Journal of Anxiety Disorders最新文献

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Symptom distress and psychosocial functioning improve bidirectionally during cognitive-behavioral therapy for anxiety disorders 认知行为疗法治疗焦虑症期间,症状困扰和社会心理功能会得到双向改善
IF 10.3 2区 医学
Journal of Anxiety Disorders Pub Date : 2024-02-01 DOI: 10.1016/j.janxdis.2024.102843
Kayla A. Lord , David F. Tolin
{"title":"Symptom distress and psychosocial functioning improve bidirectionally during cognitive-behavioral therapy for anxiety disorders","authors":"Kayla A. Lord ,&nbsp;David F. Tolin","doi":"10.1016/j.janxdis.2024.102843","DOIUrl":"10.1016/j.janxdis.2024.102843","url":null,"abstract":"<div><p>The efficacy of cognitive-behavioral therapy (CBT) for reducing anxiety disorder symptoms is well documented. However, limited research has investigated how symptom amelioration is temporally associated with changes in psychosocial functioning, such as interpersonal and social role functioning, during CBT. Participants were 288 (<em>M</em> age = 37.00 [<em>SD</em><span> = 14.41]; 59.0% female; 69.0% White; 6.6% Hispanic/Latino) outpatients diagnosed with an anxiety disorder who received CBT at a specialized hospital-based clinic. Participants completed the Outcome Questionnaire-45, a measure of symptom distress, social role performance, and interpersonal problems, at initial assessment and prior to each treatment session. Symptom distress and indicators of psychosocial functioning were robustly related during 25 sessions of CBT. Cross-lagged analyses revealed that reductions in symptom distress predicted subsequent improvements in psychosocial functioning during treatment, and vice versa. Associations from symptom distress to subsequent psychosocial functioning evidenced larger effect sizes than the reverse. Lower levels of severity at intake and presence of comorbid depression attenuated the association between symptom reduction and subsequent social role performance improvement. In sum, anxiety symptoms and psychosocial functioning bidirectionally improve during CBT for anxiety disorders. Maximally effective treatments may be those that simultaneously ameliorate symptoms and focus on improving functioning in key domains.</span></p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"103 ","pages":"Article 102843"},"PeriodicalIF":10.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139666368","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
Introduction to a special issue on the contrast avoidance model 对比回避模型特刊导言
IF 10.3 2区 医学
Journal of Anxiety Disorders Pub Date : 2024-01-10 DOI: 10.1016/j.janxdis.2024.102831
Michelle G. Newman , Amy Przeworski
{"title":"Introduction to a special issue on the contrast avoidance model","authors":"Michelle G. Newman ,&nbsp;Amy Przeworski","doi":"10.1016/j.janxdis.2024.102831","DOIUrl":"10.1016/j.janxdis.2024.102831","url":null,"abstract":"<div><p>The current paper introduces the special issue on the Contrast Avoidance Model. The Contrast Avoidance Mmodel theorizes that chronic worriers are afraid of a sharp increase in negative emotion and/or sharp reduction in positive emotion (labeled negative emotional contrasts; NECs). They thus use perseverative thought as means to create and sustain negative emotion to prevent NECs if they were to experience negative events. Further, these individuals are uncomfortable with sustained positive emotion because it leaves them vulnerable to NECs. At the same time, worry increases the probability of positive emotional contrasts (PECs), or sharp increases in positive emotion or decreases in negative emotion when things turn out better than expected or positive events are experienced. Therefore, these individuals generate negative emotion via perseverative thought as a way to avoid NECs and increase the likelihood of PECs. The current special issue provides novel research on the model.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"102 ","pages":"Article 102831"},"PeriodicalIF":10.3,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139410724","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 Contrast Avoidance Model: Conclusion and synthesis of new research in the special issue 对比回避模型:特刊中的结论和新研究综述
