Abstract：
:Pediatric obsessive-compulsive disorder (OCD) is associated with substantial morbidity, comorbidity, family difficulties, and functional impairment. Fortunately, OCD in youth has also been found responsive to cognitive behavioral therapy (CBT) both alone and in combination with medication. This paper highlights key areas a treatment provider must be highly knowledgeable in to be considered an expert in cognitive behavioral therapy (CBT) for pediatric obsessive-compulsive disorder (OCD). We describe the areas of knowledge that must be mastered to gain expertise, as well as the more difficult to quantify personal qualities that may allow a clinician to convey this knowledge in an expert manner. We provide detailed discussions of CBT theory, assessment strategies, implications of the treatment outcome literature for clinical decision-making, and how best to navigate CBT. We also discuss what the expert needs to accomplish by engaging youth and families throughout the evaluation and treatment process.
journal_name
J Anxiety Disordjournal_title
Journal of anxiety disordersauthors
Franklin ME,Dingfelder HE,Coogan CG,Garcia AM,Sapyta JJ,Freeman JLdoi
10.1016/j.janxdis.2013.09.007subject
Has Abstractpub_date
2013-12-01 00:00:00pages
745-53issue
8eissn
0887-6185issn
1873-7897pii
S0887-6185(13)00171-0journal_volume
27pub_type
杂志文章abstract：:The judicious use of safety behavior may enhance the acceptability of exposure. However, practical questions concerning safety behavior fading remain. The current study compared the efficacy and acceptability of participant- and experimenter-initiated fading of safety behavior during exposure. Undergraduate students (...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2016.02.006
更新日期：2016-04-01 00:00:00
abstract：:The goal of this study was to investigate the diagnostic and symptom specificity of a model of GAD that has four main features: intolerance of uncertainty, positive beliefs about worry, poor problem orientation, and cognitive avoidance. The authors compared 17 patients with non-comorbid generalized anxiety disorder (G...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2004.02.002
更新日期：2005-01-01 00:00:00
abstract：:Cognitive Processing Therapy (CPT) and Behavioural Activation Therapy (BA) were used to treat individuals with comorbid posttraumatic stress disorder (PTSD) and major depressive disorder (MDD). Fifty-two individuals (48 women, 4 men) were randomized to CPT alone (n = 18), CPT then BA for MDD (n = 17), or BA then CPT (...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2020.102324
更新日期：2020-12-01 00:00:00
abstract：:Learning and memory are interdependent processes. Memories are learned, and cumulative learning requires memory. It is generally accepted that learning contributes to psychopathology and consequently to pertinent memory formation. Neuroscience and psychological research have established that memory is an active recons...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章,评审
doi：10.1016/j.janxdis.2008.11.003
更新日期：2009-05-01 00:00:00
abstract：:Obsessive compulsive disorder (OCD) affects the lives of patients as well as their relatives. Calvocoressi et al. (1995) suggested that accommodation (e.g., participating in the patient's rituals) by relatives of patients with OCD was related to global family dysfunction and distress. These investigators did not, howe...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/s0887-6185(99)00032-8
更新日期：2000-05-01 00:00:00
abstract：:The GAD-7 is a popular measure of generalized anxiety disorder (GAD) symptoms that has been used across many cultural groups. Existing evidence demonstrates that the prevalence of GAD varies across self-identified ethnic/cultural groups, a phenomenon that some researchers attribute to cross-cultural measurement error ...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2015.01.005
更新日期：2015-04-01 00:00:00
abstract：:Recent research suggests that obsessive-compulsive washers are more likely than individuals without washing compulsions to use conscious, internal reference criteria when deciding when to terminate compulsions (Wahl, Salkovskis, & Cotter, 2008). An alternative view is that they possess tendencies towards non-cognitive...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2011.03.019
更新日期：2011-08-01 00:00:00
abstract：:Given the substantial comorbidity between generalized anxiety disorder (GAD) and unipolar depressive disorders (UDDs), some have suggested that these disorders be combined in future editions of the DSM. However, decisions regarding nosology should not only account for current manifestations of symptom profiles, but al...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2009.12.001
更新日期：2010-03-01 00:00:00
abstract：:Evidence suggests that posttraumatic stress (PTS) disorder (PTSD) symptom presentations may vary as a function of index trauma type. Network analysis was employed in the present study to examine differences in PTS symptom centrality (i.e., the relative influence of a symptom on the network), and PTS symptom associatio...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2018.07.004
更新日期：2018-08-01 00:00:00
abstract：:This study examines how cognitive variables, which play a central role in the development and maintenance of generalized anxiety disorder (GAD), manifest themselves when GAD and major depressive disorder (MDD) are comorbid. Thirty-two participants were divided into two groups, a group of individuals with a principal d...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2007.05.010
更新日期：2008-01-01 00:00:00
abstract：:Health anxiety can be defined as a multifaceted trait that is primarily characterised by a fear of, or preoccupation with, serious illness. Whereas low levels of health anxiety can be helpful, clinically significant levels are associated with personal suffering and substantial societal costs. As general anxiety is pro...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章,meta分析
doi：10.1016/j.janxdis.2020.102208
更新日期：2020-04-01 00:00:00
abstract：:Peer dislike of anxious behaviour was investigated in 7-12 year olds. Child actors delivered an identical verbal presentation: once in an anxious manner and once confidently. The videos were rated for liking and seven potential mediators by three groups of children: 32 anxiety-disordered peers with social phobia; 16 a...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2014.06.007
更新日期：2014-08-01 00:00:00
