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fear generalisation

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https://www.readbyqxmd.com/read/28298187/icanadapt-early-protocol-randomised-controlled-trial-rct-of-clinician-supervised-transdiagnostic-internet-delivered-cognitive-behaviour-therapy-icbt-for-depression-and-or-anxiety-in-early-stage-cancer-survivors-vs-treatment-as-usual
#1
M J Murphy, J M Newby, P Butow, L Kirsten, K Allison, S Loughnan, M A Price, J Shaw, H Shepherd, J Smith, G Andrews
BACKGROUND: This RCT with two parallel arms will evaluate the efficacy of an internet-delivered transdiagnostic cognitive behavioural therapy (iCBT) intervention for the treatment of clinical depression and/or anxiety in early stage cancer survivors. METHODS/DESIGN: Early stage cancer survivors will be recruited via the research arm of a not-for-profit clinical research unit and randomised to an intervention (iCBT) group or a 'treatment as usual' (TAU) control group...
March 15, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28283563/a-rapid-subcortical-amygdala-route-for-faces-irrespective-of-spatial-frequency-and-emotion
#2
Jessica McFadyen, Martial Mermillod, Jason B Mattingley, Veronika Halász, Marta I Garrido
There is significant controversy over the existence and function of a direct subcortical visual pathway to the amygdala. It is thought that this pathway rapidly transmits low spatial frequency information to the amygdala independently of the cortex and yet the directionality of this function has never been determined. We used magnetoencephalography to measure neural activity while human participants discriminated the gender of neutral and fearful faces filtered for low or high spatial frequencies. We applied dynamic causal modelling to demonstrate that the most likely underlying neural network consisted of a pulvinar-amygdala connection that was uninfluenced by spatial frequency or emotion, and a cortical-amygdala connection that conveyed high spatial frequencies...
March 10, 2017: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/28223059/fear-of-future-terrorism-associated-psychiatric-burden
#3
T Abiola, O Udofia, T L Sheikh, D A Yusuf
BACKGROUND: The mental health burden from fear of future terrorism has not been given much research attention compared to the immediate mental distress such as post-traumatic stress disorder (PTSD). Such neglected ongoing mental health morbidity associated with threats of terrorism had been described as pre-traumatic stress syndrome (PTSS). OBJECTIVE: The study highlighted this phenomenon (PTSS) in Nigeria by examining the catastrophic burden of the fear of future terrorism and associated psychiatric burden among adult population in Kaduna city...
February 4, 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28215661/post-deployment-screening-for-mental-disorders-and-tailored-advice-about-help-seeking-in-the-uk-military-a-cluster-randomised-controlled-trial
#4
Roberto J Rona, Howard Burdett, Mizanur Khondoker, Melanie Chesnokov, Kevin Green, David Pernet, Norman Jones, Neil Greenberg, Simon Wessely, Nicola T Fear
BACKGROUND: The effectiveness of post-deployment screening for mental disorders has not been assessed in a randomised controlled trial. We aimed to assess whether post-deployment screening for post-traumatic stress disorder (PTSD), depression, anxiety, or alcohol misuse was effective. We defined screening as the presumptive identification of a previously unrecognised disorder using tests to distinguish those who probably had the disorder from those who probably did not so that those people with a probable disorder could be referred appropriately, and assessed effectiveness and consequences for help-seeking by the odds ratio at follow-up between those receiving tailored help-seeking advice and those who received general mental health advice...
February 16, 2017: Lancet
https://www.readbyqxmd.com/read/28050706/identifying-disordered-eating-behaviours-in-adolescents-how-do-parent-and-adolescent-reports-differ-by-sex-and-age
#5
Savani Bartholdy, Karina Allen, John Hodsoll, Owen G O'Daly, Iain C Campbell, Tobias Banaschewski, Arun L W Bokde, Uli Bromberg, Christian Büchel, Erin Burke Quinlan, Patricia J Conrod, Sylvane Desrivières, Herta Flor, Vincent Frouin, Jürgen Gallinat, Hugh Garavan, Andreas Heinz, Bernd Ittermann, Jean-Luc Martinot, Eric Artiges, Frauke Nees, Dimitri Papadopoulos Orfanos, Tomáš Paus, Luise Poustka, Michael N Smolka, Eva Mennigen, Henrik Walter, Robert Whelan, Gunter Schumann, Ulrike Schmidt
This study investigated the prevalence of disordered eating cognitions and behaviours across mid-adolescence in a large European sample, and explored the extent to which prevalence ratings were affected by informant (parent/adolescent), or the sex or age of the adolescent. The Development and Well-Being Assessment was completed by parent-adolescent dyads at age 14 (n = 2225) and again at age 16 (n = 1607) to explore the prevalence of 7 eating disorder symptoms (binge eating, purging, fear of weight gain, distress over shape/weight, avoidance of fattening foods, food restriction, and exercise for weight loss)...
