Cognitive Behaviour Therapy最新文献_第3页

Evaluating the reliability and validity of the Questionnaire on Well-Being: a validation study for a clinically informed measurement of subjective well-being. 评估幸福感问卷的可靠性和有效性：对主观幸福感进行临床测量的验证研究。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-03-01 Epub Date: 2024-09-12 DOI: 10.1080/16506073.2024.2402992

Jón Ingi Hlynsson, Anders Sjöberg, Lars Ström, Per Carlbring

{"title":"Evaluating the reliability and validity of the Questionnaire on Well-Being: a validation study for a clinically informed measurement of subjective well-being.","authors":"Jón Ingi Hlynsson, Anders Sjöberg, Lars Ström, Per Carlbring","doi":"10.1080/16506073.2024.2402992","DOIUrl":"10.1080/16506073.2024.2402992","url":null,"abstract":"Researchers and clinicians are becoming increasingly aware of the importance of assessing positive functioning to inform clinical outcomes. This paper evaluates the Questionnaire on Well-Being (QWB, available for free https://doi.org/10.17605/OSF.IO/GSC3R), a clinically informed instrument that assesses subjective well-being, across two studies. Study One, consisting of treatment-seeking individuals in an assertiveness training sample (n = 495), explored the factorial structure of the QWB, assessed the four-week test-retest reliability, criterion-related validity, and identified a preliminary cutoff point for the QWB with clinical significance. Study Two, including participants from the general public (n = 1561), confirmed the factorial structure of the QWB and further evaluated criterion-related validity. The results provided support for a unidimensional structure for the QWB. Furthermore, the QWB exhibited excellent internal reliability (Cronbach's alpha = 0.93 and 0.94 in Study One and Two, respectively), high test-retest reliability (ICC3 = .50 at a four-week follow-up in Study One), and appropriate criterion-related validity demonstrating positive correlations with positive affect and negative correlations with psychopathology. Finally, a cutoff point on the QWB below 50 was associated with marked psychopathology. These findings provide preliminary support for the usage of the QWB in clinical and non-clinical settings, establishing the QWB as a reliable indicator of subjective well-being.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"208-230"},"PeriodicalIF":4.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The psychometric properties of the Mini Social Phobia Inventory in a treatment seeking sample of children and their caregivers. 在寻求治疗的儿童及其看护者样本中研究迷你社交恐惧症量表的心理测量特性。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-03-01 Epub Date: 2024-09-05 DOI: 10.1080/16506073.2024.2397673

Taylor Hathway, Lauren F McLellan, Blake F Dear, Nora Trompeter, Talia Carl, Viviana Wuthrich, Jennifer L Hudson, Ronald M Rapee

{"title":"The psychometric properties of the Mini Social Phobia Inventory in a treatment seeking sample of children and their caregivers.","authors":"Taylor Hathway, Lauren F McLellan, Blake F Dear, Nora Trompeter, Talia Carl, Viviana Wuthrich, Jennifer L Hudson, Ronald M Rapee","doi":"10.1080/16506073.2024.2397673","DOIUrl":"10.1080/16506073.2024.2397673","url":null,"abstract":"The Mini Social Phobia Inventory (Mini-SPIN) is a short 3-item measure of social anxiety disorder (SAD). Using existing data, the current study examined the psychometric properties of the Mini-SPIN using a large, treatment seeking sample of children aged 6-16 years with data available for youth (n = 695, 170) and their caregivers (n = 703, 177) at pre-treatment and follow-up, respectively. The ability of the Mini-SPIN to discriminate between those with and without SAD was examined at pre-treatment and 6-month follow-up, across caregiver and child report. The criterion group validity, internal consistency and construct validity of the measure was also examined. Results revealed that at pre-treatment the Mini-SPIN demonstrated good discriminant validity in detecting cases of SAD from non-SAD (with cut-off of 4 on child report, and 6 on caregiver report). At 6-month follow-up, the discriminant ability of the Mini-SPIN was found to be less than acceptable for child reported scores, but acceptable for caregiver reported scores. The Mini-SPIN further demonstrated good criterion group validity, internal consistency and construct validity across caregiver and child report. Overall, the findings from the current study lend further support for the use of the Mini-SPIN as a screening tool for SAD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"171-189"},"PeriodicalIF":4.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceived causal networks created using structured interviews: feasibility and reliability.

