Originalarbeit: Neugierde, Staunen und Reflektieren bei traumatisierten Müttern und ihren Kleinkindern anregen. Arbeiten mit Clinician-Assisted Videofeedback Exposure Sessions (CAVES) und Clinician-Assisted Videofeedback Exposure Approach Therapy (CAVEAT)

2021 ◽  
Vol 40 (4) ◽  
pp. 187-200
Author(s):  
Daniel S. Schechter ◽  
Sandra Rusconi Serpa
Keyword(s):  
Exposure Sessions

Effect of Virtual Reality Graded Exposure on Heart Rate and Self-Reported Anxiety Levels of Performing Saxophonists

2003 ◽  
Vol 51 (4) ◽  
pp. 302-315 ◽  
Author(s):  
Evelyn K. Orman
Keyword(s):  
Heart Rate ◽  
Virtual Reality ◽  
Virtual Environments ◽  
Exposure Period ◽  
Sense Of Presence ◽  
Graded Exposure ◽  
Subjective Measurements ◽  
Anxiety Levels ◽  
Exposure Sessions ◽  
Virtual Reality Exposure

This study is an examination of the effect of computer-generated virtual reality graded exposure on the physiological and psychological responses of performing musicians. Eight university saxophone majors, five men and three women, participated in twelve 15- to 20-minute weekly practice sessions during which they were immersed in one of four different virtual environments designed to elicit various anxiety levels. Baseline heart rates and subjective measurements were taken prior to immersion and continued throughout the exposure period. In addition, heart rate and subjective measurements were recorded for three live performances given by each subject before beginning the virtual reality exposure and after completion of the sixth and the twelfth exposure sessions. Findings indicated that the virtual environments did elicit a sense of presence and may have provided the means for desensitization. Heart-rate readings and psychological indications of anxiety did not always correspond.

scholarly journals Comparative Study on Efficacy of Various Types of Exposure Response Prevention Therapies on OCD

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Mihir Ranjan Nayak ◽  
Narendra nath Samantaray ◽  
Preeti Singh ◽  
Mihir Ranjan Nayak
Keyword(s):  
Comparative Study ◽  
Treatment Outcomes ◽  
Pharmacological Treatment ◽  
Cognitive Restructuring ◽  
Treatment Groups ◽  
Exposure Response ◽  
Exposure Response Prevention ◽  
Management Method ◽  
Exposure Sessions ◽  
Treatment Procedures

Objective: The heterogeneity of OCD has various mixed findings related to the treatment procedures, psychological and pharmacological treatment. Consistent research has shown mixed findings regarding which form of ERP, ERP as Habituation tool or ERP as restructuring tool, is more efficacious. Hence this study is done to examine efficacies of various treatment procedures but importantly to propose a possible treatment choices based on efficacy and acceptability in Indian settings for OCD management. Method: Participants were adult outpatients (N=22) with primary OCD selected  from OPD level and randomly assessed to two treatment groups; a) ERP(Habituation only) with SSRI b) ERP (ERP as restructuring tool) with SSRI. Participants received 12-14 exposure sessions, Result and Conclusions: ERP when used as a process of “habituation” is more efficacious in terms of treatment outcomes but when ERP used as both habituation and cognitive restructuring tool is more tolerable and acceptable by patients and also not prone to dropouts.

scholarly journals Efficacy of exposure in group settings for youth with posttraumatic stress symptoms

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Elisa Pfeiffer
Keyword(s):  
Stress Level ◽  
Group Intervention ◽  
Behavioral Treatment ◽  
Traumatic Experiences ◽  
Cognitive Behavioral Treatment ◽  
Group Settings ◽  
Stress Symptoms ◽  
Group Sessions ◽  
Exposure Sessions ◽  
The Individual

Abstract Background Exposure to traumatic experiences is a fundamental part of evidence-based trauma-focused cognitive behavioral treatment (CBT) but in group settings it is discussed controversially among researchers and practitioners. This study aims to examine the individual participants’ stress level during group sessions with exposure and disclosure of traumatic events. Method N = 47 traumatized youth (Mage = 17.00, 94% male) participated in a group intervention comprising six 90-min group sessions (exposure in sessions 2–5). It is based on trauma-focused CBT principles. The individual stress level was assessed by the participants and group facilitators at the beginning, during, and at the end of every session. Results During the sessions including exposure, the stress level of the participants was higher than during sessions without exposure (Z = − 3.79; p ≤ .001). During the exposure sessions, the participants showed significant changes in stress level (d = 0.34–0.87) following an inverse U-shaped trend. Conclusion The results show that exposure is feasible within the scope of a trauma-focused group intervention for youth. The further dissemination of trauma-focused group treatments is an important component in the mental health care of children and youth who are traumatized.

scholarly journals Group Therapy Treatment for Food Selectivity (FS17-05-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sean Logie ◽  
Courtney Gengler ◽  
Lesley Wofford ◽  
Emily Hecht
Keyword(s):  
Group Therapy ◽  
Exposure Therapy ◽  
Wait Time ◽  
Token Economy ◽  
Food Selectivity ◽  
Improvement Project ◽  
Novel Foods ◽  
Funding Sources ◽  
Exposure Sessions ◽  
Evidenced Based

