Journal of mood and anxiety disorders最新文献

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The relationship between risk perception, anxiety and paranoia – A predictive model in a community sample 风险意识、焦虑和妄想症之间的关系--社区样本中的预测模型
Journal of mood and anxiety disorders Pub Date : 2024-01-20 DOI: 10.1016/j.xjmad.2024.100052
Suzanne H. So , Anson Kai Chun Chau , Brandon A. Gaudiano , Lyn Ellett , Tania M. Lincoln , Eric M.J. Morris , Jessica L. Kingston
{"title":"The relationship between risk perception, anxiety and paranoia – A predictive model in a community sample","authors":"Suzanne H. So ,&nbsp;Anson Kai Chun Chau ,&nbsp;Brandon A. Gaudiano ,&nbsp;Lyn Ellett ,&nbsp;Tania M. Lincoln ,&nbsp;Eric M.J. Morris ,&nbsp;Jessica L. Kingston","doi":"10.1016/j.xjmad.2024.100052","DOIUrl":"10.1016/j.xjmad.2024.100052","url":null,"abstract":"<div><h3>Background</h3><p>Biases in risk perception (e.g. excessive attribution of likelihood of negative events happening to oneself, or perceived harm of neutral events) have been suggested as risk factors for psychopathologies such as generalised anxiety and persecutory ideation, although this line of research is limited by small samples and a lack of a suitable risk perception scale.</p></div><div><h3>Methods</h3><p>Using the Risk Perception Questionnaire, four risk perception dimensions (likelihood, harm, controllability, and intentionality) of negative and neutral events were tested in association with anxiety and paranoia. In view of common co-occurrence between the two symptom variables, their associations with risk perception were tested by using partial correlations (at baseline) and comparisons of cross-lagged path models (over 3 months).</p></div><div><h3>Results</h3><p>A representative community-based sample of 445 adults were included. At baseline, after controlling for correlations between levels of anxiety and paranoia, anxiety was uniquely correlated with three risk perception dimensions for negative events (likelihood, harm, and intentionality), whereas paranoia was uniquely correlated with all risk perception dimensions for both negative and neutral events. The best-fitted cross-lagged path model revealed that, after controlling for auto-regressions within variables, baseline level of anxiety predicted perceived harm of negative events at 3 months, whereas baseline levels of perceived intentionality of neutral events and likelihood of negative events predicted level of paranoia at 3 months.</p></div><div><h3>Conclusions</h3><p>While risk perception of negative events is shared between anxiety and paranoia, risk perception of neutral events is uniquely characteristic of paranoia. Implications on maintenance of sub-clinical symptoms are discussed.</p></div>","PeriodicalId":73841,"journal":{"name":"Journal of mood and anxiety disorders","volume":"5 ","pages":"Article 100052"},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950004424000063/pdfft?md5=0077f63d286e2309cc26f2714a960730&pid=1-s2.0-S2950004424000063-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neural markers of emotion regulation difficulties in adolescent depression and risk for depression 青少年抑郁和抑郁风险中情绪调节障碍的神经标记
Journal of mood and anxiety disorders Pub Date : 2024-01-19 DOI: 10.1016/j.xjmad.2024.100051
Lindsay Dickey, Anh Dao, Samantha Pegg, Autumn Kujawa
{"title":"Neural markers of emotion regulation difficulties in adolescent depression and risk for depression","authors":"Lindsay Dickey,&nbsp;Anh Dao,&nbsp;Samantha Pegg,&nbsp;Autumn Kujawa","doi":"10.1016/j.xjmad.2024.100051","DOIUrl":"10.1016/j.xjmad.2024.100051","url":null,"abstract":"<div><p>Depressed individuals tend to use maladaptive emotion regulation strategies more frequently than non-depressed individuals while using adaptive strategies (e.g., reappraisal) less frequently. Objective neural markers of emotion regulation ability could aid in identifying youth at greatest risk for depression and functional impairment more broadly. We used electroencephalography to examine emotion regulation in adolescents (aged 14–17; <em>N</em> = 201) with current depression (<em>n</em> = 94) and without any history of depression (<em>n</em> = 