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瞬间体验回避:个体内相关因素、前因和后果以及个体间调节因素。

Momentary experiential avoidance: Within-person correlates, antecedents, and consequences and between-person moderators.

机构信息

Lafayette College, 730 High St., Easton, PA 18042, USA.

Lafayette College, 730 High St., Easton, PA 18042, USA.

出版信息

Behav Res Ther. 2018 Aug;107:42-52. doi: 10.1016/j.brat.2018.05.011. Epub 2018 May 29.

Abstract

We used ecological momentary assessment to investigate momentary correlates, antecedents, and consequences of experiential avoidance (EA), and to explore whether depression and anxiety moderate these within-person relationships. Participants recorded their mood, thoughts, stress, and EA four times daily for one week. Baseline depression and anxiety were associated with EA. EA was lower when participants reported more positive mood and thoughts, and higher when participants reported more negative mood, negative thoughts, and stress. The EA-stress relationship was stronger for participants with higher depression. Lag analyses showed that negative mood, negative thoughts, and stress predicted subsequent EA. In turn, EA predicted subsequent negative mood, negative thoughts, and stress. The relationship between EA and subsequent negative thoughts was stronger for participants with higher anxiety. Participants with higher depression and anxiety had a less negative association between positive thoughts and subsequent EA. This study adds to a growing body of literature on the process of EA as it unfolds in vivo, in real-time. Findings highlight links between momentary negative internal experiences and EA (which may be especially strong for people with depression or anxiety) and suggest that certain positive subjective experiences may buffer against EA. Clinical implications and future research directions are discussed.

摘要

我们使用生态瞬时评估来调查体验回避(EA)的瞬时相关性、前因和后果,并探讨抑郁和焦虑是否调节这些个体内关系。参与者在一周内每天四次记录他们的情绪、想法、压力和 EA。基线抑郁和焦虑与 EA 有关。当参与者报告更多积极的情绪和想法时,EA 较低,而当参与者报告更多负面情绪、负面想法和压力时,EA 较高。对于抑郁程度较高的参与者,EA-压力关系更强。滞后分析表明,负面情绪、负面想法和压力预测随后的 EA。反过来,EA 预测随后的负面情绪、负面想法和压力。对于焦虑程度较高的参与者,EA 和随后的负面想法之间的关系更强。抑郁和焦虑程度较高的参与者在积极想法和随后的 EA 之间的负相关程度较低。这项研究增加了越来越多的关于 EA 在体内实时展开的过程的文献。研究结果强调了瞬时负面内部体验与 EA 之间的联系(对于抑郁或焦虑程度较高的人来说,这种联系可能特别强),并表明某些积极的主观体验可能对 EA 具有缓冲作用。讨论了临床意义和未来的研究方向。

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