Behaviour Research and Therapy最新文献_第9页

Psychological mechanisms of change in reducing co-occurring social anxiety and alcohol use: A causal mediation analysis of the online Inroads intervention 减少同时发生的社交焦虑和酒精使用的心理机制变化：在线入侵干预的因果中介分析

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-05-09 DOI: 10.1016/j.brat.2025.104766

Tara Gückel , Katrina Prior , Nicola C. Newton , Andrew J. Baillie , Maree Teesson , Lexine A. Stapinski

{"title":"Psychological mechanisms of change in reducing co-occurring social anxiety and alcohol use: A causal mediation analysis of the online Inroads intervention","authors":"Tara Gückel , Katrina Prior , Nicola C. Newton , Andrew J. Baillie , Maree Teesson , Lexine A. Stapinski","doi":"10.1016/j.brat.2025.104766","DOIUrl":"10.1016/j.brat.2025.104766","url":null,"abstract":"<div><h3>Background</h3><div>Research has documented the prevalence and treatment of co-occurring anxiety and alcohol use, but the mechanisms underlying treatment efficacy, especially in online interventions, remain unclear. This study investigated the potential behavioral, cognitive, and motivational mechanisms mediating the effectiveness of ‘Inroads,’ the first online early intervention for co-occurring anxiety and hazardous alcohol use in young adults.</div></div><div><h3>Methods</h3><div>Data from an Australian randomized controlled trial with 123 participants aged 17–24 (M = 21.6) was used. Causal multiple mediation analysis tested whether improvements in social anxiety symptoms could jointly be attributable to reductions in maladaptive emotion regulation and alcohol use, and whether reductions in alcohol use (mean drinks per day) could jointly be attributable to reductions in maladaptive emotion regulation, alcohol motives (drinking to cope with anxiety and for enhancement), and alcohol outcome expectancies (tension reduction and social lubrication).</div></div><div><h3>Results</h3><div>The results did not support a joint mediated effect for the hypothesized mechanisms in the social anxiety or alcohol use model.</div></div><div><h3>Conclusions</h3><div>Additional research is required to further understand the specific mechanisms, driving reductions in social anxiety and alcohol use within integrated treatments. This is especially true for social anxiety where, there was no evidence to suggest that the hypothesized mediators contributed to change in social anxiety symptoms.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"191 ","pages":"Article 104766"},"PeriodicalIF":4.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070893","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

Empirically supported treatments for all: Realizing equitable coverage of care for trauma survivors globally 经验支持的全民治疗：实现全球创伤幸存者护理的公平覆盖

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-29 DOI: 10.1016/j.brat.2025.104757

Anushka R. Patel , Nuwan Jayawickreme , Vanessa Visquerra , Kelly Dixon , Vikram Patel

{"title":"Empirically supported treatments for all: Realizing equitable coverage of care for trauma survivors globally","authors":"Anushka R. Patel , Nuwan Jayawickreme , Vanessa Visquerra , Kelly Dixon , Vikram Patel","doi":"10.1016/j.brat.2025.104757","DOIUrl":"10.1016/j.brat.2025.104757","url":null,"abstract":"<div><div>Global mental health is focused on reducing inequities in treatment access for mental health disorders. A core social determinant of mental health is trauma (e.g., violence, disasters, wars), contributing to myriad psychosocial outcomes such as posttraumatic stress disorder (PTSD), depression, anxiety, and functional impairment. Despite the development of numerous efficacious empirically supported treatments (ESTs), trauma survivors remain a particularly vulnerable group and rarely receive quality trauma-informed treatment. In this paper, we argue that in order to reduce global inequities in mental health treatment access, we need to <em>fully</em> embrace Chambless and Hollon's (1998) criteria for ESTs – that they be efficacious, effective in routine clinical contexts, feasible to deploy and scale up, and cost-effective. While the field of clinical science has made impressive strides in developing efficacious treatments, we argue that we ought to place greater emphasis on an EST being effective across contexts, feasible for delivery by a wide cadre of providers, and cost-effective to scale to improve equity. We discuss efforts in the field of global mental health that use innovative paradigms to fully realize the latter criteria, which have been under-appreciated in clinical science. We conclude with recommendations to improve EST access by applying an equity lens <em>within and between contexts</em>.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104757"},"PeriodicalIF":4.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892189","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