107) at high (<em>n</em> = 54) and low (<em>n</em> = 53) risk for depression based on a maternal history of depression. Results revealed group differences in event-related potential markers of emotion regulation using multiple scoring approaches. Never-depressed adolescents had significant reductions in mean-activity and principal component analysis-identified late positive potential responses to dysphoric stimuli under reappraisal instructions compared to passive viewing. There was no significant difference in neural responses between conditions among depressed adolescents. The magnitude of the reappraisal effects appeared slightly stronger for low-risk adolescents relative to high-risk. Exploratory analyses further demonstrated that the association between neural markers of emotion regulation and overall functioning was moderated by age, such that impaired emotion regulation abilities predicted poorer functioning among older adolescents. Findings support the sensitivity of the late positive potential to emotion regulation impairments in depression and psychopathology more broadly.</p></div>","PeriodicalId":73841,"journal":{"name":"Journal of mood and anxiety disorders","volume":"5 ","pages":"Article 100051"},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950004424000051/pdfft?md5=bc3c3e55c79b2ef6790c95827a2eb9e8&pid=1-s2.0-S2950004424000051-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139631800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anhedonia influences threat avoidance and relief: A conceptual replication 失乐症影响威胁规避和缓解:概念复制
Journal of mood and anxiety disorders Pub Date : 2024-01-17 DOI: 10.1016/j.xjmad.2024.100050
Lu Leng , Tom Beckers , Bram Vervliet
{"title":"Anhedonia influences threat avoidance and relief: A conceptual replication","authors":"Lu Leng ,&nbsp;Tom Beckers ,&nbsp;Bram Vervliet","doi":"10.1016/j.xjmad.2024.100050","DOIUrl":"https://doi.org/10.1016/j.xjmad.2024.100050","url":null,"abstract":"<div><p>Active threat avoidance is an adaptive coping strategy but can evolve into maladaptive behavior patterns when it is disproportionate to an actual threat. While excessive and persistent avoidance, as often seen in anxiety-related disorders, have been investigated extensively, it is presently unclear under what circumstances insufficient avoidance might occur in the presence of a genuine threat. We hypothesized that anhedonia, the reduced ability to experience pleasure, might undermine the relief experience after successful threat avoidance and thus reduce future active avoidance responses. Using an established avoidance learning paradigm, we examined the relationship between anhedonia, relief, and active avoidance responses. Forty participants learned that two threat cues signaled electrical stimulation and they could click a button during cue presentations to prevent electrical stimulation from occurring. While clicking the button worked for one threat cue, it did not work for the other one. After several repetitions, button effectiveness was reversed. Another safety cue that never signaled electrical stimulation was presented intermixed with the two threat cues. Every time there was an omission of electrical stimulation, self-reported relief was measured. We found that participants who scored higher on anhedonia experienced weaker relief during all outcome omissions. Behaviorally, at the early stage of each phase, participants who scored higher on anhedonia executed fewer avoidance actions, specifically for the threat cue that signaled avoidable electrical stimulation. Relief induced by threat omission is a pleasant experience, which trait anhedonia seems to impair. This attenuation of relief might reduce the reinforcement of future adaptive avoidance behaviors.</p></div>","PeriodicalId":73841,"journal":{"name":"Journal of mood and anxiety disorders","volume":"5 ","pages":"Article 100050"},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S295000442400004X/pdfft?md5=7d8ac5d3359251d0d97bcecbb2753d53&pid=1-s2.0-S295000442400004X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139549803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Feasibility and acceptability of a virtual mindfulness intervention for Black adults with PTSD and depression: Randomized controlled trial 针对患有创伤后应激障碍和抑郁症的黑人成年人的虚拟正念干预的可行性和可接受性:随机对照试验
