scholarly journals Social Anxiety, Tremor Severity, and Tremor Disability: A Search for Clinically Relevant Measures

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Duane A. Lundervold ◽  
Patrick A. Ament ◽  
Peter Holt
Keyword(s):  
Social Anxiety ◽  
Behavioral Assessment ◽  
Diagnostic Interview ◽  
Self Report ◽  
Cognitive Variable ◽  
Specific Measure ◽  
Subjective Distress ◽  
Resting Tremor ◽  
Functional Measure ◽  
Comprehensive Study

Background. While social anxiety has been reported among essential tremor (ET) patients, very little is known about the relation between self-report measures of social anxiety, tremor severity and disability, and cognition.Methods. Sixty-three individuals diagnosed with ET took part in a comprehensive study examining neurocognition and behavioral functioning. A psychiatric diagnostic interview, three social anxiety questionnaires, and an idiographic-based behavioral assessment to pinpoint anxiety provoking situations and related distress were completed.Results. Thirty percent of the participants met diagnostic criteria for social anxiety disorder (SAD). Social anxiety questionnaires were negligibly related to tremor severity and disability. Idiographic behavioral assessment of subjective distress was moderately related to resting tremor severity and disability and strongly related to social anxiety questionnaires scores. Only one cognitive variable was related to tremor severity.Conclusions. These findings suggest that (a) self-report measures of social anxiety with ET patients may underestimate distress; (b) emphasis on tremor severity may be misleading; (c) tremor disability may be a more sensitive and functional measure related to cognition and effect; (d) SAD is wide spread and does not appear to be related to dysregulated executive function; and (e) development of an ET-specific measure of social anxiety is called for.

scholarly journals Self-report questionnaires, behavioral assessment tasks, and an implicit behavior measure: do they predict social anxiety in everyday life?

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e5441 ◽  
Author(s):  
Isabel L. Kampmann ◽  
Paul M.G. Emmelkamp ◽  
Nexhmedin Morina
Keyword(s):  
Virtual Reality ◽  
Social Anxiety ◽  
Experiential Avoidance ◽  
Behavioral Assessment ◽  
Negative Evaluation ◽  
Self Report ◽  
Assessment Tasks ◽  
Implicit Approach ◽  
Approach Avoidance

Social anxiety is commonly assessed with self-report measures. This study aimed to investigate whether maximum anxiety levels during in vivo and virtual reality behavioral assessment tasks (BATs), and implicit approach-avoidance tendencies during the approach-avoidance task (AAT) explain more variation as predictors of daily social anxiety than self-report measures. A total of 62 university students (Mage = 20.79; SD = 4.91) with high levels of social anxiety completed self-report measures on fear of negative evaluation (FNE-B) as well as fear and avoidance in social situations (Liebowitz social anxiety scale-self report), in vivo and virtual reality BATs, and the AAT (independent variables) in the laboratory. On seven consecutive days, social anxiety, experiential avoidance, and negative social events (dependent variables) were assessed. The results revealed that fear of negative evaluation predicted everyday social anxiety and experiential avoidance. Fear and avoidance in social situations only predicted experiential avoidance. Neither implicit approach-avoidance tendencies during the AAT nor maximum anxiety levels during the in vivo and virtual reality BATs predicted any outcome variable. Our results support the use of self-report questionnaires in the assessment of social anxiety.

scholarly journals Examining the clinical utility of using affective dynamics to characterize and predict depression symptoms within a comorbid sample

2021 ◽  
Author(s):  
Marilyn Piccirillo ◽  
Madelyn Frumkin ◽  
Marilyn Piccirillo ◽  
Natasha April Tonge ◽  
Katherine T. Foster
Keyword(s):  
Depressive Symptoms ◽  
Social Anxiety ◽  
Predictive Value ◽  
Clinical Utility ◽  
Depressive Symptomatology ◽  
Diagnostic Interview ◽  
Anxiety Symptoms ◽  
Self Report ◽  
Warning Sign ◽  
Depression Symptoms

