Vansteenwegen Debora, Vervliet Bram, Hermans Dirk, Thewissen Roy, Eelen Paul
Department of Psychology, University of Leuven, Leuven, Belgium.
Behav Res Ther. 2007 Feb;45(2):291-300. doi: 10.1016/j.brat.2006.03.008. Epub 2006 May 4.
Clinical fear of spiders was assessed in 39 patients before and after exposure treatment and at a 3-month follow-up. The assessment included behavioral, physiological and self-report measures. Some patients were tested in the treatment context (group Same), while others were tested in a different context (group Different). Both groups demonstrated a significant fear reduction from pre- to post-treatment in all measures, which persisted at the 3-month follow-up. Contrary to our expectations, no clear difference was observed between the groups at any moment. However, a 1-year follow-up test of the self-report measure revealed a return of fear in group Same, but not in group Different. These results show (1) that the effects of exposure treatment persisted over contexts and time in the short term, and (2) that conducting treatment and tests in different contexts enhanced efficiency of exposure treatment in the long term.
在暴露疗法前后以及3个月随访时，对39名患者的临床蜘蛛恐惧症进行了评估。评估包括行为、生理和自我报告测量。一些患者在治疗环境中接受测试（相同组），而另一些患者在不同环境中接受测试（不同组）。两组在所有测量中均显示出从治疗前到治疗后恐惧显著降低，且在3个月随访时持续存在。与我们的预期相反，两组在任何时刻均未观察到明显差异。然而，自我报告测量的1年随访测试显示，相同组的恐惧复发，但不同组未出现。这些结果表明：（1）暴露疗法的效果在短期内跨越环境和时间持续存在；（2）在不同环境中进行治疗和测试从长期来看提高了暴露疗法的效率。
