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Psychopathology Review
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The Relationship Between Negative Problem Orientation and Worry: A Meta-Analytic Review

Authors
  James Bowness Clarke - James.Clarke@ntw.nhs.uk
  Michelle Ford - Northumberland Tyne and Wear NHS Trust
  Sara Heary - Northumberland Tyne and Wear NHS Trust
  Jacqui Rodgers - Newcastle University
  Mark Freeston - Northumberland Tyne and Wear NHS Trust & Newca

In Press (Uncorrected Proof), Pages 1-20
DOI: http://dx.doi.org/10.5127/jep.034313

Abstract

Generalised Anxiety Disorder (GAD) can have a significant detrimental effect on the lives of sufferers. Research into the psychological process involved in worry has an important role in the prevention and treatment of problems such as GAD. Negative problem orientation (NPO) has been identified as an important psychological construct involved in worry (Gosselin, Ladouceur & Pelletier, 2005). The focus of this meta-analytic review was to further our understanding of the relationship between NPO and worry, and a related construct called intolerance of uncertainty (IU). The review identified 31 articles reporting correlations between measures of NPO and worry. These articles detailed a total of 33 independent effect sizes.  Using a random-effects model and raw and attenuation-corrected values, NPO was found to be significantly correlated to worry (r = 0.57 , CI = 0.55-0.60, k = 33, N = 5376). The type of NPO measure moderated the relationship between NPO and worry. In addition, NPO was found to be significantly correlated with IU (r= 0.71, CI = 0.69-0.73, k = 14, N = 3072) and more strongly correlated with IU than with worry (p<.05).  The findings have implications for theory, research and practice. Issues in the measurement of NPO are discussed, and the relationship between NPO and IU is considered.


Table of Contents

Correspondence to
Dr James Bowness Clarke

Keywords
Negative Problem Orientation, Worry, Generalized Anxiety Disorder, GAD, Meta-Analysis

Dates
Received 11 Oct 2013; Revised 5 Jan 2015; Accepted 5 Jan 2015; In Press 22 Jul 2017







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