George Mason University, Fairfax, VA 22030, United States.
J Anxiety Disord. 2010 Jun;24(5):528-34. doi: 10.1016/j.janxdis.2010.03.010. Epub 2010 Mar 27.
Experiential avoidance, or attempts to alter or avoid undesirable thoughts and feelings, has been theorized to be relevant to the development of emotional disturbances, particularly anxiety problems. Prior work has relied on two methodologies: global self-report measures or laboratory manipulations. To better understand links between experiential avoidance and emotional disturbances, we measured experiential avoidance in the context of prominent anxious autobiographical events. Trained raters coded events for emotionality and reliance on experiential avoidance. Our interest was whether experiential avoidance could be measured as a memory characteristic and how it relates to social anxiety, depressive, and anger symptoms. As evidence of construct validity, experiential avoidance ratings were related to more intense negative emotions and coping difficulties during anxious events, memory vividness, and emotion suppression tendencies. Experiential avoidance was positively related to social anxiety and depressive symptoms and predicted an increase in social anxiety over a 3-month period; findings could not be attributed to the emotionality of memories. In contrast, no relations were found with inward or outward expressions of anger, or longitudinal change in depressive or anger symptoms. Results suggest that experiential avoidance is an important dimension of people's life narratives and particularly relevant to social anxiety problems.
经验性回避,即试图改变或回避不愉快的想法和感受,被认为与情绪障碍的发展有关,特别是焦虑问题。先前的研究依赖于两种方法:总体自我报告测量或实验室操作。为了更好地理解经验性回避和情绪障碍之间的联系,我们在突出的焦虑自传事件的背景下测量了经验性回避。经过培训的评估人员对事件进行了情感和对经验性回避的依赖程度的编码。我们感兴趣的是,经验性回避是否可以作为记忆特征来衡量,以及它与社交焦虑、抑郁和愤怒症状的关系如何。作为结构效度的证据,经验性回避的评分与焦虑事件期间更强烈的负面情绪和应对困难、记忆生动度以及情绪抑制倾向有关。经验性回避与社交焦虑和抑郁症状呈正相关,并预测在 3 个月内社交焦虑的增加;这些发现不能归因于记忆的情感性。相比之下,与愤怒的内向或外向表达,或抑郁或愤怒症状的纵向变化没有关系。研究结果表明,经验性回避是人们生活故事的一个重要维度,特别是与社交焦虑问题有关。