Abstract
Investigated the potential role of state-dependent learning in cognitive therapy with spider phobics. It was hypothesized that one strategy for increasing the effectiveness of cognitive therapy for anxiety would be to induce anxiety in subjects while they were learning the cognitive restructuring principles (i.e., during treatment). Thirty-two undergraduate volunteers were randomly assigned to one of six experimental conditions. Subjects in the five treatment conditions (the sixth was a no-treatment control condition) met for three sessions of cognitive restructuring,in vivo exposure, or a facts lecture (i.e., the placebo group). Results indicated that when working with spider phobics, three sessions of cognitive restructuring,in vivo exposure, or a facts lecture resulted in equal effectiveness immediately following treatment, but are more effective than no-treatment at all.
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References
American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders. (3rd ed.—revised) Washington, D.C.: American Psychiatric Association Press.
Beck, A. T., & Emery, G. (1985).Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.
Biran, M., Augusto, F., & Wilson, G. T. (1981). In vivo exposure vs. cognitive restructuring in the treatment of scriptophobia.Behaviour Research & Therapy, 19, 525–532.
Biran, M., & Wilson, G. T. (1981). Treatment of phobic disorders using cognitive and exposure methods: A self-efficacy analysis.Journal of Consulting and Clinical Psychology, 49, 886–899.
Bowers, T. G., & Clum, G. A. (1988). Relative contribution of specific and nonspecific treatment effects: Meta-analysis of placebo-controlled behavior therapy research.Psychological Bulletin, 103, 315–323.
Clark, D. M., & Teasdale, J. D. (1982). Diurnal variation in clinical depression and accessibility of memories of positive and negative experiences.Journal of Abnormal Psychology, 91, 87–95.
DiGiuseppe, R., McGowan, L., Simon, K. S., Gardner, F. (1990). A comparative outcome study of four cognitive therapies in the treatment of social anxiety.Journal of Rational Emotive and Cognitive Behavior Therapy, 8, 129–146.
Ellis, A. (1984). Expanding the ABCs of RET.Journal of Rational-Emotive Therapy, 2, 20–24.
Ellis, A. (1991). Rational-emotive treatment of simple phobias.Psychotherapy, 28, 452–456.
Ellis, H. C., & Ashbrook, P. W. (1989). The “state” of mood and memory research: A selective review.Journal of Social Behavior and Personality, 4, 1–21.
Emmelkamp, P. M. G., Kuipers, A. C. M., & Eggeraat, J. B. (1978). Cognitive modification versus prolonged exposure in vivo: A comparison with agoraphobics as subjects.Behaviour Research & Therapy, 16, 33–41.
Emmelkamp, P. M. G., & Mersch, P. P. (1982). Cognition and exposure in vivo in the treatment of agoraphobia: Short-term and delayed effects.Cognitive Therapy and Research, 6, 77–88.
Goldfried, M. R. (1988). Application of rational restructuring to anxiety disorders.Counseling Psychologist, 16, 50–68.
Kihlstrom, J. F., & Nasby, W. (1981). Cognitive tasks in clinical assessment: An exercise in applied psychology. In P. C. Kendall & S. D. Hollon (Eds.),Assessment strategies for cognitive-behavioral interventions. New York: Academic Press.
Lang, P. J. (1977). Physiological assessment of anxiety and fear. In J. D. Cone & R. P. Hawkins (Eds.),Behavioral assessment: New directions in clinical psychology, (pp. 178–195). New York: Brunner/Mazel Publishers.
Lang, P. J. (1984). Cognition and emotion: Concept and action. In C. Izard, J. Kagan, & R. Zajonc (Eds.),Emotion, cognition, and behavior. New York: Cambridge University Press.
Mattick, R. P., Peters, L., & Clarke, J. C. (1989). Exposure and cognitive restructuring for social phobia: A controlled study.Behavior Therapy, 20, 3–23.
Mecklenbrauker, S., & Hager, W. (1984). Effects of mood on memory: Experimental tests of mood-state-dependent retrieval hypothesis and of a moodcongruity hypothesis.Psychological Research, 46, 355–376.
Michelson, L. (1986). Treatment consonance and response profiles in agoraphobia: The role of individual differences in cognitive, behavioral and physiological treatments.Behaviour Research and Therapy, 24, 263–275.
Miranda, J., & Persons, J. B. (1988). Dysfunctional attitudes are mood-state dependent.Journal of Abnormal Psychology, 97, 76–79.
Miranda, J., Persons, J. B., & Byers, C. N. (1990). Endorsement of dysfunctional beliefs depends on current mood state.Journal of Abnormal Psychology, 22, 237–241.
Odom, J. V., Nelson, R. O., & Wein, K. S. (1978). The differential effectiveness of five treatment procedures on three response systems in a snake phobia analog study.Behavior Therapy, 9, 936–942.
O'Donohue, W. T., & Szymanski, J. (1993). Mechanisms of change in cognitive therapy for a simple phobia: Logical analysis and empirical hypothesis testing.Journal of Rational-Emotive and Cognitive Behavior Therapy, 11, 207–222.
Ost, L., Jerremalm, A., & Johansson, J. (1981). Individual response patterns and the effects of different behavioral methods in the treatment of social phobia.Behaviour Research and Therapy, 19, 1–16.
Ost, L., Johansson, J., & Jerremalm, A. (1982). Individual response patterns and the effects of different behavioral methods in the treatment of claustrophobia.Behaviour Research and Therapy, 20, 445–460.
Persons, J. B. & Miranda, J. (1991). Treating dysfunctional beliefs: Implications of the mood-state hypothesis.Journal of Cognitive Psychotherapy: An International Quarterly, 5, 15–25.
Tulving, E. (1974). Cue-dependent forgetting.American Scientist, 62, 74–82.
Tulving, E., & Osler, S. (1968). Effectiveness of retrieval cues in memory for words.Journal of Experimental Psychology, 77, 593–601.
Watts, F. N., & Sharrock, R. (1984). Questionnaire dimensions of spider phobia.Behaviour Research and Therapy, 22, 575–580.
Wein, K. S., Nelson, R. O., & Odom, J. V. (1975). The relative contributions of reattribution and verbal extinction to the effectiveness of cognitive restructuring.Behavior Therapy, 6, 459–474.
Williams, S. L., & Rappoport, A. (1983). Cognitive treatment in the natural environment for agoraphobics.Behavior Therapy, 14, 299–313.
Wolpe, J., & Lazarus, A. A. (1966).Behavior therapy techniques. New York: Pergamon Press.
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Szymanski, J., O'Donohue, W. The potential role of state-dependent learning in cognitive therapy with spider phobics. J Rational-Emot Cognitive-Behav Ther 13, 131–150 (1995). https://doi.org/10.1007/BF02354458
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DOI: https://doi.org/10.1007/BF02354458