Psychosocial interventions for anxiety disorders in children: status and future directions

2000 ◽  
pp. 313-334
Author(s):  
Wendy K. Silverman ◽  
Steven L. Berman
Keyword(s):  
Anxiety Disorders ◽  
Psychosocial Interventions ◽  
Future Directions

Effects of Psychotherapy on Brain Activation Patterns in Anxiety Disorders

2016 ◽  
Vol 224 (2) ◽  
pp. 62-70 ◽  
Author(s):  
Thomas Straube
Keyword(s):  
Anxiety Disorders ◽  
Neuronal Plasticity ◽  
Functional Neuroimaging ◽  
State Of The Art ◽  
Methodological Issues ◽  
Future Directions ◽  
Activation Patterns ◽  
New Learning ◽  
Analytical Strategies ◽  
Sample Characteristics

Abstract. Psychotherapy is an effective treatment for most mental disorders, including anxiety disorders. Successful psychotherapy implies new learning experiences and therefore neural alterations. With the increasing availability of functional neuroimaging methods, it has become possible to investigate psychotherapeutically induced neuronal plasticity across the whole brain in controlled studies. However, the detectable effects strongly depend on neuroscientific methods, experimental paradigms, analytical strategies, and sample characteristics. This article summarizes the state of the art, discusses current theoretical and methodological issues, and suggests future directions of the research on the neurobiology of psychotherapy in anxiety disorders.

scholarly journals Helpful and Hindering Events in Internet-Delivered Cognitive Behavioural Treatment for Generalized Anxiety

2018 ◽  
Vol 47 (3) ◽  
pp. 386-399 ◽  
Author(s):  
John Burke ◽  
Derek Richards ◽  
Ladislav Timulak
Keyword(s):  
Anxiety Disorders ◽  
Behavioural Change ◽  
Behavioural Therapy ◽  
Generalized Anxiety ◽  
Behavioural Treatment ◽  
Future Directions ◽  
Helpful Events ◽  
Cognitive Behavioural ◽  
Technical Issues ◽  
Interpretative Framework

Background: Anxiety disorders are a highly prevalent cause of impairment globally with generalized anxiety disorder (GAD) sharing many features with other anxiety disorders. Aims: The present study investigated the helpful and hindering events and impacts for individuals with generalized anxiety who engaged with a supported 6-week online intervention based on cognitive behavioural therapy (iCBT). Method: Participants (n = 36) completed the Helpful and Hindering Aspects of Therapy (HAT) for each session. A descriptive-interpretative framework was used to analyse the data. Results: Helpful events were identified by participants as CBT techniques including psychoeducation, monitoring, cognitive restructuring and relaxation, and found supporter interaction, mindfulness and reading personal stories helpful. The associated impacts were identified as support and validation; behavioural change/applying coping strategies; clarification, awareness, and insight; reassurance/relief; and self-efficacy/empowerment. Hindering events were identified as treatment content/form; and amount of work/technical issues, which led to impacts such as frustration/irritation; increased anxiety; and isolation. Conclusion: The implications of the results, potential future directions of research and limitations of the study are discussed.

Behavioural and psychosocial interventions for pain management

2021 ◽  
pp. 461-470
Author(s):  
Joseph G. Winger ◽  
Carolyn E. Keeler ◽  
Francis J. Keefe
Keyword(s):  
Pain Management ◽  
Advanced Disease ◽  
Treatment Approach ◽  
Psychosocial Interventions ◽  
Biological Factors ◽  
Future Directions ◽  
Clinical Considerations ◽  
Psychosocial Approaches ◽  
Biomedical Treatment

Patients with advanced disease commonly report pain as one of their most feared and distressing symptoms. A biomedical treatment approach that focuses solely on biological factors can be helpful but often fails to adequately address important psychological, social, and spiritual factors that can contribute to pain. Behavioural and psychosocial approaches to understanding and treating pain in patients with advanced disease can be quite helpful in this context. These approaches not only have the potential to reduce pain but also improve patients’ overall adjustment to life-limiting disease. This chapter provides an overview of these approaches. It is divided into four sections, including a summary of the prevalence and undertreatment of pain in patients with advanced disease, a rationale for behavioural and psychosocial approaches to pain management, an overview of the most common and effective behavioural and psychosocial approaches, and clinical considerations and future directions.

scholarly journals Psychosocial Interventions to Prevent Anxiety Disorders in School Settings from 1985-2007: A Meta-Anaysis