IF 10.3 2区 医学
Journal of Anxiety Disorders Pub Date : 2024-01-10 DOI: 10.1016/j.janxdis.2024.102830
Amy Przeworski , Michelle G. Newman
{"title":"The Contrast Avoidance Model: Conclusion and synthesis of new research in the special issue","authors":"Amy Przeworski ,&nbsp;Michelle G. Newman","doi":"10.1016/j.janxdis.2024.102830","DOIUrl":"10.1016/j.janxdis.2024.102830","url":null,"abstract":"<div><p>In this special series, new research on the Contrast Avoidance Model (CAM) was presented, including studies on the role of CAM in the maintenance of chronic worry, the incremental validity<span> of CAM, CAM as a mediator of the association between generalized anxiety disorder (GAD) and other variables, CAM as transdiagnostic, and interpersonal behaviors as a means to avoid negative emotional contrasts (NECs). Furthermore, the role of perseverative thought in relation to positive emotional contrasts (PECs) was explored. Studies indicated that higher worry was positively and negatively reinforced, a factor that is likely to contribute to the maintenance of GAD. Further, research demonstrated that CAM contributed unique variance to understanding GAD above and beyond other variables associated with GAD, such as intolerance of uncertainty and negative problem orientation. Additional research revealed the transdiagnostic nature of contrast avoidance, as well as the association between contrast avoidance and problem-solving deficits. In addition, both worry and rumination increased the likelihood of PECs. Further, data suggested that anxious individuals may use interpersonal strategies to avoid NECs. Finally, savoring positive emotions was found to reduce contrast avoidance, providing a novel intervention strategy to address contrast avoidance in individuals with GAD.</span></p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"102 ","pages":"Article 102830"},"PeriodicalIF":10.3,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457401","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
Cannabis use and trauma-focused treatment for co-occurring posttraumatic stress disorder and substance use disorders: A meta-analysis of individual patient data 大麻的使用和针对创伤后应激障碍和药物使用障碍并发症的以创伤为重点的治疗:个体患者数据的荟萃分析
IF 10.3 2区 医学
Journal of Anxiety Disorders Pub Date : 2024-01-10 DOI: 10.1016/j.janxdis.2024.102827
Melanie L. Hill , Alexander C. Kline , Tanya C. Saraiya , Jordan Gette , Lesia M. Ruglass , Sonya B. Norman , Sudie E. Back , Lissette M. Saavedra , Denise A. Hien , Antonio A. Morgan-López
{"title":"Cannabis use and trauma-focused treatment for co-occurring posttraumatic stress disorder and substance use disorders: A meta-analysis of individual patient data","authors":"Melanie L. Hill ,&nbsp;Alexander C. Kline ,&nbsp;Tanya C. Saraiya ,&nbsp;Jordan Gette ,&nbsp;Lesia M. Ruglass ,&nbsp;Sonya B. Norman ,&nbsp;Sudie E. Back ,&nbsp;Lissette M. Saavedra ,&nbsp;Denise A. Hien ,&nbsp;Antonio A. Morgan-López","doi":"10.1016/j.janxdis.2024.102827","DOIUrl":"10.1016/j.janxdis.2024.102827","url":null,"abstract":"<div><p><span>High rates of cannabis use<span> among people with posttraumatic stress disorder<span><span> (PTSD) have raised questions about the efficacy of evidence-based PTSD treatments for individuals reporting cannabis use, particularly those with co-occurring alcohol or other substance use disorders (SUDs). Using a subset of four </span>randomized clinical trials (RCTs) included in </span></span></span><em>Project Harmony</em>, an individual patient meta-analysis of 36 RCTs (total N = 4046) of treatments for co-occurring PTSD+SUD, we examined differences in trauma-focused (TF) and non-trauma-focused (non-TF) treatment outcomes for individuals who did and did not endorse baseline cannabis use (N = 410; 70% male; 33.2% endorsed cannabis use). Propensity score-weighted mixed effects modeling evaluated main and interactive effects of treatment assignment (TF versus non-TF) and baseline cannabis use (yes/no) on attendance rates and within-treatment changes in PTSD, alcohol, and non-cannabis drug use severity. Results revealed significant improvements across outcomes among participants in all conditions, with larger PTSD symptom reductions but lower attendance among individuals receiving TF versus non-TF treatment in both cannabis groups. Participants achieved similar reductions in alcohol and drug use across all conditions. TF outperformed non-TF treatments regardless of recent cannabis use, underscoring the importance of reducing barriers to accessing TF treatments for individuals reporting cannabis use.