Circumventing the vasovagal fainting response: A novel method of in vivo exposure for injection phobia

Clinical Case Studies

Volumn 7, Issue 5, 2008, Pages 409-422

  Seim, Richard W ^a   Willerick, Matthew S ^a   Gaynor, Scott T ^a   Spates, C Richard ^a  

^a WESTERN MICHIGAN UNIVERSITY   (United States)

Author keywords

Exposure; Fainting; Injection phobia; Vasovagal

Indexed keywords

ADULT; ARTICLE; BLOOD INJECTION INJURY PHOBIA; BRIEF GRADED EXPOSURE; CASE REPORT; EXPOSURE; FEMALE; HUMAN; IN VIVO EXPOSURE THERAPY; INVASIVE PROCEDURE; NON INVASIVE PROCEDURE; PHOBIA; SHAM INJECTION; SHAM PROCEDURE; STIMULUS RESPONSE; SYNCOPE; TREATMENT OUTCOME;

EID: 50849089251     PISSN: 15346501     EISSN: 15523802     Source Type: Journal    
DOI: 10.1177/1534650108316932     Document Type: Article

References (29)

1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4 th ed., Text Revision). Washington, DC: Author.
2. Antony, M.M., & Swinson, R.P. (2000). Phobic disorders and panic in adults: A guide to assessment and treatment. Washington, DC: American Psychological Association.
3. Bandura, A., Blanchard, E.B., & Ritter, B. (1969). Relative efficacy of desensitization and modeling approaches for inducing behavioral, affective, and attitudinal changes. Journal of Personality and Social Psychology, 13, 173-199.
4. Bienvenu, O.J., & Eaton, W.W. (1998). The epidemiology of blood-injection-injury phobia. Psychological Medicine, 28, 1129-1136.
5. Curtis, G.C., Magee, W.J., Eaton, W.W., Wittchen, H.-U., & Kessler, R.C. (1998). Specific fears and phobias: Epidemiology and classification. British Journal of Psychiatry, 173, 212-217.
6. Daniels, L.K. (1976). Rapid in-office and in-vivo desensitization of an injection phobia utilizing hypnosis. American Journal of Clinical Hypnosis, 18, 200-203.
7. Eysenck, H.J., & Kelley, M.J. (1987). The interaction of neurohormones with Pavlovian A and Pavlovian B conditioning in the causation of neurosis, extinction, and incubation of anxiety. In G. Davey (Ed.), Cognitive processes and Pavlovian conditioning in humans (pp. 251-286). Oxford, UK: John Wiley.
8. Fazio, A.F. (1970). Implosive therapy in the treatment of a phobic disorder. Psychotherapy: Theory, Research and Practice, 7, 228-232.
9. Grey, S.J., Rachman, S., & Sartory, G. (1981). Return of fear: The role of inhibition. Behaviour Research and Therapy, 19, 135-143.
10. Hellström, K., Fellenius, J., & Öst, L.-G. (1996). One versus five sessions of applied tension in the treatment of blood phobia. Behaviour Research and Therapy, 34, 101-112.
11. Kleinknecht, R.A., Thorndike, R.M., & Walls, M.M. (1996). Factorial dimensions and correlates of blood, injury, injection and related medical fears: Cross validation of the Medical Fear Survey. Behaviour Research and Therapy, 34, 323-331.
12. Kozak, M.J., & Montgomery, G.K. (1981). Multimodal behavioral treatment of recurrent injury-scene elicited fainting (vasodepressor syncope). Behavioral Psychotherapy, 9, 316-321.
13. Martasian, P.J., Smith, N.F., Neill, S.A., & Rieg, T.S. (1992). Retention of massed vs. distributed response-prevention treatments in rats and a revised training procedure. Psychological Reports, 70, 339-355.
14. Mathews, A., & Shaw, P. (1973). Emotional arousal and persuasion effects in flooding. Behaviour Research and Therapy, 11, 587-598.
15. Öst, L.-G. (1992). Blood and injection phobia: Cognitive, physiological, and behavioral variables. Journal of Abnormal Psychology, 101, 68-74.
16. Öst, L.-G. (1997). Rapid treatment of specific phobias. In G. C. L. Davey (Ed.), Phobias - A handbook of theory, research and treatment (pp. 227-246). Chichester, UK: John Wiley.
17. Öst, L.-G., Fellenius, J., & Sterner, U. (1991). Applied tension, exposure in vivo, and tension-only in the treatment of blood phobia. Behaviour Research and Therapy, 29, 561-574.
18. Öst, L.-G., Hellström, K., & Kåver, A. (1992). One versus five sessions of exposure in the treatment of injection phobia. Behavior Therapy, 23, 263-282.
19. Öst, L.-G., Lindahl, I.-L., Sterner, U., & Jerremalm, A. (1984). Exposure in vivo vs. applied relaxation in the treatment of blood phobia. Behaviour Research and Therapy, 22, 205-216.
20. Öst, L.-G., & Sterner, U. (1987). Applied tension: A specific behavioral method for treatment of blood phobia. Behaviour Research and Therapy, 25, 25-29.
21. Öst, L.-G., Sterner, U., & Fellenius, J. (1989). Applied tension, applied relaxation, and the combination in the treatment of blood phobia. Behaviour Research and Therapy, 27, 109-121.
22. Page, A.C. (1999). Manual for the Blood-Injection Symptom Scale (BISS) and the State Blood-Injection Symptom Scale (S-BISS). Retrieved September 10, 2007, from http://www.psy.uwa.edu.au/andrew/biss.htm
23. Page, A.C., Bennett, K.S., Carter, O., Smith, J., & Woodmore, K. (1997). The Blood-Injection Symptom Scale (BISS): Assessing a structure of phobic symptoms elicited by blood and injections. Behaviour Research and Therapy, 35, 457-464.
24. Perczel-Forintos, D., & Hackmann, A. (1999). Transformation of meaning and its effects on cognitive behavioural treatment of an injection phobia. Behavioural and Cognitive Psychotherapy, 27, 369-375.
25. Powers, M.B., Smits, J.A.J., & Telch, M.J. (2004). Disentangling the effects of safety-behavior utilization and safety-behavior availability during exposure-based treatment: A placebo-controlled trial. Journal of Consulting and Clinical Psychology, 72, 448-454.
26. Rachman, S. (1959). The treatment of anxiety and phobic reactions by systematic desensitization psychotherapy. Journal of Abnormal and Social Psychology, 58, 259-263.
27. Renfrey, G., & Spates, C.R. (1994). Eye movement desensitization: A partial dismantling study. Journal of Behavior Therapy and Experimental Psychiatry, 25, 231-239.
28. Waller, S.A. (2004). Continuous and interrupted exposure therapy in the treatment of public speaking anxiety. Dissertation Abstracts International: Section B: The Sciences and Engineering, 65, 2117.
29. Wells, A., Clark, D.M., Salkovskis, P., Ludgate, J., Hackmann, A., & Gelder, M. (1995). Social phobia: The role of in-situation safety behaviors in maintaining anxiety and negative beliefs. Behavior Therapy, 26, 153-161.