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Article ; Online: Longitudinal associations of chronic health stress and COVID-19-related anxiety among outpatients with anxiety and mood disorders.

Yamin, Nikka / Brown, Timothy A / Rosellini, Anthony J

2023 Volume 30, Issue 5, Page(s) 1020–1028

Abstract: Background: The 2019 coronavirus (COVID-19) pandemic led to elevated levels of psychological distress on a global scale. Given that individuals with pre-existing physical conditions are at risk for worse COVID-19 outcomes, those dealing with the stress ... ...

Abstract	Background: The 2019 coronavirus (COVID-19) pandemic led to elevated levels of psychological distress on a global scale. Given that individuals with pre-existing physical conditions are at risk for worse COVID-19 outcomes, those dealing with the stress of physical health problems (including knowing someone with health problems) may experience more severe distress during the pandemic. Methods: Patients with emotional disorders who completed a diagnostic assessment in the 6 months prior to COVID-19 were surveyed in May-June 2020 on their emotional reactions to COVID-19 (N = 77). Results: Multiple linear regression was used to test the hypothesis that chronic stress due to having and knowing others with physical health problems would predict COVID-related worries and behaviours, holding pre-COVID levels of depression, anxiety and worry about health constant. Chronic stress surrounding the health of others was significantly associated with experiencing more severe COVID-related worry and behaviours. In comparison, chronic stress due to one's own health problems had weak and non-significant associations with COVID-related worries and behaviours. Conclusions: Results indicate that outpatients who report stress about surrounding loved one's health are at risk for experiencing more severe distress during a health pandemic and thus, may benefit from targeted outreach, assessment and intervention.
MeSH term(s)	Humans ; COVID-19 ; Mood Disorders ; Outpatients ; SARS-CoV-2 ; Depression/psychology ; Stress, Psychological/complications ; Stress, Psychological/psychology ; Anxiety/complications ; Anxiety/psychology
Language	English
Publishing date	2023-04-19
Publishing country	England
Document type	Journal Article
ZDB-ID	1169313-7
ISSN	1099-0879 ; 1063-3995
ISSN (online)	1099-0879
ISSN	1063-3995
DOI	10.1002/cpp.2852
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Psychometric properties of the Distress Tolerance Scale in a clinical sample.

Galiano, Christina S / Andrea, Alexandra M / Tung, Esther S / Brown, Timothy A / Rosellini, Anthony J

Psychological assessment

2024 Volume 36, Issue 3, Page(s) 192–199

Abstract: The factor structure, reliability, and concurrent validity of the Distress Tolerance Scale were evaluated in a large outpatient sample ( ...

Abstract	The factor structure, reliability, and concurrent validity of the Distress Tolerance Scale were evaluated in a large outpatient sample (
MeSH term(s)	Humans ; Psychometrics/methods ; Reproducibility of Results ; Anxiety/diagnosis ; Anxiety/psychology ; Anxiety Disorders/diagnosis ; Factor Analysis, Statistical
Language	English
Publishing date	2024-01-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	1000939-5
ISSN	1939-134X ; 1040-3590
ISSN (online)	1939-134X
ISSN	1040-3590
DOI	10.1037/pas0001298
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 2645: Show issues

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Article ; Online: Developing and Validating Clinical Questionnaires.

Rosellini, Anthony J / Brown, Timothy A

Annual review of clinical psychology

2021 Volume 17, Page(s) 55–81

Abstract: Coinciding with the development and revision of conceptual models of psychopathology, there has been a proliferation in the number of self-report clinical questionnaires and studies evaluating their psychometric properties. Unfortunately, many clinical ... ...

Abstract	Coinciding with the development and revision of conceptual models of psychopathology, there has been a proliferation in the number of self-report clinical questionnaires and studies evaluating their psychometric properties. Unfortunately, many clinical measures are constructed and evaluated using suboptimal methods. This review provides current guidelines for the conceptualization, development, and psychometric validation of clinical questionnaires using latent variable methods. A two-stage exploratory-confirmatory framework is provided. The exploratory stage includes item selection and revision, initial structural evaluation, and preliminary tests of concurrent validity (e.g., convergent and discriminant). The confirmatory stage involves replicating factor structure using a more restrictive model, identifying areas of model strain, conducting additional tests of concurrent and predictive validity, and evaluating measurement invariance. Recommendations are provided for (
MeSH term(s)	Humans ; Psychometrics ; Reproducibility of Results ; Self Report ; Surveys and Questionnaires
Language	English
Publishing date	2021-02-09
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2194815-X
ISSN	1548-5951 ; 1548-5943
ISSN (online)	1548-5951
ISSN	1548-5943
DOI	10.1146/annurev-clinpsy-081219-115343
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Article: Direct and Interactive Effects of Personality and Experiencing Changes in Relationships on Symptoms of Internalizing Psychopathology During the COVID-19 Pandemic.

