10 years of published research on mood-as-input and perseverative worrying: Implications for GAD Graham Davey University of Sussex Negative mood is known to increase perseveration at a worry bout (e.g. Johnston & Davey, 1997; Buhr & Dugas, 2009) – but what is the mechanism through which negative mood has this effect? The Catastrophizing Interview 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. I’m worried about not being able to move That I would be attacked in some way That I would not be able to fight back That I would not be able to control what other people did to me That I would feel inadequate That other people would begin to think I was inadequate I would not be respected That I would not have any influence over others That other people would not listen to me That it would cause a loss of self-esteem This would have a negative effect on my relationships That I would lose friends That I would be alone That I would have no-one to talk to I would not be able to share any thoughts/problems with others That I would not get advice from others That none of my problems would be adequately sorted out That they would remain and get worse That eventually I would not be able to cope with them My problems would have more control over me That they would prevent me from doing other things That I would be unable to meet new people and make friends That I would be lonely Johnston & Davey (1997) 9 8 Mean catastrophising steps 7 6 5 4 3 2 1 0 Positive Neutral Mood induction condition Negative Testing Mood Congruency Effects • Mood-Congruent Recall • Negative Mood & Semantic Priming • Mood-as-Input Hypothesis Startup & Davey (2001) Mood-as-Input Hypothesis • Martin & Davies (1998) • Stop Rules • The Role of Mood as Information What are stop rules? • • • • Relate to Task Motivation Performance Focused OR Task Focused ‘Enough’ OR ‘Enjoy’ ‘As Many as Can’ (AMA) OR ‘Feel Like Continuing’ (FL) What do we know about stop rules? • Often not easily verbalizable • Can often be derived from dispositional characteristics or meta-beliefs about emotional control strategies • Stop rule type is linked to mood • Stop rules interact with mood to determine perseveration at a task (the ‘Mood-as-Input Hypothesis’, Davey, 2006, Startup & Davey, 2001). What is the Role of Mood? • Concurrent mood becomes a source of information about achieving task goals • Mood valency will interact with stop rule to determine task perseveration • Psychopathology-relevant tasks are frequently conducted under conditions of ‘as many as can’ stop rules and negative mood Predictions from Mood-asInput Hypothesis • Pathological worriers will experience negative mood while worrying • Pathological worriers will deploy ‘as many as can’ stop rules for worrying • Manipulating stop rules for worrying will affect worry perseveration • Manipulating mood valency without changing stop rules will also affect worry perseveration Manipulating Stop Rules Startup & Davey (2001) Implications • Worriers do not have a perseverative iterative style that is independent of the stop rules they deploy (Kendall & Ingram, 1987; Davey & Levy, 1998) • The nature of the ‘stop rules’ deployed have a causal influence on worry perseveration ‘Responsibility’ and stop rules • Worriers possess elevated levels of ‘inflated responsibility’ for outcomes (Papageorgiou & Wells, 2001) • Naturally occurring and experimentally manipulated responsibility should affect perseveration Startup & Davey (2003) Worry Stop Rule Checklist AMA – ‘Enough’ FL – ‘Enjoy’ • I must find a solution to this problem, so keep thinking about it. • I must try and think about the worst possible outcome, just in case it happens • I must think everything through properly • What’s done is done, so what’s the point in worrying? • I don’t have time to think about this now • Stop worrying, things always work out for the best. Davey, Startup, MacDonald, Jenkins & Patterson (2005) What ends a worry bout? • Mood-as-Input Hypothesis predicts that worry will stop: • If mood becomes more positive • If stop rules change from ‘as many as can’ to ‘feel like continuing’ What ends a worry bout? - Mood changes during worrying 14 12 10 8 6 Low Worrier 4 High Worrier 2 0 -2 -4 AMA FL No Stop Rule Changes in Stop Rule Endorsement Davey, Eldridge, Drost & MacDonald (2007) 140 120 100 80 Prior to Task 60 End of Task 40 20 0 AMA FL Empirical Facts • Mood interacts with stop rules to generate worry perseveration • Manipulating worry stop rules affects worry perseveration – even in high worriers • Worriers do not have a perseverative iterative style that is independent of the stop rules they deploy • Characteristics of worriers (e.g. responsibility) interact with concurrent negative mood to generate worry perseveration • PSWQ scores are correlated with measures of the deployment of ‘as many as can’ worry stop rules • The end of worry bouts is associated with changes in stop rule deployment rather than changes in mood valency Challenges • Conducting mood-as-input studies on clinical populations with a diagnosis of GAD • Testing the ecological validity of the catastrophizing interview procedure • Integrating mood-as-input findings with existing theories and models of GAD • Exploring the role of mood-as-input processes in the development of pathological worrying and GAD