One-session treatment of specific phobias: a detailed description and review of treatment efficacy

Behavior Therapy
Kimberly Zlomke, Thompson E Davis

Abstract

One-Session Treatment (OST) is a form of massed exposure therapy for the treatment of specific phobias. OST combines exposure, participant modeling, cognitive challenges, and reinforcement in a single session, maximized to three hours. Clients are gradually exposed to steps of their fear hierarchy using therapist-directed behavioral experiments. Although there are several studies in the literature examining the efficacy of OST, little has been done to summarize this research. In the following review, research on and empirical support for OST are reviewed with an emphasis on the types of stimuli, samples, and methodologies utilized. Research generally supports OST's efficacy, although replication by independent examiners using adult and child samples is needed using more rigorous comparisons (e.g., psychological placebo or other treatments). Overall, OST continues to be a promising treatment for specific phobias; however, a great deal more investigation is needed to identify mechanisms of change, mediators, and moderators.

References

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Citations

May 25, 2012·Proceedings of the National Academy of Sciences of the United States of America·Katherina K HaunerKen A Paller
Aug 21, 2013·Cognitive Behaviour Therapy·Thomas H Ollendick, Thompson E Davis
Nov 20, 2013·Cognitive Behaviour Therapy·Gerhard AnderssonPer Carlbring
Oct 13, 2011·Journal of Pediatric Psychology·Marisa E HilliardSandra Cortina
Jun 13, 2012·Social Cognitive and Affective Neuroscience·Luis CarretiéJosé A Hinojosa
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Jan 10, 2012·International Journal of Paediatric Dentistry·Jenny PorrittHelen D Rodd
Jun 24, 2010·Behavior Therapy·Cristina BotellaAzucena García-Palacios
Jul 25, 2015·Advances in Pediatrics·Monica S WuEric A Storch
Aug 27, 2014·Behaviour Research and Therapy·Allison M WatersThomas H Ollendick
Aug 25, 2016·Frontiers in Psychology·André WannemuellerJürgen Margraf
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Dec 15, 2018·Annual Review of Clinical Psychology·Thompson E DavisLars-Göran Öst
Nov 18, 2018·Frontiers in Human Neuroscience·Aleksandra LandowskaAlan Barrett
Nov 22, 2019·Frontiers in Psychology·André WannemuellerJürgen Margraf
Jan 1, 2017·Journal of Cognitive Psychotherapy·Helen KershawThomas Ollendick
Mar 14, 2018·BMC Psychiatry·Kristin GustavsonTed Reichborn-Kjennerud
Nov 5, 2017·Behaviour Research and Therapy·Thomas H OllendickLars-Göran Öst
May 4, 2021·Journal of Affective Disorders·Ymkje Anna de VriesUNKNOWN WHO World Mental Health Survey collaborators

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