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Safety Behaviour Enhances the Acceptability of Exposure


Safety Behaviour Enhances the Acceptability of Exposure

Levy, Hannah C. and Radomsky, Adam S. (2014) Safety Behaviour Enhances the Acceptability of Exposure. Cognitive Behaviour Therapy, 43 (1). pp. 83-92. ISSN 1650-6073

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Official URL: http://dx.doi.org/10.1080/16506073.2013.819376


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 exposure and response prevention (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.

Divisions:Concordia University > Faculty of Arts and Science > Psychology
Item Type:Article
Authors:Levy, Hannah C. and Radomsky, Adam S.
Journal or Publication:Cognitive Behaviour Therapy
Digital Object Identifier (DOI):10.1080/16506073.2013.819376
Keywords:OCD; contamination fear; anxiety
ID Code:978638
Deposited By: Adam Radomsky
Deposited On:09 Jun 2014 14:35
Last Modified:18 Jan 2018 17:47
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