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| Publications of Katherine McMahon :chronological alphabetical combined listing:%% Journal Articles @article{fds357875, Author = {McMahon, K and Berger, M and Khalsa, KK and Harden, E and Khalsa, SBS}, Title = {A Non-randomized Trial of Kundalini Yoga for Emotion Regulation within an After-school Program for Adolescents}, Journal = {Journal of Child and Family Studies}, Volume = {30}, Number = {3}, Pages = {711-722}, Year = {2021}, Month = {March}, url = {http://dx.doi.org/10.1007/s10826-021-01911-9}, Abstract = {Adolescence is a critical age for developing difficulties with emotion regulation and other psychosocial problems. Yoga programs implemented in schools may be a promising method of intervention, as previous research suggests that they improve emotion regulation and other psychological outcomes in adolescents. This study examined the effects of the Kundalini Yoga-based Y.O.G.A for Youth (Y4Y) after-school program on adolescents’ self-reported emotion dysregulation and psychological functioning. A sample of 119 students, ages 11–14, was recruited through after-school programs for middle school students in the North Carolina school system. Within four public schools, participants participated in 6 weeks of either the Y4Y after-school program (n = 52), or an alternate activity (n = 66) and completed self-report measures of emotion dysregulation, anxiety, depression, stress and mindfulness before and after the 6 weeks. Results from this study suggest that the students who participated in the Y4Y program reported significant decreases in emotion dysregulation over the 6-week program. They also reported significant decreases in anger, depression and fatigue over one yoga session. Students in the comparison condition only reported significant decreases in fatigue over one session of the program but reported no significant changes in any of the other outcomes. Results from exploratory between-subject analyses also suggested that the Y4Y program’s impact on depression, stress and anxiety depended on the school setting in which they were implemented. These findings suggest that the Y4Y program improved emotion dysregulation in adolescent students. However, some of its benefits may be influenced by the school environment.}, Doi = {10.1007/s10826-021-01911-9}, Key = {fds357875} } @article{fds357877, Author = {Cassiello-Robbins, C and Anand, D and McMahon, K and Guetta, R and Trumbull, J and Kelley, L and Rosenthal, MZ}, Title = {The Mediating Role of Emotion Regulation Within the Relationship Between Neuroticism and Misophonia: A Preliminary Investigation.}, Journal = {Frontiers in Psychiatry}, Volume = {11}, Pages = {847}, Year = {2020}, url = {http://dx.doi.org/10.3389/fpsyt.2020.00847}, Abstract = {Misophonia is a newly described condition characterized by heightened emotional reactivity (e.g., anger, anxiety, and disgust) to common repetitive sounds (e.g., oral or nasal sounds made by others), accompanied by difficulties responding to these sounds (e.g., intolerance, avoidance, and escape) and associated impairment in functioning. Although research indicates that problematic emotional responses are a key characteristic of misophonia, it is unknown whether individual differences in experiencing and regulating emotional responses influence severity of misophonia symptoms. Examination of individual differences in emotional functioning will help to guide treatment development for misophonia. Accordingly, the present study examined the associations among trait neuroticism, difficulties with emotion regulation, and symptoms of misophonia. For this study, a sample of 49 adults completed the Difficulties with Emotion Regulation Scale, the Misophonia Questionnaire, and the neuroticism subscale of the NEO-Personality inventory. Findings indicated that difficulties with emotion regulation and neuroticism were significantly positively correlated with symptoms of misophonia. Bootstrapped mediation analyses suggested that difficulties controlling impulsive behavior while experiencing intense negative emotions fully mediated the relationship between neuroticism and symptoms of misophonia. Results from this study suggest that neuroticism and difficulties with emotion regulation may be important risk factors and treatment targets for adults with misophonia, and difficulties controlling impulsive behavior when distressed may be an important individual difference accounting for the relationship between neuroticism and misophonia.