Evidence map›Paper›PMID 28322476›Full record

Trial reportInternational journal of methods in psychiatric research2017

Optimizing exposure-based CBT for anxiety disorders via enhanced extinction: Design and methods of a multicentre randomized clinical trial.

Ingmar Heinig, Andre Pittig, Jan Richter, Katrin Hummel, Isabel Alt, Kristina Dickhöver, Jennifer Gamer, Maike Hollandt, Katja Koelkebeck, Anne Maenz and 19 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of methods in psychiatric research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02605668 (Providing Tools for Effective Care and Treatment of Anxiety Disorders), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02605668 nacompletednot on this map

Providing Tools for Effective Care and Treatment of Anxiety Disorders (AD): Outcomes, Mediators and Moderators of Enhanced Extinction

TypeinterventionalSponsorTechnische Universität DresdenRan2015 to 2019Enrolled726ConditionsPanic Disorder, Agoraphobia, Specific Phobias, Social Anxiety DisorderArmsIntensified psychological intervention, Standard intervention
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Exposure, Extinction, and Cognitive Appraisals in Autistic Adults With Social Anxiety: Evidence From a Structured Speech Exposure Task.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Panic disorder in epilepsy.Epilepsy & behavior reports · 2024
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors.

Ingmar HeinigInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.ORCID 0000-0002-7762-4327
Andre PittigInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.ORCID 0000-0003-3787-9576
Jan RichterDepartment of Psychology, Universität Greifswald, Greifswald, Germany.
Katrin HummelInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
Isabel AltDepartment of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité Universitätsmedizin Berlin, Berlin, Germany.
Kristina DickhöverCenter of Mental Health, Department of Biological Psychology, Clinical Psychology, and Psychotherapy, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Jennifer GamerCenter of Mental Health, Department of Biological Psychology, Clinical Psychology, and Psychotherapy, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Maike HollandtDepartment of Psychology, Universität Greifswald, Greifswald, Germany.
Katja KoelkebeckDepartment of Psychiatry and Psychotherapy, Universitätsklinikum Münster, Münster, Germany.
Anne MaenzClinical Psychology and Psychotherapy, Philipps-Universität Marburg, Marburg, Germany.
Sophia TennieClinical Psychology and Psychotherapy, Philipps-Universität Marburg, Marburg, Germany.
Christina TotzeckMental Health Research and Treatment Center, Ruhr-Universität Bochum, Bochum, Germany.
Yunbo YangDepartment of Psychiatry and Psychotherapy, Philipps-Universität Marburg, Marburg, Germany.
Volker AroltDepartment of Psychiatry and Psychotherapy, Universitätsklinikum Münster, Münster, Germany.
Jürgen DeckertCenter of Mental Health, Department of Psychiatry, Psychosomatics, and Psychotherapy, University Hospital of Würzburg, Würzburg, Germany.
Katharina DomschkeCenter of Mental Health, Department of Psychiatry, Psychosomatics, and Psychotherapy, University Hospital of Würzburg, Würzburg, Germany.
Thomas FydrichDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany.
Alfons HammDepartment of Psychology, Universität Greifswald, Greifswald, Germany.
Jürgen HoyerInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
Tilo KircherDepartment of Psychiatry and Psychotherapy, Philipps-Universität Marburg, Marburg, Germany.
Ulrike LuekenCenter of Mental Health, Department of Psychiatry, Psychosomatics, and Psychotherapy, University Hospital of Würzburg, Würzburg, Germany.
Jürgen MargrafMental Health Research and Treatment Center, Ruhr-Universität Bochum, Bochum, Germany.
Peter NeudeckProtect-AD Study Site Cologne, Cologne, Germany.
Paul PauliCenter of Mental Health, Department of Biological Psychology, Clinical Psychology, and Psychotherapy, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Winfried RiefClinical Psychology and Psychotherapy, Philipps-Universität Marburg, Marburg, Germany.
Silvia SchneiderMental Health Research and Treatment Center, Ruhr-Universität Bochum, Bochum, Germany.
Benjamin StraubeDepartment of Psychiatry and Psychotherapy, Philipps-Universität Marburg, Marburg, Germany.
Andreas StröhleDepartment of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité Universitätsmedizin Berlin, Berlin, Germany.
Hans-Ulrich WittchenInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exposure-based psychological interventions currently represent the empirically best established first line form of cognitive-behavioural therapy for all types of anxiety disorders. Although shown to be highly effective in both randomized clinical and other studies, there are important deficits: (1) the core mechanisms of action are still under debate, (2) it is not known whether such treatments work equally well in all forms of anxiety disorders, including comorbid diagnoses like depression, (3) it is not known whether an intensified treatment with more frequent sessions in a shorter period of time provides better outcome than distributed sessions over longer time intervals. This paper reports the methods and design of a large-scale multicentre randomized clinical trial (RCT) involving up to 700 patients designed to answer these questions. Based on substantial advances in basic research we regard extinction as the putative core candidate model to explain the mechanism of action of exposure-based treatments. The RCT is flanked by four add-on projects that apply experimental neurophysiological and psychophysiological, (epi)genetic and ecological momentary assessment methods to examine extinction and its potential moderators. Beyond the focus on extinction we also involve stakeholders and routine psychotherapists in preparation for more effective dissemination into clinical practice.

Indexed as

Extinction, PsychologicalAdolescentAdultAgedAnxiety DisordersBehavior TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedNeurophysiologyPsychophysicsTreatment OutcomeYoung Adultanxiety disordersexposure therapyextinctionrandomized clinical trial

Identifiers

PMID28322476
PMCPMC6877126

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.