Literature DB >> 28181093

Common Barriers to the Dissemination of Exposure Therapy for Youth with Anxiety Disorders.

Adam M Reid1, Maria I Bolshakova2, Andrew G Guzick2,3, Alyka G Fernandez2, Catherine W Striley2,3, Gary R Geffken2,3, Joseph P McNamara2,3,4.   

Abstract

This study investigated the prevalence of common barriers to the use of exposure therapy (ET) in the treatment of youth with anxiety disorders, specifically examining both logistical limitations and negative beliefs about ET. Results from 230 practicing clinicians who treat youth with anxiety disorders found that the top three barriers were session length (56%), lack of training (48%), and concern about parent reaction (47%). Endorsement of barriers to ET was associated with less ET utilization and less optimal implementation of ET. Results suggest that several barriers, especially logistical limitations, must be addressed in order to improve the dissemination of ET.

Entities:  

Keywords:  Cognitive-behavioral therapy; Community; Evidenced-based practice; Session length; Training

Mesh：

Year:  2017        PMID： 28181093     DOI： 10.1007/s10597-017-0108-9

Source DB:  PubMed          Journal:  Community Ment Health J        ISSN： 0010-3853


  22 in total

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2.  The importance of considering parent's preferences when planning treatment for their children--the case of childhood obsessive-compulsive disorder.

Authors:  Adam B Lewin; Joseph F McGuire; Tanya K Murphy; Eric A Storch
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3.  Guidelines for cognitive behavioral training within doctoral psychology programs in the United States: report of the Inter-organizational Task Force on Cognitive and Behavioral Psychology Doctoral Education.

Authors:  Robert K Klepac; George F Ronan; Frank Andrasik; Kevin D Arnold; Cynthia D Belar; Sharon L Berry; Karen A Christofff; Linda W Craighead; Michael J Dougher; E Thomas Dowd; James D Herbert; Lynn M McFarr; Shireen L Rizvi; Eric M Sauer; Timothy J Strauman
Journal:  Behav Ther       Date:  2012-05-12

4.  Exposing clinicians to exposure: a randomized controlled dissemination trial of exposure therapy for anxiety disorders.

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Journal:  Behav Ther       Date:  2014-05-05

5.  Emotional processing of fear: exposure to corrective information.

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Journal:  Psychol Bull       Date:  1986-01       Impact factor: 17.737

6.  Maximizing exposure therapy: an inhibitory learning approach.

Authors:  Michelle G Craske; Michael Treanor; Christopher C Conway; Tomislav Zbozinek; Bram Vervliet
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7.  A comparison of paper with electronic patient-completed questionnaires in a preoperative clinic.

Authors:  Elizabeth G VanDenKerkhof; David H Goldstein; William C Blaine; Michael J Rimmer
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8.  The effect of imaginal exposure length on outcome of treatment for PTSD.

Authors:  Agnes van Minnen; Edna B Foa
Journal:  J Trauma Stress       Date:  2006-08

9.  A randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trials.

Authors:  David F Tolin; Scott Hannan; Nicholas Maltby; Gretchen J Diefenbach; Patrick Worhunsky; Robert E Brady
Journal:  Behav Ther       Date:  2007-01-23

10.  Assessing therapist reservations about exposure therapy for anxiety disorders: the Therapist Beliefs about Exposure Scale.

Authors:  Brett J Deacon; Nicholas R Farrell; Joshua J Kemp; Laura J Dixon; Jennifer T Sy; Annie R Zhang; Patrick B McGrath
Journal:  J Anxiety Disord       Date:  2013-05-04
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  8 in total

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2.  Editorial Perspective: Exposures in cognitive behavior therapy for pediatric obsessive-compulsive disorder: addressing common clinician concerns.

Authors:  Joseph F McGuire; Monica S Wu; Caitlin Choy; John Piacentini
Journal:  J Child Psychol Psychiatry       Date:  2018-06       Impact factor: 8.982

3.  Symptom Dimension Response in Children and Adolescents with Obsessive-Compulsive Disorder.

Authors:  Joseph F McGuire; Patricia Z Tan; John Piacentini
Journal:  J Clin Child Adolesc Psychol       Date:  2019-01-15

4.  Suicidal ideation, self-injury, aggressive behavior and substance use during intensive trauma-focused treatment with exposure-based components in adolescent and young adult PTSD patients.

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Journal:  Borderline Personal Disord Emot Dysregul       Date:  2022-01-03

5.  Engaging Preschool and Early Elementary School-Aged Children in Exposure and Response Prevention (ERP).

Authors:  Robyn E Metcalfe; Preeti Pental; Danny C Duke
Journal:  J Health Serv Psychol       Date:  2022-07-09

6.  The impact of implementation climate on community mental health clinicians' attitudes toward exposure: An evaluation of the effects of training and consultation.

Authors:  Grace S Woodard; Noah S Triplett; Hannah E Frank; Julie P Harrison; Sophia Robinson; Shannon Dorsey
Journal:  Implement Res Pract       Date:  2021-12-16

7.  Effects of Treatment Setting on Outcomes of Flexibly-Dosed Intensive Cognitive Behavioral Therapy for Pediatric OCD: A Randomized Controlled Pilot Trial.

Authors:  Robert R Selles; Zainab Naqqash; John R Best; Diana Franco-Yamin; Serene T Qiu; Jessica S Ferreira; Xiaolei Deng; Dagmar Kr Hannesdottir; Carla Oberth; Laura Belschner; Juliana Negreiros; Lara J Farrell; S Evelyn Stewart
Journal:  Front Psychiatry       Date:  2021-05-17       Impact factor: 4.157

8.  Clinician-reported barriers to using exposure with response prevention in the treatment of paediatric obsessive-compulsive disorder.

Authors:  Julia Keleher; Amita Jassi; Georgina Krebs
Journal:  J Obsessive Compuls Relat Disord       Date:  2020-01       Impact factor: 1.677
  8 in total

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