Abstract:
BACKGROUND:Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines, with and without therapist guidance. METHODS:A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale. Secondary outcomes included the Fear and Avoidance Scales, Clinician Severity Scale, and Patient's Improvement scale. Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. RESULTS:NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all ps < .05), and no significant differences were found between the two ways of delivering the intervention. Significant improvements on diagnostic status and reliable change indexes were also found in both treatment groups at post-treatment. Regarding behavioral outcomes, significant differences in safety behaviors were found at post-treatment, compared to the waiting list. Treatment gains were maintained at 3- and 12-month follow-ups. CONCLUSION:FP can be treated effectively via the Internet. NO-FEAR Airlines helps to enhance the exposure technique and provide access to evidence-based psychological treatment to more people in need. These data are congruent with previous studies highlighting the usefulness of computer-assisted exposure programs for FP, and they contribute to the literature on Internet-based interventions. To the best of our knowledge, this is the first RCT to investigate the effectiveness of an Internet-based treatment for FP and explore two ways of delivering the intervention (with and without therapist guidance). TRIAL REGISTRATION:Clinicaltrials.gov: NCT02298478 ( https://clinicaltrials.gov/ct2/show/NCT02298478 ). Trial registration date 3 November 2014.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
Campos D,Bretón-López J,Botella C,Mira A,Castilla D,Mor S,Baños R,Quero Sdoi
10.1186/s12888-019-2060-4subject
Has Abstractpub_date
2019-03-06 00:00:00pages
86issue
1issn
1471-244Xpii
10.1186/s12888-019-2060-4journal_volume
19pub_type
杂志文章,随机对照试验相关文献
BMC Psychiatry文献大全abstract:BACKGROUND:Depression is an important public health problem and is closely associated with suicidal behavior in the population. Although the Center for Epidemiologic Studies Depression Scale (CES-D) is widely used for assessment of depression, the psychometric characteristics of this scale have not been explored in stu...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0458-1
更新日期:2015-04-09 00:00:00
abstract:BACKGROUND:Post-deinstitutionalisation, mental health supported accommodation services have been implemented widely. The available research evidence is heterogeneous in nature and resistant to synthesis attempts, leaving researchers and policy makers with no clear summary what works and for whom. In this context, we un...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1725-8
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:The medical management of aggressive and violent behaviour is a critical situation for which there is little evidence. In order to prepare for a randomised trial, due to start in the psychiatric emergency rooms of Rio de Janeiro in 2001, a survey of current practice was necessary. METHODS:A seven day survey...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244x-2-4
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:The polymorphism rs6313 (T102C) has been associated with suicidal behavior in case-control and meta-analysis studies, but results and conclusions remain controversial. The aim of the present study was to examine the association between T102C with suicidal behavior in a case-control study and, to assess the c...
journal_title:BMC psychiatry
pub_type: 杂志文章,meta分析
doi:10.1186/1471-244X-13-25
更新日期:2013-01-12 00:00:00
abstract:BACKGROUND:Patients admitted to a secure forensic hospital are at risk of a long hospital stay. Forensic hospital beds are a scarce and expensive resource and ability to identify the factors predicting length of stay at time of admission would be beneficial. The DUNDRUM-1 triage security scale and DUNDRUM-2 triage urge...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0686-4
更新日期:2015-11-23 00:00:00
abstract:BACKGROUND:Suicide intervention programs have been guided by findings that attitude towards suicide and suicidal behavior may be causally linked. These findings also make it imperative to identify the factors that influence attitudes towards suicide. However, there has been little research on attitudes towards suicide ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0872-z
更新日期:2016-05-26 00:00:00
abstract:BACKGROUND:Numerous studies have verified that insomnia is associated with suicidal ideation, suicide attempts, and death by suicide. Limited population-based cohort studies have been conducted to examine the association. The present study aimed to analyze whether insomnia increases the risk of suicide attempts and ver...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1702-2
更新日期:2018-05-02 00:00:00
abstract:BACKGROUND:Patients with comorbid depression and personality disorders suffer from a heavy disease burden while tailored treatment options are limited, accounting for a high psychological and economic burden. Little is known about the effect of treatment dosage and type of psychotherapy for this specific co-morbid pati...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-018-1829-1
更新日期:2018-08-07 00:00:00
abstract:BACKGROUND:The prevalence of major depressive disorder (MDD) is highest in working age people and depression causes significant impairment in occupational functioning. Work productivity and work absence should be incorporated into clinical assessments but currently available scales may not be optimized for clinical use...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-9-78
更新日期:2009-12-03 00:00:00
abstract:BACKGROUND:The number of asylum seekers, refugees and internally displaced people worldwide has increased dramatically over the past 5 years. Many countries are continuing to resort to detaining asylum seekers and other migrants, despite concerns that this may be harmful. In light of the considerable body of recent res...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1945-y
更新日期:2018-12-06 00:00:00
abstract:UNLABELLED:Schizophrenia has been linked with intrauterine exposure to maternal stress due to bereavement, famine and major disasters. Recent evidence suggests that human vulnerability may be greatest in the first trimester of gestation and rodent experiments suggest sex specificity. We aimed to describe the consequenc...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-8-71
更新日期:2008-08-21 00:00:00
abstract:BACKGROUND:Negative symptoms are considered core symptoms of schizophrenia. The Brief Negative Symptom Scale (BNSS) was developed to measure this symptomatic dimension according to a current consensus definition. The present study examined the psychometric properties of the German version of the BNSS. To expand former ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-1118-9
更新日期:2016-11-22 00:00:00
abstract:BACKGROUND:Brief Admission is a crisis and risk management strategy in which self-harming and suicidal individuals with three or more diagnostic criteria of borderline personality disorder self-admit to hospital at times of increasing risk when other efforts to stay safe are failing. Standardized in the current randomi...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-017-1371-6
