Vliegangst: overwegingen ten aanzien van diagnostiek en behandeling

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Behavioral and cognitive group treatment for fear of flying: a randomized controlled trial.

FSW - Self-regulation models for health behavior and Psychopathology - Ou

Anxiety sensitivity moderates the relationship of changes in physiological arousal with flight anxiety during in vivo exposure therapy

Physiological sensations and discomfort constitute the major symptoms reported by aviophobics. Anxiety sensitivity (AS) seems to moderate the relationship between self-reported somatic sensations and flight anxiety, and AS has been identified as a vulnerability factor for flight phobia. In this study we examined whether AS moderates the effects of somatic sensations and autonomic nervous system reactivity on flight anxiety induced by real flight.In fifty aviophobics participating in Cognitive Behaviour Group Therapy (CBGT), flight anxiety, somatic sensations and autonomic nervous system reactivity were assessed during a guided return flight. Results indicate that physiological reactivity interacted with AS. Changes in heart rate and parasympathetic activity were more strongly associated with changes in reported flight anxiety for high AS participants, and less for participants low on AS. Results did not indicate a moderating effect of AS on the relationship between self-reported somatic sensations and flight anxiety.Our results suggest that therapy for flight phobia might benefit from addressing the physical effect of anxiety, by means of cognitive restructuring and exposure to interoceptive stimuli, particularly in aviophobics high in AS. © 2012 Elsevier Ltd

Virtual Reality as a Tool for Cognitive Behavioural Therapy: A Review.

This chapter describes the deployment of Virtual Reality (VR) for Cognitive Behavioral Therapy (CBT) to treat anxiety and other psychological disorders. Regarding anxiety, the most common technique is constituted of Exposure Therapy that, transposed to Virtual Reality, allows the patient to face a digital version of the feared object or situation, instead of a real or imaginal one. Virtual Reality Exposure Therapy (VRET) has proved effective in the treatment of anxiety disorders such as social phobia, Post-Traumatic Stress Disorder (PTSD), and panic disorder with agoraphobia and has shown an efficacy comparable to traditional in-vivo exposure with various specific phobias such as arachnophobia, acrophobia, and fear of flying. Thanks to its versatility, VR has also found an employment within the CBT framework with other psychological disorders, such as substance abuse, eating disorders, and in inducing non-pharmacological analgesia in patients undergoing painful medical procedures. Even when VR-based therapy does not lead to better results than traditional CBT in terms of efficacy, there are several reasons for preferring it over in-vivo exposure, including patient\u2019s comfort and safety, as well as the possibility to create complex or delicate scenarios (e.g. PTSD scenarios). In addition, VRET can be employed to facilitate the transition toward fearful objects in the real world in patients who would otherwise refuse to face real stimuli