Abstract Background In vivo exposure therapy for specific phobia is an effective treatment, yet up to 80% of individuals with specific phobia go untreated. This appears to be due to an unwillingness to confront the feared stimulus and a lack of appropriate service provision. One‐session treatment (OST) for specific phobias is an efficacious form of in vivo exposure that is well accepted by its recipients; however, few clinicians are trained, or willing, to deliver this approach. Aims The current study aimed to determine the feasibility, acceptability and effectiveness of OST delivered to a large group in a naturalistic community setting. Method Spider phobic individuals were recruited from the community for an open trial of OST delivered in groups of 15 individuals at the Australian Museum using resources from their spider exhibition. Outcome measures (Spider Phobia Questionnaire, Behavioural Approach Task) were administered immediately before and again immediately after OST (Behavioural Approach Task), or at one‐week post‐treatment (Spider Phobia Questionnaire). Within‐group effect sizes on outcomes were benchmarked against previous studies of individual and small group OST for spider phobia to determine the relative effects of this program. Results Fear and avoidance of spiders were significantly reduced, and these outcomes compared well with individual and small group OST outcomes from previous studies. Conclusions: Large group OST is a feasible resource‐effective method of providing treatment for spider phobia.

中文翻译：

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在博物馆的一天。针对蜘蛛恐惧症的大型团体、单次暴露治疗的基准和可行性研究

摘要背景针对特定恐惧症的体内暴露疗法是一种有效的治疗方法，但高达 80% 的特定恐惧症患者未经治疗。这似乎是由于不愿意面对令人恐惧的刺激和缺乏适当的服务提供。针对特定恐惧症的单次治疗 (OST) 是一种有效的体内暴露形式，被接受者广泛接受；然而，很少有临床医生受过培训或愿意提供这种方法。目标 当前的研究旨在确定在自然社区环境中向大群体提供 OST 的可行性、可接受性和有效性。方法 从社区招募蜘蛛恐惧症个体，在澳大利亚博物馆以 15 人为一组，利用蜘蛛展览中的资源对 OST 进行公开试验。结果测量（蜘蛛恐惧症问卷，行为方法任务）在 OST（行为方法任务）之前和之后立即进行，或在治疗后一周（蜘蛛恐惧症问卷）进行。对结果的组内效应大小与先前针对蜘蛛恐惧症的个人和小组 OST 的研究进行了基准测试，以确定该计划的相对影响。结果对蜘蛛的恐惧和回避显着减少，这些结果与先前研究的个人和小组 OST 结果相比很好。结论：大群 OST 是一种可行的资源有效的蜘蛛恐惧症治疗方法。或在治疗后一周（蜘蛛恐惧症问卷）。对结果的组内效应大小与先前针对蜘蛛恐惧症的个人和小组 OST 的研究进行了基准测试，以确定该计划的相对影响。结果对蜘蛛的恐惧和回避显着减少，这些结果与先前研究的个人和小组 OST 结果相比很好。结论：大群 OST 是一种可行的资源有效的蜘蛛恐惧症治疗方法。或在治疗后一周（蜘蛛恐惧症问卷）。对结果的组内效应大小与先前针对蜘蛛恐惧症的个人和小组 OST 的研究进行了基准测试，以确定该计划的相对影响。结果对蜘蛛的恐惧和回避显着减少，这些结果与先前研究的个人和小组 OST 结果相比很好。结论：大群 OST 是一种可行的资源有效的蜘蛛恐惧症治疗方法。并且这些结果与先前研究的个人和小组 OST 结果相比很好。结论：大群 OST 是一种可行的资源有效的蜘蛛恐惧症治疗方法。并且这些结果与先前研究的个人和小组 OST 结果相比很好。结论：大群体 OST 是一种可行的资源有效的蜘蛛恐惧症治疗方法。