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26-05-2023 | Original Article

Pilot Study of Self-Distancing Augmentation to Exposure Therapy for Youth Anxiety

Auteurs: Emily L. Bilek, Allison E. Meyer, Rachel Tomlinson, Carol Chen

Gepubliceerd in: Child Psychiatry & Human Development

Abstract

This pilot examines a self-distancing augmentation to exposure. Nine youth with anxiety (ages 11–17; 67% female) completed treatment. The study employed a brief (eight session) crossover ABA/BAB design. Exposure difficulty, engagement with exposure, and treatment acceptability were examined as primary outcome variables. Visual inspection of plots indicated that youth completed more difficult exposures during augmented exposure sessions [EXSD] than classic exposure sessions [EX] by therapist- and youth-report and that therapists reported higher youth engagement during EXSD than EX sessions. There were no significant differences between EXSD and EX on exposure difficulty or engagement by therapist- or youth-report. Treatment acceptability was high, although some youth reported that self-distancing was “awkward”. Self-distancing may be associated with increased exposure engagement and willingness to complete more difficult exposures, which has been linked to treatment outcomes. Future research is needed to further demonstrate this link, and link self-distancing to outcomes directly.

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Titel: Pilot Study of Self-Distancing Augmentation to Exposure Therapy for Youth Anxiety
Auteurs: Emily L. Bilek
Allison E. Meyer
Rachel Tomlinson
Carol Chen
Publicatiedatum: 26-05-2023
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-023-01540-x

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