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Melinda A Stanley - One of the best experts on this subject based on the ideXlab platform.

  • generalized worry disorder a review of dsm iv generalized anxiety disorder and options for dsm v
    Depression and Anxiety, 2010
    Co-Authors: M Gavin D Andrews, Megan J Hobbs, Thomas D Borkovec, K Beesdo, Michelle G Craske, Richard G Heimberg, Ronald M Rapee, Ayelet Meron Ruscio, Melinda A Stanley
    Abstract:

    Background: Generalized anxiety disorder (GAD) has undergone a series of substantial classificatory changes since its first inclusion in DSM-III. The majority of these revisions have been in response to its poor inter-rater reliability and concerns that it may lack diagnostic validity. This article provides options for the revision of the DSMIV GAD criteria for DSM-V. Method: First, searches were conducted to identify the evidence that previous DSM Work Groups relied upon when revising the DSM-III-R GAD and the overanxious disorder classifications. Second, the literature pertaining to the DSM-IV criteria for GAD was examined. Conclusions: The review presents a number of options to be considered for DSM-V. One option is for GAD to be re-labeled in DSM-V as generalized worry disorder. This would reflect its hallmark feature. Proposed revisions would result in a disorder that is characterized by excessive anxiety and worry generalized to a number of events or activities for 3 months or more. Worry acts as a Cognitive Coping Strategy that manifests in avoidant behaviors. The reliability and validity of the proposed changes could be investigated in DSM-V validity tests and field trials. Depression and Anxiety 27:134–147, 2010. r 2010 Wiley-Liss, Inc.

Mustafa Alabsi - One of the best experts on this subject based on the ideXlab platform.

  • matching pain Coping strategies to the individual a prospective validation of the Cognitive Coping Strategy inventory
    Journal of Behavioral Medicine, 1992
    Co-Authors: Paul D Rokke, Mustafa Alabsi
    Abstract:

    The validity of the Cognitive Coping Strategy Inventory (CCSI; Butler et al., 1989) was tested in a prospective fashion. Subjects were randomly assigned to one of three conditions. Some were “matched” to a Strategy for which they received a high CCSI score, some were “mismatched” to a Strategy for which they received a low CCSI score, and some were given a choice of strategies. Those subjects using a matched Strategy obtained better threshold and tolerance times on the cold pressor than subjects who used a mismatched Strategy. Despite clear differences in exposure to the cold pressor these conditions did not differ from each other in self-reported levels of pain. It was concluded that the CCSI appears to be a valid and useful tool for selecting a Coping Strategy to help particular individuals manage acute pain. Though the CCSI is relatively easy to administer and score, the comparative costs and benefits of using it must be weighed against the somewhat more efficient approach of simply offering the subject a choice of treatments. Subjects given a choice of strategies performed as well as subjects matched to a Strategy on the basis of CCSI scores.

Laar M. Van De - One of the best experts on this subject based on the ideXlab platform.

  • Psychiatric comorbidity and aspects of Cognitive Coping negatively predict outcome in Cognitive behavioral treatment of psychophysiological insomnia
    'Informa UK Limited', 2015
    Co-Authors: Laar M. Van De, Pevernagie D., Mierlo P. Van, Overeem S.
    Abstract:

    Item does not contain fulltextCognitive behavioral treatment is the gold standard treatment for insomnia, although a substantial group does not respond. We examined possible predictors for treatment outcome in psychophysiological insomniacs, with a focus on the presence of clearly defined psychiatric comorbidity. This was a longitudinal uncontrolled case series study comprising 60 patients with chronic psychophysiological insomnia consecutively referred to a tertiary sleep medicine center, to receive Cognitive behavioral treatment for insomnia (CBT-I). Remission of insomnia was defined as a posttreatment Insomnia Severity Index score below 8. As an alternative outcome, we used a clinically relevant decrease on the Insomnia Severity Index (drop of > 7 points). Personality, Coping, and social support questionnaires were assessed before the start of the treatment and were compared between treatment responders and nonresponders. To examine whether these variables were predictive for negative treatment outcome, logistic regression analyses were applied. Treatment nonresponders had a significantly higher prevalence of psychiatric comorbidity. Logistic regression analyses showed that the presence of psychiatric comorbidity was strongly predictive for negative treatment outcome (odds ratios: 20.6 and 10.3 for the 2 outcome definitions). Additionally, higher scores on the Cognitive Coping Strategy called "refocus on planning" were associated with worse CBT-I outcome. Current psychiatric comorbidity is strongly predictive for negative treatment outcome. The presence of a psychiatric disorder must therefore be one of the leading arguments in the choice of treatment modalities that are being proposed to patients with insomnia

