Behaviour Research and Therapy最新文献_第3页

Digital acceptance and commitment therapy for adults with chronic health conditions: Results from a waitlist-controlled trial 成人慢性健康状况的数字接受和承诺治疗：来自候补对照试验的结果

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-03-16 DOI: 10.1016/j.brat.2025.104729

Michael E. Levin , Ty B. Aller , Korena S. Klimczak , Marissa L. Donahue , Francesca M. Knudsen

{"title":"Digital acceptance and commitment therapy for adults with chronic health conditions: Results from a waitlist-controlled trial","authors":"Michael E. Levin , Ty B. Aller , Korena S. Klimczak , Marissa L. Donahue , Francesca M. Knudsen","doi":"10.1016/j.brat.2025.104729","DOIUrl":"10.1016/j.brat.2025.104729","url":null,"abstract":"<div><div>Digital mental health interventions (DMHIs) provide a promising avenue for addressing the mental health needs of adults with chronic health conditions (CHCs). Transdiagnostic DMHIs, which apply to a range of conditions by focusing on common core processes of change (e.g., acceptance and commitment therapy; ACT), are particularly needed to address the various ways a wide range of CHCs impact quality of life. The present study evaluated an ACT DMHI designed to improve quality of life and mental health transdiagnostically for adults with CHCs. A sample of 100 adults with CHCs were randomized to ACT or waitlist, with baseline, 6-week, and 10-week assessment points. Recruitment (100 participants in 3 months with a wide range of CHCs), retention (84% at follow-up), and adherence rates (<em>M</em> = 4 of 6 sessions) indicated feasibility, with high program satisfaction ratings for acceptability. Only psychological flexibility improved more in ACT versus waitlist at post-intervention (6-week follow-up), with no differences on other outcomes until 10-week follow-up. Participants in ACT improved significantly more than waitlist at 10-week follow-up on the primary outcome of quality of life as well as functional impairment from CHCs and psychological flexibility. An exploratory moderation test suggested participants with elevated mental health symptoms at baseline improved more on these symptoms in ACT relative to waitlist at 10-week follow-up. Overall, results support the feasibility, acceptability, and efficacy of a transdiagnostic ACT DMHI to improve quality of life and mental health for adults with a wide range of CHCs.</div></div><div><h3>Clinicaltrialsgov identifier</h3><div>NCT06179264.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"188 ","pages":"Article 104729"},"PeriodicalIF":4.2,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682075","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

Supporting extinction memory updating to promote extinction generalization in a category-based fear conditioning paradigm 基于类别的恐惧条件反射范式中支持消退记忆更新促进消退概化

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-03-15 DOI: 10.1016/j.brat.2025.104719

Dorothee Scheuermann , Christiane A. Melzig , Christoph Benke

{"title":"Supporting extinction memory updating to promote extinction generalization in a category-based fear conditioning paradigm","authors":"Dorothee Scheuermann , Christiane A. Melzig , Christoph Benke","doi":"10.1016/j.brat.2025.104719","DOIUrl":"10.1016/j.brat.2025.104719","url":null,"abstract":"<div><div>A challenge in exposure-based treatments is the effective generalization of extinction learning, as it tends to be highly specific to stimuli or situations used during exposure. This study takes a first step toward enhancing extinction generalization by promoting the updating of extinction memory. 35 participants underwent a three-day, within-subject, category-based fear conditioning paradigm. Two conditioned stimulus (CS) categories were paired with an electric shock during acquisition training (CS+1; CS+2), while one CS category was not (CS-). On day two, extinction training was followed by a prompt to retrieve the inhibitory learning association and to imagine the same experience with multiple novel stimuli for the CS+1 category in order to promote extinction memory updating. Importantly, these stimuli were not directly presented but solely imagined based on a two-word description. On day three, participants were tested for initial fear recall. We observed a pronounced return of fear for new stimuli from the CS+2 category. However, skin conductance response (SCR), fear-potentiated startle (FPS), shock expectancy and fear ratings were decreased for imagined stimuli of the category with extinction memory updating (CS+1) compared to the other category (CS+2). Moreover, extinction memory updating led to a diminished fear response for new CS+1 stimuli as indexed by SCR as well as for previously seen images during acquisition as indexed by FPS and subjective measures. These findings suggest that mental imagery involving novel stimuli may help to facilitate extinction generalization. Further research is needed to explore the underlying mechanisms and the potential to be clinically applicable to improve treatment outcomes.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"188 ","pages":"Article 104719"},"PeriodicalIF":4.2,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682076","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}

