Document Detail


Confrontation with blood and disgust stimuli precipitates respiratory dysregulation in blood-injection-injury phobia.
MedLine Citation:
PMID:  20167246     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Blood-injection-injury (BII) phobia patients sometimes faint during exposure to relevant stimuli. However, mechanisms and timing of physiological adjustments in BII phobia remain poorly understood. In a larger sample of 60 patients and 20 controls, we sought to replicate findings of a prior study demonstrating the role of hyperventilation in the phobic response. We also investigated the timing of respiratory adjustment across an extended exposure recovery period. In addition, because intense disgust is commonly reported by patients, responses to surgery films were compared to a pure disgust film. End-tidal PCO(2) dropped significantly while volume and flow increased during the surgery film in patients compared to controls and to other emotional films except disgust. Patients recovered quickly following the disgust film but not the surgery film. PCO(2), volume, and flow parameters showed robust associations with anxiety, disgust, and physical symptoms. Findings suggest that respiratory adjustments during and after phobic exposure may provide a critical missing link in the understanding of the psychophysiology of this singular disorder, including why fainting often occurs after the stimulus is removed.
Authors:
Erica S Ayala; Alicia E Meuret; Thomas Ritz
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Publication Detail:
Type:  Journal Article     Date:  2010-02-16
Journal Detail:
Title:  Biological psychology     Volume:  84     ISSN:  1873-6246     ISO Abbreviation:  Biol Psychol     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2011-01-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375566     Medline TA:  Biol Psychol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  88-97     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier B.V. All rights reserved.
Affiliation:
Department of Psychology, Southern Methodist University, Dallas, TX, USA.
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