Abstract:
BACKGROUND:A new diagnostic concept of Adjustment Disorder (AjD) was proposed for inclusion in the International Classification of Diseases, 11th version (ICD-11). However, the symptom structure of AjD is poorly understood. The aim of the present study was to investigate the dimensionality of AjD as a stress-response syndrome. METHODS:A general population sample of the Israeli population (N = 1003) completed the Adjustment Disorder - New Module 20 and the WHO-5 Wellbeing Scale. We compared seven alternative models of AjD using confirmatory factor analysis (CFA). A latent profile analysis (LPA) was performed to determine if subtypes of AjD were present. The performance of the unidimensional and multidimensional models of AjD were evaluated using regression analyses. RESULTS:CFA results supported a unidimensional model of AjD. The LPA identified three quantitatively distinct classes (low, medium, and high) with no evidence of any subtypes of AjD. The criterion validity of AjD was superior when treated as unidimensional. AjD was associated with lower levels of psychological wellbeing (β = -.32, p < .001). CONCLUSIONS:Our results suggest that AjD is better conceptualised as a unidimensional construct. Future work should focus on a reduction of required symptoms in order to improve clinical utility and validity of the diagnosis.
journal_name
J Anxiety Disordjournal_title
Journal of anxiety disordersauthors
Lorenz L,Hyland P,Maercker A,Ben-Ezra Mdoi
10.1016/j.janxdis.2018.01.007subject
Has Abstractpub_date
2018-03-01 00:00:00pages
65-70eissn
0887-6185issn
1873-7897pii
S0887-6185(17)30448-6journal_volume
54pub_type
杂志文章abstract::Group-based Transdiagnostic Cognitive Behavioral Therapy (TCBT) for anxiety disorders aims to target common factors to produce beneficial effects on multiple anxiety disorders at once. While there is growing evidence that various anxiety disorders can be effectively treated by this approach, the common factors contrib...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2016.06.006
更新日期:2017-03-01 00:00:00
abstract::In this paper, we investigated ambulatory sleep heart period variability in panic disorder participants with nocturnal panic (NP) compared to daytime panic attacks only. A time-derived measure of heart period variability (HPV) during sleep was significantly reduced in the NP group (n=32) relative to the daytime panic ...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2007.03.010
更新日期:2008-01-01 00:00:00
abstract::Although individual differences exist in how people respond to positive affect (PA), little research addresses PA regulation in people with anxiety disorders. The goal of this study was to provide information about responses to PA in people with symptoms of social phobia, generalized anxiety disorder, panic disorder, ...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2009.02.001
更新日期:2009-06-01 00:00:00
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
doi:10.1016/j.janxdis.2008.03.013
更新日期:2009-01-01 00:00:00
abstract::Posttraumatic stress disorder (PTSD) is a highly prevalent, often chronic and disabling psychiatric disorder that is associated with significant adverse health and life consequences. Although several evidence-based treatments (EBTs), including Prolonged Exposure therapy (PE), have been found effective and efficacious ...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章,评审
doi:10.1016/j.janxdis.2013.03.004
更新日期:2013-12-01 00:00:00
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
doi:10.1016/j.janxdis.2014.02.005
更新日期:2014-05-01 00:00:00
abstract::The debate concerning the relation between anxiety sensitivity (AS) and trait anxiety has been constructive for the field and has suggested a number of important directions for future research. Reiss' (1997) commentary on AS and trait anxiety in this journal, however, contains several serious factual mis-statements an...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/s0887-6185(97)00050-9
更新日期:1998-01-01 00:00:00
abstract::Consecutive Cambodian refugees attending a psychiatric clinic were assessed for the presence and severity of current--i.e., at least one episode in the last month--neck-focused panic. Among the whole sample (N=130), in a logistic regression analysis, the Anxiety Sensitivity Index (ASI; odds ratio=3.70) and the Clinici...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2005.02.001
更新日期:2006-01-01 00:00:00
abstract::This study investigated the role of both negative and positive cognitions in predicting panic severity in an international sample of patients diagnosed with panic disorder (with and without agoraphobia). One hundred and fifty-nine patients were administered the Brief Bodily Sensations Interpretation Questionnaire (BBS...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/S0887-6185(02)00257-8
更新日期:2004-01-01 00:00:00
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
doi:10.1016/j.janxdis.2017.03.001
更新日期:2017-10-01 00:00:00
abstract::Sleep disturbances are common among youth with anxiety disorders, yet objective assessments of sleep in children with obsessive compulsive disorder (OCD) have been the focus of scant research. We therefore compared a small group of non-medicated, non-depressed children with primary OCD (ages 7-11 years) to matched hea...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2011.04.004
更新日期:2011-08-01 00:00:00
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
doi:10.1016/j.janxdis.2010.10.006
更新日期:2011-04-01 00:00:00
abstract::The goals of these two studies were to assess the acceptability and feasibility as well as to gather preliminary efficacy data on a modified combination cognitive behavioral (CBT) and attachment based family therapy (ABFT) for adolescents (ages 12-18), with the primary diagnosis of generalized (GAD), social phobia (SP...