Galiano, Christina S / Andrea, Alexandra M / Brown, Timothy A / Rosellini, Anthony J

Cognitive therapy and research

2023 Volume 47, Issue 3, Page(s) 327–339

Abstract: Purpose: The present study examined the prospective direct and interactive effects of personality (neuroticism, extraversion) and experiencing changes in friendships during the pandemic on symptoms of stress, anxiety, and depression.: Methods: A ... ...

Abstract	Purpose: The present study examined the prospective direct and interactive effects of personality (neuroticism, extraversion) and experiencing changes in friendships during the pandemic on symptoms of stress, anxiety, and depression. Methods: A sample of patients ( Results: Neuroticism had main effects on anxiety, whereas experiencing changes in friendships had main effects on stress and depression. Extraversion did not have main effects on stress, depression, or anxiety. The relationship between experiencing changes in friendships and stress and anxiety was moderated by extraversion, such that the strength of the relationship between changes in friendships and stress and anxiety waned as the level of extraversion increased. Neuroticism was not a moderator of the association between changes in friendships and emotional disorder symptoms. Conclusion: These results suggest that higher levels of extraversion may protect against symptoms of stress reactivity and anxiety that are associated with COVID-related changes in friendships, while neuroticism may have limited prospective associations with symptoms during the pandemic. Supplementary information: The online version of this article contains supplementary material available 10.1007/s10608-023-10364-x.
Language	English
Publishing date	2023-03-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	282402-4
ISSN	1573-2819 ; 0147-5916
ISSN (online)	1573-2819
ISSN	0147-5916
DOI	10.1007/s10608-023-10364-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.B 2089: Show issues

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Article ; Online: The impact of relationship type and closeness on mental health following suicide loss.

Brown, Hannah L / Selbe, Sophie M / Flesaker, Michelle / Rosellini, Anthony J / Maple, Myfanwy / Gradus, Jaimie L / Cerel, Julie

Suicide & life-threatening behavior

2024

Abstract: Background: Most research investigating the effect of suicide on loss survivors has been limited to first-degree family members. Few studies examine the impact of suicide on others outside the immediate family and the influence of relationship type and ... ...

Abstract	Background: Most research investigating the effect of suicide on loss survivors has been limited to first-degree family members. Few studies examine the impact of suicide on others outside the immediate family and the influence of relationship type and closeness on mental health. Methods: This study used data from a sample obtained through random digit dialing (n = 805) to assess exposure to suicide loss, relationship types, perceived closeness, and mental health symptoms (prolonged grief, depression, anxiety, and posttraumatic stress disorder). Results: Familial status, friend status, and higher perceived closeness were associated with prolonged grief, depression, and posttraumatic stress disorder, with the strongest adjusted associations observed for posttraumatic stress disorder and prolonged grief. In general, the magnitude of adjusted standardized associations for closeness and mental health symptoms was stronger than those observed for familial status and mental health symptoms and friend status and mental health symptoms. Conclusion: Closeness, familial status, and friend status are associated with mental health symptoms experienced after suicide loss, but the magnitude of associations was strongest for closeness. Future studies should examine perceived closeness in addition to other factors related to relationship type and dynamics to assess the complexities of suicide bereavement reactions.
Language	English
Publishing date	2024-02-20
Publishing country	England
Document type	Journal Article
ZDB-ID	750058-0
ISSN	1943-278X ; 0047-4592 ; 0363-0234
ISSN (online)	1943-278X
ISSN	0047-4592 ; 0363-0234
DOI	10.1111/sltb.13063
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Zs.B 1729: Show issues

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Article ; Online: Telehealth Transdiagnostic Cognitive Behavioral Therapy for Depression in Parkinson's Disease: A Pilot Randomized Controlled Trial.

Piers, Ryan J / Farchione, Todd J / Wong, Bonnie / Rosellini, Anthony J / Cronin-Golomb, Alice

Movement disorders clinical practice

2022 Volume 10, Issue 1, Page(s) 79–85

Abstract: Background: Cognitive behavioral therapy (CBT) is an effective treatment for depression in persons with Parkinson's disease (PwPD), but there are significant barriers preventing PwPD from receiving care in person. Telehealth CBT circumvents many of ... ...

