Rory Wallace , Cameron Lacey , Rebecca J. Sargisson
{"title":"Can a virtual reality exposure therapy app improve symptoms of Emetophobia? A single-subject Experimental design study","authors":"Rory Wallace , Cameron Lacey , Rebecca J. Sargisson","doi":"10.1016/j.jbtep.2025.102056","DOIUrl":"10.1016/j.jbtep.2025.102056","url":null,"abstract":"<div><div>Emetophobia (fear of vomiting) is an understudied disorder that affects .2 % of people, with extreme (non-phobic) fear affecting up to 8 % of people. The most effective treatment for specific phobias is exposure therapy, and virtual reality exposure therapy (VRET), has become a viable treatment alternative to traditional in-vivo or imaginal exposure therapy. However, using VRET to treat emetophobia has not yet been explored. We used a within-subjects, multiple-baseline-across-participants design with six participants to evaluate the emetophobia programme of oVRcome; a low-cost, Aotearoa New Zealand-based VRET app. After using the oVRcome VRET app, we saw visible improvements in self-reported phobia symptoms for four of the six participants (P2, P4, P5, and P6). For half the participants (P4, P5, and P6), the reported decreases were large, with two participants scoring below the threshold for a likely phobia diagnosis. The emetophobia programme of the oVRcome VRET app may be effective at reducing emetophobia severity, and our results support research showing eHealth apps can be a low-cost and effective treatment for a range of psychological issues.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"89 ","pages":"Article 102056"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marit Hidding , Wim Veling , Gerdina H.M. Pijnenborg , Elisabeth C.D. van der Stouwe
{"title":"Facing your inner critic: a randomized controlled trial investigating a virtual reality intervention with and without a perspective change for excessive self-criticism","authors":"Marit Hidding , Wim Veling , Gerdina H.M. Pijnenborg , Elisabeth C.D. van der Stouwe","doi":"10.1016/j.jbtep.2025.102053","DOIUrl":"10.1016/j.jbtep.2025.102053","url":null,"abstract":"<div><h3>Objectives</h3><div>Excessive self-criticism has been associated with several psychiatric disorders, as well as poorer therapeutic outcomes. Compassion-based therapies are time-consuming and can be challenging because of the use of mental imagery. Virtual Reality interventions enable concrete visual representations and may be more efficient. We investigated a single-session VR intervention, based on chair dialogue exercises from schema therapy, for self-criticism and self-compassion. Furthermore, the additional effect of the novel VR technique perspective change was assessed.</div></div><div><h3>Design</h3><div>Undergraduate students (n = 68) with high levels of self-criticism were randomized to either the intervention with or without an additional perspective change. Pre- and post-measures consisted of self-report questionnaires on self-compassion, self-criticism, negative and positive affect.</div></div><div><h3>Methods</h3><div>Participants underwent the single-session VR intervention where they had to respond assertively towards an avatar who expressed the participant's own excessive self-criticism. The perspective change consisted of a change to third person perspective.</div></div><div><h3>Results</h3><div>The VR intervention significantly decreased self-criticism and negative affect and increased self-compassion for both conditions directly after the session. No additional effect was found for the perspective change.</div></div><div><h3>Conclusions</h3><div>This was the first study to apply VR within a schema therapy exercise. Positive effects indicate the potential of VR schema therapy for individuals with excessive self-criticism in clinical practice.</div></div><div><h3>Trial registration</h3><div>The trial was registered retrospectively at <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> (Trial ID: NCT05887141).</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"89 ","pages":"Article 102053"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victoria M.E. Bridgland , Ella K. Moeck , Melanie K.T. Takarangi
{"title":"“I'm always curious”: Tracking young adults exposure and responses to social media trigger warnings in daily life","authors":"Victoria M.E. Bridgland , Ella K. Moeck , Melanie K.T. Takarangi","doi":"10.1016/j.jbtep.2025.102040","DOIUrl":"10.1016/j.jbtep.2025.102040","url":null,"abstract":"<div><div>Trigger warnings are alerts that intend to help people emotionally prepare for, or avoid, potentially distressing material likely to trigger memories or emotions related to past experiences. Lab studies suggest that warnings overwhelmingly result in approach behaviour rather than avoidance. However, no research to date has tracked exposure and responses to trigger warnings in <em>daily life.</em> Here 261 young adults (aged 17–25) completed a 7-day daily diary study in which they tracked exposure to trigger warnings on social media and reported if they approached or avoided the content marked by the warnings. Because trigger warnings are intended for use by certain groups of vulnerable people (e.g., trauma survivors/people with mental health concerns), we also measured various psychopathological characteristics (posttraumatic stress disorder [PTSD] symptoms, trauma exposure, etc.). Consistent with lab-based studies, we found that most people (∼90 %) reported approaching content marked by a trigger warning, and most commonly did so out of “curiosity”. Moreover, only ∼10 % of participants reported always avoiding content marked by a trigger warning when they saw it—signalling a tendency to approach warned material in the real world. We also found no relationship between self-reported avoidance of content marked with trigger warnings that was encountered in daily life and any mental health risk marker (e.g., PTSD symptoms, trauma exposure). Our findings therefore further question claims that trigger warnings are an effective online mental health intervention.