Available research indicates that worry is an important process in need of further investigation, particularly among adolescents. While a sizable body of literature has examined the nature, prevalence, and correlates of worry in both adults and youth, laboratory investigations of this variable using a real-time worry induction paradigm have been completed almost exclusively with adults. The current study aimed to extend the literature by experimentally examining the validity of a worry induction in a sample of adolescents. Fifty adolescents between the ages of 12 and 17 years were randomly assigned to either a worry or a neutral thought condition. Results provided initial support for the validity of using an ideographic worry induction procedure with adolescents, suggesting the induction produces elevated generalized negative affectivity and future-oriented mentation relative to a control group. Unexpectedly, predictions regarding the effects of the induction on verbal-linguistic thoughts were not supported. Results are discussed in terms of their convergence and divergence with the adult literature as well as relevant developmental factors to consider in future utilization of worry induction procedures in order to better understand the phenomenology and consequences of worry among youth.
AlbanoA. M., & HackS. (2004). Children and adolescents. In HeimbergR. G., MenninD., & TurkC. (Eds.), Generalized anxiety disorder (pp. 383–408). New York: The Guilford Press.
2.
AllenJ. L. (1984). Levels of cognitive development and attribution behavior relationships. (Master's Thesis). University of Arkansas, Fayetteville, Arkansas.
BarlowD. H. (2002). Anxiety and its disorders: The Nature and Treatment of Anxiety and Panic (2nd ed.). New York: The Guilford Press.
5.
BeesdoK., KnappeS., & PineD. S. (2009). Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatric Clinics of North America, 32, 483–524. http://dx.doi.org/10.1016/j.psc.2009.06.002
BeidelD. C. (1991). Social phobia and overanxious disorder in school age children. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 545–552. http://dx.doi.org/10.1097/00004583-199107000-00003
8.
Bell-DolanD. J., LastC. G., & StraussC.C. (1990). Symptoms of anxiety disorders in normal children. Journal of American Academy of Child and Adolescent Psychiatry, 29, 759–765. http://dx.doi.org/10.1097/00004583-199009000-00014
9.
BerkL. E. (2012). Infants, Children, and Adolescents.Boston, MA: Alley & Bacon.
10.
BorkovecT. D., & InzJ. (1990). The nature of worry in generalized anxiety disorder: A predominance of thought activity. Beahviour Research and Therapy, 28, 153–158. http://dx.doi.org/10.1016/0005-7967(90)90027-G
11.
BorkovecT. D., RayW. J., & StöberJ. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal behavioral processes. Cognitive Therapy and Research, 22, 561–576. http://dx.doi.org/10.1023/A:1018790003416
12.
BorkovecT. D., ShadickR. N., & HopkinsM. (1991). The nature of normal and pathological worry. In RapeeR. M., & BarlowD. H., (Eds.). Chronic anxiety: Generalized anxiety disorder and mixed anxiety and depression. (pp. 29–51). New York, NY, US: Guilford Press.
13.
BradleyM. M., & LangP. J. (1994). Measuring emotion: the self-assessment manikin and the semantic differential. Journal of Behavior Therapy & Experimental Psychiatry, 25, 49–59. http://dx.doi.org/10.1016/0005-7916(94)90063-9
14.
BrosschotJ. F., GerinW., & ThayerJ. F. (2006). The perseverative cognition hypothesis: A review of worry, prolonged stress-related physiological activation, and health. Journal of Psychosomatic Research, 60, 113–124. http://dx.doi.org/10.1016/j.jpsychores.2005.06.074
15.
BrosschotJ. F., & Van Der DoefM. (2006). Daily worrying and somatic health complaints: Testing the effectiveness of a simple worry reduction intervention. Psychology and Health, 21, 19–31. http://dx.doi.org/10.1080/14768320500105346
16.
BurneyG. M. (1974). The construction and validation of an objective formal reasoning instrument. (Doctoral Dissertation). University of Northern Colorado, Greeley, Colorado.
17.
CampbellM. A., & RapeeR. M. (1994). The nature of feared outcome representation in children. Journal of Abnormal Child Psychology, 22, 99–111. http://dx.doi.org/10.1007/BF02169258
CellaD. F., & PerryS. W. (1986). Reliability and concurrent validity of three visual-analogue mood scales. Psychological Reports, 59, 827–833. http://dx.doi.org/10.2466/pr0.1986.59.2.827
ChorpitaB. F., TraceyS. A., BrownT. A., ColicaT. J., & BarlowD. H. (1997). Assessment of worry in children and adolescents: An adaptation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 35, 569–581. http://dx.doi.org/10.1177/0272431608320125
22.