Long-term efficacy of cognitive behavioural therapy for generalized anxiety disorder: A 2–8-year follow-up of two randomized controlled trials 认知行为疗法治疗广泛性焦虑障碍的长期疗效：两项随机对照试验的2 - 8年随访

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-29 DOI: 10.1016/j.brat.2025.104758

Greta Helene Probst , Juan Martín Gómez Penedo , Christoph Flückiger

{"title":"Long-term efficacy of cognitive behavioural therapy for generalized anxiety disorder: A 2–8-year follow-up of two randomized controlled trials","authors":"Greta Helene Probst , Juan Martín Gómez Penedo , Christoph Flückiger","doi":"10.1016/j.brat.2025.104758","DOIUrl":"10.1016/j.brat.2025.104758","url":null,"abstract":"<div><div>Anxiety disorders are the most prevalent mental disorders globally, with generalized anxiety disorder (GAD) being one of the most common among them. While GAD can be effectively treated with bona fide cognitive behavioural therapy (CBT), research on its long-term efficacy is scarce. This study examined the long-term efficacy of CBT for GAD in terms of statistical symptom reduction and clinically significant change. A follow-up of 93 GAD patients, 2–8 years post-treatment from two randomized controlled implementation trials, was conducted. Outcome measures included two disorder-specific outcomes and three general mental health outcomes. Statistical symptom reduction was assessed using piecewise linear growth models, and clinically significant change was evaluated based on Jacobson and Truax’s (1991) criteria. Results indicated that treatment gains were maintained from six-months post-treatment to long-term follow-up for all outcome measures except depressive symptoms, which increased during this period. Clinically significant change analysis showed that 57 %–77 % of participants were categorised as recovered 2–8 years post-CBT. This study provides insights into treatment durability 2–8 years post-treatment. Treatment success was largely maintained, with more than half to three-quarters of patients categorised as recovered, supporting the sustained efficacy of <span>CBT</span> for <span>GAD</span>.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"191 ","pages":"Article 104758"},"PeriodicalIF":4.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899542","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

Attention mechanisms of social anxiety in daily life: Unique effects of negative self-focused attention on post-event processing 日常生活中社交焦虑的注意机制：负性自我关注对事件后加工的独特影响

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-29 DOI: 10.1016/j.brat.2025.104759

Alexandra M. Adamis, Savannah Walske, Bunmi O. Olatunji

{"title":"Attention mechanisms of social anxiety in daily life: Unique effects of negative self-focused attention on post-event processing","authors":"Alexandra M. Adamis, Savannah Walske, Bunmi O. Olatunji","doi":"10.1016/j.brat.2025.104759","DOIUrl":"10.1016/j.brat.2025.104759","url":null,"abstract":"<div><div>Social anxiety disorder (SAD) is characterized by biased patterns of attention that are theorized to play a key role in maintaining symptoms. SAD has been linked to externally oriented attentional biases (i.e., towards social-evaluative threats) and internally oriented attentional biases (i.e., towards anxiety-laden thoughts and sensations), both of which might increase proneness for post-event processing (PEP), a form of rumination about the negative aspects of past social events. However, prior research examining attentional biases in SAD has primarily been conducted in laboratory settings, leaving unanswered questions about the naturalistic patterns of attention and cognition that most strongly characterize and maintain social anxiety. The present study applied ecological momentary assessment (EMA) to examine attentional biases during real-world social interactions and their effects on subsequent PEP in a sample of adults with high (<em>n</em> = 108) and low (<em>n</em> = 94) levels of social anxiety. Three times per day for one week, participants reported their attention orientation (i.e., internal versus external), the valence of their attentional foci (i.e., negative versus positive), and their degree of PEP following salient social events. Results revealed that high (vs. low) levels of social anxiety were associated with relatively more internally oriented and negatively valenced attention during social interactions, which in turn predicted increases in subsequent PEP. Findings highlight the salience of negative self-focused attention and ruminative thinking as maintenance factors in social anxiety, and suggest that interventions targeting these mechanisms could show promise in future research.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"191 ","pages":"Article 104759"},"PeriodicalIF":4.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143896040","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 between gender, parenthood, and family and career planning in United States doctoral students 美国博士生性别、为人父母、家庭与职业规划之间的关系

