2024
A Psychometric Evaluation of the Parenting Anxious Kids Rating Scale (PAKRS-PR) in a Sample of Families with Clinically Anxious Children
DiFonte M, Sain K, Tolin D. A Psychometric Evaluation of the Parenting Anxious Kids Rating Scale (PAKRS-PR) in a Sample of Families with Clinically Anxious Children. Child Psychiatry & Human Development 2024, 1-10. PMID: 39589720, DOI: 10.1007/s10578-024-01793-0.Peer-Reviewed Original ResearchSessions of cognitive behavioral therapyPsychometric evaluationTreatment-seeking sampleCognitive behavioral therapyAssociated with treatment responseTreatment outcome measuresParent-child dyadsSpecialty outpatient clinicAnxiogenic parentingSample of familiesAnxiety severityBehavioral therapyConvergent validityTotal scalePsychometric propertiesRating ScaleItem levelTotal scoreSubscalesWarmth/supportTreatment responseCronbach's aOutcome measuresParentsAnxietyChanges in hoarding-related beliefs and associated neural changes during a simulated discarding task after cognitive-behavioral treatment for hoarding disorder
Knowles K, Stevens M, Levy H, Tolin D. Changes in hoarding-related beliefs and associated neural changes during a simulated discarding task after cognitive-behavioral treatment for hoarding disorder. Journal Of Psychiatric Research 2024, 180: 473-481. PMID: 39547046, PMCID: PMC11606758, DOI: 10.1016/j.jpsychires.2024.11.017.Peer-Reviewed Original ResearchCognitive-behavioral therapyHoarding-related beliefsFunctional magnetic resonance imagingHoarding disorderNeural activityMaladaptive beliefsCourse of CBTGroup cognitive-behavioral therapyLeft anterior cingulate cortexLeft middle frontal gyrusAssociated with cognitive changesCognitive-behavioral treatmentAssociated with increased activityAnterior ventral insulaAnterior cingulate cortexMiddle frontal gyrusInferior temporal lobeLeft middle insulaCognitive-behavioralAssociated with specific changesFrontal gyrusCingulate cortexMiddle insulaNeural regionsVentral insulaA Proposed Definition of Psychological Treatment and Its Relation to Empirically Supported Treatments
Tolin D, Grasso D, Boness C, Beck J, Keane T, Leichsenring F, Olatunji B, Otto M, Weinand J. A Proposed Definition of Psychological Treatment and Its Relation to Empirically Supported Treatments. Clinical Psychology Science And Practice 2024 DOI: 10.1037/cps0000220.Peer-Reviewed Original ResearchSociety of Clinical PsychologyPsychological treatmentAmerican Psychological AssociationMental health professionalsMechanisms of changeClinical psychologyPsychological AssociationInterpersonal processesPsychological scienceCore assumptionsPersonsHealth professionalsTaskInterventionPsychologyFunctional outcomesTask ForcePractice guidelinesTreatmentProposed definitionsMisuseClinical practice guidelinesScientific understandingAmericanThinkingTypologies of Psychiatric Diagnoses Among Inpatients with Recent Suicide Attempts
Lord K, Tolin D, Diefenbach G. Typologies of Psychiatric Diagnoses Among Inpatients with Recent Suicide Attempts. Archives Of Suicide Research 2024, ahead-of-print: 1-16. PMID: 39302084, DOI: 10.1080/13811118.2024.2405732.Peer-Reviewed Original ResearchLatent class analysisSuicide attemptsComorbidity classesBattery of self-report measuresComorbidity of psychiatric disordersSemi-structured diagnostic interviewHistory of suicide attemptsPerson-centered statistical approachPatterns of comorbiditySelf-report measuresSuicide risk assessmentSuicide risk factorsDiagnostic heterogeneityDiagnostic InterviewCognitive-affectivePsychiatric disordersSuicidal ideationPsychiatric diagnosingPsychiatric multimorbidityAttempted suicideInterrupted attemptsActual attemptsSuicideComorbidityClass analysisBrief Cognitive Behavioral Therapy for Suicidal Inpatients