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
doi：10.1016/s0887-6185(02)00178-0
更新日期：2003-01-01 00:00:00
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
doi：10.1016/j.janxdis.2006.03.003
更新日期：2006-01-01 00:00:00
abstract：:Three experiments measured differences in responding between participants scoring either higher or lower on obsessive-compulsive trait measures. A Sidman avoidance procedure was employed in Experiment 1, in which participants were required to identify an avoidance response that postponed an aversive event, and noted t...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.janxdis.2013.05.002
更新日期：2014-03-01 00:00:00
abstract：:Worry, the anticipation of future threat, is a common feature of anxiety and mood psychopathology. Considerable research has examined the latent structure of worry to determine whether this construct reflects a dimensional or taxonic structure. Recent taxometric investigations have provided support for a unidimensiona...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2015.11.001
更新日期：2016-01-01 00:00:00
abstract：:Social anxiety disorder (SAD) has been linked to maladaptive forms of fear regulation, including flexibly distinguishing between learned threat and safety signals. Few studies have examined this in young, unmedicated SAD patients, including its neural basis. We aimed to characterize the neural, subjective, and autonom...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2020.102321
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Despite being a relatively prevalent and debilitating disorder, Generalized Anxiety Disorder (GAD) is the second least studied anxiety disorder and among the most difficult to treat. Dropout from psychotherapy is concerning as it is associated with poorer outcomes, leads to service inefficiencies and can dis...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.janxdis.2017.10.001
更新日期：2017-12-01 00:00:00
abstract：:The current study examined the psychometric properties of the Parental Expectancies Scale (PES) in childhood anxiety disorder and normative samples. The PES is a 20-item self-report instrument that assesses five dimensions of parental expectancies in academic, extra-curricular, household, social, and general success a...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2001.10.001
更新日期：2004-01-01 00:00:00
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
doi：10.1016/j.janxdis.2010.10.001
更新日期：2011-03-01 00:00:00
abstract：:Risk-taking behavior involves making choices with uncertain positive or negative outcomes. Evidence suggests that risk-taking behavior is influenced by emotional state. One such emotional experience is social anxiety, which has been related to both risk-avoidant and risk-seeking decision making. The present study exam...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2013.02.010
更新日期：2013-04-01 00:00:00
abstract：:One of the core features of social anxiety disorder (SAD) is the persistent fear of being evaluated. Fear of evaluation includes fear of negative evaluation (FNE) and fear of positive evaluation (FPE). Few studies have examined the relationship between self-reported FNE and FPE and neural responses to simulated negati...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2019.102114
更新日期：2019-10-01 00:00:00
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
doi：10.1016/j.janxdis.2009.10.001
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:Aerobic exercise (AE) demonstrated an overall medium treatment effect in anxiety disorders (AD) but there is evidence for an "intensity-response" relationship. High intensity interval training (HIIT) was highly effective on a range of (mental) health parameters. However, so far no randomised-controlled trial...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2020.102311
更新日期：2020-12-01 00:00:00
abstract：:This study evaluated the psychometric properties of the Social Phobia Scale and Social Interaction Anxiety scale in a community sample of African Americans. We conducted a confirmatory factor analysis of the combined scales comparing the data to 2- and 3-factor solutions commonly reported in the literature. The result...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2014.07.003
更新日期：2014-10-01 00:00:00
abstract：:Recent cognitive models stress the impact that negative appraisals have on the maintenance of posttraumatic stress disorder (PTSD). The aim of this study was to investigate the role of posttraumatic negative cognitions in 110 survivors of motor vehicle accidents (MVAs) and to examine the effect of cognitive-behavioral...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.janxdis.2009.03.001
更新日期：2009-08-01 00:00:00
abstract：:Much of the debate surrounding the dimensionality of PTSD relates to three specific Hyperarousal symptoms (D1-D3) and whether they are appropriate indicators of one of two broad constructs that constitute PTSD: Dysphoria or Hyperarousal. This study addressed this issue by testing a series of confirmatory factor models...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2009.07.001
更新日期：2009-10-01 00:00:00
abstract：:Asmundson and Asmundson (2018) reported that publication of research on anxiety disorders, including social anxiety disorder (SAD), has seen rapid growth in the period between 2006 and 2016. In fact, the uptick in publication rate of SAD research was unexpectedly high given previous predictions by Boschen (2008), who ...
journal_title：Journal of anxiety disorders
pub_type： 评论,杂志文章
doi：10.1016/j.janxdis.2018.04.001
更新日期：2018-05-01 00:00:00
abstract：:Social factors are often associated with the development or maintenance of posttraumatic stress disorder (PTSD) in the aftermath of interpersonal traumas. However, social problem solving strategies have received little attention. The current study explored the role of social problem solving styles (i.e., rational appr...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2015.02.007
更新日期：2015-05-01 00:00:00
abstract：:This study investigated the utility of combining the Child Trauma Screening Questionnaire (CTSQ) [Kenardy, J. A., Spence, S. H., & Macleod, A. C. (2006). Screening for post-traumatic stress disorder in children after accidental injury. Pediatrics, 118, 1002-1009] and children's heart rate (HR; emergency department and...
journal_title：Journal of anxiety disorders
pub_type： 杂志文章
doi：10.1016/j.janxdis.2008.02.007
更新日期：2008-12-01 00:00:00
