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A 6-Year Follow-up of the Effectiveness of Respiratory Retraining, In-situ Isometric Relaxation, and Cognitive Modification in the Treatment of Agoraphobia

Macquarie University

A multiple baseline design across behaviors was used with 8 agoraphobics to evaluate respiratory retraining (RR), in-situ isometric relaxation (I IR), cognitive modification (CM), and a placebo treatment, imaginal rehearsal (IR). As hypothesized, RR significantly reduced psychophysiological accomplements of panic, I IR reduced anxiety, and CM reduced cognitive distress. The placebo treatment IR had a moderate but transitory effect. RR was the most effective component, and also reduced panic frequency, catastrophic cognitions. anticipatory anxiety, and behavioral avoidance. I IR also reduced panic frequency. The combined treatment components produced dramatic reductions in situational avoidance and anxiety, free-floating anxiety, panic frequency, and SCL-90R scores. All behavioral measures improved, as did work adjustment and marital satisfaction. These gains were maintained over the 6-year follow-up; however, 7 partial but temporary relapses occurred. The implications of these relapses for both theory and treatment are discussed, together with the role of exposure and anxiety management.

Behavior Modification, Vol. 13, No. 2, 139-167 (1989)
DOI: 10.1177/01454455890132001


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