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Reassurance seeking in the anxiety disorders and OCD: Construct validation, clinical correlates and CBT treatment response.

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 seeking in the context of CBT treatment. METHODS:Treatment-seeking participants (N = 738) with DSM-IV-TR (American Psychiatric Association, 2000) panic disorder with agoraphobia (PD/A), social anxiety disorder (SAD), generalized anxiety disorder (GAD), and obsessive compulsive disorder (OCD) completed the Reassurance Seeking Scale (RSS) with other symptom measures prior to and following CBT treatment. RESULTS:A confirmatory factor analysis supported a three factor solution: the need to seek excessive reassurance regarding decisions, attachment and the security of relationships, and perceived general threat and anxiety. The RSS was moderately correlated with general measures of anxiety and depression as well as disorder-specific symptom scales. Further, CBT was found to produce changes in reassurance seeking across CBT treatments and these reductions were significantly associated with disorder-specific clinical improvement. CONCLUSION:Reassurance seeking appears to be a common factor across anxiety disorders and its reduction in CBT treatment is associated with improved clinical outcomes.

journal_name

J Anxiety Disord

journal_title

Journal of anxiety disorders

authors

Rector NA,Katz DE,Quilty LC,Laposa JM,Collimore K,Kay T

doi

10.1016/j.janxdis.2019.102109

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

102109

eissn

0887-6185

issn

1873-7897

pii

S0887-6185(18)30509-7

journal_volume

67

pub_type

临床试验,杂志文章

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