}, Doi = {10.3389/fpsyt.2020.00847}, Key = {fds357877} } @article{fds357878, Author = {Cassiello-Robbins, C and Anand, D and McMahon, K and Brout, J and Kelley, L and Rosenthal, MZ}, Title = {A Preliminary Investigation of the Association Between Misophonia and Symptoms of Psychopathology and Personality Disorders.}, Journal = {Frontiers in Psychology}, Volume = {11}, Pages = {519681}, Year = {2020}, url = {http://dx.doi.org/10.3389/fpsyg.2020.519681}, Abstract = {Misophonia is a condition characterized by defensive motivational system emotional responding to repetitive and personally relevant sounds (e.g., eating, sniffing). Preliminary research suggests misophonia may be associated with a range of psychiatric disorders, including personality disorders. However, very little research has used clinician-rated psychometrically validated diagnostic interviews when assessing the relationship between misophonia and psychopathology. The purpose of this study was to extend the early research in this area by examining the relationship between symptoms of misophonia and psychiatric diagnoses in a sample of community adults, using semi-structured diagnostic interviews. Results indicated higher misophonia symptoms were associated with more clinician-rated symptoms of personality disorders, but not other disorders. Anxiety partially mediated the relationship between personality disorder symptoms and misophonia. These results suggest misophonia may be associated with a range of psychiatric symptoms and highlight the role of anxiety in this poorly understood condition.}, Doi = {10.3389/fpsyg.2020.519681}, Key = {fds357878} } @article{fds357879, Author = {Abou Kassm and S and Hoertel, N and Naja, W and McMahon, K and Barrière, S and Blumenstock, Y and Portefaix, C and Raucher-Chéné, D and Béra-Potelle, C and Cuervo-Lombard, C and Guerin-Langlois, C and Lemogne, C and Peyre, H and Kaladjian, A and Limosin, F and CSA Study group}, Title = {Metabolic syndrome among older adults with schizophrenia spectrum disorder: Prevalence and associated factors in a multicenter study.}, Journal = {Psychiatry Research}, Volume = {275}, Pages = {238-246}, Year = {2019}, Month = {May}, url = {http://dx.doi.org/10.1016/j.psychres.2019.03.036}, Abstract = {Metabolic syndrome and its associated morbidity and mortality have been well documented in adults with schizophrenia. However, data is lacking for their geriatric counterparts. We sought to investigate the frequency of screening and the prevalence of metabolic syndrome in older adults with schizophrenia, as well as its possible correlates, using the Cohort of individuals with schizophrenia Aged 55 years or more study (n = 353). We found that 42.2% (n = 149) of our sample was screened for metabolic syndrome. Almost half of those (n = 77; 51.7%) screened positive according to ATPIII criteria. Hypertension and abdominal obesity were the two most prevalent metabolic abnormalities. Screening was positively associated with male gender and urbanicity, and metabolic syndrome diagnosis was positively associated with cardiovascular disorders and consultation with a general practitioner (all p < 0.05). However, there were no significant associations of metabolic syndrome with socio-demographic or clinical characteristics, psychotropic medications, other medical conditions and other indicators of mental health care utilization. Our findings support that the prevalence of metabolic syndrome among older adults with schizophrenia spectrum disorder is high and screening is crucial mainly in those patients with hypertension and/or abdominal obesity. Factors at play might be different than those in the younger population.}, Doi = {10.1016/j.psychres.2019.03.036}, Key = {fds357879} } @article{fds357880, Author = {Hoertel, N and Jaffré, C and Pascal de Raykeer and R and McMahon, K and Barrière, S and Blumenstock, Y and Portefaix, C and Raucher-Chéné, D and Béra-Potelle, C and Cuervo-Lombard, C and Chevance, A and Guerin-Langlois, C and Lemogne, C and Airagnes, G and Peyre, H and Kaladjian, A and Limosin, F and CSA Study group.}, Title = {Subsyndromal and syndromal depressive symptoms among older adults with schizophrenia spectrum disorder: Prevalence and associated factors in a multicenter study.