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-02-18 DOI: 10.1080/16506073.2025.2464637

E Kaariniemi, V Bosund, J Reichert, J Bjureberg, L Klintwall

{"title":"Perceived causal networks created using structured interviews: feasibility and reliability.","authors":"E Kaariniemi, V Bosund, J Reichert, J Bjureberg, L Klintwall","doi":"10.1080/16506073.2025.2464637","DOIUrl":"https://doi.org/10.1080/16506073.2025.2464637","url":null,"abstract":"The network approach to psychopathology postulates that it is more helpful to think of psychiatric problems to be caused by each other, rather than by underlying diseases. Personalized networks can be created using questionnaires asking participants about their perceptions of the causal links between symptoms, which is time-efficient but has shown low test-retest reliability. The present study explores whether perceptions of causal links can instead be assessed using interviews. The study investigates the feasibility, acceptability and test-retest reliability of such an interview format. 21 adolescents were interviewed twice within one week. Results showed an average test-retest reliability for node centrality of rs = .703 (SD = .148), and for causal links rs = .533 (SD = .198). A majority of participating adolescents rated the interview as easy to understand. On a group level, the node both most central and frequent was negative emotions. Future studies should evaluate the clinical utility of networks created in interviews, both in terms of face-validity and to guide clinicians in treatment choices.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-23"},"PeriodicalIF":4.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The relationship between perfectionism and treatment outcomes among people receiving internet-based cognitive behaviour therapy for Generalised Anxiety Disorder.

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-02-18 DOI: 10.1080/16506073.2025.2465737

S Tang, A Mahoney, K Dobinson, C T Shiner

{"title":"The relationship between perfectionism and treatment outcomes among people receiving internet-based cognitive behaviour therapy for Generalised Anxiety Disorder.","authors":"S Tang, A Mahoney, K Dobinson, C T Shiner","doi":"10.1080/16506073.2025.2465737","DOIUrl":"https://doi.org/10.1080/16506073.2025.2465737","url":null,"abstract":"Perfectionism is a transdiagnostic process associated with multiple mental health disorders. Perfectionism can moderate the effectiveness of Cognitive Behavioural Therapy (CBT) for depression, but it remains unclear whether perfectionism is associated with CBT outcomes for anxiety disorders. This study investigated the relationship between perfectionism, treatment outcomes and adherence for individuals seeking internet-based CBT (iCBT) for Generalised Anxiety Disorder (GAD). A total of 1,904 adults from the general Australian community commenced an iCBT GAD program and completed measures of perfectionism, generalised anxiety, depression and psychological distress at baseline, mid-treatment, and post-treatment. Regression analyses were used to examine relationships between baseline perfectionism, post-treatment symptom reductions and treatment completion. Baseline perfectionism was significantly associated with pre-treatment GAD symptom severity, but not treatment completion or reductions in GAD severity post-iCBT. Significant reductions in generalised anxiety symptom severity (Hedges' g = 1.32), depression symptoms (g = 0.97), distress (g = 1.34) and perfectionism (both striving and evaluative concerns, g = 0.49 and g = 0.37, respectively) were observed with treatment. These findings suggest that iCBT for GAD is effective in reducing perfectionism, despite not directly targeting this process. Given there was no significant relationship between baseline perfectionism and treatment outcomes, it may not be necessary to specifically target perfectionism when delivering iCBT for GAD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-15"},"PeriodicalIF":4.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Negative effects of psychotherapy and their differential association with long-term outcome: an observational study of an intensive day treatment program for depression.

