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Journal of Anxiety Disorders

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https://www.readbyqxmd.com/read/28651207/metacognitive-therapy-versus-disorder-specific-cbt-for-comorbid-anxiety-disorders-a-randomized-controlled-trial
#1
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...
June 15, 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
#2
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
#3
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
https://www.readbyqxmd.com/read/28628781/young-children-have-social-worries-too-validation-of-a-brief-parent-report-measure-of-social-worries-in-children-aged-4-8-years
#4
Suzannah Stuijfzand, Helen F Dodd
This study investigated the psychometric properties of the Social Worries Anxiety Index for Young children (SWAIY), adapted from the Social Worries Questionnaire-Parent version (SWQ-P; Spence, 1995), as a measure of social anxiety in young children. 169 parents of children aged four to eight years from a community sample completed the SWAIY and a standardized measure of anxiety; the SWAIY was completed again two weeks later. Parents deemed the items appropriate and relevant to children of this age. The SWAIY demonstrated excellent (>0...
May 31, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28595115/the-weakest-link-as-an-indicator-of-cognitive-vulnerability-differentially-predicts-symptom-dimensions-of-anxiety-in-adolescents-in-china
#5
Junyi Wang, Danyang Wang, Lixia Cui, Chad M McWhinnie, Li Wang, Jing Xiao
This multiwave longitudinal study examined the cognitive vulnerability-stress component of hopelessness theory to differentially predict symptom dimensions of anxiety using a "weakest link" approach in a sample of adolescents from Hunan Province, China. Baseline and 6-month follow-up data were obtained from 553 middle-school students. During an initial assessment, participants completed measures of assessing their weakest links, anxious symptoms, and the occurrence of stress. Participants subsequently completed measures assessing stress, and anxious symptoms one a month for six months...
May 26, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28577416/the-impact-of-attentional-and-emotional-demands-on-memory-performance-in-obsessive-compulsive-disorder
#6
Jakob Fink, Friederike Hendrikx, Christian Stierle, Katarina Stengler, Ina Jahn, Cornelia Exner
Lower performance on memory tests in obsessive-compulsive disorder (OCD) has been repeatedly observed. However, the origins of these performance deficits are not sufficiently explained. In this study we tested if OCD-related extensive focus of attention on thoughts (heightened self-consciousness) could be an explanatory mechanism for lower memory performance. Heightened situational self-consciousness was manipulated by instructing participants to either monitor neutral thoughts or to monitor OCD-related thoughts...
May 25, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28551393/content-specificity-of-attentional-bias-to-threat-in-post-traumatic-stress-disorder
#7
A Zinchenko, M M Al-Amin, M M Alam, W Mahmud, N Kabir, H M Reza, T H J Burne
BACKGROUND: Attentional bias to affective information and reduced cognitive control may maintain the symptoms of post-traumatic stress disorder (PTSD) and impair cognitive functioning. However, the role of content specificity of affective stimuli (e.g., trauma-related, emotional trauma-unrelated) in the observed attentional bias and cognitive control is less clear, as this has not been tested simultaneously before. Therefore, we examined the content specificity of attentional bias to threat in PTSD...
May 18, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28551394/facial-emotion-processing-in-pediatric-social-anxiety-disorder-relevance-of-situational-context
#8
Daniela Schwab, Anne Schienle
Social anxiety disorder (SAD) typically begins in childhood. Previous research has demonstrated that adult patients respond with elevated late positivity (LP) to negative facial expressions. In the present study on pediatric SAD, we investigated responses to negative facial expressions and the role of social context information. Fifteen children with SAD and 15 non-anxious controls were first presented with images of negative facial expressions with masked backgrounds. Following this, the complete images which included context information, were shown...
May 15, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28545005/the-efficacy-of-trauma-management-therapy-a-controlled-pilot-investigation-of-a-three-week-intensive-outpatient-program-for-combat-related-ptsd
#9
Deborah C Beidel, B Christopher Frueh, Sandra M Neer, Carl W Lejuez
Despite the 8-18.5% of returning Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF) and Operation New Dawn (OND) veterans who are suffering from posttraumatic stress disorder (PTSD), few receive empirically supported treatments. Among those that do, the dropout rate is high and more than 50% retain their diagnosis after treatment. This study evaluated the efficacy of Trauma Management Therapy (TMT), delivered in a 3-week intensive outpatient (IOP) format. TMT combines virtual-reality augmented individual exposure therapy with a group intervention to address social isolation, anger, and depression...
