Worrying is themental distress or agitation resulting fromanxiety, usually coming from a place of anticipatoryfear (terror) or fear coming from a present threat (horror).[1] With more understanding of the situation, worry becomesconcern, the recognition of a future outcome that could be troubling, without necessarily having fear in that outcome.[2]
Worry is a category ofperseverative cognition, i.e. a continuous thinking about negative events in the past or in the future.[3] As anemotion "worry" is experienced fromanxiety or concern about a real or imagined issue, often personal issues such as health or finances, or external broader issues such as environmental pollution, social structure or technological change.[citation needed] It is a natural response to anticipated future problems. Excessive worry is a primary diagnostic feature ofgeneralized anxiety disorder, but also is pervasive in other psychological disorders, likeschizophrenia.[4]
Most people experience short-lived periods of worry in their lives without incident; indeed, a mild amount of worrying has positive effects, if it prompts people to take precautions (e.g., fastening theirseat belt or buying insurance) or avoidrisky behaviors (e.g., angering dangerous animals, orbinge drinking), but with excessive worrisome people they overestimate future dangers in their assessments and in its extremities tend tomagnify the situation as a dead end which results in stress. Overestimation happens because analytic resources are a combination of externallocus of control, personal experience and belief fallacies. Chronically worried individuals are also more likely to lack confidence in their problem solving ability, perceive problems as threats, become easily frustrated when dealing with a problem, and are pessimistic about the outcome of problem-solving efforts.[5]
Seriously anxious people find it difficult to control their worry and typically experience symptoms like restlessness, fatigue, difficulty in concentrating, irritability, muscle tension and sleep disturbance.
The avoidance model of worry (AMW) theorizes that worry is a verbal linguistic, thought based activity, which arises as an attempt to inhibit vivid mental imagery and associated somatic and emotional activation.[7] This inhibition precludes the emotional processing of fear that is theoretically necessary for successfulhabituation and extinction of feared stimuli.[8] Worry is reinforced as a coping technique due to the fact that most worries never actually occur, leaving the worrier with a feeling of having successfully controlled the feared situation, without the unpleasant sensations associated with exposure.[9] Noteworthy, studies also show that visual worry, i.e. worrying that occurs in visual modality, is also associated with increased anxiety and other psychopathology symptoms.[10]
This model explains pathological worry to be an interaction between involuntary (bottom-up) processes, such as habitual biases in attention and interpretation favoring threat content, and voluntary (top-down) processes, such asattentional control. Emotional processing biases influence the probability of threat representations into the awareness as intruding negative or positive thoughts. At a pre-conscious level, these processes influence the competition among mental representations in which some correspond to the assertive power of worry with impaired cognitive process and others to the preventive power of worry with attentional control or exhaustive vigilance. The biases determine threatening degree and nature of worry content the worrier attempts to resolve the perceived threat and the redirection of anticipations, responses and coping in such situations.[11]
There are some who respond to mental representations in an uncertain or ambiguous state in regard to the stressful or upsetting event.[12] In this state the worrier is held in a perpetual state of worry. This is because availability of an overwhelming number (maybe 2 or 3, depending upon the worry-prone individual) of possibilities of outcomes which can be generated, it puts the worrier in a threatening crisis and they focus their attentional control voluntarily on the potential negative outcomes, whereas others engage in a constructive problem solving manner and in a benign approach rather than to engage with heightened anticipation on the possible negative outcome.[13]
Greek thinkers such asstoicphilosopherEpictetus andSeneca advised against worry.Albert Ellis, the creator ofRational Emotive Behavior Therapy, was inspired by the Stoics’ therapeutic ideas.[14]
Thebiblical word used inHebrew for worry (Hebrew:דָּאַג,daag) regards worry as a combined form of fear and sorrow which affectsnephesh, the totality of our being. The bible takes a fortitude-strengthening approach regarding worrying e.g.Psalm 94:
In theNew Testament, theGospel of Matthew encourages:
The Greek word used for worry in Matthew is merimnaō,[17] which means to be anxious about, or to be troubled with cares.
St. Paul writes to thePhilippian church, "There is no need to worry"[18] and in thepastoral epistles, 2 Timothy 1:7 emboldens:
SimilarlyJames 1:2-4 motivates to face trials of any kind with joy, because they produce endurance (strength and courage). FurtherSaint Peter reveals his understanding of healthy living inSecond Peter 1:3,5–7:
A lateIndian spiritual teacherMeher Baba stated that worry is caused by desires and can be overcome through detachment:
The worry system is activated from exposure to a potential triggering event, traumatic experience or vulnerability, this brings worrisome thoughts and feelings which bring about physical stress reactions and response to avoid worrisome behavior, to ensureallostasis. But under the crisis this activity feeds back into the first worrisome thoughts and feelings which generates andstrengthens the vicious worry cycle. Relaxation, risk assessment, worry exposure, exercises such as yoga, and behavior prevention may be effective in curbing excessive worry, a chief feature of generalized anxiety disorder.[21][22] Cognitive behavioral techniques hasn't branched out enough to address the problem holistically but therapy can control or diminish worry.[23]
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