Research Topics
| M Katherine ShearSummaryAffiliation: Columbia University Country: USA Publications
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Publications
An attachment-based model of complicated grief including the role of avoidanceKatherine Shear
Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY 10027, USA
Eur Arch Psychiatry Clin Neurosci 257:453-61. 2007..Avoidance is a component that can be difficult to assess and pivotal to treatment. Therefore we developed an avoidance questionnaire to characterize avoidance among patients with CG...
Exploring the role of experiential avoidance from the perspective of attachment theory and the dual process modelM Katherine Shear
Columbia University School of Social Work, New York, NY 10027, USA
Omega (Westport) 61:357-69. 2010..An approach to clinical management of experiential avoidance in the syndrome of complicated grief is included...- Grief and mourning gone awry: pathway and course of complicated griefM Katherine Shear
Columbia University School of Social Work, Columbia University College of Physicians and Surgeons, New York, NY 10027, USA
Dialogues Clin Neurosci 14:119-28. 2012..We provide an overview of risk factors and basic assumptions and principles that can guide treatment... 
Getting straight about griefM Katherine Shear
Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY 10027, USA
Depress Anxiety 29:461-4. 2012..Clinicians need to be alert to all of these problematic responses to loss. In the wake of bereavement, we need to both facilitate effective mourning and diagnose and treat co-occurring conditions...- Bereavement and anxietyM Katherine Shear
Columbia University School of Social Work, New York, NY 10027, USA
Curr Psychiatry Rep 14:169-75. 2012..In addition, loss of a loved one can trigger the onset of a DSM-IV anxiety disorder that, when present, can derail the mourning process and prolong acute grief. Bereavement-related anxiety disorders need to be recognized and treated... - Bereavement and the DSM5M Katherine Shear
Columbia University School of Social Work, New York, NY 10027, USA
Omega (Westport) 64:101-18. 2011..Acute grief takes us out of our ongoing life and focuses our attention on our deceased loved one. Grief is finely tuned to each loss situation with a pattern and course that is unique to each person and each relationship... - Validity and reliability of the Structured Clinical Interview for the Trauma and Loss Spectrum (SCI-TALS)Liliana Dell'Osso
Department of Psychiatry, Neurobiology, Pharmacology and Biotechnologies, University of Pisa, Italy
Clin Pract Epidemiol Ment Health 4:2. 2008..An additional condition of complicated grief (CG), well described in the literature, is triggered by bereavement... - Supplementary dimensional assessment in anxiety disordersM Katherine Shear
School of Social Work, Columbia University, New York, USA
Int J Methods Psychiatr Res 16:S52-64. 2007..We also suggest that a staging approach to illness, based upon supplementary dimensional rating could provide useful information for clinical and research purposes... - Complicated grief and related bereavement issues for DSM-5M Katherine Shear
Columbia University School of Social Work, New York, New York, USA
Depress Anxiety 28:103-17. 2011..We also discuss modifications in the bereavement V code and refinement of bereavement exclusions in major depression and other disorders... - Complicated grief associated with hurricane KatrinaM Katherine Shear
Columbia University School of Social Work and Columbia University College of Physicians and Surgeons, New York, New York, USA
Depress Anxiety 28:648-57. 2011..Although losses are important consequences of disasters, few epidemiological studies of disasters have assessed complicated grief (CG) and none assessed CG associated with losses other than death of loved one... - Generalized anxiety disorder severity scale (GADSS): a preliminary validation studyKatherine Shear
School of Social Work, Columbia University, New York, New York 10027, USA
Depress Anxiety 23:77-82. 2006..Change in GADSS scores discriminated between two different treatment strategies. GADSS is a simple, efficient way to rate severity over the telephone in patients with established diagnoses of GAD... - Prevalence and correlates of estimated DSM-IV child and adult separation anxiety disorder in the National Comorbidity Survey ReplicationKatherine Shear
Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
Am J Psychiatry 163:1074-83. 2006..Results of the first epidemiological study of adult separation anxiety disorder, to the authors' knowledge, and its relationship to childhood separation anxiety disorder are presented... - Outcomes of late-life anxiety disorders during 32 weeks of citalopram treatmentStephen Blank
Intervention Research Center for Late-Life Mood Disorders, The Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
J Clin Psychiatry 67:468-72. 2006..CONCLUSIONS: In this 32-week study of citalopram for elderly persons with anxiety disorders, 60% responded. Those who received a full course of treatment experience significant improvements in quality of life and sleep quality... - Brief interpersonal psychotherapy for depressed mothers whose children are receiving psychiatric treatmentHolly A Swartz
