Cognitive behavioral treatment of comorbid anxiety disorder in alcoholism treatment patients: Presentation of a prototype program and future directions

2006 ◽  
Vol 15 (6) ◽  
pp. 697-707 ◽  
Author(s):  
Matt G. Kushner ◽  
Christopher Donahue ◽  
Sandra Sletten ◽  
Paul Thuras ◽  
Ken Abrams ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Alcoholism Treatment ◽  
Future Directions ◽  
Comorbid Anxiety

Treatment Modifications Based on Childhood Anxiety Diagnosis: Demonstrating the Flexibility in Manualized Treatment

2006 ◽  
Vol 20 (3) ◽  
pp. 275-286 ◽  
Author(s):  
Rachel L. Grover ◽  
Alicia A. Hughes ◽  
R. Lindsey Bergman ◽  
Julie Newman Kingery
Keyword(s):  
Anxiety Disorder ◽  
Behavioral Treatment ◽  
Relaxation Training ◽  
School Personnel ◽  
Selective Mutism ◽  
Childhood Anxiety ◽  
Separation Anxiety Disorder ◽  
Cognitive Behavioral ◽  
Treatment Manual ◽  
Cognitive Behavioral Treatment

The current article presents suggestions for modifications to common manualized treatments to tailor the interventions to specific anxiety diagnoses and common comorbid diagnoses. The authors utilize one cognitive-behavioral treatment manual (Coping Cat; Kendall, 2000) to demonstrate appropriate clinical accommodations. As the majority of cognitive-behavioral treatment manuals contain both skill (e.g., relaxation training, cognitive restructuring, problem solving) and exposure components, suggestions for accommodations are grouped into relevant skill or exposure sections. Recommended modifications include a focus on imaginal exposure for generalized anxiety disorder, involvement of parents in the treatment of separation anxiety disorder, completion of a variety of in vivo exposures for social phobia, and involvement of school personnel in the treatment of selective mutism. Brief recommendations are also included for common comorbid symptoms of depression and attention-deficit/hyperactivity disorder.

The Future of Cognitive Behavioral Interventions Within Behavioral Medicine

2010 ◽  
Vol 24 (4) ◽  
pp. 344-353 ◽  
Author(s):  
Stacey L. Hart ◽  
Trevor A. Hart
Keyword(s):  
Behavioral Medicine ◽  
Behavioral Interventions ◽  
Behavioral Treatment ◽  
Stepped Care ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Cognitive Behavioral Treatment ◽  
Future Directions ◽  
Cognitive Behavioral Interventions ◽  
Behavioral Trials

There is a growing body of evidence supporting the use of cognitive behavioral treatment within behavioral medicine. There are several limitations to the current body of literature, including external validity of findings from randomized controlled trials, dissemination of findings, and the use of CBT when patients are unmotivated to make behavior change. The current paper proposes several future directions to address these limitations. Solutions to be explored in future research include practical behavioral trials, stepped care approaches, remote technology approaches such as telephone and Internet-based treatments, and the integration of motivational interviewing into cognitive behavioral treatment.

Cognitive-behavioral treatment of late-life generalized anxiety disorder.

2003 ◽  
Vol 71 (2) ◽  
pp. 309-319 ◽  
Author(s):  
Melinda A. Stanley ◽  
J. Gayle Beck ◽  
Diane M. Novy ◽  
Patricia M. Averill ◽  
Alan C. Swann ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Behavioral Treatment ◽  
Late Life ◽  
Cognitive Behavioral ◽  
Generalized Anxiety ◽  
Cognitive Behavioral Treatment

Cognitive-behavioral treatment of Generalized Anxiety Disorder (GAD) for older adults

2004 ◽  
Vol 16 (2) ◽  
pp. 195-207 ◽  
Author(s):  
Robert Ladouceur ◽  
Éliane Léger ◽  
Michel Dugas ◽  
Mark H. Freeston
Keyword(s):  
Older Adults ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Behavioral Treatment ◽  
Intolerance Of Uncertainty ◽  
Cognitive Behavioral ◽  
Generalized Anxiety ◽  
Cognitive Behavioral Treatment ◽  
Cognitive Avoidance ◽  
Post Test