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"102 ","pages":"Article 102827"},"PeriodicalIF":10.3,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139410635","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
Post-what stress? A review of methods of research on posttraumatic stress during COVID-19 什么创伤后应激反应?COVID-19 期间创伤后应激反应研究方法综述
IF 10.3 2区 医学
Journal of Anxiety Disorders Pub Date : 2024-01-10 DOI: 10.1016/j.janxdis.2024.102829
Emilie Muysewinkel , Lise Eilin Stene , Helena Van Deynse , Lara Vesentini , Johan Bilsen , Roel Van Overmeire
{"title":"Post-what stress? A review of methods of research on posttraumatic stress during COVID-19","authors":"Emilie Muysewinkel ,&nbsp;Lise Eilin Stene ,&nbsp;Helena Van Deynse ,&nbsp;Lara Vesentini ,&nbsp;Johan Bilsen ,&nbsp;Roel Van Overmeire","doi":"10.1016/j.janxdis.2024.102829","DOIUrl":"10.1016/j.janxdis.2024.102829","url":null,"abstract":"<div><h3>Background</h3><p><span>Post-traumatic stress (PTS) was extensively investigated during the COVID-19 pandemic. However, numerous researchers have raised concerns regarding the adherence of many of these studies to the diagnostic criteria for PTSD as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM) or the </span>International Classification of Diseases (ICD). This review aimed to provide insight into the methodology of research on PTS during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>Two independent reviewers examined a total of 1129 studies published between 1/01/2020 and 1/07/2023. The investigation focused on the scales employed to assess PTS, the diagnostic framework used (DSM or ICD), whether there was referral to an index-event in the PTS measurement and country where data collection took place.</p></div><div><h3>Results</h3><p>Among the 1129 studies, 70.0% did not provide any indication of an index-event to which PTS symptoms were attributed. Only 11.3% of the studies explicitly indicated an index-event associated with the PTS symptoms. Furthermore, 54.1% of the studies utilized scales based on DSM-IV criteria. Finally, the majority of PTS-studies had data collections in China, United States and Italy.</p></div><div><h3>Conclusion</h3><p>A limited number of studies conducted during the COVID-19 pandemic reported use of an index-event in their PTS measurement. Furthermore, most studies used scales based on a previous iteration of the most used diagnostical system, namely the DSM. This delay in the implementation of new diagnostic criteria, may impair the clinical relevance of scientific studies.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"102 ","pages":"Article 102829"},"PeriodicalIF":10.3,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139411170","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
Catching a (sine) wave: Temporal dynamics of nonverbal synchrony in social anxiety disorder 捕捉(正弦)波:社交焦虑症患者非语言同步的时间动态变化
IF 10.3 2区 医学
Journal of Anxiety Disorders Pub Date : 2024-01-09 DOI: 10.1016/j.janxdis.2024.102828
Hallel Shatz , Maya Asher , Idan M. Aderka