  • Psychiatric comorbidity and aspects of Cognitive Coping negatively predict outcome in Cognitive behavioral treatment of psychophysiological insomnia
    Routledge Taylor & Francis Group, 2015
    Co-Authors: Laar M. Van De, Pevernagie Dirk, Van Mierlo Petra, Overeem S Sebastiaan
    Abstract:

    \u3cp\u3eCognitive behavioral treatment is the gold standard treatment for insomnia, although a substantial group does not respond. We examined possible predictors for treatment outcome in psychophysiological insomniacs, with a focus on the presence of clearly defined psychiatric comorbidity. This was a longitudinal uncontrolled case series study comprising 60 patients with chronic psychophysiological insomnia consecutively referred to a tertiary sleep medicine center, to receive Cognitive behavioral treatment for insomnia (CBT-I). Remission of insomnia was defined as a posttreatment Insomnia Severity Index score below 8. As an alternative outcome, we used a clinically relevant decrease on the Insomnia Severity Index (drop of > 7 points). Personality, Coping, and social support questionnaires were assessed before the start of the treatment and were compared between treatment responders and nonresponders. To examine whether these variables were predictive for negative treatment outcome, logistic regression analyses were applied. Treatment nonresponders had a significantly higher prevalence of psychiatric comorbidity. Logistic regression analyses showed that the presence of psychiatric comorbidity was strongly predictive for negative treatment outcome (odds ratios: 20.6 and 10.3 for the 2 outcome definitions). Additionally, higher scores on the Cognitive Coping Strategy called refocus on planning were associated with worse CBT-I outcome. Current psychiatric comorbidity is strongly predictive for negative treatment outcome. The presence of a psychiatric disorder must therefore be one of the leading arguments in the choice of treatment modalities that are being proposed to patients with insomnia.\u3c/p\u3

M Gavin D Andrews - One of the best experts on this subject based on the ideXlab platform.

  • generalized worry disorder a review of dsm iv generalized anxiety disorder and options for dsm v
    Depression and Anxiety, 2010
    Co-Authors: M Gavin D Andrews, Megan J Hobbs, Thomas D Borkovec, K Beesdo, Michelle G Craske, Richard G Heimberg, Ronald M Rapee, Ayelet Meron Ruscio, Melinda A Stanley
    Abstract:

    Background: Generalized anxiety disorder (GAD) has undergone a series of substantial classificatory changes since its first inclusion in DSM-III. The majority of these revisions have been in response to its poor inter-rater reliability and concerns that it may lack diagnostic validity. This article provides options for the revision of the DSMIV GAD criteria for DSM-V. Method: First, searches were conducted to identify the evidence that previous DSM Work Groups relied upon when revising the DSM-III-R GAD and the overanxious disorder classifications. Second, the literature pertaining to the DSM-IV criteria for GAD was examined. Conclusions: The review presents a number of options to be considered for DSM-V. One option is for GAD to be re-labeled in DSM-V as generalized worry disorder. This would reflect its hallmark feature. Proposed revisions would result in a disorder that is characterized by excessive anxiety and worry generalized to a number of events or activities for 3 months or more. Worry acts as a Cognitive Coping Strategy that manifests in avoidant behaviors. The reliability and validity of the proposed changes could be investigated in DSM-V validity tests and field trials. Depression and Anxiety 27:134–147, 2010. r 2010 Wiley-Liss, Inc.

Paul D Rokke - One of the best experts on this subject based on the ideXlab platform.

  • matching pain Coping strategies to the individual a prospective validation of the Cognitive Coping Strategy inventory
    Journal of Behavioral Medicine, 1992
    Co-Authors: Paul D Rokke, Mustafa Alabsi
    Abstract:

    The validity of the Cognitive Coping Strategy Inventory (CCSI; Butler et al., 1989) was tested in a prospective fashion. Subjects were randomly assigned to one of three conditions. Some were “matched” to a Strategy for which they received a high CCSI score, some were “mismatched” to a Strategy for which they received a low CCSI score, and some were given a choice of strategies. Those subjects using a matched Strategy obtained better threshold and tolerance times on the cold pressor than subjects who used a mismatched Strategy. Despite clear differences in exposure to the cold pressor these conditions did not differ from each other in self-reported levels of pain. It was concluded that the CCSI appears to be a valid and useful tool for selecting a Coping Strategy to help particular individuals manage acute pain. Though the CCSI is relatively easy to administer and score, the comparative costs and benefits of using it must be weighed against the somewhat more efficient approach of simply offering the subject a choice of treatments. Subjects given a choice of strategies performed as well as subjects matched to a Strategy on the basis of CCSI scores.