Examination of the decline in fear and disgust during exposure to threat-relevant stimuli in blood-injection-injury phobia

Journal of Anxiety Disorders

Volumn 21, Issue 3, 2007, Pages 445-455

  Olatunji, Bunmi O ^a   Smits, Jasper A J ^b   Connolly, Kevin ^c   Willems, Jeffrey ^c   Lohr, Jeffrey M ^c  

^a VANDERBILT UNIVERSITY   (United States)

^b SOUTHERN METHODIST UNIVERSITY   (United States)

^c UNIVERSITY OF ARKANSAS   (United States)

Author keywords

Blood injection injury phobia; Disgust; Disgust sensitivity; Exposure; Fear

Indexed keywords

ADULT; ARTICLE; BLOOD; CONTROLLED STUDY; FEAR; FEMALE; GROWTH CURVE; HUMAN; HUMAN EXPERIMENT; IN VIVO STUDY; INJECTION; MALE; PHOBIA; PSYCHOLOGIC ASSESSMENT; PSYCHOLOGICAL THEORY; SENSITIVITY ANALYSIS; STATISTICAL ANALYSIS; THREAT;

ADULT; AFFECT; BLOOD; FEAR; FEMALE; HUMANS; INJECTIONS; MALE; PHOBIC DISORDERS; PHOTIC STIMULATION; QUESTIONNAIRES; WOUNDS AND INJURIES;

EID: 33947125585     PISSN: 08876185     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.janxdis.2006.05.001     Document Type: Article

References (39)

