Computer Anxiety
University of the Philippines (Manila) College of Medicine
May 30, 2015
Carlo Carandang, MD,
FAPA
Psychiatrist
Specific Phobia
яБм Computer anxiety is a type of specific phobia
яБм A specific phobia is an intense fear of an
object or situation
яБм The feared object is avoided at all cost
яБм Exposure to the feared object induces panic
attack
What is Computer Anxiety?
яБм Computer anxiety is an intense fear of using
computers
яБм Computers are avoided at all cost
яБм Exposure to computers induces panic attack
тАУ Racing heart beat, heart palpitations, chest pain,
shortness of breath, sweaty palms, muscle
tension, headaches, nausea, and chills
What are the Fears?
яБм Fear of breaking the computer or pushing the
wrong key
яБм Fear of losing data
яБм Embarrassment that they are not familiar with
computers
яБм Computer hassles and frustrations with bugs
and databases changing
(Kohrman 2003)
Computer Anxiety
Prevalence
яБм 5% of general population
тАУ Weinberg and Fuerust, 1984
яБм 21.3% of managers and professionals
тАУ Bozionelos, 1996
Bozionelos 2001 Study
яБм Prevalence of computer anxiety
тАУ Sample 1 (managers): 21.1%
тАУ Sample 2 (graduate students): 40.3%
тАУ Sample 3 (undergrads): 46.4%
яБм Significant difference between managers and
younger samples
тАУ P<0.01 Sample 1 and 2
тАУ P<0.001 Sample 1 and 3
тАУ P>0.05 Sample 2 and 3
Prevalence
яБм Youngest cohort with earliest exposure to
computers reported highest rate of computer
anxiety
яБм Take home message- even with conservative
estimate of 5%, computer anxiety affects
many people, with resultant disability
considering the ubiquity of computers
Screening for Computer Anxiety
яБм 6-Item Computer Anxiety Scale
яБм Mean 13.4 (SD 5.1)
яБм If score above 18, then you may have
computer anxiety
Lester et al., 2005
Computer Anxiety
Computer Anxiety
Triggers
яБм You have Computer Anxiety
яБм Triggers:
тАУ See feared object or situation
тАУ Hear (talking about) feared object or situation
тАУ Think about feared object or situation
яБм Event induces thoughts about the event
Thoughts
яБм Thoughts:
тАУ тАЬI will break the computerтАЭ
тАУ тАЬI will push the wrong keyтАЭ
тАУ тАЬI will lose dataтАЭ
тАУ тАЬI will embarrass myself using a computerтАЭ
тАУ тАЬComputers are a hassleтАЭ
Anxiety
яБм Thoughts induce anxiety
яБм Feelings
тАУ Anxiety
тАУ Fear
тАУ Physical effects of adrenaline response, fight or
flight response
Avoidance
яБм Anxiety makes you avoid
яБм Behaviors
тАУ Avoid feared object or situation
тАУ Flee, escape
Avoidance
яБм Although the avoidant behaviors decrease
your anxiety over the short-term, the
behaviors actually maintain your overall
anxiety from the feared stimulus
яБм Avoidance maintains the belief in the danger
and direness of events
Vicious, negative cycle continues
яБм Feared stimulus induces thoughts, which
induces anxiety, which compels you to avoid
яБм Instead of just exposing yourself to the
trigger and finding out nothing bad will occur,
you avoid the trigger and this maintains your
belief in the danger
яБм With avoidance, you never get to find out that
the anxiety will go away naturally if you just
stay with your trigger
Solution: CBT
яБм CBT helps to break the negative cycle of
Computer Anxiety by changing how you think
and what you do
яБм It is difficult to change the way you feel, so
the focus is on changing the way you think
and the way you do things
яБм Avoidance is addressed via graduated
exposure therapy
тАУ Systematic desensitization
Fear Hierarchy
Treatment
яБм Prescription medications are not effective for
specific phobia, and therefore not effective
for computer anxiety
яБм Exposure therapy is the most effective
clinical intervention for computer anxiety
яБм Complementary interventions
тАУ Progressive muscle relaxation
тАУ Diaphragmatic breathing
тАУ Yoga
Computer Anxiety in Classroom
яБм Computer anxiety can be reduced by
providing a comfortable learning environment
яБм To create comfortable learning environment,
teachers should:
тАУ Use humor, make it fun
тАУ Use basic concepts
тАУ Avoid computer jargon
тАУ Make all computer lessons hands-on
(Ayersman & Reed, 1995)
AnxietyBoss.com
яБм For more information and help on Computer
Anxiety and other anxiety problems, please
visit AnxietyBoss.com

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Computer Anxiety

  • 1. Computer Anxiety University of the Philippines (Manila) College of Medicine May 30, 2015 Carlo Carandang, MD, FAPA Psychiatrist
  • 2. Specific Phobia яБм Computer anxiety is a type of specific phobia яБм A specific phobia is an intense fear of an object or situation яБм The feared object is avoided at all cost яБм Exposure to the feared object induces panic attack
  • 3. What is Computer Anxiety? яБм Computer anxiety is an intense fear of using computers яБм Computers are avoided at all cost яБм Exposure to computers induces panic attack тАУ Racing heart beat, heart palpitations, chest pain, shortness of breath, sweaty palms, muscle tension, headaches, nausea, and chills
  • 4. What are the Fears? яБм Fear of breaking the computer or pushing the wrong key яБм Fear of losing data яБм Embarrassment that they are not familiar with computers яБм Computer hassles and frustrations with bugs and databases changing (Kohrman 2003)
