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Relationship between anxiety sensitivity and post-traumatic stress symptoms in trauma-exposed adults: a meta-analysis. J. Anxiety Disord. (IF 10.3) Pub Date : 2024-03-09 Henry Tak Shing Chiu, Debbie Chi Wing Low, Angel Hiu Tung Chan, Richard Meiser-Stedman
Given the high rate of trauma exposure among the general population, it is important to delineate the risk factors for post-traumatic stress disorder (PTSD). While historically implicated in panic disorder, anxiety sensitivity is increasingly found to play a role in PTSD. The present review investigated the size of the relationship between anxiety sensitivity and PTSD symptoms among trauma exposed
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Fear generalization predicts post-traumatic stress symptoms: A two-year follow-up study in Dutch fire fighters J. Anxiety Disord. (IF 10.3) Pub Date : 2024-03-08 Miriam J.J. Lommen, Steven Hoekstra, Rob H.S. van den Brink, Bert Lenaert
Excessive fear generalization has been associated with pathological anxiety, including posttraumatic stress disorder (PTSD). However, studies investigating the longitudinal relationship between generalization and the development of anxiety symptomatology are scarce. This study aims to test the predictive value of fear generalization for PTSD symptoms in a high-risk profession sample and to explore
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Climate change on the brain: Neural correlates of climate anxiety J. Anxiety Disord. (IF 10.3) Pub Date : 2024-02-22 Joshua M. Carlson, John Foley, Lin Fang
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Temporal dynamics of costly avoidance in naturalistic fears: Evidence for sequential-sampling of fear and reward information J. Anxiety Disord. (IF 10.3) Pub Date : 2024-02-22 Juliane M. Boschet-Lange, Stefan Scherbaum, Andre Pittig
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Responses to Status Manipulation and Fears of Positive and Negative Evaluations J. Anxiety Disord. (IF 10.3) Pub Date : 2024-02-22 Roy Azoulay, Eva Gilboa-Schechtman
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Bivalent fears of evaluation: A developmentally-informed, multi-informant, and multi-modal examination of associations with safety behaviors J. Anxiety Disord. (IF 10.3) Pub Date : 2024-02-21 Sarah J. Racz, Noor Qasmieh, Andres De Los Reyes
Fears of negative (FNE) and positive (FPE) evaluation and safety behaviors feature prominently in cognitive-behavioral models of social anxiety. However, we have a poor understanding of their associations, particularly given evidence that they both vary in form and function. This study aimed to identify the factor structure of safety behaviors and explore their differential associations with FNE and
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Unconditioned stimulus devaluation decreases the generalization of costly safety behaviors J. Anxiety Disord. (IF 10.3) Pub Date : 2024-02-21 Alex H.K. Wong, Minita Franzen, Matthias J. Wieser
Safety behaviors are often maladaptive in clinical anxiety as they typically persist without realistic threat and cause various impairments. In the laboratory, safety behaviors are modelled by responses to a conditioned stimulus (CS) that reduce the occurrence of an expected aversive unconditioned stimulus (US). Preliminary evidence suggests that US devaluation, a procedure that decreases US aversiveness
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When is the best time to screen for perinatal anxiety? A longitudinal cohort study J. Anxiety Disord. (IF 10.3) Pub Date : 2024-02-06 Susan Ayers, Andrea Sinesi, Rose Coates, Helen Cheyne, Margaret Maxwell, Catherine Best, Stacey McNicol, Louise R. Williams, Nazihah Uddin, Judy Shakespeare, Fiona Alderdice
For screening for anxiety during pregnancy and after birth to be efficient and effective it’s important to know the optimal time to screen in order to identify women who might benefit from treatment. To determine the optimal time to screen for perinatal anxiety to identify women with anxiety disorders and those who want treatment. A secondary aim was to examine the stability and course of perinatal
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Daily-level associations between posttraumatic stress disorder symptoms and reactions to retrieving positive autobiographical memories J. Anxiety Disord. (IF 10.3) Pub Date : 2024-02-02 Ateka A. Contractor, Danica C. Slavish, Madison L. Straup, Alejandro Miguel-Alvaro
Trauma survivors with posttraumatic stress disorder (PTSD) report difficulties accessing and describing positive memories. To understand these patterns, we examined daily-level relations of PTSD symptoms with affective, cognitive (dwelling/rumination; pushing memory out of one’s mind; suppression; avoidance; distraction; thinking about something else; remembering negative or positive memories/events;
