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Generalized Anxiety Disorder: Advances in Research and Practice PDF

465 Pages·2004·2.36 MB·English
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GENERALIZED ANXIETY DISORDER Generalized Anxiety Disorder ADVANCES IN RESEARCH AND PRACTICE Edited by Richard G. Heimberg Cynthia L. Turk Douglas S. Mennin THE GUILFORD PRESS New York London ©2004TheGuilfordPress ADivisionofGuilfordPublications,Inc. 72SpringStreet,NewYork,NY10012 Allrightsreserved Nopartofthisbookmaybereproduced,translated,storedinaretrieval system,ortransmitted,inanyformorbyanymeans,electronic,mechanical, photocopying,microfilming,recording,orotherwise,withoutwritten permissionfromthePublisher. PrintedintheUnitedStatesofAmerica Thisbookisprintedonacid-freepaper. Lastdigitisprintnumber: 9 8 7 6 5 4 3 2 1 LibraryofCongressCataloging-in-PublicationData Generalizedanxietydisorder:advancesinresearchandpractice/ editedbyRichardG.Heimberg,CynthiaL.Turk,DouglasS.Mennin. p.cm. Includesbibliographicalreferencesandindex. ISBN1-57230-972-5 1. Anxiety. I. Heimberg,RichardG. II. Turk,CynthiaL. III. Mennin, DouglasS. RC531.G4652004 616.852(cid:1) 2—dc22 2003015738 AAbboouutt tthhee EEddiittoorrss About the Editors RichardG.Heimberg,PhD,isProfessorofPsychology,DirectorofClinicalTrain- ing, and Director of the Adult Anxiety Clinic at Temple University. He is well known for his efforts in developing and evaluating cognitive-behavioral treat- ments,especiallyforsocialanxiety.Dr.Heimberghaspublishedmorethan225ar- ticlesandchaptersonanxietydisordersandrelatedtopics.Heiscoeditororcoau- thorofseveralbooks,includingSocialPhobia:Diagnosis,Assessment,andTreatment (1995,GuilfordPress)andCognitive-BehavioralGroupTherapyforSocialPhobia:Ba- sic Mechanisms and Clinical Strategies (2002, Guilford Press). Dr. Heimberg is past president of the Association for Advancement of Behavior Therapy. He was re- centlynamedoneofthefourmostinfluentialpsychologicalresearchersinanxiety inasurveyofmembersoftheAnxietyDisordersAssociationofAmerica,andhe serves on the Scientific Advisory Board of that association. Dr. Heimberg is a founding fellow of the Academy of Cognitive Therapy and was the inaugural recipient of the Academy’s A. T. Beck Award for Significant and Enduring Contribution to Cognitive Therapy. CynthiaL.Turk,PhD,joinedthepsychologyfacultyatLaSalleUniversityin2002 andiscurrentlytheDirectoroftheLaSalleAnxietyDisordersTreatmentandRe- search Program. She received her doctoral degree from Oklahoma State Univer- sityin1996.Priortohercurrentposition,Dr.TurkwasAssociateDirectorofthe AdultAnxietyClinicatTempleUniversityandDirectorofitsGeneralizedAnxiety Program.Hermaininterestsareintheassessmentandtreatmentofanxietydisor- ders, particularly generalized anxiety disorder and social phobia. Douglas S. Mennin, PhD, is currently Assistant Professor in the Department of PsychologyatYaleUniversityandDirectorofYaleAnxietyandMoodServices.He received his doctoral degree from Temple University in 2001, and with Drs. HeimbergandTurk,helpedtoestablishtheGeneralizedAnxietyProgramatthe AdultAnxietyClinicatTempleUniversity.Dr.Mennin’sprimaryinterestsaregen- eralizedanxietydisorder,theroleofdifficultiesinemotionregulationingeneral- izedanxietydisorderandothermentaldisorders,andtheintegrationofcognitive- behavioral and emotion-focused therapies. v CCoonnttrriibbuuttoorrss Contributors Anne Marie Albano, PhD, Child Study Center, New York University School of Medicine, New York, New York OscarM.Alcaine,MA,DepartmentofPsychology,PennsylvaniaStateUniversity, University Park, Pennsylvania PatriciaM.Averill,PhD,UniversityofTexas–HoustonHarrisCountyPsychiatric Center, Houston, Texas J. Gayle Beck, PhD, Department of Psychology, University at Buffalo, State Uni- versity of New York, Buffalo, New York EvelynBehar,MS,DepartmentofPsychology,PennsylvaniaStateUniversity,Uni- versity Park, Pennsylvania