Research Topics
| David TolinSummaryAffiliation: Hartford Hospital Country: USA Publications
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Detail Information
Publications
Stepped care versus standard cognitive-behavioral therapy for obsessive-compulsive disorder: a preliminary study of efficacy and costsDavid F Tolin
Anxiety Disorders Center, The Institute of Living, 200 Retreat Avenue, Hartford, CT 06106, USA
Depress Anxiety 28:314-23. 2011....
An exploration of economic reasoning in hoarding disorder patientsDavid F Tolin
The Institute of Living, Hartford, CT 06106, USA
Behav Res Ther 49:914-9. 2011....
Case study: bibliotherapy and extinction treatment of obsessive-compulsive disorder in a 5-year-old boyD F Tolin
The Institute of Living and University of Connecticut School of Medicine, Hartford, 06106, USA
J Am Acad Child Adolesc Psychiatry 40:1111-4. 2001..At posttreatment and at 1- and 3-month follow-up assessments, the patient's OCD symptoms were markedly improved. This report suggests that very young children may respond well to brief CBT...
Anxiety disorders in older Puerto Rican primary care patientsDavid F Tolin
Anxiety Disorders Center, The Institute of Living Hartford Hospital s Mental Health Network, 200 Retreat Avenue, Hartford, CT 06106, USA
Am J Geriatr Psychiatry 13:150-6. 2005..Authors examined the frequency and comorbidity of anxiety disorders among aging Puerto Ricans seen in primary care...
Detecting symptom exaggeration in combat veterans using the MMPI-2 symptom validity scales: a mixed group validationDavid F Tolin
Anxiety Disorders Center, The Institute of Living, CT 06106, USA
Psychol Assess 22:729-36. 2010..These results support the use of MMPI-2 validity scales for PTSD evaluations in veteran populations, even under varying base rates of symptom exaggeration...
The trichotillomania scale for children: development and validationDavid F Tolin
The Institute of Living, Anxiety Disorders Center, 200 Retreat Avenue, Hartford, CT 06106, USA
Child Psychiatry Hum Dev 39:331-49. 2008..The present results suggest that the TSC may be a useful measure of TTM for child and adolescent samples, although additional clarification of convergent validity is needed...
Are "obsessive" beliefs specific to OCD?: a comparison across anxiety disordersDavid F Tolin
Anxiety Disorders Center, The Institute of Living, 200 Retreat Avenue, Hartford, CT 06106, USA
Behav Res Ther 44:469-80. 2006..Results are discussed in light of evolving cognitive-behavioral theories that highlight appraisals of thought control and the use and effectiveness of varying thought control strategies...
Pediatric trichotillomania: descriptive psychopathology and an open trial of cognitive behavioral therapyDavid F Tolin
Anxiety Disorders Center, The Institute of Living Hartford Hospital, Hartford, CT 06106, USA
Cogn Behav Ther 36:129-44. 2007..Trichotillomania severity decreased significantly and 77% of children were classified as treatment responders at post-treatment and 64% at 6-month follow-up...
Course of compulsive hoarding and its relationship to life eventsDavid F Tolin
Anxiety Disorders Center, The Institute of Living, Yale University School of Medicine, New Haven, CT, USA
Depress Anxiety 27:829-38. 2010..The aim of this study was to examine the onset and course of compulsive hoarding, and the relationships between stressful or traumatic life events and course of illness...
Disgust sensitivity and obsessive-compulsive symptoms in a non-clinical sampleDavid F Tolin
Anxiety Disorders Center, The Institute of Living, Hartford Hospital s Mental Health Network, University of Connecticut School of Medicine, 200 Retreat Avenue, Hartford, 06106, USA
J Behav Ther Exp Psychiatry 37:30-40. 2006..We discuss possible strategies for clarifying the degree to which fear and disgust are involved in OCD symptoms...
Defining response in clinical trials for obsessive-compulsive disorder: a signal detection analysis of the Yale-Brown obsessive compulsive scaleDavid F Tolin
Anxiety Disorders Center, The Institute of Living, 200 Retreat Avenue, Hartford, CT 06106, USA
J Clin Psychiatry 66:1549-57. 2005..The aim of this retrospective investigation was to determine optimal YBOCS reduction criteria for classifying patients as responders...
A brief interview for assessing compulsive hoarding: the Hoarding Rating Scale-InterviewDavid F Tolin
Institute of Living, Anxiety Disorders Center, Hartford, CT 06106, USA
Psychiatry Res 178:147-52. 2010..It is concluded that the HRS-I is a promising measure for determining the presence and severity of compulsive hoarding...
A randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trialsDavid F Tolin
Institute of Living Hartford Hospital, Hartford, CT 06106, USA
Behav Ther 38:179-91. 2007..We discuss several potential reasons for the superiority of therapist-administered treatment, and propose a stepped-care integration of self-administered and therapist-administered interventions for OCD...
Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of researchDavid F Tolin
Anxiety Disorders Center, The Institute of Living, Hartford, CT 06106, USA
Psychol Bull 132:959-92. 2006..Thus, sex differences in risk of exposure to particular types of PTE can only partially account for the differential PTSD risk in male and female participants...
An open trial of cognitive-behavioral therapy for compulsive hoardingDavid F Tolin
Anxiety Disorders Center, The Institute of Living Hartford Hospital, 200 Retreat Avenue, Hartford, CT 06106, USA
Behav Res Ther 45:1461-70. 2007....
Is cognitive-behavioral therapy more effective than other therapies? A meta-analytic reviewDavid F Tolin
The Institute of Living, Hartford, CT 06106, USA
Clin Psychol Rev 30:710-20. 2010..These results argue against previous claims of treatment equivalence and suggest that CBT should be considered a first-line psychosocial treatment of choice, at least for patients with anxiety and depressive disorders...
Family burden of compulsive hoarding: results of an internet surveyDavid F Tolin
Anxiety Disorders Center, The Institute of Living, Hartford, CT 06106, USA
Behav Res Ther 46:334-44. 2008..These results suggest that compulsive hoarding adversely impacts not only the hoarding individual, but also those living with them...
Inattention, but not OCD, predicts the core features of hoarding disorderDavid F Tolin
Anxiety Disorders Center, The Institute of Living, 200 Retreat Avenue, Hartford, CT 06106, USA
Behav Res Ther 49:120-5. 2011..These results challenge current conceptualizations of hoarding as a subtype of OCD, and suggest an association with neurocognitive impairment...
Fixity of belief, perceptual aberration, and magical ideation in obsessive-compulsive disorderD F Tolin
Anxiety Disorders Center, The Institute of Living, Hartford, CT 06106, USA
J Anxiety Disord 15:501-10. 2001..More research is needed to assess the absolute magnitude of psychotic-like features in OCD patients with impulse/mistake and religious obsessions and to examine whether these features interfere with standard cognitive-behavioral therapy...
Directed forgetting in obsessive-compulsive disorder: replication and extensionDavid F Tolin
Anxiety Disorders Center, Institute of Living, University of Connecticut, Hartford 06106, USA
Behav Res Ther 40:793-803. 2002..However, during a recognition test, OCD patients showed greater impaired forgetting for OCD-relevant words than did nonanxious and anxious controls. Valence of words did not emerge as a contributing factor to impaired forgetting...
The economic and social burden of compulsive hoardingDavid F Tolin
The Institute of Living Hartford Hospital, 200 Retreat Avenue, Hartford, CT 06106, USA
Psychiatry Res 160:200-11. 2008..1-3.0% had a child or elder removed from the home. These results suggest that compulsive hoarding represents a profound public health burden in terms of occupational impairment, poor physical health, and social service involvement...
Neuropsychological functioning in hoarding disorderDavid F Tolin
The Institute of Living, Hartford, CT, USA
Psychiatry Res 189:413-8. 2011..22). Results are discussed in terms of emerging conceptualizations of HD as a distinct illness...
Thought suppression in obsessive-compulsive disorderDavid F Tolin
Anxiety Disorders Center, The Institute of Living, 200 Retreat Avenue, Hartford, CT 06106, USA
Behav Res Ther 40:1255-74. 2002..This effect was not seen in NACs or ACs. These findings suggest that deficits in cognitive inhibitory processes may underlie the intrusive, repetitive nature of clinical obsessions...
Hoarding among patients seeking treatment for anxiety disordersDavid F Tolin
The Institute of Living Hartford Hospital, Hartford, CT 06106, USA
J Anxiety Disord 25:43-8. 2011....
Intolerance of uncertainty in obsessive-compulsive disorderDavid F Tolin
Anxiety Disorders Center, The Institute of Living, University of Connecticut, 200 Retreat Avenue, Hartford, CT 06106, USA
J Anxiety Disord 17:233-42. 2003..We discuss the implications for increasing tolerance via cognitive-behavioral therapy...
Challenges and advances in treating hoardingDavid F Tolin
Institute of Living and Yale University School of Medicine
J Clin Psychol 67:451-5. 2011..The articles in this issue are then outlined and summarized. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1-5, 2011...