Background: Dynamic indices calculated from ecological momentary assessment (EMA) data can model individual-level symptom fluctuations over time. However, the clinical utility for using these complex metrics to characterize comorbid symptomatology and to predict future symptom changes has not been adequately examined. Methods: Women (N = 35) with social anxiety disorder and a history of major depression completed a clinical diagnostic interview and self-report measures at baseline and approximately two months later. In between these assessments, participants completed EMA surveys on mood and anxiety symptoms five times a day for approximately 30 days (T = 5,250). Symptom severity and dynamic indices (i.e., variance, inertia) during EMA were calculated. The relative predictive value of these indices for characterizing baseline symptomatology, as well as the relative prospective predictive value of dynamic indices predicting future depressive symptomatology was assessed. Results: Baseline depressive symptoms were associated with mean levels of anxiety (b = .38, p = .001); whereas, baseline social anxiety symptoms were associated with mean levels of depression during EMA (b = -.38, p = .013). Moment-to-moment variance in anxiety during EMA (b = .22, p = .020) and baseline self-report measures of depression (b = .50, p < .001) predicted future depressive symptoms. Conclusions: Moment-to-moment fluctuations in anxiety may constitute a unique early warning sign of future increases in depression for individuals with mood and anxiety comorbidity.

Too Much to Bear

Crisis ◽  
2016 ◽  
Vol 37 (1) ◽  
pp. 59-67 ◽  
Author(s):  
Nicole J. Peak ◽  
James C. Overholser ◽  
Josephine Ridley ◽  
Abby Braden ◽  
Lauren Fisher ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Concurrent Validity ◽  
Medical Center ◽  
Psychiatric Patients ◽  
Preliminary Evidence ◽  
Diagnostic Interview ◽  
Veterans Affairs ◽  
Self Report ◽  
Perceived Burdensomeness ◽  
Scale Method

Abstract. Background: People who feel they have become a burden on others may become susceptible to suicidal ideation. When people no longer feel capable or productive, they may assume that friends and family members would be better off without them. Aim: The present study was designed to assess preliminary psychometric properties of a new measure, the Perceived Burdensomeness (PBS) Scale. Method: Depressed psychiatric patients (N = 173) were recruited from a veterans affairs medical center. Patients were assessed with a structured diagnostic interview and self-report measures assessing perceived burdensomeness, depression severity, hopelessness, and suicidal ideation. Results: The present study supported preliminary evidence of reliability and concurrent validity of the PBS. Additionally, perceived burdensomeness was significantly associated with higher levels of hopelessness and suicidal ideation. Conclusion: It is hoped that with the aid of the PBS clinicians may be able to intervene more specifically in the treatment of suicidality.

An Initial Investigation of the Use of Comparative Referents to Assess Social Anxiety

2018 ◽  
Vol 34 (6) ◽  
pp. 367-375 ◽  
Author(s):  
Laura D. Seligman ◽  
Erin F. Swedish ◽  
Jason P. Rose ◽  
Jessica M. Baker
Keyword(s):  
Social Anxiety ◽  
Discriminant Validity ◽  
Self Report ◽  
Injunctive Norms ◽  
Good Reliability ◽  
Convergent And Discriminant Validity ◽  
Excellent Internal Consistency ◽  
Social Quality Of Life ◽  
Comparison Measures

Abstract. The current study examined the validity of two self-report measures of social anxiety constructed using social comparative referent points. It was hypothesized that these comparison measures would be both reliable and valid. Results indicated that two different comparative versions – one invoking injunctive norms and another invoking descriptive norms – showed good reliability, excellent internal consistency, and acceptable convergent and discriminant validity. The comparative measures also predicted positive functioning, some aspects of social quality of life, and social anxiety as measured by an independent self-report. These findings suggest that adding a comparative reference point to instructions on social anxiety measures may aid in the assessment of social anxiety.

