Synchrony-desynchrony in the tripartite model of fear: Predicting treatment outcome in clinically phobic children.

Autor: Benoit Allen K; University of Pittsburgh, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, United States. Electronic address: benoitke@upmc.edu., Allen B; University of Pittsburgh, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, United States., Austin KE; Virginia Tech, Child Study Center, 460 Turner St NW, #207, Blacksburg, VA 24060, United States., Waldron JC; Virginia Tech, Child Study Center, 460 Turner St NW, #207, Blacksburg, VA 24060, United States., Ollendick TH; Virginia Tech, Child Study Center, 460 Turner St NW, #207, Blacksburg, VA 24060, United States.
Jazyk: angličtina
Zdroj: Behaviour research and therapy [Behav Res Ther] 2015 Aug; Vol. 71, pp. 54-64. Date of Electronic Publication: 2015 May 28.
DOI: 10.1016/j.brat.2015.05.009
Abstrakt: The tripartite model of fear posits that the fear response entails three loosely coupled components: subjective distress, behavioral avoidance, and physiological arousal. The concept of synchrony vs. desynchrony describes the degree to which changes in the activation of these components vary together (synchrony), independently, or inversely (both forms of desynchrony) over time. The present study assessed synchrony-desynchrony and its relationship to treatment outcome in a sample of 98 children with specific phobias both prior to and 1 week after receiving one-session treatment, a 3 h cognitive-behavioral intervention. The results suggest an overall pattern of desynchronous change whereby youth improved on behavioral avoidance and subjective distress following treatment, but their level of cardiovascular reactivity remained stable. However, we found evidence that synchronous change on the behavioral avoidance and subjective distress components was related to better treatment outcome, whereas desynchronous change on these components was related to poorer treatment outcome. These findings suggest that a fuller understanding of the three response systems and their interrelations in phobic youth may assist us in the assessment and treatment of these disorders, potentially leading to a more person-centered approach and eventually to enhanced treatment outcomes.
(Copyright © 2015 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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