Believing is seeing: Changes in visual perception following treatment for height fear

J Behav Ther Exp Psychiatry. 2019 Mar:62:1-6. doi: 10.1016/j.jbtep.2018.08.001. Epub 2018 Aug 3.

Abstract

Background and objectives: People who are afraid of heights may have a perceptual bias, such that they see heights as higher than they truly are. The current study tested if there is a causal relationship between treatments for height fear and changes in perceptual bias.

Methods: Specifically, the effects on perceptual bias following three height fear interventions (exposure, cognitive bias modification for interpretations, and a combination of exposure and cognitive bias modification) and a control condition were examined in individuals with an extreme fear of heights (N = 107).

Results: Results provided preliminary evidence that some height fear interventions reduce perceptual bias. Specifically, participants that completed exposure had a significant decrease in perceptual bias, and participants in the cognitive bias modification and combination conditions had decreases in perceptual bias at the level of non-significant trends, while no reduction occurred for the control condition.

Limitations: Limitations of this study include that the hypothesis was largely informed by data from a parent study and that the effect sizes were small; thus, replicating these results is warranted.

Conclusions: These findings suggest that there may be a causal relationship between height fear treatments and altered perception of heights.

Keywords: Acrophobia; Cognitive bias modification; Exposure; Height fear; Perceptual bias.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Altitude
  • Cognitive Behavioral Therapy / methods*
  • Female
  • Humans
  • Implosive Therapy / methods*
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care
  • Phobic Disorders / physiopathology*
  • Phobic Disorders / therapy*
  • Space Perception / physiology*
  • Visual Perception / physiology*
  • Young Adult

Supplementary concepts

  • Phobia, Specific