Journal of Anxiety Disorders最新文献

Corrigendum to "Pilot study of an anxiety induction method applying generative artificial intelligence and mixed reality" [J. Anxiety Disord. 119 (2026) 103150]. “应用生成式人工智能和混合现实的焦虑诱导方法的试点研究”的勘误表[J]。焦虑障碍。119(2026)103150]。

IF 5 2区医学

Journal of Anxiety Disorders Pub Date : 2026-10-19 DOI: 10.1016/j.janxdis.2026.103245

Daniel Badeja, Florian Schier, Hans-Christian Straka, Matthew McGinity, Jürgen Hoyer

引用次数: 0

From threat perception to behavioral decision: A computational framework for understanding approach-avoidance in social anxiety 从威胁感知到行为决策：一个理解社交焦虑中方法回避的计算框架。

IF 5 2区医学

Journal of Anxiety Disorders Pub Date : 2026-10-01 Epub Date: 2026-09-21 DOI: 10.1016/j.janxdis.2026.103232

Delhii Hoid, Zhen Wu

{"title":"From threat perception to behavioral decision: A computational framework for understanding approach-avoidance in social anxiety","authors":"Delhii Hoid, Zhen Wu","doi":"10.1016/j.janxdis.2026.103232","DOIUrl":"10.1016/j.janxdis.2026.103232","url":null,"abstract":"<div><div>Cognitive models of social anxiety disorder describe what people find threatening and what sustains those appraisals, but say less about the step at which an appraisal becomes a decision to approach or avoid. This review organizes evidence around a decision process with three components. Valuation weighs anticipated social threat against anticipated social reward, with perceived controllability proposed to set the balance. Policy converts the resulting value into an action. Learning revises value estimates from outcomes and, separately, governs the rate at which a perturbed affective state returns to baseline. Domain specificity operates as a boundary condition: these processes are engaged to the degree that a context places a self-relevant attribute under the judgment of others and makes the outcome follow from that judgment. Because relevance is a conjunction of conditions that can each hold partially, the boundary operates by degree rather than as a switch, though this has not been tested at the situation level. Stating each component as a set of parameters yields a rule for assigning findings to one component or another, and allows each to be manipulated separately. Support is strongest for reward valuation and for asymmetric updating, weaker for controllability and recovery, and weakest for Policy, where the evidence on the threshold is mixed and the three parameters have never been estimated together. The framework’s contribution is not a new account of what individuals with social anxiety fear, but a statement of the intervening process precise enough to be tested one part at a time.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"123 ","pages":"Article 103232"},"PeriodicalIF":5.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116825","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}

引用次数: 0

The 39 symptoms of generalized anxiety disorder: Limited overlap among seven common GAD scales 广泛性焦虑障碍的39种症状：7种常见广泛性焦虑症量表的重叠有限。

IF 5 2区医学

Journal of Anxiety Disorders Pub Date : 2026-10-01 Epub Date: 2026-09-28 DOI: 10.1016/j.janxdis.2026.103239

Filip Willemsen, Gerhard Andersson

{"title":"The 39 symptoms of generalized anxiety disorder: Limited overlap among seven common GAD scales","authors":"Filip Willemsen, Gerhard Andersson","doi":"10.1016/j.janxdis.2026.103239","DOIUrl":"10.1016/j.janxdis.2026.103239","url":null,"abstract":"<div><h3>Background:</h3><div>There have been several content analyses made based on Fried’s (2017) study on symptom content and overlap of items among widely used depression scales. There are to date no studies made on the item overlap of scales used in the generalized anxiety disorder (GAD) research. Therefore, the goal of this study was to investigate the symptom content and overlap of commonly used scales in the field of GAD.</div></div><div><h3>Method:</h3><div>A content analysis of seven scales used in GAD research was made to determine symptom content and overlap. Content overlap was measured with the Jaccard index ranging from 0 (no overlap) to 1 (complete overlap). For each scale rates of idiosyncratic symptoms, compound vs specific symptoms and percentage of GAD core symptoms were calculated.</div></div><div><h3>Results:</h3><div>We included seven scales with a total of 101 items which resulted in 39 disparate symptoms. The mean overlap among all instruments was weak (0.21). The overlap between scales ranged from 0.00 to 0.63. 46% of symptoms appeared in only one scale and none of the symptoms were measured by all scales. Scales differed in rate of idiosyncratic symptoms (7–50%), specific symptoms (25–100%) and core GAD symptoms (0–40%).</div></div><div><h3>Conclusion:</h3><div>Of the seven self-report scales included only two were developed specifically to measure GAD: GAD-7 and GAD-D. Among the seven scales that are widely used in GAD research there is a high heterogeneity and low overlap. This may pose a threat to the generalizability of research results due to the low content overlap.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"123 ","pages":"Article 103239"},"PeriodicalIF":5.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A test of within-person temporal dynamics in the S-REF model: Metacognitive beliefs, the CAS and emotional symptoms S-REF模型的人内时间动态检验：元认知信念、CAS和情绪症状。

