cognitive explanation for phobias

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who explains treatment for a phobia cognitively?
Ost and Westling
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what methodology was used?
longitudinal study with patients undergoing therapy for a panic disorder
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what was he comparing
cognitive behavioural therapy (CBT) with applied relaxation as therapies for panic disorders
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how many participants were there
38 DSM diagnosed, recruited through referrals 26F 12M
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what was the design
independent. Random allocation to either groups - CBT or AR
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describe the procedure
pre-treatment baseline assessment - used variety of questionnaires. Patients recorded in diary the date and situation of every panic attack. 12 weeks of treatment given of 50-60 mins with homework.
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how was AR used/ applied to the patients
identify what caused the panic attacks. Training started with tension-release of muscles. Gradually increased by session. 8- rapid relaxation was used whilst practising this in stressful situations
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how was CBT used//applied to the patients
identify the misinterpretation of body symptoms, generate alternative cognition in response. Prevent patients from feeling panicked. this was practised in situations where panic attacks were induced and patients were not allowed to avoid them
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give an example of CBT and how it was used in the study
their heart raising was not a heart attack but a normal reaction to stress and it will slow down
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what did the findings show
CBT showed 74% panic-free patients after, and 89% after 1 year. AR showed 65% afetr treatment, and 82% after 1 year
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what conclusions can be drawn from the study
both CBT and AR worked at reducing panic attacks, although its difficult to rule out some cognitive chnages in the AR group
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how would ost and westling apply this to phobias
CBT is more effective because it changes the pattern of faulty cognition.
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what methodology was used?


longitudinal study with patients undergoing therapy for a panic disorder

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what was he comparing


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how many participants were there


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what was the design


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