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Symptom distress and psychosocial functioning improve bidirectionally during cognitive-behavioral therapy for anxiety disorders J. Anxiety Disord. (IF 10.3) Pub Date : 2024-02-01 Kayla A. Lord, David F. Tolin
The efficacy of cognitive-behavioral therapy (CBT) for reducing anxiety disorder symptoms is well documented. However, limited research has investigated how symptom amelioration is temporally associated with changes in psychosocial functioning, such as interpersonal and social role functioning, during CBT. Participants were 288 ( age = 37.00 [ = 14.41]; 59.0% female; 69.0% White; 6.6% Hispanic/Latino)
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Post-what stress? A review of methods of research on posttraumatic stress during COVID-19 J. Anxiety Disord. (IF 10.3) Pub Date : 2024-01-10 Emilie Muysewinkel, Lise Eilin Stene, Helena Van Deynse, Lara Vesentini, Johan Bilsen, Roel Van Overmeire
Background Post-traumatic stress (PTS) was extensively investigated during the COVID-19 pandemic. However, numerous researchers have raised concerns regarding the adherence of many of these studies to the diagnostic criteria for PTSD as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM) or the International Classification of Diseases (ICD). This review aimed to provide insight
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Introduction to a special issue on the contrast avoidance model J. Anxiety Disord. (IF 10.3) Pub Date : 2024-01-10 Michelle G. Newman, Amy Przeworski
The current paper introduces the special issue on the Contrast Avoidance Model. The Contrast Avoidance Mmodel theorizes that chronic worriers are afraid of a sharp increase in negative emotion and/or sharp reduction in positive emotion (labeled negative emotional contrasts; NECs). They thus use perseverative thought as means to create and sustain negative emotion to prevent NECs if they were to experience
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The Contrast Avoidance Model: Conclusion and synthesis of new research in the special issue J. Anxiety Disord. (IF 10.3) Pub Date : 2024-01-10 Amy Przeworski, Michelle G. Newman
In this special series, new research on the Contrast Avoidance Model (CAM) was presented, including studies on the role of CAM in the maintenance of chronic worry, the incremental validity of CAM, CAM as a mediator of the association between generalized anxiety disorder (GAD) and other variables, CAM as transdiagnostic, and interpersonal behaviors as a means to avoid negative emotional contrasts (NECs)
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Cannabis use and trauma-focused treatment for co-occurring posttraumatic stress disorder and substance use disorders: A meta-analysis of individual patient data J. Anxiety Disord. (IF 10.3) Pub Date : 2024-01-10 Melanie L. Hill, Alexander C. Kline, Tanya C. Saraiya, Jordan Gette, Lesia M. Ruglass, Sonya B. Norman, Sudie E. Back, Lissette M. Saavedra, Denise A. Hien, Antonio A. Morgan-López
High rates of cannabis use among people with posttraumatic stress disorder (PTSD) have raised questions about the efficacy of evidence-based PTSD treatments for individuals reporting cannabis use, particularly those with co-occurring alcohol or other substance use disorders (SUDs). Using a subset of four randomized clinical trials (RCTs) included in Project Harmony, an individual patient meta-analysis
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Positive reappraisal coping mediates the relationship between parental abuse and lack of affection on adulthood generalized anxiety severity J. Anxiety Disord. (IF 10.3) Pub Date : 2024-01-09 Matthew H.S. Ng, Nur Hani Zainal, Michelle Gayle Newman
Exposure to parental abuse and lack of parental affection during childhood are risk factors for adulthood psychopathology. Tendency to engage in positive reappraisal may be a plausible mechanism underlying this relationship. The current study examined if positive reappraisal coping mediated the relationship between maternal/paternal abuse/affection and adulthood generalized anxiety disorder (GAD) symptoms
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Catching a (sine) wave: Temporal dynamics of nonverbal synchrony in social anxiety disorder J. Anxiety Disord. (IF 10.3) Pub Date : 2024-01-09 Hallel Shatz, Maya Asher, Idan M. Aderka
Individuals with social anxiety disorder (SAD) experience a range of interpersonal problems and studies have found that nonverbal synchrony (the coordination between interaction partners’ movements) may be impaired in dyads in which one individual has SAD (Asher et al., 2020). In the present study, we examined the temporal dynamics of nonverbal synchrony during “getting aquatinted” conversations of
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Which client with generalized anxiety disorder benefits from a mindfulness ecological momentary intervention versus a self-monitoring app? Developing a multivariable machine learning predictive model J. Anxiety Disord. (IF 10.3) Pub Date : 2024-01-05 Nur Hani Zainal, Michelle G. Newman
