anxiety

Efficacy of electrical cranial stimulation for treatment of psychiatric symptoms in patients with anxiety: A systematic review and meta-analysis

Therapeutic effects of electrical cranial stimulation (CES) in patients suffering from anxiety remained unclear. This meta-analysis aimed at investigating acceptability and therapeutic efficacy of CES against anxiety, depression, and insomnia for patients who experienced symptoms of anxiety. … … Our study supported the use of CES for symptoms of anxiety, depression, and insomnia in those […]

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The Role of Attachment Anxiety, Attachment Avoidance, and Grit on Life Satisfaction and Relationship Satisfaction

Journal of Humanistic Psychology, Ahead of Print. The present study examined the role of attachment anxiety, attachment avoidance, and grit on life satisfaction and romantic relationship satisfaction. We recruited participants (n = 378, mean age = 28.3) using convenience and snowball sampling (i.e., via Facebook and email). The sample consisted of 86 males, 284 females, 2 transgender individuals, and 6 individuals who did not indicate their gender. Participants completed online surveys. Results partially supported our hypotheses that greater attachment anxiety and attachment avoidance resulted in lower life satisfaction scores, but individuals with high grit had lower life satisfaction scores than those with low grit. Additionally, results supported the hypotheses that greater attachment anxiety and attachment avoidance resulted in lower romantic relationship satisfaction scores. However, we posit that grit may work differently in influencing life satisfaction compared with romantic relationship satisfaction, particularly among our younger sample. Implications of findings and directions for future research were also explored.

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Integrative Jungian Psychotherapy for Anxiety and OCD

Journal of Humanistic Psychology, Ahead of Print. Cognitive-behavioral interventions for anxiety and obsessive–compulsive disorder have received a great deal of attention for their growing evidence base. These therapies focus on symptom elimination by way of cognitive and behavioral change and, though undoubtedly helpful, miss important symbolic aspects of the client’s experience of these disorders that have the potential for meaning and the resolution of traumatic history. Jungian psychotherapy, like other depth-oriented and humanistically oriented approaches, is concerned both with meaning in the client’s life and the process by which the client becomes more themselves by integrating fragmented, wounded, and hidden aspects of the psyche—a process known as individuation. This article integrates Jungian concepts with trauma theory to generate an integrative framework for psychotherapy with individuals with anxiety and obsessive–compulsive disorder. The case of “Stefan,” which provides a description of trauma-informed psychotherapy incorporating eye movement desensitization and reprocessing within a Jungian framework, is then presented to illustrate key elements of this theoretical integration.

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The Psychological Correlates of Decreased Death Anxiety After a Near-Death Experience: The Role of Self-Esteem, Mindfulness, and Death Representations

Journal of Humanistic Psychology, Ahead of Print. Near-death experiences (NDE) are intense events that can have profound psychological consequences. Although decreased fear of death after an NDE is a well-documented phenomenon, it is unclear what psychological factors are associated with reduced death anxiety. In this study, grounded in terror management theory, we compared 102 people who had an NDE with 104 individuals who did not. Participants completed measures of death anxiety, self-esteem, mindfulness, and death representation. Results indicated that people who had an NDE had lower fear of death, higher self-esteem, greater mindfulness, and viewed death more as a transition rather than as absolute annihilation. Subsequent analyses found that NDE had a direct effect on death anxiety, and that the effect of NDE on death anxiety was also mediated by indirect effects on self-esteem and death representation. Implications of these findings are considered, limitations of the present study are acknowledged, and suggestions for future theory and research are proffered.

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Associations Between Existential Concerns and Adverse Experiences: A Systematic Review

Journal of Humanistic Psychology, Ahead of Print. Exposure to traumatic events or adverse experiences and its consequences have been studied mainly from a posttraumatic stress disorder perspective. Existential psychotherapy focuses on universal human concerns and the anxiety that occurs when a person confronts the conflicts inherent in life and toward death, which include the experience of difficult situations. A systematic review was performed including 56 papers that studied the relations between adverse experiences and existential concerns. The articles were assessed and described in relation to existential domains, type of adverse experience, posttraumatic responses, and existential psychological interventions. Existential concerns appeared in different degrees and categories in studied samples. Outcomes suggest that from an existential psychotherapy perspective, reactions to traumatic events can be both negative and positive for a person. In addition, the pass of time turned out to be an important factor, especially in finding meaning from traumatic experiences, the reduction of negative symptoms, and the achieving of posttraumatic growth. Existential-related interventions described in this review showed positive outcomes, suggesting that it is an effective trauma treatment approach.

