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Prediction of Outcome in the Treatment of Agoraphobia

Published online by Cambridge University Press:  16 June 2009

B. A. Thomas-Peter
Affiliation:
Park Lane Hospital, Liverpool
R. B. Jones
Affiliation:
Fazakerley Hospital, Liverpool
A. Sinnott
Affiliation:
Arrowe Park Hospital, Upton, Wirral
Ann Scott Fordham
Affiliation:
Rainhill Hospital, Prescot, Liverpool

Extract

Seventeen female agoraphobic patients were treated in three groups by in vivo exposure over 10 sessions. Dependent measures comprised an assessment using a behavioural hierarchy and an assessment of subjective anxiety. Pre-treatment assessment of the number of problems and fears, interpersonal variables and personality as measured by the E.P.P.S. were also carried out. Correlational evidence was sought of relationships between pre-treatment assessment variables and treatment outcome. It was found that low scores for “Aggression” on the E.P.P.S. and the rated ability of designated significant others to manage the agoraphobics' behaviour successfully were predictive of good outcome. Possible reasons for and implications of these findings are discussed.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1983

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References

Bland, K. and Hallam, R. S. (1981). Relationship between response to graded exposure and marital satisfaction in agoraphobics. Behaviour Research and Therapy 19, 335338.CrossRefGoogle ScholarPubMed
Edwards, A. L. (1959). Edwards Personal Preference Schedule. New York: The Psychological Corporation.Google Scholar
Emmelkamp, P. G. (1977). Phobias: theoretical and behavioural treatment considerations. In The Treatment of Phobic and Obsessive Compulsive Disorders, Boulougouris, J. C. and Rabavilas, D. (Eds), Oxford: Pergamon Press.Google Scholar
Fry, W. F. (1962). The marital content of an anxiety syndrome. Family Process 1, 245252.CrossRefGoogle Scholar
Gelder, M. G., Marks, I. M. and Wolff, H. H. (1967). Desensitization and psychotherapy in treatment of phobic states: a controlled enquiry. British Journal of Psychiatry 113, 5373.CrossRefGoogle Scholar
Gordon, L. V. and Mooney, R. L. (1950). Mooney Problem Check List, Adult Form and Manual. New York: The Psychological Corporation.Google Scholar
Guilford, J. P. (1956). Fundamental Statistics in Psychology and Education. McGraw-Hill: London.Google Scholar
Hafner, R. J. (1977). The husbands of agoraphobic women: assortative mating or pathogenic interaction. British Journal of Psychiatry 130, 233239.CrossRefGoogle ScholarPubMed
Hand, I., Lamontagne, Y. and Marks, I. M. (1974). Group exposure (flooding) in vivo for agoraphobics. British Journal of Psychiatry 124, 588602.CrossRefGoogle ScholarPubMed
Jannoun, L., Munby, M., Catalan, J. and Gelder, M. (1980). A home-based treatment programme for agoraphobia: replication and controlled evaluation. Behaviour Therapy 11, 294305.CrossRefGoogle Scholar
Jones, R. B., Sinnott, A. and Fordham, A. S. (1980). Group in vivo exposure augmented by the counselling of significant others in the treatment of agoraphobia. Behavioural Psychotherapy 8, 3135.CrossRefGoogle Scholar
Lazarus, A. A. (1966). Broad spectrum behaviour therapy and the treatment of agoraphobia. Behaviour Research and Therapy 4, 9597.CrossRefGoogle ScholarPubMed
Mathews, A. M., Johnson, D. W., Lancashire, M., Munby, M., Shaw, P. and Gelder, M. G. (1976). Imaginal flooding and exposure to real phobic situations: treatment outcome with agoraphobic patients. British Journal of Psychiatry 129, 362371.CrossRefGoogle ScholarPubMed
Mathews, A., Teasdale, J., Munby, M., Johnston, D. and Shaw, P. (1977). A home-based treatment programme for agoraphobia. Behaviour Therapy 8, 915924.CrossRefGoogle Scholar
Milton, F. and Hafner, J. (1979). The outcome of behaviour therapy for agoraphobia in relation to marital adjustments. Archives of General Psychiatry 36, 807811.CrossRefGoogle Scholar
Ryle, A. (1966). A marital patterns test for use in psychiatric research. British Journal of Psychiatry 112, 285293.CrossRefGoogle ScholarPubMed
Sinnott, A., Jones, R. B., Fordham, A. S. and Woodward, R. (1981). Augmentation of exposure treatment of agoraphobia by formation of neighbourhood self-help groups. Behaviour Research and Therapy 19, 338347.CrossRefGoogle ScholarPubMed
Thomas-Peter, B. A. (1978). The assessment of a group behavioural treatment for agoraphobic women. Unpublished M. Psychol. thesis, University of Liverpool.Google Scholar
Wolpe, J. and Lang, P. J. (1964). A fear survey schedule for use in behaviour therapy. Behaviour Research and Therapy 2, 2730.CrossRefGoogle ScholarPubMed
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