Precision medicine methods (machine learning; ML) can identify which clients with generalized anxiety disorder (GAD) benefit from mindfulness ecological momentary intervention (MEMI) vs. self-monitoring app (SM). We used randomized controlled trial data of MEMI vs. SM for GAD (N = 110) and tested three ML models to predict one-month follow-up reliable improvement in GAD severity, perseverative cognitions
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Psychological interventions for pre-event and post-event rumination in social anxiety: A systematic review and meta-analysis J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-21 Hayley E. Donohue, Matthew Modini, Maree J. Abbott
Pre-event and post-event rumination have been consistently identified by cognitive models as important maintaining factors in Social Anxiety Disorder (SAD). This systematic review and meta-analysis aimed to investigate the effectiveness of psychological treatment in reducing pre-event and post-event rumination in adults with social anxiety. A comprehensive literature search identified 26 eligible studies
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When eco-anger (but not eco-anxiety nor eco-sadness) makes you change! A temporal network approach to the emotional experience of climate change J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-21 Alba Contreras, M. Annelise Blanchard, Camille Mouguiama-Daouda, Alexandre Heeren
Research on the emotional experience of climate change has become a hot topic. Yet uncertainties remain regarding the interplay between climate change-related emotions (i.e., eco-anxiety, eco-anger, eco-sadness), general emotions (i.e., regardless of climate change), and pro-environmental behaviors. Most previous research has focused on cross-sectional studies, and eco-emotions in everyday life have
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Crisis response planning rapidly reduces suicidal ideation among U.S. military veterans receiving massed cognitive processing therapy for PTSD J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-21 Craig J. Bryan, AnnaBelle O. Bryan, Lauren R. Khazem, Darrin M. Aase, Jose L. Moreno, Ennio Ammendola, Christina Rose Bauder, Jaryd Hiser, Samantha E. Daruwala, Justin C. Baker
Posttraumatic stress disorder (PTSD) is common among U.S. military veterans and is associated with increased risk of suicidal thoughts and behaviors. Crisis response planning (CRP), a brief safety planning-type intervention, has been shown to rapidly reduce suicidal ideation and suicide attempts in emergency and acute care settings. CRP’s effectiveness when combined with trauma-focused therapies remains
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An Intensive time series investigation of the relationships across eating disorder-specific fear responses and behavior urges in partially remitted anorexia nervosa J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-12 Caroline Christian, Rachel M. Butler, Emily K. Burr, Cheri Levinson
Anorexia nervosa (AN) is a serious and persistent psychiatric illness. Many individuals with AN cycle between stages of remission (i.e., relapse), with research documenting that cognitive remission generally lags behind nutritional/weight restoration. Yet, little is known about which mechanisms promote movement from partial remission in AN (defined as nutritional, but not cognitive, recovery) to full
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Do latent profiles of self-reported anxiety, depression, and PTSD map onto clinician ratings? An examination with intimate partner violence survivors J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-04 Matthew J. Woodward, Elizabeth L. Griffith, Bre’Anna L. Free, Mya E. Bowen, Rimsha Majeed, Melissa S. Beyer, J. Gayle Beck
Objective Studies exploring latent profiles of mental health in trauma survivors have largely relied on self-report, making it unclear whether these patterns correspond with clinician-assessed psychopathology. The purpose of the current study was to examine latent profiles of self-reported PTSD, depression, and anxiety in a sample of 387 women who had experienced intimate partner violence (IPV) and
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Cannabis use and social anxiety disorder in emerging adulthood: Results from a nationally representative sample J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-04 Alanna Single, Gillian Alcolado, Matthew T. Keough, Natalie Mota
Cannabis use and social anxiety disorder (SAD) are prevalent during emerging adulthood. Previous work has demonstrated that SAD is related to cannabis use in adults; however, less is known about what correlates relate to this association in emerging adults. A subsample of individuals ages 18–25 years old from the NESARC-III (N = 5194) was used to (a) evaluate the association between cannabis use and
