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BACKGROUND: Somatic complaints are a major driver of health care costs among patients with major depressive disorder (MDD). Some epidemiologic and clinical data suggest that Hispanic and non-Hispanic Black patients with MDD endorse higher levels of somatic symptoms than non-Hispanic White patients. METHODS: Somatic symptoms in 102 Hispanic, 61 non-Hispanic Black, and 156 non-Hispanic White patients with treatment-naïve MDD were evaluated using the somatic symptom subscale of the Hamilton anxiety rating scale (HAM-A). The other seven items of the HAM-A comprise the psychic anxiety subscale, which was also evaluated across ethnicities. RESULTS: Hispanic patients reported significantly greater levels of somatic symptoms than non-Hispanic patients, but levels of psychic anxiety symptoms did not differ by ethnicity. Levels of somatic symptoms did not significantly differ between Black and White non-Hispanic patients. Within the Hispanic sample, somatic symptom levels were higher only among those who were evaluated in Spanish; Hispanics who spoke English showed no significant differences versus non-Hispanics. CONCLUSIONS: In this medically healthy sample of patients with MDD, monolingual Spanish-speaking Hispanic patients endorsed high levels of somatic symptoms. Clinicians should be mindful that the depressive experience may manifest somatically and be judicious in determining when additional medical work-up is warranted for somatic complaints.
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Negro ou Afro-Americano/psicologia , Negro ou Afro-Americano/estatística & dados numéricos , Transtorno Depressivo Maior/psicologia , Hispânico ou Latino/psicologia , Hispânico ou Latino/estatística & dados numéricos , Sintomas Inexplicáveis , População Branca/psicologia , População Branca/estatística & dados numéricos , Adolescente , Adulto , Idoso , Ansiedade/epidemiologia , Ansiedade/psicologia , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/psicologia , Transtorno Depressivo Maior/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto JovemRESUMO
PURPOSE: Despite cancer survivors' frequent endorsement of anxiety symptoms, assessing the full range of anxiety disorders (AD), their timing of onset relative to cancer diagnosis, co-morbidity with mood disorder, and predictors of post-cancer onset, is rare or absent to date. This study provides a step toward addressing these gaps. METHODS: Cancer survivors at re-entry after primary treatment completion who screened positively for anxiety symptoms (N = 133) and sought care through an intervention trial completed standardized diagnostic interviews, dimensional assessment of disorder severity, and timing of disorder onset relative to cancer diagnosis. We evaluated sociodemographic and medical predictors of developing a first AD after cancer diagnosis. RESULTS: Most ADs began after cancer diagnosis (58%); for 68% of affected patients, this represented their first AD episode. The most common was generalized anxiety disorder (GAD; 41%), where "cancer-focused GAD" was distinguished from "typical GAD"; the next most common were specific phobia (14%) and social anxiety disorder (13%). A minority (31%) of ADs were comorbid with major depression. Relative to having no AD, experiencing more lingering treatment side effects predicted developing a first AD after cancer diagnosis. Relative to having an AD that began before cancer diagnosis, reporting a higher cancer stage predicted developing a first AD after diagnosis. CONCLUSIONS: Cancer survivors at re-entry seeking care for anxiety symptoms manifested a broad range of ADs which most commonly developed after cancer diagnosis and were prompted by the experience of cancer. Such disorders represent an unusually late-life, cancer-linked etiology that warrants further investigation and clinical attention.