Diefenbach G, Lord K, Stubbing J, Rudd M, Levy H, Worden B, Sain K, Bimstein J, Rice T, Everhardt K, Gueorguieva R, Tolin D. Brief Cognitive Behavioral Therapy for Suicidal Inpatients. JAMA Psychiatry 2024, 81 PMID: 39259550, PMCID: PMC11391362, DOI: 10.1001/jamapsychiatry.2024.2349.Peer-Reviewed Original ResearchBrief cognitive behavioral therapyCognitive behavioral therapySubstance use disordersSuicidal ideationBehavioral therapySuicide attemptsFollow-up assessmentUse disorderOccurrence of suicide attemptsPsychiatric readmissionRates of psychiatric readmissionSuicide prevention treatmentsEffect of treatment conditionPrivate psychiatric hospitalTreatment effectsSuicidal inpatientsSuicide riskSuicidal crisisPsychiatric hospitalIndividual sessionsIdeationSuicide reattemptsPost hoc analysisSelf-reportBlinded interviewersCentral and peripheral physiological responses to decision making in hoarding disorder
Levy H, Naples A, Collett S, McPartland J, Tolin D. Central and peripheral physiological responses to decision making in hoarding disorder. International Journal Of Psychophysiology 2024, 205: 112437. PMID: 39265723, PMCID: PMC11502253, DOI: 10.1016/j.ijpsycho.2024.112437.Peer-Reviewed Original ResearchError-related negativityHoarding disorderControl participantsAlpha asymmetryPsychophysiological responsesIncreased frontal negativityGo/No-Go taskHealthy control participantsDecision-making taskPeripheral nervous system activityResponse to decisionsAnxiety disordersFrontal negativityNeurobiological modelsGo taskNeutral taskPsychiatric diagnosisExcessive clutterPsychophysiological measuresPersonal possessionsExaggerated activationDisordersNull resultsNervous system activityTaskThe relationship between momentary experiential avoidance and anxiety symptoms
Sain K, Lord K, Knowles K, Everhardt K, Tolin D. The relationship between momentary experiential avoidance and anxiety symptoms. Anxiety Stress & Coping 2024, ahead-of-print: 1-13. PMID: 39104256, DOI: 10.1080/10615806.2024.2383769.Peer-Reviewed Original ResearchEcological momentary assessmentExperiential avoidanceAnxiety-related disordersAnxiety symptomsClinical sample of participantsSample of treatment-seeking patientsAssociated with greater anxietyAnxiety-related psychopathologySocial anxiety disorderBidirectional relationshipTreatment-seeking patientsTrend-level associationsSample of participantsIn-the-momentNonclinical undergraduatesAnxiety disordersMomentary assessmentGreater anxietyPerceived stressAnxietyBaseline assessmentClinical samplesDisordersTime pointsAssessment periodMoving beyond symptom reduction: A meta‐analysis on the effect of exposure therapy for PTSD on quality of life
Kaur K, Asnaani A, Levy H, Miller M, Tolin D, McLean C. Moving beyond symptom reduction: A meta‐analysis on the effect of exposure therapy for PTSD on quality of life. Journal Of Clinical Psychology 2024, 80: 2134-2146. PMID: 38875442, DOI: 10.1002/jclp.23727.Peer-Reviewed Original ResearchPosttraumatic stress disorderQuality of lifeExposure-based therapyExposure therapyControl conditionMeta-analysisPosttraumatic stress disorder treatment studiesAdult posttraumatic stress disorderEfficacy of exposure therapyEffectiveness of exposure therapyLow quality of lifeCochrane risk of bias toolRisk of bias toolExposure-based treatmentsFollow-upAssociated with greater improvementEmotional well-beingRisk of biasRandomized controlled trialsPTSD treatmentStress disorderPhysical healthSymptom reductionCochrane riskBias toolAcupressure in Psychotherapy as an Unsinkable Rubber Duck: A Reply to Feinstein (2023)
Boness C, Pfund R, Tolin D. Acupressure in Psychotherapy as an Unsinkable Rubber Duck: A Reply to Feinstein (2023). Journal Of Psychotherapy Integration 2024, 34: 190-199. PMID: 39006869, PMCID: PMC11244757, DOI: 10.1037/int0000315.Peer-Reviewed Original ResearchEmotional Freedom TechniquesEnergy meridiansEFT researchEthical practice of psychologyPractice of psychologyAcupressure pointsLack of evidenceFreedom TechniquesPsychological symptomsStudy designSystematic reviewClinical recommendationsAcupressureMethodological flawsIncrease qualityManual stimulationPsychological disordersBody of researchPsychotherapyEthical practicePseudoscientific conceptsAcupointsDisordersMeridianRubber ducksNeural Outcomes and Predictors of Cognitive-Behavioral Treatment for Hoarding Disorder
Stevens M, Levy H, Tolin D. Neural Outcomes and Predictors of Cognitive-Behavioral Treatment for Hoarding Disorder. Biological Psychiatry 2024, 95: s65. DOI: 10.1016/j.biopsych.2024.02.161.Peer-Reviewed Original ResearchBorderline Personality Traits Do Not Moderate the Relationship Between Depression, Beliefs, and Suicidal Thoughts and Behaviors
