Chinese Therapists’ Beliefs About Exposure Therapy for Anxiety and Obsessive-Compulsive Disorders
Abstract
Objectives The goal of this study was to assess Chinese therapists' beliefs about exposure therapy and to examine the psychometric properties of the Chinese version of the Therapist Beliefs about Exposure Scale (TBES). Modification of therapists' beliefs about exposure therapy was also assessed following attendance at an exposure and response prevention therapy (ERP) training workshop. Methods A total of 203 therapists participated in the study. The TBES and a measure of anxiety sensitivity were administered in Chinese. After a half-day ERP training workshop, the Chinese version of the TBES was administered to the participants again. Results The Chinese version of the TBES demonstrated adequate internal consistency, moderate item-level psychometric properties, and a normal distribution in the sample in this study. The TBES scores of the participants decreased significantly after they attended an ERP training course. The reduction in TBES scores was significantly correlated with therapists' caseload of clients with obsessive-compulsive disorder. Conclusions The results of this study support the reliability of the Chinese version of the TBES. Chinese therapists had more negative beliefs about exposure than did American therapists who were evaluated in a different study; however, therapists' negative beliefs were significantly reduced after they attended an ERP training workshop. Future studies are encouraged to explore effective strategies to improve the disseminiation and deli…
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Negative beliefs about exposure therapy may become more positive through training or workshops.
“negative beliefs about exposure therapy may become more positive through training or workshops (Deacon et al., 2013; Fang et al., 2019)”
From EFFECT OF TRAINING ON BELIEFS ABOUT EXPOSURE THERAPY IN EXPERIENCED THERAPISTS (2023) · cites this paper as Fang et al., 2019
The current sample of mainly cognitive behavioral therapists had lower TBES scores at pretest (M=20.96) than the Deacon et al. (2013; M=33.10) and Fang et al. (2019; M=42.79) studies, and there may have been less room for further improvement.
“Our sample of mainly cognitive behavioral therapists had lower TBES scores at pretest ( M =20.96) than the Deacon et al. (2013; M =33.10) and Fang et al. (2019; M =42.79) studies and there may simply have been less room for further improvement.”
From EFFECT OF TRAINING ON BELIEFS ABOUT EXPOSURE THERAPY IN EXPERIENCED THERAPISTS (2023) · cites this paper as Fang et al., 2019
Differences in the composition of the therapist samples may explain the smaller effect size in the current study compared to Deacon et al. (2013) and Fang et al. (2019).
“Differences in the composition of the therapist samples may explain the fact that our effect, while statistically significant, was considerably smaller ( dz =.51) than the effects found by Deacon et al. (2013) ( d =1.50) and Fang et al. (2019) ( d =1.07).”
From EFFECT OF TRAINING ON BELIEFS ABOUT EXPOSURE THERAPY IN EXPERIENCED THERAPISTS (2023) · cites this paper as Fang et al., 2019
Changes in therapist beliefs about exposure were previously observed in Chinese (Fang et al., 2019) and American (Deacon et al., 2013; Farrell et al., 2016) samples of therapists from different psychotherapeutic backgrounds.
“Changes in therapist beliefs about exposure were previously observed in Chinese (Fang et al., 2019) and American (Deacon et al., 2013; Farrell et al., 2016) samples of therapists from different psychotherapeutic backgrounds.”
From EFFECT OF TRAINING ON BELIEFS ABOUT EXPOSURE THERAPY IN EXPERIENCED THERAPISTS (2023) · cites this paper as Fang et al., 2019
Cognitive behavioral therapy, of which exposure therapy is a central component, is less well accepted in China.
“cognitive behavioral therapy, of which exposure therapy is a central component, is less well accepted in China (Fang et al., 2019)”
From EFFECT OF TRAINING ON BELIEFS ABOUT EXPOSURE THERAPY IN EXPERIENCED THERAPISTS (2023) · cites this paper as Fang et al., 2019
Prior studies show conflicting results regarding the relationship between anxiety sensitivity and therapist beliefs about exposure therapy.
“Previous studies showed conflicting results regarding the relationship between anxiety sensitivity and therapist beliefs about exposure therapy (Fang et al., 2019; Deacon et al., 2013).”
From EFFECT OF TRAINING ON BELIEFS ABOUT EXPOSURE THERAPY IN EXPERIENCED THERAPISTS (2023) · cites this paper as Fang et al., 2019
The effect of training on beliefs about exposure therapy was smaller than the effects found by Deacon et al. (2013) (d=1.50) and Fang et al. (2019) (d=1.07).
“Differences in the composition of the therapist samples may explain the fact that our effect, while statistically significant, was considerably smaller ( dz =.51) than the effects found by Deacon et al. (2013) ( d =1.50) and Fang et al. (2019) ( d =1.07).”
From EFFECT OF TRAINING ON BELIEFS ABOUT EXPOSURE THERAPY IN EXPERIENCED THERAPISTS (2023) · cites this paper as Fang et al., 2019
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- Authors
- FANG, F., ZHANG, Y., ZHANG, L., JIANG, M., SONG, R., WANG, Y., WANG, Z., LI, B., FARRELL, N., CEPEDA, S. L., SCHNEIDER, S. C., MCINGVALE, E., SHRESTHA, S., GOODMAN, W. K., ZHANG, C., & STORCH, E. A.
- Affiliations
- University of St. Thomas - Texas (US)
- ORCID
- Venue
- Journal of Psychiatric Practice
- Published
- 2019-05
- Volume
- 25
- Issue
- 3
- Pages
- 179-185
- ISSN
- 1527-4160 (ISSN-L)
- 1538-1145
- OpenAlex
- W2984748693
- Cited by
- 5
- References
- 7
- Citations by year
- 2024: 1 · 2023: 2 · 2020: 2
- FWCI
- 0.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- exposure therapy, therapist beliefs, Chinese version, exposure and response prevention, anxiety disorders, obsessive-compulsive disorder, anxiety sensitivity, psychometric properties, cross-cultural adaptation, dissemination of psychotherapy
- MeSH terms
- Adult, Anxiety Disorders, Attitude of Health Personnel, China, Female, Humans, Implosive Therapy, Male, Obsessive-Compulsive Disorder, Psychometrics, Surveys and Questionnaires, Reproducibility of Results
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