  • 6. Prevalence яБм 5% of general population тАУ Weinberg and Fuerust, 1984 яБм 21.3% of managers and professionals тАУ Bozionelos, 1996
  • 7. Bozionelos 2001 Study яБм Prevalence of computer anxiety тАУ Sample 1 (managers): 21.1% тАУ Sample 2 (graduate students): 40.3% тАУ Sample 3 (undergrads): 46.4% яБм Significant difference between managers and younger samples тАУ P<0.01 Sample 1 and 2 тАУ P<0.001 Sample 1 and 3 тАУ P>0.05 Sample 2 and 3
  • 8. Prevalence яБм Youngest cohort with earliest exposure to computers reported highest rate of computer anxiety яБм Take home message- even with conservative estimate of 5%, computer anxiety affects many people, with resultant disability considering the ubiquity of computers
  • 9. Screening for Computer Anxiety яБм 6-Item Computer Anxiety Scale яБм Mean 13.4 (SD 5.1) яБм If score above 18, then you may have computer anxiety Lester et al., 2005
  • 12. Triggers яБм You have Computer Anxiety яБм Triggers: тАУ See feared object or situation тАУ Hear (talking about) feared object or situation тАУ Think about feared object or situation яБм Event induces thoughts about the event
  • 13. Thoughts яБм Thoughts: тАУ тАЬI will break the computerтАЭ тАУ тАЬI will push the wrong keyтАЭ тАУ тАЬI will lose dataтАЭ тАУ тАЬI will embarrass myself using a computerтАЭ тАУ тАЬComputers are a hassleтАЭ
  • 14. Anxiety яБм Thoughts induce anxiety яБм Feelings тАУ Anxiety тАУ Fear тАУ Physical effects of adrenaline response, fight or flight response
  • 15. Avoidance яБм Anxiety makes you avoid яБм Behaviors тАУ Avoid feared object or situation тАУ Flee, escape
  • 16. Avoidance яБм Although the avoidant behaviors decrease your anxiety over the short-term, the behaviors actually maintain your overall anxiety from the feared stimulus яБм Avoidance maintains the belief in the danger and direness of events
  • 17. Vicious, negative cycle continues яБм Feared stimulus induces thoughts, which induces anxiety, which compels you to avoid яБм Instead of just exposing yourself to the trigger and finding out nothing bad will occur, you avoid the trigger and this maintains your belief in the danger яБм With avoidance, you never get to find out that the anxiety will go away naturally if you just stay with your trigger
  • 18. Solution: CBT яБм CBT helps to break the negative cycle of Computer Anxiety by changing how you think and what you do яБм It is difficult to change the way you feel, so the focus is on changing the way you think and the way you do things яБм Avoidance is addressed via graduated exposure therapy тАУ Systematic desensitization
  • 20. Treatment яБм Prescription medications are not effective for specific phobia, and therefore not effective for computer anxiety яБм Exposure therapy is the most effective clinical intervention for computer anxiety яБм Complementary interventions тАУ Progressive muscle relaxation тАУ Diaphragmatic breathing тАУ Yoga
  • 21. Computer Anxiety in Classroom яБм Computer anxiety can be reduced by providing a comfortable learning environment яБм To create comfortable learning environment, teachers should: тАУ Use humor, make it fun тАУ Use basic concepts тАУ Avoid computer jargon тАУ Make all computer lessons hands-on (Ayersman & Reed, 1995)
  • 22. AnxietyBoss.com яБм For more information and help on Computer Anxiety and other anxiety problems, please visit AnxietyBoss.com

Editor's Notes

  • #19: Three steps of desensitization[edit] There are three main steps that Wolpe identified to successfully desensitize an individual. Establish anxiety stimulus hierarchy. The individual must first identify the items that are causing anxiety. Each item that causes anxiety is given a subjective ranking on the severity of induced anxiety. If the individual is experiencing great anxiety to many different triggers, each item is dealt with separately. For each trigger or stimuli, a list is created to rank the events from least anxiety provoking to the greatest anxiety provoking. Learn coping mechanism or incompatible response. Relaxation training, such as meditation, is one type of coping strategy. Wolpe taught his patients relaxation responses because it is not possible to be both relaxed and anxious at the same time. In this method, patients practice tensing and relaxing different parts of the body until the patient reaches a state of serenity.[2]┬аThis is necessary because it provides the patient with a means of controlling their fear, rather than letting it increase to intolerable levels. Usually only a few sessions are needed for a patient to learn the appropriate coping mechanisms. Additional coping strategies include anti-anxiety medicine and breathing exercises. Another means of relaxation is┬аcognitive reappraisal┬аof imagined outcomes. The therapist might encourage subjects to examine what they imagine happening when exposed to the anxiety-inducing stimulus and allowing for the client to replace the imagined catastrophic situation with imagined positive outcomes. Connect the stimulus to the incompatible response or coping method through counter conditioning. In this step the client completely relaxes and is then is presented with the lowest item that was placed on their hierarchy of severity of anxiety. When the client has reached a state of serenity again after being presented with the first stimuli, the second stimuli that should present a higher level of anxiety is presented. Again, the individual practices the coping strategies learned. This activity is completed until all items of the hierarchy of severity of anxiety is completed without inducing anxiety in the client. If at any time during the exercise the coping mechanisms fail or the client fails to complete the coping mechanism due to severe anxiety, the exercise is stopped. Once the individual is calm, the last stimuli that was presented without inducing anxiety is presented again and the exercise is continued.[3]
