Cognitive Restructuring Before Versus After Exposure: Effect on Expectancy and Outcome in Individuals With Claustrophobia.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Behavior Modification Pub Date : 2022-11-01 Epub Date: 2022-02-12 DOI:10.1177/01454455221075754

Kirstyn L Krause, Naomi Koerner, Martin M Antony

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引用次数: 2

Abstract

Maximizing the discrepancy between expected and actual outcomes during exposure (i.e., expectancy violation) is thought to optimize inhibitory learning. The current study examined Craske et al.'s suggestion that engaging in cognitive restructuring (CR) before exposure prematurely reduces expectancy and mitigates outcomes. Participants (N = 93) with claustrophobia were randomly assigned to either 15 minutes of CR before exposure (CR Before) or 15 minutes of CR after exposure (CR After). Although the CR Before condition experienced greater expectancy reduction before exposure than the CR After condition, both groups experienced similar overall expectancy reduction by the end of the intervention. Groups experienced similar gains, with large significant improvement at posttreatment and follow-up. Results suggest that both cognitive therapy and exposure therapy lead to expectancy reduction, but that the order of these interventions does not impact outcome. Clinicaltrials.org registration #NCT03628105.

Abstract Image

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幽闭恐惧症患者暴露前后的认知重构:对预期和结果的影响。

在暴露过程中，最大化预期结果与实际结果之间的差异(即期望违反)被认为可以优化抑制性学习。目前的研究检验了Craske等人的建议，即在过早暴露之前进行认知重构(CR)会降低预期并减轻结果。有幽闭恐惧症的参与者(N = 93)被随机分配到暴露前15分钟的CR (CR before)或暴露后15分钟的CR (CR after)。尽管暴露前的CR组比暴露后的CR组经历了更大的期望降低，但两组在干预结束时都经历了相似的总体期望降低。各组均有类似的收获，在治疗后和随访中均有显著改善。结果表明，认知疗法和暴露疗法都会导致预期降低，但这些干预措施的顺序不会影响结果。Clinicaltrials.org注册#NCT03628105。

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来源期刊

Behavior Modification PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： For two decades, researchers and practitioners have turned to Behavior Modification for current scholarship on applied behavior modification. Starting in 1995, in addition to keeping you informed on assessment and modification techniques relevant to psychiatric, clinical, education, and rehabilitation settings, Behavior Modification revised and expanded its focus to include treatment manuals and program descriptions. With these features you can follow the process of clinical research and see how it can be applied to your own work. And, with Behavior Modification, successful clinical and administrative experts have an outlet for sharing their solutions in the field.