کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
10445757 916577 2013 12 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Optimal attentional focus during exposure in specific phobia: A meta-analysis
ترجمه فارسی عنوان
تمرکز توجه مطلوب در هنگام قرار گرفتن در معرض هویت خاص: یک متاآنالیز
کلمات کلیدی
حواس پرتی، تمرکز، گرفتن در معرض، توجه مطلوب، متاآنالیز،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
چکیده انگلیسی
Over the last 30 years, researchers have disagreed over the consequences of diverting attention from threat for exposure efficacy, which is an important theoretical and clinical debate. Therefore, the present meta-analysis assessed the efficacy of attentionally focused exposure against distracted and attentionally uninstructed exposure regarding distress, behavioral, and physiological outcomes. We included 15 randomized studies with specific phobia, totaling 444 participants and targeting outcomes at post-exposure and follow-up. Results indicated no difference between the efficacy of distracted exposure as opposed to focused or uninstructed exposure for distress and physiology. For behavior, at post-exposure, results were marginally significant in favor of distracted as opposed to focused exposure, while at follow-up results significantly favored distraction. However, concerning behavior, uninstructed exposure was superior to distraction. Moderation analyses revealed that, regarding distress reduction and approach behavior, distracted exposure significantly outperformed focused exposure when the distracter was interactive (g = 1.010/g = 1.128) and exposure was spread over the course of multiple sessions (g = 1.527/g = 1.606). No moderation analysis was significant for physiological measures. These findings suggest that distraction during exposure could be less counterproductive than previously considered and even beneficial under certain circumstances. Theoretical implications and future directions for research are discussed.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Psychology Review - Volume 33, Issue 8, December 2013, Pages 1172-1183
نویسندگان
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