EXTINCTION RETENTION PREDICTS IMPROVEMENT IN SOCIAL ANXIETY SYMPTOMS FOLLOWING EXPOSURE THERAPY
EXTINCTION RETENTION PREDICTS IMPROVEMENT IN SOCIAL ANXIETY SYMPTOMS FOLLOWING EXPOSURE THERAPY
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DOI：
10.1002/da.20511
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发表时间：
2009-01-01
影响因子：
7.4
通讯作者：
Smits, Jasper A. J.
中科院分区：
文献类型：
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作者：
Berry, Angela C.;Rosenfield, David;Smits, Jasper A. J.
背景：几位研究人员认为，基础研究石油灭绝的学习可以指导努力，以提高基于暴露的治疗效果。这一转换研究范式的基础是这样一种假设，即消亡保持对基于暴露的治疗的结果很重要。这项研究首次探讨了消退保持与暴露治疗后焦虑症状改善之间的关系。消退保持包括在两次暴露期间保持的恐惧减少量。方法：成人(N=90)，参与两个独立的研究，他们接受了三次重复的公开演讲，在暴露治疗期间提供了峰值恐惧的评级，并完成了Liebowitz社交焦虑量表的自我报告版本，LSAS-SR，Baker等人。[2002：行为疗法40：701-715]在基线、治疗后和随访时。结果：在控制了会话内消退后，消退保留对LSAS-SR分数随时间的改善有显著差异。结论：我们的发现表明，在暴露治疗后，消亡学习到长期记忆中的巩固与与社交情境相关的恐惧和回避的改善有关。对暴露治疗增强研究的意义进行了讨论。抑郁与焦虑26：22-27,2009。(C)2008年Wiley-Less，Inc.
Background: Several researchers have argued that basic research oil 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 = 90), 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 Scale Self-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. (c) 2008 Wiley-Less, Inc.