An exploratory study of the neural mechanisms of decision making in compulsive hoardingD F Tolin
The Institute of Living Hartford Hospital, Hartford, CT 06106, USA
Psychol Med 39:325-36. 2009....
Sympathetic magic in contamination-related OCDDavid F Tolin
The Institute of Living, Anxiety Disorders Center, 200 Retreat Avenue, Hartford, CT 06106, USA
J Behav Ther Exp Psychiatry 35:193-205. 2004..We suggest that this process may be consistent with the sympathetic magic and disease-avoidance models of disgust, and that disgust may be a fruitful area for exploration in the study of OCD...
Cognitive-behavioral therapy for medication nonresponders with obsessive-compulsive disorder: a wait-list-controlled open trialDavid F Tolin
Anxiety Disorders Center, The Institute of Living Hartford Hospital, Hartford, CT 06106, USA
J Clin Psychiatry 65:922-31. 2004..However, few studies of the efficacy of CBT have selected patients who did not respond to medications...
Understanding and treating hoarding: a biopsychosocial perspectiveDavid F Tolin
Institute of Living and Yale University School of Medicine, Hartford, CT 06106, USA
J Clin Psychol 67:517-26. 2011..The article concludes with a summary of treatment efficacy and 10 promising clinical practices...
Assessment of anxiety in older home care recipientsGretchen J Diefenbach
Anxiety Disorders Center, Institute of Living Hartford Hospital, Hartford, CT 06106, USA
Gerontologist 49:141-53. 2009..This study determined the psychometric properties of a variety of anxiety measures administered to older adults receiving home care services...
Compulsive hoardingChristina M Gilliam
Anxiety Disorders Center, The Institute of Living, Hartford, CT 06106, USA
Bull Menninger Clin 74:93-121. 2010..The authors describe the cognitive-behavioral therapy model and treatment of hoarding, including a case presentation of a cognitive behavioral group treatment of compulsive hoarding...
Changes in quality of life following cognitive-behavioral therapy for obsessive-compulsive disorderGretchen J Diefenbach
Institute of Living Hartford Hospital, 200 Retreat Avenue, Hartford, CT 06106, USA
Behav Res Ther 45:3060-8. 2007..These results suggest that the effects of CBT may extend beyond OCD symptom reduction to QOL...
Stepped care for obsessive-compulsive disorder: An open trialChristina M Gilliam
Anxiety Disorders Center, The Institute of Living, Hartford Hospital, CT 06106, USA
Behav Res Ther 48:1144-9. 2010..All participants who responded to Step 1 maintained acute gains during the brief follow-up period. Limitations include a small sample size and high attrition rate...
Affective and sensory correlates of hair pulling in pediatric trichotillomaniaSuzanne A Meunier
Anxiety Disorders Center, The Institute of Living Hartford Hospital, Hartford, CT 06106, USA
Behav Modif 33:396-407. 2009..The findings also support the notion that hair pulling may be maintained primarily through positive reinforcement, which is consistent with its classification as an impulse control disorder...
Tracking levels of psychiatric distress associated with the terrorist events of September 11, 2001: a review of the literatureDavid W Lovejoy
Hartford Hospital, Institute of Living, University of Connecticut School of Medicine, USA
J Insur Med 35:114-24. 2003..Information related to the manifestation of psychiatric distress following disasters is of particular interest to the scientific, clinical and disability insurance communities given the ongoing threat of further terrorist attacks...
Late-life anxiety disorders among Puerto Rican primary care patients: impact on well-being, functioning, and service utilizationGretchen J Diefenbach
Anxiety Disorders Center, The Institute of Living Hartford Hospital, 200 Retreat Avenue, Hartford, CT 06106, USA
J Anxiety Disord 18:841-58. 2004..These data highlight the need for improved recognition and treatment of anxiety disorders in older Puerto Rican adults...
Dysfunctional action monitoring hyperactivates frontal-striatal circuits in obsessive-compulsive disorder: an event-related fMRI studyNicholas Maltby
Anxiety Disorders Center, The Institute of Living Hartford Hospital, Hartford, CT 06106, USA
Neuroimage 24:495-503. 2005..These results suggest that correctly rejected, high-conflict trials that require response inhibition may provide a better model than error trials of compulsive behaviors in OCD...
Trichotillomania: impact on psychosocial functioning and quality of lifeGretchen J Diefenbach
Anxiety Disorders Center, Institute of Living, Hartford Hospital, 200 Retreat Avenue, Hartford, CT 06106, USA
Behav Res Ther 43:869-84. 2005..e., past week) ratings. These results highlight the importance of promoting and improving resources for the clinical care of TTM patients, and provide some directions for clinicians to enhance assessment of interference caused by TTM...
