ArticlePsychological medicine2021
Within-person increase in pathological worry predicts future depletion of unique executive functioning domains.
Article in Psychological medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- The sleep-anxiety dysregulation model of alcohol use disorder risk: A nine-year longitudinal machine learning study.Journal of affective disorders · 2025Review
- Efficacy of a brief online intervention in reducing excessive worry and improving daily functioning: A randomized trial with mediation analysis.Internet interventions · 2025Article
- Which client with generalized anxiety disorder benefits from a mindfulness ecological momentary intervention versus a self-monitoring app? Developing a multivariable machine learning predictive model.Journal of anxiety disorders · 2024Article
- White Noise-Is Anxiety in Late-Life Associated With White Matter Hyperintensity Burden?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024Article
- BDNF and stress/mood-related interactions on emotional disorder symptoms, executive functioning, and deliberate self-harm.Journal of psychiatric research · 2023Article
- Contrast avoidance predicts and mediates the effect of trait worry on problem-solving impairment.Journal of anxiety disorders · 2023Article
- Executive Functioning Constructs in Anxiety, Obsessive-Compulsive, Post-Traumatic Stress, and Related Disorders.Current psychiatry reports · 2022Review
- Why Sleep is Key: Poor Sleep Quality is a Mechanism for the Bidirectional Relationship between Major Depressive Disorder and Generalized Anxiety Disorder Across 18 Years.Journal of anxiety disorders · 2022Article
- Life Satisfaction Prevents Decline in Working Memory, Spatial Cognition, and Processing Speed: Latent Change Score Analyses Across 23 Years.European psychiatry : the journal of the Association of European Psychiatrists · 2022Article
- Inflammation mediates depression and generalized anxiety symptoms predicting executive function impairment after 18 years.Journal of affective disorders · 2022Article
- Curiosity helps: Growth in need for cognition bidirectionally predicts future reduction in anxiety and depression symptoms across 10 years.Journal of affective disorders · 2022Article
- Developmental Relations Between Internalising Problems and ADHD in Childhood: a Symptom Level Perspective.Research on child and adolescent psychopathology · 2021Article
- Increased inflammation predicts nine-year change in major depressive disorder diagnostic status.Journal of abnormal psychology · 2021Article
- Individuals' marital instability mediates the association of their perceived childhood parental affection predicting adulthood depression across 18 years.Journal of affective disorders · 2021Article
- Depression and executive functioning bidirectionally impair one another across 9 years: Evidence from within-person latent change and cross-lagged models.European psychiatry : the journal of the Association of European Psychiatrists · 2021Article
- Trait anger expression mediates childhood trauma predicting for adulthood anxiety, depressive, and alcohol use disorders.Journal of affective disorders · 2021Article
- Larger increase in trait negative affect is associated with greater future cognitive decline and vice versa across 23 years.Depression and anxiety · 2021Article
- Risks versus consequences of adolescent and young adult substance use: A focus on executive control.Current addiction reports · 2020Article
- When Childhood Control Slips Away: How Parental Affection and Abuse Shape Adult Anxiety and Depression.Clinical psychology & psychotherapyArticle
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2 authors.
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Abstract
backgroundAffective neuroscience and scar theories propose that increased excessive worry, the hallmark symptom of generalized anxiety disorder (GAD), predicts future declines in executive functioning (EF). However, the preponderance of cross-sectional designs used to examine between-person chronic worry-EF relationships has blocked progress on understanding their potentially causal within-person associations. Accordingly, this study used bivariate dual latent change score (LCS) models to test whether within-person increased GAD severity might relate to future reduced EF.
methodsCommunity-dwelling adults (N = 2581, 46 years on average, s.d. = 11.40, 54.71% female) were assessed for GAD symptom severity (Composite International Diagnostic Interview-Short Form) across three waves, spaced about 9 years apart. Three aspects of EF [inhibition, set-shifting, and mixing costs (MCs; a measure related to common EF)], were assessed with stop-and-go switch tasks. Participants responded to 20 normal and 20 reverse single-task block trials and 32 mixed-task switch block trials. EF tests were administered at time 2 (T2) and time 3 (T3), but not at time 1 (T1).
resultsAfter controlling for T1 depression, LCS models revealed that within-person increased T1 - T2 GAD severity substantially predicted future reduced T2 - T3 inhibition and set-shifting (both indexed by accuracy and latency), and MC (indexed by latency) with moderate-to-large effect sizes (|d| = 0.51-0.96).
conclusionsResults largely support scar theories by offering preliminary within-person, naturalistic evidence that heightened excessive worry can negatively predict future distinct aspects of cognitive flexibility. Effectively targeting pathological worry might prevent difficulties arising from executive dysfunction.
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