{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T23:17:48Z","timestamp":1787959068027,"version":"build-2784847793"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2020,8,20]],"date-time":"2020-08-20T00:00:00Z","timestamp":1597881600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1352465820000582_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>While exposure and response prevention (ERP) is the most effective treatment for obsessive compulsive disorder (OCD), less is known about the specific mechanisms underlying symptom change after ERP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465820000582_as2\">\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>We tested the hypothesis that the frequency of self- and therapist-guided ERP related to the extent of symptom reduction and that this link is mediated by increased self-efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465820000582_as3\">\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>In a sample of 377 in-patients with a primary diagnosis of OCD receiving in-patient CBT, we assessed symptoms (YBOCS-SR) and self-efficacy (General Self-Efficacy Scale), before and after treatment, as well as the frequency of therapist- and self-guided ERP sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465820000582_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Patients with more therapist-guided ERP sessions during treatment showed more symptom reduction and the association of self-guided ERP on outcome was mediated by enhanced self-efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465820000582_as5\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These findings highlight the importance of both therapist- and self-guided ERP sessions and suggest that therapists should conduct a sufficient number of ERP sessions to optimise treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1352465820000582","type":"journal-article","created":{"date-parts":[[2020,8,20]],"date-time":"2020-08-20T02:17:59Z","timestamp":1597889879000},"page":"751-755","source":"Crossref","is-referenced-by-count":20,"title":["Frequency and level of self-efficacy predict the effectiveness of therapist- and self-guided exposure in obsessive compulsive disorder"],"prefix":"10.1017","volume":"48","author":[{"given":"Ulrich","family":"Voderholzer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Hilbert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob","family":"Neum\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Schwartz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6994-7951","authenticated-orcid":false,"given":"Johannes Baltasar","family":"Hessler-Kaufmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,8,20]]},"reference":[{"key":"S1352465820000582_ref7","first-page":"35","volume-title":"Measures in Health Psychology: A User\u2019s Portfolio. Causal and Control Beliefs","author":"Schwarzer","year":"1995"},{"key":"S1352465820000582_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2045"},{"key":"S1352465820000582_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.04.006"},{"key":"S1352465820000582_ref4","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2018.1478447"},{"key":"S1352465820000582_ref5","doi-asserted-by":"publisher","DOI":"10.1177\/070674379904400108"},{"key":"S1352465820000582_ref2","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780195335286.001.0001"},{"key":"S1352465820000582_ref3","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1989.01810110048007"}],"container-title":["Behavioural and Cognitive Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1352465820000582","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T05:30:45Z","timestamp":1602480645000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1352465820000582\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,20]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["S1352465820000582"],"URL":"https:\/\/doi.org\/10.1017\/s1352465820000582","relation":{},"ISSN":["1352-4658","1469-1833"],"issn-type":[{"value":"1352-4658","type":"print"},{"value":"1469-1833","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,20]]}}}