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, USA
Am J Psychiatry 165:1155-62. 2008.... - Indirect self-destructive behavior and overt suicidality in patients with complicated griefKatalin Szanto
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
J Clin Psychiatry 67:233-9. 2006..Therefore, we examined suicidal behavior and its correlates in 149 patients who signed informed consent statements to participate in a National Institute of Mental Health-funded treatment study of complicated grief... - Generalized anxiety disorder in late life: lifetime course and comorbidity with major depressive disorderEric J Lenze
Intervention Research Center in Late Life Mood Disorders, Department of Psychiatry, University of Pittsburgh, PA 15213, USA
Am J Geriatr Psychiatry 13:77-80. 2005..The authors assessed the course and comorbidity of late-life GAD and MDD... - Interpersonal psychotherapy for depression with panic spectrum symptoms: a pilot studyJill M Cyranowski
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA
Depress Anxiety 21:140-2. 2005..A newly adapted psychosocial treatment for depression with lifetime panic spectrum symptoms was evaluated in an open pilot study... - Cognitive impairment in late-life generalized anxiety disorderRose C Mantella
Advanced Center in Interventions and Services Research for Late Life Mood Disorders and the John A Hartford Center of Excellence in Geriatric Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Am J Geriatr Psychiatry 15:673-9. 2007..This study sought to characterize cognitive functioning in elderly patients with generalized anxiety disorder (GAD), as compared with normal comparison subjects and patients with major depression... - An open-label trial of enhanced brief interpersonal psychotherapy in depressed mothers whose children are receiving psychiatric treatmentHolly A Swartz
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
Depress Anxiety 23:398-404. 2006..A high proportion of subjects completed treatment and experienced improvements in functioning. Future randomized clinical trials are needed to establish the efficacy of this approach... - A randomized trial to improve the quality of treatment for panic and generalized anxiety disorders in primary careBruce L Rollman
Division of General Internal Medicine, Center for Research on Health Care, Department of Psychiatry, University of Pittsburgh School of Medicine, 230 McKee Place, Pittsburgh, PA 15213, USA
Arch Gen Psychiatry 62:1332-41. 2005..Panic disorder and generalized anxiety disorder are prevalent in primary care, associated with poor functional outcomes, and are often unrecognized and ineffectively treated by primary care physicians... - Comorbid anxiety disorder in late life depression: association with memory decline over four yearsAlison K DeLuca
The Intervention Research Center for Late-Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Int J Geriatr Psychiatry 20:848-54. 2005..The data also suggest that anxiety disorders with an onset later in life may be associated with cognitive impairment, although further study is needed to confirm this finding... - Efficacy and tolerability of citalopram in the treatment of late-life anxiety disorders: results from an 8-week randomized, placebo-controlled trialEric J Lenze
Intervention Research Center for Late Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine and VA Healthcare System, PA, USA
Am J Psychiatry 162:146-50. 2005..Anxiety disorders are highly prevalent in elderly persons. However, to date, the efficacy of selective serotonin reuptake inhibitors (SSRIs) for the treatment of anxiety disorders in this age group has not been established... - Clinical significance of lifetime panic spectrum symptoms in the treatment of patients with bipolar I disorderEllen Frank
Department of Psychiatry, Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213, USA
Arch Gen Psychiatry 59:905-11. 2002..We hypothesized that lifetime panic spectrum features would be associated with higher levels of suicidal ideation and a poorer response to acute treatment of the index mood episode in this patient population... - A comparison of medication side effect reports by panic disorder patients with and without concomitant cognitive behavior therapySue M Marcus
Mount Sinai School of Medicine, Department of Psychiatry, Division of Biostatistics, Box 1230, One Gustave L Levy Place, New York, NY 10029 6574
Am J Psychiatry 164:273-5. 2007..The authors assessed whether adding cognitive behavior therapy (CBT) to imipramine for patients with panic disorder decreased the severity of side effects and dropouts from side effects... - Good treatment outcomes in late-life depression with comorbid anxietyEric J Lenze
The Intervention Research Center in Late Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
J Affect Disord 77:247-54. 2003..This study evaluated the impact of comorbid anxiety on response, dropouts, and side effects, in elderly subjects treated for depression... - Development and preliminary testing of the General 5-Spectrum Measure (GSM-V)Paola Rucci
