Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders: A Research Agenda

Kristen Benito; Andre Pittig; Jonathan Abramowitz; Joanna J. Arch; Denise Chavira; Rianne de Kleine; Alessandro S. De Nadai; Dirk Hermans; Stefan G. Hofmann; Jürgen Hoyer; Jonathan D. Huppert; Katharina Kircanski; Peter M. McEvoy; Heidi Meyer; Marie H. Monfils; Santiago Papini; Winfried Rief; David Rosenfield; Eric A. Storch; Michael J. Telch; Michael W. Otto; Jasper A.J. Smits

doi:10.1177/21677026241240727

Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders: A Research Agenda

Kristen Benito^*, Andre Pittig, Jonathan Abramowitz, Joanna J. Arch, Denise Chavira, Rianne de Kleine, Alessandro S. De Nadai, Dirk Hermans, Stefan G. Hofmann, Jürgen Hoyer, Jonathan D. Huppert, Katharina Kircanski, Peter M. McEvoy, Heidi Meyer, Marie H. Monfils, Santiago Papini, Winfried Rief, David Rosenfield, Eric A. Storch, Michael J. TelchMichael W. Otto, Jasper A.J. Smits

^*Corresponding author for this work

Department of Psychology

Research output: Contribution to journal › Review article › peer-review

1 Scopus citations

Abstract

Anxiety and related disorders are a significant public-health burden with rising prevalence in the wake of the COVID-19 pandemic. As demand for effective anxiety treatment increases, so too does the need for strategies to bolster treatment outcomes. Research on the mechanisms of exposure therapy, the frontline behavioral treatment, will be critically important for optimizing clinical outcomes. We outline an initial agenda for future research on the mechanisms of change of exposure therapy, developed in collaboration with a large international team of researchers through the Exposure Therapy Consortium. Key questions and recommendations for future research focus on four priority areas: conceptualization, measurement, study design/analysis, and individual/contextual differences. Rising to the challenge of addressing these questions will require coordinated action and availability of centralized tools that can be used across trials, settings, and research groups.

Original language	English
Journal	Clinical Psychological Science
DOIs	https://doi.org/10.1177/21677026241240727
State	Accepted/In press - 2024

Bibliographical note

Publisher Copyright:
© The Author(s) 2024.

Keywords

anxiety
exposure therapy
measurement
mechanisms
treatment

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10.1177/21677026241240727

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Benito, K., Pittig, A., Abramowitz, J., Arch, J. J., Chavira, D., de Kleine, R., De Nadai, A. S., Hermans, D., Hofmann, S. G., Hoyer, J., Huppert, J. D., Kircanski, K., McEvoy, P. M., Meyer, H., Monfils, M. H., Papini, S., Rief, W., Rosenfield, D., Storch, E. A., ... Smits, J. A. J. (Accepted/In press). Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders: A Research Agenda. Clinical Psychological Science. https://doi.org/10.1177/21677026241240727

@article{c5b0c4387ac74d1e8c6aa3f6925497e8,

title = "Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders: A Research Agenda",

abstract = "Anxiety and related disorders are a significant public-health burden with rising prevalence in the wake of the COVID-19 pandemic. As demand for effective anxiety treatment increases, so too does the need for strategies to bolster treatment outcomes. Research on the mechanisms of exposure therapy, the frontline behavioral treatment, will be critically important for optimizing clinical outcomes. We outline an initial agenda for future research on the mechanisms of change of exposure therapy, developed in collaboration with a large international team of researchers through the Exposure Therapy Consortium. Key questions and recommendations for future research focus on four priority areas: conceptualization, measurement, study design/analysis, and individual/contextual differences. Rising to the challenge of addressing these questions will require coordinated action and availability of centralized tools that can be used across trials, settings, and research groups.",

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author = "Kristen Benito and Andre Pittig and Jonathan Abramowitz and Arch, {Joanna J.} and Denise Chavira and {de Kleine}, Rianne and {De Nadai}, {Alessandro S.} and Dirk Hermans and Hofmann, {Stefan G.} and J{\"u}rgen Hoyer and Huppert, {Jonathan D.} and Katharina Kircanski and McEvoy, {Peter M.} and Heidi Meyer and Monfils, {Marie H.} and Santiago Papini and Winfried Rief and David Rosenfield and Storch, {Eric A.} and Telch, {Michael J.} and Otto, {Michael W.} and Smits, {Jasper A.J.}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2024.",

year = "2024",

doi = "10.1177/21677026241240727",

language = "אנגלית",

journal = "Clinical Psychological Science",

issn = "2167-7026",

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Benito, K, Pittig, A, Abramowitz, J, Arch, JJ, Chavira, D, de Kleine, R, De Nadai, AS, Hermans, D, Hofmann, SG, Hoyer, J, Huppert, JD, Kircanski, K, McEvoy, PM, Meyer, H, Monfils, MH, Papini, S, Rief, W, Rosenfield, D, Storch, EA, Telch, MJ, Otto, MW & Smits, JAJ 2024, 'Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders: A Research Agenda', Clinical Psychological Science. https://doi.org/10.1177/21677026241240727

TY - JOUR

T1 - Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders

T2 - A Research Agenda

AU - Benito, Kristen

AU - Pittig, Andre

AU - Abramowitz, Jonathan

AU - Arch, Joanna J.

AU - Chavira, Denise

AU - de Kleine, Rianne

AU - De Nadai, Alessandro S.

AU - Hermans, Dirk

AU - Hofmann, Stefan G.

AU - Hoyer, Jürgen

AU - Huppert, Jonathan D.

AU - Kircanski, Katharina

AU - McEvoy, Peter M.

AU - Meyer, Heidi

AU - Monfils, Marie H.

AU - Papini, Santiago

AU - Rief, Winfried

AU - Rosenfield, David

AU - Storch, Eric A.

AU - Telch, Michael J.

AU - Otto, Michael W.

AU - Smits, Jasper A.J.

PY - 2024

Y1 - 2024

N2 - Anxiety and related disorders are a significant public-health burden with rising prevalence in the wake of the COVID-19 pandemic. As demand for effective anxiety treatment increases, so too does the need for strategies to bolster treatment outcomes. Research on the mechanisms of exposure therapy, the frontline behavioral treatment, will be critically important for optimizing clinical outcomes. We outline an initial agenda for future research on the mechanisms of change of exposure therapy, developed in collaboration with a large international team of researchers through the Exposure Therapy Consortium. Key questions and recommendations for future research focus on four priority areas: conceptualization, measurement, study design/analysis, and individual/contextual differences. Rising to the challenge of addressing these questions will require coordinated action and availability of centralized tools that can be used across trials, settings, and research groups.

AB - Anxiety and related disorders are a significant public-health burden with rising prevalence in the wake of the COVID-19 pandemic. As demand for effective anxiety treatment increases, so too does the need for strategies to bolster treatment outcomes. Research on the mechanisms of exposure therapy, the frontline behavioral treatment, will be critically important for optimizing clinical outcomes. We outline an initial agenda for future research on the mechanisms of change of exposure therapy, developed in collaboration with a large international team of researchers through the Exposure Therapy Consortium. Key questions and recommendations for future research focus on four priority areas: conceptualization, measurement, study design/analysis, and individual/contextual differences. Rising to the challenge of addressing these questions will require coordinated action and availability of centralized tools that can be used across trials, settings, and research groups.

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KW - exposure therapy

KW - measurement

KW - mechanisms

KW - treatment

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Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders: A Research Agenda

Abstract

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Keywords

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