CicchettiD., & RogoschF. A. (2002). A developmental psychopathology perspective on adolescence. Journal of Consulting and Clinical Psychology, 70, 6–20. http://dx.doi.org/10.1037/0022-006X.70.1.6
23.
CohenJ., CohenP., WestS. G., & AikenL. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum Associates Publishers.
24.
CraskeM. G., KircanskiK., EpsteinA., WittchenH., PineD. S., Lewis-FerdinándezR., & HintonD. (2010). Panic disorder: A review of DSM-IV panic disorder and proposals for DSM-V. Depression and Anxiety, 27, 93–112. http://dx.doi.org/10.1002/da.20654
25.
DahlR. E. (2004). Adolescent brain development: A period of vulnerabilities and opportunities. Annals of the New York Academy of Sciences, 1021, 1–22. http://dx.doi.org/10.1196/annals.1308.001
26.
DaveyG. C. L., EldridgeF., DrostJ., & MacDonaldB. (2007). What ends a worry bout? An analysis of changes in mood and stop rule use across the catastrophising interview task. Behaviour Research and Therapy, 44, 1375–1384. http://dx.doi.org/10.1016/j.brat.2005.10.006
27.
DaveyG. C. L., JubbM., & CameronC. (1996). Catastrophic worrying as a function of changes in problem-solving confidence. Cognitive Therapy & Research, 20, 333–344. http://dx.doi.org/10.1007/BF02228037
28.
DaveyG. C. L., & LevyS. (1998). Catastrophic worrying: Personal inadequacy and a perseverative iterative style as features of the catastrophizing process. Journal of Abnormal Psychology, 107, 576–586. http://dx.doi.org/10.1037/0021-843X.107.4.576
29.
DugasM. J., LaugesenN., & BukowskiW. M. (2012). Intolerance of uncertainty, fear of anxiety, and adolescent worry. Journal of Abnormal Child Psychology, 40, 863–870. http://dx.doi.org/10.1007/s10802-012-9611-1
30.
FergusonC. J. (2009). An effect size primer: A guide for clinicians and researchers. Professional Psychology: Research and Practice, 40, 532–538. http://dx.doi.org/10.1037/a0015808
FreestonM. H., DugasM. J., & LadouceurR. (1996). Thoughts, images, worry, and anxiety. Cognitive Therapy and Research, 20, 265–273. http://dx.doi.org/10.1007/BF02229679
33.
ForsythJ. P., LejuezC. W., & FinlayC. G. (2000). Anxiogenic effects of repeated administrations of 20% CO2-enriched air: Stability within sessions, habituation across time. Journal of Behavior Therapy and Experimental Psychiatry, 31, 103–121. http://dx.doi.org/10.1016/S0005-7916(00)00014-8
34.
GoldwinM., & BeharE. (2012). Concreteness of idiographic periods of worry and depressive rumination. Cognitive Therapy and Research, 36, 840–846. http://dx.doi.org/10.1007/s10608-011-9428-1
35.
GosselinP., LangloisF., FreestonM. H., LadouceurR., LabergeM., & LemayD. (2007). Cognitive variables related to worry among adolescents: Avoidance strategies and faulty beliefs about worry. Behaviour Research and Therapy, 45, 225–233. http://dx.doi.org/10.1016/j.brat.2006.03.001
36.
GreenbaumP. E., TurnerC., CookE. W., & MelamedB. G. (1990). Dentists' voice control: Effects on children's disruptive and affective behavior. Health Psychology, 9, 546–558. http://dx.doi.org/10.1037/0278-6133.9.5.546
37.
HenkerB., WhalenC. K., & O'NeilR. (1995). Worldly and workaday worries: Contemporary concerns of children and young adolescents. Journal of Abnormal Child Psychology, 23, 685–702. http://dx.doi.org/10.1007/BF01447472
38.
HoyerJ., BeckerE. S., & RothW. T. (2001). Characteristics of worry in GAD patients, social phobics, and controls. Depression and Anxiety, 13, 89–96. http://dx.doi.org/10.1002/da.1021
39.
HughesA. A., & KendallP. C. (2008). Effect of a positive emotional state on interpretation bias for threat in children with anxiety disorders. Emotion, 8, 414–418. http://dx.doi.org/10.1037/1528-3542.8.3.414
40.