ThomasD.Borkovec,PhD,DepartmentofPsychology,PennsylvaniaStateUniver- sity, University Park, Pennsylvania Kristin Buhr, MA, Department of Psychology, Concordia University, Montreal, Quebec, Canada LouisG.Castonguay,PhD,DepartmentofPsychology,PennsylvaniaStateUniver- sity, University Park, Pennsylvania KatherineCrits-Christoph,PhD,CenterforPsychotherapyResearch,Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania Paul Crits-Christoph, PhD, Center for Psychotherapy Research, Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania Michel J. Dugas, PhD, Department of Psychology, Concordia University, Mon- treal, Quebec, Canada vii viii Contributors MaryBethConnollyGibbons,PhD,CenterforPsychotherapyResearch,Depart- ment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania RobertA.Gould,PhD,(deceased)DepartmentofPsychiatry,MassachusettsGen- eral Hospital and Harvard Medical School, Boston, Massachusetts Jack M. Gorman, MD, Department of Psychiatry, Mt. Sinai Medical School, New York, New York Sabine Hack, MD, ChildStudy Center,New YorkUniversity Schoolof Medicine, New York, New York Richard G. Heimberg, PhD, Adult Anxiety Clinic, Department of Psychology, Temple University, Philadelphia, Pennsylvania JenniferL.Hudson,PhD,DepartmentofPsychology,MacquarieUniversity,Syd- ney, Australia Ronald C. Kessler, PhD, Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts RobertLadouceur,PhD,EcoledePsychologie,UniversitéLaval,Ste-Foy,Quebec, Canada RobertL.Leahy,PhD,AmericanInstituteforCognitiveTherapy,NewYork,New York R. Bruce Lydiard, MD, Department of Neuropsychiatry and Behavioral Science, UniversityofSouthCarolinaSchoolofMedicine,Columbia,SouthCarolina,and Southeast Health Consultants, Charleston, South Carolina ColinMacLeod,PhD,DepartmentofPsychology,UniversityofWesternAustralia, Nedlands, Perth, Australia DouglasS.Mennin,PhD,DepartmentofPsychology,YaleUniversity,NewHaven, Connecticut Jan Mohlman, PhD, Department of Psychology, Syracuse University, Syracuse, New York Christine Molnar, PhD, Brain Stimulation Laboratory, Medical University of South Carolina, Charleston, South Carolina JeannineMonnier,PhD,DepartmentofPsychiatryandBehavioralSciences,Med- ical University of South Carolina, Charleston, South Carolina MichelleG.Newman,PhD,DepartmentofPsychology,PennsylvaniaStateUniver- sity, University Park, Pennsylvania Contributors ix MichaelW.Otto,PhD,DepartmentofPsychiatry,MassachusettsGeneralHospital and Harvard Medical School, Boston, Massachusetts RonaldM.Rapee,PhD,DepartmentofPsychology,MacquarieUniversity,Sydney, Australia Elizabeth Rutherford, PhD, Department of Psychology, University of Western Australia, Nedlands, Perth, Australia Steven A. Safren, PhD, Department of Psychiatry, Massachusetts General Hospi- tal and Harvard Medical School, Boston, Massachusetts Smit S. Sinha, MD, Department of Psychiatry, Columbia University, New York, New York Cynthia L. Turk, PhD, Department of Psychology, La Salle University, Philadel- phia, Pennsylvania EllenE.Walters,MS,DepartmentofHealthCarePolicy,HarvardMedicalSchool, Boston, Maasachusetts David O’Neill Washington, PhD, Department of Psychiatry, Massachusetts Gen- eral Hospital and Harvard Medical School, Boston, Massachusetts Adrian Wells, MSc, PhD, Department of Clinical Psychology, University of Man- chester, Manchester, United Kingdom Hans-Ulrich Wittchen, PhD, Institute of Clinical Psychology and Psychotherapy, TechnicalUniversityofDresden,Dresden,Germany,andMaxPlanckInstituteof Psychiatry, Clinical Psychology and Epidemiology, Munich, Germany

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In the last decade, tremendous progress has been made in understanding and addressing generalized anxiety disorder (GAD), a prevalent yet long-neglected syndrome associated with substantial functional impairment and reduced life satisfaction. This comprehensive, empirically based volume brings toget
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