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A three-systems analysis of fear of flying: a comparison of a consonant vs a non-consonant treatment method
Authors:T Haug  L Brenne  B H Johnsen  D Berntzen  K G G?testam  K Hugdahl
Institution:1. Cognitive & Behavioural Neurology, University of Exeter Medical School, College House, St Luke''s Campus, Exeter EX1 2LU, UK;2. Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, John Radcliffe Hospital, OX3 9DU, UK;3. Discipline of Psychology, University of Exeter, Washington Singer Laboratories, Exeter EX4 4QG, UK;4. Health Statistics, University of Exeter Medical School, South Cloisters, St Luke''s Campus, Exeter EX1 2LU, UK;1. Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA;2. Department of Psychology, Shepherd University, Shepherdstown, WV, USA;3. Department of Psychology, University of Missouri – Kansas City, Kansas City, MO, USA
Abstract:Ten patients with a fear of flying were treated either with Stress-inoculation training (SIT) or with Applied relaxation (AR). In accordance with a Three-Systems model of phobic fear, five subjects were classified as physiological responders and five subjects were classified as cognitive responders. It was assumed that SIT would be a consonant treatment method for the cognitive responders and a non-consonant method for the physiological responders. AR was assumed to be consonant for the physiological responders but non-consonant for the cognitive responders. The aims of the study were: (1) to investigate the efficacy of behavioral treatment methods for fear of flying with adequate pre- and post-treatment behavioral measures (2) to assess the relative efficacy of a consonant vs a non-consonant treatment. The results showed improvement on all dependent measures (physiological, subjective, behavioral) from pre- to post-treatment and follow-up. Furthermore, the consonant treatment method was superior to the non-consonant method on subjective experience of physiological arousal and the ratings of fear of flying, but not for changes in heart-rate, and self-rating of anxiety.
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