Randi E McCabe

Randi E McCabe
McMaster University | McMaster · Department of Psychiatry and Behavioural Neurosciences

Ph.D.

About

195
Publications
64,851
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5,267
Citations
Additional affiliations
January 1999 - December 2012
McMaster University
January 1999 - December 2012

Publications

Publications (195)
Article
Objective: A recent clinical trial demonstrated that a group cognitive-behavioral therapy protocol for menopause (CBT-Meno; Green et al. Menopause 2019;26(9):972-980) was effective in reducing menopausal symptoms, including vasomotor and depressive symptoms. The current analyses evaluated the effectiveness of CBT-Meno in improving menopause-specif...
Article
Full-text available
Recent meta-analyses highlight alterations in cognitive functioning among individuals with major depressive disorder (MDD), with performance deficits observed across multiple cognitive domains including executive functioning, memory, and attention. Moreover, impaired concentration is a formal diagnostic criterion for a major depressive episode. Not...
Article
Generalized anxiety disorder (GAD) is one of the most common anxiety disorders in pregnancy and the postpartum (perinatal) period. Perinatal women with GAD engage in problematic behaviours, yet the focus and function of these behaviours remain unknown. Given that worry during the perinatal period is largely maternally focused, the objective of this...
Article
Full-text available
Healthcare workers (HCWs) and public safety personnel (PSP) across the globe have continued to face ethically and morally challenging situations during the COVID-19 pandemic that increase their risk for the development of moral distress (MD) and moral injury (MI). To date, however, the global circumstances that confer risk for MD and MI in these co...
Article
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With the publication of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, the American Psychiatric Association published several disorder-specific severity measures to support a dimensional approach to disorder classification. The Severity Measure for Specific Phobia – Adult (SMSP; Craske et al., 2013) was designed to provid...
Article
The perinatal period (pregnancy and the first-year postpartum) is a time of increased vulnerability to mental health difficulties including emotion dysregulation. Research conducted on treatments targeting emotion dysregulation during this time is limited. Dialectical behavioral therapy (DBT) skills groups are considered the gold standard for targe...
Article
Objective A recent randomized controlled trial of group cognitive behavior therapy (CBGT) for perinatal anxiety showed that CBGT is effective in reducing anxiety and depression in pregnant and postpartum women. In secondary analyses, the role of potential mechanisms of symptom change was examined, including intolerance of uncertainty (IU), self-ori...
Article
Full-text available
The COVID-19 pandemic has resulted in a still-unfolding series of novel, potentially traumatic moral and ethical challenges that place many healthcare workers at risk of developing moral injury. Moral injury is a type of psychological response that may arise when one transgresses or witnesses another transgress deeply held moral values, or when one...
Article
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The perinatal period is considered a window of vulnerability given the increased risk of psychiatric difficulties during this time, such as mood and anxiety disorders (ADs). Pre-pandemic rates of ADs in perinatal women were one in five but have since increased with the onset of the COVID-19 pandemic (COVID). In addition, recent research suggests th...
Article
Emotion dysregulation is conceptualized to be at the core of multiple psychopathological conditions and has gained a lot of attention as a construct in both research and clinical settings. Measuring emotion dysregulation proves to be difficult due to inconsistencies in the literature about the definition of emotion and emotion dysregulation. Likewi...
Article
The novel COVID pandemic has had a substantial impact on global mental health, including those populations that are inherently vulnerable such as pregnant and postpartum (perinatal) women. Anxiety disorders (ADs) are the most common mental health disorders during the perinatal period, affecting up to 1 in 5 women. However, since the onset of the pa...
Article
Background : Post-event processing (PEP) is an important maintenance factor of social anxiety disorder (SAD). This study examined psychometric properties of the Positive Beliefs about Post-Event Processing Questionnaire (PB-PEPQ; Fisak & Hammond, 2013), which measures metacognitive beliefs about PEP. Method : Participants receiving treatment for SA...
Article
Executive functions (EF) deficits are hypothesized to be a core contributor to hoarding symptoms. EF have been studied in adult hoarding populations, but studies in youth are lacking. The current study compared multiple EF subdomains between youth with obsessive-compulsive disorder (OCD) and youth with OCD and hoarding symptoms. Forty youth (8–18 y...
Article
Emotion regulation difficulties (difficulty regulating the experience, occurrence, and expression of emotions) are associated with the severity of posttraumatic stress disorder (PTSD) symptoms across trauma types (e.g., childhood abuse, sexual assault, combat trauma). Despite emerging research suggesting that evidence-based treatments for PTSD, inc...