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-26 DOI: 10.1016/j.brat.2025.104756

Kayla Costello, Christina Sanzari, Anna Love, Julia M. Hormes

{"title":"Associations between gender, parenthood, and family and career planning in United States doctoral students","authors":"Kayla Costello, Christina Sanzari, Anna Love, Julia M. Hormes","doi":"10.1016/j.brat.2025.104756","DOIUrl":"10.1016/j.brat.2025.104756","url":null,"abstract":"<div><div>Academic culture is generally not conducive to parenthood and work-life balance, which may contribute to the disproportionate drop-out of women from academic careers. The extent to which doctoral students experience systemic biases (e.g., gender-based discrimination) and personal conflicts (e.g., geographic flexibility) related to their gender and parental status, factors that may impact their future career trajectories, remains understudied. Doctoral students (<em>n</em> = 330; 55.5 % women, 25.2 % current parents) completed an online questionnaire examining the associations of gender and parental status on choice of doctoral degree program, experiences while in graduate school, and future career and personal plans. Doctoral students without children were more likely to be enrolled in STEM programs. Men were significantly more likely to be partnered, have children, be enrolled in funded programs, and report higher household incomes. Parents and women were less flexible about relocating for graduate school or post-graduation. Women relied more on family for childcare and external funding (e.g., loans and loved ones). Fathers reported the highest perceived social support, while mothers reported the lowest. No differences were observed in second-shift work or satisfaction with second-shift responsibilities. Women anticipated significantly greater delays in childbearing compared to men. Results suggest that women experience significant conflicts between professional and personal aspirations as early as graduate school and highlight the need for institutional supports and resources to more successfully retain women and parents in academic careers.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"191 ","pages":"Article 104756"},"PeriodicalIF":4.2,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143904337","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

Sudden gains in cognitive processing therapy with and without behavioral activation among service members with comorbid PTSD and MDD 在患有PTSD和重度抑郁症的军人中，有或没有行为激活的认知加工治疗的突然收益

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-22 DOI: 10.1016/j.brat.2025.104753

Nicholas P. Otis , Alexander C. Kline , Lisa H. Glassman , W. Michael Hunt , Kristen H. Walter

{"title":"Sudden gains in cognitive processing therapy with and without behavioral activation among service members with comorbid PTSD and MDD","authors":"Nicholas P. Otis , Alexander C. Kline , Lisa H. Glassman , W. Michael Hunt , Kristen H. Walter","doi":"10.1016/j.brat.2025.104753","DOIUrl":"10.1016/j.brat.2025.104753","url":null,"abstract":"<div><div>Sudden gains—large, rapid, and stable symptom reductions during treatment—are associated with better patient outcomes. Little is known about sudden gains among patients with co-occurring posttraumatic stress disorder (PTSD) and major depressive disorder (MDD), yet better understanding of sudden gains in this population may improve treatment of this comorbidity. This study evaluated sudden gains in PTSD and depression symptoms and their association with treatment outcomes among active duty service members with comorbid PTSD and MDD (<em>N</em> = 94) who were randomized to behavioral activation-enhanced cognitive processing therapy (BA + CPT) or CPT alone. Outcomes were interviewer-rated PTSD and depression severity at posttreatment and 3-month follow-up. PTSD and depression sudden gains occurred in 19 % and 27 % of the sample, respectively. Multilevel modeling showed sudden gains in depression symptoms were associated with clinically and statistically significant improvements in PTSD (<em>p</em> < .001) and depression severity (<em>p</em> < .001) outcomes. PTSD sudden gains were not associated with PTSD (<em>p</em> = .137) or depression (<em>p</em> = .187) outcomes. Improvements in both PTSD and depression outcomes following sudden depression gains may highlight the importance of depression symptom change during treatment as a prognostic marker of outcomes in this comorbid population.</div></div><div><h3>Clinicaltrials gov identifier</h3><div>NCT02874131.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104753"},"PeriodicalIF":4.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877498","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

