Perception of autonomic reactions and actual heart rate in phobic patients

Johansson, Jan; Öst, Lars‐Göran

doi:10.1007/bf01321387

Cited by 25 publications

(14 citation statements)

References 21 publications

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“…A striking overprediction of fear before the exposure, compared to the limited increase in fear during the exposure itself, has frequently been observed in other studies (Johansson & Oest, 1982;Rachman & Bichard, 1988). Different to previous claustrophobia studies, we found an initial increase in HR of over 13 beats/min.…”

Section: Discussioncontrasting

confidence: 36%

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

Alpers

Sell

2008

Journal of Anxiety Disorders

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Section: Discussioncontrasting

confidence: 36%

“…They had overpredicted the extent of fear they would experience, a phenomenon often reported in claustrophobic patients (Johansson & Oest, 1982;Rachman & Bichard, 1988). One patient experienced a certain extent of fear, but was not convinced that the treatment approach was helpful for her (after session 2).…”

Section: Patient Recruitmentmentioning

confidence: 89%

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

Alpers

Sell

2008

Journal of Anxiety Disorders

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“…During exposure to specific situations, social phobics showed an increase in heart rate, respiration, and skin conductance [69][70][71] and a slower return to baseline levels [70]. Measures of respiratory sinus arrhythmia indicate that the physiologic responses were caused by heightened sympathetic and not by decreased parasympathetic tone [72].…”

Section: Social Phobiamentioning

confidence: 97%

Physiologic Responses in Anxiety

Hoehn‐Saric

2007

CPSR

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The category "Anxiety Disorders", as classified in DSM-IV, includes disorders that not only differ phenomenologically but also in their physiologic reactivity to stressor from each other. Patients with episodic anxiety disorders, such as phobic disorder, respond physiologically like non-anxious individuals to everyday demands, except that they overreact to pathology-specific stimuli. Patients with chronic anxiety disorders, such as generalized anxiety disorder, panic disorder, post-traumatic stress disorder and obsessive-compulsive disorder, respond to everyday stressors with less physiologic change than do non-anxious individuals but with strong, often excessive, autonomic responses to pathologyspecific stimuli. This article reviews briefly the peripheral somatic response patterns of anxiety disorders, their communalities and differences in response to everyday stressors and to pathology-specific stressors. Increased muscle tension, a peripheral manifestation of central arousal, is present in all anxiety disorders during stress; however, the contribution of the sympathetic and parasympathetic nervous system to autonomic responses vary considerably. Moreover, manifestations of anxiety are modified by constitutional factors and, when present, aggravated by comorbid physical illnesses.

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“…'She thinks I'm boring'). Johansson and Ö st (1982) found social phobics to be particularly accurate in estimating heart-rate changes in social situations, suggesting enhanced awareness of interoceptive information in such situations. Studies by McEwan and Devins (1983) and by Bruch, Gorsky, Collins, and Berger (1989) agree in nding that socially anxious and shy participants over-estimated the visibility of their anxiety symptoms.…”

Section: Self-focused Attentionmentioning

confidence: 82%