{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T15:53:44Z","timestamp":1726242824314},"reference-count":29,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":6059,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2001,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Long-term follow-up has rarely been reported after self-exposure therapy for phobias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>Completion of such a follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Two-year follow-up was achieved in 68 (85%) of 80 patients with phobias who had completed a previous 14-week randomised controlled trial comparing therapist-accompanied self-exposure, self-exposure or self-relaxation. Measures were self-reported ratings of symptoms, satisfaction and use of other treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Improvement at week 14 was maintained 2 years later. Clinician-accompanied exposure and self-exposure did not differ on any measure. Compliance with self-exposure homework during weeks 0\u20138 predicted more improvement 2 years later. Patients who failed to improve with relaxation by week 14 improved after subsequent crossover to exposure. A need for more treatment for their phobias was still felt by 33 patients (49%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with phobias maintained their improvement to 2-year follow-up after the end of self-exposure therapy.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.178.6.543","type":"journal-article","created":{"date-parts":[[2002,8,29]],"date-time":"2002-08-29T21:36:18Z","timestamp":1030656978000},"page":"543-548","source":"Crossref","is-referenced-by-count":27,"title":["Two-year follow-up after a randomised controlled trial of self- and clinician-accompanied exposure for phobia\/panic disorders"],"prefix":"10.1192","volume":"178","author":[{"given":"Je-Min","family":"Park","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Mataix-Cols","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac M.","family":"Marks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thienchai","family":"Ngamthipwatthana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Marks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Araya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarik","family":"Al-Kubaisy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000156843_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(71)80062-X"},{"key":"S0007125000156843_ref27","doi-asserted-by":"publisher","DOI":"10.3758\/BF03197465"},{"key":"S0007125000156843_ref22","first-page":"150","article-title":"Six-year follow-up after exposure and clomipramine therapy for obsessive compulsive disorder","volume":"52","author":"O'Sullivan","year":"1991","journal-title":"Journal of Clinical Psychiatry"},{"key":"S0007125000156843_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(89)90113-7"},{"key":"S0007125000156843_ref19","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.168.4.462"},{"key":"S0007125000156843_ref18","first-page":"1","volume-title":"Long-term Treatments of Anxiety Disorders","author":"Noyes","year":"1996"},{"key":"S0007125000156843_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(05)80374-0"},{"key":"S0007125000156843_ref16","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.174.3.266"},{"key":"S0007125000156843_ref9","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1016\/S0193-953X(18)30025-X","article-title":"Social phobia: longitudinal course and long-term outcome of cognitive-behavioral treatment","volume":"18","author":"Juster","year":"1995","journal-title":"Psychiatric Clinics of North America"},{"key":"S0007125000156843_ref7","doi-asserted-by":"crossref","unstructured":"Fava G. 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