安全行为操纵的独立效应:系统性审查和元分析
Jason T Goodson1, Tapan A Patel2, James M Zech2
1Department of Mental Health Service, George E. Wahlen VA Medical Center, Salt Lake City, UT, USA.
Clinical psychology review
|January 20, 2026
概括
减少安全行为显著减少症状及其频率. 然而,增加安全行为导致更大的安全行为和临床症状,突出了它们的不适应性作用.
科学领域:
- 心理学和精神病学 心理学和精神病学
- 行为科学 行为科学
背景情况:
- 安全行为是用来避免负面症状的应对机制.
- 传统上,减少安全行为是认知行为治疗的一部分.
- 新兴研究探讨了独立的安全行为操纵.
研究的目的:
- 系统地审查和元分析安全行为操纵的有效性.
- 检查安全行为增加和减少对症状和行为频率的影响.
主要方法:
- 26项研究的系统综述和元分析.
- 19项研究被纳入了元分析.
- 检查了对安全行为频率和主要症状的影响.
主要成果:
- 减少安全行为显著减少了安全行为 (d = 0.52) 和症状 (d = 0.43).
- 安全行为增加导致安全行为显著增加 (d = 2.96) 和症状 (d = 0.65).
- 调节者被确定,并检测到出版偏见.
结论:
- 安全行为在各种心理障碍中发挥着重要作用.
- 针对安全行为的独立操纵显示了减少精神病理的潜力.
- 需要进一步的研究才能充分了解这种治疗方法的有效性.
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