May 11, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28577415/maternal-emotion-regulation-during-child-distress-child-anxiety-accommodation-and-links-between-maternal-and-child-anxiety
#10
Caroline E Kerns, Donna B Pincus, Katie A McLaughlin, Jonathan S Comer
Environmental contributions are thought to play a primary role in the familial aggregation of anxiety, but parenting influences remain poorly understood. We examined dynamic relations between maternal anxiety, maternal emotion regulation (ER) during child distress, maternal accommodation of child distress, and child anxiety. Mothers (N=45) of youth ages 3-8 years (M=4.8) participated in an experimental task during which they listened to a standardized audio recording of a child in anxious distress pleading for parental intervention...
May 10, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28554154/admixture-analysis-of-age-of-onset-in-generalized-anxiety-disorder
#11
Didi Rhebergen, Idan M Aderka, Ira M van der Steenstraten, Anton J L M van Balkom, Patricia van Oppen, Max L Stek, Hannie C Comijs, Neeltje M Batelaan
Age of onset is a marker of clinically relevant subtypes in various medical and psychiatric disorders. Past research has also reported that age of onset in generalized anxiety disorder (GAD) is clinically significant; but, in research to date, arbitrary cut-off ages have been used. In the present study, admixture analysis was used to determine the best fitting model for age of onset distribution in GAD. Data were derived from 459 adults with a diagnosis of GAD who took part in the Netherlands Study of Depression and Anxiety (NESDA)...
May 10, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28528015/the-mediating-effect-of-mindful-non-reactivity-in-exposure-based-cognitive-behavior-therapy-for-severe-health-anxiety
#12
Erik Hedman, Hugo Hesser, Erik Andersson, Erland Axelsson, Brjánn Ljótsson
Exposure-based cognitive behavior therapy (CBT) has been shown to be effective in the treatment of severe health anxiety, but little is known about mediators of treatment effect. The aim of the present study was to investigate mindful non-reactivity as a putative mediator of health anxiety outcome using data from a large scale randomized controlled trial. We assessed mindful non-reactivity using the Five Facets Mindfulness Questionnaire-Non-Reactivity scale (FFMQ-NR) and health anxiety with the Short Health Anxiety Inventory (SHAI)...
May 2, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28505466/the-conceptualization-of-emotion-regulation-difficulties-and-its-association-with-posttraumatic-stress-symptoms-in-traumatized-refugees
#13
Emma L Doolan, Richard A Bryant, Belinda J Liddell, Angela Nickerson
This study investigated the conceptualization of emotion regulation difficulties in a sample of refugees with varying levels of posttraumatic stress (PTS), and examined whether specific emotion regulation difficulties were associated with PTS severity. Refugees were administered an abbreviated version of the Difficulties in Emotion Regulation Scale, the PTSD Symptom Scale - Interview Version, and the Harvard Trauma Questionnaire. Confirmatory Factor Analysis was used to examine model fit for the 6-factor model originally proposed by the developers of the DERS and the more recently proposed 5-factor model that excludes the awareness subscale...
April 26, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28501651/severity-of-traumatic-injuries-predicting-psychological-outcomes-a-surprising-lack-of-empirical-evidence
#14
Adriel Boals, Zina Trost, Evan Rainey, Michael L Foreman, Ann Marie Warren
Despite widespread beliefs that trauma severity is related to levels of posttraumatic stress symptoms (PTSS), the empirical evidence to support such beliefs is lacking. In the current study we examined Injury Severity Score (ISS), a medical measure of event severity for physical injuries, in a sample of 460 patients admitted to a Level 1 Trauma Center. Results revealed no significant relationship between ISS and PTSS, depression, pain, and general physical and mental health at baseline, three months, and six months post-injury...
