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Examining the latent structure of worry and generalized anxiety in a clinical sample
Institution:1. McLean Hospital, Harvard Medical School, United States;2. Southern Illinois University, United States;1. Department of Pediatrics, University of Washington, USA;2. Department of Medicine, University of Washington, USA;3. Department of Laboratory Medicine, University of Washington, USA;4. Department of Epidemiology, University of Washington, USA;5. Department of Global Health, University of Washington, USA;6. Seattle Children''s Hospital, Seattle, WA, USA;7. Vaccine and Infectious Disease, Fred Hutchinson Cancer Research Center, Seattle, WA, USA;8. Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA;9. Clinical Research Divisions, Fred Hutchinson Cancer Research Center, Seattle, WA, USA;1. Shiraz University of Technology, P.O. Box 71555-313, Shiraz, Iran;2. IMFT, Institut de Mécanique des Fluides de Toulouse, 31400 Toulouse, France;1. Institute of Biological Psychology;2. Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany;1. DIBINEM, Alma Mater Studiorum University of Bologna and IRCCS Istituto delle Scienze Neurologiche, Bologna, Italy;2. Centro S.I.D.S., A.O. Città della Salute e della Scienza, Torino, Italy;3. DIMES, Alma Mater Studiorum University of Bologna, Bologna, Italy;4. QUVI, Alma Mater Studiorum University of Bologna, Bologna, Italy;1. Division of Medical Oncology, “G. Borea” Hospital, Sanremo, Italy;2. Laboratorio Analisi, “G. Borea” Hospital, Sanremo, Italy
Abstract:Generalized anxiety disorder (GAD) is characterized by “pathological” worry, suggesting that GAD worriers differ qualitatively from non-GAD worriers. However, results from taxometric studies of worry in undergraduate and community samples have been mixed and to date, no studies have utilized clinical samples. The current study examined the latent structure of worry and GAD symptoms in a diagnostically heterogeneous clinical sample. Indicators were selected from the Penn State Worry Questionnaire-Abbreviated (n = 1175) and the GAD-7 (n = 638) and submitted to three taxometric procedures: MAXCOV, MAMBAC, and L-Mode. Results from all three procedures suggested that both worry and generalized anxiety are best conceptualized as dimensional constructs. Findings also indicated that ongoing conceptualization, assessment, and treatment of worry and GAD may be hampered by the application of a categorical framework.
Keywords:Worry  Generalized anxiety  Taxometric  Latent structure
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