Negative beliefs of spider phobics: A psychometric evaluation of the spider phobia beliefs questionnaire

Arnoud Arntz , Edith Lavy , Germie van den Berg , Stella van Rijsoort
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引用次数: 185

Abstract

Beliefs held by spider phobics about a confrontation with a spider are investigated. Study 1 explores the content of thoughts and images which spider phobics (N = 44) report to have during a confrontation with a spider and investigates the frequency and strength of the subjective belief in the idea. Spider phobics appear to have an abundance of negative, irrational ideas about the spider and about their own reactions during a confrontation with a spider. A one-session therapistassisted exposure therapy strongly attenuates these beliefs. Study 2 investigates the psychometric properties of the Spider Phobia Beliefs Questionnaire (SBQ), which measures the strength of belief of a large number of ideas derived from Study 1, in a second sample of spider phobics (N = 112). Factor analysis revealed 5 spider-related factors: harm, hunter and prey, unpredictability, territory, and multiplication; and 4 self-related factors: panic, paralysis, incubation, and unrestrained behavior. These factors have good internal consistency and reasonable test-retest reliability. The SBQ discriminates strongly between spider phobics and normals (N = 33) and has good concurrent validity as indicated by positive associations with other indices of spider phobia. It appears that spider phobics have a lot of misconceptions about spiders, e.g., that spiders attack them, take revenge, or are incalculable and about their own reactions about a confrontation with a spider, e.g., they expect to have a heart attack, to die of fear, or to exacerbate their fear. Most self-related ideas resemble those held by panic patients. Both spider-related and self-related ideas can be corrected by a one-session treatment.

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蜘蛛恐惧症的负面信念:对蜘蛛恐惧症信念问卷的心理测量评估
蜘蛛恐惧症患者对与蜘蛛对抗的信念进行了调查。研究1探讨了蜘蛛恐惧症患者(N = 44)在与蜘蛛对抗时所报告的思想和图像的内容,并调查了对这一想法的主观信念的频率和强度。蜘蛛恐惧症患者似乎对蜘蛛和自己在与蜘蛛对抗时的反应有很多负面的、非理性的想法。一个疗程的治疗师辅助暴露疗法强烈削弱了这些信念。研究2调查了蜘蛛恐惧症信念问卷(SBQ)的心理测量特性,该问卷测量了来自研究1的大量想法在第二个蜘蛛恐惧症样本(N = 112)中的信念强度。因子分析揭示了5个与蜘蛛相关的因素:伤害、猎人和猎物、不可预测性、领土和繁殖;4个自我相关因素:恐慌、麻痹、潜伏和无节制行为。这些因素具有良好的内部一致性和合理的重测信度。SBQ在蜘蛛恐惧症和正常人之间有很强的区别(N = 33),并且与蜘蛛恐惧症的其他指标有良好的并发效度。似乎蜘蛛恐惧症患者对蜘蛛有很多误解,例如,蜘蛛攻击他们,报复他们,或者是不可估量的,以及他们自己对与蜘蛛对抗的反应,例如,他们期望心脏病发作,死于恐惧,或者加剧他们的恐惧。大多数与自我相关的想法与恐慌患者的想法相似。蜘蛛相关和自我相关的想法都可以通过一次治疗来纠正。
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