Augmentation of in vivo exposure treatment for agoraphobia by the formation of neighbourhood self-help groups

Sinnott, A.; Jones, R. B.; Scott-Fordham, Ann; Woodward, Raie

doi:10.1016/0005-7967(81)90055-3

Cited by 17 publications

(5 citation statements)

References 16 publications

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“…Fostering social cohesion in group-based exposure in vivo has been found to be associated with further improvement and less relapse at follow-up (Hand, Lamontagne & Marks, 1974). Support for the beneficial effects of social cohesion was also provided, when studying the formation of neighborhood self-help groups in the treatment of agoraphobia (Sinnott, Jones, Scott-Fordham & Woodward, 1981). The patients treated in neighborhood groups reported less anxiety when approaching phobic situations and more frequent homework completion, as compared to patients treated in groups, where the participants came from geographically diverse areas.…”

Section: Involving Social Support and Significant Othersmentioning

confidence: 99%

Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change

Ramnerö¹

2005

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The present dissertation comprises four empirical studies within the area of behavioral treatment of panic disorder with agoraphobia. The focus is on studying issues pertaining to outcome, treatment process and determinants of change. The first study is a randomized controlled treatment study of 73 patients undergoing 16 sessions of either exposure in vivo (E), or cognitive behavior therapy (CBT). Both treatments showed clear improvements at post-treatment that were well maintained at 1-year follow up, and there were no significant differences between the treatments. The second study concerned prediction of outcome in the same sample. From a variety of pre-treatment characteristics severity of avoidance was the one most related to outcome. Most predictors were found unrelated. Two approaches of prediction were also compared: treating outcome as a categorical vs. continuous variable. The different approaches yielded a somewhat dissimilar picture of the impact of pre-treatment severity of avoidance. The third study examined different aspects of the therapeutic relationship, and their relation to outcome. Clients' perceptions of therapists and their ratings of the working alliance were generally not related to outcome at any point. On the other hand, therapists' perceptions of patients as showing goal-direction and active participation were related to outcome from early on in therapy. The fourth study examined different aspects of change. It was found that change in indices of the frequency of panic attacks was not closely related to change in agoraphobic avoidance at post-treatment. Change in avoidance was also more related to other aspects of outcome. At one-year follow-up, a more unitary picture, regarding the different aspects of change was observed.

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Section: Involving Social Support and Significant Othersmentioning

confidence: 99%

Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change

Ramnerö¹

2005

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“…1. Establishing small neighbourhood support groups may be beneficial: in relation to agoraphobia it was found to increase the rate of homework completion and led to reduced experience of anxiety during practice, compared to a similar-but geographically dispersed-group (Sinott, Jones, Scott-Fordham and Woodward, 1981).…”

Section: Panicmentioning

confidence: 99%

Walk Free: A Service for Panic and Phobia Sufferers

Hughes¹,

Russell²,

Rollnick

1995

Behav. Cogn. Psychother.

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Panic, social phobia and agoraphobia are common problems, for which cognitive-behavioural interventions are particularly suitable. Walk Free is a comprehensive service for such sufferers, incorporating assessment by psychologists, home visiting, self-help activities, and support groups. It has expanded rapidly within Cardiff, where there are now four Walk Free centres, and it has seen over 300 sufferers over a three-year period.

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“…Illustrations of professionals working with ex-clients include the parents of conduct-disordered children who subsequently took on the role of parenttrainers (Hall, 1984) and a peer support system involving former mental health clients (Edmunson et al, 1982). Sinnott et al (1981) have manipulated social support by setting up neighbourhood groups of people with agoraphobia. In contrast to a matched but geographically dispersed group, the members of the neighbourhood group had a higher frequency of homework completion and significantly lower anxiety during practice.…”

Section: Introductionmentioning

confidence: 99%

“…The authors attributed this to the "cohesion" and "co-operation" between neighbouring group members, although these were not measured directly. Sinnott et al (1981) concluded by pointing out that such social support interventions may enhance the benefits of the standard, clinic-based model, although they acknowledged the difficulties of manipulating such critical variables as group cohesion. They also suggested the possibility that neighbourhood groups may produce undesirable side-effects, such as evoking otherwise less apparent phobias.…”

Section: Introductionmentioning

confidence: 99%

Anxiety Management in the Community: A Social Support Model and Preliminary Evaluation

Milne¹,

Jones²,

Walters³

1989

Behav. Cogn. Psychother.

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It is becoming increasingly evident that informal psychotherapy plays a significant part in the coping strategies people use to alleviate personal distress. A form of this “social support” was evaluated in a pilot study in which ex-clients served as therapists for informal community groups made up of people experiencing clinical anxiety. Three major questions were addressed: what are the training effects of a short workshop on the ex-clients' social support skills?; can the trained ex-clients help people suffering with clinical anxiety?; and finally, does this involvement have an adverse effect on the psychological well being of these lay therapists. Between and within group analyses with multiple measures indicated that the workshop was successful in all three targeted areas. Implications are drawn for the pattern of formal psychotherapy services.

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Augmentation of in vivo exposure treatment for agoraphobia by the formation of neighbourhood self-help groups

Cited by 17 publications

References 16 publications

Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change

Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change

Walk Free: A Service for Panic and Phobia Sufferers

Anxiety Management in the Community: A Social Support Model and Preliminary Evaluation

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