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Buch ; Online: Biased Cognitions & Social Anxiety: Building a Global Framework for Integrating Cognitive, Behavioral, and Neural Processes

Wong, Quincy / Lange, Wolf-Gero / Heeren, Alexandre / Philippot, Pierre

2015

Abstract: Social anxiety (SA) is a common and incapacitating disorder that has been associated with seriously impaired career, academic, and general social functioning. Regarding epidemiological data, SA has a lifetime prevalence of 12.1% and is the fourth most ... ...

Abstract	Social anxiety (SA) is a common and incapacitating disorder that has been associated with seriously impaired career, academic, and general social functioning. Regarding epidemiological data, SA has a lifetime prevalence of 12.1% and is the fourth most common psychopathological disorder (Kessler et al., 2005). At a fundamental point of view, the most prominent cognitive models of SA posit that biased cognitions contribute to the development and maintenance of the disorder (e.g., Clark & Wells, 1995; Rapee & Heimberg, 1997). Over the last decades, a large body of research has provided evidence that individuals suffering from SA exhibit such biased cognitions at the level of visual attention, memory of social encounters, interpretation of social events, and in judgment of social cues. Such biased cognitions in SA has been studied in different ways within cognitive psychology, behavioral psychology, clinical psychology, and cognitive neuroscience over the last few decades, yet, integrative approaches for channeling all information into a unified account of biased cognitions in SA has not been presented so far. The present Research Topic aims to bring together theses different ways, and to highlight findings and methods which can unify research across these areas. In particular, this Research Topic aims to advance the current theoretical models of SA and set the stage for future developments of the field by clarifying and linking theoretical concepts across disciplines
Schlagwörter	Science (General) ; Neurosciences. Biological psychiatry. Neuropsychiatry
Umfang	1 electronic resource (98 p.)
Verlag	Frontiers Media SA
Dokumenttyp	Buch ; Online
Anmerkung	English ; Open Access
HBZ-ID	HT020090514
ISBN	9782889194230 ; 288919423X
Datenquelle	ZB MED Katalog Medizin, Gesundheit, Ernährung, Umwelt, Agrar

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Artikel ; Online: Can Emotional Working Memory Training Improve Cognitive Behavioral Therapy Outcomes for Social Anxiety Disorder: A Pilot Study.

du Toit, Simone A / Schweizer, Susanne / Moustafa, Ahmed A / Wong, Quincy J J

Journal of cognitive psychotherapy

2024 Band 38, Heft 1, Seite(n) 33–52

Abstract: Social anxiety disorder (SAD) models highlight maladaptive attention as a maintaining factor of SAD, potentially negatively impacting how individuals with SAD engage with cognitive behavioral therapy (CBT) content in a therapist's presence. Emotional ... ...

Abstract	Social anxiety disorder (SAD) models highlight maladaptive attention as a maintaining factor of SAD, potentially negatively impacting how individuals with SAD engage with cognitive behavioral therapy (CBT) content in a therapist's presence. Emotional working memory training (eWMT) has been shown to improve affective attentional control. This pilot study assessed the proposed methodology for a randomized controlled trial (RCT) to determine whether eWMT, by improving attentional control prior to internet-based CBT (iCBT), results in better CBT outcomes. The RCT would be considered feasible if the pilot study achieved rates ≥80% for eligible participants recruited, study measures completion, intervention completion, and participant retention. Results from 10 randomized participants showed rates ≥80% for recruitment of eligible participants and iCBT intervention completion. Completion of study measures, eWMT and Placebo training interventions, and participant retention were <80%. Results highlight the need to consider strategies to improve the methodology prior to the RCT.
Mesh-Begriff(e)	Humans ; Cognitive Behavioral Therapy/methods ; Cognitive Training ; Mood Disorders ; Phobia, Social/therapy ; Pilot Projects ; Randomized Controlled Trials as Topic
Sprache	Englisch
Erscheinungsdatum	2024-02-06
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	639096-1
ISSN	1938-887X ; 0889-8391
ISSN (online)	1938-887X
ISSN	0889-8391
DOI	10.1891/JCP-2022-0013
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Cognitive Maintaining Factors and Social Anxiety: The Mediating Role of Cognitive Fusion and Experiential Avoidance.

