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Journal of Anxiety Disorders

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https://www.readbyqxmd.com/read/28926805/integrating-icbt-for-generalized-anxiety-disorder-into-routine-clinical-care-treatment-effects-across-the-adult-lifespan
#1
Megan J Hobbs, Alison E J Mahoney, Gavin Andrews
The burden attributable to late-life Generalized Anxiety Disorder (GAD) is set to increase alongside the ageing population. Yet, the psychogeriatric workforce is limited in size and few studies have focused on the treatment of GAD among older patients. Internet-delivered cognitive behavioral therapy (iCBT) could be integrated into existing infrastructure and scale the psychogeriatric workforce, if shown to be effective across the adult lifespan. This study examined age-related differences in presentation, adherence and effects of iCBT for GAD among patients in routine clinical care (N=942; 18-29years (n=267); 30-39years (n=260); 40-49years (n=180); 50-59years (n=124); and 60+ years (n=111))...
September 11, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28922648/a-theoretical-and-empirical-modeling-of-anxiety-integrated-with-rdoc-and-temporal-dynamics
#2
Brandon Frank, Nicholas C Jacobson, Landon Hurley, Dean McKay
The newly launched Research Domain Criteria (RDoC) emphasize specific mechanisms over diagnostic categories of psychopathology. In our view, RDoC provides a useful heuristic for mental health disorders, but does not capture the complexity of psychological data when proposed mechanisms are viewed as static entities. However, temporal and complex system dynamics may advance RDoC's utility. By investigating temporal patterns within trajectories and the interaction of complex networks, we propose that dynamic modeling provides comprehensive methods with which to investigate the etiopathology and maintenance of mental health disorders...
September 8, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28910693/combining-child-social-skills-training-with-a-parent-early-intervention-program-for-inhibited-preschool-children
#3
Elizabeth X Lau, Ronald M Rapee, Robert J Coplan
BACKGROUND: Previous studies have demonstrated the efficacy of early intervention for anxiety in preschoolers through parent-education. The current study evaluated a six-session early intervention program for preschoolers at high risk of anxiety disorders in which a standard educational program for parents was supplemented by direct training of social skills to the children. METHODS: Seventy-two children aged 3-5 years were selected based on high behavioural inhibition levels and concurrently having a parent with high emotional distress...
September 1, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28886420/discriminant-validity-diagnostic-utility-and-parent-child-agreement-on-the-screen-for-child-anxiety-related-emotional-disorders-scared-in-treatment-and-non-treatment-seeking-youth
#4
B I Rappaport, D Pagliaccio, D S Pine, D N Klein, J M Jarcho
The Screen for Child Anxiety and Related Emotional Disorder (SCARED) may be differentially sensitive to detecting specific or comorbid anxiety diagnoses in treatment-seeking and non-treatment-seeking youth. We assessed the SCARED's discriminant validity, diagnostic utility, and informant agreement using parent- and self-report from healthy and treatment-seeking anxious youth (Study 1, N=585) and from non-treatment-seeking anxious youth (Study 2, N=331) diagnosed with generalized anxiety disorder (GAD), social anxiety disorder (SAD), or comorbid GAD+SAD...
August 30, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28865911/trauma-management-therapy-with-virtual-reality-augmented-exposure-therapy-for-combat-related-ptsd-a-randomized-controlled-trial
#5
Deborah C Beidel, B Christopher Frueh, Sandra M Neer, Clint A Bowers, Benjamin Trachik, Thomas W Uhde, Anouk Grubaugh
Virtual reality exposure therapy (VRET) realistically incorporates traumatic cues into exposure therapy and holds promise in the treatment of combat-related posttraumatic stress disorder (PTSD). In a randomized controlled trial of 92 Iraq and Afghanistan veterans and active duty military personnel with combat-related PTSD, we compared the efficacy of Trauma Management Therapy (TMT; VRET plus a group treatment for anger, depression, and social isolation) to VRET plus a psychoeducation control condition. Efficacy was evaluated at mid- and post-treatment, and at 3- and 6-month follow-up...