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Transtornos de Ansiedade/etiologia , Sobreviventes de Câncer/psicologia , Neoplasias/complicações , Adulto , Idoso , Comorbidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/psicologia , Adulto JovemRESUMO
There is growing evidence linking emotion dysregulation to anxiety. However, few studies have examined this relationship longitudinally or developmentally. Additionally, no studies have specifically examined the predictive relevance of the emotion regulation skills taught in mindfulness- and acceptance-based therapies. We explore whether specific emotion regulation processes differentially predict specific anxiety symptoms over time among children and adolescents. METHODS: Initial emotion non-awareness, nonacceptance, and difficulties with goal-directed behavior were assessed in a community sample (n = 312, age range = 8-16, mean age = 11.68, 59% female, 69% Caucasian). Social anxiety, separation anxiety, and physical anxiety symptoms were assessed every 3 months for 3 years. Hierarchical linear modeling was used to examine the concurrent and longitudinal effects of emotion dysregulation assessed at baseline or 18 months on anxiety. RESULTS: After controlling for depression, age, and gender, all three processes concurrently predicted physical and social anxiety, and all but nonacceptance predicted separation anxiety. Only difficulties with goal-directed behavior, however, predicted longitudinal change in separation anxiety over time with covariates. Additionally, emotion non-awareness and difficulties with goal-directed behavior predicted subsequent changes in social anxiety. CONCLUSIONS: Emotion dysregulation may serve as a potential risk factor for the development of anxiety symptoms among youth. It may be beneficial to target reductions in maladaptive strategies in prevention or intervention work.
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Adaptação Psicológica/fisiologia , Ansiedade/psicologia , Ansiedade/terapia , Emoções/fisiologia , Adolescente , Ansiedade/diagnóstico , Criança , Estudos Transversais , Depressão/diagnóstico , Depressão/psicologia , Depressão/terapia , Medo/fisiologia , Medo/psicologia , Feminino , Humanos , Estudos Longitudinais , Masculino , Reprodutibilidade dos Testes , AutorrelatoRESUMO
Roadside ditches are ubiquitous in developed landscapes. They are designed to route water from roads for safety, with little consideration of water quality or biogeochemical implications in ditch design and minimal data on environmental impacts. We hypothesize that periodic saturation and nutrient influxes may make roadside ditches hotspots for nitrogen (N) removal via denitrification as well as biological production of the greenhouse gases (GHGs) nitrous oxide (NO), methane (CH), and carbon dioxide (CO). Research sites included 12 grassed ditches and adjacent lawns with varying fertilization in a suburban watershed in central New York, where lawns represented a reference with similar soils as ditches but differing hydrology. We measured potential denitrification using the denitrification enzyme assay in fall 2014 and GHG fluxes using in situ static chambers between summer 2014 and 2015, including sample events after storms. Potential denitrification in ditches was significantly higher than in lawns, and rates were comparable to those in stream riparian areas, features traditionally viewed as denitrification hotspots. Ditches had higher rates of CH emissions, particularly sites that were wettest. Lawns were hotspots for NO and CO respiratory emissions, which were driven by nutrient availability and fertilizer application. Extrapolating up to the watershed, ditches have the potential to remove substantial N loads via denitrification if managed optimally. Ditch GHG emissions extrapolated across the watershed were minimal given their much smaller area compared with lawns, which were the greater contributor of GHGs. These findings suggest that roadside ditches may offer new management opportunities for mitigating nonpoint source N pollution in residential watersheds.
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Gases de Efeito Estufa/análise , Poaceae , New York , Rios , Solo , Movimentos da ÁguaRESUMO
Soil amendments have been proposed as a means to speed the development of plant and soil processes that contribute to water quality, habitat, and biodiversity functions in restored wetlands. However, because natural wetlands often act as significant methane sources, it remains unknown if amendments will also stimulate emissions of this greenhouse gas from restored wetlands. In this study, we investigated the potential trade-offs of incorporating soil amendments into wetland restoration methodology. We used controlled field-scale manipulations in four recently restored depressional freshwater wetlands in western New York, USA to investigate the impact that soils amended with organic materials have on water-quality functions and methane production in the first three years of development. Results showed that amendments, topsoil in particular, were effective for stimulating the development of a suite of biological (microbial biomass increased by 106% and respiration by 26%) and physicochemical (cation exchange capacity increased by 10%) soil properties indicative of water-quality functions. Furthermore, increases in microbial biomass and activity lasted for a significantly longer period of time (years instead of days) than studies examining less recalcitrant amendments. However, amended plots also had 20% times higher potential net methane production than control plots three years after restoration. Wetlands restoration projects are implemented to achieve a variety of goals, commonly including habitat provision, biodiversity, and water-quality functions, but also carbon sequestration, flood abatement, cultural heritage and livelihood preservation, recreation, education, and others. Projects should strive to achieve their specific goals while also evaluating the potential tradeoffs between wetland functions.
