Skip to main content

Arachnophobia and Fear of Other Insects: Efficacy and Lessons Learned from Treatment Process

Part of the Series in Anxiety and Related Disorders book series (SARD)

Abstract

The pathological fear of animals, spiders, bugs, mice, cats, or snakes, among others, can be severe enough to be considered a specific phobia according to the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) and the International Classification of Diseases 10 (ICD-10) classifications. It falls under the animal subtype in both classifications. Using data from the Epidemiological Catchment Area Survey, Bourdon et al. revealed that the lifetime prevalence of specific phobias of spiders, bugs, mice, and snakes is about 7 % among women and 2 % among men. Using more reliable estimates from the National Comorbidity Survey, Curtis et al. found a lifetime prevalence rate of animal phobia of 5.7 % and the lifetime of non-pathological fears of animals to be around 25.8 %. Fredrickson et al. reported the point prevalence rate (actual rates of prevalence at the time of assessment) of specific phobias to be 5.5 % for snake phobia and 3.5 % for spider phobia. More recently, a large epidemiological study conducted in the USA reported a prevalence rate of 4.7 % for animal subtype-specific phobia in the general population. Since the large majority of studies using virtual reality (VR) have been conducted on the specific phobia of spiders, the theoretical context of this chapter will focus mostly on arachnophobia. However, VR studies on animal phobia in general will be described here.

Keywords

  • Fear of spiders
  • Arachnophobia
  • Animal phobia
  • Children
  • Tactile augmentation
  • Sleep

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-1-4899-8023-6_5
  • Chapter length: 27 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   54.99
Price excludes VAT (USA)
  • ISBN: 978-1-4899-8023-6
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   69.99
Price excludes VAT (USA)
Hardcover Book
USD   99.99
Price excludes VAT (USA)
Fig. 5.1
Fig. 5.2
Fig. 5.3
Fig. 5.4
Fig. 5.5
Fig. 5.6
Fig. 5.7
Fig. 5.8
Fig. 5.9
Fig. 5.10
Fig. 5.11

Notes

  1. 1.

    This form of computer-assisted exposure is not described in the section on in virtuo exposure because: (a) the authors themselves do not claim that their treatment is a form of VR, (b) the depth of the real-time interactivity is limited, (c) the user consciously remains in the physical office of the therapist, controlling the actions of someone else in the synthetic environment, (d) the immersion properties of the system are significantly weaker than what is found in VR, and (e) the acronym CAVE refers here to “computer-aided vicarious exposure” and not to the C-Automated Virtual Environment.

  2. 2.

    See the end-user license agreement of each software program for details.

References

  • Abramowitz, J. S. (2013). The practice of exposure therapy: Relevance of cognitive-behavioral theory and extinction theory. Behavior Therapy, 44, 548–558.

    CrossRef  PubMed  Google Scholar 

  • Abramowitz, J. S., Deacon, B. J., & Whiteside, S. P. H. (2011). Exposure therapy for anxiety. Principles and practice. New York: Guilford.

    Google Scholar 

  • American Psychiatric Association: APA. (2000). Diagnostic and statistical manual of mental disorders fourth edition text revision. Washington: American Psychiatric Association.

    CrossRef  Google Scholar 

  • Bandura, A. (1986). Social foundations of thoughts and action: A social cognitive theory. Englewoods Cliffs: Prentice Hall.

    Google Scholar 

  • Baus, O., Bouchard, S., Gougeon, V., & Roucaut, F.-X. (2011). Comparison of anxiety in response to virtual spiders while immersed in augmented reality, head-mounted display, or CAVE-like system. Journal of Cybertherapy and Rehabilitation, 4(2), 171–174.

    Google Scholar 

  • Botella, C. M., Juan, M. C., Baños, R. M., Alcañiz, M., Guillén, V., & Rey, B. (2005). Mixing realities? An application of augmented reality for the treatment of cockroach phobia. Cyber Psychology & Behavior, 8(2), 162–171.

