Demographics, clinical characteristics and quality of life of Brazilian women with driving phobia

Costa, Robson; Carvalho, Marcele Regine de; Cantini, Jessye Almeida; Freire, Rafael C.; Nardi, Antônio Egídio

doi:10.1016/j.comppsych.2013.08.003

Cited by 18 publications

(31 citation statements)

References 24 publications

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“…Another article that investigated QoL after VRET showed improvement in three subscales -physical functioning, social functioning, and mental health. 18 We cannot state that a direct correlation exists between improvement in FoD and better QoL; further research is needed.…”

Section: Discussionmentioning

confidence: 99%

“…9,15 In addition, it is possible that people with driving phobia misjudge their own skills and abilities and those of other drivers, thereby increasing anticipatory anxiety as well as avoidance behavior. [16][17][18] The most feared driving situation cited by driving phobics is a motor vehicle accident (MVA). 18,19 Nevertheless, subjects also mention the following issues: issues of control, such as losing control of the car, not being in control of the driving situation, and being in control of a powerful vehicle; issues surrounding specific driving situations, including driving at high speed, driving at night, driving in unfamiliar areas, driving over bridges, driving through tunnels, driving on steep roads or open roads, merging, and changing lanes; issues surrounding the skills required for driving, including reaction time, judgment errors, weather conditions, and road conditions 12,16,18,20,21 ; as well as fear of being criticized by someone while driving.…”

Section: Introductionmentioning

confidence: 99%

“…[16][17][18] The most feared driving situation cited by driving phobics is a motor vehicle accident (MVA). 18,19 Nevertheless, subjects also mention the following issues: issues of control, such as losing control of the car, not being in control of the driving situation, and being in control of a powerful vehicle; issues surrounding specific driving situations, including driving at high speed, driving at night, driving in unfamiliar areas, driving over bridges, driving through tunnels, driving on steep roads or open roads, merging, and changing lanes; issues surrounding the skills required for driving, including reaction time, judgment errors, weather conditions, and road conditions 12,16,18,20,21 ; as well as fear of being criticized by someone while driving. 11,18,21 Research by the Brazilian Association of Traffic Medicine 22 revealed that FoD affects 10% of all Brazilians who are eligible to drive, which corresponds to about 2 million people.…”

Section: Introductionmentioning

confidence: 99%

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Virtual reality exposure therapy for fear of driving: analysis of clinical characteristics, physiological response, and sense of presence

Costa

Carvalho

Ribeiro

et al. 2018

Rev. Bras. Psiquiatr.

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Objective: To investigate the reactions of women with driving phobia to a therapeutic program of scheduled virtual reality exposure treatment (VRET) sessions. Methods: The study intervention consisted of a computer game with car-driving scenarios that included several traffic situations. We investigated the participants' sense of presence, subjective distress, and physiological responses during eight virtual-reality exposures. We also evaluated clinical characteristics, driving cognitions, and quality of life in the participants. Results: Thirteen women were selected. Eight were able to complete the protocol. After VRET, there was a decrease in the frequency of distorted thoughts and state anxiety scores, as well as a slight improvement in quality of life. Subjective discomfort scores, heart rate variation, and sense of presence scores confirmed that there was sense of presence in the virtual reality environment. Conclusion: All patients showed some degree of improvement and demonstrated different levels of anxiety in subsequent in vivo driving experiences. Our findings suggest that VRET could be used to facilitate in vivo exposure, because it can induce presence/immersion and reduce anxiety in patients with specific phobia. Furthermore, VRET is not associated with any type of risk.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Virtual reality exposure therapy for fear of driving: analysis of clinical characteristics, physiological response, and sense of presence

Costa

Carvalho

Ribeiro

et al. 2018

Rev. Bras. Psiquiatr.

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“…However, one possible reason for these inconclusive findings is that anxiety may be confused in the literature with another emotion, fear (Dula & Geller, 2003). For example, in Jeon et al's (2014) paper, they interchange the terms 'anxiety' and 'fearful'. In fact, whilst both signal the presence of threat, fear arises as the result of known environmental sources whereas anxiety can be objectless with little probability of threat occurring (Rachmann, 2013).…”

Section: Introductionmentioning

confidence: 98%

Are anxiety and fear separable emotions in driving? A laboratory study of behavioural and physiological responses to different driving environments

