The role of experiential avoidance, mindfulness and anxiety sensitivity as transdiagnostic factors in prediction of emotional disorder

Document Type : Original Article

Authors

1 Islamic Azad University, Tabriz Branch

2 Azarbaijan Shahid Madani University

Abstract

The purpose of present study was to investigate the role of experiential avoidance, mindfulness and anxiety sensitivity in emotional disorders symptoms. To this aim, 297 students (age mean 21.6±5.8) were selected by multi-stage cluster sampling from Azad Islamic university students and completed the Acceptance and Action Questionnaire-II (AAQ-II), Anxiety Sensitivity Index-Revised (ASI-R) and Inventory of Depression and Anxiety Symptoms (IDAS). Results showed acceptance is correlated strongly with almost all depression symptoms and all of anxiety symptoms (P>0.01); Moreover mindfulness were correlated moderatly with some of depression and two anxiety symptoms (P>0.01); finally anxiety sensitivity was moderately correlated with some depression and strongly with anxiety symptoms (P>0.01). Regression analysis revealed experiential avoidance has significant role in depression symptoms like Lassitude, Insomnia, Suicidality, Appetite gain, Ill Temper and Well-being, but mindfulness and anxiety sensitivity have weaker role in some symptoms of depression (P>0.01). Also results showed anxiety sensitivity has a dominate role, but experiential avoidance moderate and mindfulness a weak role in anxiety symptoms (P>0.01). Experiential avoidance can be seen as a dominant and common transdiagnostic process in emotional disorders, but anxiety sensitivity is just more influencing process in anxiety symptoms of emotional disorder and mindfulness is a weak transdiagnostic process in emotional disorders.    

