Types and correlates of blood/injury-related vasovagal syncope

Kleinknecht, Ronald A.; Lenz, Joseph; Ford, Greg; DeBerard, Scott

doi:10.1016/0005-7967(90)90080-3

Cited by 32 publications

(13 citation statements)

References 17 publications

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“…Similar to the typology articulated by Page (1994), Kleinknecht, Lenz, Ford, and DeBerad (1990) identify Escape, Relief, and Essential as three mutually exclusive categories of fainting: (1) escape fainters consist of those who report experiencing fear prior to fainting, report constraints which make escape from the BII stimuli physically impossible or personally undesirable, and experience fainting while in the presence of the BII stimulus; (2) relief fainters consist of those who report feeling fear prior to fainting but do not faint until later, after the immediate threat had passed; and (3) essential fainters are those who report no fear or anxiety in the presence of BII stimuli and, therefore make no attempt to escape the situation. Careful consideration of this classification of fainters suggests that escape and relief fainters may be primarily fearful prior to fainting.…”

Section: Discussionmentioning

confidence: 90%

Disgust, anxiety and fainting symptoms associated with blood-injection-injury fears: a structural model

Olatunji

Williams

Sawchuk

et al. 2006

Journal of Anxiety Disorders

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Section: Discussionmentioning

confidence: 90%

Disgust, anxiety and fainting symptoms associated with blood-injection-injury fears: a structural model

Olatunji

Williams

Sawchuk

et al. 2006

Journal of Anxiety Disorders

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“…27 Her episodes were so frequent as to affect her employment, personal relationships and daily activities. These episodes could be triggered by multiple stimuli and were refractory to pharmacological and psychiatric treatments.…”

Section: Discussionmentioning

confidence: 99%

A novel psychophysiological treatment for vasovagal syncope

Khurana

Lynch

Craig

1997

Clinical Autonomic Research

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The objective of this study was to evaluate the efficacy of transactional psychophysiological therapy (TPT) in a patient with recurrent vasovagal syncope (VVS) and to quantify the capacity of human dialogue to effect significant and consistent measurable therapeutic cardiovascular (CV) changes. A 31-year-old nurse with recurrent VVS and a reproducibly abnormal tilt-table test was refractory to pharmacological and conventional psychiatric treatments. She was treated with TPT. Her CV responses during psychotherapy were incorporated into the dialogue as an important source of communicative information, and she was taught psychophysiological techniques to correct exaggerated CV responses. These responses, during 16 weekly and 12 subsequent monthly sessions, were analysed using a one-way multiple analysis of variance. As TPT progressed, the magnitude and lability of CV responses as well as frequency of VVS were reduced. She has been relatively asymptomatic for 14 years posttherapy. In conclusion, (1) TPT may be an effective primary/adjunctive treatment for patients with VVS; (2) TPT may reduce syncopal episodes, perhaps by normalizing limbic input to the brainstem baroreflex system.

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“…Ter verklaring van het optreden van een vasovagale reactie zijn verschillende hypothesen geformuleerd (Engel, 1962(Engel, , 1978Graham, 1961;Graham, Kabler & Lundsford, 1961;Kleinknecht, Lenz, Ford & DeBerard, F;1990, Vingerhoets & Schomaker, 1989). Kleinknecht en anderen (1990) opperen de mogelijkheid dat de 'relief'-hypothese (het eindigen van een gevaarsituatie leidt tot het stoppen van sympathische activiteit, waardoor de parasympathische activiteit niet meer wordt geopponeerd, zodat de persoon flauwvalt) en de 'escape'-hypothese (bedreiging geeft sympatische activiteit; als geen ontsnapping mogelijk is, treedt een 'conservation-withdrawal'-reactie op, het parasympathische zenuwstelsel wordt geactiveerd, en de persoon valt flauw) beide begrepen kunnen worden als een variant van het opgeven van een defensieve houding.…”

Section: Classificatieunclassified

Gedragstherapeutische behandeling van naaldfobie

Trijsburg¹,

Jelicic²,

Broek³

et al. 1992

PSIE

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Bij de behandeling van naaldfobie worden vooral gedragstherapeutische procedures als 'exposure' en 'participant modeling' toegepast. In overeenstemming met Bandura's 'self-efficacy'-theorie zou men verwachten dat de patie¨nt bij toepassing van 'participant modeling' zou leren zichzelf te injecteren, maar uit gevalsbeschrijvingen blijkt dat deze procedure zelden wordt toegepast. In dit artikel wordt een patie¨nte met een naaldfobie beschreven die zowel met 'exposure in vivo' als met 'participant modeling' werd behandeld. Bij toepassing van de laatste techniek kon het verzet tegen injecties worden doorbroken. Deze casus ondersteunt de visie dat het leren zichzelf te injecteren bijzonder effectief is bij de behandeling van patie¨nte bij wie de controle over de situatie essentieel is. Enkele mogelijkheden voor toekomstig onderzoek worden besproken.

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Types and correlates of blood/injury-related vasovagal syncope

Cited by 32 publications

References 17 publications

Disgust, anxiety and fainting symptoms associated with blood-injection-injury fears: a structural model

Disgust, anxiety and fainting symptoms associated with blood-injection-injury fears: a structural model

A novel psychophysiological treatment for vasovagal syncope

Gedragstherapeutische behandeling van naaldfobie

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