Cognitive Coping as a Mechanism of Change in Cognitive‐Behavioral Therapy for Fear of Flying: A Longitudinal Study With 3‐Year Follow‐Up
Journal of Clinical Psychology
Published online on December 16, 2016
Abstract
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.