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Blood phobia and spider phobia: two specific phobias with different autonomic cardiac modulations
Abstract
Cardiac reactions to two fear-related and one control film were compared in individuals high in spider or blood/injury fear. Twelve subjects in each phobic group were selected on the basis of their scores in the Spider or Mutilation Questionnaires and a semi-structured interview. Cardiac responses and self-reported affective ratings to the films were investigated. Sympathetic and parasympathetic cardiac influences were indexed by T-wave amplitude and respiratory sinus arrhythmia measured during film viewing. Basal parasympathetic cardiac control was also assessed during a paced breathing task. Results indicate differential autonomic modulation of cardiac responses for blood and spider phobics. Although each group reacted with marked cardiac activation to its feared stimulus, a sympathetic increase followed by withdrawal over time was found in blood phobics. Greater vagal tone at rest was present in blood phobics compared with spider phobics.
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In both studies, only the initial increase in sympathetic activity, not the subsequent decrease, exceeded the levels reached during neutral and negative comparison films.
“In both studies, only the initial increase in sympathetic activity, not the subsequent decrease, exceeded the levels reached during neutral and negative comparison films.”
From The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm (2010) · cites this paper as Sarlo et al., 2002
In the same two studies, analysis of RSA remained uninformative, but no control for influences of respiration rate and volume had been attempted.
“In the same two studies, analysis of RSA remained uninformative, but no control for influences of respiration rate and volume had been attempted.”
From The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm (2010) · cites this paper as Sarlo et al., 2002
Sarlo et al. (2002; 2008) measured T-wave amplitude or pre-ejection period during film presentation and observed initial decreases followed by subsequent increases in these indices, suggesting elevated and reduced sympathetic activity, respectively.
“Sarlo et al. (2002; 2008) measured T-wave amplitude or pre-ejection period, respectively, during film presentation and observed initial decreases followed by subsequent increases in these indices, suggesting elevated and reduced sympathetic activity, respectively.”
From The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm (2010) · cites this paper as Sarlo et al., 2002
Three studies of surgery film exposure that used neutral film clips as a comparison were not able to demonstrate HR falls below neutral levels.
“Three studies of surgery film exposure that used neutral film clips as a comparison were not able to demonstrate HR falls below neutral levels (Sarlo et al., 2002; Steptoe and Wardle, 1988; Vögele et al., 2003).”
From The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm (2010) · cites this paper as Sarlo et al., 2002
Citations
Cites
Emotional suppression: Physiology, self-report, and expressive behavior.
Gross, J. J., & Levenson, R. W. (1993) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.64.6.970 · Cited by 1,262
A psychophysiological analysis of fear modification using an automated desensitization procedure
Lang, P. J., Melamed, B. G., & Hart, J. (1970) · Journal of Abnormal Psychology · doi:10.1037/h0029875 · Cited by 463
Physiological responses in blood phobics
Öst, L.-G., Sterner, U., & Lindahl, I.-L. (1984) · Behaviour Research and Therapy · doi:10.1016/0005-7967(84)90099-8 · Cited by 177
Flagged first, then by citations
Research works printed but not linked: 35
- Angrilli, 1995, PSAAL: a LabVIEW 3 program for data acquisition and analysis in psychophysiological experiments, Behavior Research Methods, Instruments, and Computers, 27, 367, 10.3758/BF03200431 · DOI
- Angrilli, 1997, Respiratory sinus arrhythmia in blood phobic subjects, Perceptual and Motor Skills, 84, 505, 10.2466/pms.1997.84.2.505 · DOI
- Connolly, 1976, Selective association of fainting with blood–injury–illness fear, Behavior Therapy, 7, 8, 10.1016/S0005-7894(76)80214-6 · DOI
- Engel, 1978, Psychologic stress, vasodepressor (vasovagal) syncope, and sudden death, Annals of Internal Medicine, 89, 403, 10.7326/0003-4819-89-3-403 · DOI · Paper page
- Fredrikson, 1981, Orienting and defensive reactions to phobic and conditioned fear stimuli in phobics and normals, Psychophysiology, 18, 456, 10.1111/j.1469-8986.1981.tb02480.x · DOI
- Fredrikson, 1995, Functional neuroanatomy of visually elicited simple phobic fear: additional data and theoretical analysis, Psychophysiology, 32, 43, 10.1111/j.1469-8986.1995.tb03404.x · DOI
- Friedman, 1998, Anxiety and autonomic flexibility: a cardiovascular approach, Biological Psychology, 49, 303
- Friedman, 1993, Autonomic characteristics of nonclinical panic and blood phobia, Biological Psychiatry, 34, 298, 10.1016/0006-3223(93)90087-T · DOI
- Furedy, 1983, A consideration of recent criticisms of the T-wave amplitude index of myocardial sympathetic activity, Psychophysiology, 20, 204, 10.1111/j.1469-8986.1983.tb03289.x · DOI
- Geer, 1966, Fear and autonomic arousal, Journal of Abnormal Psychology, 71, 253, 10.1037/h0023544 · DOI
- Graham, 1961, Vasovagal fainting: a diphasic response, Psychosomatic Medicine, 23, 493, 10.1097/00006842-196111000-00004 · DOI · Paper page
