Lohr Jeffrey M, Olatunji Bunmi O, Sawchuk Craig N
Department of Psychology, University of Arkansas, 216 Memorial Hall, Fayetteville, Arkansas 72701, USA.
Clin Psychol Rev. 2007 Jan;27(1):114-26. doi: 10.1016/j.cpr.2006.07.005. Epub 2006 Sep 25.
Research in experimental psychopathology indicates that predictability and controllability of threatening events mediate the development, maintenance, and modification of anxiety disorders. We propose that a more thorough analysis of predictability and controllability requires the explication of danger and safety, and those events that provide such signal functions. Although most research is concerned with the identification of signals that predict danger, relatively little attention has been given to the identification of signals that predict safety. The current manuscript outlines the functional analysis of both danger and safety signals as they relate to the various disorders of anxiety. Consideration of pharmacological treatments suggests that the modification of danger and safety signals may function only as incidental features of the intervention. The potential advantages of cognitive-behavioral interventions that maximize treatment-specific self-control of signal functions are discussed.
实验精神病理学的研究表明，威胁性事件的可预测性和可控性介导了焦虑症的发展、维持和改善。我们认为，对可预测性和可控性进行更深入的分析需要阐明危险和安全，以及提供此类信号功能的事件。尽管大多数研究关注的是预测危险的信号的识别，但对预测安全的信号的识别相对较少关注。本手稿概述了危险和安全信号与各种焦虑症相关的功能分析。对药物治疗的考虑表明，危险和安全信号的改变可能仅作为干预的附带特征起作用。讨论了最大限度地实现信号功能的治疗特异性自我控制的认知行为干预的潜在优势。