Article
Study objectives: Sleep is one of the most common factors related to health, yet a standard definition of sleep quality has not been identified. Polysomnography (PSG) provides important information about objective sleep variables. However, the relationship between objective sleep variables and perception of sleep quality remains unclear. The purpo...
Article
This article describes the initial validation of the Diagnostic Assessment Research Tool (DART), a modular semistructured interview to facilitate diagnosis of various disorders among adults corresponding with the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). In this study, the construct, convergent, and discriminant va...
Article
Repugnant obsessions are a common theme of intrusions in obsessive-compulsive disorder and are typically ego-dystonic. Exposure and response prevention (ERP) is the first-line intervention and involves in vivo and/or imaginal exposures. Many therapists are however reluctant to conduct ERP and the reasons remain unclear. Similarly, little is known a...
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Full-text available
The primary objective of the study was to determine the sensitivity, specificity and accuracy, as well as positive predictive validity and negative predictive validity of the Diagnostic Assessment Research Tool (DART) Screener, a self-report screening questionnaire for identifying possible DSM-5 disorders. The design of the screening tool allows it...
Article
Objective: Telehealth is being increasingly incorporated into the delivery of mental health care and has received widespread attention during the COVID-19 pandemic for its ability to facilitate care during physical distancing restrictions. Videoconferencing is a common telehealth modality for delivering psychotherapy and has demonstrated similar o...
Article
Background : Emotion dysregulation (ED) has been implicated in anxiety disorders and may play an important role in perinatal anxiety Cognitive Behavioural Therapy (CBT) treatment outcomes although there is a dearth of research in this area. The current study investigated the role of ED in perinatal anxiety treatment outcome to determine whether it...
Article
Background Individuals with hoarding report stressful and traumatic life events at an elevated rate compared with those with obsessive‐compulsive disorder and healthy controls, but have not been compared with other clinical groups. This study compared rates of traumatic life events between those with clinically significant hoarding, anxiety disorde...
Article
Background Although numerous self-report measures of social anxiety exist, most instruments assess symptom severity by examining the range of social situations that provoke anxiety, rather than the distress and impairment associated with social anxiety. The Ryerson Social Anxiety Scales (RSAS; Lenton-Brym, A. P., Rogojanski, J., Hood, H. K., Vorste...
Chapter
This article reviews three approaches to assessment of psychological difficulties in adults. First, we review case formulation, which includes developing a comprehensive understanding of a client's presenting problems, precipitating factors, mechanisms, and the origins of the problem. Second, we review behavior analysis and assessment, used to gath...
Article
Generalized Anxiety Disorder (GAD) is the most frequently diagnosed anxiety disorder among women in the perinatal period (pregnancy to one year postpartum). Recent studies have examined the relationship between problematic behaviors and GAD symptoms. Studies in non-perinatal samples indicate that adults with GAD engage in avoidance and safety behav...
Article
Full-text available
Background Recent meta-analyses point towards cognitive impairments in obsessive-compulsive disorder (OCD), particularly in such executive function subdomains as planning and organization. Scant attention has focused on cognitive remediation strategies that may reduce cognitive dysfunction, with a possible corresponding decrease in symptoms of OCD....
Article
Objective: The literature on transdiagnostic psychotherapy among youths is limited. Group transdiagnostic behavior therapy (TBT) has been shown to be effective for adults with affective disorders and may contain beneficial features for youths (e.g., behavioral focus, group format, ease of dissemination, and diversity of targeted diagnoses). This s...
Article
Full-text available
Cognitive behavioural therapy (CBT) for Social Anxiety Disorder (SAD) is an effective intervention for SAD, however, many individuals with SAD remain symptomatic at the end of CBT. Therefore, it is important to understand variables that influence patients’ responses to treatment. The present study investigated temporal changes in SAD symptoms as re...
Article
Background: Extant self-report measures of social anxiety primarily assess the breadth of social situations in which respondents feel anxious, rather than assessing severity in terms of the distress and impairment that individuals experience due to their social anxiety symptoms. This paper describes the development and validation of the Ryerson Soc...
Article
Objective: Vasomotor symptoms (hot flashes, night sweats) are common during the menopausal transition. Pharmacotherapy is effective but is associated with health risks for some women. There is an increasing demand for non-pharmacological interventions. The CBT-Meno protocol is a psychological intervention targeting a range of common menopausal symp...