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The influence of environmental crisis perception and trait anxiety on the level of eco-worry and climate anxiety J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-06 Marie-Laure Parmentier, Karine Weiss, Aya Aroua, Camille Betry, Mathilda Rivière, Oscar Navarro
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Climate change anxiety positively predicts antenatal distress in expectant female parents J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-05 Amy D. Lykins, Mary Bonich, Cassandra Sundaraja, Suzanne Cosh
Clinical and subclinical levels of anxiety and depression are common experiences during pregnancy for expectant women; however, despite rising awareness of significant climate change anxiety around the world, the extent to which this particular type of anxiety may be contributing to overall antenatal psychological distress is currently unknown. Furthermore, the content of concerns that expectant women
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Nonverbal synchrony in diagnostic interviews of individuals with social anxiety disorder J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-05 Hallel Shatz, Roni Oren-Yagoda, Idan M. Aderka
The present study examined nonverbal synchrony (i.e., synchrony between individuals’ movement) during diagnostic interviews of individuals with and without social anxiety disorder (SAD). Specifically, 42 individuals with SAD and 42 individuals without SAD underwent a structured clinical interview, and videos of clinical interviews were analysed using Motion Energy Analysis (an objective machine-based
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Attention bias vs. attention control modification for social anxiety disorder: A randomized controlled trial J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-05 Omer Azriel, Gal Arad, Daniel S. Pine, Amit Lazarov, Yair Bar-Haim
Gaze-Contingent Music Reward Therapy (GC-MRT) is an eye-tracking-based attention bias modification protocol for social anxiety disorder (SAD) with established clinical efficacy. However, it remains unclear if improvement following GC-MRT hinges on modification of threat-related attention or on more general enhancement of attention control. Here, 50 patients with SAD were randomly allocated to GC-MRT
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Treating child anxiety using family-based internet delivered cognitive behavior therapy with brief therapist guidance: A randomized controlled trial J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-05 Lauren F. McLellan, Samantha Woon, Jennifer L. Hudson, Heidi J. Lyneham, Eyal Karin, Ronald M. Rapee
Online treatment delivery has the potential to increase access to evidence-based mental health care for children with anxiety disorders. Using a randomized controlled trial design, we evaluated the efficacy of Cool Kids Online, a family-based and therapist supported internet-delivered cognitive behavioral treatment (CBT) designed to target anxiety disorders in children. Ninety-five children aged 7–12
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Is cyberchondria specific to hypochondriasis? J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-05 Stefanie M. Jungmann, Maria Gropalis, Sandra K. Schenkel, Michael Witthöft
Cyberchondria (i.e., excessive health-related Internet search linked to psychological distress) is usually associated with health anxiety, but relationships with other psychopathological symptoms were also found. However, studies are lacking in patients with hypochondriasis, and it remains unclear whether cyberchondria and its subfacets are specific to hypochondriasis (i.e., higher levels in hypochondriasis
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Predictors of clinical worsening during a discontinuation trial of serotonin reuptake inhibitors for obsessive compulsive disorder J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-04 Jeremy Tyler, Thea Gallagher, Michael G. Wheaton, Gabriella E. Hamlett, Ben Rosenfield, David Rosenfield, Helen B. Simpson, Edna B. Foa
Objective To explore predictors and moderators of clinical worsening during a double-blind trial in which patients with obsessive-compulsive disorder (OCD) were randomized to either continue or discontinue their Serotonin Reuptake Inhibitor (SRI) medication after achieving wellness from the addition of exposure and response prevention (EX/RP) therapy. Method The data came from a double-blind discontinuation
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Emotion regulation and OCD among sexual minority people: Identifying treatment targets J. Anxiety Disord. (IF 10.3) Pub Date : 2023-12-04 Andreas Bezahler, Jennie M. Kuckertz, Dean McKay, Martha J. Falkenstein, Brian A. Feinstein
