“A phobia is strong, persistent, specific fears lasting more than 6 months and accompanied by intense physiological symptoms and avoidance or distress typify the presence of a specific phobia.” –DSM-IV-TR Article #1: Intensive Treatment of Specific Phobias in Children and Adolescents Population: Children and Adolescents
* Ages: 7-17
* Boys & girls
Hypothesis: Researchers wanted to see what the actual implementation of OST with children and adolescents would be while extending the techniques from the unpublished OST Manual for Children. Researchers also wanted to see a host of practical issues associated with using exposure therapy for the treatment of specific phobias. Method: A type of Cognitive-behavioral therapy- One Session Treatment About the Intervention:
* OST is developmentally informed and intensive- lasting 90-180 minutes * Combines in vivo exposure, psycho-education, particular models, cognitive challenges, reinforcement (contingency management), and skills training in intensive treatment model. * Creates a fear hierarchy & simultaneously probes for catastrophic thoughts associated with varying levels of exposure * GOAL: not to create another traumatic experience but to create an opportunity for child to learn that the negative expectations and thoughts believed to surround the stimulus either do not occur or if they do occur are not as anxiety-arousing as believed. Before applying the treatment researchers conducted:
* Diagnostic Assessment- chose appropriate evidence-based treatment for the phobia. * Anxiety Disorders Interview Schedule for DSM-IV Child & Parent Version * Makes diagnosis for phobia and introduces a rating system of fear for child * Fear Survey Schedule for Children-Revised
* Discriminates types of phobia and proved an index of fear level/ intensity * BAT- Behavioral Avoidance Test
* Info from observing the child’s reaction and...