The tripartite model of fear in children with specific phobias: Assessing concordance and discordance using the behavioral approach test

被引:24
作者
Ollendick, Thomas [1 ]
Allen, Ben [1 ]
Benoit, Kristy [1 ]
Cowart, Maria [1 ]
机构
[1] Virginia Polytech Inst & State Univ, Ctr Child Study, Dept Psychol, Blacksburg, VA 24060 USA
关键词
Tripartite model; Behavioral approach test; Children; Adolescents; Phobia; Physiology; ONE-SESSION TREATMENT; HEART-RATE; ANXIETY; EMOTION; DESYNCHRONY; PREDICTION; COMPONENTS; SYNCHRONY; EXPOSURE; IMAGERY;
D O I
10.1016/j.brat.2011.04.003
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Lang's tripartite model posits that three main components characterize a fear response: physiological arousal, cognitive (subjective) distress, and behavioral avoidance. These components may occur in tandem with one another (concordance) or they may vary independently (discordance). The behavioral approach test (BAT) has been used to simultaneously examine the three components of the fear response. In the present study, 73 clinic-referred children and adolescents with a specific phobia participated in a phobia-specific BAT. Results revealed an overall pattern of concordance: correlation analyses revealed the three indices were significantly related to one another in the predicted directions. However, considerable variation was noted such that some children were concordant across the response components while others were not. More specifically, based on levels of physiological arousal and subjective distress, two concordant groups (high arousal high distress, low arousal low distress) and one discordant (high arousal low distress or low arousal high distress) group of youth were identified. These concordant and discordant groups were then compared on the percentage of behavioral steps completed on the BAT. Analyses revealed that the low arousal low distress group completed a significantly greater percentage of steps than the high arousal high distress group, and a marginally greater percentage of steps than the discordant group. Potential group differences associated with age, gender, phobia severity, and phobia type were also explored and no significant differences were detected. Implications for theory and treatment are discussed. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:459 / 465
页数:7
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