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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

14-11-2023

Temporal Relations Among Changes in Activation, Avoidance, and Anxiety in the Unified Protocol

Auteurs: Doug R. Terrill, Matthew W. Southward, Lindsey Crowley, Riley Feddock, Madeline L. Kushner, Shannon Sauer-Zavala

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 1/2024

Abstract

Behavioral activation and experiential avoidance are considered closely related transdiagnostic constructs. Decreases in behavioral activation and increases in avoidance are both thought to play a role in the maintenance of emotional disorder symptoms. Using a series of random intercept cross-lagged panel models, this study examined the temporal relations between change in behavioral activation, experiential avoidance, and anxiety symptoms during outpatient administration of the Unified Protocol. Between-person results demonstrated that greater avoidance was associated with lower activation, and more severe anxiety symptoms were associated with both greater avoidance and lower activation. Within-person results suggested that improvements in avoidance tended to predict increased activation and decreased anxiety symptoms. Changes in activation did not substantially predict changes in avoidance or anxiety. Overall, these results provide preliminary information on the timing of important therapeutic processes and may shed light on how clinicians should prioritize targets.

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Similarly, across all 12 weeks, participants reported large, significant reductions in behavioral avoidance, B = -.71, SE = .12, p < .01, 95% CI [-.96, -.47], d = .79; medium-sized, significant reductions in anxiety, B = -.16, SE = .04, p < .01, 95% CI [-.24, -.08], d = .54; and small-sized, significant increases in behavioral activation, B = .09, SE = .05, p = .03, 95% CI [.01, .19], d = .26. These 12-week changes in behavioral avoidance, B = .32, SE = .30, p = .29, 95% CI [-.29, .93]; anxiety, B = .08, SE = .08, p = .37, 95% CI [-.08, .24]; and behavioral activation, B = -.20, SE = .12, p = .11, 95% CI [-.44, .04], did not significantly differ by duration condition.

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Titel: Temporal Relations Among Changes in Activation, Avoidance, and Anxiety in the Unified Protocol
Auteurs: Doug R. Terrill
Matthew W. Southward
Lindsey Crowley
Riley Feddock
Madeline L. Kushner
Shannon Sauer-Zavala
Publicatiedatum: 14-11-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 1/2024
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-023-10099-9

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