Journal of Anxiety Disorders最新文献_第5页

Investigating the under-recognition of childbirth-related post-traumatic stress disorder among the public and mental health professionals 调查公众和心理健康专业人员对分娩相关创伤后应激障碍认识不足的情况。

IF 4.8 2区医学

Journal of Anxiety Disorders Pub Date : 2024-07-08 DOI: 10.1016/j.janxdis.2024.102897

Rotem Kahalon , Jonathan E. Handelzalts

{"title":"Investigating the under-recognition of childbirth-related post-traumatic stress disorder among the public and mental health professionals","authors":"Rotem Kahalon , Jonathan E. Handelzalts","doi":"10.1016/j.janxdis.2024.102897","DOIUrl":"10.1016/j.janxdis.2024.102897","url":null,"abstract":"<div><h3>Background</h3><p>Childbirth posttraumatic stress disorder (PTSD) poses significant challenges, impacting both mothers and infants. This work investigates whether childbirth PTSD is less recognized than PTSD caused by other index events.</p></div><div><h3>Methods</h3><p>In two preregistered experimens we investigated the public and professional perception of PTSD resulting from childbirth compared to other traumatic events (i.e., sexual assault, car accident, terror attack, and an earthquake).</p></div><div><h3>Findings</h3><p>Study 1, conducted among the general population in the U.S. revealed that a woman depicted as experiencing PTSD symptoms due to childbirth, was less likely to be recognized as suffering from PTSD than a woman with the same symptoms resulting from other traumatic events. Study 2 demonstrated that mental health professionals worldwide are also less inclined to diagnose PTSD when childbirth is the index event in comparison to other index events.</p></div><div><h3>Discussion</h3><p>Due to the importance of social recognition in the treatment of PTSD, the findings underscore the urgent need for heightened awareness and education regarding childbirth PTSD to bridge the recognition gap among the general population and mental health professionals.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"106 ","pages":"Article 102897"},"PeriodicalIF":4.8,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604358","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

Unveiling temporal dynamics of PTSD and its functional impairments: A longitudinal study in UK healthcare workers 揭示创伤后应激障碍及其功能障碍的时间动态：英国医护人员纵向研究

IF 4.8 2区医学

Journal of Anxiety Disorders Pub Date : 2024-07-07 DOI: 10.1016/j.janxdis.2024.102896

René Freichel , Philipp Herzog , Jo Billings , Michael A.P. Bloomfield , Richard J. McNally , Talya Greene

{"title":"Unveiling temporal dynamics of PTSD and its functional impairments: A longitudinal study in UK healthcare workers","authors":"René Freichel , Philipp Herzog , Jo Billings , Michael A.P. Bloomfield , Richard J. McNally , Talya Greene","doi":"10.1016/j.janxdis.2024.102896","DOIUrl":"10.1016/j.janxdis.2024.102896","url":null,"abstract":"<div><p>PTSD has been associated with negative long-term consequences, including social and occupational impairments. Yet, a nuanced understanding of the interplay between PTSD symptoms and distinct domains of impairments on a short-term basis (weeks/ months) at the within-person level remains underexplored. In a large sample (<em>n</em> <sub>wave 1</sub> = 1096, <em>n</em> <sub>wave 7</sub> = 304) of UK healthcare workers assessed across seven assessment waves during the COVID-19 pandemic (spaced 6 weeks apart), we employed exploratory graphical vector autoregression models (GVAR) models to discern within-person temporal (across time) and contemporaneous (within same time window) dynamics between PTSD symptoms and functional impairment domains. The contemporaneous network highlighted strong co-occurrences between different symptoms and impairments. The temporal network revealed a mutually reinforcing cycle between intrusion and avoidance symptoms. Intrusion symptoms showed the highest out-strength (i.e., most predictive symptom), predicting avoidance symptoms, elevated sense of current threat, and various functional impairments. Avoidance symptoms, elevated after increased levels of intrusions, predicted work impairments that in turn were associated with difficulties in fulfilling other obligations. Our findings underscore the dynamics between perceived threat and intrusions, and the role intrusions may play in predicting a cascade of adverse effects. Targeted interventions aimed at mitigating intrusions may disrupt this negative cycle.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"106 ","pages":"Article 102896"},"PeriodicalIF":4.8,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0887618524000720/pdfft?md5=7e73db0fa8f89b9741c2e964bbdf04a6&pid=1-s2.0-S0887618524000720-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141624067","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

