Behaviour Research and Therapy最新文献

{"title":"Examining concordance between emotion-dependent risk-taking in the laboratory and in the real-world","authors":"Nicole H. Weiss ,&nbsp;Melissa R. Schick ,&nbsp;Alexa M. Raudales ,&nbsp;Emmanuel D. Thomas ,&nbsp;Diana Ho ,&nbsp;Silvi C. Goldstein ,&nbsp;Reina Kiefer ,&nbsp;Noam G. Newberger ,&nbsp;Ateka A. Contractor ,&nbsp;Tami P. Sullivan","doi":"10.1016/j.brat.2025.104716","DOIUrl":"10.1016/j.brat.2025.104716","url":null,"abstract":"<div><div>Risk-taking behavior is a leading cause of morbidity and mortality and is elevated among women experiencing intimate partner violence (IPV) and using substances. With the goal of advancing rigorous research on risk-taking behavior, this study examined the concordance of propensity for emotion-dependent risk-taking in the laboratory and emotion-dependent substance use and sexual behavior in the real world among women experiencing IPV and using substances. Women experiencing IPV were recruited from community establishments between 2018 and 2020 (<em>N</em> = 142; M_age = 40.63; 57.8% Person of Color). In the laboratory, participants underwent a randomly assigned negative, positive, or neutral emotion induction, following which they completed a behavioral measure of risk-taking propensity. Then, for the succeeding 30 days, they completed thrice daily surveys on emotion states and risk-taking behavior. Participants were more likely to drink alcohol, use cannabis, use illicit drugs, and have condomless sex during elevated (versus not elevated) negative and positive emotion states. However, participants did not exhibit greater risk-taking propensity in the laboratory in the context of negative and positive emotion states. Further, negative and positive emotion-dependent risk-taking propensity in the laboratory was not associated with negative and positive emotion-dependent risk-taking behavior in the real-world. Findings suggest the need for additional research that evaluates the utility of laboratory paradigms in the prediction of emotion-dependent risk-taking in the real-world.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"187 ","pages":"Article 104716"},"PeriodicalIF":4.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550485","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}

{"title":"Associations among threat prediction error, prediction change, and anxiety during an exposure therapy analogue in adults with healthy to clinical social anxiety","authors":"Christopher D. Winkler ,&nbsp;Andre Pittig ,&nbsp;Lisa J. Phillips ,&nbsp;Kim L. Felmingham","doi":"10.1016/j.brat.2025.104709","DOIUrl":"10.1016/j.brat.2025.104709","url":null,"abstract":"<div><div>Contemporary exposure therapy models for anxiety argue that exposures must generate threat prediction error to be effective. More research is needed to test this claim in clinical settings. This study explored how threat prediction error learning relates to outcomes during an exposure analogue procedure. Adult undergraduate psychology students (N = 125) experiencing a broad range of social anxiety symptoms from healthy to clinical levels of social anxiety completed 667 online speech performance exposures over two testing sessions separated by a week (approx. 3 speeches/session). Self-reported anxiety, threat prediction, threat outcome, and surprise were measured for each exposure and used to derive learning indicators. These included threat prediction error, prediction change, and the extent that prediction errors were converted to prediction change (i.e., learning rate). We examined between- and within-person relationships between these learning indicators and outcomes over exposure using multilevel modelling. Average prediction change and prediction error learning rate, but not average prediction error per se, was associated with more anxiety reduction across the exposure. Within-person, anxiety was lower after exposures that triggered more prediction change. Threat prediction error was not linearly associated with anxiety at the next exposure. Higher threat prediction error during an exposure was associated with greater subjective surprise for that exposure. We concluded that exposure outcomes depend on how much the patient converts exposure-related prediction errors into threat prediction change. Future research should focus on strategies to enhance the prediction-error learning rate from exposures.