更新日期:2017-06-15 00:00:00
abstract:BACKGROUND:Epidemiological reports about dementia and Alzheimer's disease (AD) in elderly people from developing countries are scarce. Therefore, we sought to determine the prevalences of dementia and AD in a population of nursing home residents and senior center attendees of Durango City, Mexico, and to determine whet...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-4-3
更新日期:2004-02-18 00:00:00
abstract:BACKGROUND:Measuring satisfaction with treatment has proved useful to ascertain the treatment features that are most important to the patients, and to explain increased treatment compliance. However, there are few studies that relate satisfaction to other clinical or self-perceived health status indicators. Recent stud...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-244X-13-65
更新日期:2013-02-20 00:00:00
abstract:BACKGROUND:There are a number of supported housing options for people with severe mental illness (SMI), but limited knowledge about residents' experiences. The aim of this study was to explore how people with SMI experienced sheltered housing consisting of both a private fully equipped apartment and a shared accommodat...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0888-4
更新日期:2016-06-06 00:00:00
abstract:BACKGROUND:Studies in developed countries indicate that psychotic-like symptoms are prevalent in the community and are related to trauma exposure and PTSD. No comparable studies have been undertaken in low-income, post-conflict countries. This study aimed to assess the prevalence of psychotic-like symptoms in conflict-...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-12-229
更新日期:2012-12-18 00:00:00
abstract:BACKGROUND:The Somatic and Psychological HEalth REport (SPHERE) is a 34-item self-report questionnaire that assesses symptoms of mental distress and persistent fatigue. As it was developed as a screening instrument for use mainly in primary care-based clinical settings, its validity and psychometric properties have not...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1420-1
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Social anxiety disorder (SAD) is one of the most common mental disorders and causes subjective suffering and economic burden worldwide. Although effective treatments are available, a lot of cases go untreated. Internet-based self-help is a low-threshold and flexible treatment alternative for SAD. Various stu...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-14-115
更新日期:2014-04-15 00:00:00
abstract:BACKGROUND:Mental disorders are a leading cause of disability and early mortality. The objective of this study was to describe and compare psychosocial indicators and mental health service use among ethnoculturally-diverse Ontarians. METHODS:This is a cross-sectional analysis of the Ontario Health Study pilot investig...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0759-z
更新日期:2016-02-26 00:00:00
abstract:BACKGROUND:The risk of schizophrenia is thought to be higher in population isolates that have recently been exposed to major and accelerated cultural change, accompanied by ensuing socio-environmental stressors/triggers, than in dominant, mainstream societies. We investigated the prevalence and phenomenology of schizop...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-7-30
更新日期:2007-06-28 00:00:00
abstract:BACKGROUND:Parental history of mood or anxiety disorders is one of the strongest and most consistent risk factors for the development of these disorders in offspring. Gaps remain however in our knowledge of whether maternal or paternal disorders are more strongly associated with offspring disorders, and whether the ass...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-12-188
更新日期:2012-11-05 00:00:00
abstract:BACKGROUND:The purpose of this article was to conduct a review of the types of training offered to people with schizophrenia in order to help them develop strategies to cope with or compensate for neurocognitive or sociocognitive deficits. METHODS:We conducted a search of the literature using keywords such as "schizop...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/1471-244X-14-139
更新日期:2014-05-14 00:00:00
abstract:BACKGROUND:Attention-Deficit/Hyperactivity Disorder (ADHD) in adults is one of the predictive and treatable risk factors for delinquency, including intimate partner violence (IPV). Effective treatment of IPV needs to address personal dynamic risk factors, offender typology, and dynamics of the domestic violence. It is ...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-014-0336-2
更新日期:2014-11-27 00:00:00
abstract:BACKGROUND:Prolonged forensic psychiatric hospitalizations have raised ethical, economic, and clinical concerns. Due to the confounded nature of factors affecting length of stay of psychiatric offender patients, prior research has called for the application of a new statistical methodology better accommodating this dat...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02612-1
更新日期:2020-05-06 00:00:00
abstract:BACKGROUND:Psychiatric treatment of suicidal youths is often difficult and non-compliance in treatment is a significant problem. This prospective study compared characteristics and changes in cognitive functioning, self image and psychosocial functioning among 13 to 18 year-old adolescent psychiatric inpatients with su...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-6-58
更新日期:2006-12-29 00:00:00
abstract:BACKGROUND:Among schizophrenia patients relapsed on an oral antipsychotic (AP), this study compared the impact of switching to atypical AP long-acting injectable therapy (LAT) versus continuing oral APs on hospitalization and emergency room (ER) visit recurrence. METHODS:Electronic records from the Premier Hospital Da...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-221
更新日期:2013-09-10 00:00:00
abstract:BACKGROUND:Symptoms such as medically unexplained vaginal discharge (MUVD) are common and bothersome, leading to potentially unnecessary use of resources. METHODS:A community-based individually randomized controlled trial to assess the effectiveness of a relatively simple, culturally appropriate multi-component interv...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-12-195
更新日期:2012-11-09 00:00:00
abstract:BACKGROUND:Mental disorders constitute a major public health problem globally with higher burden in low and middle-income countries. In Bangladesh, systematically-collected data on mental disorders are scarce and this leaves the extent of the problem not so well defined. We reviewed the literature on mental health diso...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/s12888-014-0216-9
更新日期:2014-07-30 00:00:00
abstract:BACKGROUND:Increasing numbers of people with mental disorders receive services at primary care in China. The aims of this study are to evaluate impact of a new training course and supervision for community mental health staff to enhance their levels of mental health knowledge and to reduce their stigmatization toward p...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-015-0660-1
更新日期:2015-10-26 00:00:00