbal/abstract
sensory/perceptual
welk brein hoort bij welke soort memory
verbal/abstract = new brain
sensory/perceptual = old brain
hoe werkt cognition (basic process)
content of cognitions (what we think) <-> cognitive processes (how we think)
worry kenmerken in GAD
- excessive
- disproportional
- difficult to control
prevalentie social anxiety
12%
prevalentie GAD
3%
verschil worry and rumination
worry = worrying about future responses
rumination = repetitive and passive thinking about depression and symptoms
transdiagnostic between GAD and MDD
repetitive negative thinking
officiele definitie worry
“a chain of thoughts, negatively affect-laden and relatively uncontrollable; it represents an attempt to engage in mental problemsolving on an issue whose outcome is uncertain but contains the possibility of one or more negative outcomes”
rumination officiele definitie
“repetitive and passive thinking about one’s
symptoms of depression and the possible causes and consequences of these symptoms”
transdiagnostic: anxiety, depression, SAD
- repetitive
- no control
- negative content
- verbal
- abstract
transdiagnostic model: worry
anxiety
future
transdiagnostic model: rumination
past
depression
transdiagnostic model: post event processing
social situations
self focused
why do people ruminate?
we want to be prepared. een klein beetje is wel effectief, maar te veel is problematisch!
meta cognitive model key aspects
positive beliefs about worry (versterkt zichzelf, pijltjes in rondje om zichzelf) -> negative meta beliefs (versterkt zichzelf, pijltjes in rondjes om zichzelf)
positive beliefs about worrying = geloven dat het effectief is, believing they are problem solving
negative meta beliefs = worrying about worrying
avoidance model key aspects
zie schrift
mensen met anxiety krijgen perception of threat, dan gaan ze worrying: op verbal linguistic manier. hierdoor worden positive worry beliefs versterkt. maar hierdoor minder mental imagery, waardoor normaal een somatic reaction komt die emotional processing zou stimuleren, wat voor minder perception of threat zou leiden (maar doordat worrying mental imagery verlaagd: ook minder emotional processing)