Fernández-Rodríguez Concepción, Coto-Lesmes Rocío, Martínez-Loredo Víctor, Cuesta-Izquierdo Marcelino
Universidad de Oviedo.
Psicothema. 2022 May;34(2):240-248. doi: 10.7334/psicothema2021.344.
Evidence about how cognitive fusion (CF) and experiential avoidance (EA) interact with emotional distress underlines the importance of analyzing the interrelationships between the different processes of psychological inflexibility in order to improve ways of addressing emotional problems. This study analyzes the moderating effect of CF, EA and activation (A) in relation to four criteria of anxiety and depression.
A cross-sectional study of a clinical sample of adults was carried out by means of a questionnaire administered before (N = 172) and 6 months after (N = 114) participation in a clinical study.
Regression analyses gave results which were consistent in the two evaluations. The EAxCF interaction modulated anxiety symptomatology, whereas A was not a significant predictor. Nevertheless, a reduction in A was the principal modulating condition in the symptomatology of depression; and although CF and EA did act as independent predictors, the EAxCF interaction was not significant.
The presence and intensity of manifestations of emotional distress are explained and modulated by the progressive concurrence of CF, EA and reduction in A. The use of therapeutic approaches which increase activation could be a beneficial strategy with regard to decreasing cognitive fusion and experiential avoidance.
关于认知融合（CF）和经验性回避（EA）如何与情绪困扰相互作用的证据强调了分析心理僵化不同过程之间的相互关系对于改善应对情绪问题方法的重要性。本研究分析了CF、EA和激活（A）对焦虑和抑郁四个标准的调节作用。
通过在参与一项临床研究之前（N = 172）和之后6个月（N = 114）发放问卷，对一个成年临床样本进行了横断面研究。
回归分析在两次评估中得出了一致的结果。EAxCF交互作用调节了焦虑症状，而A不是一个显著的预测因子。然而，A的降低是抑郁症状的主要调节条件；尽管CF和EA确实作为独立预测因子起作用，但EAxCF交互作用并不显著。
情绪困扰表现的存在和强度可通过CF、EA的逐步同时出现以及A的降低来解释和调节。采用增加激活的治疗方法可能是减少认知融合和经验性回避的有益策略。
