Affect labeling enhances exposure effectiveness for public speaking anxiety

Behaviour Research and Therapy
Andrea N NilesChristopher Hur

Abstract

Exposure is an effective treatment for anxiety but many patients do not respond fully. Affect labeling (labeling emotional experience) attenuates emotional responding. The current project examined whether affect labeling enhances exposure effectiveness in participants with public speaking anxiety. Participants were randomized to exposure with or without affect labeling. Physiological arousal and self-reported fear were assessed before and after exposure and compared between groups. Consistent with hypotheses, participants assigned to Affect Labeling, especially those who used more labels during exposure, showed greater reduction in physiological activation than Control participants. No effect was found for self-report measures. Also, greater emotion regulation deficits at baseline predicted more benefit in physiological arousal from exposure combined with affect labeling than exposure alone. The current research provides evidence that behavioral strategies that target prefrontal-amygdala circuitry can improve treatment effectiveness for anxiety and these effects are particularly pronounced for patients with the greatest deficits in emotion regulation.

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Citations

Jul 28, 2016·Journal of Behavior Therapy and Experimental Psychiatry·Joyce ChengAndrea N Niles
Nov 1, 2016·Social Cognitive and Affective Neuroscience·Jeffrey A BrooksKristen A Lindquist
Jan 21, 2018·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Michelle G CraskeBram Vervliet
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Apr 20, 2018·PloS One·Michelle AzoumAdam J Rock
Apr 2, 2019·Nature Human Behaviour·Matthew D Lieberman
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Sep 29, 2017·Frontiers in Psychology·Christopher MarxAntje Gumz
Apr 2, 2019·Nature Human Behaviour·Rui FanJohan Bollen
Jun 12, 2020·Neuroscience and Biobehavioral Reviews·Golnaz Tabibnia
Feb 7, 2021·Clinical Child and Family Psychology Review·Hannah PlaistedCathy Creswell
Feb 25, 2021·Behavior Therapy·Simone G Shamay-Tsoory, Einat Levy-Gigi
Sep 28, 2017·Current Opinion in Psychology·Kristen A Lindquist
Jul 30, 2021·Cognition & Emotion·Valeriia V VlasenkoChristian E Waugh
Aug 21, 2021·Clinical Psychological Science : a Journal of the Association for Psychological Science·Andrea N NilesAoife O'Donovan

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