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dc.contributor.authorDitlefsen, Nina Tande
dc.date.accessioned2016-07-26T22:27:39Z
dc.date.available2017-04-15T22:31:06Z
dc.date.issued2016
dc.identifier.citationDitlefsen, Nina Tande. Does exposure quality predict treatment outcome? Evaluating the exposure component in the FRIENDS for Life program. Master thesis, University of Oslo, 2016
dc.identifier.urihttp://hdl.handle.net/10852/50665
dc.description.abstractBackground: Cognitive behavioral therapy (CBT) is the recommended approach for anxiety disorders and successful exposure to feared stimuli is considered an essential part of treatment. Even though results from systematic reviews demonstrate recovery rates of approximately 60%, the number of non-responders is still high and we need to know more about what works. Recognition of the efficacious characteristics of the exposure component in CBT could be a step in the right direction. In this thesis, we investigated the quality of the exposure component in the FRIENDS program delivered in community clinics. The main objectives were to examine if the quality of the exposure component could be reliably assessed and to examine if the quality was related to diagnostic recovery in The Assessment and Treatment - Anxiety in Children and Adults Study (ATACA). Method: Eighty FRIENDS-sessions were rated with the Quality of the Exposure Component Form (QECF). The sample comprised Norwegian youth (N = 45) randomly selected from the ATACA-study. Age ranged from 8-15 years and all youth met diagnostic criteria for social phobia, separation anxiety disorder or generalized anxiety disorder prior to treatment. Reliability analyses were conducted to assess the psychometric properties of the QECF. Independent samples t-tests (two-tailed) were conducted to investigate whether there were significant differences in the quality of the exposure component between responders and non-responders at post-treatment and at one-year follow-up. Differences in quality at item and subscale level were examined by conducting additional independent samples t-tests (two-tailed). Logistic regression analyses were done to test whether the quality of the exposure component could predict treatment outcome, while controlling for age and gender. Results: Inter-rater and internal consistency reliability was good to excellent. There were no significant differences between responders and non-responders in the quality of the exposure component, neither in overall quality, nor at subscale or item level. Lastly, the quality of the exposure component could not predict diagnostic recovery. Conclusion: Findings from the current study revealed that the exposure quality could be reliably assessed. Yet, the exposure quality was not related to treatment outcome. Little variability in the data, limited quality, and low frequency of exposure may be the main reasons behind the null-findings.eng
dc.language.isoeng
dc.subjectAnxiety
dc.subjectcbt
dc.subjectexposure
dc.subjectexposure
dc.subjectcomponent
dc.subjectyouth
dc.titleDoes exposure quality predict treatment outcome? Evaluating the exposure component in the FRIENDS for Life programeng
dc.typeMaster thesis
dc.typeGroup thesis
dc.date.updated2016-07-26T22:27:37Z
dc.creator.authorDitlefsen, Nina Tande
dc.identifier.urnURN:NBN:no-54169
dc.type.documentMasteroppgave
dc.type.documentGruppeoppgave
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/50665/1/Hovedoppgave_Nina_Tande_Ditlefsen_Marie_Halsteinli_Unsvag_2016.pdf


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