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Carvão Vegetal , Caules de Planta , Solo/química , Áreas Alagadas , Bactérias/metabolismo , Biomassa , Meio Ambiente , Hidrologia , New York , Fatores de TempoRESUMO
The environmental and health effects caused by nitrate contamination of aquatic systems are a serious problem throughout the world. A strategy proposed to address nitrate pollution is the restoration of wetlands. However, although natural wetlands often remove nitrate via high rates of denitrification, wetlands restored for water quality functions often fall below expectations. This may be in part because key drivers for denitrification, in particular soil carbon, are slow to develop in restored wetlands. We added organic soil amendments that range along a gradient of carbon lability to four newly restored wetlands in western New York to investigate the effect of carbon additions on denitrification and other processes of the nitrogen cycle. Soil carbon increased by 12.67-63.30% with the use of soil amendments (p ≤ 0.0001). Soil nitrate, the carbon to nitrogen ratio, and microbial biomass nitrogen were the most significant predictors of denitrification potential. Denitrification potential, potential net nitrogen nitrification and mineralization, and soil nitrate and ammonium, were highest in topsoil-amended plots, with increases in denitrification potential of 161.27% over control plots. While amendment with topsoil more than doubled several key nitrogen cycling processes, more research is required to determine what type and level of amendment application are most effective for stimulating removal of exogenous nitrate and meeting functional goals within an acceptable time frame.
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Desnitrificação , Nitratos/isolamento & purificação , Áreas Alagadas , Compostos de Amônio/análise , Biomassa , Carbono/análise , Hidrologia , New York , Nitrogênio/análise , Ciclo do Nitrogênio , Solo/química , ÁguaRESUMO
Freshwater lakes are severely threatened, due largely to excess inputs of nutrients and other contaminants. Phosphorus (P) is receiving renewed attention due to recent increases in toxic cyanobacteria blooms in lakes worldwide. We investigated groundwater seepage for its role in P loading dynamics at Oneida Lake, New York, USA-one of the most well-studied lakes globally. P loading was measured at representative sites along the 88 km shoreline over three summers by directly measuring groundwater flow using seepage meters and porewater samplers. Groundwater seepage was a continuous and significant source of dissolved P over the summer months, comparable to tributary sources to the lake during that time. This constant input has enriched the concentrations of P in the nearshore surface waters, significantly above levels in the pelagic zone. Pore Total Phosphorus (TP) concentrations and loads reached extremely high values (up to 100 mg/L), with inorganic P representing only ~ 10% of TP per site. Groundwater seepage flows and P loadings were highly variable across space and time, partially explained by adjacent land uses and precipitation. Our research concludes that groundwater seepage is a significant, but overlooked, source of dissolved P and a crucial factor driving summer primary production at Oneida Lake, and likely other temperate lakes.
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Roadside ditches are ubiquitous, yet their role in water pollution conveyance has largely been ignored, especially for bacteria and sediment. The goal of this study was to determine if roadside ditches are conduits for fecal indicator organisms and sediment, and if land use, specifically manure amendment, affects the concentrations and loadings. Seven roadside ditches in central New York, adjacent to either manure amended fields or predominately forested land, were monitored for one year for Escherichia coli (E. coli), total suspended solids (TSS) and flow. E. coli concentrations in water samples following storms averaged 4616 MPN of E. coli/100 mL. Concentrations reached as high as >241,960 MPN of E. coli/100 mL and frequently exceeded New York State and US EPA recommendations. Concentrations peaked in both summers following manure spreading, with declining levels thereafter. However, viable organisms were detected throughout the year. The concentrations were also high in the forested sites, with possible sources including wildlife, pets, septic wastes and livestock. E. coli concentrations and loadings were related to TSS concentrations and loadings, whether manure had been spread in the last 30 days and for concentrations only, antecedent rainfall. Viable E. coli were also present in ditch sediment between storm events and were available for resuspension and transport. Total suspended solids concentrations averaged 0.51 g/L and reached as high as 52.2 g/L. Loads were similarly high, at an average of 631.6 kg/day. Both concentrations and loads tended to be associated with discharge and rainfall parameters. The cumulative pollutant contribution from the ditch network was estimated to be large enough to produce detectable and sometimes high concentrations in a receiving stream in a small, rural watershed. Roadside drainage networks need to be actively managed for water quality improvements, because they capture and rapidly shunt stormwater and associated contaminants to streams.
