Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia

Autores
Areas, Malenka Alejandra; Babl, Anna Margarete; Fernández Álvarez, Javier; Roussos, Andrés; Botella, Cristina; García-palacios, Azucena; Baños, Rosa; Quero, Soledad; Breton, Juana María; Gómez Penedo, Juan Martín
Año de publicación
2022
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Exposure-based treatments have demonstrated some of the largest effect sizes in the treatment of specific phobias (SP). There are different ways of delivering exposure such as Augmented Reality Exposure which has become an interesting alternative to In Vivo Exposure for treating SP. The present study aimed to investigate the therapeutic alliance and treatment expectations as possible predictors of treatment outcomes in these two exposure treatment conditions. Methods: Participants were 63 adults who met diagnostic criteria for the diagnosis of a SP of cockroaches or spiders (animal subtype). Patients were randomized to receive a one-session treatment of either In Vivo Exposure (N = 31) or Augmented Reality Exposure (N = 32). The assessment protocol included diagnostic, as well as primary-, and secondary outcome measures. Materials included the Behavioral Avoidance Test for measuring symptoms and outcomes, the Expectations and Satisfaction Questionnaire, and the Working Alliance Inventory. We ran multilevel analyses for the study of predictors controlling for the treatment effect conditions. Results: Results showed a significant effect of expectations on treatment outcomes (specifically avoidance and beliefs scores). The therapeutic alliance did not have a significant effect on treatment outcome. Patients reduced their symptoms of phobia. Conclusion: These results empirically support treatment expectations as a relevant predictor of change in exposure treatments for SP.
Fil: Areas, Malenka Alejandra. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Babl, Anna Margarete. University of Bern; Suiza
Fil: Fernández Álvarez, Javier. Universitat Jaume I; España
Fil: Roussos, Andrés. Universidad de Buenos Aires; Argentina
Fil: Botella, Cristina. Universitat Jaume I; España
Fil: García-palacios, Azucena. Universitat Jaume I; España
Fil: Baños, Rosa. Universidad de Valencia; España
Fil: Quero, Soledad. Universitat Jaume I; España
Fil: Breton, Juana María. Universitat Jaume I; España
Fil: Gómez Penedo, Juan Martín. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
AUGMENTED REALITY EXPOSURE
IN VIVO EXPOSURE
SPECIFIC PHOBIA
THERAPEUTIC ALLIANCE
TREATMENT
TREATMENT EXPECTATIONS
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/217585
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/217585
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific PhobiaAreas, Malenka AlejandraBabl, Anna MargareteFernández Álvarez, JavierRoussos, AndrésBotella, CristinaGarcía-palacios, AzucenaBaños, RosaQuero, SoledadBreton, Juana MaríaGómez Penedo, Juan MartínAUGMENTED REALITY EXPOSUREIN VIVO EXPOSURESPECIFIC PHOBIATHERAPEUTIC ALLIANCETREATMENTTREATMENT EXPECTATIONShttps://purl.org/becyt/ford/5.1https://purl.org/becyt/ford/5Background: Exposure-based treatments have demonstrated some of the largest effect sizes in the treatment of specific phobias (SP). There are different ways of delivering exposure such as Augmented Reality Exposure which has become an interesting alternative to In Vivo Exposure for treating SP. The present study aimed to investigate the therapeutic alliance and treatment expectations as possible predictors of treatment outcomes in these two exposure treatment conditions. Methods: Participants were 63 adults who met diagnostic criteria for the diagnosis of a SP of cockroaches or spiders (animal subtype). Patients were randomized to receive a one-session treatment of either In Vivo Exposure (N = 31) or Augmented Reality Exposure (N = 32). The assessment protocol included diagnostic, as well as primary-, and secondary outcome measures. Materials included the Behavioral Avoidance Test for measuring symptoms and outcomes, the Expectations and Satisfaction Questionnaire, and the Working Alliance Inventory. We ran multilevel analyses for the study of predictors controlling for the treatment effect conditions. Results: Results showed a significant effect of expectations on treatment outcomes (specifically avoidance and beliefs scores). The therapeutic alliance did not have a significant effect on treatment outcome. Patients reduced their symptoms of phobia. Conclusion: These results empirically support treatment expectations as a relevant predictor of change in exposure treatments for SP.Fil: Areas, Malenka Alejandra. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Babl, Anna Margarete. University of Bern; SuizaFil: Fernández Álvarez, Javier. Universitat Jaume I; EspañaFil: Roussos, Andrés. Universidad de Buenos Aires; ArgentinaFil: Botella, Cristina. Universitat Jaume I; EspañaFil: García-palacios, Azucena. Universitat Jaume I; EspañaFil: Baños, Rosa. Universidad de Valencia; EspañaFil: Quero, Soledad. Universitat Jaume I; EspañaFil: Breton, Juana María. Universitat Jaume I; EspañaFil: Gómez Penedo, Juan Martín. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaSpringer2022-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/217585Areas, Malenka Alejandra; Babl, Anna Margarete; Fernández Álvarez, Javier; Roussos, Andrés; Botella, Cristina; et al.; Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia; Springer; Cognitive Therapy and Research; 47; 2; 12-2022; 222-2310147-59161573-2819CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1007/s10608-022-10343-8info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:41:35Zoai:ri.conicet.gov.ar:11336/217585instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:41:35.663CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia
title Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia
spellingShingle Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia
Areas, Malenka Alejandra
AUGMENTED REALITY EXPOSURE
