Kimberly S Sain, Kayla A Lord, Kelly A Knowles, Kate Everhardt, David F Tolin
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引用次数: 0
Abstract
Background: Experiential avoidance (EA) may serve as a risk factor for a wide range of anxiety-related psychopathology. Anxiety is thought to trigger the use of EA, while also serving as a consequence of EA efforts. Previous ecological momentary assessment (EMA) studies found that EA was associated with greater anxiety in nonclinical undergraduates and patients with social anxiety disorder.
Methods: The present study examined the in-the-moment, bidirectional relationship between EA, perceived stress, and two facets of anxiety (autonomic arousal and worry/misery) in a sample of treatment-seeking patients broadly diagnosed with an anxiety-related disorder (N = 46). Participants completed a baseline assessment followed by an EMA assessment period (assessments three times daily for seven days). We hypothesized that there would be a bidirectional relationship between EA and anxiety/stress.
Results: Results largely supported a unidirectional relationship such that greater EA at one time point predicted higher stress at a later time point controlling for previous stress levels and linear time. Trend-level associations between EA and anxiety symptoms are discussed.
Conclusions: The current study provides important insight into the relationship between EA and anxiety symptoms in a clinical sample of participants with anxiety-related disorders.
背景:体验性回避(EA)可能是多种焦虑相关精神病理学的风险因素。焦虑被认为是使用体验回避的诱因,同时也是体验回避努力的结果。以往的生态瞬间评估(EMA)研究发现,EA 与非临床大学生和社交焦虑症患者的焦虑程度有关:本研究以被广泛诊断为焦虑相关障碍的寻求治疗的患者(46 人)为样本,研究了 EA、感知压力和焦虑的两个方面(自律神经唤醒和担忧/痛苦)之间的即时双向关系。参与者在完成基线评估后进行 EMA 评估(每天评估三次,持续七天)。我们假设 EA 与焦虑/压力之间存在双向关系:结果:研究结果在很大程度上支持单向关系,即在一个时间点上,如果 EA 值越大,则在随后的时间点上压力越大,这与之前的压力水平和线性时间有关。研究还讨论了 EA 与焦虑症状之间的趋势关联:本研究为焦虑相关障碍临床样本中的 EA 与焦虑症状之间的关系提供了重要见解。
期刊介绍:
This journal provides a forum for scientific, theoretically important, and clinically significant research reports and conceptual contributions. It deals with experimental and field studies on anxiety dimensions and stress and coping processes, but also with related topics such as the antecedents and consequences of stress and emotion. We also encourage submissions contributing to the understanding of the relationship between psychological and physiological processes, specific for stress and anxiety. Manuscripts should report novel findings that are of interest to an international readership. While the journal is open to a diversity of articles.