The practice of exposure therapy: relevance of cognitive-behavioral theory and extinction theory.

Abstract:

:Exposure therapy is the most effective psychological intervention for people with anxiety disorders. While many therapists learn how to implement exposure techniques through clinical training programs or instructional workshops, not all of these educational efforts include a focus on the theory underlying this treatment. The availability of treatment manuals providing step-by-step instructions for how to implement exposure makes it easier for clinicians to use these techniques with less training than they might otherwise receive. This raises questions regarding whether it is necessary to understand the theory behind the use of exposure. This article argues that knowledge of the relevant theory is crucial to being able to implement exposure therapy in ways that optimize both short- and long-term outcome. Specific ways in which theory is relevant to using exposure techniques are discussed.

journal_name

Behav Ther

journal_title

Behavior therapy

authors

Abramowitz JS

doi

10.1016/j.beth.2013.03.003

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

548-58

issue

4

eissn

0005-7894

issn

1878-1888

pii

S0005-7894(13)00016-6

journal_volume

44

pub_type

杂志文章,评审
  • Psychometric Properties of the Dissociative Subtype of PTSD Scale: Replication and Extension in a Clinical Sample of Trauma-Exposed Veterans.

    abstract::The addition of the dissociative subtype of posttraumatic stress disorder (PTSD) to the DSM-5 has spurred investigation of its genetic, neurobiological, and treatment response correlates. In order to reliably assess the subtype, we developed the Dissociative Subtype of PTSD Scale (DSPS; Wolf et al., 2017), a 15-item i...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2019.02.003

    authors: Guetta RE,Wilcox ES,Stoop TB,Maniates H,Ryabchenko KA,Miller MW,Wolf EJ

    更新日期:2019-09-01 00:00:00

  • Anxiety and Related Disorders and Concealment in Sexual Minority Young Adults.

    abstract::Sexual minorities face greater exposure to discrimination and rejection than heterosexuals. Given these threats, sexual minorities may engage in sexual orientation concealment in order to avoid danger. This social stigma and minority stress places sexual minorities at risk for anxiety and related disorders. Given that...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2015.09.006

    authors: Cohen JM,Blasey C,Barr Taylor C,Weiss BJ,Newman MG

    更新日期:2016-01-01 00:00:00

  • The sense of incompleteness as a motivator of obsessive-compulsive symptoms: an empirical analysis of concepts and correlates.

    abstract::Contemporary models of obsessive-compulsive disorder emphasize the importance of harm avoidance (HA) and related dysfunctional beliefs as motivators of obsessive-compulsive (OC) symptoms. Recently, there has been a resurgence of interest in Janet's (1908) concept of incompleteness (INC) as another potentially importan...

    journal_title:Behavior therapy

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.beth.2013.11.004

    authors: Taylor S,McKay D,Crowe KB,Abramowitz JS,Conelea CA,Calamari JE,Sica C

    更新日期:2014-03-01 00:00:00

  • Patients With Obsessive-Compulsive Disorder Check Excessively in Response to Mild Uncertainty.

    abstract::Patients with obsessive-compulsive disorder (OCD) not only respond to obsessions with perseverative checking, but also engage in more general checking, irrespective of their obsessive concerns. This study investigated whether general checking is specific to OCD and exacerbated when only mild uncertainty is induced. Th...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2016.04.002

    authors: Toffolo MB,van den Hout MA,Engelhard IM,Hooge IT,Cath DC

    更新日期:2016-07-01 00:00:00

  • Translating CBM-I Into Real-World Settings: Augmenting a CBT-Based Psychiatric Hospital Program.

    abstract::Cognitive bias modification for interpretation (CBM-I) is an appealing augmentation to cognitive-behavioral therapy (CBT) because it targets cognitive bias efficiently via computerized training. Few studies have tested the combination of CBM-I and CBT, and none have translated lab-based CBM-I protocols to an acute psy...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2018.09.002

    authors: Beard C,Rifkin LS,Silverman AL,Björgvinsson T

    更新日期:2019-05-01 00:00:00

  • Evidence that a very brief psychological intervention boosts weight loss in a weight loss program.

    abstract::Reducing morbidity and mortality associated with being overweight is a crucial public health goal. The aim of the present research was to test the efficacy of a very brief psychological intervention (a volitional help sheet) that could be used as an adjunct to standard weight loss programs to support increased weight ...

