Binghamton
Anxiety Clinic Research
The staff of the Binghamton Anxiety Clinic are
committed to furthering knowledge of the nature and
treatment of anxiety disorders. The majority of our
efforts are dedicated to studying Social Phobia and
Obsessive-Compulsive Disorder. We are interested in
clarifying factors that contribute to the development
and maintenance of these anxiety disorders and to improving
the lives of individuals burdened by anxiety.
Our research on Social Phobia and Obsessive-Compulsive
Disorder broadly falls into three domains.
1. Research examining predictors of symptom changes/vulnerability
to anxiety
2. Research examining the role of information-processing
biases in anxiety
3. Research examining means to improve treatment for
anxiety disorders
Predictors of symptom changes/vulnerability
to anxiety: Currently, we are actively studying
factors that prospectively predict symptom changes
in OCD. Research on OCD has
generally emphasized treatment interventions and factors
that maintain the anxiety. However, very little research
has addressed potential psychosocial vulnerabilities
to OCD. An increased understanding of malleable risk
factors will benefit the development of prevention
programs. Therefore, our recent research has evaluated
cognitive theories of OCD regarding variables that
would predict prospective changes in OCD symptoms—including
particular beliefs and the occurrence of stressful
life events. We are also conducting research examining
the etiology of OCD-related beliefs, such as inflated
responsibility.
Information-processing biases in anxiety: Our
lab continues a strong tradition of examining the role
of information-processing
biases in anxiety. These biases include biases in interpretation,
attention, and memory. Dr. Coles’ work has addressed
the role of interpretation biases and memory biases
in the maintenance of Social Phobia and other anxiety
disorders. We have recently completed studies examining
the role of repeated checking in influencing memory
as it relates to OCD. We are also conducting a number
of studies examining processing of faces and emotional
expressions in Social Phobia. It is our belief that
a better understanding of the basic biases underlying
anxiety has great potential for improving treatment
interventions.
Improving treatment for anxiety disorders: Our clinic
provides detailed anxiety assessments and cognitive-behavioral
therapy to adults and children with OCD and Social
Phobia. We are encouraged by the substantial positive
changes that many clients achieve from cognitive-behavioral
therapy. However, we feel that there is room for improvement.
First, we are interested in studying methods to further
improve outcomes for individuals that receive treatment.
Second, we are interested in methods to increase the
number of patients that access cognitive-behavioral
treatment for Social Phobia and OCD. Along these lines,
we are conducting research on factors that influence
attendance of an initial evaluation appointment and
working to develop interventions to encourage attendance.
The facilities of the Binghamton Anxiety Clinic are
located in Clearview Hall on the campus of Binghamton
University, in Binghamton, NY. The clinic contains
approximately 1000 square feet of research and clinical
space. Our clinic contains three individual testing/clinical
rooms, a large conference/group therapy room, two large
workrooms, a waiting room, and two additional rooms
used for study and treatment of OCD (a kitchen and
full bathroom). Office spaces are also networked via
state-of-the-art computers.

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