    CrossRef  Google Scholar 

  • Botella, C., Breton-López, J., Quero, S., Baños, R. M., García-Palacios, A., Zaragoza, I., & Alcaniz, M. (2011). Treating cockroach phobia using a serious game on a mobile phone and augmented reality exposure: A single case study. Computers in Human Behavior, 27, 217–217.

    CrossRef  Google Scholar 

  • Bouchard, S. (2011). Could virtual reality be effective in treating children with phobias? Expert Review of Neurotherapeutics, 11(2), 207–213.

    CrossRef  PubMed  Google Scholar 

  • Bouchard, S., Côté, S., Robillard, G., St-Jacques, J., & Renaud, P. (2006). Effectiveness of virtual reality exposure in the treatment of arachnophobia using 3D games. Technology and Health Care, 14(1), 19–27.

    PubMed  Google Scholar 

  • Bouchard, S., St-Jacques, J., Robillard, G., & Renaud, P. (2007). Efficacité d’un traitement d’exposition en réalité virtuelle pour le traitement de l’arachnophobie chez l’enfant: Une étude pilote. Journal de Thérapie Comportementale et Cognitive, 17(3),101–108.

    CrossRef  Google Scholar 

  • Bouchard, S., St-Jacques, J., Renaud, P., & Wiederhold, B. K. (2009). Side effects of immersions in virtual reality for people suffering from anxiety disorders. Journal of Cybertherapy and Rehabilitation, 2(2), 127–137.

    Google Scholar 

  • Bouchard, S., Robillard, G., Renaud, P., & Bernier, F. (2011). Exploring new dimensions in the assessment of virtual reality induced side-effects. Journal of Computer and Information Technology, 1(3), 20–32.

    Google Scholar 

  • Bouchard, S., Robillard, G., Larouche, S., & Loranger, C. (2012). Description of a treatment manual for in virtuo exposure with specific phobia. In C. Eichenberg (ed.), Virtual reality in psychological, medical and pedagogical applications (ch. 4, pp. 82–108). Rijeka: InTech.

    Google Scholar 

  • Bourdon, K. H., Boyd, J. H., Rae, D. S., & Burns, B. J. (1988). Gender differences in phobias: Results of a ECA community survey. Journal of Anxiety Disorders, 2, 227–241.

    CrossRef  Google Scholar 

  • Bouton, M. E. (2007). Learning and behaviour: A contemporary synthesis. Sunderland: Sinauer.

    Google Scholar 

  • Carlin, A. S., Hoffman, H. G., & Weghorst, S. (1997). Virtual reality and tactile augmentation in the treatment of spider phobia: A case report. Behaviour Research & Therapy, 35(2), 153–158.

    CrossRef  Google Scholar 

  • Côté, S., & Bouchard, S. (2005). Documenting the efficacy of virtual reality exposure with psychophysiological and information processing measures. Applied Psychophysiology and Biofeedback, 30(3), 217–232.

    CrossRef  PubMed  Google Scholar 

  • Côté, S., & Bouchard, S. (2009). Cognitive mechanisms underlying virtual reality exposure. Cyberpsychology & Behavior, 12(2), 121–129.

    CrossRef  Google Scholar 

  • Craske, M. G., & Mystkowski, J. L. (2006). Exposure therapy and extinction: clinical studies. In D. H. M. G. Craske & D. Vansteenwegen (Eds.), Fear and learning: Basic science to clnical application (pp. 217–234). Washington: American Psychological Assoication.

    Google Scholar 

  • Curtis, G.C., Magee, W.J., Eaton, W.W., Wittchen, H.-U., & Kessler, R.C. (1998). Specific fears and phobias: Epidemiology and classification. British Journal of Psychiatry, 173, 212.

    CrossRef  PubMed  Google Scholar 

  • de Quervain, D.F.G., Bentz, D., Michael, T., Bolt, O., Wiederhold, B.K., Margraf, J., & Wilhelm, F.H. (2011). Glucocorticoids enhance extinction-based psychotherapy. Proceedings of the National Academy of Science U S A, 108, 6621–6625.

    CrossRef  Google Scholar 

  • Dewis, L. M., Kirkby, K. C., Martin, F., Daniels, B. A., Gilroy, L. J., & Menzies, R. G. (2001). Computer-aided vicarious exposure versus live graded exposure for spider phobia in children. Journal of Behavior Therapy, 32, 17.