  • #20: How to Face Your Fears ┬а Step 1: Make a list ┬а Make a list of feared objects or situations. If you have a fear of contamination, your list might include touching doorknobs, wearing clothes that have been used before, using the public restrooms, or sleeping in other peopleтАЩs beds. If you have a fear of public speaking, your list might include presentations in front of an audience, talking via telephone to a group who are phoning into a teleconference, watching a video of yourself give a speech to others, talking in meetings at work, or saying hi to a group of co-workers. If you have different fears, then bundle the same fears together, and write a different list for a different fear. Step 2: Build a Fear Hierarchy ┬а With the list of fears you have made, rate each of the fears from 0 to 10, 0 being no fear, and 10 being the most fearful. Then arrange the list sequentially, from the least scary at the bottom of the list, to the scariest at the top. Build a complete list of a range of fears. Add factors that make it harder or easier for you to do, like: length of time (talking to someone for 30 minutes is more scary than 5 min); time of day (driving at night versus driving in the middle of rush hour); environment (going to a small convenience store rather than a crowded mall); or who is accompanying you (going to the store with your partner or going alone). Step 3: Facing fears (exposure) ┬а Now it is time to start facing your fears. Start with the fear that is at the bottom of your Fear Hierarchy. Now expose yourself to that fear, and stay with the exposure until your anxiety level decreases by 50%. For example, if you have a fear of needles and rated it as a 4 in anxiety level when touching it, then hold the needle until your anxiety level drops to a 2. Remember to not rush the exposures, and be patient and take your time. Once you practice the exposure at a particular level repeatedly, and notice that the anxiety has dropped considerably, then it is time to go on to the next level on the Fear Hierarchy. Please use the following Facing Fear form when doing the exposure work.
  • #22: Methods for Reducing Computer Anxiety Extension educators teaching microcomputers to adults should be aware of computer anxiety and its detrimental effects on the learning process. Computer anxiety is a temporary condition that can be reduced through a comfortable learning environment (Ayersman & Reed, 1995). To create an anxiety reduced learning environment, instructors should: Use humor to build rapport, Start lessons with basic concepts, Use computer lingo only when educationally necessary, and Make sure all lessons are hands on. Use Humor to Build Rapport Humor is one of the best tools to help reduce computer anxiety. Laughter builds rapport between instructors and learners, which helps alleviate computer anxiety (Clothier, 1996). Malcolm Knowles underscores the importance of laughter when teaching adults by quoting Ruth Merton, "and so I say again that, if we are really wise . . .despite taxes or indigestion, teach merrily" (1990, p. 36). Start Lessons with Basic Concepts Instructors should begin with the basics (Adults and Technology, 1996). They should avoid jumping into complicated computer concepts without laying the groundwork for basic computer operation. Although students will have a variety of skill levels, instructors should never assume all students have basic computer skills. If a course requires a certain level of computer proficiency, this should be clearly delineated, and alternatives should be provided for students to gain basic skills. Use Computer Lingo Only when Educationally Necessary Learning to use computers is hard enough without the added distraction of listening to an instructor speak in a foreign dialect. Instructors should avoid using computer jargon (Adults and Technology, 1996). For adults, learning computer terminology can be as important as learning to use the computer. However, if instructors feel it is educationally necessary to use computer terminology, then the term should be clearly defined. Make Sure All Lessons Are Hands-On Instructors can help reduce computer anxiety by familiarizing students with computers and making them active learners. Instructors should make all computer lessons hands-on (Adults and Technology, 1996). They should help students with problems by providing verbal guidance or by using a demonstration machine, but they should never grab a student's mouse or keyboard and do their work for them. This student hands-on/instructor hands-off method takes extreme patience, but the reward of students completing tasks on their own is worth the effort.