Abstract	Background: Cognitive behavioral therapy (CBT) is an effective treatment for depression in persons with Parkinson's disease (PwPD), but there are significant barriers preventing PwPD from receiving care in person. Telehealth CBT circumvents many of these barriers. Objectives: We conducted a pilot randomized controlled trial evaluating the efficacy, feasibility, and acceptability of telehealth transdiagnostic CBT intervention for depression in PwPD. Methods: Twelve PwPD with Major Depressive Disorder were enrolled, half randomly assigned to the treatment-immediate condition (TI) and half to the waitlist control condition (WLC). TI and WLC participants received 12 CBT sessions and assessments before treatment, immediately after treatment, and at the 6-week follow-up. Results: The intervention was efficacious for treating depression in PwPD, with secondary benefits to anxiety, apathy, learning, memory, and quality of life. Improvements were largely maintained at follow-up. The intervention was highly feasible and acceptable. Conclusions: Telehealth transdiagnostic CBT was an effective intervention for PwPD with depression.
Language	English
Publishing date	2022-10-29
Publishing country	United States
Document type	Journal Article
ISSN	2330-1619
ISSN (online)	2330-1619
DOI	10.1002/mdc3.13587
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Multidimensional Emotional Disorder Inventory (MEDI): Assessing transdiagnostic dimensions to validate a profile approach to emotional disorder classification.

Rosellini, Anthony J / Brown, Timothy A

Psychological assessment

2018 Volume 31, Issue 1, Page(s) 59–72

Abstract: There has been limited progress evaluating the validity of dimensional approaches to emotional disorder classification. This has occurred in part because of a lack of standardized assessment tools developed with the specific intent of studying ... ...

Abstract	There has been limited progress evaluating the validity of dimensional approaches to emotional disorder classification. This has occurred in part because of a lack of standardized assessment tools developed with the specific intent of studying dimensional classification. The goal of the current study was to develop and validate the Multidimensional Emotional Disorder Inventory (MEDI) to efficiently assess nine empirically supported transdiagnostic dimensions proposed in the Brown and Barlow (2009) profile approach to emotional disorder classification: neurotic temperament, positive temperament, depression, autonomic arousal, somatic anxiety, social anxiety, intrusive cognitions, traumatic reexperiencing, and avoidance. The MEDI factor structure, reliability, and convergent/discriminant validity was evaluated in outpatients with emotional disorders (pilot sample = 227; validation sample = 780). The final 9-factor solution fit the data well. Intercorrelations among MEDI factors were consistent with previous research, and all MEDI dimensions had acceptable reliability. Correlations with common self-report questionnaires and DSM-5 diagnoses supported the convergent/discriminant validity of all nine MEDI dimensions. Collectively, these results support the use of 49-item MEDI in clinical research samples. The MEDI should be used in future research to evaluate the validity of the Brown and Barlow (2009) approach to emotional disorder classification. Because it provides an efficient assessment of several well-established emotional disorder traits and phenotypes, the MEDI also may have utility for general research or clinical purposes. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
MeSH term(s)	Adolescent ; Adult ; Affective Symptoms/classification ; Affective Symptoms/diagnosis ; Aged ; Anxiety Disorders/classification ; Anxiety Disorders/diagnosis ; Diagnostic and Statistical Manual of Mental Disorders ; Female ; Humans ; Male ; Middle Aged ; Mood Disorders/classification ; Mood Disorders/diagnosis ; Psychiatric Status Rating Scales/standards ; Reproducibility of Results ; Self Report/standards ; Young Adult
Language	English
Publishing date	2018-08-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	1000939-5
ISSN	1939-134X ; 1040-3590
ISSN (online)	1939-134X
ISSN	1040-3590
DOI	10.1037/pas0000649
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Supervised Machine Learning: A Brief Primer.

Jiang, Tammy / Gradus, Jaimie L / Rosellini, Anthony J

Behavior therapy

2020 Volume 51, Issue 5, Page(s) 675–687

Abstract: Machine learning is increasingly used in mental health research and has the potential to advance our understanding of how to characterize, predict, and treat mental disorders and associated adverse health outcomes (e.g., suicidal behavior). Machine ... ...

Abstract	Machine learning is increasingly used in mental health research and has the potential to advance our understanding of how to characterize, predict, and treat mental disorders and associated adverse health outcomes (e.g., suicidal behavior). Machine learning offers new tools to overcome challenges for which traditional statistical methods are not well-suited. This paper provides an overview of machine learning with a specific focus on supervised learning (i.e., methods that are designed to predict or classify an outcome of interest). Several common supervised learning methods are described, along with applied examples from the published literature. We also provide an overview of supervised learning model building, validation, and performance evaluation. Finally, challenges in creating robust and generalizable machine learning algorithms are discussed.
MeSH term(s)	Algorithms ; Humans ; Machine Learning ; Supervised Machine Learning
Language	English
Publishing date	2020-05-16
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Review
ZDB-ID	211996-1
ISSN	1878-1888 ; 0005-7894
ISSN (online)	1878-1888
ISSN	0005-7894
DOI	10.1016/j.beth.2020.05.002
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Zs.B 507: Show issues

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Article ; Online: Stressful life events and incident depression among U.S. military personnel.

