Applied tension, exposure in vivo, and tension-only in the treatment of blood phobia.
Thirty patients with phobia for blood, wounds and injuries were treated individually with applied tension (AT), exposure in vivo (E), or tension-only (T) for 5 sessions. They were assessed on self-report, behavioral and physiological measures before and after treatment, and at a 1 yr follow-up. All groups improved significantly, and the improvements were maintained at follow-up. Applying stringent criteria, 90% of the AT-, 80% of the T-, and 40% of the E-patients were clinically improved at the end of treatment. The corresponding figures at follow-up were 100, 90 and 50%, respectively. AT differed significantly, and T marginally from E at both assessments. Applied tension, or tension-only should, from a clinical point of view, be considered the treatment of choice for blood phobia.
Ost
L G
LG
Department of Psychiatry, University of Uppsala, Sweden.
Fellenius
J
J
Sterner
U
U
D000328:Adult; D001143:Arousal; D001769:Blood; D001794:Blood Pressure; D003887:Desensitization, Psychologic / Q000379:methods*; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D010698:Phobic Disorders / Q000523:psychology / Q000628:therapy*; D014947:Wounds and Injuries / Q000523:psychology*