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The mediating role of changes in harm beliefs and coping efficacy in youth with specific phobias
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
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Number of Authors: 52017 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 99, p. 131-137Article in journal (Refereed) Published
Abstract [en]

Individuals with specific phobias (SPs) often experience catastrophic cognitions and compromised efficacy regarding their ability to cope when in the presence of the phobic object/situation. In the current study, 165 children (7-16 years; 62% male) received either One Session Treatment or Educational Support Therapy for their SP. The children identified their feared belief and rated how bad it was, how likely it was to occur, and their ability to cope if it did occur. All of these ratings were reduced from pre-treatment to 6-month follow-up, across both treatment conditions. However, ratings of how bad and how likely reduced to a significantly greater degree for children who received OST. Greater change in each of the three beliefs predicted lower clinician severity ratings (CSRs) at post-treatment and 6-month follow-up. Additionally, changes in how bad and how likely the children rated their beliefs, and their reported ability to cope, partially mediated the relationship between treatment and post-treatment and follow-up CSRs. Overall, these findings suggest that although both treatment conditions produced changes in harm beliefs and coping efficacy, OST elicited greater changes and these changes may be important mechanisms in reduction of SP clinical severity.

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 99, p. 131-137
Keywords [en]
phobic beliefs, specific phobias, children and adolescents, randomized controlled trial
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-150870DOI: 10.1016/j.brat.2017.10.007ISI: 000416879700014PubMedID: 29101841OAI: oai:DiVA.org:su-150870DiVA, id: diva2:1172637
Note

This work was supported by the National Institute of Mental Health [Grant R01 MH59308].

Available from: 2018-01-10 Created: 2018-01-10 Last updated: 2018-01-18Bibliographically approved

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CiteExportLink to record
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