Journal of mood and anxiety disorders Pub Date : 2024-01-11 DOI: 10.1016/j.xjmad.2024.100048
Abigail Powers , Emma C. Lathan , Elizabeth McAfee , Yara Mekawi , H. Drew Dixon , Estefania Lopez , Shifa Ali , Rebecca Hinrichs , Bekh Bradley , Sierra Carter , Nadine J. Kaslow
{"title":"Feasibility and acceptability of a virtual mindfulness intervention for Black adults with PTSD and depression: Randomized controlled trial","authors":"Abigail Powers ,&nbsp;Emma C. Lathan ,&nbsp;Elizabeth McAfee ,&nbsp;Yara Mekawi ,&nbsp;H. Drew Dixon ,&nbsp;Estefania Lopez ,&nbsp;Shifa Ali ,&nbsp;Rebecca Hinrichs ,&nbsp;Bekh Bradley ,&nbsp;Sierra Carter ,&nbsp;Nadine J. Kaslow","doi":"10.1016/j.xjmad.2024.100048","DOIUrl":"https://doi.org/10.1016/j.xjmad.2024.100048","url":null,"abstract":"<div><p>Mindfulness-based cognitive therapy (MBCT) offers promise as a group-based intervention to alleviate posttraumatic stress disorder (PTSD) and depression symptoms in traumatized Black adults. Given the high level of barriers that exist for low-income Black adults, virtual delivery of MBCT may be helpful. This pilot randomized controlled trial assessed feasibility and acceptability of an adapted 8-week virtual MBCT group intervention for Black adults screening positive for PTSD and depression. Forty-six participants (89.3% women) recruited from an urban safety net hospital were randomized to MBCT or waitlist control (WLC). Overall feasibility was fair (70%); however, completion rates were higher for WLC than MBCT (90% vs. 54%). Group acceptability was high across quantitative and qualitative measures for study completers. Perceived barriers to psychological treatment were high (&gt;9). While showing potential via improved coping skills and positive health changes, this intervention's success hinges on mitigating engagement barriers for future delivery; additional studies are warranted.</p></div>","PeriodicalId":73841,"journal":{"name":"Journal of mood and anxiety disorders","volume":"5 ","pages":"Article 100048"},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950004424000026/pdfft?md5=d8251ec0c87ea7abc5e4896b8dd7af11&pid=1-s2.0-S2950004424000026-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139473298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychological effects of trauma negative and positive coping, resilience, and psychological distress among Chinese healthcare workers during the COVID-19 pandemic 中国医护人员在 COVID-19 大流行期间的心理创伤、应对能力、复原力和心理健康状况
Journal of mood and anxiety disorders Pub Date : 2024-01-06 DOI: 10.1016/j.xjmad.2023.100046
Shujing Zhang , Daphne Y. Liu , Jinbing Bai , Jia-Chen Fu , Feng Jiang , Eric Nehl , Huanzhong Liu , Yanqun Liu , Chunhua Zhang , Yi-lang Tang , Nadine J. Kaslow
{"title":"Psychological effects of trauma negative and positive coping, resilience, and psychological distress among Chinese healthcare workers during the COVID-19 pandemic","authors":"Shujing Zhang ,&nbsp;Daphne Y. Liu ,&nbsp;Jinbing Bai ,&nbsp;Jia-Chen Fu ,&nbsp;Feng Jiang ,&nbsp;Eric Nehl ,&nbsp;Huanzhong Liu ,&nbsp;Yanqun Liu ,&nbsp;Chunhua Zhang ,&nbsp;Yi-lang Tang ,&nbsp;Nadine J. Kaslow","doi":"10.1016/j.xjmad.2023.100046","DOIUrl":"10.1016/j.xjmad.2023.100046","url":null,"abstract":"<div><h3>Background</h3><p>Limited data are available on risk (psychological effects of trauma, negative coping) and protective (resilience, positive coping) factors for psychological distress among Chinese healthcare workers (HCWs) during the pandemic. Thus, this study investigated the: (1) association between both the psychological effects of trauma and negative coping and psychological distress; and (2) moderating effects of resilience and positive coping on these associations.</p></div><div><h3>Methods</h3><p>Participants (<em>n</em> = 196; <em>M</em><sub>age</sub> = 32.8; <em>SD</em> <sub>age</sub> = 7.5; 77% female) from two hospitals in China completed self-report measures of the psychological effects of trauma (Impact of Event Scale-Revised), negative and positive coping (Simplified Coping Style Questionnaire), resilience (Connor Davidson Resilience Scale) and distress (Depression, Anxiety, and Stress Scale; Patient Health Questionnaire-9) in March 2022.