}, Journal = {Journal of Affective Disorders}, Volume = {251}, Pages = {60-70}, Year = {2019}, Month = {May}, url = {http://dx.doi.org/10.1016/j.jad.2019.03.007}, Abstract = {BACKGROUND:Few studies have examined the prevalence and correlates of subsyndromal and syndromal depressive symptoms (SSSD) among older adults with schizophrenia spectrum disorder. In this report, we examined the prevalence of SSSD and their associations with sociodemographic characteristics, clinical characteristics of schizophrenia, comorbidity, psychotropic medications, quality of life, functioning and mental health care utilization in a large, multicenter sample of older adults with schizophrenia spectrum disorder. METHODS:Data from the Cohort of individuals with Schizophrenia Aged 55 years or more (CSA) were used to examine the prevalence of SSSD, defined using the Center of Epidemiologic Studies Depression (CESD) scale. Clinical characteristics associated with SSSD were explored. RESULTS:Among 343 older adults with schizophrenia spectrum disorder, 78.1% had either subsyndromal (30.6%) or syndromal (47.5%) depressive symptoms. SSSD were independently associated with positive and negative symptoms, lower quality of life, non-late-onset psychosis, benzodiazepine use and urbanicity. There were no significant associations of SSSD with other sociodemographic characteristics and psychotropic medications, or with general medical conditions. We found no significant differences in the proportion of participants who were treated with antidepressants between those with syndromal depressive symptoms and those without depression (22.1% vs. 20.0%, p = 0.89). SSSD were not associated with higher mental health care utilization. LIMITATIONS:Data were cross-sectional and depression was not evaluated with a semi-structured interview. CONCLUSION:SSSD may be highly prevalent and under-assessed and/or undertreated among older adults with schizophrenia spectrum disorder. Our findings should alert clinicians about the need to assess systematically and regularly depression in this vulnerable population.}, Doi = {10.1016/j.jad.2019.03.007}, Key = {fds357880} } @article{fds357881, Author = {McMahon, K and Kim, K and Fang, CM and Neacsiu, AD and Rosenthal, MZ}, Title = {Blinded by our emotions: The impact of borderline personality disorder and affect on emotion recognition sensitivity}, Journal = {Journal of Experimental Psychopathology}, Volume = {10}, Number = {1}, Year = {2019}, Month = {January}, url = {http://dx.doi.org/10.1177/2043808718818878}, Abstract = {Previous studies have demonstrated abnormalities in emotion recognition within individuals diagnosed with borderline personality disorder (BPD). However, it is yet unknown how much these abnormalities can be attributed to emotional states or affect. Therefore, the current study aimed to investigate the independent effects of BPD, positive affect, and negative affect on emotion recognition sensitivity. We recruited a mixed, transdiagnostic community sample of 118 adults diagnosed with either a personality disorder, only an affective disorder, or without psychopathology. Participants completed self-report assessments of positive and negative affect and two behavioral assessments of emotion recognition sensitivity. We found that both positive and negative affect predict lower overall emotion recognition sensitivity in both tasks, beyond the effect of BPD. We did not find a significant, independent effect of the diagnosis of BPD. Additionally, we found that the diagnosis of BPD moderated the relationship between negative affect and emotion recognition sensitivity within one task. Findings from the present study suggest that sensitivity to other people’s emotional expressions may be influenced by affect beyond the effect of the BPD diagnosis. The implications for future research efforts on emotion recognition and BPD are discussed.}, Doi = {10.1177/2043808718818878}, Key = {fds357881} } @article{fds357882, Author = {McMahon, K and Anand, D and Morris-Jones, M and Rosenthal, MZ}, Title = {A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms.}, Journal = {Frontiers in Integrative Neuroscience}, Volume = {13}, Pages = {22}, Year = {2019}, url = {http://dx.doi.org/10.3389/fnint.2019.00022}, Abstract = {Although maladaptive sensory processing has been observed among individuals with persistent heightened anxiety, it is unclear if difficulties processing sensory input early in life lead to anxiety disorders in adulthood and what mechanisms would drive this progression. In a transdiagnostic clinical sample of 231 adults characterized by heightened difficulties with emotion regulation, the present study sought to examine whether: (a) childhood sensory processing disorder (SPD) symptoms predict an increased probability of an anxiety disorder diagnosis in adulthood; and (b) difficulties with emotion regulation and adult SPD symptoms mediate this relationship. Participants were administered the Structured Clinical Interview for Axis-I disorders and self-reported symptoms of SPD experienced in childhood and adulthood. Results suggested that childhood SPD symptoms were significantly associated with a higher likelihood of a lifetime anxiety disorder diagnosis. Difficulties with emotion regulation fully mediated the relationship between childhood SPD and (a) any anxiety disorder in adulthood and, specifically (b) current generalized anxiety disorder (GAD). Further, we found evidence for a candidate model accounting for the relationship among childhood SPD, adulthood SPD, difficulties with emotion regulation, and anxiety disorders in adulthood. Specifically, our data indicated that high symptoms of SPD in childhood may lead to high SPD symptoms in adulthood, which then lead to high emotion dysregulation, ultimately conferring vulnerability for an anxiety disorder diagnosis. Taken together, these findings provide preliminary evidence for how sensory processing impairments in childhood may relate to anxiety through difficulties regulating emotion regulation.}, Doi = {10.3389/fnint.2019.00022}, Key = {fds357882} } @article{fds357883, Author = {McMahon, K and Hoertel, N and Olfson, M and Wall, M and Wang, S and Blanco, C}, Title = {Childhood maltreatment and impulsivity as predictors of interpersonal violence, self-injury and suicide attempts: A national study.}, Journal = {Psychiatry Research}, Volume = {269}, Pages = {386-393}, Year = {2018}, Month = {November}, url = {http://dx.doi.org/10.1016/j.psychres.2018.08.059}, Abstract = {Prior research indicates that childhood maltreatment and impulsivity increase the risk for different types of violence, including violent behaviors directed toward the self and others. However, it is not known whether childhood maltreatment and impulsivity have independent effects on different violent behaviors. Therefore, this study examined the differential effects of childhood maltreatment and impulsivity on interpersonal violence, suicide attempts, and self-injury. Data were drawn from a nationally representative survey of 34,653 US adults, the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Structural equation modeling was used to simultaneously examine the shared and specific effects of five types of childhood maltreatment and impulsivity on the risk of different violent behaviors (i.e. interpersonal violence, suicide attempts, and self-injury). Analyses were stratified by gender and adjusted for age and ethnicity. Impulsivity and childhood maltreatment independently increased the risk of suicide attempt, self-injury, and interpersonal violence. Childhood maltreatment had stronger effects on violence directed towards the self than on interpersonal violence in both genders, while impulsivity had a stronger effect on self-injury than on suicide attempt or interpersonal violence in men. These findings indicate that childhood maltreatment and impulsivity relate differently to the risk of different types of violence.}, Doi = {10.1016/j.psychres.2018.08.059}, Key = {fds357883} } @article{fds357884, Author = {Neacsiu, AD and Rompogren, J and Eberle, JW and McMahon, K}, Title = {Changes in Problematic Anger, Shame, and Disgust in Anxious and Depressed Adults Undergoing Treatment for Emotion Dysregulation.}, Journal = {Behav Ther}, Volume = {49}, Number = {3}, Pages = {344-359}, Year = {2018}, Month = {May}, url = {http://dx.doi.org/10.1016/j.beth.2017.10.004}, Abstract = {Emotion dysregulation, the pervasive difficulty managing negative emotions, is a core problem across mood and anxiety disorders. Anger, shame, and disgust are particularly problematic emotions, impacting both disorder severity and treatment outcome. We previously found that a 16-week dialectical behavior therapy skills training group (DBT-ST) was superior to an activities-based support group (ASG) in decreasing emotion dysregulation in 44 adults with high emotion dysregulation who met diagnostic criteria for an anxiety or depressive disorder. We presently examine these participants' changes in anger, shame, disgust, and distress using self-reports collected over 6 