    Google Scholar 

  • Edwards, S., & Salkovskis, P. M. (2006). An experimental demonstration that fear, but not disgust, is associated with return of fear in phobias. Anxiety Disorders, 20, 58–71.

    CrossRef  Google Scholar 

  • Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.

    CrossRef  PubMed  Google Scholar 

  • Fredrickson, M., Annas, P., Fischer, H., & Wik, G. (1996). Gender and age differences in the prevalence of specific fears and phobias. Behaviour Research & Therapy, 26, 241–244.

    Google Scholar 

  • Garcia-Palacios, A., Hoffman, H., See, S. K., Tsai, A., & Botella, C. (2001). Redefining therapeutic success with virtual reality exposure therapy. Cyber Psychology and Behavior, 4(3), 341–348.

    CrossRef  Google Scholar 

  • Garcia-Palacios, A., Hoffman, H., Carlin, A., Furness III, T. A., & Botella, C. (2002). Virtual reality in the treatment of spider phobia: A controlled study. Behaviour Research and Therapy, 40, 983.

    CrossRef  PubMed  Google Scholar 

  • Gilroy, L. J., Kirby, K. C., Daniels, B. A., Menzies, R. G., & Montgomery, I. M. (2000). Controlled comparison of computer-aided vicarious exposure versus live exposure in the treatment of spider phobia. Behavior Therapy, 31(4), 733–744.

    CrossRef  Google Scholar 

  • Gilroy, L. J., Kirkby, K. C., Daniels, B. A., Menzies, R. G., & Montgomery, I. M. (2003). Long-term follow-up of computer-aided vicarious exposure versus live graded exposure in the treatment of spider phobia. Behavior Therapy, 34, 65.

    CrossRef  Google Scholar 

  • Götestam, K.G. (2002). One session group treatment of spider phobia by direct or modelled exposure. Cognitive Behaviour Therapy, 31(1), 18–24.

    CrossRef  Google Scholar 

  • Haynes, S. N., & O’Brien, W.H. (2000). Principles and practice of behavioral assessment. New York: Kluwer.

    CrossRef  Google Scholar 

  • Heading, K., Kirkby, K. C., Martin, F., Daniels, B. A., Gilroy, L. J., & Menzies, R. G. (2001). Controlled comparison of single-session treatments for spider phobia: Live graded exposure alone versus computer-aided vicarious exposure. Behaviour Change, 18, 103–113.

    CrossRef  Google Scholar 

  • Hellström, K., & Öst, L.-G. (1995). One-session therapist directed exposure vs two forms of manual directed self-exposure in the treatment of spider phobia. Behaviour Research and Therapy, 33(8), 959–965.

    CrossRef  PubMed  Google Scholar 

  • Hoffman, H. (1998). VR: A new tool for interdisciplinary psychology research Cyber Psychology and Behavior, 1(2), 195–200.

    CrossRef  Google Scholar 

  • Hoffman, H., Garcia-Palacios, A., Carlin, A., Furness III, T. A., & Botella, C. (2003). Interfaces that heal: Coupling real and virtual objects to treat spider phobia. International Journal of Human-Computer Interaction, 16(2), 283–300.

    CrossRef  Google Scholar 

  • Johnstone, K. A., & Page, A. C. (2004). Attention to phobic stimuli during exposure: The effect of distraction on anxiety reduction, self-efficacy and perceived control. Behaviour Research and Therapy, 42, 249.

    CrossRef  PubMed  Google Scholar 

  • Kleim, B., Wilhelm, F. H., Temp, L., Margraf, J., Wiederhold, B. K., & Rasch, B. (2013). Sleep enhances exposure therapy. Psychological Medicine, 10, 1–9.

    Google Scholar 

  • Larson, C. L., Schaefer, H. S., Siegle, G. J., Jackson, C. A. B., & Anderle, M. J. (2006). Fear is fast in phobic individuals: Amygdala activation in response to fear-relevant stimuli. Biological Psychiatry, 60, 410.

