scholarly journals Evaluation of hierarchical model of trait and disorder- specific intolerance of uncertainty in anxiety disorder symptoms

Author(s):  
Reza Moloodi ◽  
Fatemeh Mohebban ◽  
Farhad Taremian ◽  
hamid Poursharifi

Abstract Background: Research suggests that Intolerance of Uncertainty is a transdiagnostic risk and maintaining factor in anxiety disorders. The aim of this study was to evaluate the hierarchical model of trait Intolerance of Uncertainty and disorder-specific Intolerance of Uncertainty in symptoms of anxiety disorders in Iranian university students.Methods: Participants (N = 561) completed a battery of questionnaires which assess intolerance of uncertainty, disorder-specific intolerance of uncertainty, metacognition beliefs, fear of negative evaluation, obsessive cognitions, agoraphobic cognitions, obsessive compulsive symptoms, generalized anxiety disorder symptoms, social phobia symptoms, and panic disorder symptoms. Results: Results showed hierarchical model of trait Intolerance of Uncertainty and disorder-specific Intolerance of Uncertainty fit with data. Trait intolerance of uncertainty and disorder-specific intolerance of uncertainty had significant direct and indirect association with various cognitive vulnerabilities and symptoms of anxiety disorders. Conclusion: The findings showed trait intolerance of uncertainty and disorder-specific intolerance of uncertainty have significant contribution to various anxiety disorders. These findings have important implications in conceptualization, prevention and treatment of anxiety disorders.

Author(s):  
Teresa A. Piggott ◽  
Alexandra N. Duran ◽  
Isha Jalnapurkar ◽  
Tyler Kimm ◽  
Stephanie Linscheid ◽  
...  

Women are more likely than men to meet lifetime criteria for an anxiety disorder. Moreover, anxiety is a risk factor for the development of other psychiatric conditions, including major depression. Numerous studies have identified evidence of sex differences in anxiety disorders, and there is considerable research concerning factors that may contribute to vulnerability for anxiety in females. In addition to psychosocial influences, biological components such as the female reproductive hormone cycle have also been implicated. Although psychotropic medication is more likely to be prescribed to women, there is little controlled data available concerning sex differences in the efficacy and/or tolerability of pharmacotherapy in anxiety disorders. This chapter provides an overview of the impact of gender in the epidemiology, phenomenology, course, and treatment response in generalized anxiety disorder (GAD), social anxiety disorder (SAD), posttraumatic stress disorder (PTSD), panic disorder (PD), and obsessive-compulsive disorder (OCD).


1998 ◽  
Vol 32 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Susan J. Cosoff ◽  
R. Julian Hafner

Objective: The aim of this study to determine the prevalence of anxiety disorders in publically treated psychiatric inpatients with a DSM-IV diagnosis of schizophrenia, schizoaffective disorder or bipolar disorder. Method: Using the Structured Clinical Interview for DSM-III-R (SCID), 100 consecutive inpatients with a psychotic disorder were examined for the presence or absence of an anxiety disorder. Questionnaire measures of phobias, obsessive-compulsive and general anxiety symptoms were also applied. Results: The prevalences of social phobia (17%), obsessiv-ompulsive disorder (13%) and generalised anxiety disorder in schizophrenia were relatively high, as were prevalences of obsessive-compulsive (30%) and panic disorder (15%) in bipolar disorder. The proportion of subjects with an anxiety disorder (4345%) was almost identical across the three psychoses, with some evidence of gender differences. Although self-ratings of overall psychiatric symptoms were significantly elevated in those with anxiety disorders, hospital admission rates were not. Conclusions: Almost none of those with anxíeGty disorders were being treated for them, primarily because the severity of the acute psychotic illness required full diagnostic and therapeutic attention. Patients were generally discharged as soon as their psychotic episode was resolved, with little recognition of the presence of an anxiety disorder. Given that anxiety disorders are relatively responsive to treatment, greater awareness of their comorbidity with psychosis should yield worthwhile clinical benefits.


Author(s):  
Murray B. Stein ◽  
Meghan E. Keough ◽  
Peter P. Roy-Byrne

The anxiety, obsessive-compulsive, and trauma- and stressor-related disorders are, together, the most common class of mental disorders. From a systematic review of prevalence studies across 44 countries, the global current prevalence for the DSM IV anxiety disorders was estimated at 7.3% (95% CI 4.8%–10.9%), suggesting that one in 14 people around the world at any given time has an anxiety disorder. Women are approximately twice as likely as men to have an anxiety disorder. Anxiety disorders are a substantial contributor to the heavy burden of disease conveyed by mental and substance use disorders worldwide, where they are second only to depressive disorders in years-lost-to-disabilility.


