{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:14:26Z","timestamp":1789708466072,"version":"4.0.1"},"reference-count":53,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T00:00:00Z","timestamp":1542844800000},"content-version":"am","delay-in-days":325,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"name":"University of Pennsylvania to Ayelet Meron Ruscio"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Anxiety Disorders"],"published-print":{"date-parts":[[2018,1]]},"DOI":"10.1016\/j.janxdis.2017.10.007","type":"journal-article","created":{"date-parts":[[2017,11,4]],"date-time":"2017-11-04T04:31:47Z","timestamp":1509769907000},"page":"39-45","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":47,"special_numbering":"C","title":["Difficulty concentrating in generalized anxiety disorder: An evaluation of incremental utility and relationship to worry"],"prefix":"10.1016","volume":"53","author":[{"given":"Lauren S.","family":"Hallion","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari A.","family":"Steinman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan N.","family":"Kusmierski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.janxdis.2017.10.007_bib0005","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1002\/da.20549","article-title":"Atomoxetine treatment in adults with attention\u2010deficit\/hyperactivity disorder and comorbid social anxiety disorder","volume":"26","author":"Adler","year":"2009","journal-title":"Depression and Anxiety"},{"issue":"1","key":"10.1016\/j.janxdis.2017.10.007_bib0010","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/S0193-953X(05)70206-9","article-title":"Cognitive theories of generalized anxiety disorder","volume":"24","author":"Aikins","year":"2001","journal-title":"The Psychiatric Clinics of North America"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0015","series-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2013"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0020","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1002\/da.20658","article-title":"Generalized worry disorder: A review of DSM-IV generalized anxiety disorder and options for DSM-V","volume":"27","author":"Andrews","year":"2010","journal-title":"Depression and Anxiety"},{"issue":"1","key":"10.1016\/j.janxdis.2017.10.007_bib0025","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1001\/archgenpsychiatry.2009.177","article-title":"Incidence and risk patterns of anxiety and depressive disorders and categorization of generalized anxiety disorder","volume":"67","author":"Beesdo","year":"2010","journal-title":"Archives of General Psychiatry"},{"issue":"1","key":"10.1016\/j.janxdis.2017.10.007_bib0030","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/0005-7967(83)90121-3","article-title":"Preliminary exploration of worry: Some characteristic and processes","volume":"21","author":"Borkovec","year":"1983","journal-title":"Behaviour Research and Therapy"},{"issue":"9","key":"10.1016\/j.janxdis.2017.10.007_bib0035","first-page":"1271","article-title":"The empirical basis of generalized anxiety disorder","volume":"151","author":"Brown","year":"1994","journal-title":"American Journal of Psychiatry"},{"issue":"4","key":"10.1016\/j.janxdis.2017.10.007_bib0040","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1037\/0021-843X.110.4.585","article-title":"Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample","volume":"110","author":"Brown","year":"2001","journal-title":"Journal of Abnormal Psychology"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0045","series-title":"Anxiety disorders interview schedule lifetime version (ADIS-IV-L) specimen set (treatments that work)","author":"Brown","year":"1994"},{"issue":"1","key":"10.1016\/j.janxdis.2017.10.007_bib0050","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1037\/0021-843X.110.1.49","article-title":"Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders","volume":"110","author":"Brown","year":"2001","journal-title":"Journal of Abnormal Psychology"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0055","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1007\/s10608-006-9026-9","article-title":"Repetitive thought and emotional distress: Rumination and worry as prospective predictors of depressive and anxious symptomology","volume":"30","author":"Calmes","year":"2007","journal-title":"Cognitive Therapy and Research"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0060","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1007\/s10608-007-9119-0","article-title":"The impact of intensive mindfulness training on attentional control, cognitive style, and affect","volume":"32","author":"Chambers","year":"2008","journal-title":"Cognitive Therapy and