{"title":"The query is the theory: Why “exact-term” bibliometrics can conflate climate anxiety with broader eco-emotions","authors":"Alexandre Heeren , Camille Mouguiama-Daouda","doi":"10.1016/j.janxdis.2026.103154","DOIUrl":"10.1016/j.janxdis.2026.103154","url":null,"abstract":"<div><div>Bibliometric syntheses help organize rapidly growing literatures, but their validity depends on how constructs are operationalized. Anjum et al. (2026) present an ambitious synthesis, labeled “climate anxiety scholarship,” that maps the growth of publications, collaboration networks, co-citation structures, and keyword patterns from 2000 to 2024. Yet the paper also illustrates a key challenge in fast-growing fields: literature syntheses built on search terms and labels can outpace the conceptual distinctions they are meant to capture. Our central claim is that the article maps a corpus labeled as “climate anxiety scholarship,” even though the query and the resulting thematic structure extend beyond climate anxiety proper to include adjacent eco-emotions that are conceptually distinct from anxiety-related phenomena. “Exact-term” search strategies may be precise about strings while remaining imprecise about constructs, especially when anxiety terms are combined with eco-emotions such as grief, despair, solastalgia, and generic “climate/eco-emotions.” This construct blur invites jingle–jangle problems, muddies thematic clusters, and weakens clinical interpretability by treating distinct constructs as interchangeable. Two remedies follow: sensitivity analyses contrasting climate-anxiety-specific and broader eco-emotions corpora, and stronger ontological discipline specifying which constructs are targeted and how they relate (e.g., <em>overlaps-with</em>, <em>is-a</em>, <em>part-of</em>). In bibliometrics, the query is the theory; disciplined queries yield interpretable maps and clinically actionable insights.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"119 ","pages":"Article 103154"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147656598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Climate anxiety scholarship: A global bibliometric synthesis (2000–2024)","authors":"Gulnaz Anjum , Mudassar Aziz , Abdul Rehman Nawaz","doi":"10.1016/j.janxdis.2026.103110","DOIUrl":"10.1016/j.janxdis.2026.103110","url":null,"abstract":"<div><div>Climate anxiety research has emerged as a significant interdisciplinary scholarship linking mental health, environmental science, and social justice. Despite its growing prominence, no comprehensive bibliometric analysis has systematically mapped its intellectual structure and global dynamics. This study presents a bibliometric synthesis of 579 publications on climate anxiety indexed in Scopus and Web of Science from 2000 to 2024. Using Biblioshiny (the graphical interface for the R package \"bibliometrix\") and VOSviewer, we analyzed co-authorship, co-citation, and keyword co-occurrence networks to examine patterns in scientific production, thematic development, and institutional and geographic distribution. Citation trend analysis and keyword mapping traced thematic evolution across three phases: 2003–2015, 2016–2020, and 2021–2024. Results indicate exponential growth in climate anxiety research since 2019, with 242 publications in 2024 alone. The field is largely shaped by prominent scholars from the Global North and over the years thematic clusters have expanded from foundational constructs such as solastalgia and eco-anxiety to broader concerns including ecological grief, place attachment, and pro-environmental behavior. However, research remains geographically concentrated in high-income countries, with limited representation from climate-vulnerable regions, underscoring persistent epistemic disparities. Overall, the field demonstrates rapid development and growing interdisciplinary reach, yet continues to reflect inequities in global authorship and knowledge production. Advancing a more inclusive and context-sensitive climate anxiety scholarship requires centering Global South perspectives, decolonizing research agendas, and promoting equitable collaboration.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103110"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martin D. Provencher , Laurence Dubé , Peter J. Norton , Nathalie Carrier , Pasquale Roberge
{"title":"Efficacy of transdiagnostic cognitive-behavioral treatment for anxiety disorders on insomnia","authors":"Martin D. Provencher , Laurence Dubé , Peter J. Norton , Nathalie Carrier , Pasquale Roberge","doi":"10.1016/j.janxdis.2026.103124","DOIUrl":"10.1016/j.janxdis.2026.103124","url":null,"abstract":"<div><h3>Introduction</h3><div>The efficacy of transdiagnostic cognitive-behavioral therapy (tCBT) for anxiety disorders (AD) is well established. Few studies have investigated the role of insomnia in the context of tCBT for AD. Considering the high prevalence of insomnia symptoms in individuals with AD, this study aims to explore the effects of tCBT on insomnia, as well as to examine the predictive or moderating role of insomnia on the efficacy of tCBT for AD. Method. The present study consists of a secondary analysis of data from a randomized clinical trial of tCBT for AD (<span><span>Roberge et al., 2022</span></span>). The 231 participants with panic disorder, agoraphobia, generalized anxiety disorder and/or social anxiety disorder were randomized to an experimental group tCBT condition (<span><span>Norton, 2012</span></span>) combined with usual care (TAU) compared with a TAU-only