In phobic anxiety disorder, psychosocial factors are important in triggering or mitigating relapses which warrant the implementation of psychotherapeutic intervention. The present study assessed the impact of psycho education and vivo exposure. The sample was divided into two groups: pharmacotherapy (n=16), and Pharmaco-therapy, psychoeducation and vivo exposure (n=16). The intervention included the caregivers for psycho- education with vivo exposure of phobic anxiety patients. Patients attended a program with their carer three days in a week for two to three months and later on once in a month. Phobic anxiety disorder was assessed (before, after following I and II) by using. Fear questionnaire (FQ), and Brief Fear of Negative Evaluation Scale (Brief –FNE). The report of family member was also used to assess the patient’s ability to stay out of the problem at home, the frequency and depth of social relationships, dysfunction in work, the presence of symptoms, and the ability to participate in leisure activities with out specific phobic symptoms. The scores on the FQ and the Brief-FNE were significant between baseline and 5 months (after), between 5 (after) and 10 months (follow-up1), and between 5 (after) and 15 months (follow-up2). Statistical tests indicated a substantial and significant increase in the level of functioning from baseline to 15 months for the latter group. Thus both the groups with phobic anxiety disorder benefited by pharmacotherapy and combined Pharmacotherapy and Psychoeducation with Vivo Exposure (PPVE). The combined method of intervention was significantly more effective in bringing about change in the specific phobias and fear of negative evaluation at follow ups. The carer-givers also found fewer burdens as the phobic anxiety patients coped up with their problems effectively.
Journal of Indian Health Psychology Vol. 4, No. 1, September, 2009