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh, Pittsburgh, Pennsylvania 15213-2593, USA
Depress Anxiety 18:109-17. 2003..Additionally, it could provide a better characterization of patients with a syndromal level Axis-I disorder, who might require specific treatment strategies targeted to co-occurring subsyndromal conditions... - Relapse following combined treatment discontinuation in a placebo-controlled trial for panic disorderSusan D Raffa
Research Phobia Clinic at Hillside Hospital, Long Island Jewish Medical Center, Glen Oaks, NY, USA
J Nerv Ment Dis 196:548-55. 2008..Other possible reasons for differential relapse rates and treatment implications are discussed... - Generalized anxiety disorder severity scale validation in older adultsCarmen Andreescu
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Am J Geriatr Psychiatry 16:813-8. 2008..Given the high prevalence of GAD in the elderly and the need for a validated scale to assess GAD severity in this age group, the authors examined the psychometric properties of the GADSS in the elderly... - Predictors and time course of response among panic disorder patients treated with cognitive-behavioral therapyCindy J Aaronson
Department of Psychiatry, Mount Sinai School of Medicine, New York, NY 10029, USA
J Clin Psychiatry 69:418-24. 2008..We provided open CBT treatment to patients who subsequently participated in a maintenance treatment study. This article reports on predictors and trajectory of response in 381 participants who completed treatment at 4 sites... - Prevalence and correlates of complicated grief in adults who have undergone a coronary artery bypass graftAngela Ghesquiere
Columbia University School of Social Work and Columbia University College of Physicians and Surgeons, New York, NY 10027, United States
J Affect Disord 136:381-5. 2012..However, CG has not been studied in depressed medically ill populations. This study examined the prevalence, correlates, and impact of CG in depressed post-coronary artery bypass graft surgery (CABG) patients... - Treatment considerations for anxiety in the elderlyEric J Lenze
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
CNS Spectr 8:6-13. 2003..Overall, the research in late-life anxiety has not caught up to the literature in late-life depression and, for the most part, treatment recommendations must be extrapolated from studies in young adults... - Somatic symptoms in late-life anxiety: treatment issuesEric J Lenze
Intervention Research Center for Late Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine, Pennsylvania, USA
J Geriatr Psychiatry Neurol 18:89-96. 2005..However, additional treatment and integrated approaches are likely to be necessary for many such individuals... - Escitalopram for older adults with generalized anxiety disorder: a randomized controlled trialEric J Lenze
Department of Psychiatry, Washington University School of Medicine, 660 S Euclid, Box 8134, St Louis, MO 63110, USA
JAMA 301:295-303. 2009..Selective serotonin reuptake inhibitors (SSRIs) are efficacious for younger adults with GAD, but benefits and risks may be different in older adults... - A pilot study of brief interpersonal psychotherapy for depression among womenHolly A Swartz
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
Psychiatr Serv 55:448-50. 2004..Both groups improved significantly over time, with large effect sizes. However, contrary to expectations, the women who received psychotherapy improved more quickly than those who received sertraline... - Relation of serotonin transporter genetic variation to efficacy of escitalopram for generalized anxiety disorder in older adultsEric J Lenze
Department of Psychiatry, Washington University School of Medicine, 660 S Euclid, Box 8134, St Louis, MO 63110, USA
J Clin Psychopharmacol 30:672-7. 2010..We hypothesized that GAD patients with no La haplotypes (La⁻) have lower SSRI treatment efficacy than those with 1 to 2 La haplotypes (La+)... - Addressing the challenges of a cross-national investigation: lessons from the Pittsburgh-Pisa study of treatment-relevant phenotypes of unipolar depressionEllen Frank
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Clin Trials 5:253-61. 2008..A multi-site clinical trial that includes psychotherapy as one of the treatments presents numerous challenges related to cross-site consistency and communication... - A contemporary protocol to assist primary care physicians in the treatment of panic and generalized anxiety disordersBruce L Rollman
Division of General Internal Medicine, Center for Research on Health Care, University of Pittsburgh School of Medicine, PA, USA
Gen Hosp Psychiatry 25:74-82. 2003..This report serves to familiarize physicians contemplating use of a similar strategy for improving the quality of primary care for an anxiety disorder or any other chronic mental health condition... - Clinical presentation and treatment outcome of African Americans with complicated griefMario Cruz
Department of Psychiatry, University of Pittsburgh, PA 15213, USA