control condition. Results. The efficacy of tCBT for insomnia symptoms is supported by linear mixed regression analysis, where participants receiving tCBT achieved significantly lower insomnia symptoms at post-treatment than TAU-only participants (unadjusted mean at post-treatment, 9.98 ± 6.72 vs. 13.13 ± 6.41, p < .001, Cohen's d = 0.48), with progress maintained through 12-month follow-up. Results showed a moderator role of ISI where participants with high insomnia symptoms at pre-treatment had higher anxiety symptoms at post-treatment in all conditions, with stronger improvement over time in the tCBT condition. Conclusion. The study highlights the importance of considering insomnia symptoms in the clinical context of tCBT for AD and of developing and evaluating intervention modalities that would optimally address this frequent comorbidity.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103124"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Lucía Schmidt , Hannah Staunton , Murray B. Stein , Anne Marie Hayes , Raul Rodriguez-Esteban , Kathrin Fischer , Tammy McIver , Eugénie E. Suter
{"title":"The lived experience of social anxiety disorder: A conceptual model focused on adolescents and young adults based on published literature and social media listening","authors":"Ana Lucía Schmidt , Hannah Staunton , Murray B. Stein , Anne Marie Hayes , Raul Rodriguez-Esteban , Kathrin Fischer , Tammy McIver , Eugénie E. Suter","doi":"10.1016/j.janxdis.2026.103129","DOIUrl":"10.1016/j.janxdis.2026.103129","url":null,"abstract":"<div><div>Social anxiety disorder (SAD) affects up to 1 in 8 individuals over their lifetime and is characterized by an intense fear of social situations involving unfamiliar people or possible scrutiny. This retrospective observational study reviewed published literature from PubMed and analyzed data from Reddit using social media listening (SML) to understand the lived experience of individuals with SAD. SML offers a complement to traditional methods such as semi-structured interviews, particularly for individuals for whom interacting with strangers is challenging. A stepwise analysis, aligned with US Food and Drug Administration Patient-Focused Drug Development guidelines, was performed to develop a conceptual model for SAD focused on adolescents and young adults. A conceptual model provides a visual overview of the interrelationships between disease-related symptoms and their impact from patients’ perspective. Natural language processing techniques and machine learning approaches were employed to extract symptoms and impacts from SML posts. After a targeted literature search, eleven qualitative research publications and 535,544 posts from 118,040 Reddit users were included. Clinical and patient experts then confirmed the content in the conceptual model covering three key symptom domains (physical, negative automatic thoughts, and emotions) and two impact domains (social functioning and occupational/educational functioning). This study captures the value of SML by eliciting spontaneous insights that may not emerge in traditional approaches and proposes a comprehensive conceptual model to support future research and the optimization of Clinical Outcome Assessments in SAD clinical trials.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103129"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social anxiety in online social interactions: Examining the effects of self and audience images on anxiety, self-awareness and performance evaluations","authors":"Neslihan Özhan , Erich W. Graf , Matthew Garner","doi":"10.1016/j.janxdis.2026.103111","DOIUrl":"10.1016/j.janxdis.2026.103111","url":null,"abstract":"<div><h3>Background</h3><div>Few studies have examined social anxiety symptoms during online social interactions. We examined self-report symptoms in individuals with elevated social anxiety in online interactions in the presence/absence of virtual audience images and the presence/absence of live videos of the self.</div></div><div><h3>Method</h3><div>Participants with elevated social anxiety who were not treatment-seeking gave a short impromptu talk via an online social communication platform. Participants were randomised to present with their camera on or off, and to audience images that were visible or not. We recorded participants’ self-reported anxiety, perspective taken, evaluations of speech performance, and post-event processing.</div></div><div><h3>Results</h3><div>Anxiety increased during the online social interaction. Furthermore, participants whose camera was on, but the audience was not visible, evaluated their own performance as worse and engaged in more severe negative post-event processing compared with the other conditions.</div></div><div><h3>Discussion</h3><div>Online videoconferencing tasks can induce anxiety and activate negative self-images and post-event evaluations of social performance. Our findings support the use of online social interactions to research social anxiety, maladaptive cognitive-behavioural biases and to develop novel interventions.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103111"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dawne Vogt , Shaina A. Kumar , Eric D. Caine , Stephanie Gamble , Elizabeth Karras , Shelby Borowski
