Autoren:	Sauer, Karoline S. Witthöft, Michael
Titel:	Inhibitory learning versus habituation in an experimental exposure intervention for people with heightened health anxiety : increase of distress tolerance as a joint mechanism of change?
Online-Publikationsdatum:	9-Dez-2022
Erscheinungsdatum:	2022
Sprache des Dokuments:	Englisch
Zusammenfassung/Abstract:	The Inhibitory Learning Theory (ILT; Craske et al., 2008) changed the focus of exposure-based treatment from erasing excitatory associations and fear reduction (habituation (HA)) to reinforcing inhibitory associations and fear toleration (inhibitory learning (IL)). Studies which directly compare both approaches, IL versus HA, are scarce. The present study aimed at implementing and comparing an IL-based (n = 26; Age: M = 23.59, SD = 4.38) with a HA-based (n = 28; Age: M = 25.46, SD = 6.22) experimental exposure approach (including in vivo, interoceptive, and in sensu exposure) in a sample of people with heightened health anxiety. A significant pre- to post-intervention reduction of state health anxiety (p < .001), which was especially associated with an increase of distress tolerance (DT) pre- to post-exposure (F (1, 50) = 12.2, p < .001, ηp2 = .20), was observed. A superiority of the IL-based over the HA-based exposure intervention was not detected in relation to major outcomes (e.g., state health anxiety), as well as in relation to a change of DT. The present study underlines the importance of strengthening DT (for heightened health anxiety) during an exposure-based intervention.
DDC-Sachgruppe:	150 Psychologie 150 Psychology
Veröffentlichende Institution:	Johannes Gutenberg-Universität Mainz
Organisationseinheit:	FB 02 Sozialwiss., Medien u. Sport
Veröffentlichungsort:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-8482
Version:	Published version
Publikationstyp:	Zeitschriftenaufsatz
Weitere Angaben zur Dokumentart:	Scientific article
Nutzungsrechte:	CC BY-NC
Informationen zu den Nutzungsrechten:	https://creativecommons.org/licenses/by-nc/4.0/
Zeitschrift:	Journal of experimental psychopathology 13 4
Seitenzahl oder Artikelnummer:	20438087221138716
Verlag:	Sage Publishing
Verlagsort:	London
Erscheinungsdatum:	2022
ISSN:	2043-8087
DOI der Originalveröffentlichung:	10.1177/20438087221138716
Enthalten in den Sammlungen:	DFG-491381577-G