January 3, 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/27984787/pathways-from-uncertainty-to-anxiety-an-evaluation-of-a-hierarchical-model-of-trait-and-disorder-specific-intolerance-of-uncertainty-on-anxiety-disorder-symptoms
#6
Sarah Shihata, Peter M McEvoy, Barbara A Mullan
Uncertainty is central to anxiety-related pathology and intolerance of uncertainty (IU) appears to be a transdiagnostic risk and maintaining factor. The aim of the present study was to evaluate a hierarchical model to identify the unique contributions of trait and disorder-specific IU (i.e., uncertainty specific to generalised anxiety disorder, social anxiety, obsessive compulsive disorder, and panic disorder) to disorder-specific symptoms, beyond other disorder-specific cognitive vulnerabilities (i.e., negative metacognitive beliefs, fear of negative evaluation, inflated responsibility, and agoraphobic cognitions, respectively)...
December 8, 2016: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/27903838/european-military-mental-health-research-benefits-of-collaboration
#7
EDITORIAL
Hubertus Himmerich, G D Willmund, U Wesemann, N Jones, N T Fear
Despite joint participation in international military operations, few collaborative military mental health research projects have been undertaken by European countries. From a common perspective of military mental health researchers from Germany and the UK, the lack of shared research might be related not only to the use of different languages but also the different ways in which the two militaries provide mental health and medical support to operations and differences in military institutions. One area that is suitable for military health research collaboration within UK and German forces is mental health and well-being among military personnel...
November 30, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27892819/fear-generalisation-in-individuals-with-high-neuroticism-increasing-predictability-is-not-necessarily-better
#8
Natalia M Garcia, Lori A Zoellner
Fear generalisation, a process by which conditioned fear spreads to similar but innocuous stimuli, is key in understanding why some individuals feel unsafe in objectively non-threatening situations. Both trait neuroticism and lack of predictability about the likelihood of feared consequences are associated with negative affect in the face of ambiguity and may increase the degree to which fear generalises. Undergraduates (N = 129) with varying degrees of neuroticism were randomised to either high- or low-instructional predictability conditions prior to fear acquisition...
November 28, 2016: Cognition & Emotion
https://www.readbyqxmd.com/read/27875941/perceived-time-slows-during-fleeting-fun-or-fear
#9
Mike Corke, Jason Bell, Stephanie C Goodhew, Michael Smithson, Mark Edwards
Previous psychophysical studies at durations greater than 1000 ms have confirmed the anecdotal reports of an increase in the perceived duration of both positively and negatively valenced emotive stimuli; however, the results of studies at durations less than 1000 ms have been inconsistent. This study further investigated the effect of valence on the perception of durations less than 1000 ms. We used both positively and negatively valenced stimuli in order to compare their effects on the distortion of duration, and we tested multiple data points within the sub-one-second range...
December 12, 2016: Quarterly Journal of Experimental Psychology: QJEP
https://www.readbyqxmd.com/read/27797991/experiences-and-explanations-of-mental-ill-health-in-a-group-of-devout-christians-from-the-ethnic-majority-population-in-secular-sweden-a-qualitative-study
#10
Aina Lilja, Valerie DeMarinis, Arja Lehti, Annika Forssén
OBJECTIVE: To explore existential meaning-making in an ethnic-majority subgroup with mental ill health and to increase knowledge about the importance of gaining access to such information in mental healthcare. DESIGN: Qualitative study using in-depth interviews and systematic text condensation analysis. PARTICIPANTS: 17 devote Christians with an ethnic-Swedish background, 12 women and 5 men, 30-73 years old, from different congregations across Sweden, having sought medical care for mental ill health of any kind...
