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  1. Article ; Online: Remission in CBT for adult anxiety disorders: A meta-analysis.

    Springer, Kristen S / Levy, Hannah C / Tolin, David F

    Clinical psychology review

    2018  Volume 61, Page(s) 1–8

    Abstract: Currently there is no universally accepted definition of remission in anxiety disorders. This may be causing significantly different estimates of treatment efficacy across anxiety disorders. The aim of this paper was to determine not only the overall ... ...

    Abstract Currently there is no universally accepted definition of remission in anxiety disorders. This may be causing significantly different estimates of treatment efficacy across anxiety disorders. The aim of this paper was to determine not only the overall remission rate in cognitive-behavioral therapy (CBT) for anxiety disorders, but also to examine whether the different definitions of remission lead to significantly different remission rates. From the initial 228 abstracts reviewed by the authors, 100 articles were retained. The overall mean remission rate was 51.0%. Remission rates were highest when remission was defined as good end state functioning or no longer meeting criteria for the primary diagnosis. Studies of posttraumatic stress disorder had the highest remission rates, while those of obsessive-compulsive disorder and social anxiety disorder had the lowest remission rates. Rates of remission differed by certain demographic (e.g., older age) and clinical (e.g., medication use) characteristics. Although CBT is an empirically supported treatment for anxiety disorders, it is clear that there is room for improvement, as many patients do not achieve remission status.
    MeSH term(s) Anxiety Disorders/psychology ; Anxiety Disorders/therapy ; Cognitive Behavioral Therapy/methods ; Humans ; Treatment Outcome
    Language English
    Publishing date 2018-03-16
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Review
    ZDB-ID 604577-7
    ISSN 1873-7811 ; 0272-7358
    ISSN (online) 1873-7811
    ISSN 0272-7358
    DOI 10.1016/j.cpr.2018.03.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The Development of a Technology-Based Hierarchy to Assess Chronic Low Back Pain and Pain-Related Anxiety From a Fear-Avoidance Model.

    Springer, Kristen S / George, Steven Z / Robinson, Michael E

    The journal of pain : official journal of the American Pain Society

    2016  Volume 17, Issue 8, Page(s) 904–910

    Abstract: Unlabelled: Previous studies have not examined the assessment of chronic low back pain (CLBP) and pain-related anxiety from a fear avoidance model through the use of motion-capture software and virtual human technologies. The aim of this study was to ... ...

    Abstract Unlabelled: Previous studies have not examined the assessment of chronic low back pain (CLBP) and pain-related anxiety from a fear avoidance model through the use of motion-capture software and virtual human technologies. The aim of this study was to develop and assess the psychometric properties of an interactive, technologically based hierarchy that can be used to assess patients with pain and pain-related anxiety. We enrolled 30 licensed physical therapists and 30 participants with CLBP. Participants rated 21 video clips of a 3-D animated character (avatar) engaging in activities that are typically feared by patients with CLBP. The results of the study indicate that physical therapists found the virtual hierarchy clips acceptable and depicted realistic patient experiences. Most participants with CLBP reported at least 1 video clip as being sufficiently anxiety-provoking for use clinically. Therefore, this study suggests a hierarchy of fears can be created out of 21 virtual patient video clips paving the way for future clinical use in patients with CLBP.
    Perspective: This report describes the development of a computer-based virtual patient system for the assessment of back pain-related fear and anxiety. Results show that people with back pain as well as physical therapists found the avatar to be realistic, and the depictions of behavior anxiety- and fear-provoking.
    MeSH term(s) Adult ; Anxiety/diagnosis ; Anxiety/etiology ; Avoidance Learning ; Diagnosis, Computer-Assisted ; Fear/psychology ; Female ; Humans ; Low Back Pain/complications ; Low Back Pain/diagnosis ; Low Back Pain/psychology ; Low Back Pain/rehabilitation ; Male ; Middle Aged ; Motor Activity ; Pain Measurement/methods ; Physical Therapy Modalities ; Psychometrics ; Surveys and Questionnaires ; User-Computer Interface
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2018789-0
    ISSN 1528-8447 ; 1526-5900
    ISSN (online) 1528-8447
    ISSN 1526-5900
    DOI 10.1016/j.jpain.2016.04.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The DIAMOND-KID: Psychometric Properties of a Structured Diagnostic Interview for

    Tolin, David F / Sain, Kimberly S / Davis, Elizabeth / Gilliam, Christina / Hannan, Scott E / Springer, Kristen S / Stubbing, Jessica / George, Jamilah R / Jean, Anishka / Goldblum, Rachel / Katz, Benjamin W / Everhardt, Kate / Darrow, Sabrina / Ohr, Elizabeth Ellis / Young, Matthew E / Serchuk, Marisa D

    Assessment

    2023  Volume 30, Issue 8, Page(s) 2351–2363

    Abstract: The objective of the present study was to examine the reliability and validity of a new semi-structured interview for pediatric psychiatric disorders, which is needed as existing interviews do not cover the full range of anxiety, mood, and obsessive- ... ...

