Wilson Anne C, Wilhelm Sabine, Hartmann Andrea S
Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Simches Research Building, 2nd Floor, 185 Cambridge Street, Boston, MA, USA.
Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Simches Research Building, 2nd Floor, 185 Cambridge Street, Boston, MA, USA.
Body Image. 2014 Sep;11(4):380-3. doi: 10.1016/j.bodyim.2014.06.006. Epub 2014 Jul 8.
Experiential avoidance (i.e., the attempt to avoid certain internal experiences including bodily sensations, thoughts, emotions, memories, and urges) has been studied in various psychological disorders. However, research examining experiential avoidance in individuals with body dysmorphic disorder (BDD) is limited and inconsistent. The present study compared experiential avoidance in individuals with primary BDD (n=23) to healthy controls (n=22). Standardized measures were used to assess baseline clinical characteristics as well as experiential avoidance. Compared to healthy controls, individuals with BDD presented with significantly greater experiential avoidance (p<.001, d=-2.51). In BDD, experiential avoidance was positively correlated with depressive symptoms (p<.01) and avoidant coping strategies (p<.01). Clinician sensitivity to experiential avoidance may serve to improve the course of treatment for BDD.
经验性回避（即试图回避某些内在体验，包括身体感觉、想法、情绪、记忆和冲动）已在各种心理障碍中得到研究。然而，关于身体变形障碍（BDD）患者经验性回避的研究有限且不一致。本研究将原发性BDD患者（n = 23）与健康对照组（n = 22）的经验性回避进行了比较。使用标准化测量方法评估基线临床特征以及经验性回避。与健康对照组相比，BDD患者表现出显著更高的经验性回避（p <.001，d = -2.51）。在BDD中，经验性回避与抑郁症状（p <.01）和回避应对策略（p <.01）呈正相关。临床医生对经验性回避的敏感性可能有助于改善BDD的治疗过程。
