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Cognitive Coping as a Mechanism of Change in Cognitive‐Behavioral Therapy for Fear of Flying: A Longitudinal Study With 3‐Year Follow‐Up
Author(s) -
Busscher Bert,
Spinhoven Philip
Publication year - 2017
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22424
Subject(s) - coping (psychology) , cognition , psychology , anxiety , cognitive restructuring , clinical psychology , cognitive therapy , cognitive behavioral therapy , psychiatry
Objective To examine the predictive value of cognitive coping strategies at pretreatment and the value of changes in these strategies during cognitive‐behavioral treatment for aviophobia for long‐term therapy results. Method Data from baseline, after therapy at 2 months, short‐term follow‐up at 5 months, and long‐term follow‐up at 41 months were analyzed (N = 59). Results Participants were in a long‐term process of change, which continued positively after therapy for maladaptive cognitive coping strategies. The use of cognitive coping strategies at baseline was not predictive of long‐term outcome. However, a greater increase in the use of adaptive coping strategies, and more importantly, a greater decrease in the use of maladaptive coping strategies were predictive of improvements indicated in self‐report of flight anxiety and actual flight behavior at long‐term follow‐up. Conclusion Improvement of maladaptive cognitive coping strategies is possibly a key mechanism of change in cognitive‐behavioral therapy for aviophobia.