Research"},{"issue":"12","key":"10.1016\/j.janxdis.2017.10.007_bib0065","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1002\/da.21999","article-title":"Generalized anxiety disorder and the proposed associated symptoms criterion change for DSM-5 in a treatment-seeking sample of anxious youth","volume":"29","author":"Comer","year":"2012","journal-title":"Depression and Anxiety"},{"issue":"7","key":"10.1016\/j.janxdis.2017.10.007_bib0070","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1016\/j.janxdis.2010.05.012","article-title":"Generalized anxiety disorder publications: Where do we stand a decade later?","volume":"24","author":"Dugas","year":"2010","journal-title":"Journal of Anxiety Disorders"},{"issue":"2","key":"10.1016\/j.janxdis.2017.10.007_bib0075","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1037\/1528-3542.7.2.336","article-title":"Anxiety and cognitive performance: Attentional control theory","volume":"7","author":"Eysenck","year":"2007","journal-title":"Emotion"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0080","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.jbtep.2003.09.001","article-title":"Using the Penn State Worry Questionnaire to identify individuals with generalizes anxiety disorder: A receiver operating characteristic analysis","volume":"34","author":"Fresco","year":"2003","journal-title":"Journal of Behavior Therapy and Experimental Psychiatry"},{"issue":"9","key":"10.1016\/j.janxdis.2017.10.007_bib0085","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1097\/chi.0b013e3180ca8385","article-title":"Atomoxetine treatment for pediatric patients with attention-deficit\/hyperactivity disorder with comorbid anxiety disorder","volume":"46","author":"Geller","year":"2007","journal-title":"Ournal of the American Academy of Child & Adolescent Psychiatry"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0090","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1016\/j.janxdis.2011.04.001","article-title":"Reliability and validity of DSM-IV generalized anxiety disorder features","author":"Gordon","year":"2011","journal-title":"Journal of Anxiety Disorders"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0095","series-title":"Presented at the triennial meeting of the World Congress of Behavioral and Cognitive Therapies","article-title":"Appraising thoughts as uncontrollable: Accuracy and relationship to anxiety and negative affect in GAD and MDD","author":"Hallion","year":"2010"},{"issue":"2","key":"10.1016\/j.janxdis.2017.10.007_bib0100","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1037\/a0031731","article-title":"Should uncontrollable worry be removed from the definition of GAD: A test of incremental validity","volume":"122","author":"Hallion","year":"2013","journal-title":"Journal of Abnormal Psychology"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0105","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.brat.2013.12.002","article-title":"Fractioning the role of executive control in control over worry: A preliminary investigation","volume":"54","author":"Hallion","year":"2014","journal-title":"Behaviour Research and Therapy"},{"issue":"4","key":"10.1016\/j.janxdis.2017.10.007_bib0110","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1007\/s10608-017-9832-2","article-title":"Cognitive control in generalized anxiety disorder: Relation of inhibition impairments to worry and anxiety severity","volume":"41","author":"Hallion","year":"2017","journal-title":"Cognitive Therapy and Research"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0115","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1111\/j.2044-8341.1959.tb00467.x","article-title":"The assessment of anxiety states by rating","volume":"32","author":"Hamilton","year":"1959","journal-title":"British Journal of Medical Psychology"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0120","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1136\/jnnp.23.1.56","article-title":"A rating scale for depression","volume":"23","author":"Hamilton","year":"1960","journal-title":"Journal of Neurology, Neurosurgery, and Psychiatry"},{"issue":"3","key":"10.1016\/j.janxdis.2017.10.007_bib0125","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1037\/a0012908","article-title":"Restriction of working memory capacity during worry","volume":"117","author":"Hayes","year":"2008","journal-title":"Journal of Abnormal Psychology"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0130","series-title":"PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling","author":"Hayes","year":"2012"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0135","series-title":"Introduction to mediation, moderation, and conditional process analysis: A regression-based