THE COGNITIVE PROCESSES OF WORRY IN GENERALIZED ANXIETY DISORDER
 
Lee, G.H., Fu Jen Catholic University and Chan, C.C. and Lo, J.I., Taipei Municipal Chung-Hsin Hospital, Taiwan
 
The author proposed that understanding the cognitive process in clinical population will help psychotherapy researchers and clinicians to implement more effective skills in CBT. Based on the information processing theory, cognitive characteristics (errors) can be seen in the following seven processes: attention, perception, evaluation, belief, interpretation, coping, and meta-worry. The goal of the present research was to explore the clinical phenomenon in these processes. Three groups of subjects, i.e., generalized anxiety disorders (experimental group, n=14), neurotic depression (clinical control group, n=12), and normal subjects (normal control group, n=16), were interviewed by three experienced clinical psychologists respectively. Interview principles were developed according to its conceptual framework. Qualitative analysis and expert validity were conducted based on their verbatim data. Results generally support that cognitive process of worry can be described by empirical steps of clinical interview. More specifically, content analysis reveals rich qualitative description of the seven processes, which lays a promising foundation for subsequent inventory construction and provides an indigenous understanding of worry. The cognitive process difference between normal and clinical groups is also evident. Future study aimed to discriminate the different paths of cognitive processes and study the correlation among these processes will be discussed. Keywords: cognitive process, worry, generalized anxiety disorder, clinical population, qualitative study.