Textbook of Anxiety Disorders SECOND EDITION This page intentionally left blank Textbook of Anxiety Disorders Edited by Dan J. Stein, M.D., Ph.D. Eric Hollander, M.D. Barbara O. Rothbaum, Ph.D., ABPP Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. 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Manufactured in the United States of America on acid-free paper 13 12 11 10 09 5 4 3 2 1 Second Edition Typeset in Adobe’s ACaslon and Frutiger American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org To purchase 25–99 copies of this or any other APPI title at a 20% discount, please contact APPI Customer Service at [email protected] or 800-368-5777. If you wish to buy 100 or more copies of the same title, please e-mail [email protected] for a price quote. Library of Congress Cataloging-in-Publication Data Textbook of anxiety disorders / edited by Dan J. Stein, Eric Hollander, Barbara O. Rothbaum. — 2nd ed. p. ; cm. Includes bibliographical references and index. ISBN 978-1-58562-254-2 (alk. paper) 1. Anxiety disorders—Textbooks. I. Stein, Dan J. II. Hollander, Eric, 1957- III. Rothbaum, Barbara Olasov. [DNLM: 1. Anxiety Disorders. WM 172 T356 2010] RC531.A525 2010 616.85′22—dc22 2009015495 British Library Cataloguing in Publication Data A CIP record is available from the British Library. Contents Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Disclosure of Interests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii Foreword. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xxi Jerilyn Ross, M.A., L.I.C.S.W. Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xxiii Dan J. Stein, M.D., Ph.D. Eric Hollander, M.D. Barbara O. Rothbaum, Ph.D., ABPP PART I Approaching the Anxiety Disorders 1 History of AnxietyDisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Michael H. Stone, M.D. 2 Classification of Anxiety Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Timothy A. Brown, Psy.D. Ovsanna Leyfer, Ph.D. 3 Preclinical Models of Anxiety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Nicola D. Hanson, B.S. Charles B. Nemeroff, M.D., Ph.D. 4 Neural Circuits in Fear andAnxiety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 J. Douglas Bremner, M.D. Dennis S. Charney, M.D. 5 Anxious Traits and Temperaments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Steven Taylor, Ph.D., ABPP Jonathan S. Abramowitz, Ph.D., ABPP Dean McKay, Ph.D. Gordon J.G. Asmundson, Ph.D. 6 The Neuropsychology of Anxiety Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87 Kevin J. Craig, M.B.B.Ch., M.Phil., MRCPsych Samuel R. Chamberlain, Ph.D., M.B.B.Ch. 7 Cognitive-Behavioral Concepts of Anxiety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Robert A. DiTomasso, Ph.D., ABPP Arthur Freeman, Ed.D., ABPP Raymond Carvajal, M.A. Bruce Zahn, Ed.D., ABPP 8 Psychodynamic Concepts of Anxiety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117 Fredric N. Busch, M.D. Barbara L. Milrod, M.D. M. Katherine Shear, M.D. 9 Evolutionary Concepts of Anxiety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Myron A. Hofer, M.D. 10 Combined Treatment of Anxiety Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .147 Maryrose Gerardi, Ph.D. Kerry Ressler, M.D., Ph.D. Barbara Olasov Rothbaum, Ph.D. PART II Generalized Anxiety Disorder 11 Phenomenology of Generalized Anxiety Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Laszlo A. Papp, M.D. 12 Pathogenesis of Generalized Anxiety Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Jeffrey D. Lightfoot, Ph.D. Steven Seay Jr., M.S. Andrew W. Goddard, M.D. 13 Pharmacotherapy for Generalized Anxiety Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Michael Van Ameringen, M.D., FRCPC Catherine Mancini, M.D., FRCPC Beth Patterson, B.Sc.N., B.Ed. William Simpson, B.Sc. Christine Truong, B.Sc. 14 Psychotherapy for Generalized Anxiety Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .219 Jonathan D. Huppert, Ph.D. William C. Sanderson, Ph.D. PART III Mixed Anxiety-Depression 15 Mixed Anxiety-DepressiveDisorder: An Undiagnosed and Undertreated Severity Spectrum?. . . .241 Jan Fawcett, M.D. Rebecca P. Cameron, Ph.D. Alan F. Schatzberg, M.D. PART