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Vijaya Manicavasagar - One of the best experts on this subject based on the ideXlab platform.
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The assessment of Separation Anxiety and Separation Anxiety disorder
Separation Anxiety Disorder in Adults, 2020Co-Authors: Vijaya Manicavasagar, Derrick SiloveAbstract:Abstract This chapter examines the measures that have been developed to assess and record Separation Anxiety and Separation Anxiety disorder. We consider the conceptual framework, psychometric properties and strengths and limitations of key measures used both in childhood and adulthood.
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Brief report--associations of personality disorder with early Separation Anxiety in patients with adult Separation Anxiety disorder.
Journal of Personality Disorders, 2011Co-Authors: Derrick Silove, Claire Marnane, Renate Wagner, Vijaya ManicavasagarAbstract:A recent study has suggested a link between early Separation Anxiety and personality disorder. It is possible that this relationship is mediated or confounded by the presence of adult Separation Anxiety disorder (ASAD). In a clinic study of 397 Anxiety patients, we found that ASAD patients with heightened early Separation Anxiety had higher rates of any Cluster C personality disorder compared to ASAD patients without elevated early Separation Anxiety, and higher rates of any Cluster B or C personality disorder compared to Anxiety patients with low early Separation Anxiety and no ASAD. Although cross-sectional in design, the study supports a direct link between early Separation Anxiety and some adult personality disorders, irrespective of the type of adult Anxiety disorder present, including ASAD.
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Adult Attachment Styles in Panic Disorder with and Without Comorbid Adult Separation Anxiety Disorder
Australian & New Zealand Journal of Psychiatry, 2009Co-Authors: Vijaya Manicavasagar, Derrick Silove, Claire Marnane, Renate WagnerAbstract:Objective: Attachment theory suggests that anxious attachment styles are associated with risk to psychiatric disorder, especially Anxiety disorders. Separation Anxiety would appear to be a core form of Anxiety that is associated with anxious attachment. Nevertheless, as yet no research has examined the relationship of attachment styles to adult Separation Anxiety disorder, a condition that has only recently been fully recognized.Method: The Attachment Style Questionnaire was used to examine attachment styles among 83 consecutive Anxiety clinic patients diagnosed with panic disorder with agoraphobia and those re-assigned from that category to adult Separation Anxiety disorder.Results: Dimensional associations showed strong correlations with scales measuring anxious attachment and Separation Anxiety. Patients assigned to the Separation Anxiety group scored significantly higher than those in the panic disorder group on the scales of Need for Approval and Preoccupation with Relationships.Conclusions: The find...
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Impact of Separation Anxiety on psychotherapy outcomes for adults with Anxiety disorders
Counselling and Psychotherapy Research, 2008Co-Authors: Laura T. Kirsten, Renate Wagner, Brin F. S. Grenyer, Vijaya ManicavasagarAbstract:Anxiety is highly prevalent in the community, and despite improvements in therapy a significant proportion of people tend to relapse, or remain significantly symptomatic. Theorists have proposed that untreated attachment anxieties and Separation conflicts emerge from childhood development to be pervasive problems in adulthood. This study aimed to investigate the influence of juvenile and concurrent adult Separation Anxiety on psychotherapy outcomes. It was hypothesised that Separation Anxiety impedes therapy progress. A sample of 154 adults with a DSM-IV Anxiety disorder received eight weekly sessions of group cognitive-behaviour therapy. In addition to intake and termination measures of Anxiety and depression, participants also completed measures of juvenile and adult Separation Anxiety and the influence of these on outcomes was studied. Higher adult Separation Anxiety was associated with a greater likelihood of Anxiety and comorbid depression remaining unremitted at termination of treatment. Higher juvenile Separation Anxiety was only associated with a greater likelihood of still being comorbidly depressed at termination of treatment. The findings of this study highlight the need to modify conventional exposure-based CBT treatments, and provide psychodynamic treatments that address attachment anxieties and Separation conflicts.
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Separation Anxiety in adulthood: dimensional or categorical?
Comprehensive Psychiatry, 2007Co-Authors: Derrick Silove, Claire Marnane, Renate Wagner, Tim Slade, Robert Brooks, Vijaya ManicavasagarAbstract:Recent evidence suggests that a clinical form of Separation Anxiety can be observed in adults. An important question of relevance to defining the construct of adult Separation Anxiety is whether there is discontinuity between that constellation and other forms of Anxiety. In the present study, 2 taxometric procedures—Mean Above Minus Below a Cut and Maximum Eigenvalue—were used to assess whether adult Separation Anxiety conformed primarily to a categorical or a dimensional pattern. The data were derived from a Separation Anxiety symptom questionnaire completed by 840 consecutive adult patients attending an Anxiety disorders clinic. Although some results of the analysis were ambiguous, the overall findings suggested a dimensional pattern. The relevance of the finding to the status of adult Separation Anxiety is discussed.