Soltani, Esmail / Wong, Quincy J J / Ahmadzadeh, Laaya / Sheikholeslami, Seyede Sajedeh

Journal of cognitive psychotherapy

2023

Abstract: Cognitive fusion (CF) and experiential avoidance (EA) are two constructs of acceptance and commitment therapy that contribute to psychological distress. The current study aimed to examine whether CF and EA accounted for variance in the relationships ... ...

Abstract	Cognitive fusion (CF) and experiential avoidance (EA) are two constructs of acceptance and commitment therapy that contribute to psychological distress. The current study aimed to examine whether CF and EA accounted for variance in the relationships between key cognitive maintaining factors of social anxiety and indicators of social anxiety. This issue was investigated using a longitudinal design in a nonclinical sample. Participants (
Sprache	Englisch
Erscheinungsdatum	2023-06-27
Erscheinungsland	United States
Dokumenttyp	Editorial
ZDB-ID	639096-1
ISSN	1938-887X ; 0889-8391
ISSN (online)	1938-887X
ISSN	0889-8391
DOI	10.1891/JCP-2022-0010
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Occupational class suicide risk: 12-year study of national coronial data.

Burnett, Alexander C R / Wong, Quincy / Zeritis, Stephanie / Deady, Mark / Torok, Michelle

The British journal of psychiatry : the journal of mental science

2023 Band 222, Heft 6, Seite(n) 234–240

Abstract: Background: Previous research showed that the Global Financial Crisis (GFC) was associated with a widening disparity in suicide rates between lower-class occupations and the highest-class occupations in Australia. There has been no research ... ...

Abstract	Background: Previous research showed that the Global Financial Crisis (GFC) was associated with a widening disparity in suicide rates between lower-class occupations and the highest-class occupations in Australia. There has been no research investigating whether this trend continued post-GFC. Aims: This study aimed to investigate suicide rates by occupational class among employed Australians aged 15 years and over, between 2007 and 2018. Method: A population-level retrospective mortality study was conducted using data from the National Coronial Information System. Adjusted suicide rates were calculated over the period 2007 to 2018. Negative binomial regression models were used to assess the relationship between occupational class, gender and time, comparing post-GFC years (2010-2012, 2013-2015 and 2016-2018) with GFC years (2007-2009). Results: Relative to the GFC period of 2007-2009, a significant reduction in suicide disparity between managers and other occupation groups was only observed among male labourers (rate ratios (RR) = 0.65, 95% CI 0.49-0.86) and male technicians/trades workers (RR = 0.73, 95% CI 0.56-0.96) for the period 2013-2015. Conclusion: Skilled manual and lower-skilled occupational classes remain at elevated risk of suicide in Australia. While a decreasing divergence in suicide rates was only observed between labourer and manager occupational classes post-GFC, this trend was not maintained over the later part of the study period (2016-2018). There is a need to further understand the relationship between contextual factors associated with suicide among the employed population, especially during periods of economic downturn.
Mesh-Begriff(e)	Humans ; Male ; Retrospective Studies ; Australia/epidemiology ; Occupations ; Suicide
Sprache	Englisch
Erscheinungsdatum	2023-02-10
Erscheinungsland	England
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	218103-4
ISSN	1472-1465 ; 0007-1250
ISSN (online)	1472-1465
ISSN	0007-1250
DOI	10.1192/bjp.2023.22
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: A Spatial Analysis of Suicide Displacement at a High-Risk Cliff-Based Location Following Installation of a Means Restriction Initiative.

Torok, Michelle / Passioura, Jason / Konings, Paul / Wong, Quincy / Qian, Jiahui / Larsen, Mark E

Prevention science : the official journal of the Society for Prevention Research

2023 Band 24, Heft 7, Seite(n) 1292–1301

Abstract: Means restriction interventions are recognised as highly effective for the deterrence of suicide attempts by jumping. While such interventions can lead to significant reductions in suicide, it is unclear whether these reductions represent a displacement ... ...