August 23, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28818658/cue-dependent-inhibition-in-posttraumatic-stress-disorder-and-attention-deficit-hyperactivity-disorder
#6
Zachary W Adams, Michael Meinzer, Howard Mandel, Joshua Voltin, Blaine Caughron, Floyd R Sallee, Mark Hamner, Zhewu Wang
OBJECTIVE: Attention-deficit/hyperactivity disorder (ADHD) and posttraumatic stress disorder (PTSD) are common among military veterans, but the comorbidity of these two psychiatric disorders remains largely unstudied. Evaluating response inhibition and cue-dependent learning as behavioral and neurocognitive mechanisms underlying ADHD/PTSD can inform etiological models and development of tailored interventions. METHOD: A cued go/no-go task evaluated response inhibition in 160 adult males...
August 9, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28807519/lower-order-anxiety-sensitivity-and-intolerance-of-uncertainty-dimensions-operate-as-specific-vulnerabilities-for-social-anxiety-and-depression-within-a-hierarchical-model
#7
Nicholas P Allan, Danielle Cooper, Mary E Oglesby, Nicole A Short, Kevin G Saulnier, Norman B Schmidt
Within a hierarchical framework for depressive and anxiety disorders, negative affect (NA) is posited to be indirectly related to social anxiety and depression through cognitive vulnerabilities, including intolerance of uncertainty (IU) and anxiety sensitivity (AS). However, few prior studies have considered whether the lower-order dimensions of IU (i.e., prospective and inhibitory IU) and AS (i.e., physical, cognitive, and social concerns) better explain the indirect relation between NA and social anxiety and depression...
August 7, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28843574/the-7-factor-hybrid-model-of-dsm-5-ptsd-symptoms-and-alcohol-consumption-and-consequences-in-a-national-sample-of-trauma-exposed-veterans
#8
Meredith Claycomb Erwin, Ruby Charak, Tory A Durham, Cherie Armour, Xin Lv, Steven M Southwick, Jon D Elhai, Robert H Pietrzak
The purpose of the present study was to investigate associations between the 7-factor hybrid model of DSM-5 posttraumatic stress disorder (PTSD) symptoms, which includes intrusions, avoidance, negative affect, anhedonia, externalizing behaviors, anxious arousal, and dysphoric arousal symptoms, and alcohol consumption and consequences. A nationally representative sample of 916 trauma-exposed U.S. military veterans were administered the Trauma History Screen, PTSD Checklist-5, and Alcohol Use Disorders Identification Test...
August 6, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28797680/factor-structure-of-the-intolerance-of-uncertainty-scale-for-children
#9
Danielle Cornacchio, Amanda L Sanchez, Stefany Coxe, Amy Roy, Donna B Pincus, Kendra L Read, Robert M Holaway, Philip C Kendall, Jonathan S Comer
Intolerance of uncertainty (IU), a dispositional negative orientation toward uncertainty and its consequences, has been studied in adults, but research has only recently examined IU in youth. Despite some advances, little is known about the factor structure of measures of IU in youth. The present study used confirmatory factor analysis to examine the structure of IU as measured by the Intolerance of Uncertainty Scale for Children (IUSC; Comer et al., 2009) in a sample of youth (N=368) 9-18 years of age (Mage=12...
July 31, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28774745/factor-structure-of-dsm-5-ptsd-symptoms-in-trauma-exposed-adolescents-examining-stability-across-time
#10
Li Wang, Xing Cao, Chengqi Cao, Ruojiao Fang, Haibo Yang, Jon D Elhai
This study investigated the latent structure of DSM-5 PTSD symptoms using two-wave longitudinal data collected from a sample of adolescents exposed to an explosion accident. Two waves of surveys were conducted approximately 3 and 8 months after the accident, respectively. A total of 836 students completed the baseline survey, and 762 students completed the follow-up survey. The results of confirmatory factor analyses(CFA) indicated that a seven-factor hybrid model composed of intrusion, avoidance, negative affect, anhedonia, externalizing behaviors, anxious arousal and dysphoric arousal factors yielded significantly better data fit at both waves than the other models including the DSM-5 four-factor model, the six-factor anhedonia and externalizing behaviors models...