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-02-18 DOI: 10.1080/16506073.2025.2464641

Svenja Sürig, Rachel Dale, Philipp Herzog, Sarah Glanert, Ulrike Grave, Nele Assmann, Bartosz Zurowski, Stefan Borgwardt, Jan Philipp Klein, Thomas Probst

{"title":"Negative effects of psychotherapy and their differential association with long-term outcome: an observational study of an intensive day treatment program for depression.","authors":"Svenja Sürig, Rachel Dale, Philipp Herzog, Sarah Glanert, Ulrike Grave, Nele Assmann, Bartosz Zurowski, Stefan Borgwardt, Jan Philipp Klein, Thomas Probst","doi":"10.1080/16506073.2025.2464641","DOIUrl":"https://doi.org/10.1080/16506073.2025.2464641","url":null,"abstract":"While most psychotherapy methods are about equally effective, it is unclear if (1) different methods of psychotherapy differ in the severity of negative effects, (2) negative effects impact outcome and (3) this impact is moderated by psychotherapy method. We analyzed data from an observational study of 141 patients from a day treatment program for depression. Based on shared decision-making, patients were treated with either Cognitive Behavioral Analysis System of Psychotherapy (CBASP) or Metacognitive Therapy (MCT). Negative effects were assessed with the Negative Effects Questionnaire (NEQ), severity of depressive symptoms with the Quick Inventory of Depressive Symptomatology (QIDS-SR). Treatment groups were propensity score matched to account for baseline differences. Severity of negative effects did not differ between CBASP and MCT. The association between negative effects and outcome was moderated by treatment method. For patients treated with CBASP, negative effects were associated with outcome: those experiencing the lowest severity of negative effects had the greatest improvement in symptoms during treatment. Treatments were equally tolerated but differed in their association between negative effects and outcome. Results need to be considered with caution due to the considerable drop-out rate during the follow-up period and the non-controlled nature of our study.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-11"},"PeriodicalIF":4.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Theoretic principles of rational emotive behavior therapy (REBT) and loneliness: a multinational replication of Hyland et al. (2019).

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-02-13 DOI: 10.1080/16506073.2025.2465760

Kory Floyd, Colter D Ray, Colin Hesse

{"title":"Theoretic principles of rational emotive behavior therapy (REBT) and loneliness: a multinational replication of Hyland et al. (2019).","authors":"Kory Floyd, Colter D Ray, Colin Hesse","doi":"10.1080/16506073.2025.2465760","DOIUrl":"https://doi.org/10.1080/16506073.2025.2465760","url":null,"abstract":"Loneliness has detrimental effects on physical and mental well-being, making relevant any systematic means of inhibiting its impact. Whereas interventions based on cognitive behavior therapies have shown efficacy, interventions based on Ellis's rational emotive behavior therapy (REBT) have not been systematically assessed. In 2019, Hyland et al. demonstrated that the REBT theoretic principles of psychopathology and psychological health significantly predict loneliness scores, providing an empirical justification for later intervention efforts. The Hyland et al. sample was small, with limited demographic and geographic diversity. This paper replicates the Hyland et al. analyses using a larger (N = 3,064) sample drawn from the United States, United Kingdom, Canada, Australia, and South Africa. The present results replicate Hyland et al.'s results for both the psychopathology and psychological health models, with minimal variation in model fit from country to country. Implications for the development of an REBT-based intervention to treat loneliness are discussed.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-19"},"PeriodicalIF":4.3,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perfectionism as a risk factor for psychopathology in a community sample of young women: disorder-specific pathways to disordered eating or obsessive-compulsive symptoms.

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-02-11 DOI: 10.1080/16506073.2025.2461472

Nathalie Claus, Barbara Cludius, Sarah J Egan, Roz Shafran, Thomas Ehring, Keisuke Takano, Karina Limburg