{"title":"Disrupting posttrauma networks: Identifying candidate intervention targets to improve military veterans’ mental health and well-being","authors":"Dawne Vogt , Shaina A. Kumar , Eric D. Caine , Stephanie Gamble , Elizabeth Karras , Shelby Borowski","doi":"10.1016/j.janxdis.2026.103113","DOIUrl":"10.1016/j.janxdis.2026.103113","url":null,"abstract":"<div><div>Trauma exposure is widespread within the U.S. and around the world. Although researchers have examined the mental health and functional challenges that can result from these experiences, knowledge regarding which symptoms and domains of functioning are most central in maintaining poor mental health and functioning is limited. Using data from The Veterans Metrics Initiative (TVMI) study, we conducted a series of network analyses to identify factors that are most central to mental health (depression, posttraumatic stress disorder [PTSD], anxiety, and suicidal ideation) and functional challenges (health, social, vocational, and financial) experienced by U.S. military veterans (<em>N</em> = 2150). Depression symptoms and health functioning were most strongly linked to other factors in the network of associations among and between mental health and functioning domains, with similar associations observed for those with minimal versus elevated symptom levels. Collectively, these findings suggest that interventions targeting depression, alongside efforts to increase engagement in health-promoting behaviors, may have greatest potential to disrupt these networks. Future research is needed to confirm the causal impact that these factors have on other aspects of mental health and functioning, and to evaluate whether interventions that target these factors can improve the mental health and well-being of military veterans and other trauma-exposed populations.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103113"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Camille Mouguiama-Daouda , Richard J. McNally , Alexandre Heeren
{"title":"Intolerance of uncertainty and climate change experience as driving forces of climate anxiety: Insights from a network perspective","authors":"Camille Mouguiama-Daouda , Richard J. McNally , Alexandre Heeren","doi":"10.1016/j.janxdis.2026.103114","DOIUrl":"10.1016/j.janxdis.2026.103114","url":null,"abstract":"<div><div>Recent evidence indicates that sizeable segments of the global population experience marked anxiety about climate change. Yet important questions remain about the psychological processes that sustain climate anxiety and about how this anxiety can translate into adaptive responses (i.e., pro-environmental behaviors) versus maladaptive outcomes (i.e., impairments in daily functioning). In the present study, we explicitly build on decades of basic research identifying intolerance of uncertainty—a dispositional difficulty in tolerating the unknown—as a decisive mechanism in the emergence and maintenance of anxiety-related dysfunction. Accordingly, we investigated how intolerance of uncertainty, the experience of climate change, and climate anxiety are interconnected, along with climate anxiety’s (mal)adaptive outcomes. We analyzed data from an international unselected sample (<em>n</em> = 728) using computational tools from the network analytical framework. Specifically, we estimated a Gaussian Graphical Model (GGM) to characterize the network’s structure, identify potential clusters of variables, and detect influential nodes, and we estimated a directed acyclic graph (DAG) to examine the probabilistic dependencies among variables. Our results indicate that both intolerance of uncertainty and the experience of climate change function as driving forces within the overall network structure.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103114"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alberto Stefana , Fiorino Mirabella , Antonella Gigantesco , Laura Camoni , the Perinatal Mental Health Network group
{"title":"Factor structure, measurement invariance, and clinical change benchmarks of the Generalized Anxiety Disorder-7 (GAD-7) in pregnancy and postpartum","authors":"Alberto Stefana , Fiorino Mirabella , Antonella Gigantesco , Laura Camoni , the Perinatal Mental Health Network group","doi":"10.1016/j.janxdis.2026.103123","DOIUrl":"10.1016/j.janxdis.2026.103123","url":null,"abstract":"<div><h3>Introduction</h3><div>The Generalized Anxiety Disorder-7 (GAD-7) scale is widely used to measure anxiety symptom severity during the perinatal period. However, measurement invariance between pregnant and postpartum women is under-studied, differential item functioning has not been assessed, and score precision across the anxiety continuum is unknown in perinatal samples. The objective was to examine the factor structure and measurement properties of the GAD-7 in perinatal women, a</div></div><div><h3>Methods</h3><div>Data were drawn from an ongoing investigation in Italy that began in 2021. Dimensionality was assessed using exploratory graph analysis and confirmatory factor analysis (CFA); measurement invariance and differential item functioning were evaluated via item-level effect size (<em>d</em><sub>MACS</sub>) and iterative multigroup CFA across perinatal phases and trimesters; and item response theory was applied to examine scale information and reliability.</div></div><div><h3>Results</h3><div>The GAD-7 demonstrated strict one-dimensionality, scalar measurement invariance across the two perinatal phases and across five finer-grained perinatal phases (trimesters 1–3, early and late postpartum), and excellent classical and IRT reliability. Score precision and clinical change benchmarks have been provided.</div></div><div><h3>Limitations</h3><div>The results are restricted to Italian (92 %) or Italian-speaking (8 %) and may not generalize to other cultures. Participants have predominantly high levels of education.</div></div><div><h3>Conclusion</h3><div>The GAD-7 possesses a unidimensional latent structure that is invariant across the entire perinatal continuum and can be used in perinatal research, mental-health surveillance, intervention trials, and routine obstetric care.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103123"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shota Noda , Sho Okawa , Motohiro Nishiuchi , Maaya Kobayashi , Justin W. Weeks , Stefan G. Hofmann
