

de Recherche et d’Innovation
en Cybersécurité et Société
Larochelle, S.; Dugas, M. J.; Langlois, F.; Gosselin, P.; Belleville, G.; Bouchard, S.
Intolerance of Uncertainty and Emotion Dysregulation as Predictors of Generalized Anxiety Disorder Severity in a Clinical Population Journal Article
In: Journal of Clinical Medicine, vol. 14, no. 5, 2025, ISSN: 20770383 (ISSN), (Publisher: Multidisciplinary Digital Publishing Institute (MDPI)).
Abstract | Links | BibTeX | Tags: adult, aged, article, Beck Depression Inventory, clinical population, comorbidity, controlled study, Depression, difficulties in emotion regulation scale, disease severity, emotion, emotion dysregulation, emotion regulation, employment status, female, generalized anxiety disorder, human, intolerance of uncertainty, Intolerance of Uncertainty Scale, major clinical study, male, patient worry, penn state worry questionnaire, prediction, predictive model, psychotherapy, Severity of Illness Index, sociodemographics, theoretical model
@article{larochelle_intolerance_2025,
title = {Intolerance of Uncertainty and Emotion Dysregulation as Predictors of Generalized Anxiety Disorder Severity in a Clinical Population},
author = {S. Larochelle and M. J. Dugas and F. Langlois and P. Gosselin and G. Belleville and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-86000587548&doi=10.3390%2Fjcm14051502&partnerID=40&md5=7a364fe831d85eff0f0f7121657649e5},
doi = {10.3390/jcm14051502},
issn = {20770383 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Journal of Clinical Medicine},
volume = {14},
number = {5},
abstract = {Background/objectives: Several factors have been shown to play a role in the development and maintenance of generalized anxiety disorder (GAD), including intolerance of uncertainty and emotion dysregulation. Although the individual contribution of both of these factors is well documented, their combined effect has yet to be studied in a clinical population with GAD. The aim of the present study was to examine the relative contribution of intolerance of uncertainty and emotion dysregulation to the prediction of worry and GAD severity in adults with GAD. Methods: The sample consisted of 108 participants diagnosed with GAD. The participants completed measures of worry, GAD severity, depressive symptoms, intolerance of uncertainty, and emotion dysregulation. Results: Multiple regression indicated that both intolerance of uncertainty and emotion dysregulation significantly contributed to both worry and GAD severity, over and above the contribution of depressive symptoms. Of note, the model explained 36% of the variance in GAD severity scores. Conclusions: The present results provide preliminary evidence of complementarity among dominant models of GAD, and point to the potential role of integrative conceptualizations and treatment strategies for GAD. © 2025 by the authors.},
note = {Publisher: Multidisciplinary Digital Publishing Institute (MDPI)},
keywords = {adult, aged, article, Beck Depression Inventory, clinical population, comorbidity, controlled study, Depression, difficulties in emotion regulation scale, disease severity, emotion, emotion dysregulation, emotion regulation, employment status, female, generalized anxiety disorder, human, intolerance of uncertainty, Intolerance of Uncertainty Scale, major clinical study, male, patient worry, penn state worry questionnaire, prediction, predictive model, psychotherapy, Severity of Illness Index, sociodemographics, theoretical model},
pubstate = {published},
tppubtype = {article}
}
Bouchard, S.; Pessanha, C. Torres; Tober, K. H.
In: Annual Review of CyberTherapy and Telemedicine, vol. 23, pp. 70–75, 2025, ISSN: 15548716 (ISSN).
