Progressive Multimedia Exposure for Specific Phobias: A Clinical Case of Claustrophobia and Acrophobia

IF 0.8 4区心理学 Q4 PSYCHIATRY

Clinical Case Studies Pub Date : 2021-04-05 DOI:10.1177/15346501211007208

Antonio Ruiz-García, Luis Valero-Aguayo

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引用次数: 3

Abstract

We present a multimedia exposure intervention for specific phobias using images and videos in a specific case of claustrophobia and acrophobia. The patient was a 47-year-old woman named “Jane” (anonymized name) who was diagnosed with fear of heights (acrophobia) and fear of confined spaces and enclosed areas (claustrophobia). The procedure was a single-case A-B design with several concurrent baselines, pre-post measurements, and two follow-ups (6 and 12 months). For the assessment, there were several questionnaires on anxiety and phobias and the continuous evaluation of anxiety and heart rate during treatment assays for each session. The treatment consisted of eight sessions of progressive multimedia exposure: images, videos, and in vivo settings. The results showed a decrease in the score for pre-post questionnaires (Z = −4.196, p < .0010) and also a total decrease in anxiety in the different baselines (PND 100%). The benefits were maintained during 1 year of follow-up. After the treatment, “Jane” could be confronted with situations she previously feared, such as being on floors of different levels (up to ninth floor), in closed places, in crowded elevators, and traveling on buses and trains for long distances.

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进行性多媒体暴露治疗特异性恐惧症：一例幽闭恐惧症和恐高症的临床病例

我们提出了一种针对特定恐惧症的多媒体暴露干预，在特定的幽闭恐惧症和恐高症病例中使用图像和视频。患者是一名47岁的女性，名叫“Jane”（匿名），被诊断为恐高症（恐高症）和对密闭空间和封闭区域的恐惧症（幽闭症）。该程序是一个单一病例a-B设计，有几个同时的基线、前后测量和两次随访（6和12 月）。在评估中，有几份关于焦虑和恐惧症的问卷，以及在每次治疗期间对焦虑和心率的持续评估。治疗包括八次渐进式多媒体曝光：图像、视频和体内设置。结果显示，前后问卷的得分有所下降（Z = −4.196，p < .0010）以及在不同基线中焦虑的总减少（PND 100%）。在1 随访年份。治疗后，“简”可能会遇到她以前担心的情况，比如在不同楼层（高达九楼）、封闭的地方、拥挤的电梯里，以及乘坐公共汽车和火车长途旅行。

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 Case Studies Multiple-

CiteScore

1.80

自引率

20.00%

发文量

期刊介绍： Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.