Stubbing J, Tolin D, Sain K, Everhardt K, Rudd M, Diefenbach G. Borderline Personality Traits Do Not Moderate the Relationship Between Depression, Beliefs, and Suicidal Thoughts and Behaviors. Archives Of Suicide Research 2024, ahead-of-print: 1-15. PMID: 38683542, DOI: 10.1080/13811118.2024.2345168.Peer-Reviewed Original ResearchBorderline personality disorder traitsSuicide beliefsSuicidal ideationSuicidal thoughtsMediation modelExploratory moderated mediation analysesPersonality disorder traitsHistory of STBSuicide attempt historyHistory of suicideModerated mediation analysisModerated mediation modelDisorder traitsEstimated mediation modelsAttempt historySuicidal patientsSuicide attemptsMediation analysisEmotional distressDepressionLongitudinal researchSuicideInpatient unitMediation effectTreatment targetThe Youth Sheehan Disability Scale: A Psychometric Evaluation
DiFonte M, Sain K, Tolin D. The Youth Sheehan Disability Scale: A Psychometric Evaluation. Journal Of Psychopathology And Behavioral Assessment 2024, 46: 655-667. DOI: 10.1007/s10862-024-10137-0.Peer-Reviewed Original ResearchChild reportsFunctional impairmentSessions of cognitive behavioral therapyMeasures of functional impairmentSheehan Disability ScalePotential age-related differencesCognitive behavioral therapyChild functional impairmentMeasures of youthParent-child dyadsAge-related differencesSpecialty outpatient clinicMild to moderate impairmentDepression severityBehavioral therapyParent reportChild impairmentChildren's symptomsPsychometric propertiesDisability ScaleModerate impairmentImpairmentImprove severityCronbach's aYouthAn evaluation of treatment response and remission definitions in adult obsessive-compulsive disorder: A systematic review and individual-patient data meta-analysis
Ramakrishnan D, Farhat L, Vattimo E, Levine J, Johnson J, Artukoglu B, Landeros-Weisenberger A, Zangen A, Pelissolo A, de B Pereira C, Rück C, Costa D, Mataix-Cols D, Shannahoff-Khalsa D, Tolin D, Zarean E, Meyer E, Hawken E, Storch E, Andersson E, Miguel E, Maina G, Leckman J, Sarris J, March J, Diniz J, Kobak K, Mallet L, Vulink N, Amiaz R, Fernandes R, Shavitt R, Wilhelm S, Golshan S, Tezenas du Montcel S, Erzegovesi S, Baruah U, Greenberg W, Kobayashi Y, Bloch M. An evaluation of treatment response and remission definitions in adult obsessive-compulsive disorder: A systematic review and individual-patient data meta-analysis. Journal Of Psychiatric Research 2024, 173: 387-397. PMID: 38598877, DOI: 10.1016/j.jpsychires.2024.03.044.Peer-Reviewed Original ResearchConceptsYale-Brown Obsessive-Compulsive ScaleObsessive-compulsive disorderCGI-IRandomized-controlled trialsAdult obsessive-compulsive disorderClinical Global Impression ImprovementObsessive-Compulsive ScaleTreatment responseIndividual-patient data meta-analysisPosttreatment scoresEvaluation of treatment responseMeta-analysis of randomized-controlled trialsFirst-line therapyCGIIndividual participant dataMeta-analysisNovel treatment modalitiesExpert consensusIndividual participant data meta-analysisSystematic reviewDisordersData meta-analysisPosttreatmentRemission definitionsImpressive improvementReductions in Anxiety are Associated with Decreased Expressive Suppression and Increased Cognitive Reappraisal After Cognitive-Behavioral Treatment: A Naturalistic Study in Youth
Knowles K, Tolin D. Reductions in Anxiety are Associated with Decreased Expressive Suppression and Increased Cognitive Reappraisal After Cognitive-Behavioral Treatment: A Naturalistic Study in Youth. Child Psychiatry & Human Development 2024, 1-8. PMID: 38530590, DOI: 10.1007/s10578-024-01684-4.Peer-Reviewed Original ResearchCognitive-behavioral therapyObsessive-compulsive disorderCognitive reappraisalExpressive suppressionAnxious youthSessions of cognitive-behavioral therapyEmotion regulation strategy usePrimary obsessive-compulsive disorderObsessive-compulsive disorder symptomsRegulation strategy useCognitive-behavioral treatmentTreatment-seeking sampleAnxiety-related disordersEmotion regulation strategiesEmotion regulation abilitiesEmotion regulation skillsMeasures of anxietyPost-treatment anxietyAssociated with anxiety reductionAnxiety disordersCognitive-behavioralEmotion regulationBroad deficitsRegulation skillsNaturalistic studyCognitive-Behavioral Therapy Enhancement Strategies
