Avoidance, safety behavior, and reassurance seeking in generalized anxiety disorder

Depression and Anxiety
Katja Beesdo-BaumJürgen Hoyer

Abstract

The behavioral symptoms of Generalized Anxiety Disorder (GAD) are not well characterized. This study examines behavioral symptoms in patients with GAD compared to healthy participants, their change during behavioral therapy, and their role for predicting short- and long-term outcome. Secondary data analysis of 56 patients with DSM-IV GAD from a randomized controlled trial testing worry exposure (n = 29) and applied relaxation (n = 27), compared to 33 demographically matched healthy participants. Participants reported on attempts to control or prevent worry, specifically cognitive and behavioral avoidance, safety behavior, and reassurance, along with other GAD symptoms. The Hamilton Anxiety Scale served as immediate (post therapy) and the Penn State Worry Questionnaire as immediate and long-term (6-/12-month follow-up) treatment outcome measure. GAD patients engage significantly more in attempts to control or prevent worry as reflected in cognitive and behavioral avoidance, safety behavior, and reassurance seeking than healthy comparison participants. Behavior therapy significantly reduces these behavioral strategies without substantial indication of differential effects of treatment type. However, only patients remitting from G...Continue Reading

References

Mar 1, 1992·Behaviour Research and Therapy·F Tallis, P de Silva
Jan 1, 1990·Behaviour Research and Therapy·T J MeyerT D Borkovec
Aug 29, 1997·Clinica Chimica Acta; International Journal of Clinical Chemistry·P MathieuT Philip
Dec 1, 1999·The Journal of Nervous and Mental Disease·M H TownsendD K Winstead
Oct 19, 2000·Behavior Modification·M J Dugas, R Ladouceur
May 10, 2001·Journal of Clinical Psychology·A J SchutT D Borkovec
Jan 1, 1959·The British Journal of Medical Psychology·M HAMILTON
Dec 15, 2005·Journal of Abnormal Psychology·David Watson
Feb 17, 2009·Psychotherapy and Psychosomatics·Jürgen HoyerEni S Becker
Jan 6, 2010·Archives of General Psychiatry·Katja BeesdoHans-Ulrich Wittchen
Jan 9, 2010·Depression and Anxiety·Gavin AndrewsMelinda A Stanley
Jan 14, 2011·Journal of Psychiatric Research·Katja Beesdo-BaumHans-Ulrich Wittchen

❮ Previous
Next ❯

Citations

Jul 15, 2015·Psychiatry Research·Kristina J KorteNorman B Schmidt
Apr 24, 2016·Psychiatry Research·Jenelle Slavin-MulfordJennifer Zodan
Jul 6, 2013·Behaviour Research and Therapy·Junwen ChenPallavi Pillay
Mar 4, 2014·Cognitive Behaviour Therapy·Katie FracalanzaMichel J Dugas
May 27, 2016·Journal of Clinical Psychology·Jason T GoodsonRachel Hershenberg
Jun 18, 2016·Journal of Affective Disorders·Alison E J MahoneyGavin Andrews
Nov 2, 2016·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Hannah G BosleyC Barr Taylor
Mar 20, 2018·Behavioural and Cognitive Psychotherapy·Alison E J MahoneyGavin Andrews
Mar 1, 2020·The International Journal of Eating Disorders·Irina A VanzhulaCheri A Levinson
May 23, 2020·Psychiatry·Maryann WeiLeonie Miller
Jul 29, 2020·Behavioural and Cognitive Psychotherapy·Katherine A McDermottJesse R Cougle
Feb 12, 2019·Journal of Psychopathology and Behavioral Assessment·Timothy A Brown, Esther S Tung
Aug 2, 2017·Behavioural and Cognitive Psychotherapy·Alison E J MahoneyGavin Andrews
Sep 22, 2018·International Journal of Environmental Research and Public Health·Kirsi KarvalaSteven Nordin
Oct 14, 2020·Behavioural and Cognitive Psychotherapy·Adam S RadomskySarah E Schell
Sep 29, 2019·Journal of Psychiatric Research·Julia TomasiArun K Tiwari
Jan 15, 2021·Journal of Affective Disorders·Eli R LebowitzWendy K Silverman
May 8, 2021·Anxiety, Stress, and Coping·Heather BakerMelisa Robichaud
Oct 21, 2017·Journal of Affective Disorders·Eva AsselmannKatja Beesdo-Baum
Nov 19, 2021·Journal of Medical Internet Research·Sandra K SchenkelMichael Witthöft

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.