Expectation framing in psychotherapy: effects of approach- and avoidance-oriented video interventions on help-seeking intentions - Summary - MDSpire

Expectation framing in psychotherapy: effects of approach- and avoidance-oriented video interventions on help-seeking intentions

  • By

  • Leonora N. Schäfer

  • Winfried Rief

  • July 9, 2026

  • 0 min

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Objective:

To examine how different ways of framing treatment expectations influence help-seeking intentions for psychotherapy.

Approach:
  • Study Design: Participants (N = 123) were randomly assigned to one of three conditions: avoidance-oriented framing, approach-oriented framing, or a minimal-intervention control condition.
  • Assessment: Treatment expectations (TEX-Q) and self-reported likelihood of seeking psychotherapy were assessed before and after the intervention.
Key Findings:
  • Both video conditions increased subjective treatment-seeking probability compared to the control group.
  • A stronger increase in treatment-seeking probability was observed for avoidance-oriented framing.
  • Effects on treatment expectations were less consistent.
Interpretation:

Expectation-focused communication may help address expectation-related barriers before psychotherapy begins, particularly for individuals with higher self-reported social anxiety.

Limitations:
  • The study's findings may not generalize beyond the sample population.
  • Effects on treatment expectations were inconsistent, indicating variability in response.
Conclusion:

Avoidance-oriented framing may be particularly relevant in the early phase of treatment engagement.

Sources:

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