Measuring Social Anxiety in Late Life: A Psychometric Evaluation of a Newly Constructed Self-Report Measure of Social Anxiety

2011 ◽  
Author(s):  
Christine E. Gould ◽  
Caroline Ciliberti ◽  
Barry A. Edelstein ◽  
Merideth Smith ◽  
Lindsay A. Gerolimatos
Keyword(s):  
Social Anxiety ◽  
Psychometric Evaluation ◽  
Late Life ◽  
Self Report ◽  
Constructed Self ◽  
Report Measure

Assessing OCD Symptoms and Severity

2012 ◽  
Author(s):  
Nicole M. Dorfan ◽  
Sheila R. Woody
Keyword(s):  
Treatment Plan ◽  
Behavioral Assessment ◽  
Assessment Tools ◽  
Self Report ◽  
Obsessive Compulsive ◽  
Self Monitoring ◽  
Evidence Based Treatment ◽  
Compulsive Disorder ◽  
Symptom Profile ◽  
Diagnostic Interviews

This chapter describes methods and tools for assessing obsessive compulsive disorder (OCD). The chapter outlines the purposes of assessment and discusses special challenges presented by OCD, such as shame associated with socially unacceptable obsessional content. Several types of assessment tools are discussed, including structured diagnostic interviews, semistructured clinician interviews to assess OCD symptom profile and severity, self-report instruments, behavioral assessment and self-monitoring, assessment of appraisals and beliefs relevant to OCD, and functional impairment. The importance of linking assessment findings to an evidence-based treatment plan is discussed.

scholarly journals Modified CBT for social anxiety and social functioning in young adults with autism spectrum disorder

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Emily R. Bemmer ◽  
Kelsie A. Boulton ◽  
Emma E. Thomas ◽  
Ben Larke ◽  
Suncica Lah ◽  
...  
Keyword(s):  
Young Adults ◽  
Social Anxiety ◽  
Social Functioning ◽  
Autism Spectrum ◽  
Self Report ◽  
Post Intervention ◽  
Adults With Autism ◽  
Adolescents And Adults ◽  
Adults With Asd ◽  
Young Adults With Asd

Abstract Background There is a strong research imperative to investigate effective treatment options for adolescents and adults with autism spectrum disorder (ASD). Elevated social anxiety, difficulties with social functioning and poor mental health have all been identified as core treatment targets for this group. While theoretical models posit a strong bidirectionality between social anxiety and ASD social functioning deficits, few interventions have targeted both domains concurrently. Of the two group interventions previously conducted with adolescents and adults with ASD, significant results have only been observed in either social anxiety or social functioning, and have not generalised to changes in overall mood. The aim of this study was to evaluate the potential benefit, tolerability and acceptability of a group cognitive-behaviour therapy (CBT) intervention in young adults with ASD. Primary treatment outcomes were social anxiety symptoms and social functioning difficulties; secondary outcomes were self-reported mood and overall distress. Method Ten groups of participants completed an eight-week, modified group CBT intervention targeting both social anxiety and social functioning, that included social skills training, exposure tasks and behavioural experiment components. Seventy-eight adolescents and young adults with ASD, without intellectual impairment, aged between 16 and 38 (M = 22.77; SD = 5.31), were recruited from the community, Headspace centres and the Autism Clinic for Translational Research at the Brain and Mind Centre, University of Sydney. Outcomes (social anxiety, social functioning and mood) were measured pre- and post-intervention via self-report questionnaires (administered either online or through the return of hard-copy booklets), and participants were invited to provide anonymous feedback on the intervention (at the mid-point and end of the intervention). Results Participants demonstrated statistically significant improvements on all outcome measures in response to the intervention. Specifically, social anxiety symptoms decreased (p < .001), and specific subdomains of social functioning improved post-intervention, particularly in social motivation (p = .032) and restricted interests and repetitive behaviours (p = .025). Self-reported symptom improvements also generalised to mood (depression, anxiety and stress; p < .05). All improvements demonstrated small effect sizes. Participant feedback was positive and indicated strong satisfaction with the program. Limitations The absence of a control group and follow-up measures, reliance on self-report instruments as outcome measures and the exclusion of those with intellectual disability represent significant limitations to this study. Conclusions These findings indicate that a group CBT intervention appears to be a beneficial intervention for self-reported social anxiety, social functioning and overall mental health in adolescents and young adults with ASD. The stand-alone nature of the intervention combined with positive participant feedback indicates it was well tolerated, has potential clinical utility and warrants further study in a randomised-controlled, follow-up design.