    CrossRef  PubMed  Google Scholar 

  • Marshall, W. L., Gauthier, J., Christie, M. M., Currie, D. W., & Gordon, A. (1977). Flooding therapy: Effectiveness, stimulus characteristics, and the value of brief in vivo exposure. Behaviour Research and Therapy, 15(1), 79–87.

    CrossRef  PubMed  Google Scholar 

  • McNally, R. J. (2002). On nonassociative fear emergence. Behaviour Research and Therapy, 40, 169.

    CrossRef  PubMed  Google Scholar 

  • Meyerbroeker, K., & Emmelkamp, P. M. G. (2010). Virtual reality exposure therapy in anxiety disorders: A systematic review of process-and-outcome studies. Depression and Anxiety, 27, 933–944.

    CrossRef  Google Scholar 

  • Michaliszyn, D., Marchand, A., Martel, M.-O., Gaucher, M. (2006). Predicting treatment outcome for arachnophobia’s virtual reality therapy through measures of fear. Poster presented at the 11th annual cyber therapy conference 2006, Gatineau, June 13–15.

    Google Scholar 

  • Michaliszyn, D. R., Marchand, A., Bouchard, S., Martel, M.-O., & Poirier-Bisson, J. (2010). A randomized control trial of in virtuto and in vivo exposure for spider phobia. Cyber Psychology, Behavior and Social Networking, 13(6), 689–695.

    CrossRef  Google Scholar 

  • Mineka, S., & Thomas, C. (1999). Mechanisms of change in exposure therapy for anxiety disorders. In T. Dagleish & M. Powers (Eds.), Handbook of cognition et emotion (pp. 747–764). New York: Wiley.

    Google Scholar 

  • Mineka, S., Mystkowski, J. L., Hladek, D., & Rodriguez, B. I. (1999). The effects of changing contexts on return of fear following exposure therapy for spider fear. Journal of Consulting and Clinical Psychology, 67(4), 599–604.

    CrossRef  PubMed  Google Scholar 

  • Mühlberger, A., Sperber, M., Wieser, M. J., & Pauli, P. (2008). A virtual reality behavior avoidance test (VR-BAT) for the assessment of spider phobia. Journal of Cyber Therapy & Rehabilitation, 1(2), 147–158.

    Google Scholar 

  • Mulkens, S. A. N., de Jong, P. J., & Merckelbach, H. (1996). Disgust and spider phobia. Journal of Abnormal Psychology, 105, 464–468.

    CrossRef  PubMed  Google Scholar 

  • Mohlman, J., & Zinbarg, R. E. (2000). What kind of attention is necessary for fear reduction? An empirical test of the emotional processing model. Behavior Therapy, 31, 113–133.

    CrossRef  Google Scholar 

  • Murris, P., & Merkelbach, H. (1996). A comparison of two spider fear questionnaires. Journal of Behavioural Therapy and Experimental Psychiatry, 27 (3), 241–244.

    CrossRef  Google Scholar 

  • Mystkowski, J., Craske, M. G., & Echiverri, A. M. (2002). Treatment context and return of fear in spider phobia. Behavior Therapy, 33, 399.

    CrossRef  Google Scholar 

  • Mystkowski, J. L., Mineka, S., Vernon, L. L., & Zinbarg, R. E. (2003). Changes in caffeine states enhance return of fear in spider phobia. Journal of Consulting and Clinical Psychology, 71(2), 243–250.

    CrossRef  PubMed  Google Scholar 

  • Mystkowski, J. L., Craske, M. G., Echiverri, A. M., & Labus, J. S. (2006). Mental reinstatement of context and return of fear in spider-fearful participants. Behavior Therapy, 37, 49–60.

    CrossRef  PubMed  Google Scholar 

  • North, M. M., North, S. M., & Coble, J. R. (1996). Virtual reality therapy. An innovative paradigm. CO: IPI Press.

    Google Scholar 

  • Opris, D., Pintea, S., Garcia-Palacios, A., Botella, C., Szamoskozi, S., & David, D. (2012). Virtual reality exposure therapy in anxiety disorders: A quantitative meta-analysis. Depression and Anxiety, 29, 85–93.