Abstract	Means restriction interventions are recognised as highly effective for the deterrence of suicide attempts by jumping. While such interventions can lead to significant reductions in suicide, it is unclear whether these reductions represent a displacement effect, whereby individuals are instead choosing to attempt suicide at other nearby locations which offer the same means. The potential displacement of suicides as an unintended consequence of means restriction has been relatively unexplored to date. The only studies exploring displacement effects have focused on bridges, which are relatively easily contained sites; no studies have yet explored displacement effects at cliff-based high risk suicide locations (hotspots). Using Australian coronial data for the period of 2006-2019, we undertook joinpoint and kernel density analysis of suicides by jumping at a well-known cliff-based hotspot in Sydney, Australia, to determine whether there was evidence of displacement to local and broader surrounding cliffs following the installation of a multi-component harm minimization intervention (the Gap Park Masterplan). While slight decreases were noted in the immediate area subject to the structural intervention in the post-implementation period, alongside slight increases in the surrounding cliffs, there was no evidence for statistically significant changes. While kernel density analyses did not identify the emergence of any new hotspot locations in the post-implementation period, three existing hotspot sites of concern were found in our total area of interest, with greater than expected growth in the density of one of the hotspots. While we found no persuasive evidence of displacement, ongoing monitoring of the cliff-based location where the structural interventions were implemented is needed to ensure the ongoing safety of the area.
Mesh-Begriff(e)	Humans ; Suicide Prevention ; Australia ; Spatial Analysis
Sprache	Englisch
Erscheinungsdatum	2023-02-17
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2251270-6
ISSN	1573-6695 ; 1389-4986
ISSN (online)	1573-6695
ISSN	1389-4986
DOI	10.1007/s11121-023-01504-6
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Understanding the Dimensions of Post-Event Processing: Applying a Bifactor Modeling Approach to the EPEPQ-15.

Wong, Quincy J J / Hamrick, Hannah C / Clague, Caitlin A / Judah, Matt R

Assessment

2022 Band 30, Heft 6, Seite(n) 1836–1847

Abstract: Social anxiety disorder is maintained in part by rumination about past social experiences, known as post-event processing. The Extended Post-Event Processing Questionnaire (EPEPQ-15) assesses post-event processing as three correlated factors. Competing ... ...

Abstract	Social anxiety disorder is maintained in part by rumination about past social experiences, known as post-event processing. The Extended Post-Event Processing Questionnaire (EPEPQ-15) assesses post-event processing as three correlated factors. Competing against this structure is a bifactor model that has not yet been evaluated for the EPEPQ-15. These models were tested for the conventional state version of the EPEPQ-15 and a new trait version in two separate samples (
Mesh-Begriff(e)	Humans ; Factor Analysis, Statistical ; Psychometrics ; Anxiety ; Phobia, Social ; Anxiety Disorders
Sprache	Englisch
Erscheinungsdatum	2022-09-29
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	1362144-0
ISSN	1552-3489 ; 1073-1911
ISSN (online)	1552-3489
ISSN	1073-1911
DOI	10.1177/10731911221127911
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Psychometric evaluation of the English version of the Extended Post-event Processing Questionnaire.

Wong, Quincy J J

Anxiety, stress, and coping

2015 Band 28, Heft 2, Seite(n) 215–225

Abstract: Background: The importance of post-event processing (PEP) in prominent models of social anxiety disorder has led to the development of measures that tap this cognitive construct. The 17-item Extended Post-event Processing Questionnaire (E-PEPQ) is one ... ...

Abstract	Background: The importance of post-event processing (PEP) in prominent models of social anxiety disorder has led to the development of measures that tap this cognitive construct. The 17-item Extended Post-event Processing Questionnaire (E-PEPQ) is one of the most comprehensive measures of PEP developed to date. However, the measure was developed in German and the psychometric properties of the English version of the E-PEPQ have not yet been examined. Design: The current study examined the factor structure, internal consistency, and construct validity of the English version of the E-PEPQ. Methods: English-speaking participants (N = 560) completed the English version of the E-PEPQ, a measure of social anxiety and a measure of depression. Results: A 15-item version of the E-PEPQ with a correlated three-factor structure (referred to as the E-PEPQ-15) emerged as the best fitting model using confirmatory factor analyses, and the E-PEPQ-15 and its subscales demonstrated good internal consistency. The E-PEPQ-15 and two of its three subscales also had significantly stronger positive associations with the social anxiety measure than with the depression measure. Conclusions: The psychometric properties of the E-PEPQ-15 obtained in the current study justify the use of the measure in research, particularly in the domain of social anxiety.
Mesh-Begriff(e)	Adult ; Anxiety Disorders/diagnosis ; Anxiety Disorders/psychology ; Depressive Disorder/diagnosis ; Depressive Disorder/psychology ; Factor Analysis, Statistical ; Female ; Humans ; Language ; Male ; Psychometrics ; Reproducibility of Results ; Students/psychology ; Surveys and Questionnaires/standards ; Translations ; Young Adult
Sprache	Englisch
Erscheinungsdatum	2015
Erscheinungsland	England
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1115932-7
ISSN	1477-2205 ; 1061-5806
ISSN (online)	1477-2205
ISSN	1061-5806
DOI	10.1080/10615806.2014.925546
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Self-harm in 5-to-24 year olds: Retrospective examination of hospital presentations to emergency departments in New South Wales, Australia, 2012 to 2020.

