The Experts below are selected from a list of 15889626 Experts worldwide ranked by ideXlab platform
Nexhmedin Morina - One of the best experts on this subject based on the ideXlab platform.
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cognitive predictors of treatment outcome for exposure therapy do changes in self efficacy self focused attention and estimated social costs predict symptom improvement in social anxiety disorder
BMC Psychiatry, 2019Co-Authors: Isabel L Kampmann, Paul M G Emmelkamp, Nexhmedin MorinaAbstract:Cognitions play an important role in the development and maintenance of social anxiety disorder (SAD). To investigate whether changes in cognitions during the first six sessions of exposure therapy are associated with treatment outcome, we assessed reported self-focused attention, self-efficacy in social situations, and estimated social costs in 60 participants (Mage = 36.9 years) diagnosed with SAD who received in vivo or virtual reality exposure therapy. Patients demonstrating a greater decrease in estimated social costs during treatment reported greater improvement of their social anxiety symptoms following both forms of exposure therapy. While changes in self-focused attention and social self-efficacy during treatment were significantly associated with treatment outcome when examined individually, these changes did not significantly predict symptom improvement beyond social costs. Changes in estimated social costs during treatment are associated with improvement of social anxiety symptoms after exposure therapy. Future research needs to further investigate estimated social costs as a predictor in relation to other cognitive variables. NCT01746667 ; www.clinicaltrials.gov, November 2012, retrospectively registered.
Isaac Marks - One of the best experts on this subject based on the ideXlab platform.
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self exposure therapy for panic disorder with agoraphobia randomised controlled study of external v interoceptive self exposure
British Journal of Psychiatry, 2001Co-Authors: L M Ito, L A De Araujo, V L C Tess, T P De Barrosneto, Fernando R Asbahr, Isaac MarksAbstract:Background Exposure to external phobic cues is an effective therapy for panic/agoraphobia but the value of exposure to interoceptive cues is unclear. Aims Randomised controlled comparison in panic/agoraphobia of the effects of (a) external, (b) interceptive or (c) combined external and interoceptive self-exposure to (d) control subjects. Method Eighty out-patients were randomised to a control group or to one of three forms of self-exposure treatment (external, interoceptive, or combined). Each treatment included seven sessions over 10 weeks and daily self-exposure homework. Assessments were at pre- and post-treatment and up to 1 year post-enty. Assessors remained blind during treatment. Results The three self-exposure groups improved significantly and similarly at post-treatment and up to 1-year followup, and significantly more than did the control subjects. Rates of improvement on main outcome measures averaged 60% at post-treatment and 77% at follow-up. Conclusions The three methods of self-exposure were equally effective in reducing panic and agoraphobic symptoms in the short- and long-term.
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self exposure therapy for panic disorder with agoraphobia randomised controlled study of external v interoceptive self exposure
Congress of European Association for Behavioural & Cognitive Therapies, 2001Co-Authors: L M Ito, L A De Araujo, V L C Tess, T P De Barrosneto, Fernando R Asbahr, Isaac MarksAbstract:Background Exposure to external phobic cues is an effective therapy for panic/agoraphobia but the value of exposure to interoceptive cues is unclear. Aims Randomised controlled comparison in panic/agoraphobia ofthe effects of (a) external, (b) interoceptive or (c) combined external and interoceptive self-exposure to (d) control subjects. Method Eighty out-patients were randomised to a control group or to one of three forms of self-exposure treatment (external, interoceptive, or combined). Each treatment included seven sessions over 10 weeks and daily self-exposure homework. Assessments were at preand post-treatment and up to I year post-entry. Assessors remained blind during treatment. Results The three self-exposure groups improved significantly and similarly at post-treatment and up to 1-year follow-up, and significantly more than did the control subjects. Rates of improvement on main outcome measures averaged 60% at post-treatment and 77% at follow-up. Conclusions The three methods of self-exposure were equally effective in reducing panic and agoraphobic symptoms in the short- and long-term. Declaration of interest Supported by Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP).
Isabel L Kampmann - One of the best experts on this subject based on the ideXlab platform.
