Worry and the anxiety disorders: A meta-analytic synthesis of specificity to GAD

Bunmi O. Olatunji, Kate B. Wolitzky-Taylor, Craig Sawchuk, Bethany G. Ciesielski

Research output: Contribution to journalShort survey

38 Citations (Scopus)

Abstract

Although worry is central to the diagnosis of generalized anxiety disorder (GAD), it is also commonly observed in other anxiety disorders. In this meta-analytic review, we empirically evaluated the extent to which worry is specific to GAD relative to patients with other anxiety disorders, those with other psychiatric disorders, and nonpsychiatric controls. A total of 47 published studies (. N=. 8,410) were included in the analysis. The results yielded a large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among anxiety disorder patients v. nonpsychiatric controls (. d=. 1.64). In contrast to the many differences emerging from comparisons between anxiety disordered patients and nonpsychiatric controls, when anxiety disordered patients were compared to people with other psychiatric disorders they differed only on severity/frequency and not on meta-worry or domains of worry. A large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among patients with GAD v. nonpsychiatric controls was also found (. d=. 2.05). However, differences between GAD and those with other psychiatric disorders also emerged for severity/frequency of worry. GAD was associated with greater worry difficulties than other anxiety disorders, which generally did not differ from those with other psychiatric disorders and each other. The implications of these findings for conceptualizing worry in GAD and other anxiety disorders, and the potentially moderating effects of age and gender are discussed.

Original languageEnglish (US)
Pages (from-to)1-24
Number of pages24
JournalApplied and Preventive Psychology
Volume14
Issue number1-4
DOIs
StatePublished - Jun 1 2010
Externally publishedYes

Fingerprint

Anxiety Disorders
Psychiatry
Anxiety

Keywords

  • Anxiety disorders
  • GAD
  • Meta-analysis
  • Worry

ASJC Scopus subject areas

  • Applied Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Worry and the anxiety disorders : A meta-analytic synthesis of specificity to GAD. / Olatunji, Bunmi O.; Wolitzky-Taylor, Kate B.; Sawchuk, Craig; Ciesielski, Bethany G.

In: Applied and Preventive Psychology, Vol. 14, No. 1-4, 01.06.2010, p. 1-24.

Research output: Contribution to journalShort survey

Olatunji, Bunmi O. ; Wolitzky-Taylor, Kate B. ; Sawchuk, Craig ; Ciesielski, Bethany G. / Worry and the anxiety disorders : A meta-analytic synthesis of specificity to GAD. In: Applied and Preventive Psychology. 2010 ; Vol. 14, No. 1-4. pp. 1-24.
@article{7b842b7a5ef14f60a931adde88a52542,
title = "Worry and the anxiety disorders: A meta-analytic synthesis of specificity to GAD",
abstract = "Although worry is central to the diagnosis of generalized anxiety disorder (GAD), it is also commonly observed in other anxiety disorders. In this meta-analytic review, we empirically evaluated the extent to which worry is specific to GAD relative to patients with other anxiety disorders, those with other psychiatric disorders, and nonpsychiatric controls. A total of 47 published studies (. N=. 8,410) were included in the analysis. The results yielded a large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among anxiety disorder patients v. nonpsychiatric controls (. d=. 1.64). In contrast to the many differences emerging from comparisons between anxiety disordered patients and nonpsychiatric controls, when anxiety disordered patients were compared to people with other psychiatric disorders they differed only on severity/frequency and not on meta-worry or domains of worry. A large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among patients with GAD v. nonpsychiatric controls was also found (. d=. 2.05). However, differences between GAD and those with other psychiatric disorders also emerged for severity/frequency of worry. GAD was associated with greater worry difficulties than other anxiety disorders, which generally did not differ from those with other psychiatric disorders and each other. The implications of these findings for conceptualizing worry in GAD and other anxiety disorders, and the potentially moderating effects of age and gender are discussed.",
keywords = "Anxiety disorders, GAD, Meta-analysis, Worry",
author = "Olatunji, {Bunmi O.} and Wolitzky-Taylor, {Kate B.} and Craig Sawchuk and Ciesielski, {Bethany G.}",
year = "2010",
month = "6",
day = "1",
doi = "10.1016/j.appsy.2011.03.001",
language = "English (US)",
volume = "14",
pages = "1--24",
journal = "Applied and Preventive Psychology",
issn = "0962-1849",
publisher = "Elsevier",
number = "1-4",

}

TY - JOUR

T1 - Worry and the anxiety disorders

T2 - A meta-analytic synthesis of specificity to GAD

AU - Olatunji, Bunmi O.

AU - Wolitzky-Taylor, Kate B.

AU - Sawchuk, Craig

AU - Ciesielski, Bethany G.

PY - 2010/6/1

Y1 - 2010/6/1

N2 - Although worry is central to the diagnosis of generalized anxiety disorder (GAD), it is also commonly observed in other anxiety disorders. In this meta-analytic review, we empirically evaluated the extent to which worry is specific to GAD relative to patients with other anxiety disorders, those with other psychiatric disorders, and nonpsychiatric controls. A total of 47 published studies (. N=. 8,410) were included in the analysis. The results yielded a large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among anxiety disorder patients v. nonpsychiatric controls (. d=. 1.64). In contrast to the many differences emerging from comparisons between anxiety disordered patients and nonpsychiatric controls, when anxiety disordered patients were compared to people with other psychiatric disorders they differed only on severity/frequency and not on meta-worry or domains of worry. A large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among patients with GAD v. nonpsychiatric controls was also found (. d=. 2.05). However, differences between GAD and those with other psychiatric disorders also emerged for severity/frequency of worry. GAD was associated with greater worry difficulties than other anxiety disorders, which generally did not differ from those with other psychiatric disorders and each other. The implications of these findings for conceptualizing worry in GAD and other anxiety disorders, and the potentially moderating effects of age and gender are discussed.

AB - Although worry is central to the diagnosis of generalized anxiety disorder (GAD), it is also commonly observed in other anxiety disorders. In this meta-analytic review, we empirically evaluated the extent to which worry is specific to GAD relative to patients with other anxiety disorders, those with other psychiatric disorders, and nonpsychiatric controls. A total of 47 published studies (. N=. 8,410) were included in the analysis. The results yielded a large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among anxiety disorder patients v. nonpsychiatric controls (. d=. 1.64). In contrast to the many differences emerging from comparisons between anxiety disordered patients and nonpsychiatric controls, when anxiety disordered patients were compared to people with other psychiatric disorders they differed only on severity/frequency and not on meta-worry or domains of worry. A large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among patients with GAD v. nonpsychiatric controls was also found (. d=. 2.05). However, differences between GAD and those with other psychiatric disorders also emerged for severity/frequency of worry. GAD was associated with greater worry difficulties than other anxiety disorders, which generally did not differ from those with other psychiatric disorders and each other. The implications of these findings for conceptualizing worry in GAD and other anxiety disorders, and the potentially moderating effects of age and gender are discussed.

KW - Anxiety disorders

KW - GAD

KW - Meta-analysis

KW - Worry

UR - http://www.scopus.com/inward/record.url?scp=84855969510&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84855969510&partnerID=8YFLogxK

U2 - 10.1016/j.appsy.2011.03.001

DO - 10.1016/j.appsy.2011.03.001

M3 - Short survey

AN - SCOPUS:84855969510

VL - 14

SP - 1

EP - 24

JO - Applied and Preventive Psychology

JF - Applied and Preventive Psychology

SN - 0962-1849

IS - 1-4

ER -