Abstract | Links | BibTeX | Tags: adult, agoraphobia, article, Client Satisfaction Questionnaire, cognitive behavioral therapy, discriminant validity, female, generalized anxiety disorder, human, major clinical study, male, panic, Patient Satisfaction, psychological rating scale, psychotherapy, questionnaire, social interaction, Telemedicine, telepresence, Telepresence in Videoconference Scale, Telepresence Videoconference Scale, telepsychotherapy, test retest reliability, Test-retest reliability, videoconference, videoconferencing
@article{bouchard_assessing_2025,
title = {Assessing telepresence when delivering psychotherapy in videoconference: relevance and test-retest reliability of the Telepresence Videoconference Scale},
author = {S. Bouchard and C. Torres Pessanha and K. H. Tober},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-105023903509&partnerID=40&md5=46afce3aea732a9501fc3a1096d67673},
issn = {15548716 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Annual Review of CyberTherapy and Telemedicine},
volume = {23},
pages = {70–75},
abstract = {The increasing use of psychotherapy delivered via videoconference requires sound methods to assess clients' subjective experiences. Telepresence, defined as the feeling of being together in an online session despite the actual physical distance, is receiving increased attention as an important concept. The Telepresence in Videoconference Scale (TVS) assesses client telepresence during psychotherapy sessions and has been initially validated. However, its stability across sessions and its independence from the concept of treatment satisfaction need further evaluation. This paper presents an overview of studies using the TVS and examines the psychometric properties of the TVS in 65 adults (mean age = 39.9},
keywords = {adult, agoraphobia, article, Client Satisfaction Questionnaire, cognitive behavioral therapy, discriminant validity, female, generalized anxiety disorder, human, major clinical study, male, panic, Patient Satisfaction, psychological rating scale, psychotherapy, questionnaire, social interaction, Telemedicine, telepresence, Telepresence in Videoconference Scale, Telepresence Videoconference Scale, telepsychotherapy, test retest reliability, Test-retest reliability, videoconference, videoconferencing},
pubstate = {published},
tppubtype = {article}
}
Bouchard, S.; Pessanha, C. Torres; Tober, K. H.
In: Annual Review of CyberTherapy and Telemedicine, vol. 23, pp. 70–75, 2025, ISSN: 15548716 (ISSN).
Abstract | Links | BibTeX | Tags: adult, agoraphobia, article, Client Satisfaction Questionnaire, cognitive behavioral therapy, discriminant validity, female, generalized anxiety disorder, human, major clinical study, male, panic, Patient Satisfaction, psychological rating scale, psychotherapy, questionnaire, social interaction, Telemedicine, telepresence, Telepresence in Videoconference Scale, Telepresence Videoconference Scale, telepsychotherapy, test retest reliability, Test-retest reliability, videoconference, videoconferencing
@article{bouchardAssessingTelepresenceWhen2025,
title = {Assessing telepresence when delivering psychotherapy in videoconference: relevance and test-retest reliability of the Telepresence Videoconference Scale},
author = {S. Bouchard and C. Torres Pessanha and K. H. Tober},
url = {https://www.scopus.com/pages/publications/105023903509?origin=resultslist},
issn = {15548716 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Annual Review of CyberTherapy and Telemedicine},
volume = {23},
pages = {70–75},
publisher = {Interactive Media Institute},
abstract = {The increasing use of psychotherapy delivered via videoconference requires sound methods to assess clients' subjective experiences. Telepresence, defined as the feeling of being together in an online session despite the actual physical distance, is receiving increased attention as an important concept. The Telepresence in Videoconference Scale (TVS) assesses client telepresence during psychotherapy sessions and has been initially validated. However, its stability across sessions and its independence from the concept of treatment satisfaction need further evaluation. This paper presents an overview of studies using the TVS and examines the psychometric properties of the TVS in 65 adults (mean age = 39.9},
keywords = {adult, agoraphobia, article, Client Satisfaction Questionnaire, cognitive behavioral therapy, discriminant validity, female, generalized anxiety disorder, human, major clinical study, male, panic, Patient Satisfaction, psychological rating scale, psychotherapy, questionnaire, social interaction, Telemedicine, telepresence, Telepresence in Videoconference Scale, Telepresence Videoconference Scale, telepsychotherapy, test retest reliability, Test-retest reliability, videoconference, videoconferencing},
pubstate = {published},
tppubtype = {article}
}
Larochelle, S.; Dugas, M. J.; Langlois, F.; Gosselin, P.; Belleville, G.; Bouchard, S.
Intolerance of Uncertainty and Emotion Dysregulation as Predictors of Generalized Anxiety Disorder Severity in a Clinical Population Journal Article
In: Journal of Clinical Medicine, vol. 14, no. 5, 2025, ISSN: 20770383 (ISSN).
