The credibility of exposure therapy: Does the theoretical rationale matter?

Arch, Joanna J.; Twohig, Michael P.; Deacon, Brett J.; Landy, Lauren N.; Bluett, Ellen J.

doi:10.1016/j.brat.2015.05.008

Cited by 43 publications

(32 citation statements)

References 49 publications

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“…The finding that more negative attitudes at baseline were associated with greater improvement in attitudes to exposure is similar to the finding of Arch et al (2015). In that study, the authors found that the credibility of exposure therapy among non-clinicians was enhanced by a brief educational module, but that effect was greater among those who had more negative views at baseline.…”

Section: Discussionsupporting

confidence: 73%

“…suggest that a multi-faceted approach might be needed to change clinicians' use of exposure (e.g., simulated exposure exercises, attitude inoculation work, case descriptions). However, , Arch et al (2015 and the current study might indicate that some change can be brought about through education alone. However, this conclusion should be treated with caution, as it is possible that the more multifaceted approach suggested by Farrell, Deacon, Dixon et al would result in more resilient changes in attitudes over the long term and would drive wider changes (e.g., greater implementation of exposure therapy in everyday practice).…”

Section: Discussionmentioning

confidence: 81%

“…Deacon, Farrell, Addressing clinicians' attitudes to exposure therapy 4 Kemp, Dixon, Sy, Zhang & McGrath (2013) have shown that a one-day didactic workshop has a very substantial positive effect on clinicians' attitudes to the use of exposure therapy (effect size; d = 1.50). Using a non-clinician sample, a much shorter piece of educational work showed a similar positive effect on beliefs about exposure, though with a smaller effect size (Arch, Twohig, Deacon, Landy & Bluett, 2015). However, such an education-based approach has not been tested with clinicians who work with eating disorders, so it is not possible to assume that the findings of those studies will generalise to this field.…”

Section: Impact Of Education On Clinicians' Attitudes To Exposure Thementioning

confidence: 91%

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Impact of education on clinicians' attitudes to exposure therapy for eating disorders

Waller

Walsh

Wright

2016

Behaviour Research and Therapy

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Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. Addressing clinicians' attitudes to exposure therapy AbstractIt is well established that clinicians use exposure therapy far less often than the evidence would suggest is justified. This shortfall has been explained as being at least partly a result of clinicians' beliefs and attitudes about exposure and their trait anxiety. Recent studies have shown that attitudes to exposure therapy for anxiety disorders can be improved through a simple educational approach. This study aimed to determine whether a similar educational approach can improve therapists' attitudes to exposure therapy for the eating disorders, and whether clinician's pre-intervention characteristics influenced the impact of the training. Thirty-four eating disorder clinicians (30 female, four male; mean age = 39.0 years; 85.3% Caucasian) attended a 90-minute didactic teaching session on the subject of the use of exposure in treatment of eating disorders. Their attitudes to exposure therapy were measured before and after the workshop, in a within-subject design. The outcome was a substantial improvement in attitudes, with a strong effect size (Cohen's d = 1.68) that was comparable to the outcome of a similar intervention among clinicians working with anxiety disorders. The improvement was not related to clinicians' anxiety levels, but was greater among those whose attitudes were more negative at the outset of the teaching. While this finding needs to be tested for long-term maintenance and its relationship to change in clinical practice, it adds to the evidence that a simple educational intervention is sufficient to result in substantial improvement in clinicians' attitudes to exposure therapy.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 81%

Section: Impact Of Education On Clinicians' Attitudes To Exposure Thementioning

confidence: 91%

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Impact of education on clinicians' attitudes to exposure therapy for eating disorders