Background: Generalized Anxiety Disorder (GAD) is one of the most prevalent anxiety disorders among the elderly. Estimates of prevalence vary from around 3% to 12%, depending on the minimum age considered and the assessment instruments. The present study tests a GAD-specific treatment recently validated among adults (Ladouceur et al., 2000) and adapted for older adults.Method: Eight older adults (aged from 60 to 71) were included in a single-case experimental multiple-baseline design across subjects. Assessments were conducted at pre-test, post-test and at 6- and 12-months follow-ups. The treatment consisted of awareness training, worry interventions and relapse prevention. The worry interventions targeted intolerance of uncertainty, beliefs about worry, problem-solving and cognitive avoidance.Results: According to daily self-monitoring of worry, ADIS-IV ratings and self-reported questionnaire scores, seven out of eight participants showed clinically significant improvement at post-test. These therapeutic gains were maintained at 6- and 12-month follow-ups.Conclusions: This study shows that a cognitive-behavioral treatment that targets intolerance of uncertainty, erroneous beliefs about worry, poor problem orientation and cognitive avoidance is effective for treating GAD among elderly people.

Cognitive-Behavioral Treatment for Generalized Anxiety Disorder: Current Status and Future Directions

2005 ◽  
Vol 19 (1) ◽  
pp. 61-81 ◽  
Author(s):  
Michel J. Dugas ◽  
Naomi Koerner
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Behavioral Treatment ◽  
Randomized Clinical Trials ◽  
Assessment Tools ◽  
Self Report ◽  
Cognitive Behavioral ◽  
Current Status ◽  
Generalized Anxiety ◽  
Future Directions

In this article, we present a cognitive-behavioral model and treatment of generalized anxiety disorder (GAD). In the first section, we review a model of GAD that includes four main components: intolerance of uncertainty, positive beliefs about worry, negative problem orientation, and cognitive avoidance. Next we present the GAD assessment tools used at our clinic, which include standardized interviews and self-report questionnaires of GAD symptoms and underlying cognitive-behavioral processes. We then provide a step-by-step description of a treatment that is based on the aforementioned model of GAD, and that has six core components: presentation of treatment rationale (learning to cope with uncertainty); worry awareness training; reevaluation of the usefulness of worrying; problem-solving training; cognitive exposure; and relapse prevention. Following the treatment description, we summarize the efficacy data from our completed randomized clinical trials, and present some preliminary findings from our ongoing trial comparing our treatment to applied relaxation and wait-list control. In the final section, we present an in-depth discussion of future directions for the study and treatment of GAD, with a focus on the approach-avoidance nature of GAD. Given the movement in the field favoring the expansion of cognitive-behavioral treatments, we also comment on the possible implications of the newest integrative therapies for our existing treatment.

Self-Stigma and Etiological Attributions About Symptoms Among Individuals Diagnosed With an Anxiety Disorder: Relations With Symptom Severity and Symptom Improvement Following CBT

2018 ◽  
Vol 37 (7) ◽  
pp. 536-557
Author(s):  
Rosemond T. Lorona ◽  
Thomas A. Fergus ◽  
David P. Valentiner ◽  
Lindsay M. Miller ◽  
Patrick B. McGrath
Keyword(s):  
Anxiety Disorder ◽  
Treatment Outcomes ◽  
Symptom Severity ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Symptom Improvement ◽  
Cognitive Behavioral Treatment ◽  
Regression Analyses ◽  
The U.S

Nearly one-third of individuals in the U.S. will be diagnosed with an anxiety disorder during their lifetime. Receiving that label can evoke self-stigma, with self-stigma relating to greater symptom severity and negatively impacting treatment outcomes. A lesser-studied variable related to self-stigma is etiological attributions about symptoms, including biological and psychological attributions. The current study examined interrelations among self-stigma, etiological attributions, and symptom severity among 213 individuals diagnosed with an anxiety disorder who completed a cognitive-behavioral treatment (CBT) program. How self-stigma and etiological attributions related to symptom improvement following the program was examined in a subset of participants. Etiological attributions and self-stigma shared positive associations with symptom severity. Regression analyses indicated that, when controlling for overlap among self-stigma and etiological attributions, psychological attributions emerged as particularly relevant for understanding symptom severity. Changes in self-stigma and attributions were positively associated with changes in symptom severity following the CBT program. Study implications are discussed.

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