Predictors of treatment outcome in OCD: an interpersonal perspective
This study investigated the contribution of attachment style and expressed emotion to the outcome of exposure and response prevention (ERP), while accounting for previously documented intrapersonal (i.e., symptom severity and personality pathology) predictors. Using logistic regression analyses and multi-level modeling, we examined predictors of treatment completion and outcome among 118 adult OCD patients who entered ERP. We assessed outcome at post treatment, and at four and 13 months from treatment completion. OCD baseline severity and fearful attachment style emerged as the main moderators of treatment outcome. Severe ...
Source: Journal of Anxiety Disorders - October 25, 2019 Category: Psychiatry Source Type: research
Social Problem Solving in Social Anxiety Disorder
We examined social problem solving in 38 participants with social anxiety disorder (SAD) in comparison to 30 healthy control (HC) participants with no history of anxiety problems. Participants rated their problem solving attitudes and abilities (i.e., problem orientation) and then generated solutions to hypothetical interpersonal problems from both their own perspective and that of an objective other. These solutions were coded for effectiveness and relevance, as well as the degree to which the solution was active versus passive. Participants with SAD exhibited a more negative problem orientation than HC participants. Furt...
Source: Journal of Anxiety Disorders - October 19, 2019 Category: Psychiatry Source Type: research
Examining patterns of dose response for clients who do and do not complete cognitive processing therapy
Publication date: Available online 1 October 2019Source: Journal of Anxiety DisordersAuthor(s): Samantha C. Holmes, Clara M. Johnson, Michael K. Suvak, Iris Sijercic, Candice M. Monson, Shannon Wiltsey StirmanAbstractTrauma-focused therapies, including Cognitive Processing Therapy (CPT; Resick et al., 2016), are effective at reducing clients’ PTSD symptoms. A limitation to these treatments, however, is client completion of them. The current study examined temporal patterns of treatment non-completion and the relationships among non-completion, PTSD, and overall mental health functioning outcomes, among clients in a rando...
Source: Journal of Anxiety Disorders - October 2, 2019 Category: Psychiatry Source Type: research
Changes in Dosing and Dose Timing of D-Cycloserine Explain Its Apparent Declining Efficacy for Augmenting Exposure Therapy for Anxiety-related Disorders: An Individual Participant-data Meta-analysis
In conclusion, the apparent declining effectiveness of DCS over time may be accounted for by how it has been administered. Optimal DCS administration may substantially improve outcomes.Registration: The analysis plan for this manuscript was registered on Open Science Framework (https://osf.io/c39p8/). (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - September 24, 2019 Category: Psychiatry Source Type: research
Changes in trauma-potentiated startle, skin conductance, and heart rate within Prolonged Exposure therapy for PTSD in high and low treatment responders
Publication date: Available online 21 September 2019Source: Journal of Anxiety DisordersAuthor(s): Jessica L. Maples-Keller, Sheila A.M. Rauch, Tanja Jovanovic, Carly W. Yasinski, Jessica Morgan Goodnight, Andrew Sherrill, Kathryn Black, Vasiliki Michopoulos, Boadie W. Dunlop, Barbara Olasov Rothbaum, Seth Davin NorrholmAbstractWhile exposure-based psychotherapy is recommended as a first-line treatment for posttraumatic stress disorder (PTSD) given strong evidence for its effectiveness, some patients fail to receive full benefit. Psychophysiological data may be important complementary indices for investigating variability ...
Source: Journal of Anxiety Disorders - September 23, 2019 Category: Psychiatry Source Type: research
But What Will the Results Be?: Learning to Tolerate Uncertainty is Associated with Treatment-Produced Gains
Publication date: Available online 21 September 2019Source: Journal of Anxiety DisordersAuthor(s): Sophie A. Palitz, Lara S. Rifkin, Lesley A. Norris, Mark Knepley, Nicole J. Fleischer, Laurence Steinberg, Philip C. KendallAbstractThe current study examined the association between changes in intolerance of uncertainty (IU) and treatment outcomes for anxious youth. Participants were youth ages 7 to 17 who received cognitive behavioral therapy for anxiety (N = 73). Youth and their primary caregivers completed a diagnostic interview and self- and parent-report measures at pre- and post-treatment, including the Intolerance...
Source: Journal of Anxiety Disorders - September 23, 2019 Category: Psychiatry Source Type: research
The association between prenatal maternal anxiety disorders and postpartum perceived and observed mother-infant relationship quality
ConclusionsInterventions for anxiety disorders in the perinatal period could be tailored to address anxieties about mother-infant relationship and co-morbid depressive symptoms. (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - September 23, 2019 Category: Psychiatry Source Type: research
A Rose by Any Other Name…How Should We Refer to the Collective of Conditions Characterized by Clinically Significant Anxiety?