Tonic immobility triggered by COVID-19-related trauma is associated with long-term PTSD symptoms COVID-19 相关创伤引发的强直性不运动与长期创伤后应激障碍症状有关。

IF 4.8 2区医学

Journal of Anxiety Disorders Pub Date : 2024-07-01 DOI: 10.1016/j.janxdis.2024.102894

Sérgio de Souza Junior , Camila Monteiro Fabricio Gama , Raquel Menezes Gonçalves , Thayssa Lorrany Campos Guerra , Eliane Volchan , Fátima Smith Erthal , Izabela Mocaiber , Isabel de Paula Antunes David , Liana Catarina Lima Portugal , Mauro Vitor Mendlowicz , William Berger , Leticia de Oliveira , Mirtes Garcia Pereira

{"title":"Tonic immobility triggered by COVID-19-related trauma is associated with long-term PTSD symptoms","authors":"Sérgio de Souza Junior , Camila Monteiro Fabricio Gama , Raquel Menezes Gonçalves , Thayssa Lorrany Campos Guerra , Eliane Volchan , Fátima Smith Erthal , Izabela Mocaiber , Isabel de Paula Antunes David , Liana Catarina Lima Portugal , Mauro Vitor Mendlowicz , William Berger , Leticia de Oliveira , Mirtes Garcia Pereira","doi":"10.1016/j.janxdis.2024.102894","DOIUrl":"10.1016/j.janxdis.2024.102894","url":null,"abstract":"<div><p>During the COVID-19 pandemic healthcare workers were repeatedly exposed to traumatic experiences. Facing life-threatening events and repeated exposure to traumatic duty-related situations may cause posttraumatic stress disorder (PTSD). While tonic immobility has been considered a key vulnerability factor for PTSD, little is known about this relationship in the long term. In this study, we aimed to determine whether peritraumatic tonic immobility triggered by COVID-19-related trauma predicts PTSD symptom severity six to twelve months later. We conducted an online longitudinal survey using the PTSD Checklist for the DSM-5 (PCL-5) and the Tonic Immobility Scale to assess PTSD symptoms and the tonic immobility response, respectively. Multivariate regression models revealed a significant association between tonic immobility and PTSD symptoms. Each one-unit increase in the tonic immobility score was associated with a 1.5 % increase in the average PTSD symptom score six to twelve months after the traumatic event that triggered the tonic immobility. Furthermore, participants who showed significant or extreme levels of tonic immobility were 3.5 times or 7.3 times more likely to have a probable PTSD diagnosis, respectively. Hence, peritraumatic tonic immobility seems to have a lasting deleterious effect on mental health. Psychological treatment for health care professionals is urgent, and psychoeducation about the involuntary, biological nature of tonic immobility is essential to reduce suffering.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"105 ","pages":"Article 102894"},"PeriodicalIF":4.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499292","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

Re-assessing the assessment of fears of positive and negative evaluation: Scale development and psychometric evaluation of the Bivalent Fear of Evaluation Scale (BFOES) 重新评估对正面和负面评价的恐惧：二元评价恐惧量表（BFOES）的量表开发和心理测量学评估

IF 4.8 2区医学

Journal of Anxiety Disorders Pub Date : 2024-07-01 DOI: 10.1016/j.janxdis.2024.102879

Justin W. Weeks , Miranda Beltzer , Karen M. Schmidt , Thomas M. Olino , Philippe R. Goldin , James J. Gross , Richard G. Heimberg , Peggy M. Zoccola

{"title":"Re-assessing the assessment of fears of positive and negative evaluation: Scale development and psychometric evaluation of the Bivalent Fear of Evaluation Scale (BFOES)","authors":"Justin W. Weeks , Miranda Beltzer , Karen M. Schmidt , Thomas M. Olino , Philippe R. Goldin , James J. Gross , Richard G. Heimberg , Peggy M. Zoccola","doi":"10.1016/j.janxdis.2024.102879","DOIUrl":"10.1016/j.janxdis.2024.102879","url":null,"abstract":"<div><p>The <em>bivalent fear of evaluation</em> (BFOE) model of social anxiety divides fear of evaluation into two distinct valences: fear of positive evaluation (FPE) and fear of negative evaluation (FNE). However, there is evidence that the two most widely utilized and psychometrically supported measures of FNE and FPE contain items which are ambiguous with regard to valence of evaluative fear. To formally address this, the BFOE Scale (BFOES) was developed, by merging items from measures of FNE and FPE into a single scale with an integrated response format. The present studies examined the psychometric profile of the BFOES across a large pooled archival dataset (<em>N</em> = 2216), which included approximately 10 % (<em>n</em> = 224) patients with social anxiety disorder (SAD). The factorial validity, internal consistency, and construct validity of the BFOES were examined. Additionally, item response theory analyses were employed for the purpose of merging items from self-report scales which utilized different Likert-type response formats. Results from both studies provided support for the psychometric profile of the BFOES. The implications of the BFOES for the assessment of social anxiety, and theoretical models of fear of evaluation and SAD, are discussed.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"105 ","pages":"Article 102879"},"PeriodicalIF":4.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141416155","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