{"title":"Catching a (sine) wave: Temporal dynamics of nonverbal synchrony in social anxiety disorder","authors":"Hallel Shatz ,&nbsp;Maya Asher ,&nbsp;Idan M. Aderka","doi":"10.1016/j.janxdis.2024.102828","DOIUrl":"10.1016/j.janxdis.2024.102828","url":null,"abstract":"<div><p><span>Individuals with social anxiety disorder (SAD) experience a range of interpersonal problems and studies have found that nonverbal synchrony (the coordination between interaction partners’ movements) may be impaired in dyads in which one individual has SAD (Asher et al., 2020). In the present study, we examined the temporal dynamics of nonverbal synchrony during “getting aquatinted” conversations of individuals with and without SAD. Specifically, participants (</span><em>n</em> = 146) formed either SAD dyads (dyads in which one individual had SAD and the other did not; <em>n</em> = 37 dyads), or control dyads (dyads in which both individuals did not have SAD; <em>n</em> = 36 dyads). Dyads were randomized to either small talk or closeness-generating (i.e., intimate) conversations. We found that during conversations, nonverbal synchrony followed a repeating pattern of increases and decreases that was best modeled by a sinusoidal wave (explained variance = 63.74 %). We found significant Diagnosis × Social Context interactions in the temporal dynamics of nonverbal synchrony (i.e., in the parameters of sine waves). Specifically, we found that for SAD dyads (but not control dyads), the average sine wave amplitude which indicates increases and decreases in nonverbal synchrony was greater during small talk conversations compared to closeness-generating conversations. In addition, we found that among control dyads (but not SAD dyads), the average vertical offset of sine waves (i.e., the average level of nonverbal synchrony) during closeness-generating conversations was greater compared to small talk conversations. The findings are interpreted within the context of the social anxiety literature as capturing two distinct social-anxiety related processes, and suggest that when examined temporally (rather than averaged), nonverbal synchrony may be an important implicit biomarker of SAD.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"102 ","pages":"Article 102828"},"PeriodicalIF":10.3,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139410633","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
Positive reappraisal coping mediates the relationship between parental abuse and lack of affection on adulthood generalized anxiety severity 积极的再评价应对方式能调节父母虐待和缺乏关爱与成年期广泛焦虑严重程度之间的关系
IF 10.3 2区 医学
Journal of Anxiety Disorders Pub Date : 2024-01-09 DOI: 10.1016/j.janxdis.2024.102826
Matthew H.S. Ng , Nur Hani Zainal , Michelle Gayle Newman
{"title":"Positive reappraisal coping mediates the relationship between parental abuse and lack of affection on adulthood generalized anxiety severity","authors":"Matthew H.S. Ng ,&nbsp;Nur Hani Zainal ,&nbsp;Michelle Gayle Newman","doi":"10.1016/j.janxdis.2024.102826","DOIUrl":"10.1016/j.janxdis.2024.102826","url":null,"abstract":"<div><p><span>Exposure to parental abuse and lack of parental affection during childhood are risk factors for adulthood psychopathology. Tendency to engage in positive reappraisal may be a plausible mechanism underlying this relationship. The current study examined if positive reappraisal coping mediated the relationship between maternal/paternal abuse/affection and adulthood generalized anxiety disorder (GAD) symptoms. Participant data (</span><em>N</em> = 3294) from the Midlife Development in the United States study was collected in three waves, spaced nine years apart. Longitudinal structural equation mediation modeling examined whether positive reappraisal coping at Time 2 mediated the relationship between maternal/paternal abuse/affection at Time 1 and GAD symptoms at Time 3, controlling for GAD symptoms at Time 1. Positive reappraisal coping mediated maternal/paternal childhood abuse – GAD symptom severity and maternal/paternal childhood affection – GAD severity relations. Maternal and paternal abuse was associated with lower positive reappraisal tendencies, predicting increased GAD symptom severity. Conversely, higher maternal/paternal affection was associated with increased positive reappraisal, predicting lower GAD severity. Incremental prediction revealed that childhood abuse to GAD severity via positive reappraisal path was significant for maternal but not paternal abuse, whereas affection from both parents remained significant. Positive reappraisal coping may be a possible mechanism linking childhood experiences to adulthood GAD severity.</p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"102 ","pages":"Article 102826"},"PeriodicalIF":10.3,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139410719","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