Publication date: Available online 17 September 2019Source: Journal of Anxiety DisordersAuthor(s): Gordon J.G. Asmundson (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - September 18, 2019 Category: Psychiatry Source Type: research
Increased epoch-to-epoch parasympathetic cardiac regulation in participants with posttraumatic stress disorder compared to those with panic disorder and control participants
DiscussionThese data provide preliminary evidence for an upregulatory parasympathetic response to self-reported hyperarousal in participants with PTSD only and PTSD + PD reflected by increased epoch-to-epoch parasympathetic cardiac regulation. (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - September 17, 2019 Category: Psychiatry Source Type: research
Patterns and Correlates of Racial/Ethnic Disparities in Posttraumatic Stress Disorder Screening among Recently Separated Veterans
ConclusionsFindings suggest that Black, Hispanic/Latinx and multiracial veterans may be at higher risk for PTSD shortly following separation from the military. Contextual factors examined explain the excess risk among some, but not all, subgroups. Further specifying disparities in PTSD diagnostic rates and risk factors will enable targeted and tailored intervention among veteran subgroups. (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - September 17, 2019 Category: Psychiatry Source Type: research
Editorial Board
Publication date: October 2019Source: Journal of Anxiety Disorders, Volume 67Author(s): (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - September 9, 2019 Category: Psychiatry Source Type: research
Patient Adherence to Cognitive Behavioural Therapy for Obsessive-Compulsive Disorder: A Systematic Review and Meta-analysis
Publication date: Available online 28 August 2019Source: Journal of Anxiety DisordersAuthor(s): Tamara Leeuwerik, Kate Cavanagh, Clara StraussAbstractWhilst Cognitive Behavioural Therapy (CBT) is the treatment of choice for obsessive-compulsive disorder (OCD), around half of the participants do not experience remission following treatment. As yet, there is no comprehensive systematic review of the extent to which patient non-adherence presents a challenge to the overall benefit of CBT for OCD. The aim of this systematic review and meta-analysis was to identify the magnitude, moderators and reasons for poor patient adherenc...
Source: Journal of Anxiety Disorders - August 29, 2019 Category: Psychiatry Source Type: research
Effortful Control, Interpretation Biases, and Child Anxiety Symptom Severity in a Sample of Children with Anxiety Disorders
DiscussionGreater effortful control may result in enhanced attentional capacities that allow children to assess automatic cognitions more objectively, potentially lowering their anxiety. Future work should evaluate whether targeting malleable temperamental constructs, such as effortful control, leads to clinically meaningful reductions in interpretation biases and child anxiety symptoms. (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - August 28, 2019 Category: Psychiatry Source Type: research
Problematic Driving in Former Service Members: An Evaluation of the Driving Behavior Survey in Veterans with Posttraumatic Stress Disorder
Publication date: Available online 18 August 2019Source: Journal of Anxiety DisordersAuthor(s): Joshua D. Clapp, Denise M. Sloan, William Unger, Daniel J. Lee, Janie J. Jun, Scott D. Litwack, J. Gayle BeckAbstractDespite high levels of traffic-related mortality, injury, and impairment among former service members, measures validated to assess problematic driving in this population remain limited. The current study examined characteristics of the Driving Behavior Survey (DBS) in male veterans (76.3% White; age: M = 56.4, SD = 12.3) meeting criteria for PTSD. Confirmatory factor analyses indicated acceptable fit of a...
Source: Journal of Anxiety Disorders - August 19, 2019 Category: Psychiatry Source Type: research
Examining Military Population and Trauma Type as Moderators of Treatment Outcome for First-Line Psychotherapies for PTSD: A Meta-Analysis
Publication date: Available online 18 August 2019Source: Journal of Anxiety DisordersAuthor(s): Casey L. Straud, Jedidiah Siev, Stephen Messer, Alyson K. ZaltaAbstractThere is conflicting evidence as to whether military populations (i.e., veteran and active-duty military service members) demonstrate a poorer response to psychotherapy for posttraumatic stress disorder (PTSD) compared to civilians. Existing research may be complicated by the fact that treatment outcomes differences could be due to the type of trauma exposure (e.g., combat) or population differences (e.g., military culture). This meta-analysis evaluated PTSD ...
Source: Journal of Anxiety Disorders - August 19, 2019 Category: Psychiatry Source Type: research