1. Baeyens F., Crombez G., van den Bergh O., and Eelen P. Once in contact, always in contact: evaluative conditioning is resistant to extinction. Advances in Behaviour Research and Therapy 15 (1988) 257-277
2. Bouton M.E. Context, ambiguity, and unlearning: sources of relapse after behavioral extinction. Biological Psychiatry 52 (2002) 976-986
3. Bouton M.E. Context and behavioral processes in extinction. Learning & Memory 11 (2004) 485-494
4. Bryk A.S., and Raudenbush SW. Hierarchical lineal models: applications and data analysis methods (1992), Sage, Newbury Park, CA
5. Bryk A.S., Raudenbush S.W., and Congdon Jr. R.T. HLM: hierarchical linear and nonlinear modeling with the HLM/2L and HLM/3L programs (1996), Scientific Software International, Chicago, IL
6. de Jong P.J., Andrea H., and Muris P. Spider phobia in children: disgust and fear before and after treatment. Behaviour Research and Therapy 35 (1997) 559-562
7. de Jong P.J., and Merckelbach H. Blood-injection-injury phobia and fear of spiders: domain specific individual differences in disgust sensitivity. Personality and Individual Differences 24 (1998) 153-158
8. de Jong P.J., Peters M.L., and Vanderhallen I. Disgust and disgust sensitivity in spider phobia: facial EMG in response to spider and oral disgust imagery. Journal of Anxiety Disorders 16 (2002) 477-493
9. Dorfan N.M., and Woody S.R. Does threatening imagery sensitize distress during contaminant exposure?. Behaviour Research and Therapy 44 (2006) 395-413
10. Fredrikson M., Annas P., Fischer H., and Wik G. Gender and age differences in the prevalence of specific fears and phobias. Behaviour Research and Therapy 34 (1996) 33-39
11. Haidt J., McCauley C., and Rozin P. Individual differences in sensitivity to disgust: a scale sampling seven domains of disgust elicitors. Personality and Individual Differences 16 (1994) 701-713
12. Kleinknecht R.A., Kleinknecht E.E., and Thorndike R.M. The role of disgust and fear in blood and injection-related fainting symptoms: a structural equation model. Behaviour Research and Therapy 35 (1997) 1075-1087
13. Koch M.D., O'Neill K., Sawchuk C.N., and Connolly K. Domain-specific and generalized disgust sensitivity in blood-injection-injury phobia: the application of behavioral approach/avoidance tasks. Journal of Anxiety Disorders 16 (2002) 511-527
14. Matchett G., and Davey G.C. A test of the disease-avoidance model of animal phobias. Behaviour Research and Therapy 29 (1991) 91-94
15. McKay D. Treating disgust reactions in contamination-based obsessive-compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry 37 (2006) 53-59
16. Merckelbach H., de Jong P.J., Arntz A., and Schouten E. The role of evaluative learning and disgust sensitivity in the etiology and treatment of spider phobia. Advances in Behaviour Research and Therapy 15 (1993) 243-255
17. Muris P., Merckelbach H., Schmidt H., and Tierney S. Disgust sensitivity, trait anxiety and anxiety disorders symptoms in normal children. Behaviour Research and Therapy 37 (1999) 953-961
18. Olatunji B.O., Lohr J.M., Sawchuk C.N., and Westendorf D.H. Using facial expressions as CSs and fearsome and disgusting pictures as UCSs: affective responding and evaluative learning of fear and disgust in blood-injection-injury phobia. Journal of Anxiety Disorders 19 (2005) 539-555
19. Olatunji B.O., and Sawchuk C.N. Disgust: characteristic features, social manifestations, and clinical implications. Journal of Social and Clinical Psychology 27 (2005) 932-962
20. Olatunji B.O., Sawchuk C.N., de Jong P.J., and Lohr J.M. The structural relation between disgust sensitivity and blood-injection-injury fears: a cross-cultural comparison of U.S. and Dutch data. Journal of Behavior Therapy and Experimental Psychiatry 37 (2006) 16-29
21. Olatunji B.O., Sawchuk C.N., Lohr J.M., and de Jong P.J. Disgust domains in the prediction of contamination fear. Behaviour Research and Therapy 42 (2004) 93-104
22. Öst L.-G. Blood and injection phobia: background and cognitive, physiological, and behavioural variables. Journal of Abnormal Psychology 101 (1992) 68-74
23. Öst L.G., Hellstrom K., and Kaver A. One versus five sessions of exposure in the treatment of injection phobia. Behavior Therapy 23 (1992) 263-282
24. Page A.C. Blood-injury phobia. Clinical Psychology Review 14 (1994) 443-461
25. Page A.C. The role of disgust in faintness elicited by blood and injection stimuli. Journal of Anxiety Disorders 17 (2003) 45-58
26. Page A.C., Bennett K.S., Carter O., Smith J., and Woodmore K. Blood-Injection Symptom Scale (BISS): assessing the structure of phobic symptomatology elicited by blood and injections. Behaviour Research and Therapy 35 (1997) 457-464
27. Rachman S. Fear and courage. 2nd ed. (1990), W.H. Freeman and Company, New York, NY
28. Rozin P. One trial learning of acquired likes and dislikes in humans: disgust as a US, food predominance and negative learning predominance. Learning and Motivation 17 (1986) 180-189
29. Rozin P., and Fallon A.E. A perspective on disgust. Psychological Review 94 (1987) 23-41
30. Sawchuk C.N., Lohr J.M., Lee T.C., and Tolin D.F. Exposure to disgust-evoking imagery and information processing biases in blood-injection-injury phobia. Behaviour Research and Therapy 37 (1999) 249-257
31. Sawchuk C.N., Lohr J.M., Tolin D.F., Lee T.C., and Kleinknecht R.A. Disgust sensitivity and contamination fears in spider and blood-injection-injury phobias. Behaviour Research and Therapy 38 (2000) 753-762
32. Sawchuk C.N., Lohr J.M., Westendorf D.H., Meunier S.A., and Tolin D.F. Emotional responding to fearful and disgusting stimuli in specific phobics. Behaviour Research and Therapy 40 (2002) 1031-1046
33. Schienle A., Stark R., and Vaitl D. Evaluative conditioning: a possible explanation for the acquisition of disgust responses?. Learning and Motivation 32 (2001) 65-83
34. Smits J.A., Telch M.J., and Randall P.K. An examination of the decline in fear and disgust during exposure-based treatment. Behaviour Research and Therapy 40 (2002) 1243-1253
35. Thorpe S.J., and Salkovskis P.M. Studies on the role of disgust in the acquisition and maintenance of specific phobias. Behaviour Research and Therapy 36 (1998) 877-893
36. Tolin D.F., Lohr J.M., Sawchuk C.N., and Lee T.C. Disgust and disgust sensitivity in blood-injection-injury and spider phobia. Behaviour Research and Therapy 35 (1997) 949-953
37. Woody S.R., McLean C., and Klassen T. Disgust as a motivator of avoidance of spiders. Journal of Anxiety Disorders 19 (2005) 461-475
38. Woody S.R., and Teachman B.A. Intersection of disgust and fear: normative and pathological views. Clinical Psychology, Science and Practice 7 (2000) 291-311
39. Yartz A.R., and Hawk L.W. Addressing the specificity of affective startle modulation: fear versus disgust. Biological Psychology 59 (2002) 55-68