Interpersonal pathoplasticity in individuals with generalized anxiety disorder
Open accessAbstract
Recent theories of generalized anxiety disorder (GAD) have emphasized interpersonal and personality functioning as important aspects of the disorder. We examined heterogeneity in interpersonal problems in 2 studies of individuals with GAD (n = 47 and n = 83). Interpersonal subtypes were assessed with the Inventory of Interpersonal Problems-Circumplex (Alden, Wiggins, & Pincus, 1990). Across both studies, individuals with GAD exhibited heterogeneous interpersonal problems, and cluster analyses of these patients' interpersonal characteristics yielded 4 replicable clusters, identified as intrusive, exploitable, cold, and nonassertive subtypes. Consistent with our pathoplasticity hypotheses, clusters did not differ with GAD severity, anxiety severity, or depression severity. Clusters in Study 2 differed on rates of personality disorders, including avoidant personality disorder, further providing support for the validity of interpersonal subtypes. The presence of interpersonal subtypes in GAD may have important implications for treatment planning and efficacy.
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GAD is linked to impairments in interpersonal relationships and career achievement.
“It is associated with functional impairments in interpersonal relationships and career attainment (Blazer, Hughes, & George, 1987; Przeworski et al., 2011) as well as increased rates of health problems (Newman et al., 2013).”
From The increase in interest in GAD: Commentary on Asmundson & Asmundson (2018) · cites this paper as Przeworski et al., 2011
The Abstract reports interpersonal problems among people with GAD, including marital conflict, few friends, and difficulty in relationships. It does not address career attainment; searches for career achievement and occupational functioning did not establish that part of the claim. (LLM, conf=0.85)
Experimental — accuracy not yet measuredPeople with GAD self-report unhealthy affiliative behaviours, such as being excessively considerate and concerned by others' problems as well as intrusive efforts to provide support.
“Consistently, people with GAD self-report unhealthy affiliative behaviours, such as being excessively considerate and concerned by others ' problems as well as intrusive efforts to provide support (Przeworski et al ., 2011; Salzer et al ., 2011).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Przeworski et al., 2011
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- Authors
- Przeworski, A., Newman, M. G., Pincus, A. L., Kasoff, M. B., Yamasaki, A. S., Castonguay, L. G., & Berlin, K. S.
- Affiliations
- Case Western Reserve University (US)
- Pennsylvania State University (US)
- Ohio University (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2011-05
- Volume
- 120
- Issue
- 2
- Pages
- 286-298
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- PMC
- PMC3206596
- OpenAlex
- W2111343937
- Cited by
- 135
- References
- 75
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 10 · 2023: 6 · 2022: 8 · 2021: 11 · 2020: 10 · 2019: 10 · 2018: 9 · 2017: 8 · 2016: 11 · 2015: 15 · 2014: 7 · 2013: 11 · 2012: 4
- FWCI
- 9.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- ScholarSphere (Penn State Libraries) (submittedVersion, cc-by)
- SSRN Electronic Journal (submittedVersion)
- Funders
- National Institute of Mental Health (R01 MH039172-01; 2RO1MH39172-12; R01 MH058593-02.)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- generalized anxiety disorder, interpersonal problems, avoidant personality disorder, personality disorders
- MeSH terms
- Adolescent, Adult, Aged, Anxiety Disorders, Female, Humans, Interpersonal Relations, Male, Middle Aged, Personality, Psychiatric Status Rating Scales, Severity of Illness Index, Self Report
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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