journal_title:Journal of anxiety disorders
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.janxdis.2004.04.006
更新日期:2005-01-01 00:00:00
abstract::This study aimed to investigate the relation between anxiety disorders prior to pregnancy and specific pregnancy- and child-related fears during pregnancy and after delivery. 306 expectant mothers were interviewed regarding anxiety (and depressive) disorders prior to pregnancy and pregnancy- and child-related fears (e...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2016.04.007
更新日期:2016-05-01 00:00:00
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
doi:10.1016/s0887-6185(97)00010-8
更新日期:1997-05-01 00:00:00
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
doi:10.1016/j.janxdis.2006.05.004
更新日期:2007-01-01 00:00:00
abstract::With exposure emerging as a key ingredient in anxiety treatment for childhood anxiety disorders (CADs), expansion of exposure techniques is a promising avenue for improving treatment efficacy. The present study examined use of imaginal exposure (IE), a technique understudied in the treatment of CADs. Specifically, the...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2020.102298
更新日期:2020-12-01 00:00:00
abstract::This study concurrently examined the relationship between adolescents' perceptions of their parents' child-rearing styles and family environment and their reports of social anxiety. Adolescents reporting higher levels of social anxiety perceived their parents as being more socially isolating, overly concerned about ot...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/s0887-6185(99)00002-x
更新日期:1999-05-01 00:00:00
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
doi:10.1016/j.janxdis.2013.07.004
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Reassurance seeking has been hypothesized to be a key factor in the maintenance of anxiety and obsessive-compulsive disorders according to contemporary cognitive-behavioural therapy (CBT) approaches. The present study sought to examine the structure, clinical correlates, and malleability of reassurance seeki...
journal_title:Journal of anxiety disorders
pub_type: 临床试验,杂志文章
doi:10.1016/j.janxdis.2019.102109
更新日期:2019-10-01 00:00:00
abstract::Little is known about the factorial invariance across gender and age for self-report measures of social anxiety in adolescence. This study examined the factorial invariance and latent mean differences of the Social Anxiety Scale for Adolescents (SAS-A) across gender and age groups in 1570 Spanish adolescents (54% girl...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2010.06.007
更新日期:2010-12-01 00:00:00
abstract::Social anxiety is posited to be linked to interpersonal skills deficits, including accurate interpretation of emotional social cues, such as facial expressions. However, empirical support for an interpersonal skills deficit model of social anxiety is lacking. Studies of information processes indicate that socially anx...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2008.10.004
更新日期:2009-05-01 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::Recently studies have indicated the existence of both posttraumatic stress disorder (PTSD) and acute stress disorder (ASD) subtypes but no studies have investigated their mutual association. Although ASD may not be a precursor of PTSD per se, there are potential benefits associated with early identification of victims...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2016.04.008
更新日期:2016-05-01 00:00:00
abstract::This paper presents a meta-analysis of studies examining prevalence of psychopathology among offspring of anxiety-disordered parents, with the purpose of determining overall risk among these offspring for developing anxiety and depressive disorders. Pooled odds ratios for these disorders among high-risk offspring, com...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章,meta分析
doi:10.1016/j.janxdis.2009.07.021
更新日期:2009-12-01 00:00:00
abstract::The present study was designed to assess the psychometric properties of the Brazilian version of the Obsessive Beliefs Questionnaire (OBQ-44) in 104 patients with obsessive compulsive disorder (OCD) at the Hospital de Clínicas de Porto Alegre. The secondary objective was to ascertain whether a decline in OBQ-44 scores...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2011.12.011
更新日期:2012-04-01 00:00:00
abstract::Following cognitive models of anxiety, biases occur if threat processing is automatic versus strategic. Therefore, most of these models predict attentional bias, but not explicit memory bias. We suggest dividing memory into the highly automatic working memory (WM) component versus long-term memory when investigating b...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章
doi:10.1016/j.janxdis.2009.07.007
更新日期:2009-12-01 00:00:00
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
doi:10.1016/j.janxdis.2012.08.004
更新日期:2013-01-01 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::Scrupulosity is a psychological disorder primarily characterized by pathological guilt or obsession associated with moral or religious issues that is often accompanied by compulsive moral or religious observance and is highly distressing and maladaptive. This paper provides a comprehensive overview of scrupulosity and...
journal_title:Journal of anxiety disorders
pub_type: 杂志文章,评审
doi:10.1016/j.janxdis.2007.11.004
更新日期:2008-08-01 00:00:00