IN VIVO EXPOSURE
SPECIFIC PHOBIA
THERAPEUTIC ALLIANCE
TREATMENT
TREATMENT EXPECTATIONS
title_short Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia
title_full Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia
title_fullStr Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia
title_full_unstemmed Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia
title_sort Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia
dc.creator.none.fl_str_mv Areas, Malenka Alejandra
Babl, Anna Margarete
Fernández Álvarez, Javier
Roussos, Andrés
Botella, Cristina
García-palacios, Azucena
Baños, Rosa
Quero, Soledad
Breton, Juana María
Gómez Penedo, Juan Martín
author Areas, Malenka Alejandra
author_facet Areas, Malenka Alejandra
Babl, Anna Margarete
Fernández Álvarez, Javier
Roussos, Andrés
Botella, Cristina
García-palacios, Azucena
Baños, Rosa
Quero, Soledad
Breton, Juana María
Gómez Penedo, Juan Martín
author_role author
author2 Babl, Anna Margarete
Fernández Álvarez, Javier
Roussos, Andrés
Botella, Cristina
García-palacios, Azucena
Baños, Rosa
Quero, Soledad
Breton, Juana María
Gómez Penedo, Juan Martín
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv AUGMENTED REALITY EXPOSURE
IN VIVO EXPOSURE
SPECIFIC PHOBIA
THERAPEUTIC ALLIANCE
TREATMENT
TREATMENT EXPECTATIONS
topic AUGMENTED REALITY EXPOSURE
IN VIVO EXPOSURE
SPECIFIC PHOBIA
THERAPEUTIC ALLIANCE
TREATMENT
TREATMENT EXPECTATIONS
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.1
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv Background: Exposure-based treatments have demonstrated some of the largest effect sizes in the treatment of specific phobias (SP). There are different ways of delivering exposure such as Augmented Reality Exposure which has become an interesting alternative to In Vivo Exposure for treating SP. The present study aimed to investigate the therapeutic alliance and treatment expectations as possible predictors of treatment outcomes in these two exposure treatment conditions. Methods: Participants were 63 adults who met diagnostic criteria for the diagnosis of a SP of cockroaches or spiders (animal subtype). Patients were randomized to receive a one-session treatment of either In Vivo Exposure (N = 31) or Augmented Reality Exposure (N = 32). The assessment protocol included diagnostic, as well as primary-, and secondary outcome measures. Materials included the Behavioral Avoidance Test for measuring symptoms and outcomes, the Expectations and Satisfaction Questionnaire, and the Working Alliance Inventory. We ran multilevel analyses for the study of predictors controlling for the treatment effect conditions. Results: Results showed a significant effect of expectations on treatment outcomes (specifically avoidance and beliefs scores). The therapeutic alliance did not have a significant effect on treatment outcome. Patients reduced their symptoms of phobia. Conclusion: These results empirically support treatment expectations as a relevant predictor of change in exposure treatments for SP.
Fil: Areas, Malenka Alejandra. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Babl, Anna Margarete. University of Bern; Suiza
Fil: Fernández Álvarez, Javier. Universitat Jaume I; España
Fil: Roussos, Andrés. Universidad de Buenos Aires; Argentina
Fil: Botella, Cristina. Universitat Jaume I; España
Fil: García-palacios, Azucena. Universitat Jaume I; España
Fil: Baños, Rosa. Universidad de Valencia; España
Fil: Quero, Soledad. Universitat Jaume I; España
Fil: Breton, Juana María. Universitat Jaume I; España
Fil: Gómez Penedo, Juan Martín. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description Background: Exposure-based treatments have demonstrated some of the largest effect sizes in the treatment of specific phobias (SP). There are different ways of delivering exposure such as Augmented Reality Exposure which has become an interesting alternative to In Vivo Exposure for treating SP. The present study aimed to investigate the therapeutic alliance and treatment expectations as possible predictors of treatment outcomes in these two exposure treatment conditions. Methods: Participants were 63 adults who met diagnostic criteria for the diagnosis of a SP of cockroaches or spiders (animal subtype). Patients were randomized to receive a one-session treatment of either In Vivo Exposure (N = 31) or Augmented Reality Exposure (N = 32). The assessment protocol included diagnostic, as well as primary-, and secondary outcome measures. Materials included the Behavioral Avoidance Test for measuring symptoms and outcomes, the Expectations and Satisfaction Questionnaire, and the Working Alliance Inventory. We ran multilevel analyses for the study of predictors controlling for the treatment effect conditions. Results: Results showed a significant effect of expectations on treatment outcomes (specifically avoidance and beliefs scores). The therapeutic alliance did not have a significant effect on treatment outcome. Patients reduced their symptoms of phobia. Conclusion: These results empirically support treatment expectations as a relevant predictor of change in exposure treatments for SP.
publishDate 2022
dc.date.none.fl_str_mv 2022-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/217585
Areas, Malenka Alejandra; Babl, Anna Margarete; Fernández Álvarez, Javier; Roussos, Andrés; Botella, Cristina; et al.; Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia; Springer; Cognitive Therapy and Research; 47; 2; 12-2022; 222-231
0147-5916
1573-2819
CONICET Digital
CONICET
url http://hdl.handle.net/11336/217585
identifier_str_mv Areas, Malenka Alejandra; Babl, Anna Margarete; Fernández Álvarez, Javier; Roussos, Andrés; Botella, Cristina; et al.; Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia; Springer; Cognitive Therapy and Research; 47; 2; 12-2022; 222-231
0147-5916
1573-2819
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1007/s10608-022-10343-8
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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