October 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/27771572/d-cycloserine-does-not-enhance-the-effects-of-in%C3%A2-vivo-exposure-among-young-people-with-broad-based-anxiety-disorders
#11
Ronald M Rapee, Michael P Jones, Jennifer L Hudson, Gin S Malhi, Heidi J Lyneham, Sophie C Schneider
Use of the partial NMDA receptor agonist d-Cycloserine (DCS) to increase extinction to feared cues among anxious adults has shown mixed, although overall positive effects. Few studies have extended this effect to youth and none have addressed young people with broad-based anxiety such as separation anxiety, social anxiety, or generalised anxiety. In the current trial 51 children and adolescents with diagnosed anxiety disorders, aged 7-14 years received four sessions of graduated, experimenter-led, in vivo exposure to a hierarchy of feared cues relevant to their primary fear...
October 18, 2016: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/27685780/culture-myths-and-panic-three-decades-and-beyond-with-an-hiv-aids-epidemic-in-zimbabwe
#12
Walter Chingwaru, Jerneja Vidmar
Zimbabwe is going through a generalised acquired immunodeficiency syndrome (AIDS) epidemic. The first five years of the epidemic (1985-1990) were characterised by lack of medicines against human immunodeficiency virus (HIV), and an exponential increase in prevalence (65-fold) and incidence (13-fold), which were fuelled by high-risk sexual behaviour. The high HIV prevalence, mortality and stigma yielded great fear and panic in the population, which are thought to have led to confusion and hopelessness, and, in turn, increased risky sexual behaviour...
August 11, 2016: Global Public Health
https://www.readbyqxmd.com/read/27497062/habituation-of-self-reported-anxiety-and-cortical-hyper-vigilance-during-image-based-exposure-to-spiders
#13
Allison J Matthews, Carolyn Mackintosh, Sarah Williams, Monique Williams, Kenneth C Kirkby
BACKGROUND AND OBJECTIVES: The aim of the study was to examine habituation of subjective anxiety and electrophysiological correlates of cortical hyper-vigilance during exposure to spider images among high (n = 12) and low (n = 11) spider fear groups. METHODS: Participants viewed a six-stage hierarchy of spider images. The images used at stage 1 and stage 6 were the same. Subjective anxiety was rated at four intervals during each three-minute exposure stage (0, 60, 120, and 180 s) and event-related potentials (ERPs) were averaged across these epochs (0-60, 60-120, 120-180)...
July 29, 2016: Journal of Behavior Therapy and Experimental Psychiatry
https://www.readbyqxmd.com/read/27428596/the-influence-of-age-anxiety-and-concern-about-falling-on-postural-sway-when-standing-at-an-elevated-level
#14
RANDOMIZED CONTROLLED TRIAL
Daina L Sturnieks, Kim Delbaere, Matthew A Brodie, Stephen R Lord
Psychological processes may influence balance and contribute to the risk of falls in older people. While a self-reported fear of falling is associated with increased postural sway, inducing fear using an elevated platform can lead to reduced sway, suggesting different underlying mechanisms whereby fear may influence balance control. This study examined changes in postural sway, muscle activity and physiological measures of arousal while standing on a 65cm elevated platform, compared to floor level, in young and older adults...
October 2016: Human Movement Science
https://www.readbyqxmd.com/read/27405100/fearing-shades-of-grey-individual-differences-in-fear-responding-towards-generalisation-stimuli
#15
Inna Arnaudova, Angelos-Miltiadis Krypotos, Marieke Effting, Merel Kindt, Tom Beckers
Individual differences in fear generalisation have been proposed to play a role in the aetiology and/or maintenance of anxiety disorders, but few data are available to directly support that claim. The research that is available has focused mostly on generalisation of peripheral and central physiological fear responses. Far less is known about the generalisation of avoidance, the behavioural component of fear. In two experiments, we evaluated how neuroticism, a known vulnerability factor for anxiety, modulates an array of fear responses, including avoidance tendencies, towards generalisation stimuli (GS)...
July 12, 2016: Cognition & Emotion
https://www.readbyqxmd.com/read/26898795/characteristic-phasic-evolution-of-convulsive-seizure-in-pcdh19-related-epilepsy
#16
Hiroko Ikeda, Katsumi Imai, Hitoshi Ikeda, Hideo Shigematsu, Yukitoshi Takahashi, Yushi Inoue, Norimichi Higurashi, Shinichi Hirose
PCDH19-related epilepsy is a genetic disorder that was first described in 1971, then referred to as "epilepsy and mental retardation limited to females". PCDH19 has recently been identified as the responsible gene, but a detailed characterization of the seizure manifestation based on video-EEG recording is still limited. The purpose of this study was to elucidate features of the seizure semiology in children with PCDH19-related epilepsy. To do this, ictal video-EEG recordings of 26 convulsive seizures in three girls with PCDH19-related epilepsy were analysed...