JacquesH. A. K., & MashE. J. (2004). A test of the tripartite model of anxiety and depression in elementary and high school boys and girls. Journal of Abnormal Child Psychology, 32, 13–25. http://dx.doi.org/10.1023/B: JACP.0000007577.38802.18
41.
JoinerT. E., CatanzaroS. J., & LaurentJ. (1996). Tripartite structure of positive and negative affect, depression, and anxiety in child and adolescent psychiatric inpatients. Journal of Abnormal Psychology, 105, 401–409. http://dx.doi.org/10.1037/0021-843X.105.3.401
42.
JohnstonW. M., & DaveyG. C. L. (1997). The psychological impact of negative TV news bulletins: The catastrophizing of personal worries. British Journal of Psychology, 88, 85–91. http://dx.doi.org/10.1111/j.2044-8295.1997.tb02622.x
43.
JoormannJ., & StöberJ. (1999). Somatic symptoms of generalized anxiety disorder from the DSM-IV: Associations with pathological worry and depression symptoms in a nonclinical sample. Journal of Anxiety Disorders, 13, 491–503. http://dx.doi.org/10.1016/S0887-6185(99)00017-1
44.
KertzS. J., & Woodruff-BordenJ. (2011). The developmental psychopathology of worry. Clinical Child and Family Psychology Review, 14, 174–197. http://dx.doi.org/10.1007/s10567-011-0086-3
45.
KubzanskyL. D., KawachiI., SpiroH. I., WeissS. T., VokonasP. S., & SparrowD. (1997). Is worrying bad for your heart? A prospective study of worry and coronary heart disease in the normative aging study. Circulation, 95, 818–824. http://dx.doi.org/10.1161/01.CIR.95.4.818
LangP. J. (1980). Behavioral treatment and bio-behavioral assessment: Computer applications. In SidowskiJ. B., JohnsonJ. H., & WilliamsT. A. (Eds.), Technology in mental health care delivery systems (pp. 119–137). Norwood, NJ: Ablex.
48.
LaurentJ., CatanzaroS. J., & JoinerT. E. (2004). Development and preliminary validation of the physiological hyperarousal scale for children. Psychological Assessment, 16, 373–380. http://dx.doi.org/10.1037/1040-3590.16.4.373
49.
LawsonA. E. (1974). Piagetian formal operational tasks: A crossover study of learning effect and reliability. Science Education, 58, 267–276. http://dx.doi.org/10.1002/sce.3730580216
50.
Leen-FeldnerE. W., BlumenthalH., BabsonK., BunaciuL., & FeldnerM. T. (2008). Parenting-related childhood learning history and panic vulnerability: A test using a laboratory-based biological challenge procedure. Behaviour Research and Therapy, 46, 1009–1016. http://dx.doi.org/10.1016/j.brat.2008.06.002
51.
Leen-FeldnerE. W., FeldnerM. T., TullM. T., RoemerL., & ZvolenskyM. J. (2006). An examination of worry in relation to anxious responding to voluntary hyperventilation among adolescents. Behaviour Research and Therapy, 44, 1803–1809. http://dx.doi.org/10.1016/j.brat.2005.12.014
52.
Leen-FeldnerE. W., ZvolenskyM. J., & FeldnerM. T. (2004). Behavioral inhibition sensitivity and emotional response suppression: A laboratory test among adolescents in a fear-relevant paradigm. Journal of Clinical Child and Adolescent Psychology, 33, 783–791. http://dx.doi.org/10.1207/s15374424jccp3304_13
53.
LleraS. J., & NewmanM. G. (2010). Effects of worry on physiological and subjective reactivity to emotional stimuli in generalized anxiety disorder and nonanxious control participants. Emotion, 10, 640–650. http://dx.doi.org/10.1037/a0019351
McLaughlinK. A., BorkovecT. D., & SibravaN. J. (2007). The effects of worry and rumination on affect states and cognitive activity. Behavior Therapy, 38, 23–38. http://dx.doi.org/10.1016/j.beth.2006.03.003
MeyerT. J., MillerM. L., MetzgerR. L., & BorkovecT. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487–495. http://dx.doi.org/10.1016/0005-7967(90)90135-6
58.
MolinaS., & BorkovecT. D. (1994). The Penn State Worry Questionnaire: Psychometric properties and associated characteristics. In DaveyG. C. L., & TallisF. (Eds.), Worrying: Perspectives on theory, assessment and treatment (pp. 265–283). Oxford, England: John Wiley & Sons.
