Reducing avoidance in adults with high spider fear using perceptual discrimination training

Depress Anxiety. 2019 Sep;36(9):859-865. doi: 10.1002/da.22930. Epub 2019 Jun 24.

Abstract

Background: Fear overgeneralization is a central feature of anxiety disorders and can lead to excessive avoidance. As perceptual discrimination is a key component of fear overgeneralization, a perceptual discrimination training task was created aimed at improving perceptual discrimination and reducing fear overgeneralization.

Methods: Participants with high spider fear were randomized into training or placebo conditions. After completing their assigned task, perceptual discrimination was tested. Thereafter, participants completed a behavioral avoidance test, consisting of five stimuli ranging from a paper spider to a live tarantula. Last, participants completed a threat/safety discrimination task using schematic morphs ranging from a flower to a spider, while self-report and skin conductance responses were collected.

Results: The training group showed better perceptual discrimination during the test than did the placebo group. Furthermore, as stimuli became increasingly similar to a live spider, participants in the training group exhibited decreased avoidance behavior. Finally, participants in the training group indicated that schematic morphs were less similar to a spider and showed less physiological arousal than did the placebo group.

Conclusions: Together, these results attest to the possible clinical relevance of the perceptual discrimination training.

Keywords: discrimination learning; fear; generalization; perception.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Avoidance Learning*
  • Fear / psychology*
  • Female
  • Humans
  • Male
  • Phobic Disorders / prevention & control*
  • Phobic Disorders / psychology
  • Phobic Disorders / therapy*
  • Spiders*
  • Young Adult