Psychological Intervention in Civilian Flying Phobia

Thirty-eight people with a moderate to severe degree of aerophobia self-referred themselves to a course designed to help them travel by air. The course involved three long sessions based on giving information, graded exposure without avoidance, and group support with natural coping models. Measures of self-reported anxiety levels were taken at regular intervals. The results showed that being given information or undergoing a simulated flight had little effect on perceived anxiety. Prolonged exposure to flying had a marked effect on reducing anxiety and anticipated apprehension about future flying. At one-year and three-year follow-up, 40% and 60% of participants had flown commercially, although there was some minor restoration of anticipated anxiety associated with flying; 84% showed less anxiety about flying. Psychological intervention, in collaboration with airlines, may have marked benefits in reducing fear of flying.

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A psychological intervention for family carers of people with dementia is clinically and cost effective at reducing carer depression and anxiety levels over 2 years of follow-up

Evidence-Based Nursing ◽

10.1136/eb-2015-102057 ◽

2015 ◽

Vol 18 (4) ◽

pp. 128-128

Author(s):

Orii McDermott

Keyword(s):

Psychological Intervention ◽

Cost Effective ◽

Depression And Anxiety ◽

Family Carers ◽

People With Dementia ◽

Anxiety Levels

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A study of severe domestic squalor: 173 cases referred to an old age psychiatry service

International Psychogeriatrics ◽

10.1017/s1041610210000906 ◽

2010 ◽

Vol 23 (2) ◽

pp. 308-314 ◽

Cited By ~ 24

Author(s):

John Snowdon ◽

Graeme Halliday

Keyword(s):

Old Age ◽

Referral Rate ◽

Term Care ◽

Old Age Psychiatry ◽

One Year ◽

Severe Degree ◽

Made In ◽

At Home

ABSTRACTBackground: Although community psychiatric services commonly encounter cases where intervention is needed due to persons’ unclean or cluttered living conditions, evidence concerning the referral rate and prevalence of severe domestic squalor is sparse.Methods: Between 2000 and 2009, ratings of cleanliness and clutter have been made in all cases of people living in squalor who have been referred to an old age psychiatry service in Central Sydney. Where possible, one-year follow-up was arranged.Results: 173 persons aged 65 years or more were referred to the service during the ten years and assessed as living in squalor (120 moderate or severe, two thirds of whom showed a moderate or severe degree of hoarding/clutter). Of 157 followed up after one year, 47% were still at home, 32% were in long-term care homes, 12% had moved elsewhere, and 9% had died. The annual new referral rate was close to 1 per 1000 elderly people in the catchment area, and of moderate or severe squalor was 0.66 per 1000. Limiting follow-up to those in moderate or severe squalor, 41% were still at home one year later. Current findings suggest that the minimum prevalence in the community of older people living in moderate or severe squalor in Sydney is 1 per 1000.Conclusions: The costs of intervening in cases of severe domestic squalor are considerable. Increased attention and funding are warranted, as the incidence and prevalence are higher than had previously been estimated.

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