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A comparison of 'flooding' and 'successive approximation' in the treatment of agoraphobia
Authors:W T Everaerd  H M Rijken  P M Emmelkamp
Affiliation:Institute for Clinical and Industrial Psychology, Utrecht, Netherlands
Abstract:Flooding (in the imagination and in vivo) and successive approximation were compared in a cross-over design with 14 agoraphobic patients. Assessments were made at the beginning of the treatment, at the cross-over, at the end of the treatment and at the follow-up 3 months later.The assessments were made by the therapist (in vivo measurement) and by the client (phobic anxiety scale; phobic avoidance scale; FSS; MAS; I-E scale and a depression inventory). At the time of the pre-test and the posttest, an independent external judge scored the clients on the following items : anxious mood, specific phobias, obsessive compulsive symptoms, depersonalization and depressed mood.Both methods of treatment resulted in a significant improvement on the in vivo measurements, phobic anxiety scale, phobic avoidance scale and FSS.Successive approximation also led to a significant decrease on the MAS and the I-E scale. The only significant difference between the two methods was shown by the phobic anxiety scale, the mean of the flooding group being significantly higher.
Keywords:Request for reprints should be sent to W. Everaerd   Institute for Clinical and Industrial Psychology   Korte Nieuwstraat 2   Utrecht   Holland Netherlands.
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