Prolonged exposure therapy for combat-related posttraumatic stress disorder: an examination of treatment effectiveness for veterans of the wars in Afghanistan and Iraq.


:The Veteran's Health Administration (VHA) has launched a large-scale initiative to promote prolonged exposure (PE) therapy, an evidence-based treatment for PTSD. While existing randomized controlled trials (RCTs) unambiguously support the efficacy of PE in civilian and some military populations, there is a need to better understand the course of treatment for combat Veterans of the current wars receiving PE in normative mental healthcare settings. The current study investigates 65 Veterans receiving care at an urban VA medical center. All Veterans were diagnosed with PTSD via a structured interview and treated with PE. Measures of PTSD and depression were collected pre- and post-treatment and every two sessions during treatment. Dependent means t-tests were used to estimate pre- and post-treatment d-type effect sizes. Additionally, hierarchical linear models (HLM) were used to investigate treatment effects over time, relationships between patient characteristics and outcomes, and to provide estimates of R(2)-type effect sizes. Results indicate that PE in regular VA mental healthcare contexts can be as effective as when implemented in carefully conducted RCTs.


J Anxiety Disord


Tuerk PW,Yoder M,Grubaugh A,Myrick H,Hamner M,Acierno R




Has Abstract


2011-04-01 00:00:00














  • Self-reported social skills impairment explains elevated autistic traits in individuals with generalized social anxiety disorder.

    abstract::Screening for autism in individuals with generalized social anxiety disorder (GSAD) is complicated by symptom overlap between GSAD and autism spectrum disorder (ASD). We examined the prevalence of self-reported autistic traits within a sample of participants with a diagnosis of GSAD (n=37) compared to individuals with...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Tonge NA,Rodebaugh TL,Fernandez KC,Lim MH

    更新日期:2016-03-01 00:00:00

  • Evaluation of personality traits in panic disorder using Swedish universities Scales of Personality.

    abstract::Personality factors may interact with development and expressions of panic disorder (PD). This study sought to identify differences in personality traits between patients with PD and healthy individuals and explore the relationships between personality domains and various demographic and clinical variables of PD. Pers...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Võhma U,Aluoja A,Vasar V,Shlik J,Maron E

    更新日期:2010-01-01 00:00:00

  • Quetiapine as an adjunctive pharmacotherapy for the treatment of non-remitting generalized anxiety disorder: a flexible-dose, open-label pilot trial.

    abstract:BACKGROUND:Generalized anxiety disorder (GAD) is a chronic disorder associated with significant morbidity and disability. Traditional therapies are associated with poor levels of remission, and often result in troublesome side effects. METHODS:This was a 12-week, open-label, flexible-dose study to assess the efficacy ...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Katzman MA,Vermani M,Jacobs L,Marcus M,Kong B,Lessard S,Galarraga W,Struzik L,Gendron A

    更新日期:2008-12-01 00:00:00

  • Behavioral inhibition and obsessive-compulsive disorder.

    abstract::Behavioral inhibition is frequently cited as a vulnerability factor for development of anxiety. However, few studies have examined the unique relationship between behavioral inhibition and obsessive-compulsive disorder (OCD). Therefore, the current study addressed the relationship between behavioral inhibition and OCD...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Coles ME,Schofield CA,Pietrefesa AS

    更新日期:2006-01-01 00:00:00

  • Ethnoracial differences in anxiety sensitivity: examining the validity of competing anxiety sensitivity index subscales.

    abstract::Despite the increasing number of Americans who are considered to be a part of an ethnoracial minority group, there have been few investigations of the cross-cultural validity of measures of psychopathology. The limited existing literature suggests potential differences between African American (AA) and European Americ...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Hunter LR,Keough ME,Timpano KR,Schmidt NB

    更新日期:2012-05-01 00:00:00

  • Lifetime trauma history and panic disorder: findings from the National Comorbidity Survey.

    abstract:OBJECTIVE:The purpose of this article is to examine prevalence of lifetime traumatic experiences in a community sample of panic disorder patients. METHOD:We examined trauma rates in a cohort of panic disorder patients. Also, we statistically disaggregated comorbid PTSD from individuals diagnosed with panic disorder in...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Leskin GA,Sheikh JI