Indicators of early change in cognitive behaviour therapy that predict eating disorder remission 预测饮食失调缓解的认知行为疗法早期改变指标

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-22 DOI: 10.1016/j.brat.2025.104754

Tracey D. Wade , Neophytos Georgiou , Ella Keegan , Mia L. Pellizzer , Glenn Waller

{"title":"Indicators of early change in cognitive behaviour therapy that predict eating disorder remission","authors":"Tracey D. Wade , Neophytos Georgiou , Ella Keegan , Mia L. Pellizzer , Glenn Waller","doi":"10.1016/j.brat.2025.104754","DOIUrl":"10.1016/j.brat.2025.104754","url":null,"abstract":"<div><div>We examined the utility of three definitions of rapid response to treatment for predicting remission in a transdiagnostic sample receiving 10-session cognitive behaviour therapy (CBT) for an eating disorder. Both efficiency (categorising the greatest number of people as rapid responders) and predictiveness (performs best in predicting outcomes) were compared. The participants (<em>N</em> = 176, 93 % female, 89 % white, mean age 26.65 years) completed measures at baseline and before session 4 of CBT which was used to calculate rapid response. Remission was achieved by 64 participants (36 %) at the end of therapy. A multivariable logistic regression analysis was used to examine the contribution of rapid response, as well as baseline disordered eating, impairment, general negative emotion, to remission status. Two of the rapid response definitions were associated with participants being 2.5 times more likely to achieve remission at end of treatment. In both cases, remission was also associated with a lower level of baseline eating disorder psychopathology. The preferred definition (a reduction of ≥1.13 points on the Eating Disorder Examination Questionnaire) categorised 58 % of participants as rapid responders. These findings can be used to inform clinicians of meaningful early change that predicts positive outcomes in brief CBT for eating disorders. Early change indicators can inform collaborative consideration of barriers to progress and approaches to tackle these, making CBT more effective for more people. The conclusions should be interpreted with caution given remission was only examined at end of treatment and not over longer-term follow-up.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104754"},"PeriodicalIF":4.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864856","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

Comparing three neural networks to predict depression treatment outcomes in psychological therapies 比较三种神经网络在心理治疗中预测抑郁症治疗结果

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-22 DOI: 10.1016/j.brat.2025.104752

Brian Schwartz , Julia Giesemann , Jaime Delgadillo , Jana Schaffrath , Miriam I. Hehlmann , Danilo Moggia , Christopher Baumann , Wolfgang Lutz

{"title":"Comparing three neural networks to predict depression treatment outcomes in psychological therapies","authors":"Brian Schwartz , Julia Giesemann , Jaime Delgadillo , Jana Schaffrath , Miriam I. Hehlmann , Danilo Moggia , Christopher Baumann , Wolfgang Lutz","doi":"10.1016/j.brat.2025.104752","DOIUrl":"10.1016/j.brat.2025.104752","url":null,"abstract":"<div><h3>Objective</h3><div>Artificial neural networks have been used in various fields to solve classification and prediction tasks. However, it is unclear if these may be adequate methods to predict psychological treatment outcomes. This study aimed to evaluate the prognostic accuracy of neural networks using psychological treatment outcomes data.</div></div><div><h3>Method</h3><div>Three neural network models (TensorFlow, nnet, and monmlp) and a generalised linear regression model were compared in their ability to predict post-treatment remission of depression symptoms in a large naturalistic sample (<em>n</em> = 69,489) of patients accessing low intensity cognitive behavioural therapy. Prognostic accuracy was evaluated using the area under the curve (AUC) in an external cross-validation design.</div></div><div><h3>Results</h3><div>The AUC of the neural networks in an external test sample ranged from 0.64 to 0.65 and the AUC of the linear regression model was 0.63.</div></div><div><h3>Conclusion</h3><div>Neural networks can help predict symptom remission in new samples with moderate accuracy, although these models were no more accurate than a simpler inferential statistical linear regression model.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104752"},"PeriodicalIF":4.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870486","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

Predicting responsiveness to a dialectical behaviour therapy skills training app for recurrent binge eating: A machine learning approach 预测对反复暴食的辩证行为治疗技能训练应用程序的反应：一种机器学习方法

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-22 DOI: 10.1016/j.brat.2025.104755