{"title":"Examining the psychometric properties and network structures of the bivalent fear of evaluation model of social anxiety disorder in a Japanese population","authors":"Shota Noda , Sho Okawa , Motohiro Nishiuchi , Maaya Kobayashi , Justin W. Weeks , Stefan G. Hofmann","doi":"10.1016/j.janxdis.2026.103128","DOIUrl":"10.1016/j.janxdis.2026.103128","url":null,"abstract":"<div><div>The bivalent fear of evaluation (BFOE) model of social anxiety disorder (SAD) posits that fear of evaluation consists of two distinct valences: fear of negative evaluation (FNE) and fear of positive evaluation (FPE). Reflecting this model, the BFOE Scale (BFOES) was developed by combining items from established FNE and FPE measures into a single integrated scale. This study aimed to (1) assess the psychometric properties of the Japanese version of the BFOES, and (2) examine the network structures of FNE, FPE, and SAD symptoms among Japanese individuals with and without SAD. A total of 401 individuals with a self-reported diagnosis of SAD and 373 without a self-reported diagnosis of SAD completed questionnaires assessing FNE, FPE, SAD symptoms, self-focused attention, post-event processing, and depressive symptoms. Confirmatory factor analyses supported a correlated two-factor model for the BFOES (FNE and FPE factors). Exploratory graph analyses revealed a two-dimensional structure for the BFOES. Cronbach’s α and McDonald’s ω coefficients indicated high internal consistency. Correlational analyses showed small to moderate positive associations between BFOES factors and SAD-related constructs. Partial correlational analyses indicated that the FNE and FPE factors were more strongly associated with SAD-related constructs than with depressive symptoms, supporting convergent and discriminant validity. A network comparison test revealed no significant differences between SAD and non-SAD groups in the global network structure and connectivity. However, central symptoms differed slightly between the groups: among individuals with SAD, “concern about others’ thoughts and the impressions one leaves” and “fear of talking to strangers” were most central. In contrast, in the non-SAD group, “avoidance of embarrassment” and “distress over palpitations” were most central. These findings were discussed within the framework of the BFOE model of SAD.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103128"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dmytro Martsenkovskyi , Philip Hyland , Mark Shevlin , Kristina Bondjers , Anna Scherbakova , Oksana Sulaieva , Anastasiia Bibikova , Olexandr Dudin , Anton Savchenko , Kseniia Voznitsyna , Nataliya Maruta , Victor Dosenko
{"title":"Assessing the reliability and validity of the International Trauma Interview in a sample of Ukrainian soldiers","authors":"Dmytro Martsenkovskyi , Philip Hyland , Mark Shevlin , Kristina Bondjers , Anna Scherbakova , Oksana Sulaieva , Anastasiia Bibikova , Olexandr Dudin , Anton Savchenko , Kseniia Voznitsyna , Nataliya Maruta , Victor Dosenko","doi":"10.1016/j.janxdis.2026.103130","DOIUrl":"10.1016/j.janxdis.2026.103130","url":null,"abstract":"<div><h3>Background</h3><div>The International Trauma Interview (ITI) is a clinical interview used to diagnose ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD). Six studies have assessed the latent structure of the ITI and have generally advocated for models consistent with the ICD-11 description of PTSD and CPTSD, despite the common occurrence of improper solutions. Diagnostic concordance between the ITI and a self-report measure–International Trauma Questionnaire (ITQ)–has also been low. Here, the latent structure of the ITI was examined, along with tests of internal reliability, concurrent/discriminant validity, and diagnostic concordance between the ITI and ITQ.</div></div><div><h3>Methods</h3><div>Data were collected from 209 combat-exposed, active-duty Ukrainian soldiers. Confirmatory factor analysis was used to test seven latent structural models of the ITI. Structural equation modelling was used to test concurrent/discriminant validity.</div></div><div><h3>Results</h3><div>The two models consistent with the ICD-11 formulation of PTSD and CPTSD either had unsatisfactory fit or contained out-of-bounds parameter estimates. The latent structure of the ITI items was best explained by a correlated two-factor model representing PTSD and DSO symptoms. The PTSD and DSO scores had good internal reliability, and were correlated with depression, anxiety, insomnia, and psychological wellbeing. Diagnostic concordance between the ITI and ITQ was ‘moderate’-to-‘substantial’.</div></div><div><h3>Conclusion</h3><div>The latent structure of the ITI in this sample was not consistent with the formulation of ICD-11 PTSD and CPTSD. The implications of the ITI not measuring the different symptom clusters of these disorders are discussed.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103130"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}