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Journal of Anxiety Disorders

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https://www.readbyqxmd.com/read/28431305/cognitive-behavioral-high-parental-involvement-treatments-for-pediatric-obsessive-compulsive-disorder-a-meta-analysis
#1
REVIEW
Marina Iniesta-Sepúlveda, Ana I Rosa-Alcázar, Julio Sánchez-Meca, José L Parada-Navas, Ángel Rosa-Alcázar
A meta-analysis on the efficacy of cognitive-behavior-family treatment (CBFT) on children and adolescents with obsessive-compulsive disorder (OCD) was accomplished. The purposes of the study were: (a) to estimate the effect magnitude of CBFT in ameliorating obsessive-compulsive symptoms and reducing family accommodation on pediatric OCD and (b) to identify potential moderator variables of the effect sizes. A literature search enabled us to identify 27 studies that fulfilled our selection criteria. The effect size index was the standardized pretest-postest mean change index...
April 4, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28388458/subtyping-social-anxiety-in-youth
#2
A Kodal, I Bjelland, R Gjestad, G J Wergeland, O E Havik, E R Heiervang, K Fjermestad
Few empirical studies have examined subtypes of social anxiety disorder (SAD) in youth, and limited consensus resides on the nature of potential subtypes. Identifying subtypes, based on both fear and avoidance patterns, can help improve assessment and treatment of SAD. Subtypes of fear and avoidance were examined in a sample comprising 131 youth (age 8-15 years) diagnosed with SAD using the Anxiety Disorders Interview Schedule for children and parents (ADIS-C/P). Exploratory factor analysis of fear responses revealed three factors, defining fear subtypes linked to: (1) performance, (2) observation, and (3) interaction situations, respectively...
April 2, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28399468/harm-expectancy-violation-during-exposure-therapy-for-posttraumatic-stress-disorder
#3
Rianne A de Kleine, Lotte Hendriks, Eni S Becker, Theo G Broekman, Agnes van Minnen
Exposure therapy has proven efficacy in the treatment of posttraumatic stress disorder (PTSD). Emotional processing theory proposes that fear habituation is a central mechanism in symptom reduction, but the empirical evidence supporting this is mixed. Recently it has been proposed that violation of harm expectancies is a crucial mechanism of action in exposure therapy. But to date, changes in harm expectancies have not been examined during exposure therapy in PTSD. The goal of the current study was to examine harm expectancy violation as mechanism of change in exposure therapy for posttraumatic stress disorder (PTSD)...
March 31, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28388457/sleep-disturbances-in-obsessive-compulsive-disorder-association-with-non-response-to-repetitive-transcranial-magnetic-stimulation-rtms
#4
Lana Donse, Alexander T Sack, Paul B Fitzgerald, Martijn Arns
Background Repetitive transcranial magnetic stimulation (rTMS) is a promising augmentation strategy for treatment-refractory OCD. However, a substantial group still fails to respond. Sleep disorders, e.g. circadian rhythm sleep disorders (CRSD), are highly prevalent in OCD and might mediate treatment response. The aims of the current study were to compare sleep disturbances between OCD patients and healthy subjects as well as between rTMS responders and non-responders, and most importantly to determine sleep-related predictors of rTMS non-response...
March 31, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28384621/the-affective-tie-that-binds-examining-the-contribution-of-positive-emotions-and-anxiety-to-relationship-formation-in-social-anxiety-disorder
#5
Charles T Taylor, Sarah L Pearlstein, Murray B Stein
Individuals with social anxiety disorder (SAD) have difficulty forming social relationships. The prevailing clinical perspective is that negative emotions such as anxiety inhibit one's capacity to develop satisfying social connections. However, empirical findings from social psychology and affective neuroscience suggest that positive emotional experiences are fundamental to establishing new social bonds. To reconcile these perspectives, we collected repeated measurements of anxiety, positive emotions (pleasantness), and connectedness over the course of a controlled relationship formation encounter in 56 participants diagnosed with SAD (64% female; Mage=23...
March 31, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28371702/an-experimental-test-of-the-role-of-control-in-spider-fear
#6
Andrew Healey, Warren Mansell, Sara Tai
It is well established that uncontrollable adverse experiences lead to increased distress, but the role of client control during psychological interventions such as exposure is less clear. Earlier studies reported inconsistent findings, most likely owing to variations in the way client control was manipulated, degree of exposure, the outcome variables chosen and the follow-up periods used. Importantly, studies to date had suggested to participants that approaching their fears was beneficial thereby biasing their choices and these studies had not measured change beyond the laboratory...
