Joy beyond fear: Positive emotions after exposure in patients with anxiety disorders and their link to threat expectancy and treatment outcome

Publikation: Beitrag in Fachzeitschrift › Forschungsartikel › Beigetragen › Begutachtung

Beitragende

  • Thomas Borchert - , Georg-August-Universität Göttingen (Autor:in)
  • Ingmar Heinig - , Professur für Klinische Psychologie und Behaviorale Neurowissenschaft (Autor:in)
  • Volker Arolt - , Westfälische Wilhelms-Universität Münster (Autor:in)
  • Christina Bartnick - , Ruhr-Universität Bochum (Autor:in)
  • Udo Dannlowski - , Westfälische Wilhelms-Universität Münster, Universität Bielefeld (Autor:in)
  • Jürgen Deckert - , Julius-Maximilians-Universität Würzburg (Autor:in)
  • Katharina Domschke - , Universitätsklinikum Freiburg, Deutsches Zentrum für Psychische Gesundheit (DZPG) (Autor:in)
  • Thomas Fydrich - , Humboldt-Universität zu Berlin (Autor:in)
  • Stephan Goerigk - , Ludwig-Maximilians-Universität München (LMU), Hochschule Fresenius gGmbH Idstein (Autor:in)
  • Alfons O. Hamm - , Ernst-Moritz-Arndt-Universität Greifswald (Autor:in)
  • Maike Hollandt - , Ernst-Moritz-Arndt-Universität Greifswald (Autor:in)
  • Jürgen Hoyer - , Professur für Behaviorale Psychotherapie (Autor:in)
  • Tilo Kircher - , Philipps-Universität Marburg (Autor:in)
  • Katja Koelkebeck - , Universität Bielefeld (Autor:in)
  • Ulrike Lueken - , Humboldt-Universität zu Berlin, Deutsches Zentrum für Psychische Gesundheit (DZPG) (Autor:in)
  • Jürgen Margraf - , Ruhr-Universität Bochum (Autor:in)
  • Peter Neudeck - , Prof. Dr. Peter Neudeck - Praxis am Volksgarten, Technische Universität Chemnitz (Autor:in)
  • Paul Pauli - , Julius-Maximilians-Universität Würzburg (Autor:in)
  • Jan Richter - , Ernst-Moritz-Arndt-Universität Greifswald, Stiftung Universität Hildesheim (Autor:in)
  • Winfried Rief - , Philipps-Universität Marburg (Autor:in)
  • Silvia Schneider - , Ruhr-Universität Bochum (Autor:in)
  • Benjamin Straube - , Philipps-Universität Marburg (Autor:in)
  • Andreas Ströhle - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Hans Ulrich Wittchen - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Andre Pittig - , Georg-August-Universität Göttingen (Autor:in)

Abstract

Exposure-based CBT is effective in treating anxiety disorders, but individual responses vary substantially, underlining the need to identify and boost mechanisms underlying exposure. In this study, the role of positive emotions occurring after exposure was examined. In an analysis of 8416 exposure records of 648 anxiety patients undergoing exposure therapy, the degree of positive emotions hope and joy occurring after exposure exercises, their predictors, and their role regarding treatment success were investigated. Positive emotions after exposure were medium to high and increased slightly across repeated exposure exercises. They were associated with exposure-related learning indicators (i.e., expectancy violation and change as well as the prediction-error learning rate) and were mainly predicted by adjusted threat expectancy assessed after completing exposure, controlling for baseline depressive symptoms and affect. Higher positive emotions independently predicted better treatment outcome beyond learning indicators, and partially mediated the association between learning indicators and treatment outcome. These findings indicate that positive emotions are partly associated with successful learning during exposure but seem to have a unique contribution to overall treatment success, underlining the need to strengthen positive emotions via different possible means.

Details

OriginalspracheEnglisch
Aufsatznummer104880
Fachzeitschrift Behaviour research and therapy
Jahrgang195
PublikationsstatusVeröffentlicht - Dez. 2025
Peer-Review-StatusJa

Externe IDs

PubMed 41086598
ORCID /0000-0002-1697-6732/work/219264972
ORCID /0000-0002-7762-4327/work/219266691

Schlagworte

Ziele für nachhaltige Entwicklung

ASJC Scopus Sachgebiete

Schlagwörter

  • Anxiety disorders, Expectancy violation, Exposure therapy, Hope, Joy, Positive emotions