    CrossRef  PubMed  Google Scholar 

  • Öst, L. G. (1987). Age at onset in different phobias. Journal of Abnormal Psychology, 96, 223.

    CrossRef  PubMed  Google Scholar 

  • Öst, L. -G. (1997). Rapid treatment of specific phobias. In G. C. L. Davey (Ed.), Phobias: A handbook of theory, research and treatment (pp. 227–246). Chichester: Wiley.

    Google Scholar 

  • Öst, L. G., Salkovskis, L. -G. P. M., & Hellström, K. (1991). One-session therapist directed exposure vs. self-exposure in the treatment of spider phobia. Behavior Therapy, 22, 4072

    CrossRef  Google Scholar 

  • Öst, L.-G., Ferebee, I., & Furmark, T. (1997). One session group therapy of spider phobia: Direct versus indirect treatments. Behaviour Research and Therapy, 35, 721.

    CrossRef  PubMed  Google Scholar 

  • Otto, M. W., & Hofmann, S. G. (2010). Avoiding treatment failures in the anxiety disorders. New York: Springer.

    CrossRef  Google Scholar 

  • Paquette, V., Lévesque, J., Mensour, B., Leroux, J. -M., Beaudoin, G., Bourgouin, P., & Beauregard, M. (2003). “Change the mind and you change the brain”: Effects of cognitive-behavioral therapy on the neural correlates of spider phobia. NeuroImage, 18, 401–409.

    CrossRef  PubMed  Google Scholar 

  • Parrott, M., Bowman, D., & Ollendick, T. (2004). An immersive virtual environment for the treatment of ophidiophobia. Presentation at the 9th annual cyber therapy conference 2004.

    Google Scholar 

  • Phillips, M. L., Drevets, W. C., Rauch, S. L., & Lane, R. (2003). Neurobiology of emotion perception II: Implications for major psychiatric disorders. Biological Psychiatry, 54, 515–528.

    CrossRef  PubMed  Google Scholar 

  • Powers, M. B., Smits, J. A. J., Leyro, T. M., & Otto, M. W. (2006). Translational research perspectives on maximizing the effectiveness of exposure therapy. In D. C. S. Richards & D. L. Lauterbach (Eds.), Handbook of exposure therapies (pp. 109–126). Burlington: Academic.

    Google Scholar 

  • Rachman, S. J. (1966). Studies in desensitization: II. Flooding. Behaviour Research and Therapy, 4, 1–6.

    CrossRef  PubMed  Google Scholar 

  • Ressler, K. J., Rothbaum, B. O., Tannenbaum, L., Anderson, P., Graap, K., Zimand, E., et al. (2004). Cognitive enhancers an adjunct to psychotherapy: Use of D-Cycloserine in phobic individuals to facilitate extinction of fear. Archives of General Psychiatry, 61(11), 1136–1144.

    CrossRef  PubMed  Google Scholar 

  • Richards, D. C. S., Lauterbach, D., & Gloster, A. T. (2006). Description, mechanisms of action, and assessment. In D. C. S. Richards & D. L. Lauterbach (eds), Handbook of exposure therapies (pp. 1–28). Burlington: Academic.

    Google Scholar 

  • Rowe, M. K., & Craske, M. G. (1998). Effects of varied-stimulus exposure training on fear reduction and return of fear. Behaviour Research and Therapy, 36, 719.

    CrossRef  PubMed  Google Scholar 

  • Schienle, A., Schäfer, A., Stark, R., & Vaitl, D. (2009). Long-term effects of cognitive behavior therapy on brain activation in spider phobia. Psychiatry Research: Neuroimaging, 172, 99172.

    Google Scholar 

  • Silva, C., Bouchard, S., & Bélanger, C. (2011). Youths are more apprehensive and frightened than adults by a virtual environment used to treat arachnophobia. Journal of Cybertherapy and Rehabilitation, 4(2), 200–201.

    Google Scholar 

  • Shiban, Y., Pauli, P., & Mühlberger, A. (2013). Effect of multiple context exposure on renewal in spider phobia. Behaviour Research and Therapy, 51, 68–74.