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cognitive predictors of treatment outcome for exposure therapy do changes in self efficacy self focused attention and estimated social costs predict symptom improvement in social anxiety disorder
BMC Psychiatry, 2019Co-Authors: Isabel L Kampmann, Paul M G Emmelkamp, Nexhmedin MorinaAbstract:Cognitions play an important role in the development and maintenance of social anxiety disorder (SAD). To investigate whether changes in cognitions during the first six sessions of exposure therapy are associated with treatment outcome, we assessed reported self-focused attention, self-efficacy in social situations, and estimated social costs in 60 participants (Mage = 36.9 years) diagnosed with SAD who received in vivo or virtual reality exposure therapy. Patients demonstrating a greater decrease in estimated social costs during treatment reported greater improvement of their social anxiety symptoms following both forms of exposure therapy. While changes in self-focused attention and social self-efficacy during treatment were significantly associated with treatment outcome when examined individually, these changes did not significantly predict symptom improvement beyond social costs. Changes in estimated social costs during treatment are associated with improvement of social anxiety symptoms after exposure therapy. Future research needs to further investigate estimated social costs as a predictor in relation to other cognitive variables. NCT01746667 ; www.clinicaltrials.gov, November 2012, retrospectively registered.
Martin Zinkler - One of the best experts on this subject based on the ideXlab platform.
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effectiveness and cost effectiveness of dialectical behaviour therapy for self harming patients with personality disorder a pragmatic randomised controlled trial
Psychotherapy and Psychosomatics, 2012Co-Authors: Stefan Priebe, Nyla Bhatti, Kirsten Barnicot, Stephen Bremner, Amy Gaglia, Christina Katsakou, Iris Molosankwe, Paul Mccrone, Martin ZinklerAbstract:Background: A primary goal of dialectical behaviour therapy (DBT) is to reduce self-harm, but findings from empirical studies are inconclusive. The aim of this study was to assess the effectiveness and cost-effectiveness of DBT in reducing self-harm in patients with personality disorder. Methods: Participants with a personality disorder and at least 5 days of self-harm in the previous year were randomised to receive 12 months of either DBT or treatment as usual (TAU). The primary outcome was the frequency of days with self-harm; secondary outcomes included borderline personality disorder symptoms, general psychiatric symptoms, subjective quality of life, and costs of care. Results: Forty patients each were randomised to DBT and TAU. In an intention-to-treat analysis, there was a statistically significant treatment by time interaction for self-harm (incidence rate ratio 0.91, 95% CI 0.89–0.92, p Conclusions: DBT can be effective in reducing self-harm in patients with personality disorder, possibly incurring higher total treatment costs. The effect is stronger in those who complete treatment. Future research should explore how to improve treatment adherence.
Wim Van Den Brink - One of the best experts on this subject based on the ideXlab platform.
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dialectical behaviour therapy for women with borderline personality disorder 12 month randomised clinical trial in the netherlands
British Journal of Psychiatry, 2003Co-Authors: Roel Verheul, Louise M C Van Den Bosch, Maarten W J Koeter, Maria A J De Ridder, Theo Stijnen, Wim Van Den BrinkAbstract:Background Dialectical behaviour therapy (DBT) is widely considered to be a promising treatment for borderline personality disorder (BPD). However, the evidence for its efficacy published thus far should be regarded as preliminary. Aims To compare the effectiveness of DBT with treatment as usual for patients with BPD and to examine the impact of baseline severity on effectiveness. Method Fifty-eight women with BPD were randomly assigned to either 12 months of DBT or usual treatment in a randomised controlled study. Participants were recruited through clinical referrals from both addiction treatment and psychiatric services. Outcome measures included treatment retention and the course of suicidal, self-mutilating and self-damaging impulsive behaviours. Results Dialectical behaviour therapy resulted in better retention rates and greater reductions of self-mutilating and self-damaging impulsive behaviours compared with usual treatment, especially among those with a history of frequent self-mutilation. Conclusions Dialectical behaviour therapy is superior to usual treatment in reducing high-risk behaviours in patients with BPD.
