Document Detail

Safety behaviour enhances the acceptability of exposure.
MedLine Citation:
PMID:  24299223     Owner:  NLM     Status:  In-Data-Review    
Compulsive washing and contamination fears are among the most common symptoms of obsessive-compulsive disorder (OCD). Research suggests that exposure and response prevention (ERP) is effective for OCD. However, ERP is prone to dropouts and refusals, and a substantial proportion of clients therefore do not receive the care they need. A proposed solution involves the judicious use of safety behaviour to enhance the acceptability of exposure-based interventions. The current study aimed to test this proposed solution. Participants were 70 undergraduate students who completed two exposure exercises for contamination fear, one with safety behaviour and one without. Participants then rated the acceptability of the two exercises. Exposure with safety behaviour (ESB) was rated as significantly more acceptable than ERP. Furthermore, subjective fear ratings were lower and behavioural approach to a series of contaminants was greater in the ESB condition. Results demonstrated the acceptability-enhancing potential of safety behaviour in exposure, and are discussed in terms of both theoretical and practical aspects of safety behaviour, exposure, and evidence-based interventions for anxiety disorders.
Hannah C Levy; Adam S Radomsky
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cognitive behaviour therapy     Volume:  43     ISSN:  1651-2316     ISO Abbreviation:  Cogn Behav Ther     Publication Date:  2014 Jan 
Date Detail:
Created Date:  2013-12-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101143317     Medline TA:  Cogn Behav Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  83-92     Citation Subset:  IM    
a Department of Psychology , Concordia University , Montreal QC Canada.
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