Specific Phobia Clinical Trial
Official title:
Extinction Generalization in Exposure Therapy for Spider Phobia
Patients with anxiety disorders oftentimes express fear responses to more than only one fear-inducing object. The principal aim of this study is to examine whether the beneficial effects of exposure on fear reduction in spider phobia can extend to stimuli which are conceptually similar to spiders (i.e. cockroaches), but have never been presented during the respective treatment.
Fear extinction has evolved as the central mechanism underlying exposure-based treatments.
Findings from conditioning studies indicate that fear reduction following a fear extinction
procedure can generalize from the extinction stimulus to other conceptually and perceptually
related stimuli. This study is aimed at translating these findings to a clinical application
and will hence examine whether the basic principles of extinction generalization are
applicable to exposure.
Patients with spider phobia will either receive two sessions of in-vivo exposure with
spiders or no treatment. Prior to as well as after treatment, patient's fear of spiders will
be assessed using the Behavioral Approach Test (BATs) and self-report questionnaires. In
addition, BATs with cockroaches will be conducted to examine the effects of exposure therapy
on extinction generalization.
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