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https://www.readbyqxmd.com/read/28100203/diaphragmatic-breathing-during-virtual-reality-exposure-therapy-for-aviophobia-functional-coping-strategy-or-avoidance-behavior-a-pilot-study
#1
Youssef Shiban, Julia Diemer, Jana Müller, Johanna Brütting-Schick, Paul Pauli, Andreas Mühlberger
BACKGROUND: Although there is solid evidence for the efficacy of in vivo and virtual reality (VR) exposure therapy for a specific phobia, there is a significant debate over whether techniques promoting distraction or relaxation have impairing or enhancing effects on treatment outcome. In the present pilot study, we investigated the effect of diaphragmatic breathing (DB) as a relaxation technique during VR exposure treatment. METHOD: Twenty-nine patients with aviophobia were randomly assigned to VR exposure treatment either with or without diaphragmatic breathing (six cycles per minute)...
January 18, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28068460/side-effects-to-antidepressant-treatment-in-patients-with-depression-and-comorbid-panic-disorder
#2
Stewart A Shankman, Stephanie M Gorka, Andrea C Katz, Daniel N Klein, John C Markowitz, Bruce A Arnow, Rachel Manber, Barbara O Rothbaum, Michael E Thase, Alan F Schatzberg, Martin B Keller, Madhukar H Trivedi, James H Kocsis
OBJECTIVE: Side effects to antidepressant medication can affect the efficacy of treatment, but few predictors foretell who experiences side effects and which side effects they experience. This secondary data analysis examined whether depressed patients with comorbid panic disorder were more likely to experience side effects than those without panic disorder. The study also examined whether greater burden of side effects predicted a poorer treatment course for patients with panic disorder than those without panic disorder...
January 3, 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28066706/initial-and-sustained-brain-responses-to-threat-anticipation-in-blood-injection-injury-phobia
#3
Leonie Brinkmann, Hendrik Poller, Martin J Herrmann, Wolfgang Miltner, Thomas Straube
Blood-injection-injury (BII) phobia differs from other subtypes of specific phobia in that it is associated with elevated disgust-sensitivity as well as specific autonomic and brain responses during processing of phobia-relevant stimuli. To what extent these features play a role already during threat anticipation is unclear. In the current fMRI experiment, 16 female BII phobics and 16 female healthy controls anticipated the presentation of phobia-specific and neutral pictures. On the behavioral level, anxiety dominated the anticipatory period in BII phobics relative to controls, while both anxiety and disgust were elevated during picture presentation...
2017: NeuroImage: Clinical
https://www.readbyqxmd.com/read/28032271/profiles-of-temperament-among-youth-with-specific-phobias-implications-for-cbt-outcomes
#4
Nicole N Capriola, Jordan A Booker, Thomas H Ollendick
Specific phobias (SPs) are characterized by excessive fear or anxiety regarding an object or situation. SPs often result in a host of negative outcomes in childhood and beyond. Children with SPs are broadly assumed to show dispositional over-regulation and fearfulness relative to children without SPs, but there are few attempts to distinguish dispositional patterns among children with SPs. In the present study, we examined trajectories of differing temperamental profiles for youth receiving a CBT-based treatment for their SP...
December 29, 2016: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28030746/association-of-fluid-intelligence-and-psychiatric-disorders-in-a-population-representative-sample-of-us-adolescents
#5
Katherine M Keyes, Jonathan Platt, Alan S Kaufman, Katie A McLaughlin
Importance: Despite long-standing interest in the association of psychiatric disorders with intelligence, few population-based studies of psychiatric disorders have assessed intelligence. Objective: To investigate the association of fluid intelligence with past-year and lifetime psychiatric disorders, disorder age at onset, and disorder severity in a nationally representative sample of US adolescents. Design, Setting, and Participants: National sample of adolescents ascertained from schools and households from the National Comorbidity Survey Replication-Adolescent Supplement, collected 2001 through 2004...
