Positive valence reduces susceptibility to return of fear and enhances approach behavior.

Background and Objectives: Although exposure therapy is highly efficacious for anxiety disorders, many individuals do not respond. Drawing from the science of fear extinction and reinstatement, the current study evaluated whether a training designed to increase valence of the feared stimulus improve...

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Publicado en:Journal of Behavior Therapy & Experimental Psychiatry Vol. 50; pp. 277 - 283
Autores principales: Dour, Halina J., Brown, Lily A., Craske, Michelle G.
Formato: research randomized controlled trial Journal Article
Publicado: Pergamon Press - An Imprint of Elsevier Science Mar2016
Acceso en línea:Ver este registro en EBSCOhost
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      issn: 00057916
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      dt: Mar2016
      vid: 50
      pid: 2410
      pub: Pergamon Press - An Imprint of Elsevier Science
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        111321658
        10.1016/j.jbtep.2015.09.010
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        atl: Positive valence reduces susceptibility to return of fear and enhances approach behavior.
      aug:
        au:
          Dour, Halina J.
          Brown, Lily A.
          Craske, Michelle G.
        affil: University of California, Los Angeles, Department of Psychology, 405 Hilgard Avenue, Los Angeles, 90095-1563, CA, USA
      sug:
        subj:
          Learning
          Fear
          Behavior Therapy
          Phobic Disorders Psychosocial Factors
          Phobic Disorders Therapy
          Human
          Treatment Outcomes
          Animal Studies
          Adult
          Adolescence
          Young Adult
          Spiders
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Randomized Controlled Trials
          Adult: 19-44 years
          Adolescent: 13-18 years
      ab: Background and Objectives: Although exposure therapy is highly efficacious for anxiety disorders, many individuals do not respond. Drawing from the science of fear extinction and reinstatement, the current study evaluated whether a training designed to increase valence of the feared stimulus improved the longevity of treatment outcomes.Methods: Participants were 61 undergraduate students with fear of spiders (>10 on Spider Phobia Questionnaire, M = 20.45, SD = 3.98) who were randomized to receive positive valence training or control training. Participants completed exposure over two days, with training conditions at the end of the first day. Tests of spontaneous recovery and reinstatement were conducted one week later.Results: Compared to control, the Positive Valence Training group demonstrated significantly less subjective fear at test of spontaneous recovery and less behavioral avoidance after reinstatement. Change in valence predicted subjective fear at spontaneous recovery and after reinstatement but did not predict behavioral avoidance after reinstatement.Limitations: Due to the relatively small size and homogeneity of the sample, as well as the limited methods of training (i.e., film clips only) and outcome measurement (i.e., self-report and behavioral measures), current results should be interpreted with caution.Conclusions: Adjunct positive valence training may enhance the longevity of exposure treatment.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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