评估作为跨诊断变量的基本行为过程（获得强化物和经验回避）对情绪障碍的影响：一项系统综述

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science Pub Date : 2025-04-01 DOI:10.1016/j.jcbs.2025.100895

Mario Andres Valderrama – Diaz , Javier López – Martínez , Ronald Toro

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引用次数: 0

摘要

本系统综述旨在确定核心行为过程（体验性回避和获得强化）对情绪障碍的影响。虽然跨诊断研究已经证明了消极强化因素与情绪问题获得和维持过程（如经验回避）之间的密切关系，但目前还没有研究表明，积极强化因素的获取及其功能（如获得注意力、感官强化和接触内化问题（如焦虑和抑郁）的有形物质）之间的关系。方法包括反应-偶然正强化、负强化、经验回避、获得强化物和情绪困难（即抑郁、单极抑郁、焦虑、情绪困扰和情感障碍）的研究。本研究使用了7个数据库：PubMed， MEDLINE, ScienceDirect, Scopus, PsycINFO, PsyARTICLES， SciELO科学论文引文索引和ProQuest 2013 - 2024年的论文。采用Fleiss Kappa法确定法官间信度指数。随后，创建了一本编码书，其中包含12个标准，通过这些标准产生了定性合成。结果共纳入21项研究（n = 2776），包括9篇关于获得强化的文章和12篇关于经验回避及其与情绪障碍的关系的文章。研究发现了研究变量之间的直接关系，并确定了在存在情绪症状的情况下获得强化物和经验回避的中介作用的证据。结论近十年的研究支持基本行为过程与情绪障碍及相关精神病理之间的关系，表明这些变量应作为解释和指导治疗的变量而受到关注。

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Estimating the effect of basic behavioral processes (access to reinforcers and experiential avoidance) on emotional disorders as transdiagnostic variables: A systematic review

This systematic review we sought to identify the effects of core behavioral processes (experiential avoidance and access to reinforcement) on emotional disorders. Although transdiagnostic research has demonstrated a close relationship between negative reinforcers and processes such as experiential avoidance in the acquisition and maintenance of emotional problems, no studies are available that relate access to positive reinforcers and their functions such as gaining attention, sensory reinforcement and access to tangibles with internalizing problems such as anxiety and depression.

Methodology

Studies on response-contingent positive reinforcement, negative reinforcement, experiential avoidance, access to reinforcers, and emotional difficulties (i.e., depression, unipolar depression, anxiety, emotional distress, and affective disorder) were included. Seven databases were used for this research: PubMed, MEDLINE, ScienceDirect, Scopus, PsycINFO, PsyARTICLES, SciELO Citation Index of scientific articles, and ProQuest Dissertations from 2013 to 2024. Fleiss’ Kappa was used to determine the inter-judge reliability index. Subsequently, a coding book was created, incorporating 12 criteria through which the qualitative synthesis was generated.

Results

a total of 21 studies (n = 2776) were included for the qualitative synthesis, comprising nine articles on access to reinforcement and twelve on experiential avoidance and their relationship with emotional disorders. A direct relationship was found between the study variables, and evidence was identified of the mediating role of access to reinforcers and experiential avoidance in the presence of emotional symptomatology.

Conclusion

A decade of research supports a relationship between basic behavioral processes and the presence of emotional disorders and related psychopathologies, suggesting that these variables should a focus of attention as an explanatory and treatment-directing variable.

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.