Zoe McClure , Christopher J. Greenwood , Matthew Fuller-Tyszkiewicz , Mariel Messer , Jake Linardon

{"title":"Predicting responsiveness to a dialectical behaviour therapy skills training app for recurrent binge eating: A machine learning approach","authors":"Zoe McClure , Christopher J. Greenwood , Matthew Fuller-Tyszkiewicz , Mariel Messer , Jake Linardon","doi":"10.1016/j.brat.2025.104755","DOIUrl":"10.1016/j.brat.2025.104755","url":null,"abstract":"<div><h3>Objective</h3><div>Smartphone applications (apps) show promise as an effective and scalable intervention modality for disordered eating, yet responsiveness varies considerably. The ability to predict user responses to app-based interventions is currently limited. Machine learning (ML) techniques have shown potential to improve prediction of complex clinical outcomes. We applied ML techniques to predict responsiveness to a dialectical behaviour therapy-based smartphone app for recurrent binge eating.</div></div><div><h3>Method</h3><div>Data were collected as part of a randomised controlled trial (RCT). The present sample was based on data from 576 participants with recurrent binge eating. 10 common classification and regression approaches were used to predict outcomes that represent key stages of the user experience, including initial intervention uptake, app adherence, study drop-out, and symptom change. Models were developed using 69 self-reported baseline variables (i.e., demographic, clinical, psychological) and several app usage variables (i.e., number of modules completed) as predictors.</div></div><div><h3>Results</h3><div>All models, using only baseline predictors, performed sub-optimally at predicting engagement (AUCs = 0.48–0.61; R<sup>2</sup> = 0.00–0.04) and symptom level change (R<sup>2</sup> = 0.00–0.07). Incorporating usage data improved prediction of study dropout (AUC = 0.69–0.76).</div></div><div><h3>Conclusion</h3><div>ML models were unable to accurately predict responsiveness using self-reported baseline predictors alone. Predicting outcomes with greater precision may require consideration of how predictors change over time and interact with a user's context. Modelling usage pattern data appears to improve prediction of dropout, highlighting the potential value of tracking intervention usage to identify individuals at risk of disengagement.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104755"},"PeriodicalIF":4.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870487","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

Generalization of exposure therapy: Systematic review and recommendations for future research 暴露疗法的推广：系统回顾和对未来研究的建议

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-18 DOI: 10.1016/j.brat.2025.104751

Iris Kodzaga, Jan Heistermann, Armin Zlomuzica

{"title":"Generalization of exposure therapy: Systematic review and recommendations for future research","authors":"Iris Kodzaga, Jan Heistermann, Armin Zlomuzica","doi":"10.1016/j.brat.2025.104751","DOIUrl":"10.1016/j.brat.2025.104751","url":null,"abstract":"<div><div>Limited generalization of exposure therapy effects from treatment-related to treatment-unrelated contexts and/or stimuli is a potential factor contributing to relapse after successful exposure treatment. Investigating the processes underlying exposure therapy generalization (ETG) and developing strategies to promote ETG has become a significant research area. This systematic review provides an overview of the current state of ETG research, outlining its operationalization and the methodological diversity used to detect changes in ETG. We also summarize and discuss findings from studies aimed at enhancing ETG through pharmacological and behavioral interventions.</div><div>A total of 34 studies were identified, investigating ETG across therapy-related and unrelated contexts and fear stimuli. These studies primarily used physical and/or social context/stimuli manipulations to investigate ETG. Multiple response systems (subjective, psychophysiological, behavioral) were used as indices of diminished ETG, but most studies found increased subjective fear in treatment-unrelated contexts/stimuli compared to treatment-related ones.</div><div>We conclude that clear definitions and criteria for assessing ETG are urgently needed. Behavioral interventions, such as multiple context exposure or sleep after exposure, seem effective in promoting ETG across different contexts/stimuli. In contrast, findings from pharmacological approaches are less encouraging, but more research is needed. We identify research gaps that require further investigation to better understand the mechanisms governing and promoting ETG. Experimental paradigms offer a clear advantage for this purpose and for screening novel strategies to maximize ETG.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104751"},"PeriodicalIF":4.2,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864855","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