months during and after treatment. Hierarchical linear modeling analyses show that DBT-ST was superior to ASG in decreasing anger suppression (d = 0.93) and distress (d = 1.04). Both conditions significantly reduced shame, disgust propensity, and disgust sensitivity, but neither was superior for these outcomes. The treatments did not significantly reduce anger expression. Mediation analyses suggest that condition indirectly influenced 4-month anger suppression, shame, and distress through its effect on 2-month emotion dysregulation. These findings suggest that DBT-ST is efficacious for certain problematic emotions and distress in depressed and anxious adults and that common factors may account for some, but not all, of its benefits.}, Doi = {10.1016/j.beth.2017.10.004}, Key = {fds357884} } @article{fds325897, Author = {Peyre, H and Hoertel, N and Rivollier, F and Landman, B and McMahon, K and Chevance, A and Lemogne, C and Delorme, R and Blanco, C and Limosin, F}, Title = {Latent class analysis of the feared situations of social anxiety disorder: A population-based study}, Journal = {Depression and Anxiety}, Volume = {33}, Number = {12}, Pages = {1178-1187}, Publisher = {Hindawi Limited}, Year = {2016}, Month = {December}, url = {http://dx.doi.org/10.1002/da.22547}, Doi = {10.1002/da.22547}, Key = {fds325897} } @article{fds325898, Author = {Franco, S and Hoertel, N and McMahon, K and Wang, S and Rodríguez-Fernández, JM and Peyre, H and Limosin, F and Blanco, C}, Title = {Generalizability of Pharmacologic and Psychotherapy Clinical Trial Results for Posttraumatic Stress Disorder to Community Samples.}, Journal = {The Journal of Clinical Psychiatry}, Volume = {77}, Number = {8}, Pages = {e975-e981}, Year = {2016}, Month = {August}, url = {http://dx.doi.org/10.4088/jcp.15m10060}, Abstract = {<h4>Objective</h4>The present study sought to quantify the generalizability of pharmacologic and psychotherapy clinical trial results in individuals with a DSM-IV diagnosis of posttraumatic stress disorder (PTSD) to a large representative community sample.<h4>Methods</h4>Data were derived from the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a large nationally representative sample of the adult US population. We applied a standard set of exclusion criteria representative of pharmacologic and psychotherapy clinical trials to all adults with a DSM-IV diagnosis of PTSD in the previous 12 months (n = 1,715) and then to a subsample of participants seeking treatment (n = 366). Our aim was to assess how many participants with PTSD would fulfill typical eligibility criteria.<h4>Results</h4>We found that more than 6 of 10 respondents from the overall PTSD sample and more than 7 of 10 respondents seeking treatment for PTSD would have been excluded by 1 exclusion criterion or more in a typical pharmacologic trial. In contrast, about 2 of 10 participants in the full sample and about 3 of 10 participants seeking treatment for PTSD would have been excluded in a typical psychotherapy efficacy trial.<h4>Conclusions</h4>We found that psychotherapy trial results may be applied to most patients with PTSD in routine clinical practice. The designers of pharmacologic clinical trials should carefully consider the trade-offs between the application of each exclusion criterion and its impact on representativeness. Specification a priori of the goals of the study, better justification for each exclusion criterion, and estimation of the proportion of individuals ineligible for the trial would assist study design. Developing integrated forms of pharmacotherapy and psychotherapy that simultaneously target commonly overlapping psychiatric disorders may yield more informative results for mental health care providers and research funding agencies.}, Doi = {10.4088/jcp.15m10060}, Key = {fds325898} } @article{fds325899, Author = {McMahon, K and Herr, NR and Zerubavel, N and Hoertel, N and Neacsiu, AD}, Title = {Psychotherapeutic Treatment of Bipolar Depression.}, Journal = {Psychiatr Clin North Am}, Volume = {39}, Number = {1}, Pages = {35-56}, Year = {2016}, Month = {March}, url = {http://dx.doi.org/10.1016/j.psc.2015.09.005}, Abstract = {The gold standard for treating bipolar depression is based on the combination of mood stabilizers and psychotherapy. Therefore, the authors present evidence-based models and promising approaches for psychotherapy for bipolar depression. Cognitive-behavioral therapy, family focused therapy, interpersonal and social rhythm therapy, mindfulness-based cognitive therapy, and dialectical behavior therapy are discussed. Behavioral activation, the cognitive behavioral analysis system of psychotherapy, and the unified protocol as promising future directions are presented. This review informs medical providers of the most appropriate referral guidelines for psychotherapy for bipolar depression. The authors conclude with a decision tree delineating optimal referrals to each psychotherapy approach.