Torok, Michelle / Burnett, Alexander C R / McGillivray, Lauren / Qian, Jiahui / Gan, Daniel Z Q / Baffsky, Rachel / Wong, Quincy

PloS one

2023 Band 18, Heft 8, Seite(n) e0289877

Abstract: There is some evidence that self-harm presentations in children and young people have increased over the past decade, yet there are few up-to-date studies examining these trends. This study aims to describe trends in the rates and severity of emergency ... ...

Abstract	There is some evidence that self-harm presentations in children and young people have increased over the past decade, yet there are few up-to-date studies examining these trends. This study aims to describe trends in the rates and severity of emergency department self-harm presentations for youth aged 5-24 years in New South Wales, Australia between 1 January 2012 and 31 December 2020. We analysed self-harm hospital presentations using join point analysis to compare quarterly growth in rates and urgency of presentation since 2012 by age group and sex. Binomial logistic modelling was used to identify risks for re-presentation for self-harm, including age group, sex, country of birth, mode of arrival, inpatient status, triage category, rurality, and socio-economic disadvantage. In total, 83,111 self-harm presentations for 51,181 persons were analysed. Overall rates of self-harm among those aged 5-24 years increased by 2.4% (p < .001) per quarter in females and 1.6% (p < .001) per quarter in males, with statistically significant average quarterly increases observed across all age groups. Overall and age-specific self-harm triage urgency rates increased statistically significantly for potentially serious, and potentially- and immediately life-threatening categories. A higher likelihood of re-presentation to any emergency department for self-harm was associated with younger age, female, residing in a regional area, arriving by ambulance, admitted as an in-patient, and a more severe index self-harm presentation. Hospital self-harm presentations have been growing steadily over the past decade, with the greatest growth in the youngest people. Understanding the reasons for these sustained upward trends is a priority for suicide prevention.
Mesh-Begriff(e)	Male ; Child ; Adolescent ; Humans ; Female ; New South Wales/epidemiology ; Retrospective Studies ; Self-Injurious Behavior/epidemiology ; Australia ; Emergency Service, Hospital ; Hospitals
Sprache	Englisch
Erscheinungsdatum	2023-08-10
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0289877
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: The Effectiveness of a Smartphone Intervention Targeting Suicidal Ideation in Young Adults: Randomized Controlled Trial Examining the Influence of Loneliness.

McGillivray, Lauren / Keng-Meng Hui, Nicholas / Wong, Quincy J J / Han, Jin / Qian, Jiahui / Torok, Michelle

JMIR mental health

2023 Band 10, Seite(n) e44862

Abstract: Background: Loneliness is commonly reported by young people and has been shown to contribute to the rapid onset and escalation of depression and suicidal ideation during adolescence. Lonely people may also be particularly susceptible to disengaging from ...