Anxiety sensitivity: stability in prospective researchNicholas Maltby
Anxiety Disorders Center, The Institute of Living, 200 Retreat Avenue, Hartford, CT 06106, USA
J Anxiety Disord 19:708-16. 2005..ASI scores of participants not receiving a diagnostic assessment, however, were unchanged from baseline...
A brief motivational intervention for treatment-refusing OCD patientsNicholas Maltby
The Institute of Living, Hartford Hospital, Hartford, CT 06106, USA
Cogn Behav Ther 34:176-84. 2005..However, ERP following RI was associated with a high drop-out rate (50%), a figure that exceeds that typically seen in OCD treatment studies. Techniques to reduce drop-out as well as directions for future research are discussed...
Emotion regulation and trichotillomania: a comparison of clinical and nonclinical hair pullingGretchen J Diefenbach
Anxiety Disorders Center, Institute of Living, Hartford Hospital, 200 Retreat Avenue, Hartford, CT 06106, USA
J Behav Ther Exp Psychiatry 39:32-41. 2008..Methodological limitations may account for the lack of group differences on the experimental hair-pulling task...
Group treatment for trichotillomania: behavior therapy versus supportive therapyGretchen J Diefenbach
The Institute of Living Hartford Hospital, Hartford, CT 06106, USA
Behav Ther 37:353-63. 2006..However, the group format may not maximize the efficacy of BT for TTM. Thus, it is recommended that future BT research test either individual therapy or a combination of group and individual formats for TTM...
Extending cognitive-behavioral therapy for late-life anxiety to home care: program development and case examplesGretchen J Diefenbach
Institute of Living, Hartford Hospital, Conneticut, USA
Behav Modif 32:595-610. 2008..Future research needs to determine the extent to which adaptations are necessary to optimize the success of CBT for anxiety in a home care setting...
Hippocampus function predicts severity of post-traumatic stress disorderRobert S Astur
Olin Neuropsychiatry Research Center, Institute of Living, Hartford, Connecticut 06106, USA
Cyberpsychol Behav 9:234-40. 2006..Hence, PTSD severity is predicted by functionally assessing the hippocampus using the virtual Morris water task, suggesting that this task may be used to identify those at risk for developing PTSD following a trauma...
A meta-analysis of D-cycloserine and the facilitation of fear extinction and exposure therapyMelissa M Norberg
Institute of Living, New Haven, CT 06106, USA
Biol Psychiatry 63:1118-26. 2008..This article provides a quantitative review of DCS-augmented fear extinction and exposure therapy literature...
Association between Protestant religiosity and obsessive-compulsive symptoms and cognitionsJonathan S Abramowitz
Department of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, Minnesota, USA
Depress Anxiety 20:70-6. 2004..Results are discussed in terms of the relationship between religion and OCD symptoms in the context of the cognitive-behavioral conceptualization of OCD...
Augmentation of behavior therapy with D-cycloserine for obsessive-compulsive disorderSabine Wilhelm
Obsessive Compulsive Disorder Clinic, Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA
Am J Psychiatry 165:335-41; quiz 409. 2008..This study examined whether d-cycloserine, a partial agonist at the N-methyl-D-aspartate (NMDA) glutamatergic receptor, enhances the efficacy of behavior therapy for obsessive-compulsive disorder (OCD)...
Inflated perception of responsibility for harm in OCD patients with and without checking compulsions: a replication and extensionEdna B Foa
Center for the Treatment and Study of Anxiety, Department of Psychiatry, University of Pennsylvania, Philadelphia 19104, USA
J Anxiety Disord 16:443-53. 2002..The results suggest that, compared to OC non-checkers and to NACs, OC checkers have an inflated perception of responsibility for harm; and that this perception leads to a need to rectify potentially harmful situations...
The Anxiety Sensitivity Index - Revised: psychometric properties and factor structure in two nonclinical samplesBrett J Deacon
Department of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN, USA
Behav Res Ther 41:1427-49. 2003..Results across both samples in the present study were highly similar. The strengths and limitations of the ASI-R are discussed, and the implications of our findings for the nature and measurement of AS are considered...
Challenges in treating obsessive-compulsive disorder: introductionSabine Wilhelm
Department of Psychiatry, Massachusetts General Hospital, Building 149, 13th Street, Charlestown, MA 02129, USA
J Clin Psychol 60:1127-32. 2004..The final article describes pharmacotherapy for OCD. All articles feature case vignettes and provide practitioners with clinical recommendations...