2012 ◽  
Vol 18 (1) ◽  
pp. 41-51 ◽  
Author(s):  
Julia Gallegos ◽  
Raquel Benavides ◽  
Sylvia Linan-Thompson
Keyword(s):  
Anxiety Disorders ◽  
Psychosocial Interventions ◽  
School Settings

scholarly journals Innovations in the psychosocial treatment of youth with anxiety disorders: implications for a stepped care approach

2018 ◽  
Vol 21 (3) ◽  
pp. 112-115 ◽  
Author(s):  
Thomas H Ollendick ◽  
Lars-Göran Öst ◽  
Lara J Farrell
Keyword(s):  
Anxiety Disorders ◽  
High Intensity ◽  
Care Delivery ◽  
Psychosocial Interventions ◽  
Psychosocial Treatment ◽  
Stepped Care ◽  
Future Research ◽  
Evidence Based ◽  
Low Intensity ◽  
Care Approach

Anxiety disorders are highly prevalent among children and adolescents and frequently result in impairments across multiple domains of life. While psychosocial interventions, namely cognitive-behavioural therapy (CBT), have been found to be highly effective in treating these conditions, significant numbers of youth simply do not have access to these evidence-based interventions, and of those who do, a substantial proportion (up to 40%) fail to achieve remission. Thus, there is a pressing need for innovation in both the delivery of evidence-based treatments and efforts to enhance treatment outcomes for those who do not respond to standard care. This paper reviews current innovations attempting to address these issues, including evidence for brief, low-intensity approaches to treatment; internet delivered CBT and brief, high-intensity CBT. Moreover, we propose a model of stepped care delivery of evidence-based mental health interventions for children and youth with anxiety. In general, a stepped care approach begins with a lower intensity, evidence-based treatment that entails minimal therapist involvement (ie, brief, low-intensity self-help or internet delivered CBT) and then proceeds to more intensive treatments with greater therapist involvement (ie, brief high-intensity CBT), but only for those individuals who show a poor response at each step along the way. Future research is needed in order to evaluate such a model, and importantly, to identify predictors and moderators of response at each step, in order to inform an evidence-based, fully-integrated stepped care approach to service delivery.

Integrative Psychotherapy of the Anxiety Disorders

2005 ◽  
pp. 263-280 ◽  
Author(s):  
Barry E. Wolfe
Keyword(s):  
Anxiety Disorders ◽  
Integrative Approach ◽  
Model Assessment ◽  
Case Formulation ◽  
Treatment Model ◽  
Integrative Psychotherapy ◽  
Future Directions ◽  
Therapy Relationship ◽  
Methods And Techniques ◽  
Nature Development

Chapter 12 discusses integrative psychotherapy of the anxiety disorders, and covers the integrative approach, a treatment model that attempts to provide an integrative perspective on the nature, development, and maintenance of anxiety disorders, the phases of this treatment model, assessment and case formulation, applicability and structure, processes of change and the therapy relationship, methods and techniques, a case example, empirical research, and future directions.

scholarly journals Assessing Anxiety Disorders Using Wearable Devices: Challenges and Future Directions

2019 ◽  
Vol 9 (3) ◽  
pp. 50 ◽  
Author(s):  
Mohamed Elgendi ◽  
Carlo Menon
Keyword(s):  
Anxiety Disorders ◽  
Experimental Studies ◽  
Well Being ◽  
Wearable Devices ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Future Directions ◽  
Post Traumatic ◽  
Electrocardiogram Ecg ◽  
Mental Well Being

Wearable devices (WD) are starting to increasingly be used for interventions to promote well-being by reducing anxiety disorders (AD). Electrocardiogram (ECG) signal is one of the most commonly used biosignals for assessing the cardiovascular system as it significantly reflects the activity of the autonomic nervous system during emotional changes. Little is known about the accuracy of using ECG features for detecting ADs. Moreover, during our literature review, a limited number of studies were found that involve ECG collection using WD for promoting mental well-being. Thus, for the sake of validating the reliability of ECG features for detecting anxiety in WD, we screened 1040 articles, and only 22 were considered for our study; specifically 6 on panic, 4 on post-traumatic stress, 4 on generalized anxiety, 3 on social, 3 on mixed, and 2 on obsessive-compulsive anxiety disorder articles. Most experimental studies had controversial results. Upon reviewing each of these papers, it became apparent that the use of ECG features for detecting different types of anxiety is controversial, and the use of ECG-WD is an emerging area of research, with limited evidence suggesting its reliability. Due to the clinical nature of most studies, it is difficult to determine the specific impact of ECG features on detecting ADs, suggesting the need for more robust studies following our proposed recommendations.

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