    CrossRef  PubMed  Google Scholar 

  • Smith, K. L., Kirkby, K. C., Montgomery, I. M., & Daniels, B. A. (1997) Computer-delivered modeling of exposure for spider phobia: Relevant versus irrelevant exposure. Journal of Anxiety Disorders, 11(5), 489–497.

    CrossRef  PubMed  Google Scholar 

  • Smiths, J. A. J., Telch, M. J., & Randall, P. K. (2002). An examination of the decline in fear and disgust during exposure-based treatment. Behaviour Research and Therapy, 40, 1243.

    CrossRef  Google Scholar 

  • Stanney, K.M., Kennedy, R.S., & Kingdon, K. (2002). Virtual environment protocols. In K. M. Stanney (Ed.), Handbook of virtual environments (pp. 721–730). Boca Raton: CRC Press.

    Google Scholar 

  • Stinson, F. S., Dawson, D. A., Chou, S. P., Smith, S., Goldstein, R. B., Ruan, W. J., & Grant, B. F. (2007). The epidemiology of DSM-IV specific phobia in the USA: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological Medicine, 37, 1047.

    CrossRef  PubMed  Google Scholar 

  • St-Jacques, J., Bouchard, S., & Bélanger, C. (2006). Does virtual reality motivates children to do exposure? Oral presentation at the 11th annual cybertherapy conference, Gatineau ( Québec ), June 12.

    Google Scholar 

  • Straube, T., Glauer, M., Dilger, S., Mentzel, H. -J., & Miltner, W. H. R. (2006). Effects of cognitive-beavioral therapy on brain activation in specific phobia. NeuroImage, 29, 125.

    CrossRef  PubMed  Google Scholar 

  • Szymanski, J., & O’Donohue, W. (1995). Fear of spiders questionnaire. Journal Behavior Therapy and Experimental Psychiatry, 26(1), 31–34.

    CrossRef  Google Scholar 

  • Telch, M. J. (2004). Pushing the envelope on treatments for phobia. In M. Maj, H. S. Akiskal, J. J. López-Ibor, & A. Okasha (Eds.), Phobias (pp. 232–234). Chichester: Wiley.

    Google Scholar 

  • Vansteenwegen, D., Vervliet, B., Hermans, D., Thewissen, R., & Eelen, P. (2007). Verbal, behavioural and physiological assessment of the generalization of exposure-based fear reduction in a spider-anxious population. Behaviour Research and Therapy, 45(2), 291–300.

    CrossRef  PubMed  Google Scholar 

  • Watts, F. N. (1986). Cognitive processing in phobias. Behavioural Psychotherapy, 14, 295.

    CrossRef  Google Scholar 

  • Wiederhold, B. K. (1999). A comparison of imaginal exposure and virtual reality exposure for the treatment of fear of flying. (Doctoral dissertation, California School of Professional Psychology, 1999). Dissertations Abstracts International.

    Google Scholar 

  • Wolitsky, K. B., Rellini, A. H., & Telch, M. J. (2005). Investigating the mechanisms of change during exposure-based treatments for acrophobia. Poster presentation at the meeting of Anxiety Disorder Association of America, Seattle.

    Google Scholar 

  • Woody, S. R., McLean, C., & Klassen, T. (2005). Disgust as a motivator of avoidance of spiders. Journal of Anxiety Disorders, 19, 461–475.

    CrossRef  PubMed  Google Scholar 

  • World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders. Geneva: WHO.

    Google Scholar 

  • Wrzesien, M., Alcañiz, M., Botella, C., Ortega, M., & Brotons, D.B. (2013). The therapeutic lamp: Treating small-animal phobias. IEEE Computer Graphics and Applications, 33(1), 80–86.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brenda K. Wiederhold .

Rights and permissions

Reprints and Permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Wiederhold, B., Bouchard, S. (2014). Arachnophobia and Fear of Other Insects: Efficacy and Lessons Learned from Treatment Process. In: Advances in Virtual Reality and Anxiety Disorders. Series in Anxiety and Related Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-8023-6_5

Download citation