Publication date: December 2023Source: Neuroscience & Biobehavioral Reviews, Volume 155Author(s): Juergen Fell, Leila Chaieb, Christian Hoppe
Mind wandering in anxiety disorders: A status report Read More »
BackgroundCognitive processing therapy (CPT) and prolonged exposure (PE) delivered in an individual setting are efficacious and effective treatments for veterans with posttraumatic stress disorder (PTSD). Group CPT has been shown to be less efficacious than individual CPT, however, evidence regarding real-world effectiveness is limited.MethodsWe conducted a retrospective, observational, comparative effectiveness study including veterans that received at least eight sessions of group CPT, individual CPT, or individual PE, and were discharged from PTSD residential treatment at the Department of Veterans Affairs between 1 October 2015, and 30 September 2020. PTSD symptom severity was assessed with the PTSD Checklist for DSM-5 (PCL-5) and treatments delivered in a group (CPT) or individual (CPT or PE) setting were compared at discharge and 4-month post-discharge follow-up.ResultsOf 6735 veterans, 3888 [653 women (17%), median (IQR) age 45 (35–55) years] received individual and 2847 [206 women (7.2%), median (IQR) age 42 (34–54)] received group therapy. At discharge, improvement in PTSD severity was statistically greater among those treated individually (mean difference on the PCL-5, 2.55 (95% CI 1.61–3.49); p =
Publication date: Available online 5 July 2023Source: Neuroscience & Biobehavioral ReviewsAuthor(s): Miquel A. Fullana, Alexander J. Shackman
Introduction to the Special Issue on The Neurobiology of Human Fear and Anxiety Read More »
Publication date: Available online 5 July 2023Source: Neuroscience & Biobehavioral ReviewsAuthor(s): Rany Abend
Background
Social anxiety (SA), a prevalent comorbid condition in psychotic disorders with a negative impact on functioning, requires adequate intervention relatively early. Using a randomized controlled trial, we tested the efficacy of a group cognitive-behavioral therapy intervention for SA (CBT-SA) that we developed for youth who experienced the first episode of psychosis (FEP). For our primary outcome, we hypothesized that compared to the active control of group cognitive remediation (CR), the CBT-SA group would show a reduction in SA that would be maintained at 3- and 6-month follow-ups. For secondary outcomes, it was hypothesized that the CBT-SA group would show a reduction of positive and negative symptoms and improvements in recovery and functioning.
Method
Ninety-six patients with an FEP and SA, recruited from five different FEP programs in the Montreal area, were randomized to 13 weekly group sessions of either CBT-SA or CR intervention.
Results
Linear mixed models revealed that multiple measures of SA significantly reduced over time, but with no significant group differences. Positive and negative symptoms, as well as functioning improved over time, with negative symptoms and functioning exhibiting a greater reduction in the CBT-SA group.
Conclusions
While SA decreased over time with both interventions, a positive effect of the CBT-SA intervention on measures of negative symptoms, functioning, and self-reported recovery at follow-up suggests that our intervention had a positive effect that extended beyond symptoms specific to SA.
ClinicalTrials.gov identifier: NCT02294409.
Effective communication can have a positive impact on a client’s struggle. Psychotherapy has been found to be an effective remedy for many mental health conditions, but it’s important for therapists to be aware of ways how to communicate the salience of their approach to their clients. A new idea is to rate and measure the
Annual Review of Clinical Psychology, Volume 19, Issue 1, Page 79-105, May 2023.
Volume 104, Issue 2, April 2023, Page 244-262.
Why Fearing Breast Cancer Can Be a Failure of the Dual Maternal Functions? Read More »
This webinar focuses on the value of stratification as a tool for driving transformative change in early interventions for people with anxiety, depression, and psychosis.
