University of Southampton, Southampton SO17 1BJ, UK.
Behav Modif. 2010 Mar;34(2):145-63. doi: 10.1177/0145445510362575.
Despite their formal dissimilarity, problem behaviors (e.g., substance misuse, binge eating, self-harm) may share a common function. According to Acceptance and Commitment Therapy (ACT), this shared function is Experiential Avoidance, the process of avoiding, escaping or otherwise altering unwanted private events (e.g., thoughts, feelings, memories) and the contexts that elicit them. Structural Equation Modeling was used cross-sectionally with data from a clinical opportunity sample ( N = 290) to test (a) whether problem behavior covariance was associated with experiential avoidance, and (b) whether experiential avoidance mediated the relationships between historical and dispositional risk factors (childhood trauma and negative affect intensity, respectively) and the tendency to engage in problem behaviors. Analysis showed that experiential avoidance contributed to the covariation of problem behaviors, and that it fully mediated the relationships between both risk factors and problem behavior. Thus, experiential avoidance may be a key process to target in the management of individuals with behavior problems.
尽管形式不同，但问题行为（例如，药物滥用、暴食、自残）可能具有共同的功能。根据接纳与承诺疗法（ACT），这种共同的功能是经验回避，即避免、逃避或以其他方式改变不想要的私人事件（例如，想法、感觉、记忆）和引发这些事件的情境的过程。使用结构方程模型对临床机会样本（N=290）的数据进行了横断面研究，以测试：（a）问题行为的协方差是否与经验回避有关，以及（b）经验回避是否在历史和特质风险因素（分别为儿童期创伤和负性情绪强度）与从事问题行为的倾向之间的关系中起中介作用。分析表明，经验回避会导致问题行为的协变，并且完全中介了这两个风险因素与问题行为之间的关系。因此，经验回避可能是管理行为问题个体的关键目标过程。