</p></div><div><h3>Results</h3><p>Results from this cross-sectional study revealed that HCWs who endorsed greater psychological effects of trauma had more psychological distress when they had lower levels of positive coping ((DASS-21 (<em>b</em> = −0.03, <em>SE</em> = 0.01, <em>p</em> = .007); PHQ-9 (<em>b</em> = −0.005, <em>SE</em> = 0.002, <em>p</em> = .015)). HCWs who endorsed more negative coping had more psychological distress when they were less resilient ((DASS-21 (<em>b</em> = −0.02, <em>SE</em> = 0.01, <em>p</em> = .035); PHQ-9 ((<em>b</em> = −0.01, <em>SE</em> = 0.002, <em>p</em> = .031)) and used less positive coping ((DASS-21 (<em>b</em> = −0.13, <em>SE</em> = 0.03, <em>p</em> &lt; .001); PHQ-9 (<em>b</em> = −0.02, <em>SE</em> = 0.006, <em>p</em> &lt; .001)).</p></div><div><h3>Conclusions</h3><p>Psychological distress level was higher among HCWs who experienced more trauma or used negative coping strategies. They also had lower resilience and relied less on positive coping strategies. To help HCWs in China during public health crises, interventions must bolster their resilience and positive coping skills.</p></div>","PeriodicalId":73841,"journal":{"name":"Journal of mood and anxiety disorders","volume":"5 ","pages":"Article 100046"},"PeriodicalIF":0.0,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950004423000469/pdfft?md5=227a590c031a41f66c9817c39b69811f&pid=1-s2.0-S2950004423000469-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 review of US nationally representative data sources of child and adolescent anxiety 美国具有全国代表性的儿童和青少年焦虑症数据来源回顾
Journal of mood and anxiety disorders Pub Date : 2024-01-05 DOI: 10.1016/j.xjmad.2024.100047
Katharine B. Parodi , Emily D. Barnes , Jennifer Greif Green, Melissa K. Holt, Amie E. Grills
{"title":"A review of US nationally representative data sources of child and adolescent anxiety","authors":"Katharine B. Parodi ,&nbsp;Emily D. Barnes ,&nbsp;Jennifer Greif Green,&nbsp;Melissa K. Holt,&nbsp;Amie E. Grills","doi":"10.1016/j.xjmad.2024.100047","DOIUrl":"10.1016/j.xjmad.2024.100047","url":null,"abstract":"<div><p>Anxiety is one of the most prevalent mental health conditions among youth; however, scholars have commented on the limited data collection of anxiety measures in United States (US) nationally representative surveys. Inadequate data has hampered researchers’ ability to estimate recent prevalence and track changes over time. Monitoring anxiety, particularly among children and adolescents, including subpopulations facing marked mental health disparities (e.g., females, sexual and gender diverse youth), is crucial for informing policies which direct healthcare provision and tailoring prevention and intervention. This study describes a comprehensive review of US nationally representative datasets that could be used to generate prevalence estimates of anxiety symptoms and/or disorders among children and adolescents from 2011 to present. Results of this five-step search process identified 11 data series meeting inclusion criteria. Of these, seven data series included a valid measure of mental, emotional, or behavioral health, which included at least one anxiety-related question in the scale. This overview of US population-based data on child and adolescent anxiety symptoms and disorders contributes to the field by identifying data sources that could be used to estimate recent prevalence and highlighting gaps in the availability of empirically validated instruments of anxiety in US nationally representative data sets.</p></div>","PeriodicalId":73841,"journal":{"name":"Journal of mood and anxiety disorders","volume":"5 ","pages":"Article 100047"},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950004424000014/pdfft?md5=40513584aa34614f062b175c06e2d0d8&pid=1-s2.0-S2950004424000014-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Skill use mediates the within-person effect of the alliance on session-to-session changes in anxiety and depression in the Unified Protocol 在统一协议中,技能的使用在人与人之间对焦虑和抑郁的会话到会话之间变化的联盟效应起着中介作用