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"89 ","pages":"Article 102040"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychopathic meanness is associated with fewer over-mentalizing errors","authors":"Steven M. Gillespie , Ahmad M. Abu-Akel","doi":"10.1016/j.jbtep.2025.102054","DOIUrl":"10.1016/j.jbtep.2025.102054","url":null,"abstract":"<div><div>In many of the tests used to investigate the relationship of psychopathic traits with theory of mind task perfromance, the nature of any mentalizing errors is unclear, and performance could reflect a tendency towards either under-mentalizing or over-mentalizing. In this study, a sample of 92 healthy adult participants completed a measure of psychopathic traits and the Movie for the Assessment of Social Cognition (MASC). The MASC not only assesses mentalizing about cognitive and affective mental states but also measures the proportion of under-versus over-mentalizing errors. Psychopathic meanness, but not boldness or disinhibition, was associated with better overall mentalizing, better cognitive mentalizing, and fewer over-mentalizing errors. Our findings are discussed in the context of using a consistent and well-defined operationalization of mentalizing and the importance of assessing the tendency toward under- or over-mentalizing errors to better understand the nature of theory of mind task performance in relation to distinct psychopathic traits.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"89 ","pages":"Article 102054"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa Zöbl , Anika Frühauf , Alexander Heimbeck , Ulrich Voderholzer , Martin Kopp
{"title":"Therapeutic climbing as an adjunctive treatment for psychiatric inpatients: A qualitative study","authors":"Lisa Zöbl , Anika Frühauf , Alexander Heimbeck , Ulrich Voderholzer , Martin Kopp","doi":"10.1016/j.jbtep.2025.102058","DOIUrl":"10.1016/j.jbtep.2025.102058","url":null,"abstract":"<div><h3>Background</h3><div>Therapeutic climbing (TC) is increasingly used as a therapy form in psychosomatic settings. Recent studies have shown its effectiveness in terms of symptom severity and other psychological factors compared to other sports and even to group cognitive behavioural therapy. To gain a deeper understanding of TC, the present study aimed to qualitatively explore the patients' perspectives.</div></div><div><h3>Methodology</h3><div>The qualitative study used semi-structured interviews to explore the experiences of inpatients at a psychosomatic clinic who participated in a standardised climbing therapy group. The main diagnoses of the participants were depression, anxiety, or obsessive-compulsive disorder (n = 17; 12 female, 5 male). Data were analysed using thematic content analysis.</div></div><div><h3>Results</h3><div>Most patients described positive effects of TC. The following four factors emerged: Cognitive (e.g. concentration, focus), emotional (e.g. trust in oneself and others), social (e.g. mutual support), and physical (e.g. strength). Patients also reported positive perceived aspects in connection with their mental disorder and listed various transfer options, which indicates an effectiveness beyond TC.</div></div><div><h3>Discussion</h3><div>From the patients' perspective, TC influences various factors, which also interact. Many of the identified effects could be assigned to the common factors of psychotherapy, which indicates that TC addresses similar factors as established psychotherapies. In addition to the researched aspects of self-efficacy and affective responses, new aspects were identified: Focus and concentration, social interaction, facing challenges, improved self-confidence, trust in others, and resource activation. Practical implications could be derived from this. Future studies should investigate the efficacy of TC in randomised, controlled clinical trials, considering the aspects identified.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"89 ","pages":"Article 102058"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlie W. McDonald, Richard E. Mattson, Fiona G. Sleight, Steven J. Lynn, Christina Balderrama-Durbin, Meredith E. Coles