Waller

Walsh

Wright

2016

Behaviour Research and Therapy

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“…One potential patient‐relevant barrier is limited knowledge and awareness of EBPTs (Choudhry, Mani, Ming, & Khan, ), as this can render it difficult for patient to search for and access these specific treatments. For example, previous research suggests that the public has limited knowledge of CBT for anxiety disorders (Schofield, Weis, Ponzini, & McHugh, ), which remains the case even among samples in which the majority of individuals endorse psychological distress (Arch, Twohig, Deacon, Landy, & Bluett, ). One potential method for increasing public knowledge of CBT and other EBPTs is direct‐to‐consumer (DTC) marketing.…”

Section: Introductionmentioning

confidence: 99%

Awareness of and attitudes toward CBT, DBT, and ACT in an acute psychiatric sample

et al. 2019

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Objective Treatment utilization for psychiatric illness is low, perhaps influenced by limited consumer knowledge of evidence‐based psychological treatments (EBPTs). To inform consumer‐directed dissemination efforts, we characterized preferences, beliefs, and knowledge about specific EBPTs (cognitive behavioral therapy [CBT], dialectical behavior therapy [DBT], and acceptance and commitment therapy [ACT]); and examined potential sociodemographic and treatment history correlates. Method Before receiving treatment at a psychiatric partial hospital, patients (n = 249) completed the Psychological Treatment Consumer Questionnaire. Results Most (75%) patients felt responsible for being aware of psychotherapy options and that it was important to receive research‐supported psychotherapy (80%), but were split on whether research (42%) or their provider's recommendation (58%) carried greater decisional weight. Most (93%) patients had heard of CBT (93%) and DBT (71%), but not ACT (35%). Prior exposure to these EBPTs increased the likelihood of recommending them to others. Conclusions Findings support initiatives to enhance consumer familiarity with these EBPTs and inform dissemination efforts.

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“…A number of studies now demonstrate that it can be difficult for many individuals to access evidence-based CBT for PD due to a number of barriers including lack of knowledge about these treatments and not receiving CBT referrals from medical providers (Arch, Twohig, Deacon, Landy, & Bluett, 2015;Craske et al, 2005;Marcks, Weisberg, & Keller, 2009). As a result, individuals with PD more commonly are prescribed pharmacological agents, and when they are offered psychological treatment, they will most likely receive supportive counselling (Wolitzky-Taylor, Zimmermann, Arch, De Guzman, & Lagomasino, 2015).…”

Section: Discussionmentioning

confidence: 99%

Accelerated outpatient individual cognitive‐behaviour therapy for panic disorder: A case study

Wootton

MacGregor

2018

Clinical Psychologist

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Objective Panic disorder (PD) is a common mental health condition which causes substantial disability. It is well known that cognitive‐behavioural therapy (CBT) is an effective treatment for PD and this treatment is generally provided in 8–14 weekly sessions. A small number of preliminary studies have now investigated the efficacy of accelerated or intensive CBT in the treatment of PD and have found promising results. However, many of these existing treatment formats do not allow for optimal learning, since sessions are administered daily which does not allow time for the client to practice the skills between sessions. Method The aim of this study was to investigate the feasibility of an accelerated CBT (aCBT) approach where treatment was provided three times per week (90‐min sessions) over a two‐week period (six sessions in total) using a case study design. The participant completed a structured diagnostic interview to confirm diagnosis and outcome measures were administered at baseline, post‐treatment, and three‐month follow‐up. Results The results indicated that the participant significantly reduced symptoms of PD over a two‐week period and no longer met diagnostic criteria for PD at three‐month follow‐up. Importantly, the participant also found the treatment format to be highly acceptable. Conclusions The results demonstrate the preliminary acceptability and efficacy of this aCBT approach in the treatment of PD.

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The credibility of exposure therapy: Does the theoretical rationale matter?

Cited by 43 publications

References 49 publications

Impact of education on clinicians' attitudes to exposure therapy for eating disorders

Impact of education on clinicians' attitudes to exposure therapy for eating disorders

Awareness of and attitudes toward CBT, DBT, and ACT in an acute psychiatric sample

Accelerated outpatient individual cognitive‐behaviour therapy for panic disorder: A case study

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