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"187 ","pages":"Article 104709"},"PeriodicalIF":4.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imagine for tomorrow, what you cannot feel now – The role of anhedonia in imagery-enhanced behavioral activation","authors":"Max Heise ,&nbsp;Julie L. Ji ,&nbsp;Jessica Werthmann ,&nbsp;Fritz Renner","doi":"10.1016/j.brat.2025.104707","DOIUrl":"10.1016/j.brat.2025.104707","url":null,"abstract":"<div><div>Preliminary evidence suggests that mental imagery-based elaboration of rewarding activities enhances anticipated pleasure, motivation, and behavioral engagement in non-clinical samples, but its effects in individuals experiencing anhedonia (loss of pleasure/interest) is unclear. Study 1 (<em>N</em> = 90) contrasted imagery-enhanced activity scheduling with two scheduling-only control conditions (Reminder/No Reminder Control) in an unselected sample. Study 2 (<em>N</em> = 108) compared imagery-enhanced activity scheduling with two control conditions (Neutral Imagery/Motivational Verbal Reasoning) in individuals experiencing mild to moderate anhedonia. Both studies measured changes in activity appraisal (anticipated pleasure, anticipated reward/mastery, motivation) in the lab, and behavioral engagement across a subsequent 7-day period. Additionally, Study 2 assessed heart rate as a psychophysiological marker of emotional response across conditions. Results showed that anticipated pleasure increased more in the imagery-enhanced activity scheduling condition compared to control conditions in Study 1, but not Study 2. Across both studies, conditions did not differ regarding changes in anticipated reward/mastery, motivation, or behavioral engagement. The present findings indicate that although mental imagery may enhance anticipated pleasure in non-clinical individuals, its effects in participants experiencing anhedonia remains to be further investigated.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"187 ","pages":"Article 104707"},"PeriodicalIF":4.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and mediators of online cognitive therapy for taboo obsessions in adults with obsessive-compulsive disorder: Randomized controlled trial","authors":"Klara Olofsdotter Lauri ,&nbsp;Kristina Aspvall ,&nbsp;Nathalie Lybert ,&nbsp;Conrad Samuelsson ,&nbsp;Björn E. Liliequist ,&nbsp;Elsa Håkansson ,&nbsp;Eva Serlachius ,&nbsp;Christian Rück ,&nbsp;David Mataix-Cols ,&nbsp;Erik Andersson","doi":"10.1016/j.brat.2025.104708","DOIUrl":"10.1016/j.brat.2025.104708","url":null,"abstract":"<div><div>Taboo obsessions are ego-dystonic, recurrent, and intrusive thoughts involving aggressive, sexual and/or religious themes, which are common in individuals with obsessive-compulsive disorder (OCD). These symptoms are often challenging to treat with traditional, exposure-based approaches. Our research group has developed and successfully piloted an Internet-delivered intervention based on the cognitive framework of taboo obsessions (I-CT). The current randomized controlled trial evaluated the efficacy of I-CT compared to Internet-delivered general psychological support in reducing OCD symptom severity and associated impairments. A secondary aim was to investigate if the treatment effect was mediated by a reduction in negative appraisals, the proposed mechanism of change in cognitive therapy. Sixty-eight participants with a diagnosis of OCD and primary taboo obsessions were randomized to either I-CT or general psychological support for 8 weeks. The primary outcome was change on the clinician-rated Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), administered by masked assessors at pre- and post-treatment. Participants in both groups had a significant reduction of OCD symptom severity but those randomized to I-CT had significantly better outcomes (between group bootstrapped <em>d</em> = 0.69, [95% CI, 0.22–1.17]). The proportion of participants classed as responders and remitters was also higher in the I-CT group (odds ratio 2.33 and 1.77 respectively), though not significantly. A large portion of the treatment effect (55%) was mediated by change in negative appraisals. I-CT could be a promising treatment approach for individuals with taboo obsessions who do not wish, or are unable, to engage in, or do not respond to, exposure-based treatment for OCD.