Slope of Change Throughout Exposure Treatment for Flight Phobia: The Role of Autonomic Flexibility

被引：4

作者：

Bornas, Xavier ^{[1
]}

Gelabert, Joan Miquel ^{[1
]}

Llabres, Jordi ^{[1
]}

Balle, Maria ^{[1
]}

Tortella-Feliu, Miquel ^{[1
]}

机构：

[1] Univ Balearic Isl, Univ Res Inst Hlth Sci IUNICS, Palma de Mallorca, Spain

来源：

JOURNAL OF CLINICAL PSYCHOLOGY | 2011年 / 67卷 / 06期

关键词：

autonomic flexibility; rate of change; flight phobia; exposure; treatment; specific phobia; HEART-RATE-VARIABILITY; NEUROVISCERAL INTEGRATION; TREATMENTS WORK; THERAPY; FEAR; PSYCHOTHERAPY; MEDIATORS; RETURN; MODEL; MECHANISMS;

D O I：

10.1002/jclp.20780

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

This study tested the hypothesis that flight-phobic patients experience change at different rates even when they are receiving identical treatment. Faster within-session rates of change (WSRC) were expected for patients who required fewer exposure sessions. The study also tested the theoretical role of autonomic flexibility on WSRC. High flexibility should be associated with faster rates of change. Thirty-seven flight-phobic patients were successfully treated with a computer-assisted fear of flying treatment. A significant negative correlation was found between total number of sessions and WSRC: The fewer sessions patients attended, the faster their rate of change was. The role of autonomic flexibility was partially supported: A significant correlation between heart rate variability and WSRC revealed that flexible patients improved faster than less-flexible patients. (C) 2011 Wiley Periodicals, Inc. J Clin Psychol 67:550-560, 2011.

引用

页码：550 / 560

页数：11

共 30 条

[1] And yet they correlate: Psychophysiological activation predicts self-report outcomes of exposure therapy in claustrophobia [J].

Alpers, Georg W. ;

Sell, Roxane .

JOURNAL OF ANXIETY DISORDERS, 2008, 22 (07) :1101-1109

[2]

[Anonymous], 1994, ANXIETY DISORDERS IN

[3]

[Anonymous], INT J CLIN HLTH PSYC

[4]

Anthony M.M., 2001, PRACTITIONERS GUIDE

[5] Rates of Change in Naturalistic Psychotherapy: Contrasting Dose-Effect and Good-Enough Level Models of Change [J].

Baldwin, Scott A. ;

Berkeljon, Arjan ;

Atkins, David C. ;

Olsen, Joseph A. ;

Nielsen, Stevan L. .

JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2009, 77 (02) :203-211

[6] AN EFFICIENT ALGORITHM FOR SPECTRAL-ANALYSIS OF HEART-RATE-VARIABILITY [J].

BERGER, RD ;

AKSELROD, S ;

GORDON, D ;

COHEN, RJ .

IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, 1986, 33 (09) :900-904

[7] Do all treatments work for flight phobia?: Computer-assisted exposure versus a brief multicomponent nonexposure treatment [J].

Bornas, X ;

Tortella-Feliu, M ;

Llabrés, J .

PSYCHOTHERAPY RESEARCH, 2006, 16 (01) :41-50

[8] Looking at the heart of low and high heart rate variability fearful flyers:: self-reported anxiety when confronting feared stimuli [J].

Bornas, X ;

Llabrés, J ;

Noguera, M ;

López, AM ;

Barceló, F ;

Tortella-Feliu, M ;

Fullana, MA .

BIOLOGICAL PSYCHOLOGY, 2005, 70 (03) :182-187

[9]

Bornas X., 1999, Analisis y Modificacion de Conducta, V25, P885

[10] Vagally mediated heart rate variability and heart rate entropy as predictors of treatment outcome in flight phobia [J].

Bornas, Xavier ;

Llabres, Jordi ;

Tortella-Feliu, Miquel ;

Fullana, Miquel A. ;

Montoya, Pedro ;

Lopez, Ana ;

Noguera, Miquel ;

Gelabert, Joan M. .

BIOLOGICAL PSYCHOLOGY, 2007, 76 (03) :188-195

← 1 2 3 →