    更新日期:2002-01-01 00:00:00

  • Executive skills in older adults with GAD: relations with clinical variables and CBT outcome.

    abstract::Although cognitive behavior therapy (CBT) is an effective intervention for treating generalized anxiety disorder (GAD) in older adults, researchers are now considering augmenting the therapy to enhance outcome. We are also long overdue in identifying moderators of CBT response (e.g., cognitive abilities) in late life ...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Mohlman J

    更新日期:2013-01-01 00:00:00

  • Do pre-existing anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping?

    abstract:BACKGROUND:People with pre-existing mental health conditions may be more susceptible to stressors associated with COVID-19 relative to the general population; however, no studies have assessed whether susceptibility differs between classes of mental health disorders. We assessed COVID-19-related stress, self-isolation ...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Asmundson GJG,Paluszek MM,Landry CA,Rachor GS,McKay D,Taylor S

    更新日期:2020-08-01 00:00:00

  • The effect of trauma on the severity of obsessive-compulsive spectrum symptoms: A meta-analysis.

    abstract::It is important to consider trauma-related sequelae in the etiology and maintenance of psychopathology, namely understudied disorders such as those belonging to the Obsessive-Compulsive Spectrum (OCS). This meta-analysis examined the association between past trauma exposure and current severity of OCS disorder symptom...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章,meta分析,评审


    authors: Miller ML,Brock RL

    更新日期:2017-04-01 00:00:00

  • Alterations of the attentional networks in patients with anxiety disorders.

    abstract::Cognitive theories of emotion try to explain how anxious people attend to the world. Despite the increase in empirical research in this field, the specific or general attentional impairments of patients with anxiety disorder is not well defined. We decided to investigate the relationship between pathological anxiety a...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Pacheco-Unguetti AP,Acosta A,Marqués E,Lupiáñez J

    更新日期:2011-10-01 00:00:00

  • The effects of social anxiety on interpersonal evaluations of warmth and dominance.

    abstract::Social anxiety disorder is associated with interpersonal dysfunction, but it is not clear why people with the disorder feel unsatisfied with their relationships. One possibility is that higher social anxiety could lead to changes in sensitivity to interpersonal traits. We examined whether social anxiety moderates the ...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Rodebaugh TL,Bielak T,Vidovic V,Moscovitch DA

    更新日期:2016-03-01 00:00:00

  • "You can do it!": The role of parental encouragement of bravery in child anxiety treatment.

    abstract::Individual cognitive-behavioral therapy (CBT) provides anxious youth with skills and experiences to increase "brave" behavior in the face of feared situations. This study addresses whether parental encouragement of bravery during an anxiety provoking and potentially avoidable naturalistic speech task (a) differs betwe...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Silk JS,Sheeber L,Tan PZ,Ladouceur CD,Forbes EE,McMakin DL,Dahl RE,Siegle GJ,Kendall PC,Mannarino A,Ryan ND

    更新日期:2013-06-01 00:00:00

  • Anxiety regarding contracting COVID-19 related to interoceptive anxiety sensations: The moderating role of disgust propensity and sensitivity.

    abstract::The COVID-19 public health crisis has led to extensive recommendations by officials to contain its spread. Anxiety regarding contracting the virus is prominent in the public. Specific routes to anxiety over disease contraction are under studied. It is expected that a contributory feature of fear of contracting COVID-1...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: McKay D,Yang H,Elhai J,Asmundson GJG

    更新日期:2020-06-01 00:00:00

  • A community study of generalized anxiety disorder with vs. without health anxiety in Hong Kong.

    abstract:BACKGROUND:Although generalized anxiety disorder (GAD) is characterized by multiple worries, anxiety about one's health is absent in the DSM-IV description of the illness. METHOD:A random community-based telephone survey (N = 2005) that covered DSM-IV symptoms of GAD, two core symptoms of major depression, Rome-III cr...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Lee S,Ma YL,Tsang A