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Fezes/microbiologia , Sedimentos Geológicos/microbiologia , Qualidade da Água , Animais , Escherichia coli/isolamento & purificação , Gado , Esterco , New York , Animais de Estimação , Chuva , Microbiologia da ÁguaRESUMO
Exposure therapy represents the gold-standard treatment for social anxiety, yet evidence indicates the need for improvement. One promising avenue involves linking exposures to a motivator. The current study examined the impact of intrinsically-rewarding, personal values-enhanced versus extrinsically-rewarding, monetary-enhanced exposure on short-term social anxiety fear and avoidance outcomes, and evaluated impacted initial treatment motivation and exposure generalization. METHODS: Sixty emerging adults ages 17-26 with significantly elevated social and public speaking anxiety were randomized to receive values-enhanced exposure, monetary reward-enhanced exposure, or exposure alone. They completed a laboratory session with a brief intervention and speech exposure, one-week follow-up with novel exposure, and online follow-up two weeks later. Subjective and behavioral anxiety measures were collected. RESULTS: Linking exposures to values decreased self-reported anxiety following the speech exposure retest, which generalized to anticipatory anxiety prior to a novel speech task. Linking exposures to money temporarily increased speech length, but this difference did not remain during the novel task. Conditions showed similar improvements on other outcomes. CONCLUSION: Extrinsic motivators can temporarily motivate exposure engagement, whereas a brief values intervention can enhance exposure learning and decrease subjective anxiety across feared situations compared to monetary enhancement. If replicated, this has pragmatic implications for exposure framing within social anxiety treatment.
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Terapia Implosiva , Adulto , Humanos , Ansiedade/terapia , Transtornos de Ansiedade/terapia , Medo , Recompensa , Fala , Adolescente , Adulto JovemRESUMO
INTRODUCTION: There is a clear bi-directional link between stressful events and depressive symptoms in adolescence, but the directionality of this link for anxiety symptoms remains underexamined. We critically evaluate the longitudinal relationship between stressors and anxiety among youth. Specifically, we examine whether stressors predict anxiety symptoms over a 1.5-year period (stress causation), and whether anxiety symptoms predict stressors over this period (stress generation). We examine potential influencing factors, including stressor type (independent vs. dependent) and emotion dysregulation (nonacceptance; goal-directed difficulty). METHODS: Social, separation, and physical anxiety symptoms, and frequency and stressor type, were assessed every 3 months for 1.5 years among community youth (n = 528, ages 8-17). Baseline emotion dysregulation was assessed. Time-lagged analyses evaluated the bi-directional relationship of stress and anxiety over time, controlling for previous anxiety and depression. RESULTS: Interpersonal stressors predicted subsequent physical and social anxiety symptoms, but anxiety did not predict subsequent stressors. Both nonacceptance and goal-directed difficulties predicted subsequent anxiety symptoms and stressors, but did not moderate the relationship. CONCLUSION: The findings supported the stress causation model for youth anxiety, but not the stress generation model. Nonacceptance and goal-directed difficulty predicted greater subsequent anxiety symptoms and stressors. We discuss implications for prevention and intervention.
