Preventative and restorative safety behaviors: Effects on exposure treatment outcomes and risk for future anxious symptoms
Preventative and restorative safety behaviors: Effects on exposure treatment outcomes and risk for future anxious symptoms
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DOI：
10.1002/jclp.22635
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发表时间：
2018-10-01
影响因子：
3
通讯作者：
Haeffel, Gerald J.
中科院分区：
文献类型：
--
作者：
Goodson, Jason T.;Haeffel, Gerald J.
目的探讨预防性和恢复性安全行为对焦虑和抑郁的治疗和发展的差异影响。方法结果研究1探讨预防和恢复性安全行为对美国退伍军人PTSD患者延长暴露治疗的影响（N=95）。研究2是一项为期3个月的前瞻性研究，在非临床样本中调查预防性和恢复性安全行为作为焦虑和抑郁症状的危险因素（N=84）。研究1的结果显示，预防性和恢复性安全行为都与较差的治疗结果（PTSD症状和抑郁症状）相关。研究2的结果发现，预防性而非恢复性的安全行为预示着未来焦虑症状的增加。预防性和恢复性安全行为都不会增加未来抑郁症状（快感缺乏）的风险。预防性和恢复性安全行为影响PTSD治疗结果，而只有预防性安全行为能预测未来焦虑。
ObjectivesTwo studies investigated the differential effect of preventative and restorative safety behaviors on the treatment and development of anxiety and depression.MethodResultsStudy 1 investigated the impact of preventative and restorative safety behaviors in prolonged exposure therapy among US veterans with PTSD (N=95). Study 2 was a 3-month prospective study investigating preventative and restorative safety behaviors as risk factors for anxious and depressive symptoms in a non-clinical sample (N=84).The results of Study 1 showed that both preventative and restorative safety behaviors were associated with worse treatment outcomes (both PTSD symptoms and depressive symptoms). The results of Study 2 found that preventative, but not restorative, safety behaviors predicted increases in future anxious symptoms. Neither preventative nor restorative safety behaviors conferred risk for increases in future depression symptoms (anhedonia).Conclusions Appendix Preventative and restorative safety behaviors impact PTSD treatment outcomes, while only preventative safety behaviors predict future anxiety.