    更新日期:2011-04-01 00:00:00

  • The prevalence and clinical implications of self-medication among individuals with anxiety disorders.

    abstract::Alcohol dependence (AD) is more likely to occur among individuals with rather than without an anxiety disorder. Self-medication theory (SMT) holds that drinking behavior is negatively reinforced when alcohol temporarily reduces anxiety and that the resulting escalation of drinking increases the risk for AD. We set out...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Menary KR,Kushner MG,Maurer E,Thuras P

    更新日期:2011-04-01 00:00:00

  • Attentional and physiological characteristics of patients with dental anxiety.

    abstract::Twenty patients with dental anxiety were investigated while seated in a dental chair in a dental clinic. Heart rate (HR), heart rate variability (HRV), and skin conductance level (SCL) were recorded while the patients were exposed to scenes of dental treatment as well as a Stroop attentional task. Results showed an at...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Johnsen BH,Thayer JF,Laberg JC,Wormnes B,Raadal M,Skaret E,Kvale G,Berg E

    更新日期:2003-01-01 00:00:00

  • Childhood trauma and current psychological functioning in adults with social anxiety disorder.

    abstract::Etiological models of social anxiety disorder (SAD) suggest that early childhood trauma contributes to the development of this disorder. However, surprisingly little is known about the link between different forms of childhood trauma and adult clinical symptoms in SAD. This study (1) compared levels of childhood traum...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Kuo JR,Goldin PR,Werner K,Heimberg RG,Gross JJ

    更新日期:2011-05-01 00:00:00

  • Attention in sub-clinical obsessive-compulsive checkers.

    abstract::The aim of the study was to explore differential attention profiles, according to attention types, in sub-clinical obsessive-compulsive checkers compared to controls. To examine attention biases in obsessive-compulsive phenomena, we compared sub-clinical checkers to non-checkers on their recall and recognition perform...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Irak M,Flament MF

    更新日期:2009-04-01 00:00:00

  • Does patient reluctance towards exposure and psychologists' attitudes about evidence based practice influence treatment recommendations for panic disorder? An experimental investigation.

    abstract::This study examined the effects of patient reluctance towards exposure on practitioners' subsequent treatment recommendations. Participants (N=236) were doctoral level psychologists who received a vignette of a patient with panic disorder, which either did (experimental group) or did not (control group) mention patien...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章,随机对照试验


    authors: Kazantzis N,Ford C,Paganini C,Dattilio FM,Farchione D

    更新日期:2017-10-01 00:00:00

  • Properties of Swedish posttraumatic stress measures after a disaster.

    abstract::This study evaluated the properties of Swedish versions of self-report measures of posttraumatic stress disorder (PTSD), with emphasis on the Impact of Event Scale-Revised (IES-R). Survey data from adult survivors 1, 3, and 6 years after the 2004 Indian Ocean tsunami (n=1506) included the IES-R (from which the IES-6 w...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Arnberg FK,Michel PO,Johannesson KB

    更新日期:2014-05-01 00:00:00

  • The misclassification of facial expressions in generalised social phobia.

    abstract::The aim of this study was to investigate facial expression recognition (FER) accuracy in social phobia and in particular to explore how facial expressions of emotion were misclassified. We hypothesised that compared with healthy controls, subjects with social phobia would be no less accurate in their identification of...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Bell C,Bourke C,Colhoun H,Carter F,Frampton C,Porter R

    更新日期:2011-03-01 00:00:00

  • Smiles may go unseen in generalized social anxiety disorder: evidence from binocular rivalry for reduced visual consciousness of positive facial expressions.

    abstract::Research has demonstrated increased attention to negative social cues and reduced attention to positive social cues in generalized social anxiety disorder (GSAD), but little is known about whether GSAD also involves differences in lower levels of visual processing. This study explored visual experience in GSAD compare...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Anderson EC,Dryman MT,Worthington J,Hoge EA,Fischer LE,Pollack MH,Barrett LF,Simon NM

    更新日期:2013-10-01 00:00:00

  • Prediction of anxiety disorders using the state-trait anxiety inventory for multiethnic adolescents.