Keywords

References

1- Watson, D., & Naragon-Gainey, K. (2014). Personality, Emotions, and the Emotional Disorders. Clin Psychol Sci, 2 (4), pp. 422-442.
2- Watson, D. (2005). Rethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM-V. J Abnorm Psychol, 114, pp. 522–536.
3- Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, G. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. J Abnorm Psychol, 110, pp. 585-599.
4- Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified theory for emotional disorders. Behav Ther, 35, pp. 205–230.
5- Ehring, T., & Watkins, E.R. (2008). Repetitive negative thinking as a transdiagnostic process. Int J Cogn Ther, 1, pp. 192–205.
6- Mansell, W., Harvey, A., Watkins, E., & Shafran, R. (2009). Conceptual foundations of the transdiagnostic approach to CBT. J Cogn Psychother, 23, pp. 6–19.
7- Clark, D.A., & Taylor, S. (2009). The transdiagnostic perspective on cognitive-behavioral therapy for anxiety and depression: New wine for old wineskins? J Cogn Psychother, 23, pp. 60–66.
8. Dudley, R., Kuyken, W., & Padesky, C.A. (2010). Disorder specific and trans-diagnostic case conceptualization. Clin Psychol Rev, 31: pp. 213–224.
9- Harvey, A., Watkins, E., Mansell, W., & Shafran, R. (2004). Cognitive behavioural processes across psychological disorders: A transdiagnostic approach to research and treatment. Oxford, UK: Oxford University Press.
10- Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. J Consult Clin Psychol, 64, pp. 1152–1168.
11- Hayes, S.C., Strosahl, K.D., Wilson, K.G., Bissett, R.T., Pistorello, J., Toarmino, D., McCurry, S.M. (2004). Measuring experiential avoidance: A preliminary test of a working model. Psychol Rec, 54, pp. 553–578.
12- Eifert, G. H., Forsyth, J. P., Arch, J., Espejo, E., Keller, M., Langer, D. (2009). Acceptance and Commitment Therapy for Anxiety Disorders: Three Case Studies Exemplifying a Unified Treatment Protocol. Cogn Behav Pract, 16, pp. 368-385.
13- Chawla, N., & Ostafin, B. (2007). Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review. J Clin Psychol, 63 (9), pp. 871–890.
14- Baer, R. A. (2007). Mindfulness, assessment and transdiagnostic processes. Psychol Inq, 18(4): pp. 238–242.
15- Shallcross, A. J., Troy, A. S., Boland, M., & Mauss, I. B. (2010). Let it be: Accepting negative emotional experiences predicts decreased negative affect and depressive symptoms. Behav Res Ther, 48, pp. 921–929.
16- Marx, B. P., & Sloan, D. M. (2005). Peritraumatic dissociation and experiential avoidance as predictors of posttraumatic stress symptomatology. Behav Res Ther, 43: pp. 569–583.
17- Spinhoven, P., Drost, J., de Rooij, M., van Hemert, A. M., Penninx, B. W. (2014). A longitudinal Study of Experiential Avoidance in Emotional Disorder. Behav Ther, 45, pp. 840-850.
18- Bird, T., Mansell, W., Dickens, C., & Tai, S. (2013). Is There a Core Process Across Depression and Anxiety? Cognit Ther Res, 37, pp. 307-323.
19- Greeson, J., Garland, E. L. and Black, D. (2014) Mindfulness: A Transtherapeutic Approach for Transdiagnostic Mental Processes, in the Wiley Blackwell Handbook of Mindfulness (Eds A. Ie, C. T. Ngnoumen and E. J. Langer), John Wiley & Sons, Ltd, Chichester, UK.
20- Brake, A., Saur-Zavala, S. Boswell, J. F., Gallagher, M. W., Farchione, T. J., Barlow, D. H. (2016). Mindfulness-Based Exposure Strategies as a Transdiagnostic Mechanism of Change: An Exploratory Alternating Treatment Design. Behav Ther, 47, pp. 225-238.
21- Boswell, J.F., Farchione, T.J., Sauer-Zavala, S., Muray, M. R., Fortune, M. R., Barlow, D.H. (2013). Anxiety Sensitivity and Interoceptive Exposure: A Transdiagnostic Construct and Change Strategy. Behav Ther, 44, pp. 417-431.
22- ولیدی‏پاک، آذر؛ خدایی، علی؛ شیخله، شجاع. (1395) اثربخشی آموزش ذهن آگاهی مبتنی بر شناختی بر کاهش افسردگی در بیماران مبتلا به سرطان. دو فصلنامه علمی- پژوهشی روانشناسی بالینی و شخصیت (دانشور رفتار)، 14 (2)، پیاپی 27، صص. 57-49.
23- فرهادی، مریم؛ پسندیده، محمدمهدی. (1396). اثربخشی درمان‌شناختی مبتنی بر ذهن آگاهی (MBSR) در کاهش استرس، اضطراب و افسردگی و افزایش خودکار آمدی در بیماران زن مبتلا به مولتیپل اسکلروزیس (ام. اس).
دو فصلنامه علمی- پژوهشی روانشناسی بالینی و شخصیت (دانشور رفتار)، 15 (2)، پیاپی 29، صص. 15-7.
24- Bernstein, A., Zvolensky, M. J., Norton, P. J., Schmidt, N. B., Taylor, S., & Forsyth, J. P. (2007). Taxometric and factor analytic models of anxiety sensitivity: Integrating approaches to latent structural research. Psychol Assess, 19, pp. 74–87.
25- Taylor, S., & Cox, B. J. (1998). Anxiety sensitivity: Multiple dimensions and hierarchic structure. Behav Res Ther, 36: pp. 37–51.
26- Zvolensky, M. J., Goodie, J. L., Ruggerio, K. J., Black, A. L., Larkin, K. T., & Taylor, B. K. (2002). Perceived stress and anxiety sensitivity in the prediction of anxiety-related responding: A multichallenge evaluation. Anxiety Stress Coping, 15, pp. 211–229.
27- Baillie, A.J., & Rapee R.M. (2005). Panic attacks as risk markers for mental disorders. Soc Psychiatry Psychiatr Epidemiol, 40, pp. 240–244.
28- Schmidt, N.B., Zvolensky, M.J., & Maner, J.K. (2006). Anxiety sensitivity: Prospective prediction of panic attacks and Axis I pathology. J Psychiatr Res, 40, pp. 691–699.
29- Boswell, J. F., Anderson, L. M., & Barlow, D. H. (2014). An idiographic analysis of change processes in the unified transdiagnostic treatment of depression. J Consult Clin Psychol, 82(6), pp. 1060–1071.
30- Brown, K. W. & Ryan, R. M. (2003). "The benefits of being present: Mindfulness and its role in psychological wellbeing". J Pers Soc Psychol, 84, pp. 822- 848.
31-  نجاتی، وحید (1388). مقایسه ذهن‌آگاهی نابینایان و همتایان بینا. مجله پزشکی قانونی، 15 (4): صص. 262-265.
32-  Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K.M., Guenole, N., Orcutt, H. K., Waltz, T., Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther, 42 (4), pp. 676-688.
33- عباسی، ایمانه؛ فتی، لادن؛ مولودی، رضا؛ ضرابی، حمید (1391). کفایت روان‌سنجی نسخه فارسی پرسشنامه پذیرش و عمل-نسخه دوم. روش‌ها و مدل‌های روان‌شناختی، سال دوم، 10: صص. 80-65.
34- مرادی منش، فردین؛ میر جعفری، سید احمد؛ گودرزی، محمدعلی؛ محمدی، نور اله. (1386). بررسی ویژگی‌های روان‌سنجی شاخص تجدیدنظر شده حساسیت اضطرابی، مجله روانشناسی، 11 (4): صص. 446-426.
35- Watson, D., O'Hara, M.W., Simms, L.J., & et al. (2007). Development and Validation of the Inventory of Depression and Anxiety Symptoms (IDAS). Psychol Assess, 19(3), pp. 53-268.
36- Abdi, R., Chalabianloo, GH, R., & Joorbonyan, A. (2015). The Role of Perfectionism as a Transdiagnostic Factor in Prediction of Emotional Disorders Symptoms Severity". Pract Clin Psychol, 3(4), pp.227-234.
37- Wenzlaff, R. M., & Wegner, D.M. (2000). Thought suppression. Annu Rev Psychol, 51, pp. 59–91.
38- Barajas, S., & Garra, L. (2014). Mindfulness and psychopathology: Adaptation of the Mindful Attention Awareness Scale (MAAS) in a Spanish sample. Clín y Sal, 25 (1), pp. 49-56.
39- Pepping, C. A., Duvanage, M., Cronin, T. J., & Lyons, L. (2016). Adolescent mindfulness and psychopathology: The role of emotion regulation. Pers Individ Dif, 99, pp. 302-307.
40- Cox, B. J., Enns, M.W., Freeman, P., Walker, J. R. (2001). Anxiety sensitivity and major depression: examination of affective state dependence. Behav Res Ther, 39, pp. 1349-1356.
41- Bishop, S., Lau, M., Shapiro, S., Carleson, L., Anderson, N., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clin Psychol-Sci Pr, 11(3), pp. 230-241.
42- Mccabe, R.E. (1999). Implicit and explicit memory for threat words in high-and low-anxiety-sensitive participants. Cognit Ther Res, 23(1), pp. 21-38.

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