Physiological reactivity to phobic stimuli in people with fear of flying

Journal of Psychosomatic Research

Volumn 69, Issue 3, 2010, Pages 309-317

  Busscher, Bert ^a,b   van Gerwen, Lucas J ^a   Spinhoven, Philip ^b,c   de Geus, Eco J C ^d  

^a VALK Foundation   (Netherlands)

^b LEIDEN UNIVERSITY   (Netherlands)

^c LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

^d VU UNIVERSITY AMSTERDAM   (Netherlands)

Author keywords

Anxiety sensitivity; Aviophobics; Flight phobia; Pre ejection period (PEP); Respiratory sinus arrhythmia (RSA)

Indexed keywords

ADULT; ANXIETY; ARTICLE; AVIOPHOBIA; BODY MASS; CARDIOVASCULAR RESPONSE; CLINICAL ARTICLE; CONTROLLED STUDY; CORRELATION ANALYSIS; DISTRESS SYNDROME; EDUCATIONAL STATUS; ELECTROCARDIOGRAM; EMPLOYMENT STATUS; FEAR; FEMALE; FLIGHT; FLYING; HEART RATE; HUMAN; MALE; PERSONAL EXPERIENCE; PHOBIA; Q WAVE; QUESTIONNAIRE; STIMULUS RESPONSE; VISUAL ANALOG SCALE;

EID: 77955661781     PISSN: 00223999     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jpsychores.2009.12.005     Document Type: Article

References (73)