    abstract::The purpose of this study was to determine the validity of the State-Trait Anxiety Inventory (STAI) in predicting DSM-III-R anxiety disorders based on the Diagnostic Interview Schedule for Children (DISC, Version 2.3) and using Asian/Pacific Islander adolescents. An overall prevalence rate of 9.19% for generalized anx...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Hishinuma ES,Miyamoto RH,Nishimura ST,Goebert DA,Yuen NY,Makini GK Jr,Andrade NN,Johnson RC,Carlton BS

    更新日期:2001-11-01 00:00:00

  • The physical health consequences of PTSD and PTSD symptoms: a meta-analytic review.

    abstract::The present meta-analysis systematically examined associations between physical health and posttraumatic stress disorder (PTSD)/PTSD symptoms (PTSS), as well as moderators of this relationship. Literature searches yielded 62 studies examining the impact of PTSD/PTSS on physical health-related quality of life (HR-QOL),...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章,meta分析,评审


    authors: Pacella ML,Hruska B,Delahanty DL

    更新日期:2013-01-01 00:00:00

  • An initial review of residual symptoms after empirically supported trauma-focused cognitive behavioral psychological treatment.

    abstract:OBJECTIVE:Although residual symptoms remain following clinical treatment for posttraumatic stress disorder (PTSD), little is known about the characteristics of these residual symptoms. We aimed to determine the type, severity, and frequency of symptoms that remain after trauma-focused psychotherapy. METHODS:We conduct...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Larsen SE,Bellmore A,Gobin RL,Holens P,Lawrence KA,Pacella-LaBarbara ML

    更新日期:2019-04-01 00:00:00

  • Factor structure of the Tonic Immobility Scale in female sexual assault survivors: an exploratory and Confirmatory Factor Analysis.

    abstract::Tonic immobility (TI) is an involuntary component of the fear response that is characterized by freezing or immobility in situations involving extreme fear coupled with physical restraint. The present investigation evaluated the factor structure of the Tonic Immobility Scale (TIS; Forsyth, J. P., Marx, B., Fusé, T. M....

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Fusé T,Forsyth JP,Marx B,Gallup GG,Weaver S

    更新日期:2007-01-01 00:00:00

  • What do low-dysfunctional beliefs obsessive-compulsive disorder subgroups believe?

    abstract::Obsessive-compulsive disorder (OCD) heterogeneity research identified a patient subgroup that endorsed few of the dysfunctional beliefs posited to be important to development of obsessional disorders. Because of the clinical and theoretical importance of such heterogeneity, we attempted to elucidate the concerns of a ...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Chik HM,Calamari JE,Rector NA,Riemann BC

    更新日期:2010-12-01 00:00:00

  • Self-medication of anxiety disorders with alcohol and drugs: Results from a nationally representative sample.

    abstract::Self-medication--the use of alcohol or drugs in an attempt to reduce anxiety--has often been invoked as an explanatory mechanism for the high co-occurrence of anxiety and substance use disorders (for reviews, see Allan, C. A. (1995). Alcohol problems and anxiety disorders-A critical review. Alcohol & Alcoholism, 30(2)...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Robinson J,Sareen J,Cox BJ,Bolton J

    更新日期:2009-01-01 00:00:00

  • Toward a standard experiment for studying post-treatment return of fear.

    abstract::Fear sometimes returns after successful fear attenuation via in vivo exposure to fear signals. Post-treatment return of fear is of considerable interest both practically and theoretically, but factors associated with return of fear are poorly understood due to conflicting results from procedurally diverse experiments....

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Rose MP,McGlynn FD

    更新日期:1997-05-01 00:00:00

  • Social anxiety and discomfort with friendly giving.

    abstract::Individuals higher in social anxiety report more impaired friendship quality, which past research suggests may stem from constrained warmth. We examined three motivations for constrained warmth in friendships and determined how these motivations related to social anxiety and friendship impairment. To do so, we assesse...

    journal_title:Journal of anxiety disorders

    pub_type: 杂志文章


    authors: Fernandez KC,Rodebaugh TL

    更新日期:2011-04-01 00:00:00