Efficacy of an internet-based exposure treatment for flying phobia (NO-FEAR Airlines) with and without therapist guidance: a randomized controlled trial
| Autor: | Cristina Botella, Sonia Mor, Juana Bretón-López, Adriana Mira, Diana Castilla, Soledad Quero, Rosa M. Baños, Daniel Campos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty lcsh:RC435-571 Health Behavior Psychological intervention Self-help Flying Phobia law.invention Treatment and control groups Fear of flying 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Patient Education as Topic law Intervention (counseling) lcsh:Psychiatry Surveys and Questionnaires therapist guidance medicine Safety behaviors Humans 030212 general & internal medicine flying phobia Flying phobia self-help Internet Cognitive Behavioral Therapy business.industry internet-based exposure Fear Middle Aged medicine.disease 030227 psychiatry Self Care Psychiatry and Mental health Treatment Outcome Therapist guidance Phobic Disorders Therapy Computer-Assisted randomized controlled trial Physical therapy The Internet Female Internet-based exposure business Research Article |
| Zdroj: | Repositori Universitat Jaume I Universitat Jaume I BMC Psychiatry BMC Psychiatry, Vol 19, Iss 1, Pp 1-16 (2019) Zaguán. Repositorio Digital de la Universidad de Zaragoza instname |
| Popis: | Background Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines, with and without therapist guidance. Methods A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale. Secondary outcomes included the Fear and Avoidance Scales, Clinician Severity Scale, and Patient’s Improvement scale. Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. Results NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all ps |
| Databáze: | OpenAIRE |
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