Abstract | Links | BibTeX | Tags: adult, aged, article, Beck Depression Inventory, clinical population, comorbidity, controlled study, Depression, difficulties in emotion regulation scale, disease severity, emotion, emotion dysregulation, emotion regulation, employment status, female, generalized anxiety disorder, human, intolerance of uncertainty, Intolerance of Uncertainty Scale, major clinical study, male, patient worry, penn state worry questionnaire, prediction, predictive model, psychotherapy, Severity of Illness Index, sociodemographics, theoretical model
@article{larochelleIntoleranceUncertaintyEmotion2025,
title = {Intolerance of Uncertainty and Emotion Dysregulation as Predictors of Generalized Anxiety Disorder Severity in a Clinical Population},
author = {S. Larochelle and M. J. Dugas and F. Langlois and P. Gosselin and G. Belleville and S. Bouchard},
url = {https://www.scopus.com/pages/publications/86000587548?origin=resultslist},
doi = {10.3390/jcm14051502},
issn = {20770383 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Journal of Clinical Medicine},
volume = {14},
number = {5},
publisher = {Multidisciplinary Digital Publishing Institute (MDPI)},
abstract = {Background/objectives: Several factors have been shown to play a role in the development and maintenance of generalized anxiety disorder (GAD), including intolerance of uncertainty and emotion dysregulation. Although the individual contribution of both of these factors is well documented, their combined effect has yet to be studied in a clinical population with GAD. The aim of the present study was to examine the relative contribution of intolerance of uncertainty and emotion dysregulation to the prediction of worry and GAD severity in adults with GAD. Methods: The sample consisted of 108 participants diagnosed with GAD. The participants completed measures of worry, GAD severity, depressive symptoms, intolerance of uncertainty, and emotion dysregulation. Results: Multiple regression indicated that both intolerance of uncertainty and emotion dysregulation significantly contributed to both worry and GAD severity, over and above the contribution of depressive symptoms. Of note, the model explained 36% of the variance in GAD severity scores. Conclusions: The present results provide preliminary evidence of complementarity among dominant models of GAD, and point to the potential role of integrative conceptualizations and treatment strategies for GAD. © 2025 by the authors.},
keywords = {adult, aged, article, Beck Depression Inventory, clinical population, comorbidity, controlled study, Depression, difficulties in emotion regulation scale, disease severity, emotion, emotion dysregulation, emotion regulation, employment status, female, generalized anxiety disorder, human, intolerance of uncertainty, Intolerance of Uncertainty Scale, major clinical study, male, patient worry, penn state worry questionnaire, prediction, predictive model, psychotherapy, Severity of Illness Index, sociodemographics, theoretical model},
pubstate = {published},
tppubtype = {article}
}
Bouchard, S.; Pessanha, C. Torres; Tober, K. H.
In: Annual Review of CyberTherapy and Telemedicine, vol. 23, pp. 70–75, 2025, ISSN: 15548716 (ISSN).
Abstract | Links | BibTeX | Tags: adult, agoraphobia, article, Client Satisfaction Questionnaire, cognitive behavioral therapy, discriminant validity, female, generalized anxiety disorder, human, major clinical study, male, panic, Patient Satisfaction, psychological rating scale, psychotherapy, questionnaire, social interaction, Telemedicine, telepresence, Telepresence in Videoconference Scale, Telepresence Videoconference Scale, telepsychotherapy, test retest reliability, Test-retest reliability, videoconference, videoconferencing
@article{bouchardAssessingTelepresenceWhen2025a,
title = {Assessing telepresence when delivering psychotherapy in videoconference: relevance and test-retest reliability of the Telepresence Videoconference Scale},
author = {S. Bouchard and C. Torres Pessanha and K. H. Tober},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-105023903509&partnerID=40&md5=46afce3aea732a9501fc3a1096d67673},
issn = {15548716 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Annual Review of CyberTherapy and Telemedicine},
volume = {23},
pages = {70–75},
abstract = {The increasing use of psychotherapy delivered via videoconference requires sound methods to assess clients' subjective experiences. Telepresence, defined as the feeling of being together in an online session despite the actual physical distance, is receiving increased attention as an important concept. The Telepresence in Videoconference Scale (TVS) assesses client telepresence during psychotherapy sessions and has been initially validated. However, its stability across sessions and its independence from the concept of treatment satisfaction need further evaluation. This paper presents an overview of studies using the TVS and examines the psychometric properties of the TVS in 65 adults (mean age = 39.9},
keywords = {adult, agoraphobia, article, Client Satisfaction Questionnaire, cognitive behavioral therapy, discriminant validity, female, generalized anxiety disorder, human, major clinical study, male, panic, Patient Satisfaction, psychological rating scale, psychotherapy, questionnaire, social interaction, Telemedicine, telepresence, Telepresence in Videoconference Scale, Telepresence Videoconference Scale, telepsychotherapy, test retest reliability, Test-retest reliability, videoconference, videoconferencing},
pubstate = {published},
tppubtype = {article}
}
Larochelle, S.; Dugas, M. J.; Langlois, F.; Gosselin, P.; Belleville, G.; Bouchard, S.