Sampson, Laura / Gradus, Jaimie L / Cabral, Howard J / Rosellini, Anthony J / Fink, David S / Cohen, Gregory H / Liberzon, Israel / Galea, Sandro

Social psychiatry and psychiatric epidemiology

2023 Volume 58, Issue 7, Page(s) 1009–1018

Abstract: Purpose: Although stressful life events (i.e., stressors) and depression are often assumed to be linked, the relation between stressors and incident depression is rarely studied, particularly in the military. The National Guard is a part-time subset of ... ...

Abstract	Purpose: Although stressful life events (i.e., stressors) and depression are often assumed to be linked, the relation between stressors and incident depression is rarely studied, particularly in the military. The National Guard is a part-time subset of the U.S. military for whom civilian life stressors may be particularly salient, due to the soldiers' dual roles and frequent transitions between military and civilian life. Methods: We used a dynamic cohort study of National Guard members from 2010 to 2016 to investigate the relationship between recent stressful experiences (e.g., divorce) and incident depression, with an exploratory analysis of effect modification by income. Results: Respondents endorsing at least one of nine past-year stressful events (a time-varying exposure, lagged by 1 year) had almost twice the adjusted rate of incident depression compared to those with no stressful events (HR = 1.8; 95% CI 1.4, 2.4). This association may be modified by income: among individuals making under $80,000 per year, those with past-year stressors had twice the rate of depression compared to those with no stressors, but among those making over $80,000, past-year stressors were associated with only 1.2 times the rate of depression. Conclusion: Stressful life events outside of deployment are important determinants of incident depression among National Guard servicemembers, but the effect of these events may be buffered by higher income.
MeSH term(s)	Humans ; Depression ; Military Personnel ; Cohort Studies ; Data Collection
Language	English
Publishing date	2023-03-10
Publishing country	Germany
Document type	Journal Article
ZDB-ID	623071-4
ISSN	1433-9285 ; 0037-7813 ; 0933-7954
ISSN (online)	1433-9285
ISSN	0037-7813 ; 0933-7954
DOI	10.1007/s00127-023-02445-9
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 327: Show issues

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Article ; Online: The First Year After Military Service: Predictors of U.S. Veterans' Suicidal Ideation.

Borowski, Shelby / Rosellini, Anthony J / Street, Amy E / Gradus, Jaimie L / Vogt, Dawne

American journal of preventive medicine

2022 Volume 63, Issue 2, Page(s) 233–241

Abstract: Introduction: Little is known about predictors of military veterans' suicidal ideation as they transition from service to civilian life, a potentially high-risk period that represents a critical time for intervention. This study examined factors ... ...

Abstract	Introduction: Little is known about predictors of military veterans' suicidal ideation as they transition from service to civilian life, a potentially high-risk period that represents a critical time for intervention. This study examined factors associated with veterans' suicidal ideation in the first year after military separation. Methods: A national sample of U.S. veterans (N=7,383) from The Veterans Metrics Initiative Study reported on their mental health, psychosocial well-being, and demographic/military characteristics in an online survey at 3 and 9 months after separation. Cross-validated random forest models and mean decrease in accuracy values were used to identify key predictors of suicidal ideation. Bivariate ORs were calculated to examine the magnitude and direction of main effects associations between predictors and suicidal ideation. Data were collected in 2016/2017 and analyzed in 2021. Results: In the first year after separation, 15.1% of veterans reported suicidal ideation. Endorsing depression symptoms and, to a lesser extent, identifying oneself as experiencing depression, were most predictive of suicidal ideation. Other psychopathology predictors included higher anxiety and posttraumatic stress disorder symptoms. Psychosocial well-being predictors included higher health satisfaction and functioning, community satisfaction and functioning, and psychological resilience. Logistic models performed similarly to random forest models, suggesting that relationships between predictors and suicidal ideation were better represented as main effects than interactions. Conclusions: Results highlight the potential value of bolstering key aspects of military veterans' mental health and psychosocial well-being to reduce their risk for suicidal ideation in the first year after separation. Findings can inform interventions aimed at helping veterans acclimate to civilian life.
MeSH term(s)	Humans ; Mental Health ; Military Personnel/psychology ; Risk Factors ; Stress Disorders, Post-Traumatic/diagnosis ; Suicidal Ideation ; Veterans
Language	English
Publishing date	2022-05-06
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	632646-8
ISSN	1873-2607 ; 0749-3797
ISSN (online)	1873-2607
ISSN	0749-3797
DOI	10.1016/j.amepre.2022.03.017
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