Evidence map›Paper›PMID 32152429›Full record

ArticleScientific reports2020

The association between fear extinction, the ability to accomplish exposure and exposure therapy outcome in specific phobia.

Friederike Raeder, Christian J Merz, Jürgen Margraf, Armin Zlomuzica

Abstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. A microglial compliment: controlling neuronal function from within.Signal transduction and targeted therapy · 2024
    Article
  10. Article
  11. Article
  12. Is Fear Extinction Impairment Central to Psychopathology?Current topics in behavioral neurosciences · 2023
    Article
  13. Review
  14. COBMC psychiatry · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

4 authors.

Friederike RaederMental Health Research and Treatment Center, Ruhr University Bochum, Bochum, Germany.
Christian J MerzDepartment of Cognitive Psychology, Ruhr University Bochum, Bochum, Germany.
Jürgen MargrafMental Health Research and Treatment Center, Ruhr University Bochum, Bochum, Germany.
Armin ZlomuzicaMental Health Research and Treatment Center, Ruhr University Bochum, Bochum, Germany. armin.zlomuzica@rub.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Great interest exists in maximizing exposure therapy efficacy in anxiety disorders. At the same time, reduced frequency and shortened duration of exposure sessions are required to meet the specific regularities in routine care settings. Extinction has emerged as the key mechanism of exposure treatment in anxiety disorders. Examining exposure treatment processes from the perspective of extinction learning might provide novel insights into variability in exposure treatment duration and outcome. The present study sought to examine the functional link between fear extinction, the ability to accomplish exposure in a predetermined time and exposure therapy outcome in specific phobia. Treatment-seeking individuals (N = 53) with spider phobia underwent a context-dependent fear conditioning paradigm prior to a standardized exposure. Spider-phobic participants who were able to complete exposure within the pre-determined time (i.e., completers) showed a more pronounced short- and long-term exposure therapy benefit. In the fear conditioning task, a more pronounced decline in CS-US contingency ratings during extinction (retrieval) was found in completers relative to non-completers. The failure to further extinguish US expectancy to the CSs in non-completers might offer a potential mechanistic explanation why non-completers have difficulties to accomplish all exposure steps in a fixed time and show less pronounced treatment gains. Our findings bear specific implications for the implementation of exposure treatment to routine care settings.

Indexed as

Conditioning, ClassicalAdultAnimalsAnxiety DisordersBrainFearFemaleHumansImplosive TherapyMalePhobic DisordersSpidersYoung Adult

Identifiers

PMID32152429
PMCPMC7062844

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.