Abstract：
:The present study employed both exploratory and confirmatory factor analytic approaches with nationally representative samples of individuals with a lifetime diagnosis of social anxiety disorder (n=1123; n=3091, respectively) using split-halves of the National Comorbidity Replication Survey (n=9282) and cross-validated with the Canadian Community Health Survey on Mental Health and Wellbeing (n=36,984). Strong support was found for a three-factor solution. This model was obtained from exploratory factor analysis and was further evaluated using two confirmatory factor analytic investigations in the two national samples. The three social situational domains reflected (1) Social Interaction Fears, (2) Observation Fears, and (3) Public Speaking Fears. Individuals with generalized social anxiety disorder (i.e., those who endorsed 7 or more of 13 feared social situations assessed in the survey) were significantly more likely to report Social Interaction Fears and Observation Fears compared to individuals with non-generalized social anxiety disorder (i.e., those who endorsed only 6 or fewer of 13 feared social situations). Individuals with generalized social anxiety were particularly characterized by combinations of Public Speaking Fears plus Social Interaction Fears and Observation Fears. The clinical and classification implications of our study for DSM-V are discussed.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Cox BJ,Clara IP,Sareen J,Stein MBdoi
10.1016/j.brat.2008.01.011subject
Has Abstractpub_date
2008-04-01 00:00:00pages
477-86issue
4eissn
0005-7967issn
1873-622Xpii
S0005-7967(08)00024-7journal_volume
46pub_type
杂志文章abstract：OBJECTIVE:A sudden gain is defined as a large and stable individual improvement occurring between two consecutive treatment sessions. Sudden gains have been shown to predict better long-term improvement in several treatment studies, including cognitive behavioural therapy for depression and anxiety disorders, but have ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2013.12.007
更新日期：2014-03-01 00:00:00
abstract：:Patients with treatment-resistant depression received up to 8 sessions of metacognitive therapy (MCT) targeting attentional control, rumination, worry, and metacognitive beliefs. A baseline period was followed by weekly sessions with follow-up assessments at 6 and 12 months post treatment. Large and statistically sign...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章
doi：10.1016/j.brat.2012.02.004
更新日期：2012-06-01 00:00:00
abstract：:Effects of emotional valence on attention have been shown to occur even when stimuli are presented outside awareness. The impact of negative valence on stimulus processing has been demonstrated to be particularly salient in anxiety. Therefore, it has been hypothesized that compared to nonanxious individuals, anxious i...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2004.01.005
更新日期：2005-02-01 00:00:00
abstract：:This study compared and combined fluoxetine and individual cognitive behavioral therapy in the treatment of bulimia nervosa. Participants were 76 women who sought treatment at the Eating Disorders Program of the Toronto Hospital and who met DSM-III-R criteria for bulimia nervosa. Subjects were randomly assigned to rec...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0005-7967(97)00041-7
更新日期：1997-09-01 00:00:00
abstract：:The psychological consequences of traumatic stress may last even into old age. In persons in their 60s and 70s who had been victims of political detention and torture four decades ago, we compared the outcome of narrative exposure therapy (NET) to that of psychoeducation (PED) only. From a group of 59 former political...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2006.12.006
更新日期：2007-09-01 00:00:00
abstract：:Many psychotherapies, including cognitive behavioral therapy and acceptance and commitment therapy (ACT), have been found to be effective interventions for a range of psychological and behavioral health concerns. Another aspect of treatment utility to consider is dropout, as interventions only work if clients are enga...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,meta分析
doi：10.1016/j.brat.2018.02.004
更新日期：2018-05-01 00:00:00
abstract：:This study examined which, if any, of four variables (depression, hopelessness, conduct problems, substance abuse) differentiated suicide attemptors from nonattemptors among incarcerated juvenile delinquents. Fifty-one male youth served as subjects. The predictor variables were collected by either a standardized inter...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(92)90038-i
更新日期：1992-09-01 00:00:00
abstract：:Although it is well established that attentional biases exist in anxious populations, the specific components of visual orienting towards and away from emotional stimuli are not well delineated. The present study was designed to examine these processes. We used a modified spatial cueing task to assess the speed of eng...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2008.10.021
更新日期：2009-02-01 00:00:00
abstract：BACKGROUND:This study tests the hypothesis that worry is associated with psychotic experiences and examines whether worry would contribute significantly to emotional response independently of the intensity of psychotic experiences. This study also explores differences in worry between patients with a diagnosis of a sch...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2006.11.010
更新日期：2007-07-01 00:00:00
abstract：:Using a mixed within-between design, this study was designed to evaluate the sensorial and cognitive/evaluative aspects of bronchoconstriction induced by progressive methacholine inhalation. 25 asthmatic patients and 15 normal controls were given two consecutive bronchoconstriction tests, inducing a fall of > 30% of t...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(94)90016-7
更新日期：1994-07-01 00:00:00
abstract：BACKGROUND:The evidence base for the treatment of adolescents with bulimia nervosa (BN) is limited. AIMS:To assess the feasibility, acceptability, and clinical outcomes of a web-based cognitive-behavioural (CBT) intervention for adolescents with bulimic symptomatology. METHOD:101 participants were recruited from eati...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章
doi：10.1016/j.brat.2009.05.006
更新日期：2009-09-01 00:00:00
abstract：:This article examines the definition of personality disorders (PDs) from a functional analytical framework and discusses the potential utility of such a framework to account for behavioral tendencies associated with PD pathology. Also reviewed are specific behavioral assessment methods that can be employed in the asse...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(98)00142-9
更新日期：1999-04-01 00:00:00
abstract：:Persistent avoidance may be influenced by prior negative reinforcement rate (i.e., how effective the response is at controlling threat). In clinical settings, the effectiveness of extinction-based methods for treating anxiety-related avoidance may be impacted by prior reinforcement rate. Here, we conducted a laborator...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2020.103711