Sexual minority individuals experience higher rates of psychopathology, such that sexual minority people are nine times more likely to receive a diagnosis or treatment for obsessive-compulsive disorder (OCD) compared to heterosexual people. Poor emotion regulation capacity is a risk factor for OCD, but little is known about sexual orientation differences in dimensions of emotion regulation and how
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Novel Approaches for the Prevention of Emotional Problems in Young People J. Anxiety Disord. (IF 10.3) Pub Date : 2023-11-28 Luis-Joaquin Garcia-Lopez
Abstract not available
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A meta-analytic review of the relations between anxiety and empathy J. Anxiety Disord. (IF 10.3) Pub Date : 2023-11-19 Travis K. Nair, Stephanie M. Waslin, Gabriela A. Rodrigues, Saumya Datta, Michael T. Moore, Laura E. Brumariu
Although theory suggests that empathy may signal a risk for anxiety (Tone & Tully, 2014), the relation between these constructs remains unclear due to the lack of a quantitative synthesis of empirical findings. We addressed this question by conducting three meta-analyses assessing anxiety and general, cognitive, and affective empathy (k’s = 70–102 samples; N’s = 19,410–25,102 participants). Results
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Benchmarking secondary outcomes to posttraumatic stress disorder symptom change in response to cognitive processing and written exposure therapy for posttraumatic stress disorder J. Anxiety Disord. (IF 10.3) Pub Date : 2023-11-11 Sarah A. Stoycos, Casey L. Straud, Ian H. Stanley, Brian P. Marx, Patricia A. Resick, Stacey Young-McCaughan, Alan L. Peterson, Denise M. Sloan
Posttraumatic stress disorder (PTSD) has high comorbidity with other psychiatric conditions, including depression, generalized anxiety, and suicidality. Evidence-based treatments (EBTs) for PTSD are effective at reducing PTSD symptoms. However, evidence on the impact of PTSD EBTs on comorbid conditions is mixed and often uses pre-post analyses, which disregards PTSD symptom response. This study replicated
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Pre-event attachment anxiety and avoidance predict posttraumatic stress symptom severity – Results from a longitudinal population-based study J. Anxiety Disord. (IF 10.3) Pub Date : 2023-11-10 Lutz Wittmann, Sonja Protić, Mark Bosmans, Peter G. van der Velden
Attachment-related anxiety and avoidance have been identified as risk factors for psychopathology following traumatic events. However, the predictive value of pre-event attachment orientations for PTSD symptoms in the general population remains unclear. Attachment anxiety and avoidance, as well as symptoms of anxiety and depression, were assessed in autumn 2010 (T0) in 270 adult members of a Dutch
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The role of fear of evaluation in group perception J. Anxiety Disord. (IF 10.3) Pub Date : 2023-11-01 Jin Shin, Thomas L. Rodebaugh
Social anxiety disorder (SAD) is associated with interpersonal impairment. One possible reason for this dysfunction is that people with SAD evaluate others differently on dimensions of warmth and dominance compared to individuals without the disorder. In the current study, we examined whether two core constructs of SAD, fear of negative evaluation and fear of positive evaluation, affect the judgments
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Age related differences in symptom networks of overall psychological functioning in a sample of patients diagnosed with anxiety, obsessive compulsive disorder, or posttraumatic stress disorder J. Anxiety Disord. (IF 10.3) Pub Date : 2023-11-02 Melissa G. Guineau, Nessa Ikani, Bea Tiemens, Richard Oude Voshaar, Marjolein Fokkema, Gert-Jan Hendriks
Anxiety disorders, obsessive compulsive disorder (OCD), and posttraumatic stress disorder (PTSD) are among the most prevalent mental disorders across the lifespan. Yet, it has been suggested that there are phenomenological differences and differences in treatment outcomes between younger and older adults. There is, however, no consensus about the age that differentiates younger adults from older adults
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Exposure traced in daily life: improvements in ecologically assessed social and physical activity following exposure-based psychotherapy for anxiety disorders J. Anxiety Disord. (IF 10.3) Pub Date : 2023-11-02 Ingmar Heinig, Martin Weiß, Alfons O. Hamm, Grit Hein, Maike Hollandt, Jürgen Hoyer, Philipp Kanske, Jan Richter, Hans-Ulrich Wittchen, Andre Pittig
Background Although exposure-based cognitive-behavioral therapy for anxiety disorders has frequently been proven effective, only few studies examined whether it improves everyday behavioral outcomes such as social and physical activity. Methods 126 participants (85 patients with panic disorder, agoraphobia, social anxiety disorder, or specific phobias, and 41 controls without mental disorders) completed