December 28, 2016: JAMA Psychiatry
https://www.readbyqxmd.com/read/28012301/psychophysiological-reactivity-of-currently-dental-phobic-remitted-dental-phobic-and-never-dental-phobic-individuals-during-exposure-to-dental-related-and-other-affect-inducing-materials
#6
André Wannemueller, Dirk Adolph, Hans-Peter Joehren, Simon E Blackwell, Jürgen Margraf
Psychophysiological responses indicating the preparation of defensive behaviour, such as heart rate (HR)-increase and startle-response (SR) potentiation, have often been reported amongst individuals suffering from phobic disorders when exposed to phobia-related information. Although exposure is widely considered the 'gold standard' for treatment of Specific Phobia, it is unclear to what extent psychophysiological defensive response patterns change following treatment, and whether any changes are maintained...
December 14, 2016: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/27996024/a-genome-wide-screen-for-acrophobia-susceptibility-loci-in-a-finnish-isolate
#7
Zuzanna Misiewicz, Tero Hiekkalinna, Tiina Paunio, Teppo Varilo, Joseph D Terwilliger, Timo Partonen, Iiris Hovatta
Acrophobia, an abnormal fear of heights, is a specific phobia characterized as apprehension cued by the occurrence or anticipation of elevated spaces. It is considered a complex trait with onset influenced by both genetic and environmental factors. Identification of genetic risk variants would provide novel insight into the genetic basis of the fear of heights phenotype and contribute to the molecular-level understanding of its aetiology. Genetic isolates may facilitate identification of susceptibility alleles due to reduced genetic heterogeneity...
December 20, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27995827/prevalence-of-current-anxiety-disorders-in-people-with-bipolar-disorder-during-euthymia-a-meta-analysis
#8
B Pavlova, R H Perlis, O Mantere, C M Sellgren, E Isometsä, P B Mitchell, M Alda, R Uher
BACKGROUND: Anxiety disorders are highly prevalent in people with bipolar disorder, but it is not clear how many have anxiety disorders even at times when they are free of major mood episodes. We aimed to establish what proportion of euthymic individuals with bipolar disorder meet diagnostic criteria for anxiety disorders. METHOD: We performed a random-effects meta-analysis of prevalence rates of current DSM-III- and DSM-IV-defined anxiety disorders (panic disorder, agoraphobia, social anxiety disorder, generalized anxiety disorder, specific phobia, obsessive-compulsive disorder, post-traumatic stress disorder, and anxiety disorder not otherwise specified) in euthymic adults with bipolar disorder in studies published by 31 December 2015...
December 20, 2016: Psychological Medicine
https://www.readbyqxmd.com/read/27995381/the-behavioral-avoidance-task-with-anxious-youth-a-review-of-procedures-properties-and-criticisms
#9
REVIEW
Peter J Castagna, Thompson E Davis, Megan E Lilly
The measurement of avoidance behavior in youth with anxiety and related disorders is essential. Historically, the behavioral avoidance task (BAT) has been used as a measure of avoidance that can be tailored to a youth's particular fear. Although in use for over 90 years, there has yet to be a systematic review of its use, properties, etc. Here we examine the use of the BAT with youth as a measure of avoidance over the past 30 years. Studies have used the BAT as a measure of treatment outcome, to explore theories related to avoidance, and provide evidence for the psychometric properties of phobia questionnaires...
December 19, 2016: Clinical Child and Family Psychology Review
https://www.readbyqxmd.com/read/27951417/synthesis-and-evaluation-of-analgesic-behavioral-effects-and-chronic-toxicity-of-the-new-3-5-diaminopyrazole-and-its-precursor-the-thiocyanoacetamide
#10
Ridha Ben Ali, Amal Ben Othman, Khouloud Bokri, Samira Maghraoui, Adel Hajri, Azaiez Ben Akacha, Chadli Dziri, Michèle Véronique El May
This study aimed to explore the analgesic, antioxidant, behavioral and toxicological effects of 3,5-diaminopyrazole and thiocyanoacetamide. Caffeine was used as reference drug whose effects are known after oral treatment with an efficient dose (10mg/kg/day) for 30days. The preliminary bioassays indicated that both compounds at this dose have strong antioxidant capacities and present highly analgesic effects. The behavioral study showed an activation of the rat memory by thiocyanoacetamide. This molecule caused a phobia state to open areas in the elevated plus maze and specifically agoraphobia in the open field with a lack in the development of the exploratory capacity...