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Sintomas Afetivos/complicações , Sintomas Afetivos/psicologia , Transtornos de Ansiedade/complicações , Transtornos de Ansiedade/psicologia , Estresse Psicológico/complicações , Estresse Psicológico/psicologia , Adolescente , Sintomas Afetivos/fisiopatologia , Transtornos de Ansiedade/fisiopatologia , Criança , Regulação Emocional , Feminino , Humanos , Estudos Longitudinais , Masculino , Estresse Psicológico/fisiopatologiaRESUMO
BACKGROUND: Addition of organic amendments has been commonly adopted as a means to restore degraded soils globally. More recently, the use of woody organic amendments has been recognized as a viable method of capturing and retaining water and restoring degraded and desertified soil, especially in semi-arid regions. However, the impacts of woody amendments on soil microbial community structure, versus other traditional organic supplements is less understood. METHODS: Three locally available natural organic materials of different qualities, i.e., cow manure (CM), corn straw (CS), and chipped poplar branches (PB) were selected as treatments in Ningxia, Northern China and compared with control soils. Four microcosms served as replicates for each treatment. All treatments contained desertified soil; treatments with amendments were mixed with 3% (w/w) of one of the above organic materials. After 7 and 15 months from the start of the experiment, soil samples were analyzed for chemical and physical properties, along with biological properties, which included microbial α-diversity, community structure, and relative abundance of microbial phyla. RESULTS: Both bacterial and fungal α-diversity indices were weakly affected by amendments throughout the experimental period. All amendments yielded different microbial community compositions than the Control soils. The microbial community composition in the CS and PB treatments also were different from the CM treatment. After 15 months of the experiment, CS and PB exhibited similar microbial community composition, which was consistent with their similar soil physical and chemical properties. Moreover, CS and PB also appeared to exert similar effects on the abundance of some microbial taxa, and both of these treatments yield different abundances of microbial taxa than the CM treatment. CONCLUSION: New local organic amendment with PB tended to affect the microbial community in a similar way to the traditional local organic amendment with CS, but different from the most traditional local organic amendment with CM in Ningxia, Northern China. Moreover, the high C/N-sensitive, and lignin and cellulose decompose-related microbial phyla increased in CS and PB have benefits in decomposing those incorporated organic materials and improving soil properties. Therefore, we recommend that PB should also be considered as a viable soil organic amendment for future not in Ningxia, but also in other places.
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BACKGROUND AND OBJECTIVES: This study evaluates the process and consequence of inducing self-compassion during recovery from social performance stressors. Though interest in self-compassion as an intervention target is growing, extant findings suggest that initially cultivating self-compassion can be challenging for those with high self-criticism and anxiety, common features of social anxiety disorder (SAD). DESIGN: Quasi-experimental design. METHODS: The current study evaluates the feasibility, content, and outcomes of a brief written self-compassion induction administered after consecutive laboratory social stressors, among adults with SAD (n = 21) relative to healthy controls (HC; n = 35). RESULTS: Findings demonstrate the feasibility of employing a written self-compassion induction among adults with (and without) SAD, reveal group differences in written responses to the induction, and suggest that the SAD group benefitted more from the induction than the HC group, based on greater reductions in state anxiety and greater increases in self-compassion during stressor recovery. Greater use of negative affect words within written responses to the self-compassion induction, but not during general writing, predicted lower subsequent state anxiety across groups, by a medium effect size. CONCLUSIONS: Collectively, the findings support the feasibility and utility of cultivating self-compassion among adults with SAD.
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Empatia , Fobia Social/psicologia , Autoimagem , Estresse Psicológico/psicologia , Adolescente , Adulto , Estudos de Viabilidade , Feminino , Humanos , Masculino , Fobia Social/complicações , Escalas de Graduação Psiquiátrica , Estresse Psicológico/complicações , Adulto JovemRESUMO
Escherichia coli (E. coli) level in streams is a public health indicator. Therefore, being able to explain why E. coli levels are sometimes high and sometimes low is important. Using citizen science data from Fall Creek in central NY we found that complementarily using principal component analysis (PCA) and partial least squares (PLS) regression provided insights into the drivers of E. coli and a mechanism for predicting E. coli levels, respectively. We found that stormwater, temperature/season and shallow subsurface flow are the three dominant processes driving the fate and transport of E. coli. PLS regression modeling provided very good predictions under stormwater conditions (R2â¯=â¯0.85 for log (E. coli concentration) and R2â¯=â¯0.90 for log (E. coli loading)); predictions under baseflow conditions were less robust. But, in our case, both E. coli concentration and E. coli loading were significantly higher under stormwater condition, so it is probably more important to predict high-flow E. coli hazards than low-flow conditions. Besides previously reported good indicators of in-stream E. coli level, nitrate-/nitrite-nitrogen and soluble reactive phosphorus were also found to be good indicators of in-stream E. coli levels. These findings suggest management practices to reduce E. coli concentrations and loads in-streams and, eventually, reduce the risk of waterborne disease outbreak.