July 23, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28803688/demand-withdraw-communication-in-the-context-of-intimate-partner-violence-implications-for-psychological-outcomes
#11
Alison M Pickover, Alexandra J Lipinski, Thomas S Dodson, Han N Tran, Matthew J Woodward, J Gayle Beck
Intimate partner violence (IPV) is associated with symptoms of posttraumatic stress disorder (PTSD) and generalized anxiety disorder (GAD). To clarify the influence of a dyadic conflict pattern that has previously been shown to accompany violence in romantic relationships (partner demand/self withdraw) on these mental health outcomes, we examined the associations between three forms of IPV (physical, emotional-verbal, dominance-isolation), partner demand/self withdraw, and PTSD and GAD symptoms, in a sample of 284 IPV-exposed women...
July 22, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28705679/the-effects-of-cognitive-reappraisal-on-conditioned-disgust-in-contamination-based-ocd-an-analogue-study
#12
Bunmi O Olatunji, Hannah Berg, Rebecca C Cox, Amber Billingsley
Experimental research has shown that conditioned disgust is resistant to extinction, which may account for the slower habituation to disgust relative to fear in contamination-based obsessive-compulsive disorder (OCD). However, few studies have examined the efficacy of interventions that may attenuate conditioned disgust responses. Studies of cognitive reappraisal have demonstrated that reinterpreting a stimulus can alter emotional responding. This technique is based on cognitive theories which suggest that anxiety disorders arise from biased cognitions; therefore, changing a person's thoughts will elicit durable changes in emotional responses...
July 1, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28709689/psychiatric-reactions-to-continuous-traumatic-stress-a-latent-profile-analysis-of-two-israeli-samples
#13
Liat Itzhaky, Mark Gelkopf, Yafit Levin, Jacob Y Stein, Zahava Solomon
Many individuals worldwide are exposed to continuous traumatic stress (CTS). However, the psychiatric sequela of CTS and the relevance of posttraumatic stress disorder (PTSD) diagnostic criteria in this situation have yet to be determined. Filling this gap, the present study assessed psychiatric reactions to CTS and the relationship between such reactions and functional impairment among two representative samples of adults exposed to ongoing shelling over 6 (n=387) and 9 years (n=468). Assessment included PTSD symptomatology (i...
June 29, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28843575/can-less-be-more-open-trial-of-a-stepped-care-approach-for-child-and-adolescent-anxiety-disorders
#14
Jeremy W Pettit, Yasmin Rey, Michele Bechor, Raquel Melendez, Daniella Vaclavik, Victor Buitron, Yair Bar-Haim, Daniel S Pine, Wendy K Silverman
This open trial presents a stepped care treatment approach for youths with anxiety disorders. In Step 1, 124 youths (65 girls; M age=9.7years) participated in a low intensity computer administered attention bias modification (ABM) protocol. Statistically significant reductions in youth anxiety severity were found following Step 1. Youths and parents were then given the option to not continue with further treatment or step up to a higher intensity cognitive behavioral therapy (CBT) protocol (Step 2). Of 112 youths who completed Step 1, 67 (59...
October 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28325630/does-patient-reluctance-towards-exposure-and-psychologists-attitudes-about-evidence-based-practice-influence-treatment-recommendations-for-panic-disorder-an-experimental-investigation
#15
Nikolaos Kazantzis, Crystal Ford, Chiara Paganini, Frank M Dattilio, Davide Farchione
This study examined the effects of patient reluctance towards exposure on practitioners' subsequent treatment recommendations. Participants (N=236) were doctoral level psychologists who received a vignette of a patient with panic disorder, which either did (experimental group) or did not (control group) mention patient reluctance towards exposure. Evidence Based Practice (EBP) attitudes were also assessed and taken into account. A significant main effect of reluctance, averaged across all levels of EBP attitudes, and theoretical orientations was obtained (OR=2...
