The High Place Phenomenon: Associations With Markers of Positive and Negative Mental Health in Individuals Suffering From Specific Phobia or Agoraphobia

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-01-27 DOI:10.1002/cpp.70038

Lara Wiesmann, André Wannemüller, Tobias Teismann

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Abstract

Background

The Call of the Void phenomenon describes an inexplicable urge to consider dangerous or self-destructive actions in certain situations. Previous studies have focused on the high place phenomenon (HPP), which is the sudden urge to jump from high places. One aim of this study is to replicate the previously found associations of HPP with suicidality and anxiety in a larger sample of patients suffering from flight phobia or agoraphobia. Furthermore, the influence of personality traits and protective factors, such as self-efficacy and self-esteem, will be examined to identify associations between the HPP and potential markers of both positive and negative mental health.

Methods

The study sample comprised 612 patients (76% female; M_age = 43.77, SD_age = 12.82) suffering from clinically relevant fear of flying. Participants filled out questionnaires on experiences with the high place phenomenon, depression, personality traits, anxiety sensitivity, suicidal ideation, insecurity in social contact, flight phobia symptoms, positive mental health, self-efficacy expectations, self-esteem and satisfaction with life.

Results

Consistent with previous findings, the high place phenomenon was known to nearly 43% of the patient sample. Multiple regression analysis showed that openness to experiences, neuroticism, suicidal ideation and insecurity in social contacts were positively related to the high place phenomenon, whereas agreeableness, self-efficacy and self-esteem were negatively related.

Conclusion

The high place phenomenon is a common experience in individuals, whether or not they suffer from suicidal ideation. It is therefore cautioned not to interpret such experiences as an expression of a hidden death wish. Nevertheless, the occurrence of the HPP is influenced by the presence of negative and positive mental health markers. Future studies should examine the association between HPP and intrusions in the context of obsessive-compulsive disorders.

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高处现象：特定恐怖症或广场恐怖症患者积极和消极心理健康标记的关联

背景：虚空的呼唤现象描述了在某些情况下考虑危险或自我毁灭行为的无法解释的冲动。以前的研究主要集中在高处现象（HPP）上，即从高处跳下来的突然冲动。这项研究的目的之一是在更大的飞行恐惧症或广场恐惧症患者样本中复制先前发现的HPP与自杀和焦虑之间的联系。此外，人格特征和保护因素（如自我效能和自尊）的影响将被检查，以确定HPP与积极和消极心理健康的潜在标记之间的关联。方法：研究样本包括612例患者(76%为女性；Mage = 43.77, SDage = 12.82)患有临床相关的飞行恐惧。参与者填写了关于高位置现象、抑郁、人格特征、焦虑敏感性、自杀意念、社交不安全感、飞行恐惧症症状、积极心理健康、自我效能期望、自尊和生活满意度的问卷。结果：与先前的研究结果一致，近43%的患者样本已知高位现象。多元回归分析显示，经历开放性、神经质、自杀意念和社会交往不安全感与高场所现象呈正相关，而亲和性、自我效能感和自尊呈负相关。结论：无论是否有自杀意念，高处现象都是个体的共同体验。因此，告诫不要将这种经历解释为暗藏的死亡愿望。然而，HPP的发生受到消极和积极心理健康指标存在的影响。未来的研究应该检查强迫症背景下HPP和侵入之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.