Testing predictions from the memory and identity theory of ICD-11 complex posttraumatic stress disorder: Measurement development and initial findings 测试 ICD-11 复杂创伤后应激障碍的记忆和认同理论的预测：测量发展和初步发现

IF 4.8 2区医学

Journal of Anxiety Disorders Pub Date : 2024-07-01 DOI: 10.1016/j.janxdis.2024.102898

Philip Hyland , Mark Shevlin , Dmytro Martsenkovskyi , Menachem Ben-Ezra , Chris R. Brewin

{"title":"Testing predictions from the memory and identity theory of ICD-11 complex posttraumatic stress disorder: Measurement development and initial findings","authors":"Philip Hyland , Mark Shevlin , Dmytro Martsenkovskyi , Menachem Ben-Ezra , Chris R. Brewin","doi":"10.1016/j.janxdis.2024.102898","DOIUrl":"https://doi.org/10.1016/j.janxdis.2024.102898","url":null,"abstract":"<div><h3>Background</h3><p>The ‘Memory and Identity Theory’ of <em>ICD-11</em> Complex Posttraumatic Stress Disorder (CPTSD) was recently published but has not yet been subjected to empirical testing. The objective of this study was to evaluate newly developed measures of memory and identity disturbances and test hypothesized structural relations between these constructs and CPTSD symptoms.</p></div><div><h3>Methods</h3><p>Self-report data were collected from a nationwide sample of adults living in Ukraine (<em>N</em> = 2050) in September 2023. Exploratory factor analysis was used to assess the latent structure of the newly developed measures, and structural equation modeling was used to test the associations between memory and identity disturbances and CPTSD symptoms.</p></div><div><h3>Results</h3><p>90 % of participants experienced a lifetime trauma, and 9.2 % screened positive for <em>ICD-11</em> CPTSD. Results indicated that the newly developed measures of memory and identity problems possessed satisfactory psychometric properties, and all but one of the model-implied structural associations were observed.</p></div><div><h3>Conclusion</h3><p>This study provides initial empirical support for the Memory and Identity theory of <em>ICD-11</em> CPTSD, indicating that the basis of this disorder lies in distinct memory and identity processes. Several effects not predicted by the theory were observed, and these can provide the basis for further model testing and refinement.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"105 ","pages":"Article 102898"},"PeriodicalIF":4.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141582137","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

Interventions to reduce adult state anxiety, dental trait anxiety, and dental phobia: A systematic review and meta-analyses of randomized controlled trials 减少成人状态焦虑、牙科特质焦虑和牙科恐惧症的干预措施：随机对照试验的系统回顾和荟萃分析。

IF 4.8 2区医学

Journal of Anxiety Disorders Pub Date : 2024-07-01 DOI: 10.1016/j.janxdis.2024.102891

