Does Reducing Safety Behaviours Improve Treatment Response in Patients with Social Phobia?
Does Reducing Safety Behaviours Improve Treatment Response in Patients with Social Phobia?
复制标题
减少安全行为是否可以改善社交恐惧症患者的治疗反应？
DOI：
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发表时间：
1999
期刊：
影响因子：
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通讯作者：
Catriona Raffle
中科院分区：
文献类型：
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作者：
H. Morgan;Catriona Raffle
目的：这项研究评估了在社交恐惧症的认知行为治疗(CBT)团体治疗计划中，在暴露任务中放弃“安全行为”的指导的有效性。方法：14名社交恐惧症患者接受了标准化的CBT治疗程序，并与16名社交恐惧症患者进行了比较，后者接受了放弃安全行为的额外指导。结果：在特定的社交恐惧症指标(SPAI)的组间重复测量方差分析显示，当在治疗计划中增加放弃安全行为的指导时，显著受益。结论：在CBT治疗社交恐惧症的过程中，增加在暴露任务中放弃安全行为的指导可能是有用的。这一结果支持了克拉克和威尔斯(1995)提出的社交恐惧症的认知模型，该模型假设对社交情境的焦虑和负面信念在一定程度上是通过从事安全行为来维持的。在本研究的基础上，需要对更大的样本进行进一步的复制。
Objective: This study assessed the efficacy of instructions to drop ‘safety behaviours’ during exposure tasks in a cognitive-behaviour therapy (CBT) group treatment program for social phobia. Method: Fourteen subjects with social phobia received a standardised CBT treatment program and were compared to 16 subjects with social phobia who were given additional instructions to drop safety behaviours. Results: Repeated measures of ANOVA between groups on a specific social phobia measure (SPAI) demonstrated significant benefit when instructions to drop safety behaviours were added to the treatment program. Conclusions: The addition of instruction to drop safety behaviours in exposure tasks in the course of CBT treatment for social phobia may be useful. This result supports the cognitive model of social phobia developed by Clark and Wells (1995), which postulates that anxiety and negative beliefs about social situations are in part maintained by engaging in safety behaviours. Further replication with larger samples is required and warranted on the basis of the present study.