March 14, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28359786/the-looming-maladaptive-style-questionnaire-measurement-invariance-and-relations-to-anxiety-and-depression-across-10-countries
#7
Ryan Y Hong, John H Riskind, Mike W-L Cheung, Esther Calvete, Zahira González-Díez, Ayse Altan Atalay, Doris Curzik, Natasa Jokic-Begic, Adriana Del Palacio-Gonzalez, Ljiljana Mihić, Nikola Samac, Claudio Sica, Yoshinori Sugiura, Safal Khatri, Evan M Kleiman
The Looming Maladaptive Style Questionnaire (LMSQ) is a self-report measure designed to assess the looming cognitive style, a tendency to interpret threats as rapidly approaching and increasing in magnitude. To date, no systematic evaluation on the psychometric properties of the LMSQ across diverse cultural contexts has been done. In the present research, the measurement invariance of the LMSQ test scores was examined in 10 countries (N=4000). Confirmatory factor analysis suggested that a two-factor model (i...
March 14, 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
#8
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...
March 6, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28273494/cortisol-as-a-predictor-of-psychological-therapy-response-in-anxiety-disorders-systematic-review-and-meta-analysis
#9
REVIEW
Susanne Fischer, Anthony J Cleare
BACKGROUND: Although psychotherapy generally is effective in anxiety disorders, many patients are treatment-resistant. At the same time, some patients with anxiety disorders show alterations in the hypothalamic-pituitary-adrenal (HPA) axis, one of the major stress-responsive systems. Since raised levels of the end product of the HPA axis, cortisol, adversely affect cognition, we hypothesised that more pronounced alterations in cortisol levels would be associated with a less favourable response to psychotherapy...
February 24, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28259811/examining-the-disconnect-between-psychometric-models-and-clinical-reality-of-posttraumatic-stress-disorder
#10
Mark Shevlin, Philip Hyland, Thanos Karatzias, Jonathan I Bisson, Neil P Roberts
There have been many factor analytic studies aimed at testing alternative latent structures of DSM-IV and DSM-5 posttraumatic stress disorder (PTSD) symptoms. The primary rationale for such studies is that determining the 'best' factor analytic model will result in better diagnoses if that structure is the basis for diagnostic decisions. However, there appears to be a disconnect between the factor analytic modelling and the diagnostic implications. In this study, we derived prevalence rates based on commonly reported models of PTSD, based on data from two clinical samples (N=434), and also assessed if the different models generated consistent risk estimates in relation to the effects of childhood maltreatment...
February 20, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28242410/the-effect-of-trauma-on-the-severity-of-obsessive-compulsive-spectrum-symptoms-a-meta-analysis
#11
REVIEW
Michelle L Miller, Rebecca L Brock
It is important to consider trauma-related sequelae in the etiology and maintenance of psychopathology, namely understudied disorders such as those belonging to the Obsessive-Compulsive Spectrum (OCS). This meta-analysis examined the association between past trauma exposure and current severity of OCS disorder symptoms. A systematic literature search was conducted with 24 (N=4557) articles meeting inclusion criteria. A significant overall effect size was obtained (r=0.20), indicating that exposure to past trauma is associated with a higher severity of OCS symptoms, with a stronger association for females (β=0...
February 14, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28187303/response-bias-related-impairment-of-early-subjective-face-discrimination-in-social-anxiety-disorders-an-event-related-potential-study
#12
Yanyan Qi, Ruolei Gu, Jianqin Cao, Xuejing Bi, Haiyan Wu, Xun Liu
Considerable research has shown that social anxiety disorder (SAD) is accompanied by various negative cognitive biases, such as social feedback expectancy bias, memory bias, and interpretation bias. However, whether the memory bias in individuals with SAD is actually a manifestation of response bias, and whether such response bias is associated with deficits in face discrimination, remains unclear. In the present study, we investigated response bias (i.e., a tendency to recognize more negative evaluations) to faces with positive (social acceptance) or negative (social rejection) social evaluations in individuals with SAD and healthy controls (HCs) using event-related potentials (ERPs)...
February 5, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28254549/assessing-the-factorial-structure-and-measurement-invariance-of-ptsd-by-gender-and-ethnic-groups-in-sri-lanka-an-analysis-of-the-modified-harvard-trauma-questionnaire-htq
#13
Alvin Kuowei Tay, Rohan Jayasuriya, Dinuk Jayasuriya, Derrick Silove
The Harvard Trauma Questionnaire (HTQ) remains the most widely used screening measure for post-traumatic stress disorder (PTSD) in the refugee and post-conflict field. The present study is the first to test the factorial structure and measurement invariance of the HTQ according to DSM-5 criteria across gender and ethnic groups in the ethnically diverse society of post-conflict Sri Lanka. The survey sample included 5136 participants (86% response rate) followed up 12 months after a baseline nationally representative survey undertaken in Sri Lanka in 2014...
