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Journal of Anxiety Disorders

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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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/28117191/posttraumatic-stress-disorder-symptoms-and-attitudes-about-social-support-does-shame-matter
#8
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
#9
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
https://www.readbyqxmd.com/read/28108059/self-views-in-social-anxiety-disorder-the-impact-of-cbt-versus-mbsr
#10
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...
January 10, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28126678/self-disgust-as-a-potential-mechanism-underlying-the-association-between-ptsd-and-suicide-risk
#11
C Alex Brake, Sasha M Rojas, Christal L Badour, Courtney E Dutton, Matthew T Feldner
Suicide risk is highly prevalent among individuals with posttraumatic stress disorder (PTSD). Self-disgust, defined as disgust directed internally and comprised of disgust with oneself (disgusting self) and with one's behaviors (disgusting ways), may impact this increased risk. The present study examined self-disgust as a putative mechanism linking PTSD symptoms with suicide risk. A sample of 347 trauma-exposed undergraduates completed measures of PTSD symptoms, suicide risk, self-disgust, and depressive symptoms...
January 8, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28117192/high-rates-of-ptsd-treatment-dropout-a-possible-red-herring
#12
Derek D Szafranski, Brian N Smith, Daniel F Gros, Patricia A Resick
Few studies have examined symptom change among dropouts from posttraumatic stress disorder (PTSD) treatment. However, dropout is widely considered a negative event needing to be addressed. The present study investigated PTSD and depression symptom change in patients with PTSD who discontinued psychotherapy. Female civilians (n=321) diagnosed with PTSD participated in two randomized clinical trials examining PTSD treatment outcomes. Of those, 53 were identified as dropouts and included in this study. Symptom change was assessed by clinically significant change (CSC) criteria and symptom end-state criteria...
January 8, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28057396/inverse-reasoning-processes-in-obsessive-compulsive-disorder
#13
Shiu F Wong, Jessica R Grisham
The inference-based approach (IBA) is one cognitive model that aims to explain the aetiology and maintenance of obsessive-compulsive disorder (OCD). The model proposes that certain reasoning processes lead an individual with OCD to confuse an imagined possibility with an actual probability, a state termed inferential confusion. One such reasoning process is inverse reasoning, in which hypothetical causes form the basis of conclusions about reality. Although previous research has found associations between a self-report measure of inferential confusion and OCD symptoms, evidence of a specific association between inverse reasoning and OCD symptoms is lacking...
December 28, 2016: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28249669/transdiagnostic-approaches-to-the-understanding-and-treatment-of-anxiety-and-related-disorders
#14
EDITORIAL
Peter Norton
No abstract text is available yet for this article.
March 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/27988419/health-anxiety-in-obsessive-compulsive-disorder-and-obsessive-compulsive-symptoms-in-severe-health-anxiety-an-investigation-of-symptom-profiles
#15
Erik Hedman, Brjánn Ljótsson, Erland Axelsson, Gerhard Andersson, Christian Rück, Erik Andersson
Severe health anxiety (SHA) shares features with obsessive-compulsive disorder (OCD) and in recent years there has been a debate as to whether the two disorders may represent two facets of the same condition. Few studies have however investigated the overlap and differences in symptom profiles between the disorders. The primary aim of the present study was to investigate these aspects using one sample of participants with a principal diagnosis of SHA and one sample of participants with a principal OCD diagnosis...
January 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/27940416/social-anxiety-and-suicidal-ideation-test-of-the-utility-of-the-interpersonal-psychological-theory-of-suicide
#16
Julia D Buckner, Austin W Lemke, Emily R Jeffries, Sonia M Shah
Social anxiety is related to greater suicidality, even after controlling for depression and other psychopathology. The Interpersonal-Psychological Theory of Suicide (IPTS; Joiner, 2005) proposes that people are vulnerable to wanting to die by suicide if they experience both perceived burdensomeness (sense that one is a burden to others) and thwarted belongingness (a greater sense of alienation from others). Socially anxious persons may be especially vulnerable to these interpersonal factors. The current study tested whether interpersonal IPTS components independently and additively mediate the social anxiety-suicidal ideation (SI) relation among 780 (80...
January 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/27930939/guided-parent-delivered-cognitive-behavioral-therapy-for-childhood-anxiety-predictors-of-treatment-response
#17
Kerstin Thirlwall, Peter Cooper, Cathy Creswell
BACKGROUND: Guided Parent-delivered Cognitive Behaviour Therapy (GPD-CBT) is a brief, effective treatment for childhood anxiety disorders, however not all children respond favourably. AIMS: To examine predictors of response to GPD-CBT. METHODS: Parents of 125 children (7-12 years) with an anxiety disorder received GPD-CBT over 2.6 or 5.3h. Recovery was measured post treatment and six months later. RESULTS: Younger children and those with primary Generalised Anxiety Disorder (GAD) improved more post treatment, but older children and those without primary GAD had better outcomes at six month follow up...
January 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/27866085/cognitive-bias-modification-of-interpretation-in-children-with-social-anxiety-disorder
#18
Faith Orchard, Adela Apetroaia, Kiri Clarke, Cathy Creswell
Negative (or a lack of positive) interpretation of ambiguous social situations has been hypothesised to maintain social anxiety disorder in children, yet there is currently limited evidence to support this. Cognitive Bias Modification of Interpretation (CBM-I) provides a means to explore the causal influence of interpretation bias on social anxiety disorder, and has been associated with a reduction in social anxiety symptoms in adults. Seven to twelve year old children with a diagnosis of social anxiety disorder completed CBM-I training, adapted from materials designed for socially anxious children in the community, or no training...
January 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28063742/all-or-nothing-thinking-the-processing-of-emotional-expressions-in-traumatized-post-deployment-soldiers
#19
Claudia Gebhardt, Christina Alliger-Horn, Kristin Mitte, Heide Glaesmer
The exposure to trauma is a dramatic life event with complex consequences among those like changes in information processing. Dysfunctional cognitions like a negative interpretation of information are a risk factor for the development of trauma-related disorders. The aim of the present study was to test whether post-deployment soldiers with trauma differ in their interpretation of emotional expressions from member of a control group. Interpretation of emotional expressions was assessed in a sample of 106 males (n=53 soldiers, n=53 controls) with the Similarity Rating Task (simtask) and analyzed with a multidimensional scaling (MDS) approach...
December 21, 2016: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28024913/anxiety-sensitivity-explains-associations-between-anxious-arousal-symptoms-and-smoking-abstinence-expectancies-perceived-barriers-to-cessation-and-problems-experienced-during-past-quit-attempts-among-low-income-smokers
#20
Michael J Zvolensky, Daniel J Paulus, Kirsten J Langdon, Zuzuky Robles, Lorra Garey, Peter J Norton, Michael S Businelle
Disproportionately more smokers report low-income and mental health problems relative to non-smokers. Low-income smokers may use smoking to alleviate negative emotional states resulting from exposure to multiple stressors. Yet, little work has been devoted to elucidating mechanisms that may explain the association between negative emotional states and smoking-related processes among low-income smokers. The present study sought to address this gap by examining anxiety sensitivity, a transdiagnostic factor related to both anxiety and smoking, as a potential mediator for the influence of anxiety symptoms on smoking-related processes, including threat-related smoking abstinence expectancies (somatic symptoms and harmful consequences), perceived barriers for cessation, and problems experienced during past quit attempts...
December 21, 2016: Journal of Anxiety Disorders
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