Tolin D, Lord K, Knowles K. Cognitive-Behavioral Therapy Enhancement Strategies. Psychiatric Clinics Of North America 2024, 47: 355-365. PMID: 38724125, DOI: 10.1016/j.psc.2024.02.005.Peer-Reviewed Original ResearchCommentary: Emotional freedom techniques for treating post traumatic stress disorder: an updated systematic review and meta-analysis
Pfund R, Boness C, Tolin D. Commentary: Emotional freedom techniques for treating post traumatic stress disorder: an updated systematic review and meta-analysis. Frontiers In Psychology 2024, 15: 1308687. PMID: 38464621, PMCID: PMC10921559, DOI: 10.3389/fpsyg.2024.1308687.Peer-Reviewed Original ResearchAn investigation of the role of estradiol in fear reduction during a single session of exposure therapy
Levy H, Mullins J, Tolin D. An investigation of the role of estradiol in fear reduction during a single session of exposure therapy. Cognitive Behaviour Therapy 2024, 53: 364-376. PMID: 38299480, DOI: 10.1080/16506073.2024.2313743.Peer-Reviewed Original ResearchObsessive-compulsive disorderExposure therapyAnxiety disordersPrimary obsessive-compulsive disorderSubjective distress ratingsAnxiety specialty clinicLow estradiol groupFear extinctionSubjective distressFear reductionExposure sessionsBrief delayDistress ratingsRecall delayAnxietyTherapy researchExposure outcomesDisordersSpecialty clinicsHigher estradiolDistressPrimary diagnosisEndogenous estradiolRecallEstradiol groupSymptom distress and psychosocial functioning improve bidirectionally during cognitive-behavioral therapy for anxiety disorders
Lord K, Tolin D. Symptom distress and psychosocial functioning improve bidirectionally during cognitive-behavioral therapy for anxiety disorders. Journal Of Anxiety Disorders 2024, 103: 102843. PMID: 38310753, DOI: 10.1016/j.janxdis.2024.102843.Peer-Reviewed Original ResearchCognitive-behavioral therapyPsychosocial functioningAnxiety disordersSymptom distressEfficacy of cognitive-behavioral therapySessions of cognitive-behavioral therapyPresence of comorbid depressionIndicators of psychosocial functioningAnxiety disorder symptomsOutcome Questionnaire-45Measures of symptom distressCross-lagged analysisSocial role performanceInterpersonal problemsAnxiety symptomsDisorder symptomsComorbid depressionSymptom reductionSymptom ameliorationLow levels of severityLevels of severityAnxietyEffect sizeDistressAssociated with changesUtility of the Death-Implicit Association Test in a Sample of Suicidal Inpatients
Lord K, Rice T, Levy H, Sain K, Stubbing J, Diefenbach G, Tolin D. Utility of the Death-Implicit Association Test in a Sample of Suicidal Inpatients. Cognitive Therapy And Research 2024, 48: 426-434. DOI: 10.1007/s10608-024-10465-1.Peer-Reviewed Original ResearchDeath Implicit Association TestSuicide riskD scoreSample of psychiatric inpatientsMeasures of suicide riskAssessment of suicide riskAssociation TestIndicators of suicide riskLifetime suicide attemptsMethodThe present studySuicidal cognitionsPsychiatric inpatientsSuicidal ideationExplicit measuresSuicide attemptsAttempted suicideInconsistent findingsPositive scoresDD scoresPresent studyAssociated with lifeIdeationSelf-identificationHopelessnessCognition
2023
Uncovering the role of substance use in suicide attempts using a mixed‐methods approach
Diefenbach G, Stubbing J, Rice T, Lord K, Rudd M, Tolin D. Uncovering the role of substance use in suicide attempts using a mixed‐methods approach. Suicide And Life-Threatening Behavior 2023, 54: 70-82. PMID: 37987548, DOI: 10.1111/sltb.13019.Peer-Reviewed Original ResearchDrug use disordersLifetime suicide attemptsSuicide attemptsSubstance useRisk factorsSuicide attempt historyUse disordersAcute substance useCo-occurring alcoholAttempt historySubstance use contributesModifiable treatment targetSuicide risk factorsSuicide attempt methodClinical confoundersAdult inpatientsBaseline riskTreatment targetsTreatment planAttempt methodInpatientsAcute riskDisordersRiskStudy 2