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The free-viewing matrix task: A reliable measure of attention allocation in psychopathology J. Anxiety Disord. (IF 10.3) Pub Date : 2023-10-27 Dana Shamai-Leshem, Rany Abend, Gal Arad, Omer Azriel, Lyndsey Chong, Peter de Jong, Chelsea Dyan Gober Dykan, Greg Hajcak, Julia Klawohn, Alexandria Meyer, Klavdia Neophytou, Yuval Neria, Georgia Panayiotou, Franklin Schneier, Ali Soleymani, Noga Yair, Daniel S. Pine, Yair Bar-Haim, Amit Lazarov
Aberrant attention allocation has been implicated in the etiology and maintenance of a range of psychopathologies. However, three decades of research, relying primarily on manual response-time tasks, have been challenged on the grounds of poor reliability of its attention bias indices. Here, in a large, multisite, international study we provide reliability information for a new eye-tracking-based measure
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Remote cognitive behaviour therapy for social anxiety disorder: A meta-analysis J. Anxiety Disord. (IF 10.3) Pub Date : 2023-10-16 Halaina R. Winter, Alice R. Norton, Jade L. Burley, Bethany M. Wootton
Remote cognitive behaviour therapy (CBT) for social anxiety disorder (SAD) has the potential to improve access to treatment by reducing economic, geographic, and psychological barriers. The aim of this study was to use a meta-analytic approach to examine the efficacy of the different remote CBT methods for treating SAD. A systematic electronic database search was used to identify 31 studies (n = 2905;
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Mechanisms of action underlying virtual reality exposure treatment in spider phobia: Pivotal role of within-session fear reduction J. Anxiety Disord. (IF 10.3) Pub Date : 2023-10-14 Kati Roesmann, Elisabeth J. Leehr, Joscha Böhnlein, Bettina Gathmann, Martin J. Herrmann, Markus Junghöfer, Hanna Schwarzmeier, Fabian R. Seeger, Niklas Siminski, Thomas Straube, Udo Dannlowski, Ulrike Lueken
Although virtual-reality exposure treatment (VRET) for anxiety disorders is an efficient treatment option for specific phobia, mechanisms of action for immediate and sustained treatment response need to be elucidated. Towards this aim, core therapy process variables were assessed as predictors for short- and long-term VR treatment outcomes. In a bi-centric study, n = 186 patients with spider phobia
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Values- versus monetary reward-enhanced exposure therapy for the treatment of social anxiety in emerging adulthood J. Anxiety Disord. (IF 10.3) Pub Date : 2023-10-14 Rebecca L. Schneider, Joanna J. Arch
Exposure therapy represents the gold-standard treatment for social anxiety, yet evidence indicates the need for improvement. One promising avenue involves linking exposures to a motivator. The current study examined the impact of intrinsically-rewarding, personal values-enhanced versus extrinsically-rewarding, monetary-enhanced exposure on short-term social anxiety fear and avoidance outcomes, and
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Better together? A randomized controlled microtrial comparing different levels of therapist and parental involvement in exposure-based treatment of childhood specific phobia J. Anxiety Disord. (IF 10.3) Pub Date : 2023-10-10 Rachel de Jong, Miriam J.J. Lommen, Wiljo J.P.J. van Hout, Rowella C.W.M. Kuijpers, Lisanne Stone, Peter de Jong, Maaike H. Nauta
Introduction Exposure is often limited to homework assignments in routine clinical care. The current study compares minimally-guided (MGE) and parent-guided (PGE) out-session homework formats to the ‘golden standard’ of therapist-guided in-session exposure with minimally-guided exposure at home (TGE). Methods Children with specific phobia (N = 55, age 8–12, 56% girls) participated in a single-blind
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An Initial examination of fear of negative and positive evaluation in youth J. Anxiety Disord. (IF 10.3) Pub Date : 2023-10-13 Thomas M. Olino, Samantha L. Birk, Julia A.C. Case, Justin Weeks
Fear of negative evaluation (FNE) and fear of positive evaluation (FPE) are both core features of social anxiety. The majority of research with these constructs has been done with older adolescents and adults, with only one previous study examining FNE and FPE in childhood. However, this previous work relied exclusively on parent-report of youth FNE and FPE. Here, we examined the factor structure of
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Comparing phase-based treatment, prolonged exposure, and skills-training for Complex Posttraumatic Stress Disorder: A randomized controlled trial J. Anxiety Disord. (IF 10.3) Pub Date : 2023-10-12 Peter Sele, Asle Hoffart, Marylène Cloitre, Elizabeth Hembree, Tuva Øktedalen
Objective This study examines treatment effects in STAIR Narrative Therapy (SNT), a phase-based treatment where Skills Training in Affective and Interpersonal Regulation (STAIR) precedes Narrative Therapy (NT), compared to Prolonged Exposure (PE) and to STAIR. Method Ninety-two adult patients diagnosed with DSM-5 PTSD and ICD-11 CPTSD following childhood abuse were randomly assigned to enhanced versions
