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KMID : 1159120200270040001
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Korean Journal of Rehabilitation Psychology
2020 Volume.27 No. 4 p.1 ~ p.19
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The Mediating Character of Cognitive Avoidance in the Pathological Process of Worry
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Lee Sang-Il
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Abstract
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The purpose of this study is to examine the characteristics of the mediating effect of cognitive avoidance involved in the pathological process of worry based on the cognitive model for generalized anxiety disorder. Specifically, a mediating effect analysis of cognitive avoidance and sub-factors (thought suppression, thought substitution, distraction, avoidance of threatening stimuli, conversion into thought) was conducted at each stage of progress, and the relative mediating effect size was compared. A total of 1,733 university students were surveyed on the intolerance of uncertainty, worry, meta-worry, and cognitive avoidance. The results are as follows: All mediators showed statistically significant partial mediation effects in the two relations(intolerance of uncertainty and worry, worry and meta-worry). However, the relative mediating effect size of the subtypes was different. In the relation between the intolerance of uncertainty and worry, thought suppression represented the largest mediation effect. On the other hand, the relation between worry and meta-worry showed that thought suppression was the smallest, and transformation of images into thoughts was the largest. These results suggest that for effective intervention for worry symptoms, it is necessary to consider the mediating characteristics of cognitive avoidance that appear differently according to the pathological progression of anxiety.
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KEYWORD
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Intolerance of Uncertainty, Worry, Meta Worry, Cognitive Avoidance
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