A systematic review and meta‐analysis of treatments for acrophobia

  title={A systematic review and meta‐analysis of treatments for acrophobia},
  author={Bruce Arroll and Henry B Wallace and Vicki Mount and Stephen Humm and Douglas W Kingsford},
  journal={Medical Journal of Australia},
Objective: To review the literature on the comparative efficacy of psychological, behavioural and medical therapies for acrophobia (fear of heights). 
Efficacy and acceptability of different interventions for acrophobia: A network meta-analysis of randomised controlled trials.
VR coach-delivered psychotherapy could be considered as a first-line intervention for treating acrophobia, and the overall evidence was not sufficiently strong, which warrants future studies.
Height intolerance between physiological mechanisms and psychological distress: a review of literature and our experience
This study examines the physiological mechanisms underlying height intolerance and phobic-cognitive mechanisms leading to more severe clinical manifestations (i.e. acrophobia), and its own experience in treating patients with height intolerance is included.
Acrophobia and visual height intolerance: advances in epidemiology and mechanisms
A differentiation should be made between behavioral recommendations for prevention and therapy of the condition and management of severely afflicted persons with distressing avoidance behavior, which mainly relies on behavioral therapy.
A Decade in Review: A Systematic Review of Virtual Reality Interventions for Emotional Disorders
Research is increasingly demonstrating the therapeutic benefits of virtual reality interventions for various mental health conditions, though these rarely translate from research to application in
Acrophobia treatment with virtual reality assisted acceptance and commitment therapy: case reports
Exposure has an essential place in the treatment of acrophobia and technology may increase the success of exposure therapies in many ways. We predicted that the integration of acceptance and
Virtual Reality as an Alternative Therapy for Acrophobics
The paper presents our research progress in the development of virtual reality as an alternative therapy for acrophobics. The grand purpose of our research is to combine technology and psychology
Cognitive Behavioral Therapy, Mindfulness-Based Cognitive Therapy and Acceptance Commitment Therapy for Anxiety Disorders: Integrating Traditional with Digital Treatment Approaches.
This chapter provides an overview on the theory and evidence base for different delivery modes of CBT-related interventions for specific phobia, panic disorder, agoraphobia, social anxiety disorder, and generalized anxiety disorder in adults.
Large-Group One-Session Treatment: Feasibility in Highly Height Fearful Individuals and Predictors of Outcome
Exposure based large-group one-session LG-OSTs are feasible, effective and very efficient compared to individual face-to-face settings and represent very promising treatment alternatives for situational fears including fear of heights.
Specific phobias.
The literature regarding the prevalence, incidence, course, risk factors, and treatment of specific phobias is discussed, epidemiological data from several population-based surveys are presented, and exposure therapy remains the treatment of choice.
Effectiveness of Self-guided App-Based Virtual Reality Cognitive Behavior Therapy for Acrophobia: A Randomized Clinical Trial.
This study is the first to show that virtual reality acrophobia treatment can be done at home without the intervention of a therapist and a low-cost fully self-guided app-based virtual reality cognitive behavioral therapy with rudimentary virtual reality goggles can produce large acrophobic symptom reductions.


A comparison of negative practice and systematic desensitization in the treatment of acrophobia.
It was concluded that symptom scheduling can be an effective treatment for acrophobia, and that these results are likely to generalize to clinical populations.
CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials
The 2010 version of the CONSORT Statement is described, which updates the previous reporting guideline based on new methodological evidence and accumulated experience.
Visual height intolerance and acrophobia: clinical characteristics and comorbidity patterns
Abstract The purpose of this study was to estimate the general population lifetime and point prevalence of visual height intolerance and acrophobia, to define their clinical characteristics, and to
An investigation of various performance-based treatments with acrophobics.
Exposure per se whether therapist or self-controlled is shown to be effective in reducing avoidance behavior, and the need for induction aids, such as physical contact with the therapist and modeling, is questioned.
The epidemiology of fears and phobias in general practice.
  • L. E. Burns
  • Medicine
    The Journal of international medical research
  • 1980
The preliminary findings of an extensive study into the epidemiology of fears and phobias in 14 general practitioner populations are reported, finding that there is some evidence of nervous disorder in the family but there is no evidence to show that the subjects had an excess of emotional disturbance during childhood.
Psychological approaches in the treatment of specific phobias: a meta-analysis.
Findings provide the first quantitative summary evidence supporting the superiority of exposure-based treatments over alternative treatment approaches for those presenting with specific phobia.
Are all psychotherapies equally effective in the treatment of adult depression? The lack of statistical power of comparative outcome studies
  • P. Cuijpers
  • Medicine, Psychology
    Evidence-Based Mental Health
  • 2016
It is concluded that individual trials are heavily underpowered and do not even come close to having sufficient power for detecting clinically relevant effect sizes.
The nature and prevalence of psychological problems in New Zealand primary healthcare: a report on Mental Health and General Practice Investigation (MaGPIe).
The methods used in a study of the prevalence and types of common mental disorders among patients attending New Zealand general practices found mental health problems are very common among general practice attenders, and comorbidity was high.
Cognitive enhancers as adjuncts to psychotherapy: use of D-cycloserine in phobic individuals to facilitate extinction of fear.
These pilot data provide initial support for the use of acute dosing of DCS as an adjunct to exposure-based psychotherapy to accelerate the associative learning processes that contribute to correcting psychopathology.
Do Self-Statements Enhance the Effectiveness of Virtual Reality Exposure Therapy? A Comparative Evaluation in Acrophobia
Results showed that VRET, regardless of addition of coping self-statements, decreased anxiety of heights, decreased avoidance of height situations, and improved attitudes towards heights, however, at 6-month follow-up, most gains during treatment were not fully retained.