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Using machine learning to predict sudden gains in intensive treatment for PTSD J. Anxiety Disord. (IF 10.3) Pub Date : 2023-10-09 Nicole M. Christ, Ryan A. Schubert, Rhea Mundle, Sarah Pridgen, Philip Held
Sudden gains have been found in PTSD treatment across samples and treatment modality. Sudden gains have consistently predicted better treatment response, illustrating clear clinical implications, though attempts to identify predictors of sudden gains have produced inconsistent findings. To date, sudden gains have not been examined in intensive PTSD treatment programs (ITPs). This study explored the
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A Systematic Review and Meta-Analysis of Resting-state fMRI in Anxiety Disorders: Need for Data Sharing to Move the Field Forward. J. Anxiety Disord. (IF 10.3) Pub Date : 2023-09-15 André Zugman, Laura Jett, Chase Antonacci, Anderson M. Winkler, Daniel S. Pine
Anxiety disorders are among the most prevalent psychiatric disorders. Neuroimaging findings remain uncertain, and resting state functional magnetic resonance (rs-fMRI) connectivity is of particular interest since it is a scalable functional imaging modality. Given heterogeneous past findings for rs-fMRI in anxious individuals, we characterize patterns across anxiety disorders by conducting a systematic
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Anxiety symptoms before and during the COVID-19 pandemic: A longitudinal examination of Canadian young adults J. Anxiety Disord. (IF 10.3) Pub Date : 2023-09-09 Amanda Krygsman, Ann H. Farrell, Heather Brittain, Tracy Vaillancourt
The COVID-19 pandemic has resulted in many changes that may impact anxiety symptoms (i.e., general anxiety and somatization), particularly for young adults who were at higher risk for anxiety than older adults. We examined anxiety symptoms before (age 19, 20, 21, and 22) and during the pandemic (age 23 and 24) in a cohort of Canadian young adults (n = 396). Latent growth curve models were performed
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Prospective network of post-traumatic stress disorder (PTSD) symptoms across adolescent survivors with distinct trajectories of PTSD: A cohort study of the Wenchuan earthquake J. Anxiety Disord. (IF 10.3) Pub Date : 2023-09-09 Zijuan Ma, Dongfang Wang, Xueying Fu, Yanqiang Tao, Yifan Zhang, Wenxu Liu, Fang Fan
There are multiple trajectories of post-traumatic stress disorder (PTSD) symptoms following disasters. Unraveling the patterns of interactions between PTSD symptoms across distinct PTSD trajectories is crucial. This study was aimed at investigating the temporal sequences, changes, and predictive symptoms in PTSD networks over time across distinct PTSD trajectory groups. Data were exacted from the Wenchuan
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A Randomized Clinical Trial Comparing Interpersonal Psychotherapy with Prolonged Exposure for the Treatment of PTSD in Veterans J. Anxiety Disord. (IF 10.3) Pub Date : 2023-09-09 M. Tracie Shea, Janice L. Krupnick, Frederic J. Sautter, Mihriye Mete, Bonnie L. Green, Sonya B. Norman, Shauna L. Finley, Erica Eaton
Trauma-focused therapies are recommended as first-line treatments for posttraumatic stress disorder (PTSD), but many veterans do not complete or sufficiently respond to these treatments. Interpersonal Therapy (IPT) is a non-trauma focused approach that directly addresses the interpersonal and social impairments associated with PTSD. This two-site randomized controlled equivalence trial compared IPT
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Using network models to explore the associations between posttraumatic stress disorder symptoms and subjective cognitive functioning J. Anxiety Disord. (IF 10.3) Pub Date : 2023-09-09 Mia Maria Günak, Omid V. Ebrahimi, Robert H. Pietrzak, Eiko I. Fried
Several studies have identified relationships between posttraumatic stress disorder (PTSD) and cognitive functioning. Here, we aimed to elucidate the nature of this relationship by investigating cross-sectional associations between subjective cognitive functioning (SCF) and 1) the PTSD sum score, 2) symptom domains, and 3) individual symptoms. We also investigated temporal stability by testing whether
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Context as a barrier: Impaired contextual processing increases the tendency to develop PTSD symptoms across repeated exposure to trauma J. Anxiety Disord. (IF 10.3) Pub Date : 2023-09-07 Einat Levy-Gigi, Einav Sudai, Moshe Bar
Growing evidence links repeated traumatic exposure with impaired ability to process contextual information. Specifically, like individuals with PTSD, non-PTSD trauma-exposed individuals fail to react according to contextual demands. In the present study, we explored the process that underlies this impairment. First, we tested the ability of first responders to benefit from contextual primes to improve
