SOCIAL PHOBIA - THE ROLE OF IN-SITUATION SAFETY BEHAVIORS IN MAINTAINING ANXIETY AND NEGATIVE BELIEFS

被引:366
作者
WELLS, A
CLARK, DM
SALKOVSKIS, P
LUDGATE, J
HACKMANN, A
GELDER, M
机构
基金
英国惠康基金; 英国医学研究理事会;
关键词
D O I
10.1016/S0005-7894(05)80088-7
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
One of the puzzles surrounding social phobia is that patients with this problem are often exposed to phobic situations without showing a marked reduction in their fears. It is possible that individuals with social phobia engage in behaviors in the feared situation that are intended to avert feared catastrophes but that also prevent disconfirmation of their fears. This hypothesis was tested in a single case series of eight socially phobic patients. All patients received one session of exposure alone and one session of exposure plus decrease in ''safety'' behaviors in a counterbalanced within-subject design. Exposure plus decreased safety behaviors was significantly better than exposure alone in reducing within-situation anxiety and belief in the feared catastrophe. Other factors that may moderate exposure effects are also discussed.
引用
收藏
页码:153 / 161
页数:9
相关论文
共 17 条
[11]  
MCEWAN KL, 1993, J ABNORM PSYCHOL, V92, P417
[12]   THE IMPORTANCE OF BEHAVIOR IN THE MAINTENANCE OF ANXIETY AND PANIC - A COGNITIVE ACCOUNT [J].
SALKOVSKIS, PM .
BEHAVIOURAL PSYCHOTHERAPY, 1991, 19 (01) :6-19
[13]  
Salkovskis PM., 1988, PANIC PSYCHOL PERSPE, P111
[14]  
Spitzer R, 1987, INSTRUCTION MANUAL S
[15]   COGNITIVE-PROCESSES IN SOCIAL PHOBIA [J].
STOPA, L ;
CLARK, DM .
BEHAVIOUR RESEARCH AND THERAPY, 1993, 31 (03) :255-267
[17]  
WELLS A, 1994, ATTENTION EMOTION CL