Use of Safety Behaviors in Exposure Therapy for Arachnophobia

  • STATUS
    Recruiting
  • participants needed
    128
  • sponsor
    University of Nevada, Reno
Updated on 19 February 2024
exposure therapy
phobia
arachnophobia

Summary

This study examines the impact of safety behaviors (i.e., unnecessary protective actions) on outcomes of exposure therapy for spider phobia. Researchers will compare exposure therapy with (a) no safety behaviors, (b) safety behaviors faded toward the end of treatment, and (c) unfaded safety behaviors.

Description

Some studies suggest that safety behaviors might undermine the efficacy of exposure therapy (Powers et al., 2010), whereas other studies suggest that there is no difference in exposure therapy outcomes whether or not safety behaviors are used (Deacon et al., 2010). Mixed findings could be explained by the parameters of safety behaviors use, such as whether they are used throughout the full course of therapy or faded toward the end of therapy. This will be the first study to directly compare the impact of faded and unfaded safety behaviors on exposure therapy outcomes. Specifically, researchers will randomize participants with a fear of spiders to receive exposure therapy (a) without safety behavior use, (b) with faded safety behavior use, and (c) with un-faded safety behavior use. Researchers will compare each condition's impact on fear reduction and on the tolerability/acceptability of treatment.

Details
Condition Spider Phobia, Specific Phobia, Arachnophobia
Age 18years - 100years
Treatment Exposure with faded safety behaviors, Exposure without safety behaviors, Exposure with unfaded safety behaviors
Clinical Study IdentifierNCT04470882
SponsorUniversity of Nevada, Reno
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Fluent in English
Displays sufficiently high fear of spiders, as indicated by responses on (a) a self report questionnaire (the Fear of Spiders Questionnaire) at prescreening, and (b) Behavioral Avoidance Tests at baseline

Exclusion Criteria

younger than 18 years old
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