Journal of Anxiety Disorders最新文献

{"title":"Efficacy of transdiagnostic cognitive-behavioral treatment for anxiety disorders on insomnia","authors":"Martin D. Provencher ,&nbsp;Laurence Dubé ,&nbsp;Peter J. Norton ,&nbsp;Nathalie Carrier ,&nbsp;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 &lt; .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}

{"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 ,&nbsp;Erich W. Graf ,&nbsp;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}

{"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 ,&nbsp;Hannah Staunton ,&nbsp;Murray B. Stein ,&nbsp;Anne Marie Hayes ,&nbsp;Raul Rodriguez-Esteban ,&nbsp;Kathrin Fischer ,&nbsp;Tammy McIver ,&nbsp;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":"Disrupting posttrauma networks: Identifying candidate intervention targets to improve military veterans’ mental health and well-being","authors":"Dawne Vogt ,&nbsp;Shaina A. Kumar ,&nbsp;Eric D. Caine ,&nbsp;Stephanie Gamble ,&nbsp;Elizabeth Karras ,&nbsp;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}

{"title":"Intolerance of uncertainty and climate change experience as driving forces of climate anxiety: Insights from a network perspective","authors":"Camille Mouguiama-Daouda ,&nbsp;Richard J. McNally ,&nbsp;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}

{"title":"Factor structure, measurement invariance, and clinical change benchmarks of the Generalized Anxiety Disorder-7 (GAD-7) in pregnancy and postpartum","authors":"Alberto Stefana ,&nbsp;Fiorino Mirabella ,&nbsp;Antonella Gigantesco ,&nbsp;Laura Camoni ,&nbsp;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>_MACS) 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}

{"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 ,&nbsp;Sho Okawa ,&nbsp;Motohiro Nishiuchi ,&nbsp;Maaya Kobayashi ,&nbsp;Justin W. Weeks ,&nbsp;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}

{"title":"Assessing the reliability and validity of the International Trauma Interview in a sample of Ukrainian soldiers","authors":"Dmytro Martsenkovskyi ,&nbsp;Philip Hyland ,&nbsp;Mark Shevlin ,&nbsp;Kristina Bondjers ,&nbsp;Anna Scherbakova ,&nbsp;Oksana Sulaieva ,&nbsp;Anastasiia Bibikova ,&nbsp;Olexandr Dudin ,&nbsp;Anton Savchenko ,&nbsp;Kseniia Voznitsyna ,&nbsp;Nataliya Maruta ,&nbsp;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}

{"title":"Predicting outcomes from cognitive behavioural therapy for social anxiety disorder: A Bayesian network analysis","authors":"Emily Rogerson ,&nbsp;Mel Simmonds-Buckley ,&nbsp;Stephen Kellett ,&nbsp;Jaime Delgadillo","doi":"10.1016/j.janxdis.2026.103125","DOIUrl":"10.1016/j.janxdis.2026.103125","url":null,"abstract":"<div><div>The identification of predictors of treatment response in cognitive behavioural therapy (CBT) for social anxiety disorder (SAD) could help to improve treatment outcomes. This study sought to identify which specific social anxiety symptoms measured pre-treatment were associated with post-treatment outcomes. A pre-registered retrospective cohort study was conducted including a sample of N = 1315 patients treated with CBT for SAD in routine clinical practice. The sample was partitioned into training and test subsets (random 50:50 split) to evaluate the model’s out-of-sample performance. The outcome was a reliable and clinically significant improvement (RCSI) in anxiety after treatment. A Bayesian network model based on symptoms measured by the Social Phobia Inventory (SPIN) was developed in the training sample (n = 658) using 10-fold cross-validation for variable selection. Predictive accuracy was evaluated in an external test sample (n = 657) using an area under the receiver operating characteristic curve (AUC). Predictive accuracy reduced when comparing performance in the training (AUC = 0.67) to test samples (AUC = 0.58) with moderate out-of-sample prediction shrinkage (6.76 %). The variable selection process yielded a network of four key interrelated SAD symptoms: <em>avoiding public speaking, fear of embarrassment, avoiding criticism and fear of being observed.</em> Identifying important SAD symptoms at assessment enables these to be targeted during CBT to potentially help maximise treatment efficiency and effectiveness.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103125"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100922","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":"Behavioural experiments for intolerance of uncertainty: A brief intervention delivered via videoconference for adults with generalised anxiety disorder","authors":"Emily J. Wilson ,&nbsp;Maree J. Abbott ,&nbsp;Alice R. Norton ,&nbsp;Jessica Riley ,&nbsp;David Berle","doi":"10.1016/j.janxdis.2026.103112","DOIUrl":"10.1016/j.janxdis.2026.103112","url":null,"abstract":"<div><div>Accessing psychological treatment is often met with barriers of time, cost, and availability. Focused brief interventions delivered via videoconference can overcome some of these barriers. We sought to evaluate the efficacy and feasibility, as well as processes of exposure-based learning for a brief intervention for treating generalised anxiety disorder (GAD), utilising behavioural experiments delivered via videoconference. Participants (<em>N</em> = 40) with a primary diagnosis of GAD were assessed via clinical interview and randomised to either the treatment condition (<em>n</em> = 20) or waitlist condition (<em>n</em> = 20). Treatment consisted of two weekly 1-hour sessions where participants utilised behavioural experiments to test negative beliefs about uncertainty. The primary outcomes were worry, safety behaviours, avoidance, depression, anxiety, physiological tension, and intolerance of uncertainty (IU). Linear mixed models indicated that the treatment group was only superior to the waitlist group on change from pre- to post-treatment for worry. The combined group (once waitlisted participants received treatment) evidenced significant reduction across all outcomes from pre- to post-treatment, except for anxiety. Additionally, there was evidence that expectancy violation and habituation occurred, suggesting that behavioural experiments facilitate different processes of exposure-based learning. The intervention was also found to be acceptable, appropriate, and feasible by adults with GAD. Thus, the remotely delivered brief intervention shows promise as an effective option for individuals with GAD.</div></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"118 ","pages":"Article 103112"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012954","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}