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"187 ","pages":"Article 104708"},"PeriodicalIF":4.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-report measures of fear learning and extinction and their association with internet-based cognitive behavioural therapy outcome","authors":"Thomas McGregor ,&nbsp;Ewan Carr ,&nbsp;Tom Barry ,&nbsp;Ana Catarino ,&nbsp;Michelle G. Craske ,&nbsp;Molly R. Davies ,&nbsp;Tim Kerr ,&nbsp;Georgina Krebs ,&nbsp;Bridie MacDonald ,&nbsp;Kirstin L. Purves ,&nbsp;Megan Skelton ,&nbsp;Ellen J. Thompson ,&nbsp;Gerome Breen ,&nbsp;Colette R. Hirsch ,&nbsp;Thalia C. Eley","doi":"10.1016/j.brat.2025.104705","DOIUrl":"10.1016/j.brat.2025.104705","url":null,"abstract":"<div><div>Despite the widespread use of cognitive-behavioural therapy (CBT), only about half of patients respond favourably. Understanding whether relevant psychological processes are associated with treatment response could help identify patients at risk of non-response prior to treatment and improve their outcomes by enabling clinicians to tailor interventions accordingly. Fear conditioning tasks are a valuable tool for studying the learning processes associated with anxiety disorders and their treatment. This study examined associations between outcomes from a remote fear conditioning task and responses to internet-based CBT.</div><div>Anxious adults (n = 112) completed a fear conditioning task before receiving internet-based CBT. Participants rated their expectancy of an aversive noise (unconditioned stimulus; US) in response to a reinforced conditional stimulus (CS+) and a nonreinforced conditional stimulus (CS-) during acquisition, followed by extinction where neither stimulus was reinforced. Anxiety symptoms were assessed before each CBT session. Linear regression models indicated no significant association between mean US-expectancy ratings for 'safe' stimuli (acquisition CS- and extinction CS+) and change in anxiety across treatment. These findings contribute to the mixed literature on fear conditioning's role in treatment outcomes, highlighting the need for further research to elucidate the complex interplay between fear conditioning processes and response to CBT in anxiety disorders.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"187 ","pages":"Article 104705"},"PeriodicalIF":4.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474765","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}

{"title":"Social anxiety and romantic conflict: Examining prospective interpersonal dynamics","authors":"Julia M. Levitan,&nbsp;Thomas L. Rodebaugh","doi":"10.1016/j.brat.2025.104704","DOIUrl":"10.1016/j.brat.2025.104704","url":null,"abstract":"<div><div>Social anxiety disorder (SAD) is associated with impairment in close relationship functioning, including romantic relationships. Although interpersonal theories point to dimensions of dominance and warmth as relevant factors, the momentary interpersonal dynamics that may be contributing to relationship problems remain poorly understood. In the present study, we examined contemporaneous and prospective associations between dominance and warmth in individuals with (<em>n</em> = 30) and without (<em>n</em> = 29) SAD and their romantic partners during a 10-min conflict task. Using the Continuous Assessment of Interpersonal Dynamics system and multilevel residual dynamic structural equation modeling, we found that on average, both partners tended to become colder and more dominant over time and showed strong warmth complementarity. Prospective effects indicated that momentary ratings of dominance and warmth positively predicted subsequent ratings, and cross-lagged effects suggested that each partner's behavior predicted change in the other over time. Critically, moderation analyses identified multiple cross-lagged effects that differed significantly as a function of primary participants' SAD diagnosis, all involving warmth. Our methods suggested that future work at longer time scales (i.e., across lags between 20 and 60 s) may be fruitful.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"187 ","pages":"Article 104704"},"PeriodicalIF":4.2,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520062","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}