    journal_title:Behavior therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.beth.2014.04.001

    authors: Armitage CJ,Norman P,Noor M,Alganem S,Arden MA

    更新日期:2014-09-01 00:00:00

  • Introduction.

    abstract::Cognitive behavioral therapy evolved from systematic studies testing learning theories. This research led to the development of effective treatment approaches for a variety of disorders. In more recent years we have moved away from relying on experimental psychopathology studies to directly inform our treatment approa...

    journal_title:Behavior therapy

    pub_type:

    doi:10.1016/j.beth.2014.03.007

    authors: Sloan DM

    更新日期:2014-09-01 00:00:00

  • Personality, problem solving, and adolescent substance use.

    abstract::The major aim of this study was to examine the role of social problem solving in the relationship between personality and substance use in adolescents. Although a number of studies have identified a relationship between personality and substance use, the precise mechanism by which this occurs is not clear. We hypothes...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2008.03.001

    authors: Jaffee WB,D'Zurilla TJ

    更新日期:2009-03-01 00:00:00

  • Symptoms of specific and generalized social phobia: an examination of discriminant validity and structural relations with mood and anxiety symptoms.

    abstract::Current models divide social phobia into specific (SSP) and generalized (GSP) subtypes and suggest strong overlap between GSP and avoidant personality disorder (APD). Meanwhile, other research suggests reclassifying anxiety and mood disorders as fear and distress disorders. To unify these separate lines of research, t...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2009.04.002

    authors: Carter SA,Wu KD

    更新日期:2010-06-01 00:00:00

  • Attributions and race are critical: perceived criticism in a sample of African American and White community participants.

    abstract::The current investigation had two principal goals: (a) to examine whether attributions regarding the intentions underlying criticism from one's relative predict perceived criticism from that relative and (b) to explore differences between African Americans and Whites in attributions and perceived criticism. A new meas...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2014.06.002

    authors: Allred KM,Chambless DL

    更新日期:2014-11-01 00:00:00

  • The looming maladaptive style in social anxiety.

    abstract::This exploratory study examined the relationship between the looming maladaptive style (i.e., an enduring and traitlike cognitive pattern to appraise threat as rapidly rising in risk, progressively worsening, or actively speeding up and accelerating) and three different aspects of trait social anxiety (i.e., fear of n...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2007.04.004

    authors: Brown MA,Stopa L

    更新日期:2008-03-01 00:00:00

  • Perceived impact of socially anxious behaviors on individuals' lives in Western and East Asian countries.

    abstract::The current study compared the predicted social and career impact of socially withdrawn and reticent behaviors among participants from Western and East Asian countries. Three hundred sixty-one college students from 5 Western countries and 455 students from 3 East Asian countries read hypothetical vignettes describing ...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2010.11.004

    authors: Rapee RM,Kim J,Wang J,Liu X,Hofmann SG,Chen J,Oh KY,Bögels SM,Arman S,Heinrichs N,Alden LE

    更新日期:2011-09-01 00:00:00

  • Predictors of Symptom Outcome in Interpretation Bias Modification for Dysphoria.

    abstract::Interpretation Bias Modification (IBM) interventions have been effective in reducing negative interpretation biases theorized to underlie depressive psychopathology. Although these programs have been highlighted as potential short-term interventions for depression, mixed evidence has been found for their effects on de...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2018.10.001

    authors: Smith HL,McDermott KA,Carlton CN,Cougle JR

    更新日期:2019-05-01 00:00:00

  • A randomized clinical trial of a brief family intervention to reduce accommodation in obsessive-compulsive disorder: a preliminary study.

    abstract::Accommodation consists of changes in family members' behavior to prevent or reduce patients' obsessive-compulsive disorder (OCD) rituals or distress. High levels of family accommodation are associated with more severe symptoms and functional impairment in patients, and may also interfere with exposure-based treatment....

    journal_title:Behavior therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.beth.2014.11.001

    authors: Thompson-Hollands J,Abramovitch A,Tompson MC,Barlow DH

    更新日期:2015-03-01 00:00:00

  • The reward probability index: design and validation of a scale measuring access to environmental reward.

    abstract::Behavioral models of depression implicate decreased response-contingent positive reinforcement (RCPR) as critical toward the development and maintenance of depression (Lewinsohn, 1974). Given the absence of a psychometrically sound self-report measure of RCPR, the Reward Probability Index (RPI) was developed to measur...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2010.05.004

    authors: Carvalho JP,Gawrysiak MJ,Hellmuth JC,McNulty JK,Magidson JF,Lejuez CW,Hopko DR