Article
Introduction: Obsessive-compulsive disorder (OCD) is a heterogeneous disorder, with multiple symptom presentations. Delineating the neuropsychological characteristics associated with previously identified symptom clusters may therefore be useful in assisting to better define symptom subtypes of OCD. Areas Covered: This review summarizes the existin...
Article
Intolerance of uncertainty (IU) is a dispositional characteristic wherein individuals interpret uncertainty in a negative fashion. No research has investigated the relationship between the IU subfactors, inhibitory (IU-I) and prospective (IU-P) IU, and symptoms of social anxiety disorder while utilizing a hybrid approach of symptom assessment. The...
Article
Major depressive disorder (MDD) is associated with information processing deficits across several cognitive domains. Two examples include biased reactivity (e.g., emotional arousal/reaction) to, and explicit (episodic) memory for, emotional information. Recent research suggests that, compared to healthy controls (HCs), acute depressive states may b...
Article
Background Up to one in five women meet diagnostic criteria for an anxiety disorder during the perinatal period (i.e. pregnancy and up to 1 year postpartum). While psychotropic medications are effective, they are associated with risks for mothers and babies. There is a growing demand for evidence-based non-pharmacological treatments for perinatal a...
Article
Prevalence of perinatal anxiety disorders continues to grow, with estimates greater than those of postpartum depression. Generalized anxiety disorder (GAD) is the most commonly reported perinatal anxiety disorder, yet very little is known about the worry content experienced during the perinatal period in those with GAD. This study investigated worr...
Article
Cognitive behavioural therapy (CBT) for problematic hoarding is an effective treatment, but further research in diverse, naturalistic settings is needed to see whether this treatment is effective across settings and in smaller doses. The current study investigated the outcome of a 12-session group CBT for hoarding offered in an outpatient hospital...
Article
Full-text available
We investigated the association between cognitive control and individual differences in cortisol response to stress in participants with generalised anxiety disorder (GAD) and in never-disordered controls (CTL). To assess cognitive control, participants completed an affective version of the reading span task, which measures working memory capacity...
Article
Objectives:The present study describes patterns of cannabis use, motives for use, and the relationship between cannabis use and problematic alcohol use in a large sample of individuals seeking treatment for anxiety and related disorders at a specialized outpatient clinic in a Canadian hospital.Methods:Seven hundred ninety-six participants (n = 308...
Article
Generalized anxiety disorder (GAD) is a prevalent and chronic mental disorder that elicits widespread functional impairment. Given the high degree of non-response/partial response among patients with GAD to available pharmacological treatments, there is a strong need for novel approaches that can optimize outcomes, and lead to medications that are...
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Background: Most systematic reviews have explored the efficacy of treatments on symptoms associated with post-traumatic stress disorder (PTSD), which is a chronic and often disabling condition. Previous network meta-analysis (NMA) had limitations such as focusing on pharmacological or psychotherapies. Our review is aims to explore the relative eff...
Article
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Background: Approximately half of all patients who undergo surgical repair of extremity fractures report persistent postsurgical pain (PPSP) at 1-year post-surgery. Psychological factors such as anxiety, depression, catastrophization, poor coping, high somatic complaints, and pessimism about recovery are risk factors for the development of PPSP. It...
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Background: Growing evidence suggests that generalized anxiety disorder (GAD) is associated with poor affective flexibility, defined as the ability to switch between emotional aspects and non-emotional aspects of a situation. However, it is unclear whether affective inflexibility is valence-specific in GAD. Methods: Participants with GAD (n = 21) a...
Article
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The Social Suspiciousness Scale (SSS) is a 24-item self-report questionnaire designed to assess suspiciousness, along with the associated constructs of anger and hostility, within a social context. The present research evaluated the psychometric properties of this newly developed scale. The sample consisted of outpatients with social anxiety disord...
Article
A growing body of literature suggests that obsessive-compulsive disorder (OCD) is a heterogeneous condition. The studies investigating symptom dimensions have been limited by numerous methodological differences and sample characteristics. The purpose of this study was to compare the two most commonly applied statistical techniques used in addressin...
Article
Although exposure and response prevention (ERP) is the first line psychological treatment for individuals with obsessive compulsive disorder (OCD), many people experience partial recovery and others refuse treatment or drop out. This randomized controlled study (n= 40) examined the effect of a three-session motivational interviewing (MI) interventi...
