Worry: A critical analysis of some theoretical approaches

Abstract

It is suggested that worry has not been given serious academic attention due to problems of definition, and a prevailing belief that it is an unnecessary addition to the theorists vocabulary given the term “anxiety”. However, an increasing awareness of the importance of cognitive factors in emotional disorders makes the study of worry a necessary endeavour. Furthermore, inclusion of worry in DSM III-R as the principle diagnostic index of Generalised Anxiety Disorder has given the term clinical credibility. Three theoretical approaches to the subject of worry are considered: the test anxiety literature, which has focused on the effects of worry on performance, and two largely clinical accounts, a tripartite theory of worry and anxiety proposed by Borkovec, Metzger, and Pruzinsky (1986), and the model of anxious apprehension proposed by Barlow (1988). All approaches are critically evaluated, and suggestions made for future formulations.     

Meeting Calendar

Abstract

Confirmatory factor analyses (CFAs) were employed to test the factorial validity and structure of the Proactive Coping Inventory (PCI; Greenglass, Schwarzer, Jakubiec, Fiksenbaum, &; Taubert, 1999) in a large multiethnic sample (n=709). CFAs conducted on each individual scale of the PCI supported congeneric measurement. However, when the scales of the PCI were tested simultaneously in a model, a 3-factor model representing Logical Analysis/Problem Solving, Social Support, and Avoidance fit as well as both a 5- and the original 7-factor model. Moreover, strong redundancy among factors of both the 5- and 7-factor models suggested that these models did not represent the PCI well. In addition, multigroup analyses revealed that the parameters (e.g., factor loadings, item intercepts) of the 3-factor model were largely invariant across gender and ethnic groups. Discussion focuses on the interpretability of the 3-factor model of the PCI, and particularly in relation to traditional measures of reactive coping.     

Prevalence,Correlates and Perceptions Towards Cigarette Smoking Among Male and Female in School Adolescents (Aged 11–18 Years) in South Africa: Results from the 2008 GYTS Study

The aim of this study was to estimate the prevalence and identify correlates of current cigarette use among 8,470 school-going adolescents (aged 11 to 18 years) in South Africa. A cross-sectional study was carried out in 2008 in South Africa within the framework of the Global Youth Tobacco Survey (GYTS). Overall prevalence of current cigarette smoking was 16.5%. Significantly more males (22.8%) than females (10.5%) were current smokers (p < .001). Cigarette smoking among boys and girls was positively associated with parental and/or peer smoking and greater risk perception, and among girls smoking attitudes variables (having more friends among girls, greater attractiveness of boys and weight change) and various higher exposure to smoking advertising and promotion activities were positively associated with cigarette smoking. However, antismoking advertising and community and family education were positively associated with current smoking, while only having school or community special groups or classes for students who want to stop smoking was protective of smoking. Cigarette smoking and other tobacco use is a significant public health problem in South Africa. Public health efforts aimed at preventing adolescent cigarette/tobacco use should incorporate knowledge on the associated factors related to smoking.     

Alcohol Use in Three Different Inner Cities in South Africa: AUDIT-C and CAGE

The aim of the present study was to describe the frequency of risky drinking among a general urban population survey (n=1379) in South Africa with the help of (Alcohol Use Disorders Identification Test) AUDIT-C scores, CAGE (Cut down, Annoyed, Guilty, Eye-opener) scores and compare the scores with calculated risky drinking in terms of weekly alcohol consumption or heavy episodic drinking. Results indicate 44.4% for men and 25.4% for women as hazardous or harmful drinkers and using the CAGE 44.7% (55% among men and 35.5% among women). AUDIT-C and CAGE cases were more likely to be women than men and were also more likely among Coloureds and Whites than Black Africans and Indians or Asians. This study showed a greater sensitivity of AUDIT to CAGE.     

