A self-report measure of subtle avoidance and safety behaviors relevant to social anxiety: Development and psychometric properties
Abstract
According to cognitive theories, safety-seeking behaviors are crucial in both the maintenance and management of social anxiety. In order to facilitate assessment of these behaviors the Subtle Avoidance Frequency Examination (SAFE) was developed. Three factors emerged from the SAFE, which appeared to reflect active "safety" behaviors, subtle restriction of behavior, and behaviors aimed at avoiding or concealing physical symptoms. The SAFE demonstrated strong internal consistency, good construct validity and the ability to discriminate between clinical and non-clinical participants. In addition, the SAFE was responsive to the effects of treatment. Given its excellent psychometric properties, the SAFE may be useful to further investigate the role of safety strategies in social anxiety and to assess treatment outcomes.
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Prior work has shown that safety behaviors decrease more after CBT than after a stress management control.
“The frequency of safety behaviors has previously been shown to decrease more following CBT compared to a stress management control (Cuming et al., 2009).”
From Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial. (2016) · cites this paper as Cuming et al., 2009
The SAFE has good discriminant and construct validity in patients with social anxiety disorder.
“It has good discriminant and construct validity in patients with SAD”
From Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial. (2016) · cites this paper as Cuming et al., 2009
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References 25 · Cited by 194
- Authors
- Cuming, S., Rapee, R. M., Kemp, N., Abbott, M. J., Peters, L., & Gaston, J. E.
- Affiliations
- Macquarie University (AU)
- The University of Sydney (AU)
- Corresponding author
- Rapee, Ronald M.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 23
- Issue
- 7
- Pages
- 879-883
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2004991254
- Cited by
- 194
- References
- 25
- Citations by year
- 2026: 9 · 2025: 15 · 2024: 15 · 2023: 12 · 2022: 19 · 2021: 14 · 2020: 10 · 2019: 37 · 2018: 7 · 2017: 8 · 2016: 7 · 2015: 8 · 2014: 9 · 2013: 7 · 2012: 3
- FWCI
- 7.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- social anxiety, safety behavior, safety-seeking behavior, self-report measures, psychometric properties, treatment outcome assessment
- MeSH terms
- Adolescent, Adult, Australia, Avoidance Learning, Defense Mechanisms, Female, Follow-Up Studies, Humans, Male, Middle Aged, Personality Inventory, Phobic Disorders, Psychometrics, Psychotherapy, Group, Reference Values, Safety, Reproducibility of Results, Young Adult
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