Intolerance of Uncertainty and Emotion Dysregulation as Predictors of Generalized Anxiety Disorder Severity in a Clinical Population Journal Article
In: Journal of Clinical Medicine, vol. 14, no. 5, 2025, ISSN: 20770383 (ISSN).
Abstract | Links | BibTeX | Tags: adult, aged, article, Beck Depression Inventory, clinical population, comorbidity, controlled study, Depression, difficulties in emotion regulation scale, disease severity, emotion, emotion dysregulation, emotion regulation, employment status, female, generalized anxiety disorder, human, intolerance of uncertainty, Intolerance of Uncertainty Scale, major clinical study, male, patient worry, penn state worry questionnaire, prediction, predictive model, psychotherapy, Severity of Illness Index, sociodemographics, theoretical model
@article{larochelleIntoleranceUncertaintyEmotion2025a,
title = {Intolerance of Uncertainty and Emotion Dysregulation as Predictors of Generalized Anxiety Disorder Severity in a Clinical Population},
author = {S. Larochelle and M. J. Dugas and F. Langlois and P. Gosselin and G. Belleville and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-86000587548&doi=10.3390%2Fjcm14051502&partnerID=40&md5=7a364fe831d85eff0f0f7121657649e5},
doi = {10.3390/jcm14051502},
issn = {20770383 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Journal of Clinical Medicine},
volume = {14},
number = {5},
abstract = {Background/objectives: Several factors have been shown to play a role in the development and maintenance of generalized anxiety disorder (GAD), including intolerance of uncertainty and emotion dysregulation. Although the individual contribution of both of these factors is well documented, their combined effect has yet to be studied in a clinical population with GAD. The aim of the present study was to examine the relative contribution of intolerance of uncertainty and emotion dysregulation to the prediction of worry and GAD severity in adults with GAD. Methods: The sample consisted of 108 participants diagnosed with GAD. The participants completed measures of worry, GAD severity, depressive symptoms, intolerance of uncertainty, and emotion dysregulation. Results: Multiple regression indicated that both intolerance of uncertainty and emotion dysregulation significantly contributed to both worry and GAD severity, over and above the contribution of depressive symptoms. Of note, the model explained 36% of the variance in GAD severity scores. Conclusions: The present results provide preliminary evidence of complementarity among dominant models of GAD, and point to the potential role of integrative conceptualizations and treatment strategies for GAD. © 2025 by the authors.},
keywords = {adult, aged, article, Beck Depression Inventory, clinical population, comorbidity, controlled study, Depression, difficulties in emotion regulation scale, disease severity, emotion, emotion dysregulation, emotion regulation, employment status, female, generalized anxiety disorder, human, intolerance of uncertainty, Intolerance of Uncertainty Scale, major clinical study, male, patient worry, penn state worry questionnaire, prediction, predictive model, psychotherapy, Severity of Illness Index, sociodemographics, theoretical model},
pubstate = {published},
tppubtype = {article}
}
Bouchard, S.; Pessanha, C. Torres; Tober, K. H.
In: Annual Review of CyberTherapy and Telemedicine, vol. 23, pp. 70–75, 2025, ISSN: 15548716 (ISSN).