IV Obsessive-Compulsive Disorder/Related Disorders 16 Phenomenology of Obsessive-Compulsive Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .261 Jane L. Eisen, M.D. Agustin G. Yip, M.D., Ph.D. Maria C. Mancebo, Ph.D. Anthony Pinto, Ph.D. Steven A. Rasmussen, M.D. 17 Pathophysiology of Obsessive-Compulsive Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .287 Darin D. Dougherty, M.D. Scott L. Rauch, M.D. Benjamin D. Greenberg, M.D., Ph.D. 18 Pharmacotherapy for Obsessive-Compulsive Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .311 Naomi A. Fineberg, M.B.B.S., M.A., MRCPsych Kevin J. Craig, M.B.B.Ch., M.Phil., MRCPsych 19 Psychological Treatment for Obsessive-Compulsive Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . .339 Jonathan S. Abramowitz, Ph.D., ABPP 20 The Obsessive-Compulsive Spectrum of Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .355 Sarah Ketay, Ph.D. Dan J. Stein, M.D., Ph.D. Eric Hollander, M.D. PART V Panic Disorder/Agoraphobia 21 Phenomenology of PanicDisorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .367 Mark H. Pollack, M.D. Jordan W. Smoller, M.D., Sc.D. Michael W. Otto, Ph.D. Elizabeth Hoge, M.D. Naomi Simon, M.D., M.Sc. 22 Pathogenesis of Panic Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .381 Ranjeeb Shrestha, M.D. Navin Natarajan, M.D. Jeremy D. Coplan, M.D. 23 Pharmacotherapy for Panic Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .399 Borwin Bandelow, M.D., Ph.D. David S. Baldwin, M.D. 24 Psychotherapy for Panic Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .417 Stefan G. Hofmann, Ph.D. Winfried Rief, Ph.D. David A. Spiegel, M.D. PART VI Social Anxiety Disorder (Social Phobia) 25 Phenomenology of Social Anxiety Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .437 Holly J. Ramsawh, Ph.D. Denise A. Chavira, Ph.D. Murray B. Stein, M.D., M.P.H. 26 Pathogenesis of SocialAnxiety Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .453 Mary Morreale, M.D. Manuel E. Tancer, M.D. Thomas W. Uhde, M.D. 27 Pharmacotherapy for Social Anxiety Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .471 Carlos Blanco, M.D., Ph.D. Franklin R. Schneier, M.D. Oriana Vesga-López, M.D. Michael R. Liebowitz, M.D. 28 Psychotherapy for Social Anxiety Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .501 Kristin E. Pontoski, M.A. Richard G. Heimberg, Ph.D. Cynthia L. Turk, Ph.D. Meredith E. Coles, Ph.D. PART VII Specific Phobia 29 Specific Phobia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .525 Amanda L. Gamble , Ph.D. Allison G. Harvey, Ph.D. Ronald M. Rapee, Ph.D. PART VIII Posttraumatic Stress Disorder/Acute Stress Disorder 30 Phenomenology of Posttraumatic Stress Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .547 Alexander C. McFarlane, M.D. 31 Pathogenesis of Posttraumatic Stress Disorder and Acute Stress Disorder. . . . . . . . . . . . . . . . . . . .567 Rachel Yehuda, Ph.D. Casey Sarapas, B.S. 32 Pharmacotherapy for Posttraumatic Stress Disorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .583 Wei Zhang, M.D., Ph.D. Jonathan R.T. Davidson, M.D. 33 Psychotherapy for Posttraumatic Stress Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .603 Monnica T. Williams, Ph.D. Shawn P. Cahill, Ph.D. Edna B. Foa, Ph.D. PART IX Anxiety Disorders in Special Populations 34 Anxiety Disorders in Children and Adolescents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .629 Phoebe S. Moore, Ph.D. John S. March, M.D., M.P.H. Anne Marie Albano, Ph.D., ABPP Margo Thienemann, M.D. 35 Anxiety Disorders in the Elderly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .651 Eric J. Lenze, M.D. 36 Anxiety in the Context of Substance Abuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .665 Sudie E. Back, Ph.D. Angela E. Waldrop, Ph.D. Kathleen T. Brady, M.D., Ph.D. 37 Anxiety and Anxiety Disorders in MedicalSettings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .681 Thomas N. Wise, M.D. Michael J. Marcangelo, M.D. Danielle L. Anderson, M.D. 38 Anxiety and Insomnia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .699 Thomas W. Uhde, M.D. Bernadette M. Cortese, Ph.D.
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