{"title":"Perfectionism as a risk factor for psychopathology in a community sample of young women: disorder-specific pathways to disordered eating or obsessive-compulsive symptoms.","authors":"Nathalie Claus, Barbara Cludius, Sarah J Egan, Roz Shafran, Thomas Ehring, Keisuke Takano, Karina Limburg","doi":"10.1080/16506073.2025.2461472","DOIUrl":"https://doi.org/10.1080/16506073.2025.2461472","url":null,"abstract":"Perfectionism has been suggested as a risk factor relevant to multiple psychological disorders, including obsessive-compulsive disorder (OCD) and eating disorders (ED). However, it remains unclear how perfectionism contributes to general and specific psychopathology. Disorder-specific processes (e.g. body dissatisfaction, responsibility) between perfectionism and subsequent symptoms may offer an explanation. The current study examined longitudinal associations between perfectionism, body dissatisfaction or responsibility, and symptoms of ED or OCD. A community sample of 499 women (18-30) completed a three-wave online study, assessing perfectionism, ED and OCD symptoms, body dissatisfaction, and responsibility/threat overestimation. Temporal relations between perfectionism and symptoms were analyzed using a structural equation model. Effects of body dissatisfaction and responsibility/threat overestimation were analyzed using multiple hierarchical regressions. Results showed that perfectionism predicted subsequent OCD symptoms, but not ED symptoms. ED symptoms, but not OCD symptoms, predicted subsequent perfectionism. No interaction effects between perfectionism and the disorder-specific processes were found. Instead, body dissatisfaction independently contributed to both ED and OCD symptoms, whereas inflated responsibility/threat overestimation predicted specifically OCD symptoms. To conclude, perfectionism appears to increase the risk of psychological symptoms. However, in this sample this was specific to OCD symptoms. Given ED symptoms predicted later perfectionism, bidirectional effects need to be considered.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-21"},"PeriodicalIF":4.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

To be or not to be satisfied in your romantic relationship: evaluating the reliability and validity of the Valentine scale.

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-02-10 DOI: 10.1080/16506073.2024.2420655

Jón Ingi Hlynsson, Ísak Örn Ívarsson, Gerhard Andersson, Per Carlbring

{"title":"To be or not to be satisfied in your romantic relationship: evaluating the reliability and validity of the Valentine scale.","authors":"Jón Ingi Hlynsson, Ísak Örn Ívarsson, Gerhard Andersson, Per Carlbring","doi":"10.1080/16506073.2024.2420655","DOIUrl":"https://doi.org/10.1080/16506073.2024.2420655","url":null,"abstract":"An intimate partner relationship is one of the most significant life goals for humans. Romantic relationships can promote healthy behavior and buffer against the development of psychiatric disorders. However, reliable and valid measures of relationship satisfaction are lacking. The Valentine scale is a freely available brief measure of relationship satisfaction (https://osf.io/fb72s), intended to provide an easily interpretable index of relationship satisfaction. Across two studies, we evaluated the reliability, validity, and factor structure of the Valentine scale. Study One (n = 851) explored the factor structure of the Valentine scale, assessed its test-retest reliability, and criterion-related validity. Study Two (n = 527) confirmed the factor structure of the Valentine scale, explored its measurement invariance, and further evaluated criterion-related validity. The results supported a unidimensional structure of the Valentine scale. Furthermore, the Valentine scale exhibited good internal reliability (Cronbach's alpha = .75 and .81 in Study One and Two, respectively), high test-retest reliability (ICC3 = .80 at a two-week follow-up in Study One), and appropriate criterion-related validity demonstrating positive correlations with other measures of relationship satisfaction and positive affect, as well as and negative correlations with measures of psychopathology. Together, these findings provide good support for the usage of the Valentine scale to quantify relationship satisfaction.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-25"},"PeriodicalIF":4.3,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preliminary effectiveness of the Bergen 4-day treatment for OCD in Iceland. 卑尔根 4 天疗法在冰岛治疗强迫症的初步效果。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-02-04 DOI: 10.1080/16506073.2025.2453722

Sóley Dröfn Davidsdottir, Ólafía Sigurjonsdottir, Sigurbjörg Jóna Ludvigsdottir, Gerd Kvale, Bjarne Hansen, Kristen Hagen, Ásmundur Gunnarsson, Kristján Helgi Hjartarson, Gudmundur Skarphedinsson, Lars-Göran Öst

