Abstract: | Changes in heart rate in three moderate to severe agoraphobic women were monitored by a Holter Recorder, used for obtaining portable EKGs. These data were collected before, half-way through, and at the end of a 12 session, group therapy program consisting of exposure and cognitive restructuring while subjects walked, or in one case, were driven along a standard 1.2 km course leading away from the treatment setting. Self-reports of anxiety were collected simultaneously. Despite substantial behavioral improvement in all cases, markedly different patterns of synchrony or desynchrony were noted between heart rate and self-reports of anxiety and substantial increases in heart rate were noted in one subject. |