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Group Exposure for Agoraphobics: A Replication Study

Published online by Cambridge University Press:  29 January 2018

J. D. Teasdale ,
P. A. Walsh ,
M. Lancashire  and
A. M. Mathews
J. D. Teasdale
Affiliation:
Department of Psychiatry, University of Oxford, The Warneford Hospital, Oxford OX3 7JX
P. A. Walsh
Affiliation:
Berkshire AHA—East District
M. Lancashire
Affiliation:
The London Hospital
A. M. Mathews
Affiliation:
Department of Psychiatry, University of Oxford, The Warneford Hospital, Oxford OX3 7JX
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Summary

A replication study was conducted of the treatment of agoraphobics by exposure in cohesive groups, as described by Hand, Lamontagne and Marks (1974). The continuing improvement during follow-up, with consequent large overall improvement, reported in the original study was not replicated. However, the present study confirmed the usefulness of this procedure as a highly cost-efficient treatment.

The assumed equivalence of the Gelder and Marks (1966) phobic rating scale and its modification by Watson and Marks (1971) was examined. Large discrepancies between the scales were obtained for initial assessments and change scores. It is suggested that there is a need for workers in this field to agree on methods of measurement.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 130 , Issue 2 , February 1977 , pp. 186 - 193
Copyright
Copyright © Royal College of Psychiatrists 1977 

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References

Gelder, M. G., Bancroft, J. H. J., Gath, D. H., Johnston, D. W., Mathews, A. M. & Shaw, P. M. (1973) Specific and non-specific factors in behaviour therapy. British Journal of Psychiatry, 123, 445–62.Google Scholar
Gelder, M. G. & Marks, I. M. (1966) Severe agoraphobia: a controlled prospective trial of behaviour therapy. British Journal of Psychiatry, 112, 309–19.Google Scholar
Hafner, J. & Marks, I. M. (1976) Exposure in vivo of agoraphobics: contributions of diazepam, group exposure and anxiety evocation. Psychological Medicine, 6, 71–88.CrossRefGoogle ScholarPubMed
Hand, I., Lamontagne, Y. & Marks, I. M. (1974) Group exposure (flooding) in vivo for agoraphobics. British Journal of Psychiatry, 124, 588–602.CrossRefGoogle ScholarPubMed
Mathews, A. M., Johnston, D. W., Lancashire, M., Munby, M., Shaw, P. M. & Gelder, M. G. (1976) Imaginal flooding and exposure to real phobic situations: treatment outcome with agoraphobic patients. British Journal of Psychiatry, 129, 372–7.Google Scholar
Watson, J. P. & Marks, I. M. (1971) Relevant and irrelevant fear in flooding—a crossover study of phobic patients. Behaviour Therapy, 2, 275–93.Google Scholar
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