Abstract | Links | BibTeX | Tags: adult, agoraphobia, article, Client Satisfaction Questionnaire, cognitive behavioral therapy, discriminant validity, female, generalized anxiety disorder, human, major clinical study, male, panic, Patient Satisfaction, psychological rating scale, psychotherapy, questionnaire, social interaction, Telemedicine, telepresence, Telepresence in Videoconference Scale, Telepresence Videoconference Scale, telepsychotherapy, test retest reliability, Test-retest reliability, videoconference, videoconferencing
@article{bouchardAssessingTelepresenceWhen2025b,
title = {Assessing telepresence when delivering psychotherapy in videoconference: relevance and test-retest reliability of the Telepresence Videoconference Scale},
author = {S. Bouchard and C. Torres Pessanha and K. H. Tober},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-105023903509&partnerID=40&md5=46afce3aea732a9501fc3a1096d67673},
issn = {15548716 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Annual Review of CyberTherapy and Telemedicine},
volume = {23},
pages = {70–75},
abstract = {The increasing use of psychotherapy delivered via videoconference requires sound methods to assess clients' subjective experiences. Telepresence, defined as the feeling of being together in an online session despite the actual physical distance, is receiving increased attention as an important concept. The Telepresence in Videoconference Scale (TVS) assesses client telepresence during psychotherapy sessions and has been initially validated. However, its stability across sessions and its independence from the concept of treatment satisfaction need further evaluation. This paper presents an overview of studies using the TVS and examines the psychometric properties of the TVS in 65 adults (mean age = 39.9},
keywords = {adult, agoraphobia, article, Client Satisfaction Questionnaire, cognitive behavioral therapy, discriminant validity, female, generalized anxiety disorder, human, major clinical study, male, panic, Patient Satisfaction, psychological rating scale, psychotherapy, questionnaire, social interaction, Telemedicine, telepresence, Telepresence in Videoconference Scale, Telepresence Videoconference Scale, telepsychotherapy, test retest reliability, Test-retest reliability, videoconference, videoconferencing},
pubstate = {published},
tppubtype = {article}
}
Dugas, M. J.; Sexton, K. A.; Hebert, E. A.; Bouchard, S.; Gouin, J. -P.; Shafran, R.
Behavioral Experiments for Intolerance of Uncertainty: A Randomized Clinical Trial for Adults With Generalized Anxiety Disorder Journal Article
In: Behavior Therapy, vol. 53, no. 6, pp. 1147–1160, 2022, ISSN: 00057894 (ISSN), (Publisher: Elsevier Inc.).
Abstract | Links | BibTeX | Tags: adult, aged, antidepressant agent, Anxiety, Anxiety disorder, Anxiety Disorders, anxiolytic agent, article, behavior assessment, behavioral experiments, benzodiazepine, cognitive behavioral therapy, cognitive vulnerability, Cognitive-behavioral treatment, confusion (uncertainty), controlled study, dependent variable, Depression, disease severity, female, follow up, generalized anxiety disorder, growth curve, human, Humans, intolerance of uncertainty, major clinical study, male, mental disease, outcome assessment, patient worry, procedures, psychology, randomized controlled trial, uncertainty
@article{dugas_behavioral_2022,
title = {Behavioral Experiments for Intolerance of Uncertainty: A Randomized Clinical Trial for Adults With Generalized Anxiety Disorder},
author = {M. J. Dugas and K. A. Sexton and E. A. Hebert and S. Bouchard and J. -P. Gouin and R. Shafran},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85133178888&doi=10.1016%2fj.beth.2022.05.003&partnerID=40&md5=4dd15547cbef29c5f1adc84169176c53},
doi = {10.1016/j.beth.2022.05.003},
issn = {00057894 (ISSN)},
year = {2022},
date = {2022-01-01},
journal = {Behavior Therapy},
volume = {53},
number = {6},
pages = {1147–1160},
publisher = {Elsevier Inc.},
abstract = {Sophisticated multicomponent treatments for adults with generalized anxiety disorder (GAD) have been developed over the past three decades. Although these comprehensive treatments have produced encouraging results, they appear to be less efficacious than treatments for other anxiety disorders. The goal of this randomized controlled trial is to test a newly developed, highly focused treatment for adults with GAD: Behavioral Experiments for Intolerance of Uncertainty. Sixty (60) participants (51 women, 9 men), with a mean age of 34.60 years (range: 19 to 67 years), were randomized to either treatment (n = 30) or wait-list control (n = 30). Treatment consisted of 12 weekly 1-hour sessions in which participants learned to use behavioral experiments to test their catastrophic beliefs about uncertainty. Assessments were conducted at pre-, mid- and postcondition, and at 6- and 12-month follow-up. The primary outcome was the severity of GAD, and secondary outcomes were worry, depression, somatic anxiety, and intolerance of uncertainty. Using growth curve modeling, we found that (1) the treatment group was superior to the wait-list group in terms of change from pre- to posttest on all outcomes; (2) the combined sample (once wait-listed participants received treatment) evidenced large and significant decreases on all outcomes; and (3) treatment gains were either maintained or increased over the 12-month follow-up period of the study. The new treatment is a promising treatment option for adults with GAD considering that it may be as efficacious as more comprehensive evidence-based psychological treatments for GAD. © 2022},