引用次数: 0

Improving treatments for mental disorders using computational models 利用计算模型改进精神障碍的治疗方法

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-03-08 DOI: 10.1016/j.brat.2025.104706

Oisín Ryan , Jonas M.B. Haslbeck , Donald J. Robinaugh

引用次数: 0

Cognitive bias modification as a web-based intervention for problem drinkers: A randomized controlled trial with a factorial design 认知偏差修正作为基于网络的干预问题饮酒者：一项随机对照试验与析因设计

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-03-07 DOI: 10.1016/j.brat.2025.104718

Denise S. van Deursen , Lynn Mobach , Elske Salemink , Matthijs Blankers , Reinout W. Wiers

{"title":"Cognitive bias modification as a web-based intervention for problem drinkers: A randomized controlled trial with a factorial design","authors":"Denise S. van Deursen , Lynn Mobach , Elske Salemink , Matthijs Blankers , Reinout W. Wiers","doi":"10.1016/j.brat.2025.104718","DOIUrl":"10.1016/j.brat.2025.104718","url":null,"abstract":"<div><h3>Objective</h3><div>Previous studies have shown that Cognitive Bias Modification (CBM) can decrease cognitive biases implicated in the maintenance of problem drinking. However, it is still unclear what the individual and combined effects of multiple CBM interventions are when delivered as an e-health intervention. The current study therefore investigated the effects of web-based modification of attention bias, selective inhibition, and approach bias in a 2 (attentional bias modification: intervention/placebo) x 2 (selective inhibition training: intervention/placebo) x 2 (approach bias modification: intervention/placebo) double-blind, randomized controlled trial in self-identified problem drinkers.</div></div><div><h3>Method</h3><div>Self-identified problem drinkers were randomly assigned to one of the eight CBM conditions. All participants first completed a personalized feedback intervention before completing 12 CBM sessions over six weeks. Cognitive biases were assessed with trained and untrained tasks at pre- and post-test and alcohol use was additionally measured three and six months later.</div></div><div><h3>Results</h3><div>427 self-identified problem drinkers (<em>M</em><sub>age</sub> = 51.2 years, <em>SD</em><sub><em>age</em></sub> = 8.69) were included. Results showed that alcohol use decreased over time, but the reductions in drinking did not differ between CBM conditions. There was little evidence that CBM changed cognitive biases. It should however be noted that some bias measures showed inadequate reliability.</div></div><div><h3>Conclusions</h3><div>The results indicate that in problem drinkers, web-based CBM does not add to the effects of a brief motivational intervention to reduce alcohol use over time. Findings may be due to unsuccessful bias modification. Future studies need to delineate moderators of effectiveness and investigate new and promising inference-based CBM-variations.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"188 ","pages":"Article 104718"},"PeriodicalIF":4.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682043","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}

引用次数: 0

Direct mapping of intervention to thought features: A Bayesian proof-of-concept study 干预对思想特征的直接映射：一个贝叶斯概念验证研究

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-03-04 DOI: 10.1016/j.brat.2025.104717

Nur Hani Zainal , Christian A. Webb , Lauren S. Hallion

{"title":"Direct mapping of intervention to thought features: A Bayesian proof-of-concept study","authors":"Nur Hani Zainal , Christian A. Webb , Lauren S. Hallion","doi":"10.1016/j.brat.2025.104717","DOIUrl":"10.1016/j.brat.2025.104717","url":null,"abstract":"<div><div>Although uncontrollability is the core feature of perseverative thought that best accounts for its relationship to psychopathology, other features – for example, valence and content – have also been identified as potentially clinically relevant in their own right. We describe results from a proof-of-concept study that examined the extent to which major underlying features of worry could be used to predict which of three common cognitive regulatory strategies (mindful acceptance; focused attention meditation; and thought suppression) would help regulate that worry. <em>N</em> = 40 adults selected for high trait worry (80% also met criteria for one or more <em>DSM-5</em> anxiety-related diagnoses) generated and provided feature ratings for three idiographic thought topics. Participants then attempted to control each worry using each of the three strategies during functional magnetic resonance imaging (fMRI) in a within-subjects design with a total of 468 observations. We used Bayesian multilevel modeling to test preregistered hypotheses regarding the extent to which each of five empirically-derived underlying dimensions of a worry (uncontrollability; negative valence; self-focus; apprehension; and social-memory content) could be used to predict which strategy would be most efficacious for regulating that worry. We did not find support for our preregistered hypotheses; however, in exploratory analyses, we found that mindfulness-based strategies were particularly effective compared to thought suppression for thoughts rated as higher (versus lower) in uncontrollability. Future research should test these principles in larger samples, using more diverse expressions of perseverative thought.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"187 ","pages":"Article 104717"},"PeriodicalIF":4.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578885","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}

