Clinical Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstraße 41, 79106 Freiburg, Germany.
J Behav Ther Exp Psychiatry. 2013 Mar;44(1):61-8. doi: 10.1016/j.jbtep.2012.07.006. Epub 2012 Aug 10.
Experiential avoidance (EA) is an important factor in maintaining different forms of psychopathology including borderline personality pathology (BPD). So far little is known about the functions of EA, BPD features and general psychopathology for positive emotions. In this study we investigated three different anticipated pathways of their influence on positive emotions.
A total of 334 subjects varying in general psychopathology &/or BPD features completed an online survey including self-ratings of BPD features, psychopathology, negative and positive emotions, and EA. Measures of positive emotions included both a general self-rating (PANAS) and emotional changes induced by two positive movie clips. Data were analyzed by means of path analysis.
In comparing the three path models, one model was found clearly superior: In this model, EA acts as a mediator of the influence of psychopathology, BPD features, and negative emotions in the prediction of both measures of positive emotions.
EA plays a central role in maintaining lack of positive emotions. Therapeutic implications and study limitations are discussed.
体验回避(EA)是维持包括边缘型人格障碍(BPD)在内的不同形式精神病理学的一个重要因素。到目前为止,对于 EA、BPD 特征和一般精神病理学对积极情绪的作用知之甚少。在这项研究中,我们调查了它们对积极情绪影响的三种不同预期途径。
共有 334 名受试者在一般精神病理学和/或 BPD 特征方面存在差异,他们完成了一项在线调查,包括 BPD 特征、精神病理学、消极和积极情绪以及 EA 的自我评估。积极情绪的测量包括一般自我评估(PANAS)和两个积极电影片段引起的情绪变化。通过路径分析对数据进行了分析。
在比较三个路径模型时,发现一个模型明显更优:在这个模型中,EA 作为精神病理学、BPD 特征和消极情绪对两种积极情绪测量的预测的中介。
EA 在维持缺乏积极情绪方面起着核心作用。讨论了治疗意义和研究限制。