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[PMID]:28462086
[Au] Autor:Klumpp H; Fitzgerald JM; Kinney KL; Kennedy AE; Shankman SA; Langenecker SA; Phan KL
[Ad] Endereço:Mood and Anxiety Disorders Research Program, Department of Psychiatry (HK, AEK, SAL, KLP), University of Illinois at Chicago, Chicago, IL, United States.
[Ti] Título:Predicting cognitive behavioral therapy response in social anxiety disorder with anterior cingulate cortex and amygdala during emotion regulation.
[So] Source:Neuroimage Clin;15:25-34, 2017.
[Is] ISSN:2213-1582
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cognitive Behavioral Therapy (CBT) for social anxiety disorder (SAD) and other internalizing conditions attempts to improve emotion regulation. Accumulating data indicate anterior cingulate cortex (ACC), and to a lesser extent amygdala, activation in various tasks predicts treatment outcome. However, little is known about ACC and amygdala activation to emotion regulation in predicting clinical improvement following CBT in SAD. METHODS: Before treatment, 38 SAD patients completed implicit and explicit emotion regulation paradigms during fMRI. Implicit regulation involved attentional control over negative distractors. Explicit regulation comprised cognitive reappraisal to negative images. Pre-CBT brain activity was circumscribed to anatomical-based ACC sub-regions (rostral, dorsal) and amygdala masks, which were submitted to ROC curves to examine predictive validity as well as correlational analysis to evaluate prognostic change in symptom severity. RESULTS: More rostral (rACC) activity in implicit regulation and less rACC activity during explicit regulation distinguished responders (34%) from non-responders. Greater amygdala response in implicit regulation also foretold responder status. Baseline rACC and amygdala activity during attentional control correlated with pre-to-post CBT change in symptom severity such that more activation was related to greater decline in symptoms. No significant correlations were observed for explicit regulation. CONCLUSIONS: Across forms of regulation, rACC activity predicted responder status whereas amygdala as a neuromarker was limited to implicit regulation. While the direction of effects (enhanced vs. reduced) in rACC activity was task-dependent, results suggest SAD patients with deficient regulation benefited more from CBT. Findings support previous studies involving patients with depression and suggest the rACC may be a viable marker of clinical improvement in SAD.
[Mh] Termos MeSH primário: Tonsila do Cerebelo/diagnóstico por imagem
Terapia Cognitiva/métodos
Emoções
Giro do Cíngulo/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Fobia Social/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Terapia Cognitiva/tendências
Emoções/fisiologia
Feminino
Seres Humanos
Imagem por Ressonância Magnética/tendências
Masculino
Fobia Social/psicologia
Fobia Social/terapia
Valor Preditivo dos Testes
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1016/j.nicl.2017.04.006