1. Van Gerwen LJ, Diekstra RF Fear of flying treatment programs for passengers: An international review. Aviat Space Environ Med 2000, 71:430-437.
2. Dean RO, Whitaker NM Fear of flying: impact on the U.S. air travel industry. J Travel Res 1982, 21:7-17.
3. Curtis GC., Magee WJ, Eaton WW, Wittchen HU, Kessler RC Specific fears and phobias. Epidemiology and classification. Br J Psychiatry 1998, 173:212-217.
4. Depla MF, ten Have ML, van Balkom AJ, de Graaf R Specific fears and phobias in the general population: results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol 2008, 43(3):200-208.
5. Van Gerwen LJ, Spinhoven P, Diekstra RFW, Van Dyck R. People who seek help for fear of flying: Typology of flying phobics. Behav Ther 1997, 28(2):237-251.
6. Van Gerwen LJ, Spinhoven P, Diekstra RFW, Van Dyck R. Multicomponent standardized treatment programs for fear of flying: Description and effectiveness. Cogn Behav Pract 2002, 9(2):138-149.
7. Howard WA, Murphy SM, Clarke JC. The nature and treatment of fear of flying: A controlled investigation. Behav Ther 1983, 14:557-567.
8. Thyer BA, Himle J. Phobic anxiety and panic anxiety: How do they differ?. J Anxiety Disord 1987, 1(1):59-67.
9. Roth WT. Physiological markers for anxiety: Panic disorder and phobias. Int J Psychophysiol 2005, 58(2-3):190-198.
10. Van Gerwen LJ, Spinhoven P, Van Dyck R, Diekstra RFW Construction and psychometric characteristics of two self-report questionnaires for the assessment of fear of flying. Psychol Assess 1999, 11(2):146-158.
11. Thyer BA, Papsdorf JD, Davis R, Vallecorsa S Autonomic correlates of the subjective anxiety scale. J Behav Ther Exp Psychiatry 1984, 15(1):3-7.
12. Ekeberg O, Hedley L, Einvik G, Rostrup M, Hoffart A Sympathetic reactivity in agoraphobic patients with and without personality disorders. J Psychosom Res 2003, 54(5):457-463.
13. Nesse RM, Curtis GC, Thyer BA, McCann DS, Huber-Smith MJ, Knopf AF Endocrine and cardiovascular responses during phobic anxiety. Psychosom Med 1985, 47(1):320-332.
14. Lundgren J, Berggren U, Carlsson SG Psychophysiological reactions in dental phobic patients during video stimulation. Eur J Oral Sci 2001, 109:172-177.
15. Jönsson P Respiratory sinus arrhythmia as a function of state anxiety in healthy individuals. Int J Psychophysiol 2007, 63:48-54.
16. Johnsen BH, Thayer JF, Laberg JC, Wormnes B, Raadal M, Skaret T, et al. Attentional and physiological characteristics of patients with dental anxiety. Anxiety Disord 2003, 17:75-87.
17. Emmelkamp PM, Felten M The process of exposure in vivo: Cognitive and physiological changes during treatment of acrophobia. Behav Res Ther 1985, 23(2):219-223.
18. Kawachi I, Sparrow D, Vokonas PS, Weiss ST Decreased heart rate variability in men with phobic anxiety (data from the normative aging study). Am J Cardiol 1995, 75:882-885.
19. Alpers GW, Wilhelm FH, Roth WT Psychophysiological assessment during exposure in driving phobic patients. J Abnorm Psychol 2005, 114(1):126-139.
20. Lyonfields JD, Borkovec TD, Thayer JF Vagal tone in generalized anxiety disorder and the effects of aversive imagery and worrisome thinking. Behav Ther 1995, 26:457-466.
21. Ekeberg O, Kjeldsen SE, Greenwood DT, Enger E Correlations between psychological and physiological-responses to acute flight phobia stress. Scand J Clin Lab Invest 1990, 50(6):671-677.
22. James W The physical basis of emotion. 1894. Psychol Rev 1994, 101(2):205.
23. Lange CG The Emotions 1922, Williams & Wilkins Company.
24. Pollatos O, Herbert BM, Matthias E, Schandry R Heart rate response after emotional picture presentation is modulated by interoceptive awareness. Int J Psychophysiol 2007, 63(1):117-124.
25. Pollatos O, Schandry R, Auer DP, Kaufmann C Brain structures mediating cardiovascular arousal and interoceptive awareness. Brain Res 2007, 1141:178-187.
26. Richards JC, Bertram S. Anxiety sensitivity, state and trait anxiety, and perception of change in sympathetic nervous system arousal. J Anxiety Disord 2000, 14(4):413-427.
27. Craig AD Interoception: The sense of the physiological condition of the body. Curr Opin Neurobiol 2003, 13(4):500-505.
28. Critchley HD Neural mechanisms of autonomic, affective, and cognitive integration. J Comp Neurol 2005, 493(1):154-166.
29. Critchley HD, Wiens S, Rotshtein P, Ohman A, Dolan RJ Neural systems supporting interoceptive awareness. Nat Neurosci 2004, 7(2):189-195.
30. Vanden Bogaerde A, De Raedt R Cognitive vulnerability in fear of flying: The role of anxiety sensitivity. Depress Anxiety 2008, 25(9):768-773.
31. Smits JA, Powers MB, Cho Y, Telch MJ Mechanism of change in cognitive-behavioral treatment of panic disorder: Evidence for the fear of fear mediational hypothesis. J Consult Clin Psychol 2004, 72(4):646-652.
32. Reiss S Expectancy model of fear, anxiety, and panic. Clin Psychol Rev 1991, 11(2):141-153.
33. McNally RJ Anxiety sensitivity and panic disorder. Biol Psychiatry 2002, 52(10):938-946.
34. Beckham JC Emotional processing and fear measurement synchrony as indicators of treatment outcome in fear of flying. J Behav Ther Exp Psychiatry 1990, 21(3):153-162.
35. Wilhelm FH, Roth WT Acute and delayed effects of alprazolam on flight phobics during exposure. Behav Res Ther 1997, 35(9):831-841.
36. Bornas X, Llabres J, Noguera M, Lopez AM, Barcelo F, Tortella-Feliu M, et al. Looking at the heart of low and high heart rate variability fearful flyers: Self-reported anxiety when confronting feared stimuli. Biol Psychol 2005, 70(3):182-187.
37. Ekeberg O, Kjeldsen SE, Eide IK, Greenwood DT, Enger E Effects of beta-1-blockade and beta-2-blockade on blood-pressure and sympathetic responses to flight phobia stress. Clin Pharmacol Ther 1990, 47(5):599-607.
38. Ekeberg O, Ellertsen BB, Seeberg I, Kjeldsen SE Plasma-catecholamines in some airline passengers. Scand J Clin Lab Invest 1989, 49(2):183-188.
39. Goedhart AD, Kupper N, Willemsen G, Boomsma DI, de Geus EJ Temporal stability of ambulatory stroke volume and cardiac output measured by impedance cardiography. Biol Psychol 2006, 72(1):110-117.