Which client with generalized anxiety disorder benefits from a mindfulness ecological momentary intervention versus a self-monitoring app? Developing a multivariable machine learning predictive model 正念生态瞬间干预与自我监控应用程序相比,哪种方法更适合广泛性焦虑症患者?开发多变量机器学习预测模型
IF 10.3 2区 医学
Journal of Anxiety Disorders Pub Date : 2024-01-05 DOI: 10.1016/j.janxdis.2024.102825
Nur Hani Zainal , Michelle G. Newman
{"title":"Which client with generalized anxiety disorder benefits from a mindfulness ecological momentary intervention versus a self-monitoring app? Developing a multivariable machine learning predictive model","authors":"Nur Hani Zainal ,&nbsp;Michelle G. Newman","doi":"10.1016/j.janxdis.2024.102825","DOIUrl":"10.1016/j.janxdis.2024.102825","url":null,"abstract":"<div><p><span><span>Precision medicine methods (machine learning; ML) can identify which clients with generalized anxiety disorder (GAD) benefit from </span>mindfulness<span> ecological momentary intervention (MEMI) vs. self-monitoring app (SM). We used randomized controlled trial data of MEMI vs. SM for GAD (</span></span><em>N</em><span> = 110) and tested three ML models to predict one-month follow-up reliable improvement in GAD severity, perseverative cognitions (PC), trait mindfulness<span><span> (TM), and executive function (EF). Eleven baseline predictors were tested regarding differential reliable change from MEMI vs. SM (age, sex, race, EF errors, inhibitory dyscontrol, set-shifting deficits, verbal fluency, working memory, GAD severity, TM, PC). The final top five prescriptive predictor models of all outcomes performed well (AUC = .752 .886). The following variables predicted better outcome from MEMI vs. SM: Higher GAD severity predicted more GAD improvement but less EF improvement. Elevated PC, inhibitory dyscontrol, and verbal </span>dysfluency predicted better improvement in most outcomes. Greater set-shifting and TM predicted stronger improvements in GAD symptoms and TM. Older age predicted more alleviation of GAD and PC symptoms. Women exhibited more enhancements in trait mindfulness and EF than men. White individuals benefitted more than non-White. PC, TM, EF, and sociodemographic data might help predictive models optimize intervention selection for GAD.</span></span></p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"102 ","pages":"Article 102825"},"PeriodicalIF":10.3,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139373925","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
Crisis response planning rapidly reduces suicidal ideation among U.S. military veterans receiving massed cognitive processing therapy for PTSD 危机应对计划可迅速减少因创伤后应激障碍而接受大规模认知处理疗法的美国退伍军人的自杀倾向
IF 10.3 2区 医学
Journal of Anxiety Disorders Pub Date : 2023-12-21 DOI: 10.1016/j.janxdis.2023.102824
Craig J. Bryan , AnnaBelle O. Bryan , Lauren R. Khazem , Darrin M. Aase , Jose L. Moreno , Ennio Ammendola , Christina Rose Bauder , Jaryd Hiser , Samantha E. Daruwala , Justin C. Baker
{"title":"Crisis response planning rapidly reduces suicidal ideation among U.S. military veterans receiving massed cognitive processing therapy for PTSD","authors":"Craig J. Bryan ,&nbsp;AnnaBelle O. Bryan ,&nbsp;Lauren R. Khazem ,&nbsp;Darrin M. Aase ,&nbsp;Jose L. Moreno ,&nbsp;Ennio Ammendola ,&nbsp;Christina Rose Bauder ,&nbsp;Jaryd Hiser ,&nbsp;Samantha E. Daruwala ,&nbsp;Justin C. Baker","doi":"10.1016/j.janxdis.2023.102824","DOIUrl":"10.1016/j.janxdis.2023.102824","url":null,"abstract":"<div><p><span>Posttraumatic stress disorder (PTSD) is common among U.S. military veterans and is associated with increased risk of suicidal thoughts and behaviors. Crisis response planning (CRP), a brief safety planning-type intervention, has been shown to rapidly reduce suicidal ideation and suicide