Cultural and Religious Values: A Cross-Cultural Study In Austria,South Africa and Egypt

This article compares religious values found on the basis of the lexical approach in three cultures. Lists of human values in Austria (German), South Africa (Northern Sotho) and Egypt (Arabic) were compiled. These terms were rated by 456, 400 and 773 participants respectively as personal guiding motives in life. Factor analyses yielded orthogonal dimensions reflecting the specific values of each culture. In all three cases, a dimension pertaining to religious issues emerged. For Austria, a distinct dimension was found, which only comprised religious terms. In South Africa religious values were interrelated with mutual support, while in Egypt, religiosity was highly correlated with political concerns and Arabic nationalism. While only about 25% of the Austrian sample gave positive evaluations to religious values, most of the South African and Egyptian participants rated religiosity positively. Results suggest that religious values are ubiquitous and religious convictions are influenced by the ethical concepts in each culture.     

Multiple health risk behaviours and posttraumatic stress disorder symptoms among university students from 22 countries

The goal of the study was to investigate multiple health risk behaviours in relation to PTSD symptoms in a sample of university students from 22 countries. Using anonymous questionnaires, data were collected from 16804 undergraduate university students (mean age 20.8, SD?=?2.8) from 23 universities in 22 countries in Africa, Asia, Caribbean and South America. Results indicate that overall, 20.9% of the university students screened positive for PTSD, and the overall mean of health risk behaviours (range from 1–10) was 2.7 for university students from all countries. Logistic regression adjusted for sociodemographic characteristics and social support found that each of the ten individual health risk behaviours was significantly associated with PTSD symptoms. In addition, logistic regression with multiple health risk behaviours found a steady increase from 1 (Odds Ratio (OR): 1.37, CI 1.05–1.77) to 5 or more (OR: 3.57, CI 2.75–4.64) health risk behaviours in association with PTSD symptoms, adjusted for age, gender, economic family background and social support.     

Brief Intervention of Alcohol Problems in Sub-Saharan Africa: A Review

The purpose of this review was to identify and assess studies that have described and quantified brief interventions of alcohol problems in sub-Saharan Africa. PubMed, Google scholar, CAB Abstracts and article references were searched to identify studies published in English between 1980 and 2009. Twenty-one eligible studies were described in detail and information on study characteristics extracted. All of the identified studies were conducted either in east or southern Africa and varied substantially in terms of study design, population and alcohol use definitions. Overall, brief intervention of alcohol problems in health care settings showed positive results but were difficult to integrate into routine practice. Brief interventions (ranging from a few to 12 sessions) in school settings showed mixed results. In individual or group format in community settings, brief interventions combined with HIV risk reduction counselling showed promising short term results. The findings of this review of sub-Saharan African research strongly support the possible impact of brief interventions of alcohol problems in various settings.     

Some EPI Reliability Estimates

The stability of the EPI over one month was estimated with 80 American university students, separately by sex (40 males, 40 females). The estimates for the extraversion-introversion (E-I), neuroticism (N) and lie scales ranged from 0.50 to 0.87. Reliability data (alternate-forms) from other sources were compared to the present results. It was concluded that the EPI has demonstrated generally high reliability for a personality measure, with reservations where the lie scale is concerned, and that the E-I scale alternate-forms, but not test-retest, reliability was generally lower than that for the N scale, suggesting that the alternate-forms are somewhat more equivalent for N than for E-I.     

Interpersonal Sensitivity,Partner Support,Patient–Physician Communication,and Sexual Functioning in Men Recovering From Prostate Carcinoma

Twenty men and twenty women were tested to determine patterns of latent hostility toward the Deity figure with a view governed by sex difference. It was found that men exhibited a consistently rigid pattern while women tended to move from lower to higher means on the “B” or benevolence scale. There was little differentiation on the “P” or potency scores. The technique utilized ink blot interpretations with subsequent ranking from the one most, to the one least, suggesting God. This attachment of symbol on a known factor to one of an unknown dimension has been labeled the technique of symbolic equivalence.     

Cross Racial Identity Scale (CRIS) Scores: Stability and Relationships With Psychological Adjustment

A humor test composed of cartoons, comic strips, and jokes was administered to 30 college couples (26 single, 4 married) who rated them for humor. Subjects also stated how much they loved and liked their partner, their probability of marrying the partner, and filled out Rubin's Liking and Love Scales. The hypotheses were that similarity of rating of the humorous stimuli would be associated with loving, liking, and predisposition to marry. Hypotheses were confirmed.