Generalized Anxiety Disorder: Advances in Research and Practice

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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 together leading authorities to review the breadth of current knowledge on the phenomenology, etiology, pathological mechanisms, diagnosis, and treatment of GAD. Provided are psychological and neurobiological models of the ...
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Overview

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 together leading authorities to review the breadth of current knowledge on the phenomenology, etiology, pathological mechanisms, diagnosis, and treatment of GAD. Provided are psychological and neurobiological models of the disorder that combine cutting-edge research and clinical expertise. Assessment strategies are detailed and promising intervention approaches described in depth, including cognitive-behavioral, interpersonal, psychodynamic, and pharmacological therapies. Also covered are special issues in the treatment of GAD in children, adolescents, and older adults.
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Editorial Reviews

From the Publisher

"This book, written and edited by many of the leading lights in the anxiety disorders field, represents a cutting-edge look at this important disorder. Comprehensive in scope, it is a valuable resource for researchers in the area, trainees in graduate and residency training programs, and practitioners looking to integrate state-of-the-art knowledge in the service of improving care for their patients."--Mark H. Pollack, MD, Center for Anxiety and Traumatic Stress Related Disorders, Massachusetts General Hospital; Department of Psychiatry, Harvard Medical School

"Generalized anxiety disorder has, for a long time, been a diagnostic orphan. Given the substantial prevalence and health burden, it is important that the disorder becomes a fully integrated member of the anxiety family. Heimberg et al. go a long way toward bringing about this integration. Their book is comprehensive, critical, and scholarly, comprising contributions of the highest caliber. It is likely to be especially useful to the academic and research community of psychologists and psychiatrists, as well as clinical specialists in anxiety disorders and other professionals seeking to deepen their understanding of GAD. Also included are a number of helpful practical measures that can be implemented by consumers whose lives are affected by GAD."--Jonathan R. T. Davidson, MD, Anxiety and Traumatic Stress Program, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center

"This uncommonly useful volume incorporates the most up-to-date information about GAD from a variety of theoretical and treatment perspectives. It is extraordinarily timely and helpful in being one of the first books to specifically address this difficult-to-treat disorder. Provided in a clear format is a comprehensive overview of the disorder's epidemiology, clinical presentation, theory, and treatment. Likely to become a key reference work for researchers and clinicians at all levels of experience, the book is also a suitable text for advanced undergraduate- and graduate-level courses."--John H. Riskind, PhD, Department of Psychology, George Mason University

Bulletin of the Menninger Clinic

"This timely book is a very impressive and ambitious endeavor in comprising the advances in research and treatment of generalized anxiety disorder (GAD) that have emerged within the last two decades....The true strength of this book is how inclusive the editors have been in selecting the contributors, representing various approaches to GAD. That selection truly pays off and the end result is a very comprehensive book about a variety of theoretical and treatment perspectives. I strongly recommend this book to clinicians and researchers interested in the complex presentation and maintenance of worry and anxiety."--Bulletin of the Menninger Clinic
From The Critics
Reviewer: Raj Tummala, MD (Wyeth Pharmaceuticals)
Description: This is a comprehensive review with a special focus on the psychological perspectives of this increasingly prevalent anxiety disorder. The book is authored by experts in the respective topics.
Purpose: The purpose is to provide a comprehensive review of generalized anxiety disorder (GAD) detailing all aspects, from epidemiology, cognitive models and neurobiology to diagnosis and treatment.
Audience: This is a good reference for anyone working in the care of mental health patients. Trainees, social workers, psychologists and practitioners will find this review useful.
Features: "The prevalence of generalized anxiety disorder has been increasing in recent years. Yet, it has been underdiagnosed and poorly understood. The authors do a good job of putting together a comprehensive review. Of special interest are the sections on avoidance theory, temperament, and cognitive models. The information is presented from research analysis and evidence-based guidelines. Information is presented in tables and each chapter has an up-to-date reference section. Assessments of GAD with the available psychometric scales as well as the review on the cognitive behavioral treatments are useful sections for the practitioner. The book has a strong psychosocial perspective. While neurobiology and pharmacological treatments are adequately covered, the authors have omitted some of the newer evolving areas such as neuroimaging. As this disorder is very common in children, both diagnosis and treatment in this population is covered separately. "
Assessment: This is a well written review on generalized anxiety disorder and serves as a good reference for anyone dealing with patients suffering from generalized anxiety disorder.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781572309722
  • Publisher: Guilford Publications, Inc.
  • Publication date: 1/28/2004
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 446
  • Product dimensions: 6.00 (w) x 9.10 (h) x 1.40 (d)

Meet the Author


Richard G. Heimberg, PhD, is Professor of Psychology, Director of Clinical Training, and Director of the Adult Anxiety Clinic at Temple University. He is well known for his efforts in developing and evaluating cognitive-behavioral treatments, especially for social anxiety. Dr. Heimberg has published more than 225 papers on anxiety and related topics. He is coeditor or coauthor of several books, including Social Phobia and Cognitive-Behavioral Group Therapy for Social Phobia. Dr. Heimberg was recently named one of the four most influential psychological researchers in anxiety in a survey of members of the Anxiety Disorders Association of America and was the inaugural recipient of the Academy of Cognitive Therapy’s A. T. Beck Award for Significant and Enduring Contribution to Cognitive Therapy.