April 26, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28500921/development-and-validation-of-two-measures-of-emotional-contrast-avoidance-the-contrast-avoidance-questionnaires
#15
Sandra J Llera, Michelle G Newman
The Contrast Avoidance (CA) model (Newman & Llera, 2011) proposed that individuals with generalized anxiety disorder (GAD) fear sharp emotional shifts (or contrasts), such as the shift from a pleasant or neutral state to one of sudden distress following a negative event. Further, the model suggests that chronic worry is employed by those with GAD to sustain negative emotionality as a means to avoid sudden shifts into negativity. The model has received empirical support; however, no validated measure exists to assess CA tendencies...
June 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28494387/a-review-of-sociocultural-factors-that-may-underlie-differences-in-african-american-and-european-american-anxiety
#16
REVIEW
Patricia D Hopkins, Natalie J Shook
Preliminary evidence indicates there may be differences in the prevalence and severity of anxiety in African Americans and European Americans. A number of sociocultural risk and protective factors have been suggested to contribute to these group differences, such as salience of physical illnesses, discrimination, stigma toward mental illness, religiosity, and ethnic identity. In this paper, the literature concerning each of these factors is reviewed. Overall, the strongest evidence was found for ethnic identity and stigma toward mental illness as factors underlying group differences in anxiety...
June 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28482204/lifetime-histories-of-ptsd-suicidal-ideation-and-suicide-attempts-in-a-nationally-representative-sample-of-adolescents-examining-indirect-effects-via-the-roles-of-family-and-peer-social-support
#17
Sasha M Rojas, Sarah A Bilsky, Courtney Dutton, Christal L Badour, Matthew T Feldner, Ellen W Leen-Feldner
No abstract text is available yet for this article.
June 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28475946/predictors-of-clinician-use-of-exposure-therapy-in-community-mental-health-settings
#18
Emily M Becker-Haimes, Kelsie H Okamura, Courtney Benjamin Wolk, Ronnie Rubin, Arthur C Evans, Rinad S Beidas
Exposure therapy is recognized as the key component of cognitive-behavioral treatment for anxiety. However, exposure is the least used evidence-based treatment in community mental health settings and is the most challenging technique for clinicians to adopt within the context of effectiveness and implementation trials. Little work has examined clinician and organizational characteristics that predict use of exposure, which is important for identifying implementation strategies that may increase its use. In a large sample of community health clinicians (N=335) across 31 clinical practice sites, this study characterized clinician and organizational predictors of exposure use and relaxation for anxiety...
June 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28460329/efficacy-of-cognitive-behavioral-therapy-for-childhood-anxiety-and-depression
#19
REVIEW
Katherine Crowe, Dean McKay
A review of meta-analyses of cognitive-behavioral therapy (CBT) for childhood anxiety and depression was conducted. A total of 36 meta-analyses were identified that met inclusion criteria for this review. In most cases, medium-to-large effect sizes for treatment reduction were observed when CBT was compared to non-active control conditions. Small-to-medium effects were observed when CBT was compared to active control treatments. The available meta-analyses generally did not examine, or data were not sufficient to evaluate, potential moderators of outcome, differential effects for parental involvement, or changes in quality of life or functional outcomes associated with treatment...
June 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28432894/the-structure-correlates-and-treatment-related-changes-of-mindfulness-facets-across-the-anxiety-disorders-and-obsessive-compulsive-disorder
#20
Lance L Hawley, Jenny Rogojanski, Valerie Vorstenbosch, Lena C Quilty, Judith M Laposa, Neil A Rector
Research with non-clinical and clinical samples has examined how mindfulness concepts relate to psychological symptom presentations. However, there is less clarity when examining treatment-seeking patients who experience DSM-diagnosed anxiety and obsessional disorders - both cross-sectionally, and following empirically-supported treatments. The Five Facet Mindfulness Questionnaire (FFMQ; Baer, Smith, Hopkins, Krietemeyer, & Toney, 2006) conceptualizes mindfulness as consisting of five facets: Observing, Describing, Acting with Awareness, Nonreactivity, and Nonjudging...
June 2017: Journal of Anxiety Disorders
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