Barnard

Chapman

2016

Accident Analysis & Prevention

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(2016) Are anxiety and fear separable emotions in driving?: laboratory study of behavioural and physiological responses to different driving environments. Accident, Analysis and Prevention, Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/46799/1/Barnard%20and%20Chapman%202016%20for %20eprints.pdf Copyright and reuse:The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions. This article is made available under the Creative Commons Attribution Non-commercial No Derivatives licence and may be reused according to the conditions of the licence. For more details see: http://creativecommons.org/licenses/by-nc-nd/2.5/ A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription. 1 Are Anxiety and Fear Separable Emotions in Driving? A Laboratory Study of Behavioural and Physiological Responses to Different Driving Environments.Barnard, M.P*., & Chapman, P. School of Psychology, University of Nottingham, Nottingham, United Kingdom AbstractResearch into anxiety and driving has indicated that those higher in anxiety are potentially more dangerous on the roads. However, simulator findings suggest that conclusions are mixed at best. It is possible that anxiety is becoming confused with fear, which has a focus on more clearly defined sources of threat from the environment, as opposed to the internal, thought-related process associated with anxiety. This research aimed to measure feelings of fear, as well as physiological and attentional reactions to increasing levels of accident risk.Trait anxiety was also measured to see if it interacted with levels of risk or its associated reactions. Participants watched videos of driving scenarios with varying levels of accident risk and had to rate how much fear they would feel if they were the driver of the car, whilst skin conductance, heart rate, and eye movements were recorded. Analysis of the data suggested that perceptions of fear increased with increasing levels of accident risk, and skin conductance reflected this pattern. Eye movements, when considered alongside reaction times, indicated different patterns of performance according to different dangerous situations.These effects were independent of trait anxiety, which was only associated with higher rates of disliking driving and use of maladaptive coping mechanisms on questionnaires. It is concluded that these results could provide useful evidence in support for training-based programs; it may also be beneficial to study trait anxiety within a more immersive driving environment and on a larger scale. 2Keywords: anxiety, fear, emotion, environmental arousal, somatic marker. IntroductionIt has become increasingly apparent in recent studies ...

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“…Os motoristas com medo de dirigir subestimam as suas próprias habilidades e acreditam que outras pessoas estão observando e avaliando o seu comportamento e os erros que cometeram (Costa et al, 2014). Essa sensação é pertinente, pois, para Bellina (2005), as pessoas são muito críticas com os motoristas que têm medo de dirigir, pois empregam julgamentos considerando fraqueza ou até incompetência, visto que, para quem já tem os comportamentos de dirigir automatizados, é difícil entender o medo de dirigir.…”

Section: Segundo O Diagnostic and Statistical Manual Of Mentalunclassified

Avaliação e intervenção para o medo e fobia de dirigir: revisão da literatura

Mognon

Santos

Martins

2017

ctc

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Este é um artigo de acesso aberto, licenciado por Creative Commons Atribuição 4.0 Internacional (CC BY 4.0), sendo permitidas reprodução, adaptação e distribuição desde que o autor e a fonte originais sejam creditados.Resumo. O objetivo deste estudo foi analisar a produção científica sobre a avaliação e a intervenção realizada com pessoas que têm medo ou fobia de dirigir. Foram utilizados os descritores 'medo de dirigir' e 'fobia de dirigir' em português, espanhol e inglês nas bases de dados SciELO, PePSIC, Periódicos CAPES e Google Acadêmico. Foram encontrados 119 estudos e, com base nos critérios de inclusão/exclusão, foram analisados 28 artigos. Os resultados identificaram a predominância de participantes do sexo feminino, na faixa etária de 35 a 45 anos e que aprenderam a dirigir mais tardiamente. Não foram encontradas diferenças estatisticamente significativas para as variáveis sociodemográficas e para o tempo de licença como motorista. Além disso, nem sempre o medo dirigir decorre de ter sofrido um acidente de trânsito, embora esses motoristas tenham maiores chances. As situações mais temidas pelas pessoas com medo de dirigir foram agrupadas em relação à via, ao veículo, às condições climáticas/ metereológicas e às condições pessoais/sociais. Foram encontrados apenas sete artigos que traziam informações sobre a construção, a adaptação ou a busca de evidência de validade de instrumentos de avaliação do medo de dirigir. Os estudos de intervenção tiveram como objetivo diminuir ou extinguir o comportamento de evitar dirigir, aumentar o contato com o veículo, aprimorar as habilidades na direção e, consequentemente, a confiança em dirigir. As técnicas de tratamento incluíram relaxamento e treino de respiração, dessensibilização in vivo e sistemática e uso de simuladores de direção -VRET. Conclui-se que tem aumentado o interesse dos pesquisadores pelo tema, mas que são necessários novos estudos, principalmente no que tange às intervenções terapêuticas.Palavras-chave: medo, fobia, revisão de literatura.

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Demographics, clinical characteristics and quality of life of Brazilian women with driving phobia

Cited by 18 publications

References 24 publications

Virtual reality exposure therapy for fear of driving: analysis of clinical characteristics, physiological response, and sense of presence

Virtual reality exposure therapy for fear of driving: analysis of clinical characteristics, physiological response, and sense of presence

Are anxiety and fear separable emotions in driving? A laboratory study of behavioural and physiological responses to different driving environments

Avaliação e intervenção para o medo e fobia de dirigir: revisão da literatura

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