引用次数: 0

Examining concordance between emotion-dependent risk-taking in the laboratory and in the real-world 研究实验室和现实世界中情绪依赖型冒险行为之间的一致性

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-02-25 DOI: 10.1016/j.brat.2025.104716

Nicole H. Weiss , Melissa R. Schick , Alexa M. Raudales , Emmanuel D. Thomas , Diana Ho , Silvi C. Goldstein , Reina Kiefer , Noam G. Newberger , Ateka A. Contractor , Tami P. Sullivan

{"title":"Examining concordance between emotion-dependent risk-taking in the laboratory and in the real-world","authors":"Nicole H. Weiss , Melissa R. Schick , Alexa M. Raudales , Emmanuel D. Thomas , Diana Ho , Silvi C. Goldstein , Reina Kiefer , Noam G. Newberger , Ateka A. Contractor , 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<sub>age</sub> = 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}

引用次数: 0

Associations among threat prediction error, prediction change, and anxiety during an exposure therapy analogue in adults with healthy to clinical social anxiety 在健康到临床社交焦虑的成人暴露治疗模拟过程中，威胁预测误差、预测改变和焦虑之间的关系

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-02-20 DOI: 10.1016/j.brat.2025.104709

Christopher D. Winkler , Andre Pittig , Lisa J. Phillips , Kim L. Felmingham

{"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 , Andre Pittig , Lisa J. Phillips , 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}

引用次数: 0

Imagine for tomorrow, what you cannot feel now – The role of anhedonia in imagery-enhanced behavioral activation 想象明天，你现在无法感受到的——快感缺乏症在意象增强行为激活中的作用

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-02-19 DOI: 10.1016/j.brat.2025.104707

Max Heise , Julie L. Ji , Jessica Werthmann , Fritz Renner

{"title":"Imagine for tomorrow, what you cannot feel now – The role of anhedonia in imagery-enhanced behavioral activation","authors":"Max Heise , Julie L. Ji , Jessica Werthmann , 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}

引用次数: 0

Efficacy and mediators of online cognitive therapy for taboo obsessions in adults with obsessive-compulsive disorder: Randomized controlled trial 在线认知疗法治疗成人强迫症禁忌强迫症的疗效及影响因素：随机对照试验

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-02-19 DOI: 10.1016/j.brat.2025.104708

Klara Olofsdotter Lauri , Kristina Aspvall , Nathalie Lybert , Conrad Samuelsson , Björn E. Liliequist , Elsa Håkansson , Eva Serlachius , Christian Rück , David Mataix-Cols , Erik Andersson

{"title":"Efficacy and mediators of online cognitive therapy for taboo obsessions in adults with obsessive-compulsive disorder: Randomized controlled trial","authors":"Klara Olofsdotter Lauri , Kristina Aspvall , Nathalie Lybert , Conrad Samuelsson , Björn E. Liliequist , Elsa Håkansson , Eva Serlachius , Christian Rück , David Mataix-Cols , 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}

引用次数: 0

Self-report measures of fear learning and extinction and their association with internet-based cognitive behavioural therapy outcome 恐惧学习和消退的自我报告测量及其与基于互联网的认知行为治疗结果的关联

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-02-18 DOI: 10.1016/j.brat.2025.104705

Thomas McGregor , Ewan Carr , Tom Barry , Ana Catarino , Michelle G. Craske , Molly R. Davies , Tim Kerr , Georgina Krebs , Bridie MacDonald , Kirstin L. Purves , Megan Skelton , Ellen J. Thompson , Gerome Breen , Colette R. Hirsch , Thalia C. Eley

{"title":"Self-report measures of fear learning and extinction and their association with internet-based cognitive behavioural therapy outcome","authors":"Thomas McGregor , Ewan Carr , Tom Barry , Ana Catarino , Michelle G. Craske , Molly R. Davies , Tim Kerr , Georgina Krebs , Bridie MacDonald , Kirstin L. Purves , Megan Skelton , Ellen J. Thompson , Gerome Breen , Colette R. Hirsch , 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}

引用次数: 0