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Reducing the Meta-Emotional Problem Decreases Physiological Fear Response during Exposure in Phobics

Couyoumdjian, Alessandro
Ottaviani, Cristina
Petrocchi, NicolaOrcid icon
Trincas, Roberta
Tenore, Katia
Buonanno, Carlo
Mancini, Francesco
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Abstract
Anxiety disorders may not only be characterized by specific symptomatology (e.g., tachycardia) in response to the fearful stimulus (primary problem or first-level emotion) but also by the tendency to negatively evaluate oneself for having those symptoms (secondary problem or negative meta-emotion). An exploratory study was conducted driven by the hypothesis that reducing the secondary or meta-emotional problem would also diminish the fear response to the phobic stimulus. Thirty-three phobic participants were exposed to the phobic target before and after undergoing a psychotherapeutic intervention addressed to reduce the meta-emotional problem or a control condition. The electrocardiogram was continuously recorded to derive heart rate (HR) and heart rate variability (HRV) and affect ratings were obtained. Addressing the meta-emotional problem had the effect of reducing the physiological but not the subjective symptoms of anxiety after phobic exposure. Preliminary findings support the role of the meta-emotional problem in the maintenance of response to the fearful stimulus (primary problem).
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Date
2016
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Publisher
Frontiers Media SA
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Keywords
Specific phobia, Meta-emotional problem, Double standard, Phobic stimuli, Heart rate variability, Autonomic nervous system, Self-criticism
Citation
Couyoumdjian, Alessandro, Cristina Ottaviani, Nicola Petrocchi, et al. “Reducing the Meta-Emotional Problem Decreases Physiological Fear Response during Exposure in Phobics.” Frontiers in Psychology 7: 1105. 2016.
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Attribution 4.0 International
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