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[PMID]:28460287
[Au] Autor:Evren C; Dalbudak E; Ozen S; Evren B
[Ad] Endereço:Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM), Bakirkoy Training and Research Hospital for Psychiatry Neurology and Neurosurgery, Istanbul, Turkey. Electronic address: cuneytevren@yahoo.com.
[Ti] Título:The relationship of social anxiety disorder symptoms with probable attention deficit hyperactivity disorder in Turkish university students; impact of negative affect and personality traits of neuroticism and extraversion.
[So] Source:Psychiatry Res;254:158-163, 2017 Aug.
[Is] ISSN:1872-7123
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:The aim of the present study was to evaluate relationship of social anxiety disorder symptoms with probable attention deficit hyperactivity disorder (ADHD) while controlling the personality traits of neuroticism and extraversion, anxiety and depression symptoms in a sample of Turkish university students (n=455). Participants were evaluated with the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), the Eysenck Personality Questionnaire Revised-Abbreviated Form (EPQR-A), the Adult ADHD Self-Report Scale (ASRS-v1.1) and the Liebowitz Social Anxiety Scale (LSAS). Severity of social anxiety, depression, anxiety and neuroticism were higher among those with probable ADHD, whereas extraversion score did not differ between the groups. The severity of ADHD score, particularly hyperactivity/impulsivity score, was related with the "fear or anxiety" together with low extraversion (introversion) and high neuroticism dimensions of personality, whereas the severity of ADHD score, both inatentiveness and hyperactivity/impulsivity scores, was related with "avoidence" together with low extraversion (introversion) dimension of personality. These findings suggest that probable ADHD and severity of ADHD symptoms are related with both "fear or anxiety" and "avoidance" of social anxiety, while personality dimensions of low extraversion (introversion) and high neuroticism may have an effect on this relationships among young adults.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/psicologia
Transtorno do Deficit de Atenção com Hiperatividade/psicologia
Extroversão (Psicologia)
Neuroticismo
Fobia Social/psicologia
Estudantes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Transtornos de Ansiedade/diagnóstico
Transtornos de Ansiedade/epidemiologia
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico
Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia
Estudos Transversais
Feminino
Seres Humanos
Masculino
Neuroticismo/fisiologia
Personalidade/fisiologia
Transtornos da Personalidade/diagnóstico
Transtornos da Personalidade/epidemiologia
Transtornos da Personalidade/psicologia
Inventário de Personalidade
Fobia Social/diagnóstico
Fobia Social/epidemiologia
Escalas de Graduação Psiquiátrica
Turquia/epidemiologia
Universidades
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:29176893
[Au] Autor:Havranek MM; Volkart F; Bolliger B; Roos S; Buschner M; Mansour R; Chmielewski T; Gaudlitz K; Hättenschwiler J; Seifritz E; Ruch W
[Ad] Endereço:Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland.
[Ti] Título:The fear of being laughed at as additional diagnostic criterion in social anxiety disorder and avoidant personality disorder?
[So] Source:PLoS One;12(11):e0188024, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Social anxiety disorder (SAD) is the most common anxiety disorder and has considerable negative impact on social functioning, quality of life, and career progression of those affected. Gelotophobia (the fear of being laughed at) shares many similarities and has therefore been proposed as a subtype of SAD. This hypothesis has, however, never been tested in a clinical sample. Thus, the relationship between gelotophobia, SAD and avoidant personality disorder (APD) was investigated by examining a sample of 133 participants (64 psychiatric patients and 69 healthy controls matched for age and sex) using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders (4th edition) and an established rating instrument for gelotophobia (GELOPH<15>). As expected, gelotophobia scores and the number of gelotophobic individuals were significantly higher among patients with SAD (n = 22) and APD (n = 12) compared to healthy controls and other psychiatric patients. Furthermore, gelotophobia scores were highest in patients suffering from both SAD and APD. In fact, all patients suffering from both disorders were also suffering from gelotophobia. As explained in the discussion, the observed data did not suggest that gelotophobia is a subtype of SAD. The findings rather imply that the fear of being laughed at is a symptom characteristic for both SAD and APD. Based on that, gelotophobia may prove to be a valuable additional diagnostic criterion for SAD and APD and the present results also contribute to the ongoing debate on the relationship between SAD and APD.
[Mh] Termos MeSH primário: Medo/psicologia
Transtornos da Personalidade/diagnóstico
Transtornos da Personalidade/psicologia
Fobia Social/diagnóstico
Fobia Social/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Casos e Controles
Demografia
Feminino
Seres Humanos
Modelos Lineares
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188024


