Attachment in OCD: A meta-analysis
DiscussionRobust effect sizes of both attachment anxiety and avoidance in relation to OCD symptomatology corroborate an attachment-centred view of OCD. These findings furthermore suggest that integrating cognitive and attachment-based therapeutic approaches to OCD may benefit patients in which developmental or emotional factors hinder successful treatment. (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - January 8, 2020 Category: Psychiatry Source Type: research
Incompleteness, harm avoidance, and disgust: A comparison of youth with OCD, anxiety disorders, and no psychiatric disorder
Publication date: Available online 19 December 2019Source: Journal of Anxiety DisordersAuthor(s): Matti Cervin, Sean Perrin, Elin Olsson, Emma Claesdotter-Knutsson, Magnus LindvallAbstractPsychological models of pediatric obsessive-compulsive disorder (OCD) place a heavy emphasis on harm avoidance as a maintaining factor and target for treatment. Incompleteness and disgust may also play a role in pediatric OCD but remain understudied. Youth with OCD (n = 100), anxiety disorders (n = 96), and no impairing psychiatric symptoms (n = 25) completed self-report measures of trait-level incompleteness, harm avoidance, ...
Source: Journal of Anxiety Disorders - December 20, 2019 Category: Psychiatry Source Type: research
Hear it, fear it: Fear generalizes from conditioned pictures to semantically related sounds
Publication date: Available online 19 December 2019Source: Journal of Anxiety DisordersAuthor(s): A.B.M Gerdes, L. Fraunfelter, G.W. AlpersAbstractFear generalization is thought to be an important mechanism in the acquisition and maintenance of anxiety disorders. Previous studies have investigated fear generalization within one sensory modality - mainly within the visual domain. However, a growing body of evidence shows that emotional information is processed in more than one sensory modality. Based on network theories, we expected that fear may also generalize from stimuli in one sensory modality to another. To test our h...
Source: Journal of Anxiety Disorders - December 19, 2019 Category: Psychiatry Source Type: research
Biased Estimations of Interpersonal Distance in Non-Clinical Social Anxiety
Publication date: Available online 12 December 2019Source: Journal of Anxiety DisordersAuthor(s): Nur Givon-Benjio, Hadas Okon-SingerAbstractPrevious studies have indicated that socially-anxious individuals prefer to maintain a greater interpersonal distance from others, specifically from strangers. Notwithstanding, it has yet to be examined whether this preference for distance is associated with estimating the physical interpersonal distance in a distorted manner. In the current study, 100 participants performed a computerized task that measured estimated distance (Study 1). An additional sample of 75 participants perform...
Source: Journal of Anxiety Disorders - December 13, 2019 Category: Psychiatry Source Type: research
Mediators of treatment effect in minimal-contact cognitive behaviour therapy for severe health anxiety: a theory-driven analysis based on a randomised controlled trial
Publication date: Available online 11 December 2019Source: Journal of Anxiety DisordersAuthor(s): Erland Axelsson, Hugo Hesser, Erik Andersson, Brjánn Ljótsson, Erik Hedman-LagerlöfAbstractCognitive behaviour therapy (CBT) is efficacious for severe health anxiety, but little is known about mechanisms. We analysed putative mediators of change based on 13 weekly assessments in a randomised controlled trial (N = 132) of exposure-based minimal-contact CBT (guided Internet-delivered CBT, unguided Internet-delivered CBT and bibliotherapy) and a waitlist control for severe health anxiety. We hypothesised that the effect of...
Source: Journal of Anxiety Disorders - December 11, 2019 Category: Psychiatry Source Type: research
A systematic review of case studies testing a melatonergic agonist/ 5HT2c antagonist for individuals with obsessive compulsive disorder
DiscussionThere is growing evidence that disruptions in sleep and circadian rhythms may contribute to the maintenance of OCD. Further work is warranted. (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - December 11, 2019 Category: Psychiatry Source Type: research
Do Religious Patients need Religious Psychotherapists? A Naturalistic Treatment Matching Study among Orthodox Jews
Publication date: Available online 7 December 2019Source: Journal of Anxiety DisordersAuthor(s): David H. Rosmarin, Steven PirutinskyAbstractReligion is professed by the majority of the general population, but a minority of mental health practitioners. We evaluated whether religious patients benefited more from treatment with religious psychotherapists in a naturalistic study among adult Orthodox Jewish (n = 117) and control patients (n = 91) receiving psychotherapy from Orthodox Jewish (n = 15) and other (n = 7) psychotherapists at a New York based outpatient clinic. Groups did not differ with respect to d...