Serge A. Steenen , Fabiënne Linke , Roos van Westrhenen , Ad de Jongh

{"title":"Interventions to reduce adult state anxiety, dental trait anxiety, and dental phobia: A systematic review and meta-analyses of randomized controlled trials","authors":"Serge A. Steenen , Fabiënne Linke , Roos van Westrhenen , Ad de Jongh","doi":"10.1016/j.janxdis.2024.102891","DOIUrl":"10.1016/j.janxdis.2024.102891","url":null,"abstract":"<div><p>This review evaluates randomized controlled trials (RCTs) intervening on adult state anxiety (fear and emotional distress during dental treatment), chronic dental (trait) anxiety or dental phobia (disproportionately high trait anxiety; meeting diagnostic criteria for specific phobia). Seven online databases were systematically searched. 173 RCTs met inclusion criteria, of which 67 qualified for 14 pooled analyses. To alleviate state anxiety during oral surgery, moderate-certainty evidence supports employing hypnosis (<em>SMD</em>=–0.31, <em>95 %CI</em>[–0.56,–0.05]), and low-certainty evidence supports prescribing benzodiazepines (<em>SMD</em>=–0.43, [–0.74,–0.12]). Evidence for reducing state anxiety is inconclusive regarding psychotherapy, and does not support virtual reality exposure therapy (VRET), virtual reality distraction, music, aromatherapy, video information and acupuncture. To reduce trait anxiety, moderate-certainty evidence supports using Cognitive Behavioral Therapy (CBT; <em>SMD</em>=–0.65, [–1.06, –0.24]). Regarding dental phobia, evidence with low-to-moderate certainty supports employing psychotherapy (<em>SMD</em>=–0.48, [–0.72,–0.24]), and CBT specifically (<em>SMD</em>=–0.43, [–0.68,–0.17]), but not VRET. These results show that dental anxieties are manageable and treatable. Clinicians should ensure that interventions match their purpose—managing acute emotions during treatment, or alleviating chronic anxiety and avoidance tendencies. Existing research gaps underscore the necessity for future trials to minimize bias and follow CONSORT reporting guidelines.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"105 ","pages":"Article 102891"},"PeriodicalIF":4.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0887618524000677/pdfft?md5=21ea3f7200299bd8728d747dd47c1bf0&pid=1-s2.0-S0887618524000677-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471688","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

Development and validation of the positive evaluation core beliefs scale for social anxiety 社交焦虑积极评价核心信念量表的开发与验证

IF 10.3 2区医学

Journal of Anxiety Disorders Pub Date : 2024-06-13 DOI: 10.1016/j.janxdis.2024.102890

Sarina I. Cook, Christina Bryant, Lisa J. Phillips

引用次数: 0

A novel independence intervention to treat child anxiety: A nonconcurrent multiple baseline evaluation 治疗儿童焦虑症的新型独立干预措施：非同期多重基线评估

IF 10.3 2区医学

Journal of Anxiety Disorders Pub Date : 2024-06-11 DOI: 10.1016/j.janxdis.2024.102893

Camilo Ortiz, Matthew Fastman

{"title":"A novel independence intervention to treat child anxiety: A nonconcurrent multiple baseline evaluation","authors":"Camilo Ortiz, Matthew Fastman","doi":"10.1016/j.janxdis.2024.102893","DOIUrl":"10.1016/j.janxdis.2024.102893","url":null,"abstract":"<div><p>Rates of child and adolescent anxiety have increased markedly over the past decade (Haidt & Twenge, 2023). Exposure-based cognitive-behavioral therapy is the gold standard in the treatment of anxious children (<span>Hofmann et al. (2012)</span>). However, many clinicians refrain from using exposure due to concerns about its safety, effectiveness, and ethics (Deacon et al., 2013; Whiteside et al., 2016). We propose a novel treatment approach for child anxiety composed of independence activities (IAs), which are child-directed, fun, unstructured, developmentally challenging tasks performed without parents’ help. These tasks are purposely topographically unrelated to the stimuli that cause anxiety, in direct contrast to exposure therapy. Despite this dissimilarity, IAs target putative mechanisms involved in the development and maintenance of child anxiety (e.g., parental accommodation and overinvolvement, child avoidance, unhelpful thinking styles). Using a nonconcurrent multiple baseline design, this five-session treatment provided preliminary evidence of high treatment acceptability from children and parents. Medium to large improvements were reported in child anxiety and avoidance, parent and child (behavioral and cognitive) mechanisms involved in the maintenance of child anxiety, and untargeted secondary outcomes such as child happiness. Results may suggest a new treatment paradigm, which is desperately needed, given unabated increases in child and adolescent anxiety despite vast resources being directed toward the problem.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"105 ","pages":"Article 102893"},"PeriodicalIF":10.3,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141415910","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

Sleep deprivation increases the generalization of perceptual and concept-based fear: An fNIRS study 剥夺睡眠会增加知觉恐惧和概念恐惧的泛化：fNIRS 研究

IF 10.3 2区医学

Journal of Anxiety Disorders Pub Date : 2024-06-11 DOI: 10.1016/j.janxdis.2024.102892