    Abstract The objective of the present study was to examine the reliability and validity of a new semi-structured interview for pediatric psychiatric disorders, which is needed as existing interviews do not cover the full range of anxiety, mood, and obsessive-compulsive disorder (OCD)-related disorders. Three hundred eleven child patients (aged 10-17) were administered the Diagnostic Interview for Anxiety, Mood, and OCD and Related Neuropsychiatric Disorders-Child and Adolescent Version (DIAMOND-KID). Of these, 65 provided interrater reliability data and 59 provided test-retest reliability data. Participants also completed self-report measures that assessed symptoms of anxiety, mood, and OCD and related disorders. Although parents/guardians could participate in the interview at the clinician's discretion, most of the initial interviews and all of the reliability interviews were based on the child's self-report. Test-retest reliability ranged from very good to excellent. Interrater reliability was more variable, with estimates for generalized anxiety disorder and major depressive disorder in the questionable range; the other interrater reliability estimates ranged from good to very good. Convergent validity was established by significant between-group comparisons on applicable self-report measures for all diagnoses. The results of the present study indicate that the DIAMOND-KID is a promising semi-structured diagnostic interview for 5
    MeSH term(s) Humans ; Adolescent ; Depressive Disorder, Major/diagnosis ; Diagnostic and Statistical Manual of Mental Disorders ; Psychometrics ; Reproducibility of Results ; Psychiatric Status Rating Scales ; Anxiety Disorders/diagnosis ; Obsessive-Compulsive Disorder/diagnosis ; Obsessive-Compulsive Disorder/psychology ; Anxiety
    Language English
    Publishing date 2023-01-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1362144-0
    ISSN 1552-3489 ; 1073-1911
    ISSN (online) 1552-3489
    ISSN 1073-1911
    DOI 10.1177/10731911221143994
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Utility of the Outcome Questionnaire-45.2 in outpatient anxiety clinics: A comparison between anxiety patients with and without co-occurring depression.

    Levy, Hannah C / Billingsley, Amber L / Springer, Kristen S / Hannan, Scott / Das, Akanksha / Tolin, David F

    Journal of clinical psychology

    2018  Volume 74, Issue 9, Page(s) 1570–1582

    Abstract: Objective: The Outcome Questionnaire-45.2 (OQ-45) is a self-report measure of general psychological distress. Although intended to be transdiagnostic, the OQ-45 may be best conceptualized as a measure of depression; as such, its utility in assessing ... ...

    Abstract Objective: The Outcome Questionnaire-45.2 (OQ-45) is a self-report measure of general psychological distress. Although intended to be transdiagnostic, the OQ-45 may be best conceptualized as a measure of depression; as such, its utility in assessing other symptoms such as anxiety is unclear.
    Method: We examined scores on the OQ-45 in a sample of 329 patients with anxiety and related disorders, half of whom had co-occurring depression.
    Results: Eighty-two percent of patients scored above the OQ-45 cutoff, whereas 18% were incorrectly screened out. Patients with co-occurring depression were more likely to score above the OQ-45 cutoff than nondepressed patients. Depression severity predicted many of the OQ-45 scales, even after controlling for anxiety severity. By contrast, most of the anxiety-specific measures failed to predict the OQ-45 after controlling for depression severity.
    Conclusions: Findings suggest that the OQ-45 may not adequately capture anxiety symptoms and are discussed in terms of diagnostic screening and assessment.
    MeSH term(s) Adult ; Ambulatory Care Facilities ; Anxiety Disorders/diagnosis ; Comorbidity ; Depressive Disorder/diagnosis ; Female ; Humans ; Male ; Middle Aged ; Outpatients ; Self Report ; Young Adult
    Language English
    Publishing date 2018-03-15
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 219160-x
    ISSN 1097-4679 ; 0021-9762
    ISSN (online) 1097-4679
    ISSN 0021-9762
    DOI 10.1002/jclp.22611
    Database MEDical Literature Analysis and Retrieval System OnLINE

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