Psychiatr Serv 58:700-2. 2007..This study sought to examine whether ethnic differences occur in the presentation of patients with complicated grief or their treatment outcome... - A randomized controlled clinical trial of psychoanalytic psychotherapy for panic disorderBarbara Milrod
Weill Medical College of Cornell University, 525 East 68th St, New York, NY 10021, USA
Am J Psychiatry 164:265-72. 2007..To the authors' knowledge, this is the first efficacy randomized controlled clinical trial of panic-focused psychodynamic psychotherapy, a manualized psychoanalytical psychotherapy for patients with DSM-IV panic disorder... - Risks for complicated grief in family caregiversAngela Ghesquiere
School of Social Work, Columbia University, 1255 Amsterdam Avenue, New York, NY 10027, USA
J Soc Work End Life Palliat Care 7:216-40. 2011..Implications for practice are also discussed, including both preventive interventions that could be instituted before the ill person's death and therapeutic techniques for treating CG after the death... - Sleep and circadian rhythms in spousally bereaved seniorsTimothy H Monk
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Chronobiol Int 25:83-98. 2008..However, this disruption does not appear to be due to bereavement-related disruptions in the circadian system... - Anxiety symptoms in elderly patients with depression: what is the best approach to treatment?Eric J Lenze
Department of Psychiatry, Intervention Research Center in Late Life Mood Disorders, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Drugs Aging 19:753-60. 2002..Therefore, optimism should be maintained when treating the depressed elderly individual, even when comorbid anxiety is present... - Effects of a brief behavioral treatment for PTSD-related sleep disturbances: a pilot studyAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
Behav Res Ther 45:627-32. 2007..The goal of this pilot study was to explore the effects of a very brief intervention for PTSD-related nightmares and insomnia in victims of violent crimes with PTSD... - Sleep quality in complicated griefAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA
J Trauma Stress 18:343-6. 2005..Comorbid depression, but not PTSD, further worsened sleep quality. Further studies are required to investigate the potential role of poor sleep quality as a modifiable risk factor of complicated grief response... - The effect of pharmacotherapist characteristics on treatment outcome in panic disorderJack M Gorman
Department of Psychiatry, Mount Sinai School of Medicine, New York, New York 10029, USA
Depress Anxiety 17:88-93. 2003..Depression and Anxiety 17:88-93, 2003... - Does attachment avoidance help people cope with loss? The moderating effects of relationship qualityAnthony D Mancini
Teachers College Columbia University, New York, NY 10027, USA
J Clin Psychol 65:1127-36. 2009..Findings clarify the role of attachment avoidance in coping with loss and underscore that relationship quality is a critical factor in the attachment-grief relationship... - A pilot study of community mental health care for depression in a supermarket settingHolly A Swartz
Department of Psychiatry, University of Pittsburg School of Medicine and Western Psychiatric Institute and Clinic, Pennsylvania 15213, USA
Psychiatr Serv 53:1132-7. 2002..A pilot project was undertaken to test the feasibility of providing psychotherapy for depressed women in a supermarket, a novel setting that may minimize barriers to care such as stigma associated with visiting a mental health clinic... - Reliability of the self-report version of the panic disorder severity scalePatricia R Houck
University of Pittsburgh School of Medicine, Department of Psychiatry, Pittsburgh, Pennsylvania, USA
Depress Anxiety 15:183-5. 2002..81) and was sensitive to change with treatment, with a mean decrease of 7.3 (S.D.=5.1). The self-report version of the PDSS is a reliable format, which could be useful in clinical and research settings... - Depression and anxiety among mothers who bring their children to a pediatric mental health clinicHolly A Swartz
Department of Psychiatry, University of Pittsburgh School of Medicine, PA 15213, USA
Psychiatr Serv 56:1077-83. 2005..This study investigated rates of psychiatric disorders among mothers of children presenting for psychiatric evaluation and examined the relationship between maternal diagnosis and child psychopathology... - Adult separation anxiety: psychometric properties of a new structured clinical interviewJill M Cyranowski
Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, 3811 O'Hara Street, Pittsburgh, PA 15213, USA
J Psychiatr Res 36:77-86. 2002..These results highlight the feasibility and potential clinical utility of assessing age-appropriate symptoms of separation anxiety experienced during adulthood... - Traumatic grief treatment: case histories of 4 patientsKate L Harkness
Anxiety Disorders Prevention Program and the Centers for Mid-Life and Late-Life Mood and Anxiety Disorders, Department of Psychiatry, University of Pittsburgh Medical Center, Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213, USA