Journal of mood and anxiety disorders Pub Date : 2023-12-15 DOI: 10.1016/j.xjmad.2023.100043
Martina Fruhbauerova , Douglas R. Terrill , Stephen A. Semcho , Nicole E. Stumpp , Jesse P. McCann , Shannon Sauer-Zavala , Matthew W. Southward
{"title":"Skill use mediates the within-person effect of the alliance on session-to-session changes in anxiety and depression in the Unified Protocol","authors":"Martina Fruhbauerova ,&nbsp;Douglas R. Terrill ,&nbsp;Stephen A. Semcho ,&nbsp;Nicole E. Stumpp ,&nbsp;Jesse P. McCann ,&nbsp;Shannon Sauer-Zavala ,&nbsp;Matthew W. Southward","doi":"10.1016/j.xjmad.2023.100043","DOIUrl":"https://doi.org/10.1016/j.xjmad.2023.100043","url":null,"abstract":"<div><h3>Objective</h3><p>Both the therapeutic alliance and the specific skills taught in treatment are thought to contribute to change in cognitive-behavior therapy (CBT), but it is unclear if or how these processes influence each other and outcomes in treatment. We tested the hypothesis that the degree to which patients used CBT skills would mediate the relation between the alliance and session-to-session changes in anxiety and depression.</p></div><div><h3>Method</h3><p>Adult participants (<em>N</em> = 70; <em>M</em><sub>age</sub> = 33.74, 67% female, 70% White) with emotional disorders were randomized to receive 6 or 12 sessions of the Unified Protocol. Before each session, participants reported anxiety and depression severity and past-week skillfulness. After each session, participants rated the strength of the alliance. We tested whether greater within-person skillfulness mediated the relation between within-person alliance strength and session-to-session changes in anxiety and depression.</p></div><div><h3>Results</h3><p>Skillfulness significantly mediated the effect of the alliance on session-to-session changes in anxiety, <em>ab</em> = –.02, <em>p</em> = .04, and depression, <em>ab</em> = –.02, <em>p</em> = .02, such that a stronger alliance predicted greater next-session skillfulness, which predicted session-to-session decreases in anxiety and depression. When alliance subscales were examined separately, the strongest effect was observed for agreement on therapy tasks.</p></div><div><h3>Conclusions</h3><p>Improvements in the alliance may facilitate skill use and indirectly predict reductions in anxiety and depression through skill use in CBT. We encourage research on how to enhance both the alliance and skillfulness in CBT.</p></div>","PeriodicalId":73841,"journal":{"name":"Journal of mood and anxiety disorders","volume":"5 ","pages":"Article 100043"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950004423000433/pdfft?md5=24d5de372d1c8ca56d5f6ec8e836dc60&pid=1-s2.0-S2950004423000433-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138839394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Providers’ perspectives on the impact of culture in the recognition and diagnosis of anxiety 医疗服务提供者对文化在识别和诊断焦虑症中的影响的看法
Journal of mood and anxiety disorders Pub Date : 2023-12-01 DOI: 10.1016/j.xjmad.2023.100030
Darius B. Dawson , Christie G.-J. Tsao , Patricia Chen , Traber D. Giardina , Terri L. Fletcher
{"title":"Providers’ perspectives on the impact of culture in the recognition and diagnosis of anxiety","authors":"Darius B. Dawson ,&nbsp;Christie G.-J. Tsao ,&nbsp;Patricia Chen ,&nbsp;Traber D. Giardina ,&nbsp;Terri L. Fletcher","doi":"10.1016/j.xjmad.2023.100030","DOIUrl":"10.1016/j.xjmad.2023.100030","url":null,"abstract":"<div><h3>Objectives</h3><p>We examined providers’ perspectives about how culture affects diagnosing and recognizing anxiety.</p></div><div><h3>Methods</h3><p>We interviewed providers about diagnosing anxiety (“How do you think culture impacts expression and diagnosis of anxiety?”) and used inductive analysis, with open coding, to allow themes to emerge organically.