McManus Freda, Sacadura Catarina, Clark David M
Oxford Cognitive Therapy Centre, Warneford Hospital, Oxford, OX3 7JX, UK.
J Behav Ther Exp Psychiatry. 2008 Jun;39(2):147-61. doi: 10.1016/j.jbtep.2006.12.002. Epub 2007 Mar 12.
Study one used a semi-structured interview to assess the use of safety behaviours in high and low socially anxious participants. As predicted from cognitive models, the high social anxiety group reported using a greater number of safety behaviours, more frequently, in a greater number of situations. Both the high and low social anxiety groups perceived their safety behaviours to be helpful. Study two involved experimentally manipulating the use of safety behaviours and self-focus and demonstrated the use of safety behaviours and self-focused attention to be unhelpful in a number of ways. Results support the role of safety behaviours and self-focused attention in the cognitive model of social phobia, and the value of dropping safety behaviours and reducing self-focus as therapeutic strategies in social phobia.
研究一采用半结构化访谈来评估高社交焦虑和低社交焦虑参与者对安全行为的使用情况。正如认知模型所预测的那样，高社交焦虑组报告称在更多的情境中更频繁地使用了更多的安全行为。高社交焦虑组和低社交焦虑组都认为他们的安全行为是有帮助的。研究二涉及对安全行为的使用和自我关注进行实验性操纵，并证明了安全行为的使用和自我关注在许多方面是无益的。研究结果支持了安全行为和自我关注在社交恐惧症认知模型中的作用，以及放弃安全行为和减少自我关注作为社交恐惧症治疗策略的价值。
