Paradigms and Practice Shifts: A Topical Narrative Review of the Evolving Face of Exposure-Based Treatment for Youth

IF 0.3 Q4 PSYCHIATRY
Robert D. Friedberg, Megan Neelley, Tia Lee, Runze Chen, Isabella Xie, Joe Zucker, Alanna Greenberger
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引用次数: 0

Abstract

Exposure therapy is the gold standard treatment for anxiety and obsessivecompulsive disorders in children, adolescents, and adults. Inhibitory Learning Theory offers a nuanced and advanced perspective on exposure treatment positing that violating threat expectancies is more important than habituation. This paper highlights the effectiveness of inhibitory learning theory-guided exposure procedures for youth with anxiety and OCD, chronic pain, and eating disorders. A topical review focusing on the theoretical foundations of inhibitory learning theory, crucial augmentations of the approach, and outcomes with pediatric patients diagnosed with anxiety, eating, and pain disorders is presented. The literature review indicated that inhibitory learning theory-driven exposure produced beneficent outcomes in the identified populations. Various limitations and future directions were discussed. Limitations notwithstanding, inhibitory learning theory-led exposure represents a viable treatment option for pediatric patients with anxiety, eating, and chronic pain disorders.
范式与实践转变:对青少年暴露疗法演变的专题叙述回顾
暴露疗法是治疗儿童、青少年和成人焦虑症和强迫症的金标准疗法。抑制性学习理论(Inhibitory Learning Theory)为暴露疗法提供了一个微妙而先进的视角,认为违反威胁预期比习惯化更为重要。本文强调了抑制性学习理论指导下的暴露程序对患有焦虑症、OCD、慢性疼痛和饮食失调症的青少年的有效性。本文对抑制性学习理论的理论基础、该方法的关键增强因素以及被诊断为焦虑症、进食障碍和疼痛障碍的儿科患者的治疗效果进行了专题综述。文献综述表明,抑制性学习理论驱动的暴露疗法在确定的人群中产生了有益的结果。文中还讨论了各种局限性和未来发展方向。尽管存在局限性,但抑制性学习理论引导的暴露疗法对于患有焦虑症、进食障碍和慢性疼痛障碍的儿科患者来说是一种可行的治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Psychiatry Research and Reviews
Current Psychiatry Research and Reviews Medicine-Psychiatry and Mental Health
CiteScore
0.60
自引率
0.00%
发文量
51
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