March 2016: Epileptic Disorders: International Epilepsy Journal with Videotape
https://www.readbyqxmd.com/read/26886181/developing-a-core-set-of-patient-reported-outcomes-in-pancreatic-cancer-a-delphi-survey
#17
Arja Gerritsen, Marc Jacobs, Inge Henselmans, Jons van Hattum, Fabio Efficace, Geert-Jan Creemers, Ignace H de Hingh, Miriam Koopman, I Quintus Molenaar, Hanneke W Wilmink, Olivier R Busch, Marc G Besselink, Hanneke W van Laarhoven
BACKGROUND: Patient-reported outcomes (PROs) are amongst the most relevant outcome measures in pancreatic cancer care and research. However, it is unknown which out of the numerous PROs are most important to patients and health care professionals (HCPs) in this setting. The aim of this study was to identify a core set of PROs to be incorporated in a nationwide prospective multidisciplinary pancreatic cancer registry. PATIENTS AND METHODS: We performed a two-round Delphi survey among 150 patients diagnosed with pancreatic or periampullary cancer (treated either with curative intent or in palliative setting) and 78 HCPs (surgeons, medical oncologists, gastroenterologists, radiotherapists, nurses, and dietitians) in The Netherlands...
April 2016: European Journal of Cancer
https://www.readbyqxmd.com/read/26852264/use-of-and-barriers-to-access-to-opioid-analgesics-a-worldwide-regional-and-national-study
#18
Stefano Berterame, Juliana Erthal, Johny Thomas, Sarah Fellner, Benjamin Vosse, Philip Clare, Wei Hao, David T Johnson, Alejandro Mohar, Jagjit Pavadia, Ahmed Kamal Eldin Samak, Werner Sipp, Viroj Sumyai, Sri Suryawati, Jallal Toufiq, Raymond Yans, Richard P Mattick
BACKGROUND: Despite opioid analgesics being essential for pain relief, use has been inadequate in many countries. We aim to provide up-to-date worldwide, regional, and national data for changes in opioid analgesic use, and to analyse the relation of impediments to use of these medicines. METHODS: We calculated defined daily doses for statistical purposes (S-DDD) per million inhabitants per day of opioid analgesics worldwide and for regions and countries from 2001 to 2013, and we used generalised estimating equation analysis to assess longitudinal change in use...
April 16, 2016: Lancet
https://www.readbyqxmd.com/read/26732099/psychosocial-impact-of-visual-impairment-and-coping-strategies-in-female-ex-service-personnel
#19
Sharon A M Stevelink, N T Fear
PURPOSE: To examine how vision loss affects the psychosocial well-being of female ex-Service personnel and how they cope with their visual impairment. METHOD: A cross-sectional study was conducted consisting of two study phases. During phase 1, a questionnaire was undertaken via the telephone with nine female ex-Service personnel (all under 55 years of age) using clinical screening measures to identify the probable presence of the following mental health disorders: depression (Patient Health Questionnaire-9), anxiety (Generalised Anxiety Disorder Assessment), post-traumatic stress disorder (PTSD, PTSD Checklist-Civilian) and alcohol misuse (Alcohol Use Disorders Identification Test)...
April 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/26684658/implementation-of-a-national-school-based-human-papillomavirus-hpv-vaccine-campaign-in-fiji-knowledge-vaccine-acceptability-and-information-needs-of-parents
#20
S F La Vincente, D Mielnik, K Jenkins, F Bingwor, L Volavola, H Marshall, P Druavesi, F M Russell, K Lokuge, E K Mulholland
BACKGROUND: In 2008 Fiji implemented a nationwide Human Papillomavirus (HPV) vaccine campaign targeting all girls aged 9-12 years through the existing school-based immunisation program. Parents of vaccine-eligible girls were asked to provide written consent for vaccination. The purpose of this study was to describe parents' knowledge, experiences and satisfaction with the campaign, the extent to which information needs for vaccine decision-making were met, and what factors were associated with vaccine consent...
2015: BMC Public Health
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