更新日期：2020-08-12 00:00:00
abstract：OBJECTIVE:The aims were to predict cognitive therapy (CT) noncompletion and to determine, relative to other putative predictors, the extent to which the patient skills in CT for recurrent major depressive disorder predicted response in a large, two-site trial. METHOD:Among 523 outpatients aged 18e70, exposed to 12e14 ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,多中心研究
doi：10.1016/j.brat.2013.01.006
更新日期：2013-05-01 00:00:00
abstract：BACKGROUND:Repetitive negative thinking is a transdiagnostic process that occurs across several psychological disorders, including eating disorders. Individuals with eating disorders have higher levels of repetitive negative thinking than controls, and repetitive negative thinking is associated with eating disorder beh...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2018.11.005
更新日期：2019-01-01 00:00:00
abstract：:The present study was conducted in response to increasing concerns about the potential unreliability of retrospective accounts in assessing the origins of fears and phobias. Some investigators [e.g. Menzies, R.G., & Clarke, J.C. (1993). The etiology of fear of heights and its relationship to severity and individual re...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/S0005-7967(98)00194-6
更新日期：1999-10-01 00:00:00
abstract：:In this study, a computer-based feedback, decision and clinical problem-solving system for clinical practice will be described - the Trier Treatment Navigator (TTN). The paper deals with the underlying research concepts related to personalized pre-treatment recommendations for drop-out risk and optimal treatment strat...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2019.103438
更新日期：2019-09-01 00:00:00
abstract：:This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy. ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2010.10.009
更新日期：2010-11-02 00:00:00
abstract：:The aim of this investigation was to examine the effectiveness of a graded exposure in vivo treatment with behavioural experiments as compared to usual graded activity in reducing pain-related fears, catastrophising and pain disability in chronic low back pain patients reporting substantial fear of movement/(re)injury...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0005-7967(99)00174-6
更新日期：2001-02-01 00:00:00
abstract：:Contemporary models of generalized anxiety disorder (GAD) posit that worry functions as an avoidance strategy. During worry, individuals inhibit threat-related imagery in order to minimize autonomic reactivity to phobic topics. This conceptualization of worry suggests a role for the executive system in exerting top-do...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2007.06.007
更新日期：2007-11-01 00:00:00
abstract：:Memories of negative emotional events persist more over time relative to memories for neutral information. Such persistence has been attributed to heightened encoding and consolidation processes. However, reactivation of the encoded information may also lead to reduced memory decay through rehearsal or a reconsolidati...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2020.103752
更新日期：2020-12-01 00:00:00
abstract：:Thought control was investigated in participants (N = 72) who were shown either a violent, humorous or neutral film and then administered either suppression or nonsuppression instructions. Following the presentation of a three minute segment from one film, participants monitored their thoughts for two 3-minute periods...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0005-7967(98)00049-7
更新日期：1998-07-01 00:00:00
abstract：:Identifying measures that reliably and validly assess clinical impairment has important implications for eating disorder (ED) diagnosis and treatment. The current study examined the psychometric properties of the Clinical Impairment Assessment (CIA) in women at high risk for ED onset. Participants were 543 women (20.6...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2012.02.009
更新日期：2012-06-01 00:00:00
abstract：:This study examined the efficacy of the written emotional disclosure (WED) procedure with a sample of young adults who met diagnostic criteria for posttraumatic stress disorder (PTSD). Participants were randomly assigned to either WED or a control writing condition and were assessed at baseline and one month following...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2011.02.001
更新日期：2011-04-01 00:00:00
abstract：:The present study examined the underlying role of attention control and response time variability in explaining the relationship between anxiety and two commonly computed measures of attention bias variability: 'moving average' and 'trial-level bias score' measures. Participants (final n = 195) completed measures of a...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2020.103751
更新日期：2020-12-01 00:00:00
abstract：:Repetitive negative thinking (RNT) represents a transdiagnostic risk factor for affective disorders, and stress is theorized to exacerbate this vulnerability. One mechanism by which stress may influence individual differences in psychiatric symptoms is through altered decision-making, and loss aversion in particular. ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2020.103609
更新日期：2020-06-01 00:00:00
abstract：:The theory that obsessions are caused by catastrophic misinterpretations of one's intrusive thoughts/ images/impulses is elaborated in an attempt to explain the frequency of obsessions and why they persist. The internal and external provocations of obsessions are considered, and an explanatory framework for the varyin...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(97)10041-9
更新日期：1998-04-01 00:00:00
abstract：:Using a validated and DSM-IV compatible questionnaire, the present study related family history of excessive social anxiety to social phobia and avoidant personality disorder (APD) in epidemiologically identified probands in the general population. Probands met diagnostic criteria for social phobia with or without APD...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(00)00003-6
更新日期：2001-03-01 00:00:00
abstract：:Exposure and response prevention (EX/RP) is an evidence-based treatment for obsessive-compulsive disorder (OCD), yet not all patients achieve wellness with EX/RP. The degree to which patients adhere to EX/RP procedures outside of sessions has been found to predict therapy outcomes, including who achieves post-treatmen...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2016.07.010
更新日期：2016-10-01 00:00:00
abstract：:Psychotherapists report routinely not practising evidence-based treatments. However, there is little research examining the content of therapy from the patient perspective. This study examined the self-reported treatment experiences of individuals who had been told that they had received cognitive-behavior therapy (CB...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2015.10.009
更新日期：2015-12-01 00:00:00
