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One versus five sessions of exposure in the treatment of flying phobia
Abstract
Twenty-eight patients with flying phobia, fulfilling the DSM-IV criteria for specific phobia, were assessed with behavioral, and self-report measures. They were randomly assigned to two treatment conditions: (1) 1-session, or (2) 5-sessions of exposure and cognitive restructuring. The first condition consisted of a single 3 hr session of massed treatment, and the second condition of 6 hr of gradual treatment. Treatment was done individually by very experienced therapists. The results showed that the two treatment conditions did equally well and there were no differences between them. At post-treatment 93% of the 1-session group and 79% of the 5-session group managed to take an unaccompanied return fight. At the 1-yr follow-up assessment the effects were maintained on all measures except the behavioral test; in both groups 64% of the patients took the flight. The most plausible reason for this deterioration is that during the follow-up year the subjects who relapsed didn't have the opportunity to fly as a job requirement with the employer paying the expenses. The implications of these results are discussed.
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“One-session treatment of flying phobia, blood-injection-injury phobia, spider phobia, claustrophobia, and other specific phobias has shown comparable outcomes to five-session treatment, with clinically significant improvements maintained for follow-up periods as long as four years (Öst, Alm, Brandberg, & Breitholtz, 2001; Öst, Brandberg, & Alm, 1997; Öst, Hellström, & Kåver, 1992).”
From Enhancing Inhibitory Learning: The Utility of Variability in Exposure (2019) · cites this paper as Öst, Brandberg, & Alm, 1997
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Metadata
- Authors
- Öst, L.-G., Brandberg, M., & Alm, T.
- Affiliations
- Stockholm University (SE)
- Corresponding author
- Öst, Lars-Göran
- ORCID
- Öst, Lars-Göran
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1997-11
- Volume
- 35
- Issue
- 11
- Pages
- 987-996
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2014732760
- Cited by
- 146
- References
- 26
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 2 · 2022: 6 · 2021: 7 · 2020: 4 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 3 · 2012: 8
- FWCI
- 4.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- specific phobia, exposure therapy, cognitive restructuring, single-session intervention, treatment duration, relapse, maintenance of treatment effects, return flight
- MeSH terms
- Adult, Aircraft, Analysis of Variance, Desensitization, Psychologic, Female, Follow-Up Studies, Humans, Length of Stay, Male, Middle Aged, Phobic Disorders, Prospective Studies, Travel, Treatment Outcome
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