note = {Publisher: Elsevier Inc.},
keywords = {adult, aged, antidepressant agent, Anxiety, Anxiety disorder, Anxiety Disorders, anxiolytic agent, article, behavior assessment, behavioral experiments, benzodiazepine, cognitive behavioral therapy, cognitive vulnerability, Cognitive-behavioral treatment, confusion (uncertainty), controlled study, dependent variable, Depression, disease severity, female, follow up, generalized anxiety disorder, growth curve, human, Humans, intolerance of uncertainty, major clinical study, male, mental disease, outcome assessment, patient worry, procedures, psychology, randomized controlled trial, uncertainty},
pubstate = {published},
tppubtype = {article}
}
Bouchard, S.; Dugas, M. J.; Belleville, G.; Langlois, F.; Gosselin, P.; Robillard, G.; Corno, G.; Marchand, A.
In: Journal of Clinical Medicine, vol. 11, no. 19, 2022, ISSN: 20770383 (ISSN), (Publisher: MDPI).
Abstract | Links | BibTeX | Tags: adult, Anxiety, article, Beck Depression Inventory, cognitive behavioral therapy, Cognitive-behavior therapy, competence, controlled study, female, follow up, generalized anxiety disorder, Generalized Anxiety Disorder Scale, human, Likert scale, major clinical study, male, motivation, multicenter study, non-inferiority, patient worry, penn state worry questionnaire, predictors of outcome, psychotherapist, quality of life, randomized controlled trial, Structured Clinical Interview for DSM Disorders, treatment outcome, videoconferencing, videoconferencing psychotherapy, World Health Organization
@article{bouchard_multisite_2022,
title = {A Multisite Non-Inferiority Randomized Controlled Trial of the Efficacy of Cognitive-Behavior Therapy for Generalized Anxiety Disorder Delivered by Videoconference},
author = {S. Bouchard and M. J. Dugas and G. Belleville and F. Langlois and P. Gosselin and G. Robillard and G. Corno and A. Marchand},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85139777758&doi=10.3390%2fjcm11195924&partnerID=40&md5=52cbc697b3a9705b2f7fb87b7bfdc3eb},
doi = {10.3390/jcm11195924},
issn = {20770383 (ISSN)},
year = {2022},
date = {2022-01-01},
journal = {Journal of Clinical Medicine},
volume = {11},
number = {19},
publisher = {MDPI},
abstract = {Delivering psychotherapy by videoconference has been studied in a number of clinical trials, but no large controlled trial has involved generalized anxiety disorder (GAD). This multicenter randomized controlled non-inferiority trial was conducted to test if cognitive-behavior psychotherapy delivered by videoconference (VCP) is as effective as cognitive-behavior psychotherapy delivered face-to-face, using a strict margin of tolerance for non-inferiority. A total of 148 adults received a 15-session weekly manualized program. The treatment was based on the intolerance of uncertainty model of GAD. The impact of treatment was assessed using primary (GAD severity), secondary (worry, anxiety, and intolerance of uncertainty) and tertiary (general functioning) variables measured before and after treatment and at 6-month and 12-month follow-ups. Results showed that: (a) the treatment was effective; (b) VCP for GAD was statistically non-inferior to face-to-face psychotherapy on primary, secondary and tertiary measures at all assessment points; (c) change in intolerance of uncertainty significantly predicted change in the primary outcome measure over and above important clinical factors common to all psychotherapies (motivation, working alliance, perceived therapist competence, and client satisfaction). These findings support the use of VCP as a promising treatment option for adults with GAD. Clinical trial registry: ISRCTN#12662027. © 2022 by the authors.},
note = {Publisher: MDPI},
keywords = {adult, Anxiety, article, Beck Depression Inventory, cognitive behavioral therapy, Cognitive-behavior therapy, competence, controlled study, female, follow up, generalized anxiety disorder, Generalized Anxiety Disorder Scale, human, Likert scale, major clinical study, male, motivation, multicenter study, non-inferiority, patient worry, penn state worry questionnaire, predictors of outcome, psychotherapist, quality of life, randomized controlled trial, Structured Clinical Interview for DSM Disorders, treatment outcome, videoconferencing, videoconferencing psychotherapy, World Health Organization},
pubstate = {published},
tppubtype = {article}
}
Dugas, M. J.; Sexton, K. A.; Hebert, E. A.; Bouchard, S.; Gouin, J. -P.; Shafran, R.