The Anxiety Sensitivity Profile revisited: factor structure and psychometric properties in two nonclinical samplesBunmi O Olatunji
Department of Psychology, University of Arkansas, 216 Memorial Hall, Fayetteville, AR 72701, USA
J Anxiety Disord 19:603-25. 2005..Correlations between the ASP factors and related variables were consistent with AS theory. The strengths and limitations of the ASP are offered as well as the implications of our findings for the nature and assessment of AS...
Multimodal assessment of disgust in contamination-related obsessive-compulsive disorderBunmi O Olatunji
Department of Psychology, Vanderbilt University, 301 Wilson Hall, 111 21st Avenue South, Nashville, TN 37203, USA
Behav Res Ther 45:263-76. 2007..The results are consistent with a disgust-based, disease-avoidance approach in understanding contamination-related OCD themes...
Dimensionality of somatic complaints: factor structure and psychometric properties of the Self-Rating Anxiety ScaleBunmi O Olatunji
Department of Psychiatry, Massachusetts General Hospital Harvard Medical School, 15 Parkman Street, ACC 812, Boston, MA 02114, USA
J Anxiety Disord 20:543-61. 2006..The strengths and limitations of the SAS are offered as well as the implications of our findings for the nature and assessment of somatic complaints in anxiety disorders...
Recognition of facial expressions in obsessive-compulsive disorderKathleen M Corcoran
University of British Columbia, Vancouver, British Columbia, Canada
J Anxiety Disord 22:56-66. 2008..These deficits were related to OCD symptom severity and general functioning, factors that may account for the inconsistent findings observed in different laboratories...
Quality of life in the anxiety disorders: a meta-analytic reviewBunmi O Olatunji
Department of Psychology, Vanderbilt University, 301 Wilson Hall, 111 21st Avenue South, Nashville, TN 37203, USA
Clin Psychol Rev 27:572-81. 2007..These findings are discussed in the context of future research on the assessment of quality of life in the anxiety disorders...
Religious obsessions and compulsions in a non-clinical sample: the Penn Inventory of Scrupulosity (PIOS)Jonathan S Abramowitz
Mayo Clinic, Department of Psychiatry and Psychology, Rochester, MN 55905, USA
Behav Res Ther 40:825-38. 2002..The PIOS has utility both as a research and clinical tool...
The relationship between disgust sensitivity and avoidant behavior: studies of clinical and nonclinical samplesSheila R Wood
Department of Psychology, University of British Columbia, Vancouver, Canada
J Anxiety Disord 16:543-59. 2002....
Information processing biases in spider phobia: application of the Stroop and "White Noise" ParadigmBunmi O Olatunji
Vanderbilt University, 301 Wilson Hall, 111 21st Avenue South, Nashville, TN 37203, USA
J Behav Ther Exp Psychiatry 39:187-200. 2008..No evidence was found for an implicit memory bias in spider phobics. These findings are discussed in relation to the role of information processing biases in spider phobia...
Emotional responding to fearful and disgusting stimuli in specific phobicsCraig N Sawchuk
Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle 98105 6099, USA
Behav Res Ther 40:1031-46. 2002..Implications and suggestions for continued research examining fearful and disgusting stimuli in specific phobia are outlined...
The Disgust Scale: item analysis, factor structure, and suggestions for refinementBunmi O Olatunji
Department of Psychology, Vanderbilt University, 111 21st Avenue South, Nashville, TN 37203, USA
Psychol Assess 19:281-97. 2007..These findings are discussed in the context of the refinement of the DS to promote a more psychometrically sound assessment of disgust sensitivity...
Research Grants
- Stepped Care for Obsessive-Compulsive DisorderDavid Tolin; Fiscal Year: 2007..However, because of the novelty of this approach extensive protocol development and pilot research via this R34 application is needed before the program can be truly operational. ..
- Neural Mechanisms of Compulsive HoardingDavid Tolin; Fiscal Year: 2007..We will use cutting-edge data analytic procedures to examine patterns of interrelated neural activation as well as the time course of activation across the decision making process. ..
- 2/3-Exposure D-Cycloserine Enhancement and Genetic Modulators in Panic DisorderDavid Tolin; Fiscal Year: 2009....
- Neural Mechanisms of Compulsive HoardingDavid Tolin; Fiscal Year: 2009..We will use cutting-edge data analytic procedures to examine patterns of interrelated neural activation as well as the time course of activation across the decision making process. ..
- 2/3-Exposure D-Cycloserine Enhancement and Genetic Modulators in Panic DisorderDavid F Tolin; Fiscal Year: 2010....