Cynthia L. Turk, PhD, is Assistant Professor of Psychology and Director of the Anxiety Disorders Treatment and Research Program at La Salle University. Previously, she was Associate Director of the Adult Anxiety Clinic at Temple and Director of its Generalized Anxiety Program. She received her PhD from Oklahoma State University in 1996.

Douglas S. Mennin, PhD, is Assistant Professor of Psychology at Yale University and Director of Yale Anxiety and Mood Services. He received his PhD from Temple University in 2001, and with Drs. Heimberg and Turk, helped to establish the Generalized Anxiety Program at the Adult Anxiety Clinic at Temple.

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Read an Excerpt

Part I: Generalized Anxiety Disorder in the Clinic and in the Community
1. Clinical Presentation and Diagnostic Features
Douglas S. Mennin, Richard G. Heimberg, and Cynthia L. Turk
2. Epidemiology
Ronald C. Kessler, Ellen E. Walters, and Hans-Ulrich Wittchen
3. From Anxious Temperament to Disorder: An Etiological Model
Jennifer L. Hudson and Ronald M. Rapee

Part II: Theoretical and Empirical Approaches
4. Avoidance Theory of Worry
Thomas D. Borkovec, Oscar M. Alcaine, and Evelyn Behar
5. Information-Processing Approaches: Assessing the Selective Functioning of Attention, Interpretation, and Retrieval
Colin MacLeod and Elizabeth Rutherford
6. The Role of Intolerance of Uncertainty in Etiology and Maintenance
Michel J. Dugas, Kristin Buhr, and Robert Ladouceur
7. A Cognitive Model of GAD: Metacognitions and Pathological Worry
Adrian Wells
8. Neurobiology
Smit S. Sinha, Jan Mohlman, and Jack M. Gorman

Part III: Assessment and Treatment
9. Assessment
Cynthia L. Turk, Richard G. Heimberg, and Douglas S. Mennin
10. A Meta-Analytic Review of Cognitive-Behavioral Treatments
Robert A. Gould, Steven A. Safren, David O'Neill Washington, and Michael W. Otto
11. Cognitive-Behavioral Therapy
Robert Leahy
12. Supportive-Expressive Psychodynamic Therapy
Paul Crits-Christoph, Mary Beth Connolly Gibbons, and Katherine Crits-Christoph
13. Integrative Psychotherapy
Michele G. Newman, Louis G. Castonguay, Thomas D. Borkovec, and Christine Molnar

14. Pharmacological Treatment
R. Bruce Lydiard and Jeannine Monnier

Part IV: Special Populations
15. Children and Adolescents
Anne Marie Albano and Sabine Hack
16. Older Adults
J. Gayle Beck and Patricia M. Averill
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Table of Contents


I: Generalized Anxiety Disorder in the Clinic and in the Community
1. Clinical Presentation and Diagnostic Features, Douglas S. Mennin, Richard G. Heimberg, and Cynthia L. Turk
2. Epidemiology, Ronald C. Kessler, Ellen E. Walters, and Hans-Ulrich Wittchen
3. From Anxious Temperament to Disorder: An Etiological Model, Jennifer L. Hudson and Ronald M. Rapee
II: Theoretical and Empirical Approaches
4. Avoidance Theory of Worry, Thomas D. Borkovec, Oscar M. Alcaine, and Evelyn Behar
5. Information-Processing Approaches: Assessing the Selective Functioning of Attention, Interpretation, and Retrieval, Colin MacLeod and Elizabeth Rutherford
6. The Role of Intolerance of Uncertainty in Etiology and Maintenance, Michel J. Dugas, Kristin Buhr, and Robert Ladouceur
7. A Cognitive Model of GAD: Metacognitions and Pathological Worry, Adrian Wells
8. Neurobiology, Smit S. Sinha, Jan Mohlman, and Jack M. Gorman
III: Assessment and Treatment
9. Assessment, Cynthia L. Turk, Richard G. Heimberg, and Douglas S. Mennin
10. A Meta-Analytic Review of Cognitive-Behavioral Treatments, Robert A. Gould, Steven A. Safren, David O'Neill Washington, and Michael W. Otto
11.Cognitive-Behavioral Therapy, Robert Leahy
12. Supportive-Expressive Psychodynamic Therapy, Paul Crits-Christoph, Mary Beth Connolly Gibbons, and Katherine Crits-Christoph
13. Integrative Psychotherapy, Michele G. Newman, Louis G. Castonguay, Thomas D. Borkovec, and Christine Molnar
14. Pharmacological Treatment, R. Bruce Lydiard and Jeannine Monnier
IV: Special Populations
15. Children and Adolescents, Anne Marie Albano and Sabine Hack
16.Older Adults, J. Gayle Beck and Patricia M. Averill
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