Abstract:
BACKGROUND AND OBJECTIVES:Cognitive-behavioral theorists posit that safety behaviors (SBs) interfere with important exposure processes and should be removed from therapy. However, there is growing evidence to suggest that restorative SBs (RSB; those that allow for full confrontation with a core threat) do not adversely affect exposure outcomes, and their implementation during exposure should be further examined. METHODS:The current study evaluated exposure with the continuous use of RSB (E + CONT) versus discontinuation of RSB (E + DISC), in comparison to exposure with no RSB (ERP). Sixty-seven nonclinical participants completed 15 trials of exposure in which they touched a potentially contaminated stimulus with or without RSB. Behavioral approach tasks were completed at pretreatment, post-treatment, and two-week follow-up to examine changes in subjective distress and degree of behavioral approach. RESULTS:The three conditions were not different on clinical symptoms and behavioral approach at post-treatment and follow-up, indicating that the hypothesized superiority effect of E + DISC was not supported. However, ratings obtained during repeated exposure trials indicated that E + DISC evidenced greater symptom reduction following the removal of RSB. LIMITATIONS:The use of a healthy undergraduate sample and standardization of the exposure procedure. CONCLUSIONS:Although findings were contrary to hypotheses, these data provide added support for the benign role of RSB as compared to conventional exposure. Furthermore, the removal of RSB may lead to more favorable process outcomes during exposure. The theoretical and clinical implications of these findings are discussed, and future directions are provided.
journal_name
J Behav Ther Exp Psychiatryjournal_title
Journal of behavior therapy and experimental psychiatryauthors
Goetz AR,Lee HJdoi
10.1016/j.jbtep.2018.03.002subject
Has Abstractpub_date
2018-09-01 00:00:00pages
53-60eissn
0005-7916issn
1873-7943pii
S0005-7916(16)30275-0journal_volume
60pub_type
杂志文章abstract::The psychometric properties of the test entitled Knowledge of Behavioral Principles as Applied to Children and two shortened forms of this test were investigated in two samples of British subjects. The first consisted of 162 psychiatric nurses, psychiatrists, occupational therapists, physiotherapists and clinical psyc...
journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2013.09.008
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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