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[PMID]:28768327
[Au] Autor:Barlow DH; Farchione TJ; Bullis JR; Gallagher MW; Murray-Latin H; Sauer-Zavala S; Bentley KH; Thompson-Hollands J; Conklin LR; Boswell JF; Ametaj A; Carl JR; Boettcher HT; Cassiello-Robbins C
[Ad] Endereço:Center for Anxiety and Related Disorders, Boston University, Boston, Massachusetts.
[Ti] Título:The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders Compared With Diagnosis-Specific Protocols for Anxiety Disorders: A Randomized Clinical Trial.
[So] Source:JAMA Psychiatry;74(9):875-884, 2017 Sep 01.
[Is] ISSN:2168-6238
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Transdiagnostic interventions have been developed to address barriers to the dissemination of evidence-based psychological treatments, but only a few preliminary studies have compared these approaches with existing evidence-based psychological treatments. Objective: To determine whether the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) is at least as efficacious as single-disorder protocols (SDPs) in the treatment of anxiety disorders. Design, Setting, and Participants: From June 23, 2011, to March 5, 2015, a total of 223 patients at an outpatient treatment center with a principal diagnosis of panic disorder with or without agoraphobia, generalized anxiety disorder, obsessive-compulsive disorder, or social anxiety disorder were randomly assigned by principal diagnosis to the UP, an SDP, or a waitlist control condition. Patients received up to 16 sessions of the UP or an SDP for 16 to 21 weeks. Outcomes were assessed at baseline, after treatment, and at 6-month follow-up. Analysis in this equivalence trial was based on intention to treat. Interventions: The UP or SDPs. Main Outcomes and Measures: Blinded evaluations of principal diagnosis clinical severity rating were used to evaluate an a priori hypothesis of equivalence between the UP and SDPs. Results: Among the 223 patients (124 women and 99 men; mean [SD] age, 31.1 [11.0] years), 88 were randomized to receive the UP, 91 to receive an SDP, and 44 to the waitlist control condition. Patients were more likely to complete treatment with the UP than with SDPs (odds ratio, 3.11; 95% CI, 1.44-6.74). Both the UP (Cohen d, -0.93; 95% CI, -1.29 to -0.57) and SDPs (Cohen d, -1.08; 95% CI, -1.43 to -0.73) were superior to the waitlist control condition at acute outcome. Reductions in clinical severity rating from baseline to the end of treatment (ß, 0.25; 95% CI, -0.26 to 0.75) and from baseline to the 6-month follow-up (ß, 0.16; 95% CI, -0.39 to 0.70) indicated statistical equivalence between the UP and SDPs. Conclusions and Relevance: The UP produces symptom reduction equivalent to criterion standard evidence-based psychological treatments for anxiety disorders with less attrition. Thus, it may be possible to use 1 protocol instead of multiple SDPs to more efficiently treat the most commonly occurring anxiety and depressive disorders. Trial Registration: clinicaltrials.gov Identifier: NCT01243606.
[Mh] Termos MeSH primário: Agorafobia/terapia
Transtornos de Ansiedade/terapia
Terapia Cognitiva/métodos
Transtorno Obsessivo-Compulsivo/terapia
Transtorno de Pânico/terapia
Fobia Social/terapia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Método Simples-Cego
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.1001/jamapsychiatry.2017.2164


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[PMID]:28671977
[Au] Autor:Rudaz M; Ledermann T; Margraf J; Becker ES; Craske MG
[Ad] Endereço:Department of Psychology, Utah State University, Logan, Utah, United States of America.
[Ti] Título:The moderating role of avoidance behavior on anxiety over time: Is there a difference between social anxiety disorder and specific phobia?
[So] Source:PLoS One;12(7):e0180298, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Theories of anxiety disorders and phobias have ascribed a critical role to avoidance behavior in explaining the persistence of fear and anxiety, but knowledge about the role of avoidance behavior in the maintenance of anxiety in social anxiety disorder relative to specific phobia is lacking. This study examined the extent to which avoidance behavior moderates the relationship between general anxiety at baseline and 18 months later in women with a diagnosed social anxiety disorder (n = 91) and women with a diagnosed specific phobia (n = 130) at baseline. Circumscribed avoidance of social and specific situations were clinician-rated using the Anxiety Disorders Interview Schedule-Lifetime (ADIS-IV-L), and general anxiety was measured using the Beck Anxiety Inventory (BAI). Moderated regression analyses revealed that (a) general anxiety at baseline predicted general anxiety at follow-up in both women with a specific phobia and women with a social anxiety disorder and (b) avoidance behavior moderated this relationship in women with a specific phobia but not in women with a social anxiety disorder. Specifically, high avoidance behavior was found to amplify the effect between general anxiety at baseline and follow-up in specific phobia. Reasons for the absence of a similar moderating effect of avoidance behavior within social anxiety disorder are discussed.
[Mh] Termos MeSH primário: Transtornos de Ansiedade
Aprendizagem da Esquiva
Fobia Social
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170704
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0180298


