Assessment of the Effectiveness of an Exposure Technique Intervention in a Case of Amaxophobia

  1. Ioseba Iraurgi
  2. Ian Rion
  3. Elsa Pozo
  4. Elena Bustamante
Aldizkaria:
International journal of psychology and psychological therapy

ISSN: 1577-7057

Argitalpen urtea: 2022

Alea: 22

Zenbakia: 3

Orrialdeak: 317-330

Mota: Artikulua

DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Beste argitalpen batzuk: International journal of psychology and psychological therapy

Laburpena

Amaxophobia, or driving phobia, is an anxiety disorder; more specifically a situational phobia (SP). Main symptoms of SP may include an excessive and irrational fear to certain stimuli, to which exposure produces high anxiety levels, as well as the development of avoidance mechanisms or confrontation, at the expense of a high distress. Its prognosis is chronic in the absence of treatment, but empirical evidence reveals a high efficacy of psychological interventions based on exposure techniques. The case of a 47 years old female requesting treatment for an intense driving fear is presented. The assessment was made through an ad hoc self-report of anxiogenic episodes, the Short Form Health Survey (SF-12), the General Health Questionnaire (GHQ-28), the Perceived Stress Scale (PSS-14), the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI). It was conducted a cognitive-behavioral intervention based on imagination and real life exposure techniques, along with breathing and relaxation techniques. After 10 sessions her anxiety levels and her negative affects decreased significantly, allowing her to resume driving and revealing the efficacy of the intervention