Derrick Silove - One of the best experts on this subject based on the ideXlab platform.
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The assessment of Separation Anxiety and Separation Anxiety disorder
Separation Anxiety Disorder in Adults, 2020Co-Authors: Vijaya Manicavasagar, Derrick SiloveAbstract:Abstract This chapter examines the measures that have been developed to assess and record Separation Anxiety and Separation Anxiety disorder. We consider the conceptual framework, psychometric properties and strengths and limitations of key measures used both in childhood and adulthood.
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Separation Anxiety disorder across the lifespan: DSM-5 lifts age restriction on diagnosis.
Asian Journal of Psychiatry, 2014Co-Authors: Derrick Silove, Susan ReesAbstract:DSM-5 has lifted the age criterion in the definition of Separation Anxiety disorder thereby overturning the long-standing convention of restricting the diagnosis to childhood. Previously, adults with Separation Anxiety symptoms were assigned to other conventional categories such as panic disorder, agoraphobia or generalized Anxiety disorder. Over the past two decades, an evolving body of research has identified Separation Anxiety disorder in adulthood, with 20-40% of adult psychiatric outpatients being assigned that diagnosis. In the US, the lifetime prevalence of the disorder in adulthood is 6.6%. The removal of the age restriction on diagnosis has important implications for clinical practice. Whereas parents (particularly mothers) of children with Separation Anxiety disorder commonly attracted the diagnosis of agoraphobia, the latter are more likely now to be diagnosed with the adult form of Separation Anxiety disorder, focusing attention on the importance of intervening with both members of the dyad to overcome mutual reinforcement of symptoms. In addition, adults with Separation Anxiety disorder have been found to manifest high levels of disability and they tend to show a poor response to conventional psychological and pharmacological treatments. There is an urgent need therefore to devise novel psychological and pharmacological interventions for the adult form of the disorder. The reformulation of Separation Anxiety disorder in DSM-5 therefore requires a paradigm shift in which clinicians are alerted to identifying and treating the condition in all age groups. Research across countries is needed to examine the new formulation of Separation Anxiety disorder amongst populations of diverse ethnic and cultural backgrounds.
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Brief report--associations of personality disorder with early Separation Anxiety in patients with adult Separation Anxiety disorder.
Journal of Personality Disorders, 2011Co-Authors: Derrick Silove, Claire Marnane, Renate Wagner, Vijaya ManicavasagarAbstract:A recent study has suggested a link between early Separation Anxiety and personality disorder. It is possible that this relationship is mediated or confounded by the presence of adult Separation Anxiety disorder (ASAD). In a clinic study of 397 Anxiety patients, we found that ASAD patients with heightened early Separation Anxiety had higher rates of any Cluster C personality disorder compared to ASAD patients without elevated early Separation Anxiety, and higher rates of any Cluster B or C personality disorder compared to Anxiety patients with low early Separation Anxiety and no ASAD. Although cross-sectional in design, the study supports a direct link between early Separation Anxiety and some adult personality disorders, irrespective of the type of adult Anxiety disorder present, including ASAD.
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Adult Attachment Styles in Panic Disorder with and Without Comorbid Adult Separation Anxiety Disorder
Australian & New Zealand Journal of Psychiatry, 2009Co-Authors: Vijaya Manicavasagar, Derrick Silove, Claire Marnane, Renate WagnerAbstract:Objective: Attachment theory suggests that anxious attachment styles are associated with risk to psychiatric disorder, especially Anxiety disorders. Separation Anxiety would appear to be a core form of Anxiety that is associated with anxious attachment. Nevertheless, as yet no research has examined the relationship of attachment styles to adult Separation Anxiety disorder, a condition that has only recently been fully recognized.Method: The Attachment Style Questionnaire was used to examine attachment styles among 83 consecutive Anxiety clinic patients diagnosed with panic disorder with agoraphobia and those re-assigned from that category to adult Separation Anxiety disorder.Results: Dimensional associations showed strong correlations with scales measuring anxious attachment and Separation Anxiety. Patients assigned to the Separation Anxiety group scored significantly higher than those in the panic disorder group on the scales of Need for Approval and Preoccupation with Relationships.Conclusions: The find...
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Separation Anxiety in adulthood: dimensional or categorical?
Comprehensive Psychiatry, 2007Co-Authors: Derrick Silove, Claire Marnane, Renate Wagner, Tim Slade, Robert Brooks, Vijaya ManicavasagarAbstract:Recent evidence suggests that a clinical form of Separation Anxiety can be observed in adults. An important question of relevance to defining the construct of adult Separation Anxiety is whether there is discontinuity between that constellation and other forms of Anxiety. In the present study, 2 taxometric procedures—Mean Above Minus Below a Cut and Maximum Eigenvalue—were used to assess whether adult Separation Anxiety conformed primarily to a categorical or a dimensional pattern. The data were derived from a Separation Anxiety symptom questionnaire completed by 840 consecutive adult patients attending an Anxiety disorders clinic. Although some results of the analysis were ambiguous, the overall findings suggested a dimensional pattern. The relevance of the finding to the status of adult Separation Anxiety is discussed.