Author(s):  
Benjamin Greenberg ◽  
Sarah H. Lisanby

A few studies of transcranial magnetic stimulation (TMS) as an anxiety disorder treatment have been reported. In treatment studies, the focal application of TMS in the treatment of anxiety disorders has been guided by the present understanding of the neurocircuitry underlying these disorders. This article reviews the current state of the literature on the uses of TMS in the study and treatment of anxiety disorders, and discusses the implications for understanding their patho-etiology. Investigation of the possible therapeutic effects of repetitive TMS in obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), or any anxiety disorder remains at a preliminary stage. There have been promising initial observations in OCD, which require systematic testing in controlled studies. As far as PTSD is concerned, the available data suggest that additional TMS work is required. The observations need to be replicated in controlled settings to determine whether this approach will have value in treating anxiety disorders.


2012 ◽  
Vol 3 (1) ◽  
pp. 136-144
Author(s):  
Kelly Maye

A Case study of cognitive and biophysical models of education as linked to anxiety and obsessive compulsive disordersCognitive and biophysical factors have been considered contributors linked to identifiable markers of obsessive compulsive and anxiety disorders. Research demonstrates multiple causes and mixed results for the short-term success of educational programs designed to ameliorate problems that children with obsessive compulsive and anxiety disorders face in the day school setting. The consideration of cognitive and biophysical models of education as related to OCD and anxiety disorder has proven beneficial in determining appropriate treatment for the identified population of students. In this case study cognitive and biophysical factors are considered to address the referral, eligibility, placement, and treatment of a 4th grade student named Ethan. Ethan exhibited OCD tendencies and elevated levels of anxiety. Ethan often responded to everyday situations with increased emotion of anger and worry, which presented an adverse impact on his educational performance. An array of information was collected as part of the special education evaluation conducted through several measures including: educational diagnostics, surveys, questionnaires, and interviews. Ethan was found eligible for services under the primary disability category "Emotional and Behavioral Disorder", related to diagnoses of Obsessive Compulsive and Anxiety Disorder. It was determined that the result of such chronic disorders limited Ethan's ability to access the educational environment, in the absence of specially designed instruction. Interventions considered applicable for implementation were Rational Emotive Behavior Therapy (REBT), as a form of psychotherapy, and Cognitive Therapy (CT).


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Himanshu Tyagi ◽  
Rupal Patel ◽  
Fabienne Rughooputh ◽  
Hannah Abrahams ◽  
Andrew J. Watson ◽  
...  

Objective. The purpose of this study was to compare the prevalence of comorbid eating disorders in Obsessive-Compulsive Disorder (OCD) and other common anxiety disorders.Method. 179 patients from the same geographical area with a diagnosis of OCD or an anxiety disorder were divided into two groups based on their primary diagnosis. The prevalence of a comorbid eating disorder was calculated in both groups.Results. There was no statistically significant difference in the prevalence of comorbid eating disorders between the OCD and other anxiety disorders group.Conclusions. These results suggest that the prevalence of comorbid eating disorders does not differ in anxiety disorders when compared with OCD. However, in both groups, it remains statistically higher than that of the general population.


2002 ◽  
Vol 32 (6) ◽  
pp. 1121-1124 ◽  
Author(s):  
RENEE D. GOODWIN

Objective. To determine the association between anxiety disorders, panic attack and the risk of major depression among adults in the community.Method. Data were drawn from the Epidemiologic Catchment Area Program survey waves 1 (N = 20291) and 2 (N = 15849). Multivariate logistic regression analyses were used to determine the risk of incident major depression at 12-month follow-up (wave 2) associated with each anxiety disorder and panic attacks assessed at wave 1, adjusting for differences in sociodemographic characteristics, and then controlling simultaneously for all anxiety disorders, and other psychiatric co-morbidity.Results. Specific phobia (OR = 1.7 (1.6, 1.8)), agoraphobia (OR = 2.3 (2.2, 2.5)), obsessive–compulsive disorder (OR = 5.4 (5.0, 5.8)) and panic attack (OR = 1.9 (1.8, 2.1)) each made an independent contribution to the risk of major depression, which persisted after adjusting simultaneously for sociodemographic differences and other psychiatric co-morbidity. Conclusions. Each anxiety disorder and panic attacks appear to confer an independent risk for the onset of major depression within 12-months among adults in the community. Understanding the key role played by anxiety in depression onset is needed for prevention strategies.


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