Application of systematic desensitization in a patient with agoraphobia: A single case study

Eva Rahman, Department of Psychology, Universitas Negeri Yogyakarta; Faculty of Psychology, Universitas Gadjah Mada, Indonesia
Restu Tri Handoyo, Faculty of Psychology, Universitas Gadjah Mada, Indonesia

Abstract


Individuals with agoraphobia disorder tend to be afraid of being in open spaces and have difficulty leaving the house and driving alone. Systematic desensitization is one of the treatments considered effective in treating agoraphobia. The case study aims to determine the application of systematic desensitization in patients with agoraphobia through a single case study design. The participant was a 28-year-old female patient diagnosed with agoraphobia. Systematic desensitization intervention is carried out by following the steps of relaxation exercises, arranging anxiety hierarchies, and gradual exposure to the anxiety sources. The main measurement is carried out through the patient’s self-report SUDS (Subjective Units of Discomfort Scale) score for each source of anxiety about open space. The results showed a change in SUDS scores before and after systematic desensitization. Discussion and limitations about this case study are provided for practitioners and researchers interested in systematic desensitization, supported by the explanation of the intervention stages.

Keywords


agoraphobia; relaxation; systematic desensitization

Full Text:

PDF

References


Azmarina, R. (2015). Desensitisasi sistematik dengan dzikir tasbih untuk menurunkan simtom kecemasan pada gangguan fobia spesifik. Humanitas, 12(2), 90–104. https://doi.org/10.26555/humanitas.v12i2.3836

Barker, C., Pistrang, Nancy., Elliott, R., & Barker, C. (2002). Small N-Design. In Research methods in clinical psychology: An introduction for students and practitioners (Second Edition, pp. 162–177). John Wiley & Sons, Incorporated.

Chiari, G., & Mosticonl, R. (1979). The treatment of agoraphobia with biofeedback and systematic desencitization. J. Behav. Ther. & Exp. Psychiat, 10, 109–113.

Coolican, & Hugh. (2014). Research Methods and Statistics in Psychology (Sixth Edition). Psychology Press.

Davis, M., Eshelman, R. E., & McKay, M. (1995). Panduan Relaksasi & Reduksi Stres (terjemahan). Penerbit Buku Kedoktern EGC.

DSM-5. (2013). Diagnostic and Statistical Manual of Mental Disorders Fifth Edition: DSM-5. American Psychiatric Publishing.

Grace, L. (2017). Understanding Phobias. Mind (National Association for Mental Health), 1–25.

Hastjarjo, T. D. (2011). Validitas Eksperimen. Buletin Psikologi, 19(2), 70–80.

Herdiansyah, M., & Sumampouw, N. J. (2018). Systematic Desensitization for Treating Specific Phobia of Earthworms: An In Vivo Exposure Study. Advances in Social Science, Education and Humanities Research (ASSEHR), 135, 340–349.

James, J. E., Hampton, B. A. M., & Larsen, S. A. (1983). The relative efficacy of imaginal and in vivo desensitization in the treatment of agoraphobia. Journal of Behavior Therapy and Experimental Psychiatry, 14(3), 203–207. https://doi.org/10.1016/0005-7916(83)90049-6

Kazdin, A. E. (2019). Single-case experimental designs. Evaluating interventions in research and clinical practice. Behaviour Research and Therapy, 117, 3–17. https://doi.org/10.1016/j.brat.2018.11.015

Lane, J. D., & Gast, D. L. (2014). Visual analysis in single case experimental design studies: Brief review and guidelines. In Neuropsychological Rehabilitation (Vol. 24, Issues 3–4, pp. 445–463). Routledge. https://doi.org/10.1080/09602011.2013.815636

Miltenberger, R. G. (2016). Principles and Procedures Behavior Modification (Sixth Edition). Cengage Learning. www.cengage.com/highered

Moors, F., & Zech, E. (2017). The Effects of Psychotherapist’s and Clients’ Interpersonal Behaviors during a First Simulated Session: A Lab Study Investigating Client Satisfaction. Frontiers in Psychology, 8. https://doi.org/10.3389/fpsyg.2017.01868

Morley, S., & Adams, M. (1991). Graphical analysis of single‐case time series data. British Journal of Clinical Psychology, 30(2), 97–115. https://doi.org/10.1111/j.2044-8260.1991.tb00926.x

Nevid, J., Rathus, S., & Grene, B. (2005). Abnormal Psychology In a Changing World. Pearson.

Nunes, J. C., Carroll, M. K., Mahaffey, K. W., Califf, R. M., Murali Doraiswamy, P., Short, S., Shah, S. H., Swope, S., Williams, D.,

Hernandez, A. F., & Hong, D. S. (2021). General Anxiety Disorder-7 Questionnaire as a marker of low socioeconomic status and inequity. Journal of Affective Disorders, 1–14. https://doi.org/10.1101/2021.12.21.21268205

PPDGJ-III. (1993). PPDGJ (Pedoman Penggolongan dan Diagnosis Gangguan Jiwa) di Indonesia III. Departemen Kesehatan RI.

Smith, J. M., Johnson, J. A., & Davis, M. A. (2022). Limitations of Self-Report Measures in Research: A Review of the Literature. Journal of Research Methods, 12(2), 1–12.

Solyom, L., Heseltine, G. F. D., Mcclure, D. J., Ledwidge, B., & Kenny, F. (1972). Aversion relief: An alternative to systematic desensitization in the treatment of phobias. Canadian Psychiatric Association Journal, 17, 73–81.

Spiegler, M. D., & Guevremont, D. S. (2009). Contemporary Behavior Therapy (J.-D. Hague & P. Leeds, Eds.; Fifth Edition). Cengage Learning.

Stubbe, D. E. (2018). The Therapeutic Alliance: The Fundamental Element of Psychotherapy. FOCUS, 16(4), 402–403. https://doi.org/10.1176/appi.focus.20180022

Suyono, Triyono, & Handarini, D. M. (2016). Keefektifan teknik relaksasi untuk menurunkan stres akademik siswa SMA. Jurnal Pendidikan Humaniora, 4(2), 115–120.

Telch, M. J., Cobb, A. R., & Lancaster, C. L. (2013). Agoraphobia. In S. G. Hofman & J. A. J. Smits (Eds.), The Wiley Handbook of Cognitive Behavioral Therapy (First Edition, Vol. 3, pp. 941–978). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781118528563.wbcbt40

Zainuri, M. I., & Wulandari, R. (2020). Studi Tentang Perilaku Agoraphobia Siswa Dan Upaya Penanganannya. KONSELING: Jurnal Ilmiah Penelitian Dan Penerapannya, 1(2). https://doi.org/10.31960/konseling.v1i2.368

Zhong, Q. Y., Gelaye, B., Zaslavsky, A. M., Fann, J. R., Rondon, M. B., Sánchez, S. E., & Williams, M. A. (2015). Diagnostic validity of the generalized anxiety disorder - 7 (GAD-7) among pregnant women. PLoS ONE, 10(4). https://doi.org/10.1371/journal.pone.0125096




DOI: https://doi.org/10.21831/pri.v7i2.82163

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Eva Rahman

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Our Journal is Indexed by:

sinta scholarcrossrefgarudadimensionsscilit 


View the journal's visitor statistics
e-ISSN: 2614-7041 | p-ISSN: 2614-0403

Creative Commons License
Psychological Research and Intervention is licensed under a Creative Commons Attribution 4.0 International License.
Based on a work at https://journal.uny.ac.id/index.php/pri.