Journal of applied research in intellectual disabilities : JARID · 2012
An evaluation of multi-component exposure treatment of needle phobia in an adult with autism and intellectual disability.
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Wolff Jason J, Symons Frank J
Аннотация
BACKGROUND: Fear of medical procedures in general and needles in particular can be a difficult clinical challenge to providing effective health care for individuals with intellectual and developmental disabilities.
METHODS: A changing criterion design was used to examine graduated exposure treatment for blood-injury-injection phobia in an adult male with autism and intellectual disability and a history of medical noncompliance. The additional contributions of differential reinforcement and a safety signal were also evaluated during treatment.
RESULTS: Compliance with needle-to-skin contact was achieved by the final criterion phase, and the behavior was maintained on follow-up. Differential reinforcement and a safety signal added to the quality of treatment but were successfully faded as treatment progressed.
CONCLUSIONS: An exposure approach was effective in reducing phobic behavior and may be flexible enough to accommodate component changes and leaner reinforcement schedules applicable to real-world settings.
METHODS: A changing criterion design was used to examine graduated exposure treatment for blood-injury-injection phobia in an adult male with autism and intellectual disability and a history of medical noncompliance. The additional contributions of differential reinforcement and a safety signal were also evaluated during treatment.
RESULTS: Compliance with needle-to-skin contact was achieved by the final criterion phase, and the behavior was maintained on follow-up. Differential reinforcement and a safety signal added to the quality of treatment but were successfully faded as treatment progressed.
CONCLUSIONS: An exposure approach was effective in reducing phobic behavior and may be flexible enough to accommodate component changes and leaner reinforcement schedules applicable to real-world settings.