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Monitoramento Ambiental , Escherichia coli , Rios/microbiologia , Microbiologia da Água , Nitratos/análise , Nitrogênio/análise , Fósforo/análise , Rios/químicaRESUMO
As one of the most active components in soil, bacteria can affect soil physicochemical properties, its biological characteristics, and even its quality and health. We characterized dynamics of the soil bacterial diversity in planted (with Taxodium distichum) and unplanted soil in the riparian zone of the Three Gorges Dam Reservoir (TGDR), in southwestern China, in order to accurately quantify the changes in long-term soil bacterial community structure after revegetation. Measurements were taken annually in situ in the TGDR over the course of 5 years, from 2012 to 2016. Soil chemical properties and bacterial diversity were analyzed in both the planted and unplanted soil. After revegetation, the soil chemical properties in planted soil were significantly different than in unplanted soil. The effects of treatment, time, and the interaction of both time and treatment had significant impacts on most diversity indices. Specifically, the bacterial community diversity indices in planted soil were significantly higher and more stable than that in unplanted soil. The correlation analyses indicated that the diversity indices correlated with the pH value, organic matter, and soil available nutrients. After revegetation in the riparian zone of the TGDR, the soil quality and health is closely related to the observed bacterial diversity, and a higher bacterial diversity avails the maintenance of soil functionality. Thus, more reforestation should be carried out in the riparian zone of the TGDR, so as to effectively mitigate the negative ecological impacts of the dam. Vegetating the reservoir banks with Taxodium distichum proved successful, but planting mixed stands of native tree species could promote even higher riparian soil biodiversity and improved levels of ecosystem functioning within the TGDR.
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Conservação dos Recursos Naturais , Microbiologia do Solo , Taxodium , Bactérias/classificação , Bactérias/isolamento & purificação , Biodiversidade , China , Solo/química , Árvores , Abastecimento de ÁguaRESUMO
In this review, we examine common usage of the term "third wave" in the scientific literature, systematically review published meta-analyses of identified "third wave" therapies, and consider the implications and options for the use of "third wave" as a metaphor to describe the nature of and relationships among cognitive and behavioral therapies. We demonstrate that the "third wave" term has grown in its use over time, that it is commonly linked with specific therapies, and that the majority of such therapies have amassed a compelling evidence base attesting to their clinical and public health value. We also consider the extent to which the "third wave" designation is an effective guide for the future, and we encourage scientific inquiry and self-reflection among those concerned with cognitive and behavioral therapies and the scientific basis of psychotherapy more broadly.
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Terapia Comportamental , Metáfora , Terminologia como Assunto , Terapia Cognitivo-Comportamental , Humanos , Metanálise como AssuntoRESUMO
INTRODUCTION: The aim of this review was to synthesize findings for moderators of treatment outcome across adult anxiety disorders, obsessive-compulsive disorder, and posttraumatic stress disorder. METHODS: Twenty-four papers that compared two or more active treatments (at least one of which was a form of cognitive behavioral therapy [CBT]) were identified and organized into five treatment comparison categories (distinct psychotherapy combinations, CBT full package vs. single components, CBT vs. augmented CBT, CBT delivery methods, and CBT vs. pharmacotherapy). Sixty-three distinct baseline moderators were tested across seven categories (symptom severity, comorbid emotional disorders or emotional reactivity, cognitive maintenance factors, behavioral maintenance factors, personality traits and disorders, sociodemographic factors, and biological factors). RESULTS: Few consistent treatment moderators were identified. All studies testing quadratic effects found at least one significant non-linear moderator or predictor effect. In addition, the majority of studies had methodological problems and limitations, demonstrating the need for future methodological improvements. CONCLUSION: Limited conclusions can be drawn about how to match anxiety disorder patients to treatment. A strong need to improve the methodological consistency and rigor of treatment moderator studies was identified. A series of recommendations for moderation analyses are proposed in order to strengthen future studies and facilitate replication efforts.