Erreferentzia bibliografikoak

  • Alonso J, Prieto L, & Antó JM (1995). La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): un instrumento para la medida de los resultados clínicos. Medicina Clínica, 104, 771-776.
  • Antony MA & Barlow DH (1997). Fobia específica. En VE Caballo (Dir), Manual para el tratamiento cognitivoconductual de los trastornos psicológicos (Vol. 1, pp. 3-24). Madrid: Siglo XXI.
  • Antony MA & Barlow DH (2002). Specific phobias. In DH Barlow (Ed.), Anxiety and its disorders (2ª ed, pp. 380- 417). Nueva York: Guilford. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, & Walters EE (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593-602. Doi:10.1001/archpsyc.62.6.593
  • Bados A (2005). Fobias específicas. http://diposit.ub.edu/dspace/bitstream/2445/360/1/113.pdf Consulted 2021 November 4th.
  • Baldwin DS, Anderson IM, Nutt DJ, Bandelow B, Bond A, Davidson JR, den-Boer JA, Fineberg NA, Knapp M, Scott J, Wittchen HU, & British Association for Psychopharmacology (2005). Evidence-based guidelines for the pharmacological treatment of anxiety disorders: Recommendations from the British Association for Psychopharmacology. Journal of Psychopharmacology, 19, 567-596. Doi: 10.1177/0269881105059253
  • Barlow DH, Raffa SD & Cohen EM (2002). Psychological treatment for panic disorder, phobias and generalized anxiety disorder. In PE Nathan & JM Gorman (Eds), A guide of treatment that work 2nd ed. (pp. 301-335). London: Oxford University Press.
  • Beck AT, Ward CH, Mendelson M, Mock J, & Erbaugh J (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571. Doi: 10.1001/archpsyc.1961.01710120031004
  • Belloch A, Sandín B, & Ramos F (2009). Manual de psicopatología, volumen II. Madrid: McGraw-Hill. Capafons JI (2001). Tratamientos psicológicos eficaces para fobias específicas. Psicothema, 13, 447-452.
  • Cohen S, Tyrrell DAJ, & Smith AP (1993). Negative life events, perceived stress, negative affect, and susceptibility to the common cold. Journal of Personality and Social Psychology, 64, 131-140. Doi: 10.1037/0022- 3514.64.1.131
  • Fernández-Castro J & Doval E (2011). La ansiedad y su influencia en los conductores españoles. Barcelona, Universidad de Barcelona. Disponible https://www.researchgate.net/335723777_La_ansiedad_y_su_influencia_en_los_conductores_espanoles
  • Goldberg DP & Hillier VF (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139-145. Doi: 10.1017/S0033291700021644
  • Haydu VB, Fornazari SA, Borloti EB, & Haydu NB (2014). Facetas da exposição in vivo e por realidade virtual na intervenção psicológica no medo de dirigir. Psico (PUCRS), 45, 136-146. Doi: 10.15448/1980-8623.2014.2.11442
  • Iraurgi I (2010). Evaluación de resultados clínicos III: Estimación del cambio clínicamente significativo utilizando los índices de cambio fiable. Norte de Salud Mental, 36, 105-122.
  • Jacobson NS & Truax P (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19. Doi: 10.1037/0022.006X.59.1.12
  • Labrador FJ (2008). Técnicas de control de la activación. In FJ Labrador (Ed), Técnicas de modificación de conducta (pp. 199-222). Madrid: Pirámide.
  • Lipsitz JD, Barlow DH, Mannuza S, Hofmann SG, & Fyer AJ (2002). Clinical features of four DSM-IV specific subtypes. Journal of Nervous and Mental Disease, 190, 471-478. Doi: 10.1097/00005053-200207000-00009
  • Lobo A, Pérez-Echevarría MJ, & Artal J (1986). Validity of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychological Medicine, 16, 135-140. Doi: 10.1017/S0033291700002579
  • Méndez FJ, Olivares J, & Quiles MJ (1998). Técnicas de relajación y respiración. In J Olivares y FJ Méndez (Eds.), Técnicas de modificación de conducta (pp. 27-78). Madrid: Biblioteca Nueva.
  • Pérez-Moreno PJ, Lozano-Rojas O, & Rojas-Tejada A (2010). Propiedades psicométricas del GHQ-28 en pacientes con dependencia a opiáceos. Adicciones, 22, 65-72.
  • Pérez-Peláez E (2005). Amaxofobia. Miedo a conducir. Instituto MAPFRE. Disponible en: https://app.mapfre.com/ ccm/content/documentos/fundacion/seg-vial/investigacion/ESTUDIO_ AMAXOFOBIA.pdf
  • Remor E (2006). Psychometric properties of a European Spanish version of the Perceived Stress Scale (PSS). Spanish Journal of Psychology, 9, 86-93. Doi: 10.1017/s1138741600006004
  • Richard DCS & Lauterbach D (2007). Handbook of Exposure Therapies. London; Elsevier. Sánchez-Marín S (2011). Evaluación del miedo a conducir o amaxofobia en pre-conductores. Securitas Vialis, 3, 53-62. Doi: 10.1007/s12615-012-9040-5
  • Sánchez-Meca J, Rosa-Alcázar AI, Marín-Martínez F, & Gómez-Conesa A (2010). Psychological treatment of panic disorder with or without agoraphobia: A meta-analysis. Clinical Psychology Review, 30, 37-50. Doi: 10.1016/j.cpr.2009.08.011
  • Sanz J & Vázquez C (1998). Fiabilidad, validez y datos normativos para el inventario para la depresión de Beck. Psicothema, 10(2), 303-318.
  • Spielberger CD, Gorsuch RL, & Lushene RE (2008). STAI. Cuestionario de ansiedad estado-rasgo (7ª ed.). Madrid: TEA.
  • Vilagut G, Valderas JM, Ferre, M, Garin O, López-García E, & Alonso J (2008). Interpretación de los cuestionarios de salud SF-36 y SF-12 en España: componente físico y mental. Medicina Clínica, 130(19), 726-735.
  • Ware JE, Kosinski Jr M, Turner-Bowker DM, & Gandek B (2002). How to score version 2 of the SF-12 Health Survey (with a supplement documenting version 1). Lincoln, RI: QualityMetric, Inc.
  • Wittchen HU, Nelson CB, & Lachner G (1998). Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychological Medicine, 28, 109-126. Doi: 10.1017/S0033291797005928
  • Wolitzky-Taylor KB, Horowitz JB, Powers MB, & Telch MJ (2010). Estrategias psicológicas en el tratamiento de fobia específicas: un meta-análisis. Revista de Toxicomanías, 61, 3-20.
Datuen iturria: Dialnet