    更新日期:2011-06-01 00:00:00

  • Changes in Decentering and Reappraisal Temporally Precede Symptom Reduction During Emotion Regulation Therapy for Generalized Anxiety Disorder With and Without Co-Occurring Depression.

    abstract::Emotion Regulation Therapy (ERT) has demonstrated efficacy in both open and randomized trials for generalized anxiety disorder (GAD) with and without co-occurring depression. An important goal in ERT is to teach clients adaptive emotion regulation, including healthier metacognitive abilities such as decentering and co...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2018.12.005

    authors: O'Toole MS,Renna ME,Mennin DS,Fresco DM

    更新日期:2019-11-01 00:00:00

  • From Efficacy to Global Impact: Lessons Learned About What Not to Do in Translating Our Research to Reach.

    abstract::Although members of the Association for Behavioral and Cognitive Therapies have made significant strides toward the collective goals outlined in our mission statement, we routinely acknowledge that our ability to develop empirically supported treatments exceeds our success in improving dissemination and implementation...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2016.12.007

    authors: Becker CB

    更新日期:2017-09-01 00:00:00

  • A randomized clinical trial of transdiagnostic cognitve-behavioral treatments for anxiety disorder by comparison to relaxation training.

    abstract::Transdiagnostic cognitive-behavioral treatments (CBT) for anxiety disorders have been gaining increased attention and empirical study in recent years. Despite this, all of the research on transdiagnostic anxiety treatments to date have either not used a control condition, or have relied on no-treatment or delayed-trea...

    journal_title:Behavior therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.beth.2010.08.011

    authors: Norton PJ

    更新日期:2012-09-01 00:00:00

  • Long-Term Outcome of Cognitive Behavior Therapy for Body Dysmorphic Disorder: A Naturalistic Case Series of 1 to 4 Years After a Controlled Trial.

    abstract::There is some evidence for the efficacy of cognitive behavior therapy (CBT) for body dysmorphic disorder (BDD) after 1 to 6months but none in the long term. The aim of this study was to follow up the participants in a randomized controlled trial of CBT versus anxiety management to determine whether or not the treatmen...

    journal_title:Behavior therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.beth.2015.06.003

    authors: Veale D,Miles S,Anson M

    更新日期:2015-11-01 00:00:00

  • Habituation or Normalization? Experiential and Respiratory Recovery From Voluntary Hyperventilation in Treated Versus Untreated Patients With Panic Disorder.

    abstract::Psychophysiological theories postulate respiratory dysregulation as a mechanism contributing to panic disorder (PD). Additionally, symptomatic and respiratory recovery from voluntary hyperventilation (HVT-recovery) have been shown to lag in PD and it is unclear if HVT-recovery normalizes with treatment. Thirty-seven p...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2020.03.003

    authors: Tunnell NC,Ritz T,Wilhelm FH,Roth WT,Meuret AE

    更新日期:2021-01-01 00:00:00

  • Emotion Regulatory Strategies in Complicated Grief: A Systematic Review.

    abstract::Prolonged grief disorder, characterized by severe, persistent, and disabling grief, has recently been included in the International Classification of Diseases-11 (ICD-11). Emotional disturbances are central to such complicated grief responses. Accordingly, emotion regulation is assumed critical in the development, per...

    journal_title:Behavior therapy

    pub_type: 杂志文章,评审

    doi:10.1016/j.beth.2020.04.004

    authors: Eisma MC,Stroebe MS

    更新日期:2021-01-01 00:00:00

  • Using the QIDS-SR16 to identify major depressive disorder in primary care medical patients.

    abstract::Major depressive disorder (MDD) is a serious and prevalent mental health issue. As the majority of MDD cases are identified and treated by one's primary care physician, it is imperative that care providers utilize accurate and efficient methods for diagnosing MDD in primary care settings. The present study is the firs...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2009.12.002

    authors: Lamoureux BE,Linardatos E,Fresco DM,Bartko D,Logue E,Milo L

    更新日期:2010-09-01 00:00:00

  • Working Memory and Motor Activity: A Comparison Across Attention-Deficit/Hyperactivity Disorder, Generalized Anxiety Disorder, and Healthy Control Groups.

    abstract::Converging findings from recent research suggest a functional relationship between attention-deficit/hyperactivity disorder (ADHD)-related hyperactivity and demands on working memory (WM) in both children and adults. Excessive motor activity such as restlessness and fidgeting are not pathognomonic symptoms of ADHD, ho...

