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The psychophysiological process of therapy in a case of injury-scene-elicited fainting
Abstract
In a single case study, the psychophysiological process of change was studied during treatment of fainting with exposure to blood/injury stimuli. Therapy involved two procedures: a muscle-tensing maneuver and a cognitive coping strategy, each applied in A-B-A format. During therapy, bradycardia was associated with reports of greater fear. Muscle tensing brought higher heart rate and lower fear ratings. In contrast, the cognitive strategy produced lower fear ratings without affecting heart rate. At termination and at 6- and 30-month follow-up, the patient reported problem-free exposure to injury stimuli. Results supported the efficacy of the treatment approach, differentiated the effects of separate components of the intervention, and clarified its physiological basis.
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Studies have generally focused on respiration rate rather than full assessment of breathing pattern including volume or direct measures of expired CO2, so true hyperventilatory states may have been overlooked in most of these studies.
“However, studies have generally focused on respiration rate, such as through the measurement with a single strain gauge (e.g., Kozak & Miller, 1985; Steptoe & Wardle, 1988; Vögele et al., 2003) or visual observation of breathing (e.g., Cohn et al., 1976), rather than implementing a full assessment of the breathing pattern including volume or direct measures of expired CO2. Thus, true hyperventilAT”
From The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm (2010) · cites this paper as Kozak & Miller, 1985
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The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm
Ritz, T., Meuret, A. E., & Ayala, E. S. (2010) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2010.05.007 · Cited by 74
“However, studies have generally focused on respiration rate, such as through the measurement with a single strain gauge (e.g., Kozak & Miller, 1985; Steptoe & Wardle, 1988; Vögele et al., 2003) or visual observation of breathing (e.g., Cohn et al., 1976), rather than implementing a full assessment…”
Background
Metadata
- Authors
- Kozak, M. J., & Miller, G. A.
- Affiliations
- University of Illinois Urbana-Champaign (US)
- ORCID
- Miller, Gregory A.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 1985-06
- Volume
- 16
- Issue
- 2
- Pages
- 139-145
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W1987388425
- Cited by
- 20
- References
- 4
- Citations by year
- 2021: 1 · 2016: 1 · 2014: 2
- FWCI
- 0.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (F31MH010993)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- syncope, vasovagal syncope, fear of blood, fear of injury, exposure therapy, bradycardia, heart rate, treatment outcome follow-up
- MeSH terms
- Adult, Behavior Therapy, Cognition, Combined Modality Therapy, Fear, Heart Rate, Humans, Male, Muscle Contraction, Syncope, Wounds and Injuries
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