}, Doi = {10.1016/j.psc.2015.09.005}, Key = {fds325899} } @article{fds325900, Author = {Gallinat, J and McMahon, K and Kühn, S and Schubert, F and Schaefer, M}, Title = {Cross-sectional Study of Glutamate in the Anterior Cingulate and Hippocampus in Schizophrenia}, Journal = {Schizophrenia Bulletin}, Volume = {42}, Number = {2}, Pages = {425-433}, Publisher = {Oxford University Press (OUP)}, Year = {2016}, Month = {March}, url = {http://dx.doi.org/10.1093/schbul/sbv124}, Doi = {10.1093/schbul/sbv124}, Key = {fds325900} } @article{fds325901, Author = {Olsson, A and McMahon, K and Papenberg, G and Zaki, J and Bolger, N and Ochsner, KN}, Title = {Vicarious Fear Learning Depends on Empathic Appraisals and Trait Empathy}, Journal = {Psychological Science}, Volume = {27}, Number = {1}, Pages = {25-33}, Publisher = {SAGE Publications}, Year = {2016}, Month = {January}, url = {http://dx.doi.org/10.1177/0956797615604124}, Abstract = {<jats:p> Empathy and vicarious learning of fear are increasingly understood as separate phenomena, but the interaction between the two remains poorly understood. We investigated how social (vicarious) fear learning is affected by empathic appraisals by asking participants to either enhance or decrease their empathic responses to another individual (the demonstrator), who received electric shocks paired with a predictive conditioned stimulus. A third group of participants received no appraisal instructions and responded naturally to the demonstrator. During a later test, participants who had enhanced their empathy evinced the strongest vicarious fear learning as measured by skin conductance responses to the conditioned stimulus in the absence of the demonstrator. Moreover, this effect was augmented in observers high in trait empathy. Our results suggest that a demonstrator’s expression can serve as a “social” unconditioned stimulus (US), similar to a personally experienced US in Pavlovian fear conditioning, and that learning from a social US depends on both empathic appraisals and the observers’ stable traits. </jats:p>}, Doi = {10.1177/0956797615604124}, Key = {fds325901} } @article{fds325902, Author = {McMahon, K and Hoertel, N and Wall, M and Okuda, M and Limosin, F and Blanco, C}, Title = {Childhood maltreatment and the risk of intimate partner violence: a nationally representative study.}, Journal = {Journal of Psychiatric Research}, Volume = {69}, Pages = {42-49}, Year = {2015}, Month = {July}, Key = {fds325902} } @article{fds325903, Author = {Hoertel, N and McMahon, K and Olfson, M and Wall, MM and Rodríguez-Fernández, JM and Lemogne, C and Limosin, F and Blanco, C}, Title = {A dimensional liability model of age differences in mental disorder prevalence: Evidence from a national sample}, Journal = {Journal of Psychiatric Research}, Volume = {64}, Pages = {107-113}, Publisher = {Elsevier BV}, Year = {2015}, Month = {May}, url = {http://dx.doi.org/10.1016/j.jpsychires.2015.03.017}, Doi = {10.1016/j.jpsychires.2015.03.017}, Key = {fds325903} } @article{fds325904, Author = {McMahon, K and Sparrow, B and Chatman, L and Riddle, T}, Title = {Driven to Distraction: The Impact of Distracter Type on Unconscious Decision Making}, Journal = {Social Cognition}, Volume = {29}, Number = {6}, Pages = {683-698}, Publisher = {Guilford Publications}, Year = {2011}, Month = {December}, url = {http://dx.doi.org/10.1521/soco.2011.29.6.683}, Doi = {10.1521/soco.2011.29.6.683}, Key = {fds325904} } %% Chapters in Books @misc{fds357876, Author = {Rosenthal, MZ and Wyatt, K and McMahon, K}, Title = {Cognitive and Behavioral Approaches}, Booktitle = {The Cambridge Handbook of Personality Disorders}, Publisher = {Cambridge University Press}, Year = {2020}, Month = {February}, ISBN = {1108440096}, Abstract = {This Handbook provides both breadth and depth regarding current approaches to the understanding, assessment, and treatment of personality disorders.}, Key = {fds357876} } | |
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