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Follow-up of Agoraphobic Patients Treated with Exposure in Vivo or Applied Relaxation

Published online by Cambridge University Press:  29 January 2018

L. Jansson ,
A Jerremalm  and
L. G. Öst
L. Jansson
Affiliation:
Research Psychiatric Research Centre, Ulleråker Hospital, S-750 17 Uppsala, Sweden
A Jerremalm
Affiliation:
Research Psychiatric Research Centre, Ulleråker Hospital, S-750 17 Uppsala, Sweden
L. G. Öst*
Affiliation:
Research Psychiatric Research Centre, Ulleråker Hospital, S-750 17 Uppsala, Sweden
*
Correspondence
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Extract

The present study describes the results of a 7-month and a 15-month follow-up of 32 agoraphobic patients treated with exposure in vivo or applied relaxation. During the followup period, all patients were given self-exposure instructions. Assessments were made in three response systems-subjective-cognitive, behavioural, and physiological-at the follow-up points. The study showed overall maintenance of treatment results in all three response systems for exposure-treated patients. For applied relaxation/self-exposure, there was a relapse on Δ heart-rate at 7 months for physiologically reactive patients, but the improvement was regained at the 15 month follow-up. Furthermore, a large proportion of the total improvement occurred during the follow-up period: 36% and 22% for exposure and applied relaxation/self-exposure respectively. The proportion of patients reaching a clinically significant improvement was 50% at the end of treatment and 66% at the 15 month follow-up.

Type
Papers
Information
The British Journal of Psychiatry , Volume 149 , Issue 4 , October 1986 , pp. 486 - 490
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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Footnotes

∗

We regret that Dr Jansson is now deceased

References

Beck, A. T. (1967). Depression: Causes and Treatment. Philadelphia: University of Pennsylvania Press.Google Scholar
Burns, L. E., Thorpe, G. L. & Cavallaro, A. (1983) Agoraphobia eight years after behavioural treatment: a follow-up study with interview, questionnaire, and behavioral data. Paper presented at the World Congress of Behavior Therapy, Washington DC.Google Scholar
Cohen, S. D., Montkiro, W. & Marks, I. M. (1984) Two-year follow-up of agoraphobics after exposure and imipramine. British Journal of Psychiatry. 144, 276–281.CrossRefGoogle ScholarPubMed
Crowe, M. J. (1978) Conjoint marital therapy: a controlled outcome study. Psychological Medicine. 8, 623–636.CrossRefGoogle ScholarPubMed
Emmelkamp, P. M. G. & Kuipers, A. C. M. (1979) Agoraphobia: a follow-up study four years after treatment. British Journal of Psychiatry. 134, 352–355.CrossRefGoogle ScholarPubMed
Gosh, A., Marks, I. M. & Carr, A. C. (1984) Controlled study of self-exposure treatment for phobics: preliminary communication. Journal of the Royal Society of Medicine. 77, 483–487.CrossRefGoogle Scholar
Hafner, R. J. (1976) Fresh symptom emergence after intensive behaviour therapy. British Journal of Psychiatry. 129, 378–383.CrossRefGoogle ScholarPubMed
Hugdahl, K. & Öst, L.-G. (1981) On the difference between statistical and clinical significance. Behavioral Assessment. 3, 289–295.Google Scholar
Jacobson, N. S., Follette, W. C. & Revenstorf, D. (1984) Psychotherapy outcome research: methods for reporting variability and evaluating clinical significance. Behavior Therapy, 15, 336–352.CrossRefGoogle Scholar
Jansson, L., Jerremalm, A. & Öst, L.-G. (1984) Maintenance procedures in the behavioral treatment of agoraphobia: a program and some data. Behavioural Psychotherapy, 12, 109–116.CrossRefGoogle Scholar
Jansson, L., Jerremalm, A., Öst, L.-G. (1982) Behavioral treatments for agoraphobia: an evaluative review. Clinical Psychology Review, 2, 311–336.CrossRefGoogle Scholar
Mandler, G., Mandler, J. M. & Uviller, E. T. (1958) Autonomic feedback: the perception of autonomic activity. Journal of Abnormaland Social Psychology, 56, 367–373.CrossRefGoogle ScholarPubMed
Marks, I. M. (1971) Phobic disorders four years after treatment: a prospective follow-up. British Journal of Psychiatry. 118, 683–688.CrossRefGoogle ScholarPubMed
Munby, M. & Johnston, D. W. (1980) Agoraphobia: the long-term follow-up of behavioural treatment. British Journal of Psychiatry, 137, 418–427.CrossRefGoogle ScholarPubMed
Öst, L.-G., Jerremalm, A. & Jansson, L. (1984) Individual response patterns and the effects of different behavioural methods in the treatment of agoraphobia. Behaviour Research and Therapy, 22, 697–707.CrossRefGoogle ScholarPubMed
Wolpe, J. & Lang, P. (1964) A fear scale for use in behaviour therapy. Behaviour Research and Therapy, 2, 27–30.CrossRefGoogle Scholar
Zitrin, C. M., Klein, D. F. & Woerner, M. G. (1980) Treatment of agoraphobia with group exposure in v/voand imipramine. Archives of General Psychiatry, 37, 63–72.CrossRefGoogle Scholar
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