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From Climate Anxiety to Climate Action: An Existential Perspective on Climate Change Concerns Within Psychotherapy

Journal of Humanistic Psychology, Ahead of Print. With the growing body of knowledge climate change stands out as one of the most important contemporary problems. The Intergovernmental Panel on Climate Change confirms the urgent necessity to reduce greenhouse gases emission, as the window to address the problem is becoming narrow. Rising temperatures and bushfires, melting glaciers and droughts make the acceleration of climate change evident, and citizens around the globe are increasingly worried about the magnitude of the problem. In this article, we propose an existential perspective on climate change-related concerns. Although environmental worries are legitimate, they sometimes cause severe anxiety and distress so aggravated as to be discussed within the framework of psychotherapy. In the course of this research, we examine the experiences of 10 Swedish psychotherapy clients addressing their climate concerns within treatment. We engage them into in-depth conversations about the experience of climate anxiety and inquire about the individual pathways toward recovery. Moreover, we propose the existential perspective as a tool to understand such experiences. We aim to address all existential concerns, as described in Ernesto Spinelli’s themes of existence framework: death anxiety, spatiality, temporality, meaning, relatedness, authenticity, freedom, and responsibility. All of the above are present in participants’ reports of climate anxiety. In conclusion, we emphasize the value of introducing existential perspective to practitioners working with clients experiencing climate distress.

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Future Time Perspective as an Operationalization of Existential Concerns Related to Time

Journal of Humanistic Psychology, Ahead of Print. Psychologists and other clinical therapists often focus on the psychological processes that result from the fact that human beings will one day die, not death anxiety/afterlife anxiety itself. Nevertheless, existential concerns are death concerns, and any anxiety associated with death should be understood through that lens—as resulting from concerns about death. Understanding how one views the amount of time left to live, and how this perception influences motives, goal cognitions, mood, and well-being, is of great importance from a humanistic–existential perspective. Socioemotional selectivity theory and the concept of future time perspective (FTP) capture these phenomena and have the potential to operationalize perspectives of time constraints within existential psychology. The present work attempts to show how FTP may be used to operationalize the problem of time from an existential perspective, specifically targeting the existential themes of death, meaning, isolation, and freedom. Clinical implications of considering FTP as an existential construct are discussed, as are limitations and future directions.

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Existential Meaninglessness Scale: Scale Development and Psychometric Properties

Journal of Humanistic Psychology, Ahead of Print. Grounded in a tripartite existential meaninglessness model, the authors developed the 18-item Existential Meaninglessness Scale (EMS) to assess one’s concern and anxiety of existential meaninglessness. Across three samples, the EMS’s factor structure and evidence of convergent, criterion-related, and incremental validity, internal consistency, and test–retest reliability were examined. Exploratory factor analyses demonstrated three dimensions of the EMS: incomprehension, purposelessness, and insignificance. Confirmatory factor analyses revealed that a bifactor model was a better fit to the data than other models. The bifactor model provided evidence for a general factor and measurement invariance. Ancillary bifactor indices indicated EMS’s unidimensionality. Findings of bivariate correlations and hierarchical regression analyses provided evidence for different aspects of construct validity and internal consistency. Both the Concern and Anxiety measures of the EMS positively predicted depressive symptoms and suicide ideation above and beyond the effects of general existential meaninglessness, general feelings of anxiety, and presence of meaning in life. Based on the findings, the authors discuss future research directions on existential meaninglessness using the EMS.

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Classic Psychedelic Use and Mechanisms of Mental Health: Exploring the Mediating Roles of Spirituality and Emotion Processing on Symptoms of Anxiety, Depressed Mood, and Disordered Eating in a Community Sample

Journal of Humanistic Psychology, Ahead of Print. A resurgence of research has begun to systematically examine the relationship between psychedelic use and mental health and well-being. Although preliminary findings examining the therapeutic value of these substances show promise, the mechanisms through which psychedelic use may predict reduced mental distress remain poorly understood. To this end, we surveyed a community sample of individuals (n = 159) who endorsed lifetime psychedelic use to examine relationships among psychedelic use and self-reported spirituality, difficulties in emotion regulation, and symptoms of mental health issues. Results revealed a pathway through which classic psychedelic use predicted greater spirituality, which in turn predicted better emotion regulation, ultimately predicting lower levels of anxiety, depressed mood, and disordered eating. These results contribute to our understanding of potential mechanisms of change with respect to psychedelics and mental health. They also add to the growing body of literature pointing to the healing effects of the cultivation of spirituality and emotion regulation as separate and related constructs.

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Prefrontal engrams of long-term fear memory perpetuate pain perception

Nature Neuroscience, Published online: 06 April 2023; doi:10.1038/s41593-023-01291-x Can erasing bad memories relieve pain? Stegemann et al. uncover the cellular basis of fear–pain interactions, reporting that fear potentiates pain via memories encoded in prefrontal engrams. Blocking these memory traces reduces chronic pain in mice.

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