{"title":"Preliminary effectiveness of the Bergen 4-day treatment for OCD in Iceland.","authors":"Sóley Dröfn Davidsdottir, Ólafía Sigurjonsdottir, Sigurbjörg Jóna Ludvigsdottir, Gerd Kvale, Bjarne Hansen, Kristen Hagen, Ásmundur Gunnarsson, Kristján Helgi Hjartarson, Gudmundur Skarphedinsson, Lars-Göran Öst","doi":"10.1080/16506073.2025.2453722","DOIUrl":"https://doi.org/10.1080/16506073.2025.2453722","url":null,"abstract":"The Bergen 4-day treatment (B4DT) for obsessive-compulsive disorder (OCD) is a concentrated form of exposure and response prevention that has been evaluated and implemented nationwide in Norway. Its effectiveness has yet to be fully established in other countries. A total of 86 patients with OCD underwent the treatment at the Icelandic Anxiety Centre (KMS) from 2018 to 2023. Of these, 61.6% were classified as having severe symptoms, and 38.4% with moderate symptoms. Of the sample, 72.1% had previously received psychological treatment for OCD and 86.0% had at least one comorbid disorder, depression being the most common (50.0%). Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was administered pre-treatment, posttreatment, and at 3-month follow-up, along with measures on general anxiety, depression, and occupational impairment. The mean score on Y-BOCS was 30.5 (SD = 3.6) pre-treatment, 10.6 (SD = 4.1) posttreatment and 10.9 (SD = 5.4) at 3-month follow-up. By the end of treatment, 94.9% of the patients had responded and 68.0% were in remission. At the 3-month follow-up, 92.5% were responders and 67.9% remitters. Participants were satisfied with the treatment and had improved in terms of occupational functioning, which was maintained at follow-up. These preliminary results suggest that the B4DT may be a swift and effective treatment format for OCD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-18"},"PeriodicalIF":4.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Benefits of the "worst-case scenario": a multi-level examination of the effects of confronting the feared outcome during imagery-based exposure.

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-01-30 DOI: 10.1080/16506073.2025.2456479

Sarah C Jessup, Thomas Armstrong, Catherine E Rast, Sarah E Woronko, Mitchell Jackson, Alexander L Anwyl-Irvine, Edwin S Dalmaijer, Bunmi O Olatunji

{"title":"Benefits of the \"worst-case scenario\": a multi-level examination of the effects of confronting the feared outcome during imagery-based exposure.","authors":"Sarah C Jessup, Thomas Armstrong, Catherine E Rast, Sarah E Woronko, Mitchell Jackson, Alexander L Anwyl-Irvine, Edwin S Dalmaijer, Bunmi O Olatunji","doi":"10.1080/16506073.2025.2456479","DOIUrl":"https://doi.org/10.1080/16506073.2025.2456479","url":null,"abstract":"Exposure therapy is an efficacious treatment for anxiety-related disorders. Yet, fear often returns after treatment. Occasional reinforcement, in which the feared stimulus is intermittently presented during extinction, increases safety learning and slows fear renewal in conditioning paradigms and analogue samples, but no studies to date have examined this strategy in clinical samples. The present study examined the effects of vicarious occasional reinforcement on fear renewal in a snake-phobic sample across multiple levels of analysis. Fear was intermittently reinforced by providing reminders of the feared outcome (a snake bite) throughout a two-session analogue video exposure manipulation. Snake-phobic adults were randomized to one of three conditions: a single-cue [S], multiple-cue [M], or multiple-cue+fear-outcome [M+FO] exposure group. Results showed the three groups did not significantly differ in threat expectancy or attentional bias for threat at follow-up. Despite sustained anxiety, however, the M+FO condition completed significantly more steps on a visual avoidance task at follow-up than the M and S conditions and heightened mean distress during exposure mediated this effect. The M and S groups did not significantly differ in visual avoidance at follow-up. These findings suggest incorporating reminders of the feared outcome into exposure may be an effective strategy for increasing inhibitory retrieval.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-20"},"PeriodicalIF":4.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0