IF 5 2区医学

Journal of Anxiety Disorders Pub Date : 2026-10-01 Epub Date: 2026-09-26 DOI: 10.1016/j.janxdis.2026.103237

Erlend Pukstad, Frederick Anyan, Odin Hjemdal, Adrian Wells, Henrik Nordahl

{"title":"A test of within-person temporal dynamics in the S-REF model: Metacognitive beliefs, the CAS and emotional symptoms","authors":"Erlend Pukstad, Frederick Anyan, Odin Hjemdal, Adrian Wells, Henrik Nordahl","doi":"10.1016/j.janxdis.2026.103237","DOIUrl":"10.1016/j.janxdis.2026.103237","url":null,"abstract":"<div><div>The metacognitive model of psychological disorders describes self-regulation within a hierarchical dynamic interplay between two distinct systems of cognition: a metacognitive control system and a cognitive system. In this model, metacognitive biases give rise to the Cognitive Attentional Syndrome (CAS), a pattern of perseverative thinking and maladaptive coping that sustains emotional distress. Among these biases, <em>metacognitive knowledge,</em> including individuals’ declarative beliefs about their cognitive processes, plays a particularly influential role. Associations between metacognitive beliefs, CAS strategies, and emotional symptoms are well documented, but most studies have relied on cross-sectional designs or longitudinal assessments with limited temporal resolution, restricting examination of short-term dynamic processes central to the model. The present study employed an intensive longitudinal design with twice-daily assessments over 30 days in a sample of 171 adults, allowing for examination of within-person contemporaneous and short-term prospective hypothesised associations specified by the metacognitive model. Within-person analyses demonstrated contemporaneous positive associations between metacognitive beliefs, CAS, and emotional symptoms. In addition, increases in morning metacognitive beliefs prospectively predicted increases in evening CAS engagement. CAS strategies were strongly positively associated with same-day symptoms of anxiety and depression, and the association between morning metacognitive beliefs and evening symptoms was attenuated when evening CAS was controlled for. The results align with key hypotheses of the metacognitive model and are consistent with the proposed role of metacognitive beliefs as an underlying influence on self-regulatory strategies and emotional distress symptoms at the within-person level.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"123 ","pages":"Article 103237"},"PeriodicalIF":5.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corrigendum to "Manualized versus treatment-as-usual cognitive behavioral therapy for social anxiety disorder: A comparative study" [Journal of Anxiety Disorders 122 (2026) 103209]. “社会化焦虑障碍的手动与常规治疗的认知行为疗法：比较研究”的更正[Journal of anxiety Disorders] 122(2026) 103209]。

IF 5 2区医学

Journal of Anxiety Disorders Pub Date : 2026-08-14 DOI: 10.1016/j.janxdis.2026.103216

Jan Pirke, Jan Schürmann-Vengels, Eric Leibing, Jürgen Margraf, Patrizia Odyniec, Dietmar Schulte, Tobias Teismann, Ulrike Willutzki

引用次数: 0

When all you have is a hammer, everything looks like a nail: The limitations of viewing all PTSD treatments through the exposure lens commentary on Rubinstein et al. (2026) 当你只有一把锤子时，一切看起来都像钉子：通过Rubinstein等人（2026）的曝光镜头评论来看待所有创伤后应激障碍治疗的局限性。