59.
MurisP. (2006). The pathogenesis of childhood anxiety disorders: Considerations from a developmental psychopathology perspective. International Journal of Behavioral Development, 30, 5–11. http://dx.doi.org/10.1177/0165025406059967
60.
MurisP., MayerB., VermeulenL., & HiemstraH. (2007). Theory-of-mind, cognitive development, and children's interpretation of anxiety-related physical symptoms. Behaviour Research and Therapy, 45, 2121–2132. http://dx.doi.org/10.1016/j.brat.2007.02.014
61.
MurisP., MeestersC., MerckelbachH., SermonA., & ZwakhalenS. (1998). Worry in normal children. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 703–710. http://dx.doi.org/10.1097/00004583-199807000-00009
62.
MurisP., MerckelbachH., & LuijtenM. (2002). The connection between cognitive development and specific fears and worries in normal children and children with below-average intellectual abilities: a preliminary study. Behaviour Research and Therapy, 40, 37–56. http://dx.doi.org/10.1016/S0005-7967(00)00115-7
63.
MurisP., RoelofsJ., MeestersC., & BoomsmaP. (2004). Rumination and worry in nonclinical adolescents. Cognitive Therapy and Research, 28, 539–554. http://dx.doi.org/10.1023/B: COTR.0000045563.66060.3e
64.
NewmanM. G., & LleraS. J. (2011). A novel theory of experiential avoidance in generalized anxiety disorder: A review and synthesis of research supporting a contrast avoidance model of worry. Clinical Psychology Review, 31, 371–382. http://dx.doi.org/10.1016/j.cpr.2011.01.008
65.
NisbettR., & RossL. (1980). Human Inference: Strategies and Shortcomings of Social Judgment.Englewood Cliffs, NJ: Prentice Hall.
66.
OathesD. J., BruceJ. M., & NitschkeJ. B. (2008). Worry facilitates corticospinal motor response to transcranial magnetic stimulation. Depression and Anxiety, 35, 969–976. http://dx.doi.org/10.1002/da.20445
67.
OlatunjiB. O., Broman-FulksJ. J., BergmanS. M., GreenB. A., & ZiomkeK. R. (2010). A taxometric investigation of the latent structure of worry: Dimensionality and associations with depression, anxiety, and stress. Behavior Therapy, 41, 212–228. http://dx.doi.org/10.1016/j.beth.2009.03.001
68.
OlatunjiB. O., Leen-FeldnerE. W., FeldnerM. T., & ForsythJ. P. (2007). Experimental psychopathology. In McKayD. 680 (Ed.) Handbook of Research Methods in Abnormal and Clinical Psychology (pp. 47–60). Thousand Oaks, CA: Sage Publications.
69.
OlatunjiB. O., Wolitzky-TaylorK. B., SawchukC. N., & CiesielskiB. G. (2011). Worry and the anxiety disorders: A meta-analytic synthesis of specificity of GAD. Applied and Preventive Psychology, 14, 1–24. http://dx.doi.org/10.1016/j.appsy.2011.03.001
70.
PausT., KeshavanM., & GieddJ. N. (2008). Why do many psychiatric disorders emerge during adolescence?Nature Reviews Neuroscience, 9, 947–957. http://dx.doi.org/10.1038/nrn2513
71.
PiagetJ. (1970). Piaget's theory. In MussenP. H. (Ed.), Carmichael's manual of child psychology: Volume 1 (pp. 703–732). New York: John Wiley.
PieperS., BrosschotJ. F., van der LeedenR., & ThayerJ. F. (2007). Cardiac effects of momentary assessed worry episodes and stressful events. American Psychosomatic Society, 69, 901–909. http://dx.doi.org/10.1097/PSY.0b013e31815a9230
74.
PluessM., ConradA., & WilhelmF. H. (2009). Muscle tension in generalized anxiety disorder: A critical review of the literature. Journal of Anxiety Disorders, 23, 1–11. http://dx.doi.org/10.1016/j.janxdis.2008.03.016
75.
RuscioA. M., BorkovecT. D., & RuscioJ. (2001). A taxometric investigation of the latent structure of worry. Journal of Abnormal Psychology, 110, 413–422. http://dx.doi.org/10.1037/0021-843X.110.3.413
76.