40. Willemsen G, de Geus EJ, Klaver CH, Van Doomen LJ, Carroll D Ambulatory monitoring of the impedance cardiogram. Psychophysiology 1996, 33(2):184-193.
41. Houtveen JH, Groot PF, de Geus EJ Validation of the thoracic impedance derived respiratory signal using multilevel analysis. Int J Psychophysiol 2006, 59(2):97-106.
42. Goedhart AD, van der Sluis S, Houtveen JH, Willemsen G, de Geus EJ Comparison of time and frequency domain measures of RSA in ambulatory recordings. Psychophysiology 2007, 44(2):203-215.
43. Riese H Large-scale ensemble averaging of ambulatory impedance cardiograms. Behav Res Methods Instrum Comput 2003, 35(3):467-477.
44. Sherwood A, Allen M, Fahrenberg J, Kelsey R, Lovallo W, van Doornen LJ Methodological guidelines for impedance cardiography. Psychophysiology 1990, 27(1):1-23.
45. Berntson G, Cacioppo J, Binkley P, Uchino B, Quigley K, Fieldstone A. Autonomic cardiac control: III. Psychological stress and cardiac response in autonomic space as revealed by pharmacological blockades. Psychophysiology 1994, 31(6):599-608.
46. Grossman P, van Beek J, Wientjes C A comparison of three quantification methods for estimation of respiratory sinus arrhythmia. Psychophysiology 1990, 27(6):702-714.
47. Nousi A, Van Gerwen LJ, Spinhoven P. The Flight Anxiety Situations Questionnaire and the Flight Anxiety Modality Questionnaire: Norms for people with fear of flying. Travel Med Infect Dis 2008, 6(5):305.
48. Wolpe J The practice of behavior therapy 1973, Pergamon Press, New York.
49. Reiss S Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behav Res Ther 1986, 24(1):1-8.
50. Vancleef LM, Peters ML, Roelofs J, Asmundson GJ Do fundamental fears differentially contribute to pain-related fear and pain catastrophizing? An evaluation of the sensitivity index. Eur J Pain 2006, 10(6):527-536.
51. Rodriguez BF, Bruce SE, Pagano ME, Spencer MA, Keller MB Factor structure and stability of the Anxiety Sensitivity Index in a longitudinal study of anxiety disorder patients. Behav Res Ther 2004, 42(1):79-91.
52. Alpers GW, Sell R And yet they correlate: Psychophysiological activation predicts self-report outcomes of exposure therapy in claustrophobia. J Anxiety Disord 2008, 22(7):1101-1109.
53. Wilhelm FH, Roth WT. Taking the laboratory to the skies: Ambulatory assessment of self-report, autonomic, and respiratory responses in flying phobia. Psychophysiology 1998, 35(5):596-606.
54. Bosch JA, de Geus EJC, Veerman ECI, Hoogstraten J, Nieuw Amerongen AV Innate secretory immunity in response to laboratory stressors that evoke distinct patterns of cardiac autonomic activity. Psychosom Med 2003, 65(2):245-258.
55. Bosch JA, de Geus EJ, Kelder A, Veerman ECI, Hoogstraten J, Amerongen AVN Differential effects of active versus passive coping on secretory immunity. Psychophysiology 2001, 38(5):836-846.
56. Sarlo M, Palomba D, Angrilli A, Stegagno L Blood phobia and spider phobia: Two specific phobias with different autonomic cardiac modulations. Biol Psychol 2002, 60(2-3):91-108.
57. Sarlo M, Buodo G, Munafo M, Stegano L, Palomba D. Cardiovascular dynamics in blood phobia: Evidence for a key role of sympathetic activity in vulnerability to syncope. Psychophysiology 2008, 45(6):1038-1045.
58. Pennebaker JW, Lightner JM Competition of internal and external information in an exercise setting. J Pers Soc Psychol 1980, 39(1):165-174.
59. Pennebaker JW, Skelton JA Selective monitoring of physical sensations. J Pers Soc Psychol 1981, 41(2):213-223.
60. Houtveen JH, Rietveld S, de Geus EJ Exaggerated perception of normal physiological responses to stress and hypercapnia in young women with numerous functional somatic symptoms. J Psychosom Res 2003, 55(6):481-490.
61. Sturges LV, Goetsch VL Psychophysiological reactivity and heartbeat awareness in anxiety sensitivity. J Anxiety Disord 1996, 10(4):283-294.
62. van der Does WAJ, Antony MM, Ehlers A, Barsky AJ Heartbeat perception in panic disorder: A reanalysis. Behav Res Ther 2000, 38(1):47.
63. van der Does AJ, van Dyck R, Spinhoven P Accurate heartbeat perception in panic disorder: Fact and artefact. J Anxiety Disord 1997, 43:121-130.
64. Ehlers A, Breuer P, Dohn D, Fiegenbaum W Heartbeat perception and panic disorder: Possible explanations for discrepant findings. Behav Res Ther 1995, 33:69-76.
65. Schandry R, Bestler M The association between parameters of cardiovascular function and heartbeat perception. From the heart to the brain 1995, 105-120. Verlag Peter Lang. Europaischer Verlag der Wissenschaften, Frankfurt am Main. D. Vaitl, R. Schandry (Eds.).
66. Schandry R, Bestler M, Montoya P On the relationship between cardiodynamics and heartbeat perception. Psychophysiology 1993, 30:467-475.
67. Gross JJ, Levenson RW Emotion elicitation using films. Cogn Emotion 1995, 9(1):87-108.
68. Hubert W, de Jong-Meyer R Psychophysiological response patterns to positive and negative film stimuli. Biol Psychol 1990, 31(1):73-93.
69. Palomba D Cardiac responses associated with affective processing of unpleasant film stimuli. Int J Psychophysiol 2000, 36(1):45-57.
70. Bornas X, Llabres J, Noguera M, Lopez AM, Tortella-Feliu M, Fullana MA, et al. Changes in heart rate variability of flight phobics during a paced breathing task and exposure to fearful stimuli. Int J Clin Health Psychol 2006, 6(3):549-563.
71. Bornas X, Llabres J, Noguera M, Lopez AM, Barcelo F, Tortella-Feliu M, et al. Self-implication and heart rate variability during simulated exposure to flight-related stimuli. Anxiety Stress Coping 2004, 17(4):331-339.
72. Wik G, Fredrikson M, Ericson K, Eriksson L, Stone-Elander S, Greitz T A functional cerebral response to frightening visual stimulation. Psychiatry Res Neuroimaging 1993, 1:15-24.
73. Fredrikson M, Wik G, Annas P, Ericson K, Stone-Elander S. Functional neuroanatomy of visually elicited simple phobic fear: Additional data and theoretical analysis. Psychophysiology 1995, 32:43-48.