{"title":"Using an ecologically generalizable virtual reality (VR) paradigm for studying state dissociation and etiological models of clinically-significant dissociation","authors":"Charlie W. McDonald, Richard E. Mattson, Fiona G. Sleight, Steven J. Lynn, Christina Balderrama-Durbin, Meredith E. Coles","doi":"10.1016/j.jbtep.2025.102051","DOIUrl":"10.1016/j.jbtep.2025.102051","url":null,"abstract":"<div><div>Few studies have directly compared variables implicated in the etiology of dissociation within an experimental paradigm. Virtual reality (VR) has recently received empirical support as a vehicle for experimentally manipulating state dissociation to test these etiological models. We conducted a study to induce state dissociation to examine key variables in the etiology of dissociation (e.g., trauma experiences). First, participants completed demographic information and baseline measures of state and trait dissociation, positive and negative affect, and a set of theoretically important variables within the transdiagnostic and transtheoretical model (TTM; e.g., emotional dysregulation). Next, they were randomized to a VR or personal computer (PC) condition, in which they navigated a virtual cityscape for 15 minutes, followed by another set of questionnaires to capture change in state dissociation and positive and negative affect. We evaluated (a) residualized change scores for state dissociation and positive and negative affect; and (b) explored associations between variables in the TTM and these outcomes. Findings revealed that (a) VR did significantly increase state dissociation when controlling for trait dissociation; (b) positive but not negative affect increased in the VR condition from pre-to post-induction; and (c) variables in the TTM were correlated with pre- and post-induction scores of state dissociation, but these associations were not stronger in the VR condition compared to the PC condition. Combined, these findings suggest that VR is an effective laboratory paradigm for increasing state dissociation and positive affect. Furthermore, several proposed etiological variables in the TTM do relate to and explain state dissociation as hypothesized.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"89 ","pages":"Article 102051"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elham Monaghesh , Sara Farhang , Taha Samad-Soltani
{"title":"Virtual reality assisted cognitive behavioral therapy improves theory of mind and decreases paranoia in patients with schizophrenia: a randomized controlled trial","authors":"Elham Monaghesh , Sara Farhang , Taha Samad-Soltani","doi":"10.1016/j.jbtep.2025.102055","DOIUrl":"10.1016/j.jbtep.2025.102055","url":null,"abstract":"<div><h3>Introduction</h3><div>patients with schizophrenia have deficits in social cognition and functioning. Virtual reality is a 3D real-world simulation created by a computer. Virtual reality-based cognitive behavioral therapy might increase effectiveness and acceptability of treatment for these patients. This study investigated the efficacy of VR-CBT compared to traditional CBT in improving these outcomes in patients with recent-onset schizophrenia.</div></div><div><h3>Methods</h3><div>In this open-label, randomized controlled trial, 60 patients with schizophrenia (36 men, 24 women) were randomized to receive either four sessions of VR-CBT or traditional CBT, in addition to pharmacological treatment. The VR environment simulated a bus trip with 11 neutral-faced avatars. Outcomes were assessed using the Positive and Negative Syndrome Scale (PANSS; positive symptom subscale), the Green Paranoid Thoughts Scale (GPTS), and the Reading the Mind in the Eyes Test (Eyes Test) at baseline and post-treatment. Data were analyzed using repeated measures ANOVA.</div></div><div><h3>Results</h3><div>Both groups showed significant improvements in all measures (p < 0.05). However, the VR-CBT group demonstrated significantly greater reductions in PANSS (p < 0.001) and GPTS scores (p < 0.001), and a significantly greater increase in Eyes Test scores (p < 0.002) compared to the CBT group. No adverse effects were reported.</div></div><div><h3>Conclusion</h3><div>VR-CBT appears to be a promising adjunct to standard treatment for recent-onset schizophrenia, offering superior improvements in positive symptoms, paranoia, and ToM compared to traditional CBT. Further research is warranted to examine the long-term effects and underlying mechanisms of VR-CBT in this population.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"89 ","pages":"Article 102055"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laurel D. Sarfan, Anne E. Milner, Sondra Tiab, Diya Tuli, Allison G. Harvey
{"title":"Let's kick that habit: An experiment of five habit-change strategies on habits and symptoms among adults with sleep problems","authors":"Laurel D. Sarfan, Anne E. Milner, Sondra Tiab, Diya Tuli, Allison G. Harvey","doi":"10.1016/j.jbtep.2025.102049","DOIUrl":"10.1016/j.jbtep.2025.102049","url":null,"abstract":"<div><div>Habits are underexplored in research on evidence-based psychological treatments (EBPTs). We recruited participants (<em>N</em> = 286) with sleep problems via Mechanical Turk for an experiment to shift wake-up habits, a key target of EBPTs for sleep problems. Participants were randomly assigned to a control (i.e., psychoeducation about healthy wake-up habits) or one of five active habit-change strategies: substitution with RISE UP, awareness training, vigilant monitoring, implementation intentions, and values. New and old wake-up habit strength, sleep disruption, and sleep-related impairment were assessed at baseline, six-week follow-up, and three-month follow-up. Aim 1 tested within- and between-condition change in the outcomes. Aim 2 tested whether change in wake-up habit strength predicted improvements in sleep disruption and sleep-related impairment. Except the values condition, all habit-change strategies and the control were significantly associated with within-condition improvements at 6-week follow-up and 3-month follow-up in: new habit strength (<em>d</em> = 0.81 to 1.68), old habit strength (<em>d</em> = −0.63 to −1.04), sleep disruption (<em>d</em> = −0.97 to −1.98), and sleep-related impairment (<em>d</em> = −0.60 to −1.65). Few differences between conditions emerged. Across conditions, more than 50% of participants met thresholds for clinically meaningful improvement, except the values condition at 3-month follow-up. Change in new and old habit strength significantly predicted change in sleep problems. Key limitations included: an exclusively online study design, dropout rate, and sample collected via Mechanical Turk using self-report measures without formal assessment of sleep diagnoses. Future research should investigate the clinical presentations and EBPT skills for which these habit-change strategies are most effective.