Mechanisms of action underlying virtual reality exposure treatment in spider phobia: Pivotal role of within-session fear reduction
DC Element | Wert | Sprache |
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dc.contributor.author | Roesmann, Kati | |
dc.contributor.author | Leehr, Elisabeth J. | |
dc.contributor.author | Boehnlein, Joscha | |
dc.contributor.author | Gathmann, Bettina | |
dc.contributor.author | Herrmann, Martin J. | |
dc.contributor.author | Junghoefer, Markus | |
dc.contributor.author | Schwarzmeier, Hanna | |
dc.contributor.author | Seeger, Fabian R. | |
dc.contributor.author | Siminski, Niklas | |
dc.contributor.author | Straube, Thomas | |
dc.contributor.author | Dannlowski, Udo | |
dc.contributor.author | Lueken, Ulrike | |
dc.date.accessioned | 2024-01-04T10:37:55Z | - |
dc.date.available | 2024-01-04T10:37:55Z | - |
dc.date.issued | 2023 | |
dc.identifier.issn | 0887-6185 | |
dc.identifier.uri | http://osnascholar.ub.uni-osnabrueck.de/handle/unios/73305 | - |
dc.description.abstract | Although virtual-reality exposure treatment (VRET) for anxiety disorders is an efficient treatment option for specific phobia, mechanisms of action for immediate and sustained treatment response need to be elucidated. Towards this aim, core therapy process variables were assessed as predictors for short-and long-term VR treatment outcomes. In a bi-centric study, n = 186 patients with spider phobia completed a baseline-assessment, a one-session VRET, a post-therapy assessment, and a 6-month-follow-up assessment (ClinicalTrials.gov, ID: NCT03208400). Short-and long-term outcomes regarding self-reported symptoms in the spider phobia ques-tionnaire (SPQ) and final patient-spider distance in the behavioral avoidance test (BAT) were predicted via lo-gistic regression models with the corresponding baseline score, age, initial fear activation, within-session fear reduction and fear expectancy violation as predictors. To predict long-term remission status at 6-month-follow-up, dimensional short-term changes in the SPQ and BAT were additionally included. Higher within-session fear reductions predicted better treatment outcomes (long-term SPQ; short-and long-term BAT). Lower initial fear activation tended to be associated with better long-term outcomes (SPQ), while fear expectancy violation was not associated with any outcome measure. Short-term change in the SPQ predicted remission status. Findings highlight that in VRET for spider phobia, the experience of fear reduction is central for short-and long-term treatment success and should be focused by therapists. | |
dc.description.sponsorship | Deutsche Forschungsgemeinschaft (DFG) [44541416-TRR 58 (CRC-TRR58)]; Interdisciplinary Center for Clinical Research (IZKF) of the medical faculty of Munster; ``Innovative Medizinische Forschung'' (IMF) of the medical faculty of Munster; [Dan3/012/17]; [LE121703]; [LE121904]; This work was funded by the Deutsche Forschungsgemeinschaft (DFG) -Projektnummer 44541416-TRR 58 (CRC-TRR58, Project C08 to MJ and TS, Project C09 to UD and UL, Project C07 to TS and MH) and the Interdisciplinary Center for Clinical Research (IZKF) of the medical faculty of Munster (Grant Dan3/012/17 to UD) , as well as the ``Innovative Medizinische Forschung'' (IMF) of the medical faculty of Munster (EJL, grant number LE121703 and LE121904) . | |
dc.language.iso | en | |
dc.publisher | PERGAMON-ELSEVIER SCIENCE LTD | |
dc.relation.ispartof | JOURNAL OF ANXIETY DISORDERS | |
dc.subject | ANXIETY DISORDERS | |
dc.subject | DEPRESSION | |
dc.subject | Exposure | |
dc.subject | IN-VIVO EXPOSURE | |
dc.subject | METAANALYSIS | |
dc.subject | Psychiatry | |
dc.subject | Psychology | |
dc.subject | Psychology, Clinical | |
dc.subject | REACTIVITY | |
dc.subject | RESPONSES | |
dc.subject | SELF-EXPOSURE | |
dc.subject | Specific phobia | |
dc.subject | SUDDEN GAINS | |
dc.subject | THERAPIST-DIRECTED EXPOSURE | |
dc.subject | Therapy process | |
dc.subject | Treatment response | |
dc.subject | VALIDITY | |
dc.title | Mechanisms of action underlying virtual reality exposure treatment in spider phobia: Pivotal role of within-session fear reduction | |
dc.type | journal article | |
dc.identifier.doi | 10.1016/j.janxdis.2023.102790 | |
dc.identifier.isi | ISI:001100270200001 | |
dc.description.volume | 100 | |
dc.identifier.eissn | 1873-7897 | |
dc.publisher.place | THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND | |
dcterms.isPartOf.abbreviation | J. Anxiety Disord. | |
local.import.remains | affiliations : Universitat Siegen; University of Munster; University Osnabruck; University of Munster; University of Munster; University of Wurzburg; University of Munster; Ruprecht Karls University Heidelberg; Humboldt University of Berlin; University of Munster | |
local.import.remains | web-of-science-index : Social Science Citation Index (SSCI) | |
crisitem.author.dept | FB 08 - Humanwissenschaften | - |
crisitem.author.deptid | fb08 | - |
crisitem.author.orcid | 0000-0001-6940-3551 | - |
crisitem.author.parentorg | Universität Osnabrück | - |
crisitem.author.netid | RoKa253 | - |
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geprüft am 01.06.2024