Ignite Creation Date:
2024-05-05 @ 10:51 PM
Last Modification Date:
2024-10-26 @ 10:25 AM
Study NCT ID:
NCT01201304
Status:
UNKNOWN
Last Update Posted:
2012-01-31
First Post:
2010-09-09
Brief Title:
Comparison of Methods for the Delivery of Interoceptive Exposure
Sponsor:
University of Wyoming
Organization:
University of Wyoming
Study Overview
Official Title:
Comparison of Methods for the Delivery of Interoceptive Exposure
Status:
UNKNOWN
Status Verified Date:
2012-01
Last Known Status:
ENROLLING_BY_INVITATION
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study compares the relative efficacy of three methods of delivering interoceptive exposure for the reduction of elevated anxiety sensitivity The interventions vary according to their intensity and use of coping strategies during exposure An expressive writing intervention serves as an expectancy control
Detailed Description:
Cognitive-behavioral theories posit that panic attacks and panic disorder are the product of inaccurate beliefs about the dangerousness of arousal-related body sensations such as heart palpitations dizziness and shortness of breath Individuals with panic disorder often misinterpret these anxiety symptoms as likely to lead to health catastrophes such as a heart attack stroke suffocation or insanity Effective psychological treatment aims to correct such misinterpretations by helping individuals learn that their anxiety-related body sensations are not dangerous
One treatment procedure used to accomplish this goal is interoceptive exposure or the deliberate evocation of anxiety-related body sensations via exercises such as hyperventilation spinning in a swivel chair or running in place By demonstrating that the experience of anxiety-related body sensations does not lead to physical catastrophes interoceptive exposure exercises help individuals learn not to fear their own anxiety symptoms Indeed this procedure is considered an essential ingredient in evidence-based psychological treatment of panic disorder
Despite the established therapeutic value of interoceptive exposure little is known about how to optimally deliver this procedure In the most clinically tested panic disorder treatment package individuals engage in three minute-long trials of interoceptive exposure exercises such as hyperventilation with each trial followed by the use of diaphragmatic breathing and a rest period until all anxiety-related body sensations have subsided However there are theoretical reasons to question the effectiveness of this method For example encouraging individuals to use controlled breathing to manage their sensations appears incompatible with the notion that anxiety-related body sensations are harmless Similarly the instruction to wait until ones body sensations have subsided to begin the next interoceptive exposure trial suggests that intense body sensations are to be avoided For these reasons many practitioners conduct interoceptive exposure in a more intensive manner in which individuals experience feared body sensations in a prolonged fashion without attempting to suppress or avoid them until they learn that the sensations are harmless Despite the theoretical appeal of this latter approach no studies have examined the effects of delivering interoceptive exposure in this manner Indeed very little is known about the effects of different methods of delivering interoceptive exposure on fear of arousal-related body sensations Accordingly the present study aims to test the effectiveness of different methods of delivering interoceptive exposure with the goal of generating recommendations for the optimal treatment of panic disorder and other clinical problems associated with the fear of anxiety-related body sensations
One treatment procedure used to accomplish this goal is interoceptive exposure or the deliberate evocation of anxiety-related body sensations via exercises such as hyperventilation spinning in a swivel chair or running in place By demonstrating that the experience of anxiety-related body sensations does not lead to physical catastrophes interoceptive exposure exercises help individuals learn not to fear their own anxiety symptoms Indeed this procedure is considered an essential ingredient in evidence-based psychological treatment of panic disorder
Despite the established therapeutic value of interoceptive exposure little is known about how to optimally deliver this procedure In the most clinically tested panic disorder treatment package individuals engage in three minute-long trials of interoceptive exposure exercises such as hyperventilation with each trial followed by the use of diaphragmatic breathing and a rest period until all anxiety-related body sensations have subsided However there are theoretical reasons to question the effectiveness of this method For example encouraging individuals to use controlled breathing to manage their sensations appears incompatible with the notion that anxiety-related body sensations are harmless Similarly the instruction to wait until ones body sensations have subsided to begin the next interoceptive exposure trial suggests that intense body sensations are to be avoided For these reasons many practitioners conduct interoceptive exposure in a more intensive manner in which individuals experience feared body sensations in a prolonged fashion without attempting to suppress or avoid them until they learn that the sensations are harmless Despite the theoretical appeal of this latter approach no studies have examined the effects of delivering interoceptive exposure in this manner Indeed very little is known about the effects of different methods of delivering interoceptive exposure on fear of arousal-related body sensations Accordingly the present study aims to test the effectiveness of different methods of delivering interoceptive exposure with the goal of generating recommendations for the optimal treatment of panic disorder and other clinical problems associated with the fear of anxiety-related body sensations
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None