IF 5 2区医学

Journal of Anxiety Disorders Pub Date : 2026-08-01 Epub Date: 2026-05-03 DOI: 10.1016/j.janxdis.2026.103175

Ari M. Lowell, John C. Markowitz

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A continuum is not a hammer: Response to Lowell and Markowitz (2026) on the exposure continuum model 连续统不是锤子：对Lowell和Markowitz（2026）关于暴露连续统模型的回应。

IF 5 2区医学

Journal of Anxiety Disorders Pub Date : 2026-08-01 Epub Date: 2026-06-12 DOI: 10.1016/j.janxdis.2026.103200

Dori Rubinstein, Nachshon Korem, David G. Bullard, Ilan Harpaz-Rotem

引用次数: 0

Emotion regulation in children with social anxiety: A systematic review and meta-analysis 社交焦虑儿童的情绪调节：一项系统回顾和荟萃分析。

IF 5 2区医学

Journal of Anxiety Disorders Pub Date : 2026-08-01 Epub Date: 2026-07-16 DOI: 10.1016/j.janxdis.2026.103210

Naomi Leona Werkmann, Christina Schwenck

{"title":"Emotion regulation in children with social anxiety: A systematic review and meta-analysis","authors":"Naomi Leona Werkmann, Christina Schwenck","doi":"10.1016/j.janxdis.2026.103210","DOIUrl":"10.1016/j.janxdis.2026.103210","url":null,"abstract":"<div><h3>Background</h3><div>Social anxiety disorder (SAD) is among the most common and impairing disorders in childhood and adolescence, with emotion regulation (ER) difficulties proposed as a key mechanism in its onset and maintenance. While both behavioral and physiological aspects of ER have been investigated, findings remain fragmented and partly inconsistent.</div></div><div><h3>Methods</h3><div>We conducted a systematic review of studies published between 2000 and 2025 examining ER in children and adolescents (mean age ≤ 18). Thirty-seven studies (14 clinical, 23 community) met inclusion criteria. Where sufficient and comparable data were available, random-effects meta-analyses were conducted.</div></div><div><h3>Results</h3><div>ER difficulties emerged as a robust feature of both clinically diagnosed SAD and dimensionally assessed social anxiety (SA). Meta-analyses revealed large group differences indicating greater use of maladaptive ER strategies (<em>g</em> = 0.90) and moderately reduced use of adaptive strategies (<em>g</em> = −0.61) in children with SAD compared to healthy controls. In community samples, maladaptive ER strategies prospectively predicted increases in SA symptoms, with evidence for bidirectional associations over time. Narrative and meta-analytic synthesis on physiological data indicated that higher SA was associated with attenuated physiological stress reactivity (<em>r</em> = −.17), alongside reduced parasympathetic flexibility and impaired recovery, particularly in older children and adolescents.</div></div><div><h3>Conclusions</h3><div>ER difficulties represent a core characteristic of both clinically diagnosed SAD and subclinical SA in youth. Rather than uniform hyper- or hypo-arousal, findings point to inflexible and context-insensitive regulation patterns. These patterns may function both as early vulnerability markers and as maintaining factors in SA. Interventions that explicitly target regulatory flexibility across contexts may therefore hold promise for prevention and treatment.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"122 ","pages":"Article 103210"},"PeriodicalIF":5.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The query is the theory: Why “exact-term” bibliometrics can conflate climate anxiety with broader eco-emotions 问题是理论：为什么“精确术语”文献计量学可以将气候焦虑与更广泛的生态情绪混为一谈

IF 4.5 2区医学

Journal of Anxiety Disorders Pub Date : 2026-04-01 Epub Date: 2026-04-09 DOI: 10.1016/j.janxdis.2026.103154

Alexandre Heeren , Camille Mouguiama-Daouda

{"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}

引用次数: 0

Climate anxiety scholarship: A global bibliometric synthesis (2000–2024) 气候焦虑研究：全球文献计量综合（2000-2024）

IF 4.5 2区医学

Journal of Anxiety Disorders Pub Date : 2026-03-01 Epub Date: 2026-01-06 DOI: 10.1016/j.janxdis.2026.103110

Gulnaz Anjum , Mudassar Aziz , Abdul Rehman Nawaz

{"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}

引用次数: 0