Jie Zhang , Jinxia Wang , Yuanyuan Wang , Dandan Zhang , Hong Li , Yi Lei

{"title":"Sleep deprivation increases the generalization of perceptual and concept-based fear: An fNIRS study","authors":"Jie Zhang , Jinxia Wang , Yuanyuan Wang , Dandan Zhang , Hong Li , Yi Lei","doi":"10.1016/j.janxdis.2024.102892","DOIUrl":"10.1016/j.janxdis.2024.102892","url":null,"abstract":"<div><p>Insufficient sleep can initiate or exacerbate anxiety by triggering excessive fear generalization. In this study, a de novo paradigm was developed and used to examine the neural mechanisms governing the effects of sleep deprivation on processing perceptual and concept-based fear generalizations. A between-subject design was adopted, wherein a control group (who had a typical night's sleep) and a one-night sleep deprivation group completed a fear acquisition task at 9:00 PM on the first day and underwent a generalization test the following morning at 7:00 AM. In the fear acquisition task, navy blue and olive green were used as perceptual cues (P+ and P−, respectively), while animals and furniture items were used as conceptual cues (C+ and C−, respectively). Generalization was tested for four novel generalized categories (C+P+, C+P−, C−P+, and C−P−). Shock expectancy ratings, skin conductance responses, and functional near-infrared spectroscopy were recorded during the fear acquisition and generalization processes. Compared with the group who had a typical night's sleep, the sleep deprived group showed higher shock expectancy ratings (especially for P+ and C−), increased oxygenated hemoglobin in the dorsolateral prefrontal cortex, and increased activation in the triangular inferior frontal gyrus during the generalization test. These findings suggest that sleep deprivation increases the generalization of threat memories, thus providing insights into the overgeneralization characteristics of anxiety and fear-related disorders.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"105 ","pages":"Article 102892"},"PeriodicalIF":10.3,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398424","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 efficacy of psychotherapy for social anxiety disorder, a systematic review and meta-analysis 心理疗法对社交焦虑症的疗效，系统回顾与荟萃分析。

IF 10.3 2区医学

Journal of Anxiety Disorders Pub Date : 2024-06-01 DOI: 10.1016/j.janxdis.2024.102881

Nino de Ponti , Minoo Matbouriahi , Pamela Franco , Mathias Harrer , Clara Miguel , Davide Papola , Ayşesu Sicimoğlu , Pim Cuijpers , Eirini Karyotaki

{"title":"The efficacy of psychotherapy for social anxiety disorder, a systematic review and meta-analysis","authors":"Nino de Ponti , Minoo Matbouriahi , Pamela Franco , Mathias Harrer , Clara Miguel , Davide Papola , Ayşesu Sicimoğlu , Pim Cuijpers , Eirini Karyotaki","doi":"10.1016/j.janxdis.2024.102881","DOIUrl":"10.1016/j.janxdis.2024.102881","url":null,"abstract":"<div><h3>Background</h3><p>Given the growth in research examining the effects of psychotherapy on social anxiety disorder (SAD), an up-to-date comprehensive meta-analysis in this field is needed.</p></div><div><h3>Methods</h3><p>We selected studies from a database of randomized trials (RCTs) on psychotherapies for anxiety disorders (last updated search of PubMed, PsycINFO, Embase, and Cochrane (CENTRAL): 1 January 2024) We included RCTs comparing psychotherapy to a control condition for adults with SAD and conducted random effects meta-analyses to examine the efficacy of psychotherapy compared to control conditions at post-treatment.</p></div><div><h3>Results</h3><p>Sixty-six RCTs were included with 5560 participants and 98 comparisons between psychotherapy and control groups. Psychotherapy was effective in reducing SAD symptoms, with a large effect size (<em>g</em> = 0.88; 95 % CI: 0.76 to 1.0; I<sup>2</sup> = 74 %; 95 % CI: 69 to 79, NNT = 3.8). Effects remained robust across sensitivity analyses. However, there was evidence for significant risk of bias in the included trials. The multivariable meta-regression indicated significant differences in treatment delivery formats, type of recruitment strategy, target group, and number of sessions.</p></div><div><h3>Conclusion</h3><p>Psychotherapy is an effective treatment for SAD, with moderate to large effect sizes across all treatment types and formats. Future research is needed to determine the long-term effects.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"104 ","pages":"Article 102881"},"PeriodicalIF":10.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0887618524000574/pdfft?md5=83c2a3296d69a6fb60c94c7009d46c1d&pid=1-s2.0-S0887618524000574-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181198","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