Anxiety Disorders Treatment Unit and Schizophrenia Program, Institute of Psychiatry, Universidade de São Paulo, São Paulo, SP, Brazil.
Braz J Psychiatry. 2009 Sep;31(3):257-60. doi: 10.1590/s1516-44462009005000002. Epub 2009 Aug 7.
A phobic behavior pattern is learned by classical and operant conditioning mechanisms. The present article reviews the main determinants of choking phobia etiology and describes the behavior therapy of an adult patient.
Psychoeducation, functional analysis, and graded exposure to aversive stimuli were used to treat the patient, after extensive psychiatric and psychological assessment. Ingesta and anxiety levels were measured along treatment and at follow-up.
A multiple assessment baseline design was used to demonstrate the complete remission of symptoms after seven sessions, each of them exposing the patient to a different group of foods.
Psychoeducation and exposure were critical components of a successful choking phobia treatment.
恐惧症行为模式是通过经典条件作用和操作性条件作用机制习得的。本文回顾了导致恐噎症的主要决定因素，并描述了对一名成年患者的行为治疗。
在广泛的精神科和心理评估后，通过心理教育、功能分析和逐步暴露于厌恶刺激，对患者进行治疗。在治疗过程中和随访中测量摄食量和焦虑水平。
采用多项评估基础线设计，在七次治疗过程中，每次都让患者接触不同的食物组，以证明症状完全缓解。
心理教育和暴露是成功治疗恐噎症的关键组成部分。