Article
Objective: To evaluate the effectiveness of cognitive behavioral therapy for menopausal symptoms (CBT-Meno) compared with a waitlist condition (no active intervention). A randomized controlled trial was conducted with 71 perimenopausal or postmenopausal women who were seeking treatment for menopausal symptoms. Methods: Blind assessments were con...
Article
Background The division of symptom themes into those related to incompleteness (INC) and those related to harm avoidance (HA) has been identified as an alternative to conventional subtyping. The aim of this study was to elucidate any potential differences between these two symptom themes based on neuropsychological task performance. Method: Partici...
Article
The purpose of the current study was to examine the cognitive and metacognitive constructs that conceptually relate to poor insight in obsessive-compulsive disorder (OCD). Associations between various dimensions of insight in OCD (e.g., clinical insight, conviction in one's beliefs) and cognitive and metacognitive variables (e.g., cognitive insight...
Article
Full-text available
Despite an abundance of self-report measures that screen for the presence of specific phobias, there is a lack of comprehensive, well-validated screening tools for identifying a wide range of fears based on DSM-5 specific phobia types. The current paper reports on the psychometric properties and clinical utility of the Specific Phobia Questionnaire...
Article
Full-text available
The Children’s Saving Inventory (CSI) was introduced in 2011 and is the first parent-rated questionnaire specifically designed to measure the severity of hoarding symptoms in youth. To date, however, no replication studies of the CSI have been published. Additionally, the total CSI score includes several items measuring acquisition, a behavioural d...
Preprint
BACKGROUND The study of seasonal patterns of public interest in psychiatric disorders has important theoretical and practical implications for service planning and delivery. The recent explosion of Internet searches suggests that mining search databases yields unique information on public interest in mental health disorders—a significantly more aff...
Article
Background The study of seasonal patterns of public interest in psychiatric disorders has important theoretical and practical implications for service planning and delivery. The recent explosion of internet searches suggests that mining search databases yields unique information on public interest in mental health disorders, which is a significantl...
Article
Background: Persistent post-surgical pain and associated disability are common after a traumatic fracture repair. Preliminary evidence suggests that patients' beliefs and perceptions may influence their prognosis. Methods: We used data from the Fluid Lavage of Open Wounds trial to determine, in 1560 open fracture patients undergoing surgical rep...
Article
Background: Transdiagnostic psychotherapies are designed to apply the same underlying treatment principles across a set of psychiatric disorders, without significant tailoring to specific diagnoses. Several transdiagnostic psychotherapy protocols have been developed recently, each of which has its own strengths and weaknesses. One promising treatm...
Article
Repeatedly questioning others about perceived threats, or excessive reassurance seeking (ERS), occurs across various psychiatric disorders, including obsessive-compulsive disorder (OCD; Parrish 2009). Three ERS domains have been consistently identified: ERS in response to general, decision-related, and social threats. We sought to examine whether (...
Article
In one of the few studies examining working memory processes in social anxiety disorder (SAD), Amir and Bomyea (2011) recruited participants with and without SAD to complete a working memory span task with neutral and social threat words. Those with SAD showed better working memory performance for social threat words compared to neutral words, sugg...
Chapter
Specific phobia and social anxiety disorder (SAD) share a number of features, but the focus of fear distinguishes between these anxiety disorders. In specific phobia, the excessive fear is focused on a particular situation or object, whereas in SAD, it is focused on one or more social and performance situations in which the individual fears acting...
Article
Full-text available
Preferences for the delivery of department-led mentorship programs are important to understanding and closing the gap between mentorship need and mentorship actualization. The objective of this paper is to, therefore, describe the perceived needs and barriers to mentorship in a postgraduate psychiatry program through separate mixed-methods surveys...
Article
Background Depression and anxiety have overlapping etiologies and their pathophysiology remains largely unknown. Accumulating data suggest that gut microbiota modulates brain function and behaviour and may play a role in the pathophysiology of depression and anxiety Aims To investigate whether gut microbiota from patients with Generalized Anxiety...
Article
Background Persistent post-surgical pain affects 10–80% of individuals after common operations, and is more common among patients with psychological factors such as depression, anxiety, or catastrophising. Methods We conducted a systematic review and meta-analysis of randomised, controlled trials to evaluate the efficacy of perioperative psychothe...
Article
Adults' recollections of how often they were teased as children are positively associated with their social anxiety symptoms. It has therefore been suggested that childhood teasing may play a role in the development of social anxiety disorder (SAD). However, existing studies have not determined whether adults with SAD were actually teased more as c...