The facilitative effects of heart-rate feedback in the emotional processing of claustrophobic fear.

This study examines predictions derived from Foa and Kozak's theory of emotional processing. We hypothesized that the provision of heart-rate feedback would facilitate emotional processing through a fuller activation of the participant's fear structure, and by focusing participants' attention on information that is incompatible with the fear structure, i.e., the interoceptive pattern of habituation. Nonclinical students (N = 54) showing marked claustrophobic fear received 30 min of self-directed exposure to a claustrophobic chamber. Three exposure conditions (heart-rate feedback, paced-tone control, and exposure only control) were examined across six 5-min exposure trials. Participants receiving heart-rate feedback displayed greater between-trial habituation across treatment trials and lower levels of fear at post-treatment. Treatment process findings failed to support the fear activation hypothesis. Implications of the findings for theories of fear reduction are discussed.

Claustrophobic fear behavior: a test of the expectancy model of fear.

The present study examined Reiss and McNally's expectancy model in the prediction of claustrophobic fear, measured across three domains. Non-clinical subjects (N = 117) reporting claustrophobic concerns were administered a behavioral approach test to a claustrophobic chamber. Consistent with the expectancy model, danger expectancy, anxiety expectancy and the interaction of anxiety sensitivity and anxiety expectancy accounted for unique portions of behavioral performance, with other variables partialled out. The expectancy model variable set, however, did not meaningfully relate to subjective fear or heart-rate reactivity. The formulation of anxiety sensitivity as a measure of the salience of anxiety is discussed. These findings lend support to the theory as a model for the behavioral dimension of pathological fear, but not the subjective or physiological facets.