approach","author":"Hayes","year":"2013"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0140","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1002\/da.20491","article-title":"The nosological relationship between generalized anxiety disorder and major depression","volume":"25","author":"Hettema","year":"2008","journal-title":"Depression and Anxiety"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0145","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1016\/j.brat.2012.06.007","article-title":"A cognitive model of pathological worry","volume":"50","author":"Hirsch","year":"2012","journal-title":"Behaviour Research and Therapy"},{"issue":"1","key":"10.1016\/j.janxdis.2017.10.007_bib0150","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1037\/a0018438","article-title":"Examining the protective effects of mindfulness training on working memory capacity and affective experience","volume":"10","author":"Jha","year":"2010","journal-title":"Emotion"},{"issue":"5","key":"10.1016\/j.janxdis.2017.10.007_bib0155","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/S0887-6185(99)00017-1","article-title":"Somatic symptoms of generalized anxiety disorder from the DSM-IV: Associations with pathological worry and depression symptoms in a nonclinical sample","volume":"13","author":"Joormann","year":"1999","journal-title":"Journal of Anxiety Disorders"},{"issue":"1","key":"10.1016\/j.janxdis.2017.10.007_bib0160","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.janxdis.2011.10.005","article-title":"The importance of worry across diagnostic presentations: Prevalence, severity and associated symptoms in a partial hospital setting","volume":"26","author":"Kertz","year":"2012","journal-title":"Journal of Anxiety Disorders"},{"issue":"1","key":"10.1016\/j.janxdis.2017.10.007_bib0165","first-page":"143","article-title":"The Hamilton rating scale for depression: A meta-analytic reliability generalization study","volume":"9","author":"L\u00f3pez-Pina","year":"2009","journal-title":"International Journal of Clinical and Health Psychology"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0170","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.genhosppsych.2008.01.001","article-title":"Depression, anxiety, and somatization in primary care: Syndrome overlap and functional impairment","volume":"30","author":"L\u00f6we","year":"2008","journal-title":"General Hospital Psychiatry"},{"issue":"3","key":"10.1016\/j.janxdis.2017.10.007_bib0175","doi-asserted-by":"crossref","first-page":"341","DOI":"10.4088\/JCP.10m06176blu","article-title":"Comorbidity patterns of anxiety and depressive disorders in a large cohort study: The Netherlands study of depression and anxiety (NESDA)","volume":"73","author":"Lamers","year":"2011","journal-title":"Journal of Clinical Psychiatry"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0180","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.jpsychores.2006.09.009","article-title":"Effectiveness of a meditation-based stress management program as an adjunct to pharmacotherapy in patients with anxiety disorder","volume":"62","author":"Lee","year":"2007","journal-title":"Journal of Psychosomatic Research"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0185","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.brat.2010.11.005","article-title":"Worry in imagery and verbal form: Effect on residual working memory capacity","volume":"49","author":"Leigh","year":"2011","journal-title":"Behaviour Research and Therapy"},{"issue":"5","key":"10.1016\/j.janxdis.2017.10.007_bib0190","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1080\/00273171.2011.606716","article-title":"Bias in cross-sectional analyses of longitudinal mediation: Partial and complete mediation under an autoregressive model","volume":"46","author":"Maxwell","year":"2011","journal-title":"Multivariate Behavioral Research"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0195","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/0005-7967(90)90135-6","article-title":"Development and validation of the penn state worry questionnaire","volume":"28","author":"Meyer","year":"1990","journal-title":"Behaviour Research and Therapy"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0200","doi-asserted-by":"crossref","first-page":"E92","DOI":"10.1002\/da.20343","article-title":"Do memory complaints represent impaired memory performance in patients with major depressive disorder?","volume":"25","author":"Mowla","year":"2008","journal-title":"Depression and Anxiety"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0205","doi-asserted-by":"crossref","first-page":"2628","DOI":"10.1016\/j.brat.2007.06.007","article-title":"Inhibitory control and symptom severity in late life generalized anxiety disorder","volume":"45","author":"Price","year":"2007","journal-title":"Behavior