Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University , Providence , RI , USA.
Department of Psychology and Neuroscience (CB 3270), University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
Cogn Behav Ther. 2019 Nov;48(6):517-528. doi: 10.1080/16506073.2019.1574312. Epub 2019 Feb 14.
This study re-analyzes data from Sy and colleagues (2011; , 305-314) comparing safety behavior availability (SBA) to safety behavior utilization (SBU) during exposure therapy for claustrophobic concerns. The present investigation assessed differential rates of inhibitory learning (i.e. change in danger expectancy and coping self-efficacy) between SBA and SBU before, during, and after a single-session treatment. Thirty-nine participants with marked claustrophobic fear completed six consecutive 5-minute exposure trials in a claustrophobia chamber. Participants in the SBA condition exhibited more interference with inhibitory learning relative to the SBU condition. Danger expectancy was significantly higher in the SBA group and decreased at a markedly slower rate across exposure trials relative to SBU. Coping self-efficacy was also significantly lower among participants in the SBA condition, although groups demonstrated similar rates of change across trials. Limitations, clinical implications, and future directions are discussed.
本研究重新分析了 Sy 及其同事（2011 年； ，305-314）的研究数据，该研究比较了在幽闭恐惧症暴露治疗中安全行为可用性（SBA）与安全行为利用（SBU）。本研究评估了在单次治疗前后，SBA 和 SBU 之间抑制性学习（即危险预期和应对自我效能的变化）的差异率。39 名有明显幽闭恐惧症恐惧的参与者在幽闭恐惧症室中连续进行了六次 5 分钟的暴露试验。与 SBU 条件相比，SBA 条件下的参与者表现出更多的抑制性学习干扰。在 SBA 组中，危险预期显著更高，并且在暴露试验中以明显更慢的速度降低。在 SBA 条件下，应对自我效能也明显较低，尽管两组在试验中都表现出相似的变化率。讨论了局限性、临床意义和未来方向。
