Role of exposure homework in phobia reduction: A controlled study

TY - JOUR

T1 - Role of exposure homework in phobia reduction

T2 - A controlled study

AU - Al-Kubaisy, Tarik

AU - Marks, Isaac M.

AU - Logsdail, Stephen

AU - Marks, Melanie P.

AU - Lovell, Karina

AU - Sungur, Mehmet

AU - Araya, Ricardo

PY - 1992/1/1

Y1 - 1992/1/1

N2 - Ninety-nine phobic patients (agora-, social and specific phobics) were randomized to one of three treatment: 1) Ee - clinician-accompanied exposure (E) plus self-exposure (e); 2) self-exposure only - (e); or 3) self-relaxation with no exposure - (r). All had six 60-minute treatment sessions from weeks 0-8 and were asked to practice e or r for 90 minutes daily up to week 14 and to record this in a daily diary of e or r homework. Ee patients had added to each 60-minute treatment session 90 minutes of E, receiving a total of nine hours of E (6×90 min). Refusal and dropout rates were similar across treatments; 80 patients completed therapy. In all phobic types both exposure groups did well to the end of treatment (week 8) and follow-up (weeks 14 and 26), being much superior to relaxation. Six hours of self-exposure instruction plus daily homework yielded major and lasting benefits which were not enhanced by adding nine hours of clinician-accompanied exposure, except slightly in social phobics. Improvement from self-relaxation homework was minimal.

AB - Ninety-nine phobic patients (agora-, social and specific phobics) were randomized to one of three treatment: 1) Ee - clinician-accompanied exposure (E) plus self-exposure (e); 2) self-exposure only - (e); or 3) self-relaxation with no exposure - (r). All had six 60-minute treatment sessions from weeks 0-8 and were asked to practice e or r for 90 minutes daily up to week 14 and to record this in a daily diary of e or r homework. Ee patients had added to each 60-minute treatment session 90 minutes of E, receiving a total of nine hours of E (6×90 min). Refusal and dropout rates were similar across treatments; 80 patients completed therapy. In all phobic types both exposure groups did well to the end of treatment (week 8) and follow-up (weeks 14 and 26), being much superior to relaxation. Six hours of self-exposure instruction plus daily homework yielded major and lasting benefits which were not enhanced by adding nine hours of clinician-accompanied exposure, except slightly in social phobics. Improvement from self-relaxation homework was minimal.

UR - http://www.scopus.com/inward/record.url?scp=0026469357&partnerID=8YFLogxK

U2 - 10.1016/S0005-7894(05)80224-2

DO - 10.1016/S0005-7894(05)80224-2

M3 - Article

AN - SCOPUS:0026469357

SN - 0005-7894

VL - 23

SP - 599

EP - 621

JO - Behavior Therapy

JF - Behavior Therapy

IS - 4

ER -