City University, London, UK.
Travel Med Infect Dis. 2010 Nov;8(6):327-38. doi: 10.1016/j.tmaid.2010.10.001. Epub 2010 Nov 3.
Fear of flying, its nature, prevalence, etiology and treatment, has been the subject of a substantial quantity of research over the past 30 years. With the exception of a dated review of treatment methods however, there has been no evaluation of this expanding body of evidence, its contribution to theory and influence on clinical practice. Published research has also generally failed to apply developments in the understanding and treatment of anxiety disorders generally to fear of flying. This review provides a critical evaluation of the existing literature and what it reveals about theory and practice. It does this from the perspective of Cognitive Behavioural Therapy. The evidence reviewed demonstrates that fear of flying is a heterogeneous phenomenon which is acquired under the influence of complex psychological, social and physiological factors unique to each affected individual. Effective psychological interventions must therefore be founded on a comprehensive functional assessment of each individual, a finding which is considered in detail in the second part of this review.
在过去的 30 年中，飞行恐惧及其性质、普遍性、病因和治疗一直是大量研究的主题。然而，除了对治疗方法的过时回顾外，对这一不断扩大的证据体、它对理论的贡献以及对临床实践的影响，都没有进行评估。已发表的研究也普遍未能将焦虑障碍理解和治疗方面的进展应用于飞行恐惧。本综述对现有文献进行了批判性评估，揭示了其对理论和实践的影响。它从认知行为疗法的角度来进行。回顾的证据表明，飞行恐惧是一种异质现象，是在每个受影响个体特有的复杂心理、社会和生理因素的影响下获得的。因此，有效的心理干预必须建立在对每个人进行全面功能评估的基础上，这一发现在本综述的第二部分进行了详细考虑。