{"title":"Predicting clinical improvement in youth using a national-scale multicomponent digital mental health intervention","authors":"Shane Cross ,&nbsp;Ping Liu ,&nbsp;Isabelle Scott ,&nbsp;Shaunagh O'Sullivan ,&nbsp;Jennifer Nicholas ,&nbsp;Lee Valentine ,&nbsp;Shaminka Mangelsdorf ,&nbsp;Simon Baker ,&nbsp;John Gleeson ,&nbsp;Mario Alvarez-Jimenez","doi":"10.1016/j.brat.2025.104703","DOIUrl":"10.1016/j.brat.2025.104703","url":null,"abstract":"<div><h3>Introduction</h3><div>Youth mental health services are characterised by high demand and modest clinical outcomes. While digital mental health interventions (DMHIs) have been shown to be clinically effective, the relationship between DMHI use and outcome is unclear. The current study sought to identify the factors affecting the relationship between DMHI use and depression and anxiety symptom improvement in sub-groups of young people.</div></div><div><h3>Method</h3><div>An observational cohort design included young people aged 12–25 years engaging with a DMHI (MOST) from October 2020 to October 2023. The primary outcome was improvement at 12 weeks on the Patient Health Questionnaire-4 (PHQ4). DMHIs were combinations of self-paced digital cognitive-behavioural therapy content, social network interactions, and professional support. A machine learning clustering algorithm was used to identify distinct user clusters based on baseline characteristics and multiple logistic regression models examined the relationship between DMHI usage and improvement.</div></div><div><h3>Results</h3><div>Two distinct user clusters emerged, differing by symptom severity, age, service setting, and concurrent external treatment. 46.7% of “Severe” users and 39.8% of “Mild-Moderate” users significantly improved. Greater use of therapy content and professional support interactions were associated with improvement for the Mild-Moderate group only (OR = 1.16, 95% CI: 1.04–1.30, p = 0.008).</div></div><div><h3>Conclusion</h3><div>While a greater proportion of users in the Severe group significantly improved, increased MOST use was associated with symptom improvement only for the Mild-Moderate group. These findings highlight the complexity of the relationship between DMHI use and outcome. Other unmeasured mediating or moderating factors such concurrent ‘offline’ treatment may help explain the results. Further research is required to better understand the relationship between DMHI use and clinical outcomes.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"186 ","pages":"Article 104703"},"PeriodicalIF":4.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Broadening the conceptualization of panic disorder to include the fear presentation of avoidant/restrictive food intake disorder: The legacy of panic control therapy","authors":"Hana F. Zickgraf,&nbsp;Rachel A. Schwartz","doi":"10.1016/j.brat.2024.104677","DOIUrl":"10.1016/j.brat.2024.104677","url":null,"abstract":"<div><div>The presentation of avoidant/restrictive food intake disorder (ARFID) characterized by fear of aversive consequences of eating (<em>fear-ARFID</em>) has both phenomenological and mechanistic similarities to panic disorder. In this narrative review, we propose a shared model of the pathogenesis of the two disorders, centered on interoceptive sensitivity as the key maintenance mechanism. We review the evidence that fear-ARFID, which involves restrictive eating motivated by a desire to avoid aversive events (e.g., choking, vomiting, abdominal pain) related to the gastrointestinal tract, onsets with an unexpected event and develops through catastrophic misinterpretation of the probability or significance of the event reoccurring, heightened awareness of minor interoceptive sensations associated with the feared event (i.e., interoceptive sensitivity), escalating anxiety and increasingly frequent experience of minor interoceptive sensations, and increasingly extensive avoidant behavior. Given the support for shared maintenance mechanisms with panic disorder, we suggest a program of clinical research evaluating the adaptation of elements of Panic Control Therapy (PCT), a well-established empirically supported treatment for panic disorder, to treat fear-ARFID. Developing and testing new intervention strategies based on PCT could expand ARFID patients’ access to appropriate care by enabling anxiety-experienced clinicians to use their existing competencies to treat fear-ARFID using a disorder-specific evidence-based treatment.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"185 ","pages":"Article 104677"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899230","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}