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[PMID]:28609312
[Au] Autor:McMillan KA; Asmundson GJG; Sareen J
[Ad] Endereço:*Department of Psychology, University of Regina, Regina, Saskatchewan; and †Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.
[Ti] Título:Comorbid PTSD and Social Anxiety Disorder: Associations With Quality of Life and Suicide Attempts.
[So] Source:J Nerv Ment Dis;205(9):732-737, 2017 Sep.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Posttraumatic stress disorder (PTSD) and social anxiety disorder (SAD) frequently co-occur. Preliminary data from treatment-seeking and veteran samples suggest that the impact of PTSD-SAD comorbidity may be additive, conferring distress and impairment beyond that of either disorder alone. The current study sought to clarify and extend existent research using wave 2 of the National Epidemiologic Survey of Alcohol and Related Conditions, an epidemiological sample of American adults. Individuals who met criteria for comorbid PTSD-SAD were compared to those with either disorder alone on measures of lifetime suicide attempts or quality of life as measured by the Medical Outcomes Study Questionnaire. Relative to those with either PTSD or SAD, individuals with comorbid PTSD-SAD demonstrated an elevated risk of lifetime suicide attempts and substantially lower levels of physical and mental quality of life. The psychosocial consequences of PTSD-SAD comorbidity are substantial. Patients may benefit from early interventions to remediate social distress and improve support networks before more intensive psychotherapeutic interventions.
[Mh] Termos MeSH primário: Fobia Social/epidemiologia
Qualidade de Vida
Transtornos de Estresse Pós-Traumáticos/epidemiologia
Tentativa de Suicídio/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Comorbidade
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170614
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000704


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[PMID]:28591542
[Au] Autor:Leichsenring F; Leweke F
[Ad] Endereço:From the Department of Psychosomatics and Psychotherapy, Justus-Liebig-University Giessen, Giessen, Germany.
[Ti] Título:Social Anxiety Disorder.
[So] Source:N Engl J Med;376(23):2255-2264, 2017 06 08.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Fobia Social/terapia
Psicoterapia
[Mh] Termos MeSH secundário: Adulto
Anticonvulsivantes/uso terapêutico
Benzodiazepinas/uso terapêutico
Diagnóstico Diferencial
Seres Humanos
Masculino
Fobia Social/diagnóstico
Fobia Social/tratamento farmacológico
Guias de Prática Clínica como Assunto
Inibidores da Captação de Serotonina/uso terapêutico
Inibidores da Recaptação de Serotonina e Norepinefrina/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anticonvulsants); 0 (Serotonin Uptake Inhibitors); 0 (Serotonin and Noradrenaline Reuptake Inhibitors); 12794-10-4 (Benzodiazepines)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170627
[Lr] Data última revisão:
170627
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170608
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMcp1614701


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[PMID]:28472176
[Au] Autor:Nordahl H; Wells A
[Ad] Endereço:Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
[Ti] Título:Testing the metacognitive model against the benchmark CBT model of social anxiety disorder: Is it time to move beyond cognition?
[So] Source:PLoS One;12(5):e0177109, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The recommended treatment for Social Phobia is individual Cognitive-Behavioural Therapy (CBT). CBT-treatments emphasize social self-beliefs (schemas) as the core underlying factor for maladaptive self-processing and social anxiety symptoms. However, the need for such beliefs in models of psychopathology has recently been questioned. Specifically, the metacognitive model of psychological disorders asserts that particular beliefs about thinking (metacognitive beliefs) are involved in most disorders, including social anxiety, and are a more important factor underlying pathology. Comparing the relative importance of these disparate underlying belief systems has the potential to advance conceptualization and treatment for SAD. In the cognitive model, unhelpful self-regulatory processes (self-attention and safety behaviours) arise from (e.g. correlate with) cognitive beliefs (schemas) whilst the metacognitive model proposes that such processes arise from metacognitive beliefs. In the present study we therefore set out to evaluate the absolute and relative fit of the cognitive and metacognitive models in a longitudinal data-set, using structural equation modelling. Five-hundred and five (505) participants completed a battery of self-report questionnaires at two time points approximately 8 weeks apart. We found that both models fitted the data, but that the metacognitive model was a better fit to the data than the cognitive model. Further, a specified metacognitive model, emphasising negative metacognitive beliefs about the uncontrollability and danger of thoughts and cognitive confidence improved the model fit further and was significantly better than the cognitive model. It would seem that advances in understanding and treating social anxiety could benefit from moving to a full metacognitive theory that includes negative metacognitive beliefs about the uncontrollability and danger of thoughts, and judgements of cognitive confidence. These findings challenge a core assumption of the cognitive model and treatment of social phobia and offer further support to the metacognitive model.
[Mh] Termos MeSH primário: Terapia Cognitiva
Modelos Psicológicos
Fobia Social
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Fobia Social/terapia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0177109