- Graham, 1978, Constraints on measuring heart rate and period sequentially through real and cardiac time, Psychophysiology, 15, 492, 10.1111/j.1469-8986.1978.tb01422.x · DOI
- Graham, F.K., Clifton, R.K. 1966. Heart-rate change as a component of the orienting response. Psychological Bulletin, 65, 305–320. · DOI
- Grossman, 1987, Respiratory sinus arrhythmia as an index of parasympathetic cardiac control during active coping, Psychophysiology, 24, 228, 10.1111/j.1469-8986.1987.tb00284.x · DOI
- Grossman, 1990, A comparison of three quantification methods for estimation of respiratory sinus arrhythmia, Psychophysiology, 27, 702, 10.1111/j.1469-8986.1990.tb03198.x · DOI · Paper page
- Hamm, 1997, Fear and the startle reflex: blink modulation and autonomic response patterns in animal and mutilation fearful subjects, Psychophysiology, 34, 97, 10.1111/j.1469-8986.1997.tb02420.x · DOI
- Hare, 1975, Defensive responses to phobic stimuli, Biological Psychology, 3, 1, 10.1016/0301-0511(75)90002-2 · DOI
- Kleinknecht, 1990, The Mutilation Questionnaire as a predictor of blood/injury fear and fainting, Behaviour Research and Therapy, 28, 429, 10.1016/0005-7967(90)90163-D · DOI
- Kleinknecht, 1988, Specificity and psychosocial correlates of blood/injury fear and fainting, Behaviour Research and Therapy, 26, 303, 10.1016/0005-7967(88)90082-4 · DOI
- Klorman, 1974, Psychometric description of some specific-fear questionnaires, Behavior Therapy, 5, 401, 10.1016/S0005-7894(74)80008-0 · DOI
- Klorman, 1977, Individual differences in fear and autonomic reactions to affective stimulation, Psychophysiology, 14, 45, 10.1111/j.1469-8986.1977.tb01154.x · DOI
- Lang, 1993, Looking at pictures: affective, facial, visceral, and behavioral reactions, Psychophysiology, 30, 261, 10.1111/j.1469-8986.1993.tb03352.x · DOI · Paper page
- Lumley, 1992, Blood phobics and nonphobics: psychological differences and affect during exposure, Behaviour Research and Therapy, 30, 425, 10.1016/0005-7967(92)90026-D · DOI · Paper page
- McCabe, 1984, Changes in heart period, heart period variability, and a spectral analysis estimate of respiratory sinus arrhythmias during aortic nerve stimulation in rabbits, Psychophysiology, 21, 149, 10.1111/j.1469-8986.1984.tb00197.x · DOI
- Öst, 1992, Blood and injection phobia: background and cognitive, physiological, and behavioral variables, Journal of Abnormal Psychology, 101, 68, 10.1037/0021-843X.101.1.68 · DOI
- Palomba, 2000, Cardiac responses associated with affective processing of unpleasant film stimuli, International Journal of Psychophysiology, 36, 45, 10.1016/S0167-8760(99)00099-9 · DOI
- Prigatano, 1974, Autonomic nervous system changes associated with a spider phobic reaction, Journal of Abnormal Psychology, 83, 169, 10.1037/h0036476 · DOI
- Rau, 1991, Responses of the T-wave amplitude as a function of active and passive tasks and beta-adrenergic blockade, Psychophysiology, 28, 231, 10.1111/j.1469-8986.1991.tb00415.x · DOI
- Sartory, 1986, Effect of phobic anxiety on the orienting response, Behavioral Research and Therapy, 24, 251, 10.1016/0005-7967(86)90185-3 · DOI
- Sartory, 1977, An investigation of the relation between reported fear and heart rate, Behaviour Research and Therapy, 15, 435, 10.1016/0005-7967(77)90048-1 · DOI
- Sledge, 1978, Antecedent psychological factors in the onset of vasovagal syncope, Psychosomatic Medicine, 40, 568, 10.1097/00006842-197811000-00004 · DOI · Paper page
- Steptoe, 1988, Emotional fainting and the psychophysiologic response to blood and injury: autonomic mechanisms and coping strategies, Psychosomatic Medicine, 50, 402, 10.1097/00006842-198807000-00008 · DOI · Paper page
- Turpin, G. 1986. Effects of stimulus intensity on autonomic resopnding: the problem of differentiating orienting and defense reflexes. Psychophysiology, 23, 1–14. · DOI · Paper page
- Vingerhoets, 1984, Biochemical changes in two subjects succumbing to syncope, Psychosomatic Medicine, 46, 95, 10.1097/00006842-198403000-00002 · DOI · Paper page
- Wolpe, 1964, A fear survey schedule for use in behaviour therapy, Behaviour Research and Therapy, 2, 27, 10.1016/0005-7967(64)90051-8 · DOI
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Metadata
- Authors
- Sarlo, M., Palomba, D., Angrilli, A., & Stegagno, L.
- Affiliations
- University of Padua (IT)
- Corresponding author
- Sarlo, Michela
- Venue
- Biological Psychology
- Publisher
- Elsevier BV
- Published
- 2002-09
- Volume
- 60
- Issue
- 2-3
- Pages
- 91-108
- ISSN
- 0301-0511 (ISSN-L)
- OpenAlex
- W2171749417
- Cited by
- 73
- References
- 3
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2021: 4 · 2020: 4 · 2019: 1 · 2018: 5 · 2017: 4 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 6 · 2012: 4
- FWCI
- 2.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychology (publishedVersion)
- PubMed (publishedVersion)
- CINECA IRIS Institutional Research information system (University of Urbino) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- blood phobia, spider phobia, specific phobia, sympathetic activation, vagal tone, respiratory sinus arrhythmia, T-wave amplitude, fear conditioning, fear extinction, paced breathing
- MeSH terms
- Adult, Animals, Arousal, Autonomic Nervous System, Blood, Electrocardiography, Fear, Female, Heart, Heart Rate, Humans, Phobic Disorders, Spiders, Vagus Nerve
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