Childhood trauma moderates morphometric associations between orbitofrontal cortex and amygdala: implications for pathological personality traits

2020 ◽  
pp. 1-10
Author(s):  
Nadia Bounoua ◽  
Rickie Miglin ◽  
Jeffrey M. Spielberg ◽  
Curtis L. Johnson ◽  
Naomi Sadeh
Keyword(s):  
Personality Traits ◽  
Childhood Trauma ◽  
Orbitofrontal Cortex ◽  
Functional Neuroimaging ◽  
Trauma Exposure ◽  
Diagnostic Interview ◽  
Emotional Dysregulation ◽  
Self Report ◽  
Traumatic Experiences ◽  
Pathological Personality Traits

Abstract Background Research has demonstrated that chronic stress exposure early in development can lead to detrimental alterations in the orbitofrontal cortex (OFC)–amygdala circuit. However, the majority of this research uses functional neuroimaging methods, and thus the extent to which childhood trauma corresponds to morphometric alterations in this limbic-cortical network has not yet been investigated. This study had two primary objectives: (i) to test whether anatomical associations between OFC–amygdala differed between adults as a function of exposure to chronic childhood assaultive trauma and (ii) to test how these environment-by-neurobiological effects relate to pathological personality traits. Methods Participants were 137 ethnically diverse adults (48.1% female) recruited from the community who completed a clinical diagnostic interview, a self-report measure of pathological personality traits, and anatomical MRI scans. Results Findings revealed that childhood trauma moderated bilateral OFC–amygdala volumetric associations. Specifically, adults with childhood trauma exposure showed a positive association between medial OFC volume and amygdalar volume, whereas adults with no childhood exposure showed the negative OFC–amygdala structural association observed in prior research with healthy samples. Examination of the translational relevance of trauma-related alterations in OFC–amygdala volumetric associations for disordered personality traits revealed that trauma exposure moderated the association of OFC volume with antagonistic and disinhibited phenotypes, traits characteristic of Cluster B personality disorders. Conclusions The OFC–amygdala circuit is a potential anatomical pathway through which early traumatic experiences perpetuate emotional dysregulation into adulthood and confer risk for personality pathology. Results provide novel evidence of divergent neuroanatomical pathways to similar personality phenotypes depending on early trauma exposure.

scholarly journals Specificity of psychopathology across levels of severity: a transdiagnostic network analysis

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Robin N. Groen ◽  
Marieke Wichers ◽  
Johanna T. W. Wigman ◽  
Catharina A. Hartman
Keyword(s):  
Diagnostic Interview ◽  
Illness Severity ◽  
Self Report ◽  
Global Network ◽  
Network Approach ◽  
Network Characteristics ◽  
Hyperactivity Disorder ◽  
Symptom Domains ◽  
Network Strength ◽  
Standardized Diagnostic Interview

AbstractA prominent hypothesis within the field of psychiatry is that the manifestation of psychopathology changes from non-specific to specific as illness severity increases. Using a transdiagnostic network approach, we investigated this hypothesis in four independent groups with increasing psychopathology severity. We investigated whether symptom domains became more interrelated and formed more clusters as illness severity increased, using empirical tests for two network characteristics: global network strength and modularity-based community detection. Four severity groups, ranging from subthreshold psychopathology to having received a diagnosis and treatment, were derived with a standardized diagnostic interview conducted at age 18.5 (n = 1933; TRAILS cohort). Symptom domains were assessed using the Adult Self Report (ASR). Pairwise comparisons of the symptom networks across groups showed no difference in global network strength between severity groups. Similar number and type of communities detected in the four groups exceeded the more minor differences across groups. Common clusters consisted of domains associated with attention deficit hyperactivity disorder (ADHD) and combined depression and anxiety domains. Based on the strength of symptom domain associations and symptom clustering using a network approach, we found no support for the hypothesis that the manifestation of psychopathology along the severity continuum changes from non-specific to specific.

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