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[PMID]:28441622
[Au] Autor:Ciarma JL; Mathew JM
[Ad] Endereço:Australian Catholic University, 115 Victoria Parade, Fitzroy, Vic 3065, Australia. Electronic address: jessicaciarma@gmail.com.
[Ti] Título:Social anxiety and disordered eating: The influence of stress reactivity and self-esteem.
[So] Source:Eat Behav;26:177-181, 2017 Aug.
[Is] ISSN:1873-7358
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:While previous research indicates a strong link between social anxiety and disordered eating, more research is needed in order to understand the mechanisms that underlie this relationship. Given that stress is often implicated in disordered eating, it was hypothesised that ones reaction to stress (i.e. stress reactivity) would mediate the relationship between social anxiety and disordered eating. Similarly, given that low self-esteem is commonly reported in both those with social anxiety and eating disorders, it was hypothesised that self-esteem would also mediate the relationship between social anxiety and disordered eating. In order to test this, an online survey measuring social anxiety, disordered eating, stress reactivity and self-esteem, was administered to 282 participants in the community, aged between 18 and 35years. Results showed that self-esteem and a reactivity to stress during social conflict - but not during negative social evaluations - partially mediated the relationship between social anxiety and disordered eating. These findings demonstrate that low self-esteem and interpersonal conflict are powerful mechanisms that can maintain eating disorder psychopathology in those who are socially anxious. This highlights the importance of ensuring that these mechanisms are sufficiently addressed in eating disorder prevention and treatment programs.
[Mh] Termos MeSH primário: Transtornos da Alimentação e da Ingestão de Alimentos/psicologia
Fobia Social/psicologia
Autoimagem
Estresse Psicológico/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170426
[St] Status:MEDLINE


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[PMID]:28419474
[Au] Autor:Narr RK; Teachman BA
[Ad] Endereço:University of Virginia.
[Ti] Título:Using Advances From Cognitive Behavioral Models of Anxiety to Guide Treatment for Social Anxiety Disorder.
[So] Source:J Clin Psychol;73(5):524-535, 2017 May.
[Is] ISSN:1097-4679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This case features an adult male with moderate social anxiety disorder and mild depressive symptoms who showed an initial positive response to an earlier experience of cognitive behavior therapy, but then relapsed when he started avoiding social situations again because of continuing beliefs that experiencing anxiety was unacceptable. His treatment at our clinic focused on shifting unhelpful thinking about the likelihood and consequences of becoming anxious and reengaging in avoided social situations so he could learn to tolerate negative affect and uncertainty. The treatment approach draws from cognitive behavioral models of social anxiety and highlights advances in clinical science, especially recent work on the causal role of interpretation biases (the tendency to assign negative or threatening meaning to ambiguous situations) in the maintenance and reduction of anxiety.
[Mh] Termos MeSH primário: Terapia Cognitiva/métodos
Depressão/terapia
Modelos Psicológicos
Fobia Social/fisiopatologia
Fobia Social/terapia
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
Recidiva
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE
[do] DOI:10.1002/jclp.22450



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