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Signal Attenuation as a Rat Model of Obsessive Compulsive Disorder
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Published on: January 9, 2015

A cognitive model of pathological worry.

Colette R Hirsch1, Andrew Mathews

  • 1King's College London, UK. colette.hirsch@kcl.ac.uk

Behaviour Research and Therapy
|August 7, 2012
PubMed
Summary
This summary is machine-generated.

Pathological worry stems from a blend of automatic threat detection and conscious control. Understanding these processes offers new avenues for treating excessive worry.

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Area of Science:

  • Psychology
  • Cognitive Neuroscience
  • Clinical Psychology

Background:

  • Pathological worry is a core feature of anxiety disorders.
  • Existing models often focus on either cognitive biases or executive functions.

Purpose of the Study:

  • To present an evidence-based model of pathological worry.
  • To elucidate the interplay between bottom-up and top-down processes in worry.
  • To identify implications for novel treatment strategies.

Main Methods:

  • Review and synthesis of existing empirical evidence.
  • Development of an integrated cognitive model.
  • Examination of pre-conscious and conscious processing influences.

Main Results:

  • Pathological worry arises from the interaction of involuntary (bottom-up) and voluntary (top-down) cognitive processes.
  • Attentional and interpretative biases favor threat detection.
  • Attentional control and conscious processing modulate worry development.

Conclusions:

  • The proposed model provides a framework for understanding pathological worry.
  • Evidence supports the causal role of identified component processes.
  • The model suggests new targets for therapeutic interventions in pathological worry.