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The process of exposure in vivo: cognitive and physiological changes during treatment of acrophobia
Authors:P M Emmelkamp  M Felten
Affiliation:1. Department of Basic, Clinical Psychology and Psychobiology, Universitat Jaume I, Castellón, Spain;2. Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, the Netherlands;3. CIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Carlos III Institute of Health, Madrid, Spain
Abstract:The present experiment sought to investigate the process of exposure in vivo. Heart rate (HR) and subjective anxiety were monitored during exposure in vivo with acrophobics. To assess the influence of cognitive processes half of the Ss were instructed in adaptive thinking during the exposure in vivo task. Significant differences between conditions were found on cognitive measures only. Both on subjective anxiety and cognitions during the behavioral test, the Cognitive-Exposure condition was found to be superior to the Exposure-alone condition. Changes in subjective anxiety during treatment did not precede changes in HR. Results of this study support the notion that anxiety-reduction through exposure is a passive process leading to synchronous changes in subjective anxiety and psychophysiological arousal.
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