October 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28651207/metacognitive-therapy-versus-disorder-specific-cbt-for-comorbid-anxiety-disorders-a-randomized-controlled-trial
#16
Sverre Urnes Johnson, Asle Hoffart, Hans M Nordahl, Bruce E Wampold
Few studies have compared the effects of Metacognitive therapy (MCT) and Cognitive behavioral therapy (CBT) for comorbid anxiety disorders. In the current study we compared CBT and MCT for heterogeneous anxiety disorders in a residential setting. Ninety patients with a primary diagnosis of Post Traumatic Stress Disorder, Social Phobia or Panic disorder, with and without Agoraphobia, were randomized to either CBT or MCT. Patients were assessed at pre-treatment, post-treatment and one-year follow-up. Primary outcome measures were Beck Anxiety Inventory and ADIS IV and secondary outcome measures were SCID II, Beck Depression Inventory, Penn State Worry Questionnaire, The Symptom Checklist-90 and the Inventory of Interpersonal Problems-64...
August 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28689676/health-anxiety-and-medical-utilization-the-moderating-effect-of-age-among-patients-in-primary-care
#17
Thomas A Fergus, Jackson O Griggs, Scott C Cunningham, Lance P Kelley
Health anxiety is commonly seen in medical clinics and is related to the overutilization of primary care services, but existing studies have not yet considered the possible moderating effect of age. We examined if age moderated the association between health anxiety and medical utilization. A secondary aim was to examine potential racial/ethnic differences in health anxiety. An ethnoracially diverse group of patients (N=533) seeking treatment from a primary care clinic completed a self-report measure of health anxiety...
June 24, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28668214/the-youth-anxiety-measure-for-dsm-5-yam-5-correlations-with-anxiety-fear-and-depression-scales-in-non-clinical-children
#18
Peter Muris, Janne Mannens, Lisanne Peters, Cor Meesters
The Youth Anxiety Measure for DSM-5 (YAM-5) is a newly developed rating scale for assessing anxiety disorder symptoms of children and adolescents in terms of the contemporary classification system. In the present study, 187 children aged 8-12 years completed the new measure as well as the trait version of the State-Trait Anxiety Inventory for Children (STAIC), the Short Form of the Fear Survey Schedule for Children-Revised (FSSC-R-SF), the Spence Children's Anxiety Scale (SCAS), the Selective Mutism Questionnaire (SMQ), and the Children's Depression Inventory (CDI)...
June 13, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28645017/examining-anxiety-sensitivity-as-a-mediator-of-the-association-between-ptsd-symptoms-and-suicide-risk-among-women-firefighters
#19
Ian H Stanley, Melanie A Hom, Sally Spencer-Thomas, Thomas E Joiner
OBJECTIVE: Posttraumatic stress disorder (PTSD) symptoms are associated with increased suicide risk. Anxiety sensitivity (AS)-the fear of anxiety-related sensations-is both a vulnerability factor for and consequence of PTSD symptoms. AS also predicts suicide risk. To our knowledge, no study has examined whether AS concerns account for the association between PTSD symptoms and suicide risk. METHOD: A total of 254 women firefighters completed a web-based mental health survey...
June 13, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28618306/effects-of-acute-exercise-on-fear-extinction-in-rats-and-exposure-therapy-in-humans-null-findings-from-five-experiments
#20
Jolene Jacquart, Rheall F Roquet, Santiago Papini, Mark B Powers, David Rosenfield, Jasper A J Smits, Marie-H Monfils
BACKGROUND: Exposure therapy is an established learning-based intervention for the treatment of anxiety disorders with an average response rate of nearly 50%, leaving room for improvement. Emerging strategies to enhance exposure therapy in humans and fear extinction retention in animal models are primarily pharmacological. These approaches are limited as many patients report preferring non-pharmacological approaches in therapy. With general cognitive enhancement effects, exercise has emerged as a plausible non-pharmacological augmentation strategy...
June 4, 2017: Journal of Anxiety Disorders
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