attempts in emergency and acute care settings. CRP’s effectiveness when combined with trauma-focused therapies remains unknown. In this randomized pragmatic </span>clinical trial<span><span> with one-year follow-up, 157 U.S. military personnel and veterans were randomly assigned to receive CRP or self-guided safety planning (SP) prior to beginning massed cognitive processing therapy (CPT) for PTSD. Among 51 (32.5 % of sample) participants endorsing suicidal ideation at baseline, reductions in the severity of suicidal ideation were significantly larger and faster in CRP (F(11,672)= 15.8, p &lt; .001). Among 106 participants denying suicidal ideation at baseline, 8.5 % of CRP participants versus 11.9 % of SP participants (OR=0.69, 95 % CI=0.19–2.52) reported new-onset suicidal ideation during any follow-up assessment. PTSD symptoms significantly reduced over time with no differences between groups. Results support the effectiveness of CRP for rapidly reducing suicidal ideation and managing suicide risk during outpatient </span>treatment for PTSD.</span></p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"102 ","pages":"Article 102824"},"PeriodicalIF":10.3,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988773","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
When eco-anger (but not eco-anxiety nor eco-sadness) makes you change! A temporal network approach to the emotional experience of climate change 当生态愤怒(而不是生态焦虑或生态悲伤)让你改变时!用时间网络方法研究气候变化的情感体验
IF 10.3 2区 医学
Journal of Anxiety Disorders Pub Date : 2023-12-21 DOI: 10.1016/j.janxdis.2023.102822
Alba Contreras , M. Annelise Blanchard , Camille Mouguiama-Daouda , Alexandre Heeren
{"title":"When eco-anger (but not eco-anxiety nor eco-sadness) makes you change! A temporal network approach to the emotional experience of climate change","authors":"Alba Contreras ,&nbsp;M. Annelise Blanchard ,&nbsp;Camille Mouguiama-Daouda ,&nbsp;Alexandre Heeren","doi":"10.1016/j.janxdis.2023.102822","DOIUrl":"10.1016/j.janxdis.2023.102822","url":null,"abstract":"<div><p>Research on the emotional experience of climate change has become a hot topic. Yet uncertainties remain regarding the interplay between climate change-related emotions (i.e., eco-anxiety, eco-anger, eco-sadness), general emotions (i.e., regardless of climate change), and pro-environmental behaviors. Most previous research has focused on cross-sectional studies, and eco-emotions in everyday life<span> have seldom been considered. In this preregistered study, 102 participants from the general population rated their eco-emotions (i.e., eco-anxiety, eco-anger, eco-sadness), general emotions (i.e., anxiety, anger, sadness), and pro-environmental intentions and behaviors daily over a 60-day period. Using a multilevel vector autoregressive approach, we computed three network models representing temporal (i.e., from one time-point to the next), contemporaneous (i.e., during the same time-frame), and between-subject (i.e., similar to cross-sectional approach) associations between variables. Results show that eco-anger was the only predictor of pro-environmental intentions and behaviors over time. At the contemporaneous level, the momentary experience of each eco-emotion was associated with the momentary emotional experience of the corresponding general emotion, indicating the distinctiveness of each eco-emotion and the correspondence between its experience and that of its general, non-climate-related emotion. Overall, our findings 1) emphasize the driving role of eco-anger in prompting pro-environmental behaviors over time, 2) suggest a functional and experiential distinction between eco-emotions, and 3) provide data-driven clues for the field's larger quest to establish the scientific foundations of eco-emotions.</span></p></div>","PeriodicalId":48390,"journal":{"name":"Journal of Anxiety Disorders","volume":"102 ","pages":"Article 102822"},"PeriodicalIF":10.3,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988994","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
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