Source: Journal of Anxiety Disorders - December 7, 2019 Category: Psychiatry Source Type: research
The Effects of Imagery Rescripting on Memory Outcomes in Social Anxiety Disorder
Publication date: Available online 7 December 2019Source: Journal of Anxiety DisordersAuthor(s): Mia Romano, David A. Moscovitch, Jonathan D. Huppert, Susanna G. Reimer, Morris MoscovitchAbstractImagery rescripting (IR) is an effective intervention for social anxiety disorder (SAD) that targets negative autobiographical memories. IR has been theorized to work through various memory mechanisms, including modifying the content of negative memory representations, changing memory appraisals, and improving negative schema or core beliefs about self and others. However, no prior studies have investigated the unique effects of re...
Source: Journal of Anxiety Disorders - December 7, 2019 Category: Psychiatry Source Type: research
Editorial Board
Publication date: December 2019Source: Journal of Anxiety Disorders, Volume 68Author(s): (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - November 19, 2019 Category: Psychiatry Source Type: research
Relation between PTSD Symptom Clusters and Positive Memory Characteristics: A Network Perspective
Publication date: Available online 6 November 2019Source: Journal of Anxiety DisordersAuthor(s): Ateka A. Contractor, Talya Greene, Megan Dolan, Nicole H. Weiss, Cherie ArmourAbstractPositive memory characteristics relate to posttraumatic stress disorder (PTSD) severity. We utilized a network approach to examine relations between PTSD clusters (intrusions, avoidance, negative alterations in cognitions and mood [NACM], alterations in arousal and reactivity [AAR]) and positive memory characteristics (count, valence, vividness, coherence, time perspective, sensory details). We identified differential relations between PTSD cl...
Source: Journal of Anxiety Disorders - November 8, 2019 Category: Psychiatry Source Type: research
The impact of internet-delivered cognitive behavioural therapy for health anxiety on cyberchondria
Conclusions: Internet CBT for health anxiety improves cyberchondria. (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - November 1, 2019 Category: Psychiatry Source Type: research
Cost-effectiveness of treatment alternatives for treatment-refractory pediatric obsessive-compulsive disorder
ConclusionsLack of access to high fidelity, high dose CBT paired with pharmacotherapy is an issue for OCD patients and families. Among youth who were treatment non-responsive, these results indicate the superiority of a high dosage CBT strategy, indicating the need to increase access to these treatments. (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - November 1, 2019 Category: Psychiatry Source Type: research
Getting Effective Intervention to Individuals Exposed to Traumatic Stress: Dosage, Delivery, Packaging, and Profiles
Publication date: Available online 30 October 2019Source: Journal of Anxiety DisordersAuthor(s): Carl F. WeemsAbstractThere is strong evidence for the efficacy of empirically supported treatments (ESTs) for posttraumatic stress disorder (PTSD). However, treatment non-completion remains a considerable problem. Of concern with a high dropout rate is that Holmes et al. (2019) found that clients who attended more sessions improved at a greater rate and clients who completed all 12 sessions had the best outcomes. In addition to dropping out of treatment, there are a number of issues related to getting effective intervention to ...
Source: Journal of Anxiety Disorders - October 31, 2019 Category: Psychiatry Source Type: research
If we build it, will they come? And will they stay? Commentary on Holmes et al. “Examining patterns of dose response for clients who do and do not complete Cognitive Processing Therapy”
Publication date: Available online 30 October 2019Source: Journal of Anxiety DisordersAuthor(s): J. Gayle BeckAbstractAlthough evidence-based practice is becoming more widely accepted, the issue of patient preference has been relatively ignored. As noted by Holmes and colleagues (2019), when delivered in a community setting, Cognitive Processing Therapy (CPT) can have a relatively high dropout rate (42% in the Holmes et al. study). In this commentary, issues about the conceptualization of treatment dropout as one index of patient preference are discussed. Dropout can be conceptualized as a potential reflection of poor fit ...
Source: Journal of Anxiety Disorders - October 31, 2019 Category: Psychiatry Source Type: research
Patients Need to Remain in Treatment for PTSD to Receive the Full Benefit
Publication date: Available online 30 October 2019Source: Journal of Anxiety DisordersAuthor(s): Barbara O. Rothbaum, Lauren B. McSweeneyAbstractDespite strong evidence to support trauma-focused treatment as the gold standard in treating PTSD, many studies report elevated drop-out rates. The study by Holmes et al. (2019) examines temporal patterns of treatment non-completion and reported individuals who improved at a greater rate attended all sessions. This commentary discusses some of the factors that contribute to premature termination, including treatment modality (e.g., exposure-based), barriers to care, treatment form...
Source: Journal of Anxiety Disorders - October 31, 2019 Category: Psychiatry Source Type: research