J Clin Psychiatry 63:1113-20. 2002..It appears that imaginal relieving and in vivo exposure are effective in reducing grief intensity and lead to reduction in symptoms... - Physician office visits of adults for anxiety disorders in the United States, 1985-1998Jeffrey S Harman
Intervention Research Centers for Mid and Late Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
J Gen Intern Med 17:165-72. 2002..To determine the number of physician office visits by adults in which an anxiety disorder diagnosis was recorded and rates of treatment during these visits... - Attachment, loss, and complicated griefKatherine Shear
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh, Pennsylvania, USA
Dev Psychobiol 47:253-67. 2005..These symptoms usually resolve following revision of the internalized representation of the deceased to incorporate the reality of the death. Failure to accomplish this integration results in the syndrome of complicated grief... - Treatment of complicated grief: a randomized controlled trialKatherine Shear
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
JAMA 293:2601-8. 2005..Complicated grief is a debilitating disorder associated with important negative health consequences, but the results of existing treatments for it have been disappointing... - Treating complicated grief and substance use disorders: a pilot studyAllan Zuckoff
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213 2393, USA
J Subst Abuse Treat 30:205-11. 2006..Study limitations notwithstanding, complicated grief and substance use treatment appears to be a promising intervention that merits further research... - Complicated grief and impaired sleep in patients with bipolar disorderGuy Maytal
Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
Bipolar Disord 9:913-7. 2007..To examine the relationship of sleep disturbance with complicated grief (CG) in patients with bipolar disorder (BD)... - Treating complicated grief: effects on sleep qualityAnne Germain
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
Behav Sleep Med 4:152-63. 2006..Given that sleep disturbance is a risk factor for poor health outcomes, adjunctive sleep interventions may be necessary to enhance CGT outcomes... - Computerized adaptive measurement of depression: a simulation studyWilliam Gardner
Pediatrics, Children s Research Institute and Ohio State University, Columbus, OH, USA
BMC Psychiatry 4:13. 2004..We developed a computerized adaptive version of the Beck Depression Inventory (BDI). We examined its efficiency and its usefulness in identifying Major Depressive Episodes (MDE) and in measuring depression severity... - The epidemiology of panic attacks, panic disorder, and agoraphobia in the National Comorbidity Survey ReplicationRonald C Kessler
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
Arch Gen Psychiatry 63:415-24. 2006..Only limited information exists about the epidemiology of DSM-IV panic attacks (PAs) and panic disorder (PD)... - Predictors of complicated grief among dementia caregivers: a prospective study of bereavementRichard Schulz
University Center for Social and Urban Research, University of Pittsburgh, 121 University Place, Pittsburgh, PA 15260, USA
Am J Geriatr Psychiatry 14:650-8. 2006..This is the first study to prospectively assess predictors of complicated grief among family caregivers of patients with dementia who experience the death of their care recipient...
Research Grants
- Complicated Grief Treatment in Elderly AdultsM Katherine Shear; Fiscal Year: 2010..We hypothesize that CGT will produce a higher response rate and shorter time to response than IPT, and that responders will show significantly greater ..
- Complicated Grief Treatment in Elderly AdultsM Shear; Fiscal Year: 2009..We hypothesize that CGT will produce a higher response rate and shorter time to response than IPT, and that responders will show significantly greater ..
- TRAUMATIC GRIEF TREATMENT--A RANDOMIZED CONTROLLED STUDYM Shear; Fiscal Year: 2003..e., those with traumatic grief) and we have developed what appears to be an effective intervention for this treatment-resistant population. The time is propitious for a controlled study of the efficacy of Traumatic Grief Treatment. ..
- TREATMENT OF PANIC DISORDER LONG TERM STRATEGIESM Shear; Fiscal Year: 2003..These sites already have in place the trained and certified assessment and treatment personnel and rigorous monitoring procedures that are essential for the conduct of a study such as the one we propose. ..
- MULTI-CTR COMPARATIVE TREATMENT STUDY OF PANIC DISORDERM Shear; Fiscal Year: 1993..An additional goal will be to examine the implication of prior psychoactive substance abuse for treatment outcome as well as the utilization of substances as coping mechanisms for anxiety and panic...
- 1/4-Optimizing Treatment for Complicated GriefM KATHERINE contact SHEAR; Fiscal Year: 2010..We will explore mediator and moderator hypotheses to answer questions about how these treatments work and who might benefit most from each approach. Answers to these questions have important public health significance. ..