</p></div><div><h3>Results</h3><p>We identified three themes: (1) Impartiality toward Culture: downplaying culture in recognizing or diagnosing anxiety and not acknowledging necessary cultural diagnostic considerations; (2) Acknowledgment of Cultural Impact: detailed variations across different cultural communities in how patients present with and describe anxiety, with differing levels of stigma associated with expressing and treating anxiety; (3) Culturally Integrated Practice: implement culturally informed diagnosis and treatment, with training and self-directed processing on culture and bias.</p></div><div><h3>Conclusions</h3><p>While most providers acknowledge that culture impacts accurate diagnosis of anxiety, they vary in how they integrate cultural information. It is important to deliver culturally informed care.</p></div>","PeriodicalId":73841,"journal":{"name":"Journal of mood and anxiety disorders","volume":"4 ","pages":"Article 100030"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950004423000305/pdfft?md5=48d1711beca0438320afe1c15f6e2ede&pid=1-s2.0-S2950004423000305-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-efficacy, stress, and symptoms of depression and anxiety in adolescents: An epidemiological cohort study with ecological momentary assessment 青少年自我效能、压力、抑郁和焦虑症状:一项生态瞬时评估的流行病学队列研究
Journal of mood and anxiety disorders Pub Date : 2023-12-01 DOI: 10.1016/j.xjmad.2023.100039
Sophia Fürtjes , Catharina Voss , Frank Rückert , Stephanie K.V. Peschel , Hanna Kische , Theresa M. Ollmann , Johanna Berwanger , Katja Beesdo-Baum
{"title":"Self-efficacy, stress, and symptoms of depression and anxiety in adolescents: An epidemiological cohort study with ecological momentary assessment","authors":"Sophia Fürtjes ,&nbsp;Catharina Voss ,&nbsp;Frank Rückert ,&nbsp;Stephanie K.V. Peschel ,&nbsp;Hanna Kische ,&nbsp;Theresa M. Ollmann ,&nbsp;Johanna Berwanger ,&nbsp;Katja Beesdo-Baum","doi":"10.1016/j.xjmad.2023.100039","DOIUrl":"https://doi.org/10.1016/j.xjmad.2023.100039","url":null,"abstract":"<div><p>Self-efficacy (confidence in one’s abilities to execute behavior to reach ones goals) has been reported to reduce the impact of stress on symptoms of depression and anxiety. However, findings have been inconsistent regarding the two different conditions and the temporal resolution (individual situations [micro-level] vs. general disposition [macro-level], cross-sectional vs. longitudinal). By analyzing available data from an epidemiological cohort study, we explored the impact of self-efficacy, stress, and their interaction on symptoms of depression and anxiety in <em>N</em> = 1072 adolescents (age 14–21) from the general population. We conducted questionnaire assessments (macro-level) and ecological momentary assessment (EMA; micro-level). Multiple linear regressions and hierarchical linear modeling were applied to explore cross-sectional and longitudinal associations on both levels. On the micro-level, cross-sectional results indicate that self-efficacy lowers the impact of stress on depression, but not anxiety, during everyday life. Longitudinal effects were not found. On the macro-level, cross-sectional analyses revealed a buffering effect of self-efficacy against stress for anxiety, but not depression. Longitudinally, only direct effects could be observed for self-efficacy on anxiety and for stress on depression and anxiety. It appears that the adverse impact of stress on depression might be too strong to be buffered by self-efficacy in general, but only on a micro-level. The macro-level protective effect of self-efficacy regarding anxiety on the other hand might not be retrievable during everyday life. Results imply that therapy of depression might benefit from strategies to lower stress, whereas treatment of anxiety might focus on increasing self-efficacy to reduce avoidant behavior.</p></div>","PeriodicalId":73841,"journal":{"name":"Journal of mood and anxiety disorders","volume":"4 ","pages":"Article 100039"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950004423000391/pdfft?md5=2094225bb4170224c5821c45d1e845db&pid=1-s2.0-S2950004423000391-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138466528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum regarding previously published articles 关于以前发表的文章的勘误
Journal of mood and anxiety disorders Pub Date : 2023-12-01 DOI: 10.1016/j.xjmad.2023.100035
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