Cognitive Coping as a Mechanism of Change in Cognitive-Behavioral Therapy for Fear of Flying: A Longitudinal Study With 3-Year Follow-Up

Abstract

Objective: To examine the predictive value of cognitive coping strategies at pretreatment and the value of changes in these strategies during cognitive-behavioral treatment for aviophobia for long-term therapy results. Method: Data from baseline, after therapy at 2 months, short-term follow-up at 5 months, and long-term follow-up at 41 months were analyzed (N = 59). Results: Participants were in a long-term process of change, which continued positively after therapy for maladaptive cognitive coping strategies. The use of cognitive coping strategies at baseline was not predictive of long-term outcome. However, a greater increase in the use of adaptive coping strategies, and more importantly, a greater decrease in the use of maladaptive coping strategies were predictive of improvements indicated in selfreport of flight anxiety and actual flight behavior at long-term follow-up. Conclusion: Improvement of maladaptive cognitive coping strategies is possibly a key mechanism of change in cognitive-behavioral therapy for aviophobia. C

Psychological Outcomes of a Cognitive Behavioral Therapy for Youth with Inflammatory Bowel Disease: Results of the HAPPY-IBD Randomized Controlled Trial at 6- and 12-Month Follow-Up

“…Perhaps, the current protocol had too little focus on challenging coping styles in the current protocol. An alternative explanation may be the low level of negative illness perceptions, on account of low disease activity (e.g., Schröder et al, 2012 ; Busscher and Spinhoven, 2017 ). However, the secondary analyses were exploratory (and conducted in subgroups of patients based on age).…”

Yolcularda Uçuş Fobisi ve Başa Çıkmada Kullanılan Psikolojik Müdahaleler

“…Cognitive reactions can be exemplified as rumination about death, injury, or panic, using dysfunctional coping strategies such as avoiding and catastrophizing. Physiological reactions can be exemplified as hyperventilation, high blood pressure, rapid heartbeat, and tremor (Bor, 2007;Busscher & Spinhoven, 2017;McNally & Louro, 1992;Oakes & Bor, 2010;Saadat, Izadi, Ahmadi & Shahyad, 2014).…”

Synchronous change in subjective and physiological reactivity during flight as an indicator of treatment outcome for aviophobia: A longitudinal study with 3-year follow-up

“…Before start of therapy the majority of participants had not flown for more than two years, while 26% had not flown for more than ten years. The interested reader is referred to Busscher and Spinhoven (2017) for details on changes in coping strategies during the therapeutic process, and to Busscher et al (2015) for additional information on treatment outcome.…”