    journal_title:Behavior therapy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.beth.2017.08.009

    authors: Lea SE,Matt Alderson R,Patros CHG,Tarle SJ,Arrington EF,Grant DM

    更新日期:2018-05-01 00:00:00

  • Advances in evidence-based intervention and assessment practices for youth with an autism spectrum disorder.

    abstract::This special series is designed to highlight recent advances in the evidence-based treatment and assessment of youth with autism spectrum disorder (ASD). The seven articles for this special series include novel applications of cognitive-behavioral therapy to address core aspects of ASD, empirical research that provide...

    journal_title:Behavior therapy

    pub_type:

    doi:10.1016/j.beth.2014.07.004

    authors: McLeod BD,Wood JJ,Klebanoff S

    更新日期:2015-01-01 00:00:00

  • Fidelity to the Cognitive Processing Therapy Protocol: Evaluation of Critical Elements.

    abstract::The contributions of individual therapy elements to the overall efficacy of evidence-based practices for the treatment of posttraumatic stress disorder (PTSD) are not well-understood. This study first examined the extent to which theoretically important treatment components of Cognitive Processing Therapy (CPT; i.e., ...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2016.02.009

    authors: Farmer CC,Mitchell KS,Parker-Guilbert K,Galovski TE

    更新日期:2017-03-01 00:00:00

  • Combining mindfulness meditation with cognitive-behavior therapy for insomnia: a treatment-development study.

    abstract::This treatment-development study is a Stage I evaluation of an intervention that combines mindfulness meditation with cognitive-behavior therapy for insomnia (CBT-I). Thirty adults who met research diagnostic criteria for Psychophysiological Insomnia (Edinger et al., 2004) participated in a 6-week, multi-component gro...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2007.07.002

    authors: Ong JC,Shapiro SL,Manber R

    更新日期:2008-06-01 00:00:00

  • Delayed Bedtimes Are Associated With More Severe Obsessive-Compulsive Symptoms in Intensive Residential Treatment.

    abstract::Delays in behavioral and biological circadian rhythms (e.g., sleep timing, melatonin secretion) are found more frequently in individuals with severe and treatment-resistant obsessive-compulsive disorder (OCD). In recent years, it has been documented that these delays in behavioral and biological circadian rhythms are ...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2019.12.006

    authors: Nota JA,Potluri S,Kelley KN,Elias JA,Krompinger JW

    更新日期:2020-07-01 00:00:00

  • Scrupulosity in Islam: a comparison of highly religious Turkish and Canadian samples.

    abstract::Scrupulosity is a form of obsessive-compulsive disorder (OCD) characterized by a tendency to have persistent doubts about God, sin, and the adequacy of one's religious behaviors and devotion. To date, no published studies have compared scrupulosity in high- and low-religious Muslim and Christian samples. In the presen...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2011.06.002

    authors: Inozu M,Clark DA,Karanci AN

    更新日期:2012-03-01 00:00:00

  • Working From Home: An Initial Pilot Examination of Videoconferencing-Based Cognitive Behavioral Therapy for Anxious Youth Delivered to the Home Setting.

    abstract::Progress in evidence-based treatments for child anxiety has been hampered by limited accessibility of quality care. This study utilized a multiple baseline design to evaluate the pilot feasibility, acceptability, and preliminary efficacy of real-time, Internet-delivered, family-based cognitive-behavioral therapy for c...

    journal_title:Behavior therapy

    pub_type: 杂志文章

    doi:10.1016/j.beth.2018.01.007

    authors: Carpenter AL,Pincus DB,Furr JM,Comer JS

    更新日期:2018-11-01 00:00:00

  • A comparison of behavioral parent training programs for fathers of children with attention-deficit/hyperactivity disorder.

    abstract::Few behavioral parent training (BPT) treatment studies for attention-deficit/hyperactivity disorder (ADHD) have included and measured outcomes with fathers. In this study, fathers were randomly assigned to attend a standard BPT program or the Coaching Our Acting-Out Children: Heightening Essential Skills (COACHES) pro...

    journal_title:Behavior therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.beth.2008.05.002

    authors: Fabiano GA,Chacko A,Pelham WE Jr,Robb J,Walker KS,Wymbs F,Sastry AL,Flammer L,Keenan JK,Visweswaraiah H,Shulman S,Herbst L,Pirvics L

    更新日期:2009-06-01 00:00:00