Transfer of exposure therapy effects to a threat context not considered during treatment in patients with panic disorder and agoraphobia: Implications for potential mechanisms of change

Richter, Jan; Pané-Farré, Christiane A.; Gerlach, Alexander L.; Gloster, Andrew T.; Wittchen, Hans‐Ulrich; Lang, Thomas; Alpers, Georg W.; Helbig-Lang, Sylvia; Deckert, Jürgen; Fydrich, Thomas; Fehm, Lydia; Ströhle, Andreas; Kircher, Tilo; Arolt, Volker; Hamm, Alfons O.

doi:10.1016/j.brat.2021.103886

Cited by 9 publications

(2 citation statements)

References 62 publications

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“…In AG/PD, physical activity increased during the main treatment phase but decreased until post assessment, Individuals with AG/PD potentially had more difficulties to transfer the contents of therapy to their daily life. This idea is in line with laboratory-based data demonstrating that therapist-guided exposure exercises in patients with PD only partially reduce their avoidance behavior in untrained situations (Richter et al, 2021).…”

Section: Exposure-based Psychotherapy Leads To Increased Active Behaviorsupporting

confidence: 75%

Exposure Traced in Daily Life: Improvements in Ecologically Assessed Social and Physical Activity following Exposure-Based CBT for Anxiety Disorders

Heinig,

Weiß,

Hamm

et al. 2023

Preprint

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Background. Although exposure-based cognitive-behavioral therapy for anxiety disorders has frequently been proven effective, only few studies examined whether it improves everyday behavioral outcomes such as social and physical activity.Methods. 126 participants (85 patients with panic disorder, agoraphobia, social anxiety disorder, or specific phobias, and 41 controls without mental disorders) completed smartphone-based ambulatory ratings (activities, social interactions, mood, physical symptoms) and motion sensor-based indices of physical activity (steps, time spent moving, metabolic activity) at baseline, during, and after exposure-based treatment.Results. Prior to treatment, patients showed reduced mood and physical activity relative to healthy controls. Over the course of therapy, mood ratings, interactions with strangers and indices of physical activity improved, while reported physical symptoms decreased. Overall results did not differ between patients with primary panic disorder/agoraphobia and social anxiety disorder. Higher depression scores at baseline were associated with larger changes in reported symptoms and mood ratings, but smaller changes in physical activity.Conclusions. Exposure-based treatment initiates increased physical activity, more frequent interaction with strangers, and improvements in everyday mood. The current approach provides objective and fine-graded process and outcome measures that may help to further improve treatments and possibly reduce relapse.

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Section: Exposure-based Psychotherapy Leads To Increased Active Behaviorsupporting

confidence: 75%

Exposure Traced in Daily Life: Improvements in Ecologically Assessed Social and Physical Activity following Exposure-Based CBT for Anxiety Disorders

Heinig,

Weiß,

Hamm

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Due to the lack of a control group, specific contributions of the VRET cannot be disentangled from potential effects of the repetitive exposure of phobic stimuli during the assessments, e.g. during the BAT ( Richter et al, 2021 ) and experimental tasks. Fourth, caution is also warranted when generalizing findings to exposure-based treatments in standard routine care settings, which typically are less standardized, include more sessions of exposure and include individual adjustments of exposure settings (e.g., to violate idiosyncratic expectancies).…”

Section: Discussionmentioning

confidence: 99%