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EFFECT OF TRAINING ON BELIEFS ABOUT EXPOSURE THERAPY IN EXPERIENCED THERAPISTS

a.a.p.vanemmerik@uva.nl

Jelle van Malsen1, Anja Greeven2, and Arnold van Emmerik3*

1 MA, Clinical Psychology Group, Faculty of Social and Behavioural Sciences, University of Amsterdam. Postal address: Nieuwe Achtergracht 129-B, 1018 WS Amsterdam, The Netherlands

2 PhD, PsyQ. Postal address: Lijnbaan 4, 2512 VA The Hague, The Netherlands.

3 PhD, Clinical Psychology Group, Faculty of Social and Behavioural Sciences, University of Amsterdam. Postal address: Nieuwe Achtergracht 129-B, 1018 WS Amsterdam, The Netherlands

Abstract

Exposure therapy is an effective psychotherapeutic intervention for anxiety disorders, obsessive-compulsive disorder, and acute or posttraumatic stress disorder. Despite its effectiveness, exposure therapy is underutilized in situations in which it could be beneficial for patients. Negative beliefs about exposure therapy in therapists may partly explain this. This study therefore investigated the effect of a one-day training in exposure therapy on beliefs about exposure therapy in 81 experienced therapists with mostly cognitive behavioral orientations. In addition, anxiety sensitivity and intolerance of uncertainty were tested as predictors of this effect. Results showed that a one-day training had a significant moderate positive effect on therapist beliefs about exposure therapy. The magnitude of this effect was not predicted by anxiety sensitivity or intolerance of uncertainty in therapists. Further research is needed that includes control conditions and longer posttest intervals, investigates the effect of exposure training in therapists with different theoretical orientations, and examines if changes in beliefs about exposure therapy mediate the effect of exposure training on actual therapist behaviors.

Keywords: exposure therapy; behavior therapy; training; anxiety sensitivity; intolerance of uncertainty.

Please cite this article as: van Malsen, J., Greeven, A., & van Emmerik, A. (2023). EFFECT OF TRAINING ON BELIEFS ABOUT EXPOSURE THERAPY IN EXPERIENCED THERAPISTS. Journal of Evidence-Based Psychotherapies, 23(2), 137-146.

DOI: 10.24193/jebp.2023.2.14

Published online: 2023/09/01
Published print: 2023/09/01

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Keywords
irrational beliefscbtrebtEditorialdistresscognitive-behavioral therapyappraisalcognitive restructuringschemasautism spectrum disordersbinary model of distressrational emotive behavior theoryconversion disorderautismhypnosispositive illusionstheory of mindearly interventioncommunicationdevelopmentthe Attitudes and Belief Scale 2incompatible information techniquedeficitsneural structurestoddlerscognitive psychologyrational anticipation techniquewithdrawal motivational systemsattributionsfunctional and dysfunctional negative emotionsunitary model of distressmind reading beliefsirrational and rational beliefstreatmenteating behavioursmental healtharousalpre-goal/ post-goal attainment positive emotionsfunctional and dysfunctional emotionscore relational themesapproach motivational systemsdemandingnessdysfunctional consequencesdysfunctional positive emotionspreferences
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