Marsha Weinraub - One of the best experts on this subject based on the ideXlab platform.
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predicting children s Separation Anxiety at age 6 the contributions of infant mother attachment security maternal sensitivity and maternal Separation Anxiety
Attachment & Human Development, 2005Co-Authors: Danielle H. Dallaire, Marsha WeinraubAbstract:The purpose of the present investigation was to examine the precursors and familial conditions which sustain school-aged children's Separation Anxiety. In a prospective, longitudinal study of 99 mother-child dyads, infancy measures of infant-mother attachment security, maternal Separation Anxiety, and maternal sensitivity were used to predict children's self-reported symptoms of Separation Anxiety at age 6. Insecurely attached children reported more Separation Anxiety than securely attached children. Insecure-ambivalent children reported marginally more Separation Anxiety than securely attached children, but not more than insecure-avoidant attached children. Regression analysis showed infant-mother attachment security and mother's sensitivity added uniquely to the prediction of children's Separation Anxiety, but mother's Separation Anxiety did not. Mediation tests show that the effect of mother's Separation Anxiety on children's Separation Anxiety may be mediated by maternal sensitivity. Research and clinical implications are discussed.
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Predicting children's Separation Anxiety at age 6: The contributions of infant–mother attachment security, maternal sensitivity, and maternal Separation Anxiety
Attachment & Human Development, 2005Co-Authors: Danielle H. Dallaire, Marsha WeinraubAbstract:Abstract The purpose of the present investigation was to examine the precursors and familial conditions which sustain school-aged children's Separation Anxiety. In a prospective, longitudinal study of 99 mother–child dyads, infancy measures of infant–mother attachment security, maternal Separation Anxiety, and maternal sensitivity were used to predict children's self-reported symptoms of Separation Anxiety at age 6. Insecurely attached children reported more Separation Anxiety than securely attached children. Insecure-ambivalent children reported marginally more Separation Anxiety than securely attached children, but not more than insecure-avoidant attached children. Regression analysis showed infant–mother attachment security and mother's sensitivity added uniquely to the prediction of children's Separation Anxiety, but mother's Separation Anxiety did not. Mediation tests show that the effect of mother's Separation Anxiety on children's Separation Anxiety may be mediated by maternal sensitivity. Research...
Katharina Domschke - One of the best experts on this subject based on the ideXlab platform.
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please don t leave me Separation Anxiety and related traits in borderline personality disorder
Current Psychiatry Reports, 2018Co-Authors: Swantje Matthies, Stefano Pini, Miriam A Schiele, Christa Koentges, Christian Schmahl, Katharina DomschkeAbstract:In light of the apparent symptomatic resemblance of Separation Anxiety disorder (SAD) symptoms on the one hand and abandonment fears, anxiousness, and Separation insecurity central to borderline personality disorder (BPD) on the other hand, a comprehensive overview of Separation Anxiety and related traits in BPD is provided. Epidemiological, environmental, psychological, and neurobiological data connecting BPD to Separation events, feelings of loneliness, insecure attachment styles, dimensional Separation Anxiety as well as SAD per se suggest a partly shared etiological pathway model underlying BPD and SAD. Differential diagnostic aspects and implications for treatment are discussed, highlighting Separation Anxiety as a promising transdiagnostic target for specific psychotherapeutic and pharmacological treatment approaches in BPD. This innovative angle on cross-disorder symptomatology might carry potential for novel preventive and therapeutic avenues in clinical practice by guiding the development of interventions specifically targeting Separation Anxiety and attachment-related issues in BPD.
Jens Gaab - One of the best experts on this subject based on the ideXlab platform.
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the Separation Anxiety hypothesis of panic disorder revisited a meta analysis
American Journal of Psychiatry, 2013Co-Authors: Joe Kossowsky, Silvia Schneider, Monique C Pfaltz, Jan Taeymans, Cosima Locher, Jens GaabAbstract:ObjectiveEvidence suggests that childhood Separation Anxiety disorder may be associated with a heightened risk for the development of other disorders in adulthood. The authors conducted a meta-analysis to examine the relationship between childhood Separation Anxiety disorder and future psychopathology.MethodPubMed, PsycINFO, and Embase were searched for studies published through December 2011. Case-control, prospective, and retrospective cohort studies comparing children with and without Separation Anxiety disorder with regard to future panic disorder, major depressive disorder, any Anxiety disorder, and substance use disorders were included in the analysis. Effects were summarized as pooled odds ratios in a random-effects model.ResultsTwenty-five studies met all inclusion criteria (14,855 participants). A meta-analysis of 20 studies indicated that children with Separation Anxiety disorder were more likely to develop panic disorder later on (odds ratio=3.45; 95% CI=2.37–5.03). Five studies suggested that ...
