Extinction retention predicts improvement in social anxiety symptoms following exposure therapy

Autor:	David Rosenfield, Jasper A. J. Smits, Angela C. Berry
Rok vydání:	2009
Předmět:	Adult Male medicine.medical_specialty Adolescent medicine.medical_treatment Exposure therapy Implosive Therapy Extinction Psychological Phobic disorder Young Adult Avoidance Learning medicine Humans Young adult Psychiatry Depression (differential diagnoses) Randomized Controlled Trials as Topic Social anxiety Retention Psychology Fear Extinction (psychology) Prognosis humanities Psychiatry and Mental health Clinical Psychology Treatment Outcome Phobic Disorders Anxiety Female medicine.symptom Psychology Clinical psychology
Zdroj:	Depression and Anxiety. 26:22-27
ISSN:	1520-6394 1091-4269
DOI:	10.1002/da.20511
Popis:	Background: Several researchers have argued that basic research on extinction learning can guide efforts to enhance the efficacy of exposure-based therapy. At the basis of this translational research paradigm is the assumption that extinction retention is important to the outcome of exposure-based therapy. This study is the first to examine the relationship between extinction retention, which comprises the amount of fear reduction that is retained between two exposure sessions and improvement in anxiety symptoms following exposure treatment. Methods: Adults (N 590), participating in two separate studies, who received three sessions of repeated exposure to public speaking provided ratings of peak fear during exposure treatment and completed the Liebowitz Social Anxiety ScaleSelf—Report version, LSAS-SR, Baker et al. [2002: Behav Res Ther 40:701–715] at baseline, posttreatment, and follow-up. Results: After controlling for within-session extinction, extinction retention accounted for significant variance in the improvement of LSAS-SR scores over time. Conclusions: Our findings suggest that the consolidation of extinction learning into long-term memory is associated with improvements in fear and avoidance related to social situations following exposure therapy. Implications for exposure therapy augmentation studies are discussed. Depression and Anxiety 26:22–27, 2009. & 2008 Wiley-Less, Inc.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::763273a23a57e6a4f5a2da7af8c7b068 https://doi.org/10.1002/da.20511 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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