Research Topics
| G J DiefenbachSummaryAffiliation: Hartford Hospital Country: USA Publications
Research Grants
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Detail Information
Publications
Impairments in life quality among clients in geriatric home care: associations with depressive and anxiety symptomsGretchen J Diefenbach
Anxiety Disorders Center, The Institute of Living Hartford Hospital, Hartford, CT, USA
Int J Geriatr Psychiatry 27:828-35. 2012..The aim of this study was to determine the independent contributions of depressive and anxiety symptoms to quality of life among older adults who were receiving services through a home care program...- 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... 
The association between self-reported anxiety symptoms and suicidalityGretchen J Diefenbach
Anxiety Disorders Center, Institute of Living Hartford Hospital, Hartford, CT 06106, USA
J Nerv Ment Dis 197:92-7. 2009..A single item, self-report may be a useful screening tool for symptoms that are pertinent to assessment of suicide risk...- Anxious depression among Puerto Rican and African-American older adultsGretchen J Diefenbach
Institute of Living, Hartford, CT, USA
Aging Ment Health 13:118-26. 2009..To determine racial/ethnic differences in the prevalence and impact of anxious depression (i.e. major depressive disorder, MDD, occurring concomitant with generalized anxiety symptoms) among older adults... - Clinical interventions for late-life anxious depressionGretchen J Diefenbach
Anxiety Disorders Center, Hartford Hospital, Institute of Living, Hartford, CT 06106, USA
Clin Interv Aging 1:41-50. 2006..Psychosocial interventions may also be an important component in the treatment of these patients, although no specific psychosocial treatments have been developed for late-life anxious depression... 
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...- 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... - 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... - 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... - Affective correlates of trichotillomaniaG J Diefenbach
Department of Psychiatry and Behavioral Sciences, Mental Sciences Institute, University of Texas Houston Medical School, Houston, TX, USA
Behav Res Ther 40:1305-15. 2002..Implications of these findings for conceptualization and treatment of TM are discussed... - Cognitive-behavior therapy for late-life generalized anxiety disorder in primary care: preliminary findingsMelinda A Stanley
Department of Psychiatry and Behavioral Sciences, University of Texas Houston Medical School 77030 3496, USA
Am J Geriatr Psychiatry 11:92-6. 2003.... - 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... - 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.... - 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... - 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... - 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... - 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... - 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... - 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... - Cognitive-behavioral treatment of late-life generalized anxiety disorderMelinda A Stanley
Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, 77030, USA
J Consult Clin Psychol 71:309-19. 2003..Most gains for patients in CBT were maintained or enhanced over 1-year follow-up. However, posttreatment scores for patients in CBT failed to indicate return to normative functioning... - 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... - Cognitive behavioral treatment for older adults with generalized anxiety disorder. A therapist manual for primary care settingsMelinda A Stanley
Department of Psychiatry and Behavioral Sciences, University of Texas Houston Medical School, 1300 Moursund Dr, Houston, TX 77030 3496, USA
Behav Modif 28:73-117. 2004..Procedures are designed to be administered flexibly to maximize attention to individual patient needs. Examples of session summaries, patient handouts, and homework forms are provided... - Worry content reported by older adults with and without generalized anxiety disorderG J Diefenbach
Department of Psychiatry and Behavioral Sciences, University of Texas, Houston Medical School, 1300 Moursund St, Houston, TX 77030 3497, USA
Aging Ment Health 5:269-74. 2001..Directions for future research of worry across the lifespan are proposed... - 'Minor GAD': characteristics of subsyndromal GAD in older adultsGretchen J Diefenbach
Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School, 1300 Moursund Street, 77030, USA
Behav Res Ther 41:481-7. 2003..Categorization of MGAD participants generally was poor, with most misclassified as GAD patients. Clinical implications of these findings are discussed... - Differentiating anxiety and depression in older adults with generalized anxiety disorderJ Gayle Beck
Department of Psychology, University at Buffalo, State University of New York, Park Hall, Buffalo, New York 14260, USA
Psychol Assess 15:184-92. 2003..Hierarchical regression suggested that the CCL-D subscale was a significant predictor of self-reported depression...
Research Grants
- Screening for GAD among Frail ElderlyGretchen Diefenbach; Fiscal Year: 2006..The R03 will provide pilot data to support a subsequent R34 to develop and pilot test a cognitive behavioral treatment for use within the community-based program. ..