{"title":"Accelerometer-based sedentary time and physical activity with incident and progressive tobacco smoking in 2503 children: A 13-year mediation and temporal longitudinal study","authors":"Andrew O. Agbaje","doi":"10.1016/j.brat.2024.104674","DOIUrl":"10.1016/j.brat.2024.104674","url":null,"abstract":"<div><h3>Background</h3><div>Long-term accelerometer-based studies examining whether engaging in physical activity (PA) reduces the risk of smoking in children are lacking, and whether directly measured adiposity increases smoking risk is uncertain.</div></div><div><h3>Methods</h3><div>From the Avon Longitudinal Study of Parents and Children (ALSPAC), UK birth cohort, 2503 children aged 11 years with complete smoking and at least one valid time-point movement behaviour data were followed up until age 24 years. ActiGraph assessed sedentary time (ST), light PA (LPA), and moderate-to-vigorous PA (MVPA) at ages 11, 15, and 24-year clinic visits and smoking-based questionnaires were administered, whilst fat mass was measured with dual-energy x-ray absorptiometry scanner. Data were analysed with generalized linear-mixed effect models with logit-links and structural equation models.</div></div><div><h3>Results</h3><div>Mean [SD] age at baseline was 11.71 [0.20] years and the prevalence of smoking at ages 13, 15, and 24 years were 1.5%, 13.5%, and 26.6%, respectively. Higher MVPA at age 11 years was significantly associated with lower odds of smoking at age 13 years (odds ratio, 0.991; [95% CI, 0.983–0.999], <em>P</em> = 0.035). Cumulative MVPA during ages 11–24 years was significantly associated with lower odds of progressive smoking during growth from ages 13–24 years (0.992; [95% CI, 0.989–0.996], <em>P</em> &lt; 0.001). Cumulative ST and LPA had no significant associations with smoking. Higher fat mass suppressed (10% suppression) the inverse relationship between MVPA and smoking. In path analysis, higher MVPA at age 15 years temporally preceded reduced smoking at age 24 years.</div></div><div><h3>Conclusion</h3><div>In the present study, engaging in MVPA from age 11 years may prevent 9 in 1000 children from starting smoking at the age of 13 years when smoking prevalence was 15 in 1000 children, i.e potentially preventing 60% of children from initiating smoking. However, the MVPA preventive approach diminished as children grew into young adults.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"185 ","pages":"Article 104674"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The renewal reducing effect of unpaired unconditional stimuli presented during extinction is not specific to the unconditional stimulus used during acquisition","authors":"Ottmar V. Lipp ,&nbsp;Camilla C. Luck ,&nbsp;Luke J. Ney ,&nbsp;Michelle G. Craske ,&nbsp;Allison M. Waters","doi":"10.1016/j.brat.2024.104675","DOIUrl":"10.1016/j.brat.2024.104675","url":null,"abstract":"<div><div>Presenting unpaired unconditional stimuli (US) during extinction training reduces the renewal of conditional fear due to context change. The present study investigated whether this reduced return of fear is specific to the aversive US presented during acquisition or can also be observed after extinction with unpaired presentations of another aversive or of a non-aversive US. Using an ABA renewal paradigm that trained extinction in a context different from that of the acquisition, renewal and re-acquisition test phases, participants received five unpaired presentations of either the aversive US used during acquisition (Group Aversive-Same), an aversive US not presented during acquisition (Group Aversive-Different) or a non-aversive US (Group Non-aversive) during extinction training. Renewal of electrodermal conditional responses was observed in group Non-aversive, but not in groups Aversive-Same or Aversive-Different. Re-acquisition did not differ across the groups. These results are consistent with a valenced arousal account to explain the effects of unpaired presentations of the US during extinction training which would suggest that extinction learning is enhanced under conditions of increased aversive arousal.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"185 ","pages":"Article 104675"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}