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"89 ","pages":"Article 102049"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eka Susanty , Marit Sijbrandij , Denise J. van der Mee , Wilis Srisayekti , Yusep Suparman , Anja C. Huizink
{"title":"Stress and stress reactivity in posttraumatic stress disorder (PTSD) following eye movement desensitization (EMD): A randomized controlled trial","authors":"Eka Susanty , Marit Sijbrandij , Denise J. van der Mee , Wilis Srisayekti , Yusep Suparman , Anja C. Huizink","doi":"10.1016/j.jbtep.2025.102052","DOIUrl":"10.1016/j.jbtep.2025.102052","url":null,"abstract":"<div><h3>Background and objectives</h3><div>People with posttraumatic stress disorder (PTSD) may experience heightened stress reactivity. Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based treatment involving eye movements while retrieving memories. We evaluated if EMD participants had less stress reactivity than retrieval-only participants after personal trauma scripts. We also investigated changes in daily cortisol levels related to treatment outcomes.</div></div><div><h3>Methodology</h3><div>PTSD participants (N = 91) were randomly assigned to EMD (N = 47) or retrieval-only conditions (N = 44). Baseline and post-treatment data were collected and measured using Heart rate variability (HRV), heart rate (HR), pre-ejection period (PEP), and cortisol levels (AUC; the area under the curve, and CAR; the cortisol awakening response). We conducted a linear mixed model to analyze the main outcomes.</div></div><div><h3>Results</h3><div>No difference between EMD and retrieval-only in the reduction of stress reactivity and acceleration of recovery over time. Both groups showed that HR and PEP reactivity to the trauma script decreased significantly after treatment. In contrast, only EMD group experienced an acceleration of HR recovery in response to trauma scripts following treatment. Cortisol measures showed an inconsistent pattern, with a higher CAR in retrieval-only after treatment compared to EMD. However, no significant difference was found between groups in terms of AUC levels after treatment.</div></div><div><h3>Limitation</h3><div>The precision of measuring and analyzing saliva samples is highly dependent on the participant's adherence to the schedule.</div></div><div><h3>Conclusion</h3><div>No specific benefits for eye movements was found in the current study. Both EMDR and retrieval-only can reduce stress reactivity in treating PTSD.</div></div><div><h3>Clinical trial registration</h3><div>[<span><span>www.ClinicalTrials.gov</span><svg><path></path></svg></span>], identifier [ISRCTN55239132].</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"89 ","pages":"Article 102052"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Can attentional biases predict outcome of CBT in children with social anxiety disorder?","authors":"Steffen Schmidtendorf , Julia Asbrand , Brunna Tuschen-Caffier , Nina Heinrichs","doi":"10.1016/j.jbtep.2025.102029","DOIUrl":"10.1016/j.jbtep.2025.102029","url":null,"abstract":"<div><h3>Background</h3><div>Many studies have investigated differences in attention allocation to threat between socially anxious individuals and healthy controls in adult and child samples. The extent to which differences exist within the group of socially anxious individuals and whether these have a predictive value for the extent of symptom reduction after cognitive-behavioral therapy (CBT) has been studied less until to date and yielded inconsistent findings, particularly in child samples.</div></div><div><h3>Methods</h3><div>The present study investigated whether three different indices of biased attention, measured at pretreatment by eye-tracking, were associated with differences in response to a 12-session exposure-based group CBT in a sample of 41 children with social anxiety disorder (SAD).</div></div><div><h3>Results</h3><div>In linear regression analyses neither initial vigilance nor initial maintenance nor attentional avoidance predicted symptom reductions after CBT. Children who no longer met diagnostic criteria after treatment did not differ from those who did not fully remit in terms of initial vigilance and attentional avoidance (<em>d</em> < .36). With regard to initial maintenance of attention to threat, the analysis revealed a large but statistically non-significant effect between both groups (<em>d</em> = .81).</div></div><div><h3>Conclusion</h3><div>Initial maintenance of attention to threat may be beneficial for the treatment of social anxiety. However, the evidence in our study is only weak and further research is needed before clear implications can be drawn.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"88 ","pages":"Article 102029"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}