December 9, 2016: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/27931891/a-systematic-review-of-anxiety-prevalence-in-adults-within-primary-care-and-community-settings-in-malaysia
#11
Chin Hoong Wong, Zia U Bakt Sultan Shah, Cheong Lieng Teng, Tzi Quen Lin, Zainab Abdul Majeed, Chun Wai Chan
BACKGROUND: Anxiety disorders are common mental health disorders with significant impact on the individual as well as burden on the country as a whole. METHODS: A systematic review of databases, reference lists, internet sources, and input from content experts revealed 42 studies that documented the prevalence of anxiety symptoms or disorders. 12 of these studies specifically evaluated anxiety disorders. RESULTS: 4 studies looked at the prevalence of anxiety disorders in the general population, whilst the remainder focused on selected population groups: university students (4 studies); substance abuse (3 studies); and victims of abuse (1 study)...
December 2016: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/27909449/association-between-dsm-iv-anxiety-disorders-and-suicidal-behaviors-in-a-community-sample-of-south-korean-adults
#12
Seong-Jin Cho, Jin Pyo Hong, Jun-Young Lee, Jeong Soo Im, Kyoung-Sae Na, Jee Eun Park, Maeng Je Cho
OBJECTIVE: There are conflicting reports about whether individual anxiety disorders are independently associated with suicidal ideation and suicide attempts. We examined whether anxiety disorders are related to suicidal ideation and suicide attempts in a community sample of South Korean adults. METHODS: In-person interviews based on the South Korean version of the Composite International Diagnostic Interview were conducted to diagnose mental disorders. Multivariate logistic regression analysis was performed to examine whether anxiety disorders were associated with suicidal ideation and suicide attempts...
November 2016: Psychiatry Investigation
https://www.readbyqxmd.com/read/27892761/autonomic-markers-associated-with-generalized-social-phobia-symptoms-heart-rate-variability-and-salivary-alpha-amylase
#13
María J García-Rubio, Laura Espín, Vanesa Hidalgo, Alicia Salvador, Jesús Gómez-Amor
The study of autonomic nervous system changes associated with generalized social phobia (GSP) disorder has increased in recent years, showing contradictory results. The present study aimed to evaluate how young people with GSP reacted before, during, and after exposure to the Trier Stress Social Test (TSST), focusing on their autonomic changes (heart rate variability (HRV) and salivary alpha-amylase (sAA)) compared to a control group (non-GSP). Some psychological variables were also considered. Sex was specifically studied as a possible modulator of autonomic fluctuations and psychological state...
December 21, 2016: Stress: the International Journal on the Biology of Stress
https://www.readbyqxmd.com/read/27884095/in-pursuit-of-truth-a-critical-examination-of-meta-analyses-of-cognitive-behavior-therapy
#14
Bruce E Wampold, Christoph Flückiger, A C Del Re, Noah E Yulish, Nickolas D Frost, Brian T Pace, Simon B Goldberg, Scott D Miller, Timothy P Baardseth, Kevin M Laska, Mark J Hilsenroth
OBJECTIVE: Three recent meta-analyses have made the claim, albeit with some caveats, that cognitive-behavioral treatments (CBT) are superior to other psychotherapies, in general or for specific disorders (e.g., social phobia). METHOD: The purpose of the present article was to examine four issues in meta-analysis that mitigate claims of CBT superiority: (a) effect size, power, and statistical significance, (b) focusing on disorder-specific symptom measures and ignoring other important indicators of psychological functioning, (c) problems inherent in classifying treatments provided in primary studies into classes of treatments, and (d) the inclusion of problematic trials, which biases the results, and the exclusion of trials that fail to find differences among treatments...
January 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27869064/transdiagnostic-brain-responses-to-disorder-related-threat-across-four-psychiatric-disorders
#15
K Feldker, C Y Heitmann, P Neumeister, S V Tupak, E Schrammen, R Moeck, P Zwitserlood, M Bruchmann, T Straube
BACKGROUND: There is an ongoing debate whether transdiagnostic neural mechanisms are shared by different anxiety-related disorders or whether different disorders show distinct neural correlates. To investigate this issue, studies controlling for design and stimuli across multiple anxiety-related disorders are needed. METHOD: The present functional magnetic resonance imaging study investigated neural correlates of visual disorder-related threat processing across unmedicated patients suffering from panic disorder (n = 20), social anxiety disorder (n = 20), dental phobia (n = 16) and post-traumatic stress disorder (n = 11) relative to healthy controls (HC; n = 67)...