Research and Therapy"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0210","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1017\/S0033291713002225","article-title":"An examination of generalized anxiety disorder and dysthymic disorder by latent class analysis","volume":"44","author":"Rhebergen","year":"2014","journal-title":"Psychological Medicine"},{"issue":"4","key":"10.1016\/j.janxdis.2017.10.007_bib0215","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/0005-7916(95)00040-2","article-title":"A self-report diagnostic measure of generalized anxiety disorder","volume":"26","author":"Roemer","year":"1995","journal-title":"Journal of Behavior Therapy and Experimental Psychiatry"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0220","doi-asserted-by":"crossref","first-page":"1761","DOI":"10.1017\/S0033291705005908","article-title":"Should excessive worry be required for a diagnosis of generalized anxiety disorder? Results from the US National Comorbidity Survey Replication","volume":"35","author":"Ruscio","year":"2005","journal-title":"Psychological Medicine"},{"issue":"12","key":"10.1016\/j.janxdis.2017.10.007_bib0225","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1016\/j.brat.2011.10.001","article-title":"Perseverative thought: A robust predictor of response to emotional challenge in generalized anxiety disorder and major depressive disorder","volume":"49","author":"Ruscio","year":"2011","journal-title":"Behavior Research and Therapy"},{"issue":"4","key":"10.1016\/j.janxdis.2017.10.007_bib0230","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1037\/0022-3514.46.4.929","article-title":"Stress, anxiety, and cognitive interference: Reactions to tests","volume":"46","author":"Sarason","year":"1984","journal-title":"Journal of Personality and Social Psychology"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0235","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1002\/da.1033","article-title":"Reliability and validity of a structured interview guide for the Hamilton anxiety rating scale (SIGH-A)","volume":"13","author":"Shear","year":"2001","journal-title":"Depression and Anxiety"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0240","series-title":"The anxiety disease","author":"Sheehan","year":"1986"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0245","series-title":"The anxiety disorders interview for children for DSM-IV: Child and parent versions","author":"Silverman","year":"1997"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0250","doi-asserted-by":"crossref","first-page":"290","DOI":"10.2307\/270723","article-title":"Asymptotic confidence intervals for indirect effects in structural equation models","volume":"13","author":"Sobel","year":"1982","journal-title":"Sociological Methodology"},{"issue":"2","key":"10.1016\/j.janxdis.2017.10.007_bib0255","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1037\/a0036343","article-title":"Are attentional control resources reduced by worry in generalized anxiety disorder?","volume":"123","author":"Stefanopoulou","year":"2014","journal-title":"Journal of Abnormal Psychology"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0260","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1017\/S0033291709991590","article-title":"Investigating differential symptom profiles in major depressive episode with and without generalized anxiety disorder: True co-morbidity or symptom similarity?","volume":"40","author":"Sunderland","year":"2010","journal-title":"Psychological Medicine"},{"key":"10.1016\/j.janxdis.2017.10.007_bib0265","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1002\/da.22026","article-title":"Diagnostic overlap of generalized anxiety disorder and major depressive disorder in a primary care sample","volume":"29","author":"Zbozinek","year":"2012","journal-title":"Depression and Anxiety"}],"container-title":["Journal of Anxiety Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0887618517302761?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0887618517302761?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:08:09Z","timestamp":1760137689000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0887618517302761"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":53,"alternative-id":["S0887618517302761"],"URL":"https:\/\/doi.org\/10.1016\/j.janxdis.2017.10.007","relation":{},"ISSN":["0887-6185"],"issn-type":[{"value":"0887-6185","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Difficulty concentrating in generalized anxiety disorder: An evaluation of incremental utility and relationship to worry","name":"articletitle","label":"Article Title"},{"value":"Journal of Anxiety Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.janxdis.2017.10.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}