Behavioral Experiments for Intolerance of Uncertainty: A Randomized Clinical Trial for Adults With Generalized Anxiety Disorder Journal Article
In: Behavior Therapy, vol. 53, no. 6, pp. 1147–1160, 2022, ISSN: 00057894 (ISSN).
Abstract | Links | BibTeX | Tags: adult, aged, antidepressant agent, Anxiety, Anxiety disorder, Anxiety Disorders, anxiolytic agent, article, behavior assessment, behavioral experiments, benzodiazepine, cognitive behavioral therapy, cognitive vulnerability, Cognitive-behavioral treatment, confusion (uncertainty), controlled study, dependent variable, Depression, disease severity, female, follow up, generalized anxiety disorder, growth curve, human, Humans, intolerance of uncertainty, major clinical study, male, mental disease, outcome assessment, patient worry, procedures, psychology, randomized controlled trial, uncertainty
@article{dugasBehavioralExperimentsIntolerance2022,
title = {Behavioral Experiments for Intolerance of Uncertainty: A Randomized Clinical Trial for Adults With Generalized Anxiety Disorder},
author = {M. J. Dugas and K. A. Sexton and E. A. Hebert and S. Bouchard and J. -P. Gouin and R. Shafran},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85133178888&doi=10.1016%2fj.beth.2022.05.003&partnerID=40&md5=4dd15547cbef29c5f1adc84169176c53},
doi = {10.1016/j.beth.2022.05.003},
issn = {00057894 (ISSN)},
year = {2022},
date = {2022-01-01},
journal = {Behavior Therapy},
volume = {53},
number = {6},
pages = {1147–1160},
publisher = {Elsevier Inc.},
abstract = {Sophisticated multicomponent treatments for adults with generalized anxiety disorder (GAD) have been developed over the past three decades. Although these comprehensive treatments have produced encouraging results, they appear to be less efficacious than treatments for other anxiety disorders. The goal of this randomized controlled trial is to test a newly developed, highly focused treatment for adults with GAD: Behavioral Experiments for Intolerance of Uncertainty. Sixty (60) participants (51 women, 9 men), with a mean age of 34.60 years (range: 19 to 67 years), were randomized to either treatment (n = 30) or wait-list control (n = 30). Treatment consisted of 12 weekly 1-hour sessions in which participants learned to use behavioral experiments to test their catastrophic beliefs about uncertainty. Assessments were conducted at pre-, mid- and postcondition, and at 6- and 12-month follow-up. The primary outcome was the severity of GAD, and secondary outcomes were worry, depression, somatic anxiety, and intolerance of uncertainty. Using growth curve modeling, we found that (1) the treatment group was superior to the wait-list group in terms of change from pre- to posttest on all outcomes; (2) the combined sample (once wait-listed participants received treatment) evidenced large and significant decreases on all outcomes; and (3) treatment gains were either maintained or increased over the 12-month follow-up period of the study. The new treatment is a promising treatment option for adults with GAD considering that it may be as efficacious as more comprehensive evidence-based psychological treatments for GAD. © 2022},
keywords = {adult, aged, antidepressant agent, Anxiety, Anxiety disorder, Anxiety Disorders, anxiolytic agent, article, behavior assessment, behavioral experiments, benzodiazepine, cognitive behavioral therapy, cognitive vulnerability, Cognitive-behavioral treatment, confusion (uncertainty), controlled study, dependent variable, Depression, disease severity, female, follow up, generalized anxiety disorder, growth curve, human, Humans, intolerance of uncertainty, major clinical study, male, mental disease, outcome assessment, patient worry, procedures, psychology, randomized controlled trial, uncertainty},
pubstate = {published},
tppubtype = {article}
}



