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Front Neurosci. 2020 Oct 07;14:569359. doi: 10.3389/fnins.2020.569359. eCollection 2020.

Heart Rate Variability Moderates the Association Between Beliefs About Worry and Generalized Anxiety Disorder Symptoms.

Frontiers in neuroscience

Grace M Fishback, Lyvia Chriki, Julian F Thayer, Michael W Vasey

Affiliations

  1. Department of Neurology, University of Colorado School of Medicine, Denver, CO, United States.
  2. Private Practice, Newton, MA, United States.
  3. Department of Psychological Science, School of Social Ecology, University of California, Irvine, Irvine, CA, United States.
  4. Department of Psychology, The Ohio State University, Columbus, OH, United States.

PMID: 33132829 PMCID: PMC7579429 DOI: 10.3389/fnins.2020.569359

Abstract

Paradoxically, some individuals who experience pathological worry also have good capacity for top-down control over their thoughts. Why such individuals would nevertheless worry excessively remains unclear. One explanation is suggested by research showing that those experiencing pathological worry are set apart from healthy controls by their beliefs that worry has utility and that effective worrying requires them to consider all possibilities before terminating a worry bout. This suggests that worriers with good capacity for cognitive control may engage in prolonged worry because they believe it is adaptive to do so. In a sample of 109 college students, among whom individuals reporting pathological worry were overrepresented, we tested this hypothesis using an objective index of top-down control capacity (i.e., resting vagally mediated heart rate variability [vmHRV]) and self-report measures of beliefs about worry and generalized anxiety disorder (GAD) symptom severity/status. As predicted, GAD symptom severity and vmHRV interacted to predict beliefs about worry. Specifically, high GAD symptoms were most strongly associated with beliefs that worry has utility at

Copyright © 2020 Fishback, Chriki, Thayer and Vasey.

Keywords: cognitive control capacity; generalized anxiety disorder; heart rate variability; worry; worry beliefs

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