Abstract	Background: Loneliness is commonly reported by young people and has been shown to contribute to the rapid onset and escalation of depression and suicidal ideation during adolescence. Lonely people may also be particularly susceptible to disengaging from treatment early given the likelihood of their more complex clinical profiles leading to cognitive fatigue. While a smartphone intervention (LifeBuoy) has been shown to effectively reduce suicidal ideation in young adults, poor engagement is a well-documented issue for this therapeutic modality and has been shown to result in poorer treatment outcomes. Objective: This study aims to determine whether loneliness affects how young people experiencing suicidal ideation engage with and benefit from a therapeutic smartphone intervention (LifeBuoy). Methods: A total of 455 community-based Australian young adults (aged 18-25 years) experiencing recent suicidal ideation were randomized to use a dialectical behavioral therapy-based smartphone intervention (LifeBuoy) or an attention-matched control app (LifeBuoy-C) for 6 weeks. Participants completed measures of suicidal ideation, depression, anxiety, and loneliness at baseline (T0), post intervention (T1), and 3 months post intervention (T2). Piecewise linear mixed models were used to examine whether loneliness levels moderated the effect of LifeBuoy and LifeBuoy-C on suicidal ideation and depression across time (T0 to T1; T1 to T2). This statistical method was then used to examine whether app engagement (number of modules completed) influenced the relationship between baseline loneliness and suicidal ideation and depression across time. Results: Loneliness was positively associated with higher levels of overall suicidal ideation (B=0.75, 95% CI 0.08-1.42; P=.03) and depression (B=0.88, 95% CI 0.45-1.32; P<.001), regardless of time point or allocated condition. However, loneliness did not affect suicidal ideation scores across time (time 1: B=1.10, 95% CI -0.25 to 2.46; P=.11; time 2: B=0.43, 95% CI -1.25 to 2.12; P=.61) and depression scores across time (time 1: B=0.00, 95% CI -0.67 to 0.66; P=.99; time 2: B=0.41, 95% CI -0.37 to 1.18; P=.30) in either condition. Similarly, engagement with the LifeBuoy app was not found to moderate the impact of loneliness on suicidal ideation (B=0.00, 95% CI -0.17 to 0.18; P=.98) or depression (B=-0.08, 95% CI -0.19 to 0.03; P=.14). Conclusions: Loneliness was not found to affect young adults' engagement with a smartphone intervention (LifeBuoy) nor any clinical benefits derived from the intervention. LifeBuoy, in its current form, can effectively engage and treat individuals regardless of how lonely they may be. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12619001671156; https://tinyurl.com/yvpvn5n8. International registered report identifier (irrid): RR2-10.2196/23655.
Sprache	Englisch
Erscheinungsdatum	2023-03-30
Erscheinungsland	Canada
Dokumenttyp	Journal Article
ZDB-ID	2798262-2
ISSN	2368-7959
ISSN	2368-7959
DOI	10.2196/44862
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Concurrent and prospective associations between negative social-evaluative beliefs, safety behaviours, and symptoms during and following cognitive behavioural group therapy for social anxiety disorder.

Kyron, Michael J / Johnson, Andrew / Hyett, Matthew / Moscovitch, David / Wong, Quincy / Bank, Samantha R / Erceg-Hurn, David / McEvoy, Peter M

Behaviour research and therapy

2023 Band 161, Seite(n) 104253

Abstract: Background: Improving the delivery of cognitive-behavioural therapy (CBT) for social anxiety disorder (SAD) requires an in-depth understanding of which cognitive and behavioural mechanisms drive change in social anxiety symptoms (i.e., social ... ...

Abstract	Background: Improving the delivery of cognitive-behavioural therapy (CBT) for social anxiety disorder (SAD) requires an in-depth understanding of which cognitive and behavioural mechanisms drive change in social anxiety symptoms (i.e., social interaction anxiety) during and after treatment. The current study explores the dynamic temporal associations between theory-driven cognitive and behavioural mechanisms of symptom change both during and following group CBT. Methods: A randomized controlled trial of imagery-enhanced CBT (n = 51) versus traditional verbal CBT (n = 54) for social anxiety was completed in a community mental health clinic setting. This study included data collected from 12-weekly sessions and a 1-month follow-up session. Mixed models were used to assess magnitude of change over the course of treatment. Cross-lagged panel models were fit to the data to examine temporal relationships between mechanisms (social-evaluative beliefs, safety behaviours) and social interaction anxiety symptoms. Results: Participants in both CBT groups experienced significant improvements across all cognitive, behavioural, and symptom measures, with no significant differences in the magnitude of changes between treatments. During treatment, greater social-evaluative beliefs (fear of negative evaluation, negative self-portrayals) at one time point (T) were predictive of more severe SAD symptoms and safety behaviours at T+1. Social-evaluative beliefs (fear of negative evaluation, probability and cost of social failure) and safety behaviours measured at post-treatment were positively associated with SAD symptoms at the 1-month follow-up. Conclusions: The current study identifies social-evaluative beliefs that may be important targets for symptom and avoidance reduction during and following CBT. Assessment of these social-evaluative beliefs throughout treatment may be useful for predicting future SAD symptoms and avoidance, and for adapting treatment to promote optimal change for patients.
Mesh-Begriff(e)	Humans ; Phobia, Social/therapy ; Anxiety Disorders/psychology ; Cognitive Behavioral Therapy ; Anxiety ; Cognition ; Psychotherapy, Group
Sprache	Englisch
Erscheinungsdatum	2023-01-11
Erscheinungsland	England
Dokumenttyp	Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	211997-3
ISSN	1873-622X ; 0005-7967
ISSN (online)	1873-622X
ISSN	0005-7967
DOI	10.1016/j.brat.2023.104253
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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