Browsing by Author "McMahon, Kibby"
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Item Open Access A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms.(Frontiers in integrative neuroscience, 2019-01) McMahon, Kibby; Anand, Deepika; Morris-Jones, Marissa; Rosenthal, M ZacharyAlthough 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.Item Open Access A Preliminary Investigation of the Association Between Misophonia and Symptoms of Psychopathology and Personality Disorders.(Frontiers in psychology, 2020-01) Cassiello-Robbins, Clair; Anand, Deepika; McMahon, Kibby; Brout, Jennifer; Kelley, Lisalynn; Rosenthal, M ZacharyMisophonia 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.Item Open Access Evaluating the Impact of a Brief, Emotion Regulation Intervention on Emotion Perception(2021) McMahon, KibbyThe current study tested the effects of a brief, behavioral intervention for problems with emotion perception, the ability to perceive other people’s emotions, across a range of psychiatric disorders. The intervention was delivered through an in-person training session in which participants learned a mindful breathing skill, followed by a testing phase in which participants received phone-based reminders to practice the skill for one week. A sample of 80 adults with self-reported emotion regulation difficulties was recruited for this study and was randomized to either the Mindful Breathing condition, a Habituation condition, or a Control condition. Findings from this study suggested that, in the training session, participants in the Mindful Breathing condition had higher accuracy for perception of positive emotions and lower accuracy for perception of negative emotions than the control condition at the second and third timepoints. After the week of receiving phone reminders, participants in the mindful breathing condition had lower accuracy for perception of negative emotions than the control condition. Findings also suggest that the mindful breathing intervention reduces distress, which was associated with emotion perception performance. Therefore, this study’s findings provide preliminary evidence for a method of targeting emotion perception deficits that are associated with many psychiatric disorders. By combining both in-person and digital treatment components, this intervention also provides a feasible and effective complement to mainstream mental health services.
Item Open Access Psychotherapeutic Treatment of Bipolar Depression.(The Psychiatric clinics of North America, 2016-03) McMahon, Kibby; Herr, Nathaniel R; Zerubavel, Noga; Hoertel, Nicolas; Neacsiu, Andrada DThe 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.Item Open Access The Mediating Role of Emotion Regulation Within the Relationship Between Neuroticism and Misophonia: A Preliminary Investigation.(Frontiers in psychiatry, 2020-01) Cassiello-Robbins, Clair; Anand, Deepika; McMahon, Kibby; Guetta, Rachel; Trumbull, Jacqueline; Kelley, Lisalynn; Rosenthal, M ZacharyMisophonia 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.