SegerstromS. C., TsaoJ. C. I., AldenL. E., & CraskeM. G. (2000). Worry and rumination: Repetitive thought as a concomitant and predictor of negative mood. Cognitive Therapy and Research, 24, 671–688. http://dx.doi.org/10.1023/A:1005587311498
77.
SilvermanW. K., & AlbanoA. M. (1996). The anxiety disorders interview schedule for DSM-IV: Child and parent versions.San Antonio, TX: Psychological Corporation.
78.
SilvermanW. K., La GrecaA. M., & WassersteinS. (1995). What do children worry about? Worries and their relation to anxiety. Child Development, 66, 671–686. http://dx.doi.org/10.1023/A:1005122101885
SternheimL., StartupH., SaeidiS., MorganJ., HugoP., RussellA., & SchmidtU. (2012). Understanding catastrophic worry in eating disorders: Process and content characteristics. Journal of Behavior Therapy and Experimental Psychiatry, 43, 1095–1103. http://dx.doi.org/10.1016/j.jbtep.2012.05.006
81.
SuarezL., & Bell-DolanD. (2001). The relationship of child worry to cognitive biases: Threat interpretation and likelihood of event occurrence. Behavior Therapy, 32, 425–442. http://dx.doi.org/10.1016/S0005-7894(01)80029-0
SzabóM. (2009). Worry in adults and children: Developmental differences in the importance of probability and cost judgments. Journal of Psychopathological Behavioral Assessment, 31, 235–245. http://dx.doi.org/10.1007/s10862-008-9108-y
84.
SzabóM., & LovibondP. F. (2004). The cognitive content of thought-listed worry episodes in clinic-referred anxious and nonreferred children. Journal of Clinical Child and Adolescent Psychology, 33, 613–622. http://dx.doi.org/10.1207/s15374424jccp3303_18
85.
TraceyS. A., ChorpitaB. F., DoubanJ., & BarlowD. H. (1997). Empirical evaluation of DSM-IV generalized anxiety disorder criteria in children and adolescents. Journal of Clinical Child Psychology, 26, 404–414. http://dx.doi.org/10.1207/s15374424jccp2604_9
86.
TurnerL., & WilsonC. (2010). Worry, mood and stop rules in young adolescents: Does the mood-as-input theory apply?Journal of Experimental Psychopathology, 1, 34–51. http://dx.doi.org/10.5127/jep.007810
87.
VaseyM. W. (1993). Development and cognition in childhood anxiety: The example of worry. Advances in Clinical Child Psychology, 15, 1–39.
88.
VaseyM. W., & BorkovecT. D. (1992). A catastrophising assessment of worrisome thoughts. Cognitive Therapy and Research, 16, 505–520. http://dx.doi.org/10.1007/BF01175138
89.
VaseyM. W., CrnicK. A., & CarterW. G. (1994). Worry in childhood: A developmental perspective. Cognitive Therapy and Research, 18, 529–549. http://dx.doi.org/10.1007/BF02355667
90.
VerkuilB., BrosschotJ. F., BorkovecT. D., & ThayerJ. F. (2009). Acute autonomic effects of experimental worry and cognitive problem solving: Why worry about worry?International Journal of Clinical and Health Psychology, 9, 439–453.
91.
WeemsC. F., SilvermanW. K., & La GrecaA. M. (2000). What do youth referred for anxiety problems worry about? Worry and its relation to anxiety and anxiety disorders in children and adolescents. Journal of Abnormal Child Psychology, 28, 63–72. http://dx.doi.org/10.1023/A:1005122101885
92.
WilsonK., GulloneE., & MossS. (1998). The youth version of the Positive and Negative Affect Schedule: A psychometric validation. Behaviour Change, 15, 187–193.
93.
WittchenU., & HoyerJ. (2001). Generalized anxiety disorder: Nature and Course. Journal of Clinical Psychiatry, 62, 15–19.
94.
WolpeJ. (1958). Psychotherapy by reciprocal inhibition.Stanford, CA: Stanford University Press.
95.
YorkD., BorkovecT. D., VaseyM., & SternR. (1987). Effects of worry and somatic anxiety induction on thoughts, emotion, and physiological activity. Behaviour Research and Therapy, 25, 523–526. http://dx.doi.org/10.1016/0005-7967(87)90060-X
ZvolenskyM. J., LejuezC., StewartG., & CurtinJ. J. (2001). Experimental psychopathology in psychological science. Review of General Psychology, 5, 371–381. http://dx.doi.org/10.1037/1089-2680.5.4.371