November 21, 2016: Psychological Medicine
https://www.readbyqxmd.com/read/27868423/startle-potentiation-to-uncertain-threat-as-a-psychophysiological-indicator-of-fear-based-psychopathology-an-examination-across-multiple-internalizing-disorders
#16
Stephanie M Gorka, Lynne Lieberman, Stewart A Shankman, K Luan Phan
Heightened reactivity to uncertain threat (U-threat) is an important individual difference factor that may characterize fear-based internalizing psychopathologies (IPs) and distinguish them from distress/misery IPs. To date, however, the majority of existing research examining reactivity to U-threat has been within individuals with panic disorder and major depressive disorder (MDD) and no prior study has directly tested this hypothesis across multiple IPs. The current study therefore explored whether heightened reactivity to U-threat is a psychophysiological indicator of fear-based psychopathology across 5 groups: current (a) social anxiety disorder (SAD); (b) specific phobia (SP); (c) generalized anxiety disorder (GAD); (d) MDD; and (c) individuals with no history of psychopathology (controls)...
January 2017: Journal of Abnormal Psychology
https://www.readbyqxmd.com/read/27866918/-children-and-adolescents-anxiety-disorders
#17
H Denis, A Baghdadli
Anxiety disorders were long underestimated in children by healthcare professionals, but they are now better diagnosed. They account for the most frequent psychiatric diagnosis between 6 and 18 years of age, with differences in prevalence or risk factors related to the clinical forms. Different clinical subtypes of anxiety disorders are detailed in this article: separation anxiety, specific phobia, generalized anxiety, social anxiety, panic disorder, post-traumatic stress syndrome, and obsessional-compulsive disorder...
January 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/27862704/what-happens-to-children-who-move-off-the-autism-spectrum-a-clinical-follow-up-study
#18
Nahit Motavalli Mukaddes, Tuba Mutluer, Basak Ayik, Ayla Umut
OBJECTIVES: There is controversial information on school age outcome of individuals who lose the diagnosis of autism and achieve "optimal outcome" (OO). The present study aimed to assess the autism symptoms and other psychiatric disorders in a group of children with a past history of autism. METHODS: The study includes individuals (n=26) who lost the diagnosis of autism two to eight years previously. Clinical assessment was done with both parents and children. DSM-V criteria were used for diagnosis of ASD...
November 12, 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/27845527/using-symptom-and-interference-questionnaires-to-identify-recovery-among-children-with-anxiety-disorders
#19
Rachel Evans, Kerstin Thirlwall, Peter Cooper, Cathy Creswell
Questionnaires are widely used in routine clinical practice to assess treatment outcomes for children with anxiety disorders. This study was conducted to determine whether 2 widely used child and parent report questionnaires of child anxiety symptoms and interference (Spence Child Anxiety Scale [SCAS-C/P] and Child Anxiety Impact Scale [CAIS-C/P]) accurately identify recovery from common child anxiety disorder diagnoses as measured by a 'gold-standard' diagnostic interview. Three hundred thirty-seven children (7-12 years, 51% female) and their parents completed the ADIS-IV-C/P diagnostic interview and questionnaire measures (SCAS-C/P and CAIS-C/P) before (Time 1) and after (Time 2) treatment or wait-list...
August 15, 2016: Psychological Assessment
https://www.readbyqxmd.com/read/27825724/effects-of-cognitive-behavioral-therapy-with-relaxation-vs-imagery-rescripting-on-test-anxiety-a-randomized-controlled-trial
#20
Neele Reiss, Irene Warnecke, Theano Tolgou, Dorothea Krampen, Ursula Luka-Krausgrill, Sonja Rohrmann
BACKGROUND: Test anxiety is a common condition in students, which may lead to impaired academic performance as well as to distress. The primary objective of this study was to evaluate the effectiveness of two cognitive-behavioral interventions designed to reduce test anxiety. Test anxiety in the participants was diagnosed as social or specific phobia according to DSM-IV. Subsequently subjects were randomized to three groups: a moderated self-help group, which served as a control group, and two treatment groups, where either relaxation techniques or imagery rescripting were applied...
January 15, 2017: Journal of Affective Disorders
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