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Safety behaviors (anxiety) : ウィキペディア英語版 | Safety behaviors (anxiety)
Safety behaviors (also known as safety-seeking behaviors) are coping behaviors used to reduce anxiety and fear when the user feels threatened.〔Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. ''Behavioural Psychotherapy'', ''19''(1), 6–19. doi:10.1017/S0141347300011472〕 An example of a safety behavior in social anxiety is to think of excuses to escape a potentially uncomfortable situation.〔Cuming, S., Rapee, R. M., Kemp, N., Abbott, M. J., Peters, L., & Gaston, J. E. (2009). A self-report measure of subtle avoidance and safety behaviors relevant to social anxiety: Development and psychometric properties. ''Journal of Anxiety Disorders'', ''23''(7), 879–883. doi:10.1016/j.janxdis.2009.05.002〕 These safety behaviors, although useful for reducing anxiety in the short term, might become maladaptive over the long term by prolonging anxiety and fear of nonthreatening situations.〔〔Rachman, S. (1984). Agoraphobia—A safety-signal perspective. ''Behaviour Research and Therapy'', ''22''(1), 59–70. doi:10.1016/0005-7967(84)90033-0〕 This problem is commonly experienced in anxiety disorders.〔Helbig-Lang, S., & Petermann, F. (2010). Tolerate or eliminate? A systematic review on the effects of safety behavior across anxiety disorders. ''Clinical Psychology: Science and Practice'', ''17''(3), 218–233. doi:10.1111/j.1468-2850.2010.01213.x〕 Treatments such as exposure and response prevention focus on eliminating safety behaviors due to the detrimental role safety behaviors have in mental disorders.〔Wells, A., Clark, D.M., Salkovskis, P., Ludgate, J., Hackmann, A., & Gelder, M. (1995). Social phobia: The role of in-situation safety behaviors in maintaining anxiety and negative beliefs. ''Behavior Therapy'', ''26''(1), 153–161. doi:10.1016/S0005-7894(05)80088-7〕〔van den Hout, M., & Kindt, M. (2004). Obsessive–compulsive disorder and the paradoxical effects of perseverative behaviour on experienced uncertainty. ''Journal of Behavior Therapy and Experimental Psychiatry'', ''35''(2), 165–181. doi:10.1016/j.jbtep.2004.04.007〕 There is a disputed claim that safety behaviors can be beneficial to use during the early stages of treatment.〔Rachman, S., Radomsky, A. S., & Shafran, R. (2008). Safety behaviour: A reconsideration. ''Behaviour Research and Therapy'', ''46'', 143–173. doi:10.1016/j.brat.2007.11.008〕 ==History== The concept of safety behaviors was first related to a mental disorder in 1984 when the “safety perspective” hypothesis was proposed to explain how agoraphobia is maintained over time.〔 The “safety perspective” hypothesis states that people with agoraphobia act in ways they believe will increase or maintain their level of safety.〔 In 1991, the use of safety behaviors was observed in people with panic disorders.〔 Later studies observed the use of safety behaviors in people with other disorders such as social phobia,〔 obsessive compulsive disorder,〔Salkovskis, P. M. (1999). Understanding and treating obsessive—compulsive disorder. ''Behaviour Research and Therapy'', ''37'', S29-S52. doi:10.1016/S0005-7967(99)00049-2〕 and posttraumatic stress disorder.〔Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. ''Behaviour Research and Therapy'', ''38''(4), 319–345. doi:10.1016/S0005-7967(99)00123-0〕
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