February 3, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28196348/investigation-of-implicit-avoidance-of-displacement-related-stimuli-in-offspring-of-trauma-exposed-forcibly-displaced-individuals
#14
Charlotte E Wittekind, Christoph Muhtz, Steffen Moritz, Lena Jelinek
There is an ongoing debate as to whether traumatization also affects the close relatives of trauma survivors who have symptoms of PTSD. Although many studies provide evidence favoring a transgenerational transmission, other studies have not found evidence to support this idea. The present study examined whether adult offspring of individuals exposed to trauma during forced displacement with (n=22) and without PTSD (n=24) exhibit an implicit avoidance of stimuli related to the parental trauma compared to children of non-trauma exposed control participants (n=23) using an Approach-Avoidance task (AAT)...
February 3, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28108059/self-views-in-social-anxiety-disorder-the-impact-of-cbt-versus-mbsr
#15
Matthew D Thurston, Philippe Goldin, Richard Heimberg, James J Gross
This study examines the impact of Cognitive-Behavioral Group Therapy (CBGT) versus Mindfulness-Based Stress Reduction (MBSR) versus Waitlist (WL) on self-views in patients with social anxiety disorder (SAD). One hundred eight unmedicated patients with SAD were randomly assigned to 12 weeks of CBGT, MBSR, or WL, and completed a self-referential encoding task (SRET) that assessed self-endorsement of positive and negative self-views pre- and post-treatment. At baseline, 40 healthy controls (HCs) also completed the SRET...
April 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28249669/transdiagnostic-approaches-to-the-understanding-and-treatment-of-anxiety-and-related-disorders
#16
EDITORIAL
Peter Norton
No abstract text is available yet for this article.
March 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/27400661/a-test-of-the-core-process-account-of-psychopathology-in-a-heterogenous-clinical-sample-of-anxiety-and-depression-a-case-of-the-blind-men-and-the-elephant
#17
Warren Mansell, Peter M McEvoy
Many cognitive and behavioral processes, such as selective attention to threat, self-focused attention, safety-seeking behaviors, worry and thought suppression, have their foundations in research on anxiety disorders. Yet, they are now known to be transdiagnostic, i.e. shared across a wide range of psychological disorders. A more pertinent clinical and theoretical question is whether these processes are themselves distinct, or whether they reflect a shared 'core' process that maintains psychopathology. The current study utilized a treatment-seeking clinical adult sample of 313 individuals with a range of anxiety disorders and/or depression who had completed self-report measures of widely ranging processes: affect control, rumination, worry, escape/avoidance, and safety-seeking behaviors...
March 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/27158076/a-real-world-dissemination-and-implementation-of-transdiagnostic-behavior-therapy-tbt-for-veterans-with-affective-disorders
#18
Daniel F Gros, Derek D Szafranski, Sarah D Shead
Dissemination and implementation of evidence-based psychotherapies is challenging in real world clinical settings. Transdiagnostic Behavior Therapy (TBT) for affective disorders was developed with dissemination and implementation in clinical settings in mind. The present study investigated a voluntary local dissemination and implementation effort, involving 28 providers participating in a four-hour training on TBT. Providers completed immediate (n=22) and six-month follow-up (n=12) training assessments and were encouraged to collect data on their TBT patients (delivery fidelity was not investigated)...
March 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28117191/posttraumatic-stress-disorder-symptoms-and-attitudes-about-social-support-does-shame-matter
#19
Thomas S Dodson, J Gayle Beck
Considerable research has examined the association between posttraumatic stress disorder (PTSD) symptoms and social support. One facet of this relationship that deserves greater attention concerns trauma survivors' negative expectations towards social support, termed negative network orientation. To expand our understanding of negative network orientation, the current study examined shame as a possible mediator in the relationship between PTSD symptoms and negative network orientation, in a sample of 202 female survivors of intimate partner violence (IPV)...
January 17, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28109673/the-impact-of-changes-in-distress-tolerance-on-ptsd-symptom-severity-post-treatment-among-veterans-in-residential-trauma-treatment
#20
Anne N Banducci, Kevin M Connolly, Anka A Vujanovic, Jennifer Alvarez, Marcel O Bonn-Miller
Given that rates of PTSD, particularly among military populations, are increasing, it is critical to gain a better understanding of factors associated with treatment response. Low distress tolerance (DT), conceptualized as the perceived or actual inability to tolerate negative emotional states, may impacts veterans' responses to PTSD treatment. Low DT has been associated with more severe PTSD symptoms in clinical and non-clinical samples; however, its impact on PTSD symptomatology across treatment has yet to be assessed...
January 16, 2017: Journal of Anxiety Disorders
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