Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia
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Otros documentos de la autoría: Areas, Malenka Alejandra; Babl, Anna Margarete; Fernández-Álvarez, Javier; Roussos, Andres; Botella, Cristina; García-Palacios, Azucena; Baños, Rosa Maria; Quero, Soledad; Bretón-López, Juana; Gómez Penedo, Juan Martín
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INVESTIGACIONMetadatos
Título
Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific PhobiaAutoría
Fecha de publicación
2022-11-23Editor
SpringerCita bibliográfica
Areas, M., Babl, A.M., Fernández-Álvarez, J. et al. Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia. Cogn Ther Res 47, 222–231 (2023). https://doi.org/10.1007/s10608-022-10343-8Tipo de documento
info:eu-repo/semantics/articleVersión
info:eu-repo/semantics/acceptedVersionPalabras clave / Materias
Resumen
Background
Exposure-based treatments have demonstrated some of the largest effect sizes in the treatment of specific phobias (SP). There are different ways of delivering exposure such as Augmented Reality Exposure ... [+]
Background
Exposure-based treatments have demonstrated some of the largest effect sizes in the treatment of specific phobias (SP). There are different ways of delivering exposure such as Augmented Reality Exposure which has become an interesting alternative to In Vivo Exposure for treating SP. The present study aimed to investigate the therapeutic alliance and treatment expectations as possible predictors of treatment outcomes in these two exposure treatment conditions.
Methods
Participants were 63 adults who met diagnostic criteria for the diagnosis of a SP of cockroaches or spiders (animal subtype). Patients were randomized to receive a one-session treatment of either In Vivo Exposure (N = 31) or Augmented Reality Exposure (N = 32). The assessment protocol included diagnostic, as well as primary-, and secondary outcome measures. Materials included the Behavioral Avoidance Test for measuring symptoms and outcomes, the Expectations and Satisfaction Questionnaire, and the Working Alliance Inventory. We ran multilevel analyses for the study of predictors controlling for the treatment effect conditions.
Results
Results showed a significant effect of expectations on treatment outcomes (specifically avoidance and beliefs scores). The therapeutic alliance did not have a significant effect on treatment outcome. Patients reduced their symptoms of phobia.
Conclusion
These results empirically support treatment expectations as a relevant predictor of change in exposure treatments for SP. [-]
Publicado en
Cognitive Therapy and Research, 47 (2023)Entidad financiadora
Ministerio de Economía y Competitividad, España | Institute of Health Carlos III (ISCiii)
Código del proyecto o subvención
PSI2010-17563
Derechos de acceso
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
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info:eu-repo/semantics/openAccess
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