And yet they correlate: Psychophysiological activation predicts self-report outcomes of exposure therapy in claustrophobia

Alpers, Georg W.; Sell, Roxane

doi:10.1016/j.janxdis.2007.11.009

Cited by 45 publications

(31 citation statements)

References 27 publications

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“…Specifically, phobics with the lowest increase in subjective distress were characterized by an increase in RSA and a decrease in HR, whereas the phobics with the highest increase in subjective distress showed a decrease in RSA and an increase in HR. These findings add to the many studies which have shown that the relationship between self-reported feeling of anxiety and physiological reactivity to stressors is complex [11][12][13][14][15][16][17][18][19][20][21]35,52,53].…”

Section: Discussionsupporting

confidence: 60%

Physiological reactivity to phobic stimuli in people with fear of flying

Busscher

Gerwen²,

Spinhoven

et al. 2010

Journal of Psychosomatic Research

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Section: Discussionsupporting

confidence: 60%

Physiological reactivity to phobic stimuli in people with fear of flying

Busscher

Gerwen²,

Spinhoven

et al. 2010

Journal of Psychosomatic Research

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“…1 One explanation for this phenomenon is that the cognitive fear structure might be incoherent in some types of phobia. 25 Therefore, our finding that state fear did not differentiate between groups is in line with prior research.…”

Section: Discussionmentioning

confidence: 99%

Do patients with chronic pain show autonomic arousal when confronted with feared movements? An experimental investigation of the fear–avoidance model

Glombiewski

Riecke

Holzapfel

et al. 2015

Pain

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The relevance of a phobia-based conceptualization of fear for individuals with chronic pain has been much debated in the literature. This study investigated whether patients with highly fearful chronic low back pain show distinct physiological reaction patterns compared with less fearful patients when anticipating aversive back pain-related movements. We used an idiosyncratic fear induction paradigm and collected 2 different measures of autonomic nervous system activation and muscle tension in the lower back. We identified 2 distinct psychophysiological response patterns. One pattern was characterized by a moderate increase in skin conductance, interbeat interval (IBI) increase, and muscle tension increase in the lower back. This response was interpreted as an attention reaction to a moderately stressful event. The other pattern, found in 58% of the participants, was characterized by a higher skin conductance response, IBI decrease, and muscle tension increase in the lower back. According to Bradley and Lang defense cascade model, this response is typical of a fear reaction. Participants showing the psychophysiological pattern typical of fear also had elevated scores on some self-report measures of components of the fear-avoidance model, relative to participants showing the reaction pattern characteristic of attention. This study is the first to provide psychophysiological evidence for the fear-avoidance model of chronic pain.

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“…In addition, we computed the within-subject correlation coefficients, which were subsequently ztransformed and tested against zero. This method has been applied to determine the relationship of negative mood states and physiology (Alpers and Sell, 2008), pain intensity (Vendrig and Lousberg, 1997) and other self-report measures (see Alpers and Tuschen-Caffier, 2001). …”

Section: Data Pre-processing and Statistical Analysesmentioning

confidence: 99%