Abstract Objectives The purpose of this quality improvement project was to implement a group exposure therapy intervention to more efficiently serve the patients that are referred to our hospital due to severe food selectivity. Methods The intervention used evidenced-based practices such as systematic desensitization, a token economy, counterconditioning, and parent training to help patients expand their food repertoire. The intervention is a 12-week multi-family group therapy for children that range in age from 4–14. Patients are placed into groups of no more than six members of similar age. In 11 of the sessions, therapists direct patients through an exposure hierarchy with novel foods and record the number of bites patients take of each food. In 4–5 sessions, a psychologist meets with parents separately to discuss how to use exposure therapy to treat food selectivity. We examined data from the groups that ran from March 2016 to June 2018. Results Using a Wilcoxon Signed-Ranks Test, we compared the number of bites of novel foods that patients took in the first and last food exposure sessions. Results indicated that patients took significantly more bites of novel foods in the last group (median = 34) compared to the first group (median = 8.5), z = 4.79, P < .001. Conclusions The outcomes of this project suggest that time-limited group interventions may help children who struggle with severe food selectivity. Time-limited groups also may also decrease treatment wait time for patients with severe food selectivity because patients can be seen simultaneously and with clear start and end date for the service. Funding Sources N/A. Supporting Tables, Images and/or Graphs

scholarly journals Therapist-guided internet-delivered cognitive–behavioural therapy supplemented with group exposure sessions for adolescents with social anxiety disorder: a feasibility trial

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018345 ◽  
Author(s):  
Martina Nordh ◽  
Sarah Vigerland ◽  
Lars-Göran Öst ◽  
Brjánn Ljótsson ◽  
David Mataix-Cols ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Cognitive Behavioural Therapy ◽  
Social Anxiety Disorder ◽  
Behavioural Therapy ◽  
Post Treatment ◽  
Feasibility Trial ◽  
Cognitive Behavioural ◽  
Exposure Sessions

ObjectivesSocial anxiety disorder (SAD) is one of the most common psychiatric disorders in youth, with a prevalence of about 3%–4% and increased risk of adverse long-term outcomes, such as depression. Cognitive–behavioural therapy (CBT) is considered the first-line treatment for youth with SAD, but many adolescents remain untreated due to limited accessibility to CBT. The aim of this study was to develop and evaluate the feasibility and preliminary efficacy of a therapist-guided internet-delivered CBT treatment, supplemented with clinic-based group exposure sessions (BIP SOFT).DesignA proof-of-concept, open clinical trial with 6-month follow-up.ParticipantsThe trial was conducted at a child and adolescent psychiatric research clinic, and participants (n=30) were 13–17 years old (83% girls) with a principal diagnosis of SAD.Intervention12 weeks of intervention, consisting of nine remote therapist-guided internet-delivered CBT sessions and three group exposure sessions at the clinic for the adolescents and five internet-delivered sessions for the parents.ResultsAdolescents were generally satisfied with the treatment, and the completion rate of internet modules, as well as attendance at group sessions, was high. Post-treatment assessment showed a significant decrease in clinician-rated, adolescent-rated and parent-rated social anxiety (d=1.17, 0.85 and 0.79, respectively), as well as in general self-rated and parent-rated anxiety and depression (d=0.76 and 0.51), compared with pretreatment levels. Furthermore, 47% of participants no longer met Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for SAD at post-treatment. At a 6-month follow-up, symptom reductions were maintained, or further improved, and 57% of participants no longer met criteria for SAD.ConclusionTherapist-guided and parent-guided internet-delivered CBT, supplemented with a limited number of group exposure sessions, is a feasible and promising intervention for adolescents with SAD.Trial registration numberNCT02576171; Results.

scholarly journals D-Cycloserine Enhancement of Fear Extinction is Specific to Successful Exposure Sessions: Evidence from the Treatment of Height Phobia

2013 ◽  
Vol 73 (11) ◽  
pp. 1054-1058 ◽  
Author(s):  
Jasper A.J. Smits ◽  
David Rosenfield ◽  
Michael W. Otto ◽  
Mark B. Powers ◽  
Stefan G. Hofmann ◽  
...  
Keyword(s):  
Fear Extinction ◽  
Exposure Sessions

Treating university students with social phobia and public speaking fears: internet delivered self-help with or without live group exposure sessions

2008 ◽  
Vol 25 (8) ◽  
pp. 708-717 ◽  
Author(s):  
Maria Tillfors ◽  
Per Carlbring ◽  
Tomas Furmark ◽  
Susanne Lewenhaupt ◽  
Maria Spak ◽  
...  
Keyword(s):  
University Students ◽  
Social Phobia ◽  
Public Speaking ◽  
Self Help ◽  
Exposure Sessions ◽  
Live Group

scholarly journals Farmed Salmon Show No Pathological Alterations When Exposed to Acoustic Treatment for Sea Lice Infestation

2021 ◽  
Vol 9 (10) ◽  
pp. 1114
Author(s):  
Marta Solé ◽  
Maria Constenla ◽  
Francesc Padrós ◽  
Antoni Lombarte ◽  
José-Manuel Fortuño ◽  
...  
Keyword(s):  
Sound Pressure ◽  
Sea Lice ◽  
Histopathological Analysis ◽  
Microscopy Imaging ◽  
Farmed Salmon ◽  
Sound Exposure ◽  
Innovative Method ◽  
Exposure Levels ◽  
Exposure Sessions ◽  
Acoustic Treatment

The use of bioacoustic methods to address sea lice infestation in salmonid farming is a promising innovative method but implies an exposure to sound that could affect the fish. An assessment of the effects of these techniques related to the salmon’s welfare is presented here. The fish were repeatedly exposed to 350 Hz and 500 Hz tones in three- to four-hour exposure sessions, reaching received sound pressure levels of 140 to 150 dB re 1 µPa2, with the goal of reaching total sound exposure levels above 190 dB re 1 µPa2 s. Gross pathology and histopathological analysis performed on exposed salmons’ organs did not reveal any lesions that could be associated to sound exposure. The analysis of their otoliths through electron microscopy imaging confirmed that the sound dose that was used to impair the lice had no effects on the fish auditory organs.

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