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The relationship of posttraumatic stress disorder and developmental trauma disorder with childhood psychopathology: A network analysis J. Anxiety Disord. (IF 10.3) Pub Date : 2023-09-07 Matthias Knefel, Thanos Karatzias, Joseph Spinazzola, Mark Shevlin, Julian D. Ford
Objective Potentially traumatic experiences are a major risk factor for mental disorders in children and adolescents. Posttraumatic psychopathology includes trauma-specific disorders such as posttraumatic stress disorder (PTSD) as well as other psychiatric disorders. Developmental Trauma Disorder (DTD) has been proposed as a developmentally sensitive diagnosis. We aimed to further illuminate the co-occurrence
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Association between negative parent-related family interactions and child social anxiety: A cross-cultural systematic review and meta-analysis J. Anxiety Disord. (IF 10.3) Pub Date : 2023-09-06 Yi Lei, Yuan-Yuan Wang, Jia-Ming Wan, Chetna Patel, Hong Li
This meta-analysis systematically evaluates the strength and direction of the association between negative parent-related family interactions and child social anxiety, and identifies several influencing moderators. Two investigators independently searched international (PsycINFO, PubMed, and Web of Science) and Chinese (CNKI, WanFang, and VIP) databases from their inception dates until March 5, 2023
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Efficacy of imagery rescripting in treating mental disorders associated with aversive memories – An updated meta-analysis J. Anxiety Disord. (IF 10.3) Pub Date : 2023-09-06 Ahlke Kip, Luisa Schoppe, Arnoud Arntz, Nexhmedin Morina
Imagery rescripting (ImRs) is frequently applied to treat different psychological complaints. We conducted an updated meta-analysis based on randomised controlled trials on the efficacy of ImRs for mental disorders associated with aversive memories. Medline, PsycInfo, and Web of Science were searched up to May 2023. Seventeen trials were included with a total of 908 participants (417 in the ImRs condition)
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Risky business: Considerations of emotion regulation and high-risk behaviors in anxious adolescents J. Anxiety Disord. (IF 10.3) Pub Date : 2023-08-19 Lauren B. Yadlosky, Wenzhu B. Mowrey, Sandra S. Pimentel
A growing body of empirical literature connects anxiety symptoms and high-risk suicidal and self-harming behaviors in youth. Emotion regulation (ER) processes and deficits have been identified as important factors in the etiology, maintenance, and treatment of both youth anxiety and high-risk behaviors. The present study assessed the association between these variables using an acute, socio-demographically
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Heightened threat perceptions and reduced stability in anxiety and fear among U.S. adults who carry handguns J. Anxiety Disord. (IF 10.3) Pub Date : 2023-08-15 Craig J. Bryan, Samantha E. Daruwala, Jeffrey V. Tabares, Jonathan E. Butner, Emil F. Coccaro, Stephanie M. Gorka
Firearm carrying is often motivated to provide safety and is correlated with increased anxiety related to elevated perceptions of the world as a dangerous place. No studies have investigated affective states among firearm owners as they occur in their natural environments. This study used ecological momentary assessment (EMA) to examine cognitive-affective states among firearm owners who carry handguns
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Pride in social anxiety disorder J. Anxiety Disord. (IF 10.3) Pub Date : 2023-08-15 Roni Oren-Yagoda, Nadav Paz, Idan M. Aderka
The present study examined differences in the experience of pride between individuals with and without social anxiety disorder (SAD), and is the first to examine both the effects of context on pride and the temporal relationship between pride and anxiety in participants’ daily lives. Eighty-eight participants took part in the study, half (n = 44) met diagnostic criteria for SAD and half (n = 44) did
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Reading others’ social appraisals after viewing an aversive film online impacts mood but not intrusive memories J. Anxiety Disord. (IF 10.3) Pub Date : 2023-08-12 Lisa Espinosa, Laura Singh, Tabea Eimer, Andreas Olsson, Emily A. Holmes
Exposure to aversive footage online can affect our well-being, but to what extent does reading others’ appraisals of this content modulate our affective responses? In a pre-registered online study (N = 170), we used a digital trauma film paradigm as an analogue for the naturalistic exposure to aversive visual content online. We investigated whether online social reappraisal about the film influenced