Abstract：
:Despite increasing attention to the phenomenon of deliberate self-harm (DSH), the literature currently lacks a unifying, evidence-based, theoretical framework within which to understand the factors that control this behavior. The purpose of the present paper is to outline such a framework-the Experiential Avoidance Model (EAM) of DSH. The EAM poses that DSH is primarily maintained by negative reinforcement in the form of escape from, or avoidance of, unwanted emotional experiences. Literature on factors that may lead to experiential avoidance is reviewed, along with the mounting empirical evidence that DSH functions to help the individual escape from unwanted emotional experiences. The EAM integrates a variety of research on emotions, experiential avoidance, and DSH within a clinically useful framework that sparks novel research directions.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Chapman AL,Gratz KL,Brown MZdoi
10.1016/j.brat.2005.03.005subject
Has Abstractpub_date
2006-03-01 00:00:00pages
371-94issue
3eissn
0005-7967issn
1873-622Xpii
S0005-7967(05)00052-5journal_volume
44pub_type
杂志文章,评审abstract：:Many patients with obsessive-compulsive problems engage in neutralizing activity to reduce or "cancel out" the effects of the obsession. In many cases, neutralization is covert and therefore difficult to assess or manipulate experimentally. We hypothesize that neutralization resembles overt compulsions. In particular,...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(96)00051-4
更新日期：1996-11-01 00:00:00
abstract：:The 30-item Maudsley Obsessional-Compulsive Inventory (MOCI) was administered to 183 normal English-speaking Chinese subjects. The inventory achieved modest to relatively low internal consistency as a scale and as four subscales. Three independent dimensions of obsessional complaints interpretable as Perfectionistic a...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(90)90161-b
更新日期：1990-01-01 00:00:00
abstract：:The Phobic Origins Questionnaire (POQ) [Ost, L.-G. & Hugdahl, K. (1981). Acquisition of phobias and anxiety response patterns in clinical patients. Behaviour Research and Therapy, 19, 439-447.] is the most commonly cited instrument for determining the origins of phobic anxiety and data obtained using this instrument s...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,评审
doi：10.1016/s0005-7967(98)00067-9
更新日期：1998-11-01 00:00:00
abstract：:The present study examined the role of childhood trauma, major depressive disorder (MDD), and anxiety disorder (AD) in overgeneral autobiographical memory. Ninety-three outpatients and 24 healthy controls completed a childhood trauma questionnaire and an autobiographical memory test (AMT). Results showed that MDD diag...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(00)00011-5
更新日期：2001-04-01 00:00:00
abstract：:The tendency to perceive anxious states as aversive and harmful is hypothesized to confer vulnerability to the development of anxiety disorders. The most commonly used measure of anxiety sensitivity, the Anxiety Sensitivity Index [ASI; Reiss, S., Peterson, R.A., Gursky, D.M., & McNally R.J. (1986). Anxiety sensitivity...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2006.09.017
更新日期：2007-08-01 00:00:00
abstract：:It is not clear if treatments for depression targeting repetitive negative thinking (RNT: rumination, worry and content-independent perseverative thinking) have a specific effect on RNT resulting in better outcomes than treatments that do not specifically target rumination. We conducted a systematic search of PsycINFO...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,meta分析
doi：10.1016/j.brat.2018.04.002
更新日期：2018-07-01 00:00:00
abstract：:Many smartphone applications (apps) for mental health (MHapps) are available to the public. However, few have been the subject of a randomized controlled trial (RCT), and the change processes that are hypothesized to mediate claimed effects have not been previously studied. This RCT compared the efficacy of three publ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2018.08.003
更新日期：2018-10-01 00:00:00
abstract：:Although one of the main aims of dialectical behavior therapy (DBT) for borderline personality disorder (BPD) is to increase the retention rates, premature termination rates for DBT inpatient programs were found to be over 30%. The aim of the study was to identify the reasons for, and to analyze, patient characteristi...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2014.07.001
更新日期：2014-09-01 00:00:00
abstract：:Theoretical models in anorexia nervosa (AN) implicate difficulties with emotion regulation as a maintaining factor. To date little is known about how different factors might maintain these difficulties. Forty eight women were recruited, 24 receiving treatment for AN (called broadly defined AN) and 24 healthy controls....
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2013.04.005
更新日期：2013-08-01 00:00:00
abstract：:It is often suggested that early onset of disorders leads to higher severity and greater treatment refractoriness. Previous research has investigated whether there are clinical and demographic differences between groups of individuals who have experienced onset of obsessive-compulsive disorder (OCD) at an early or lat...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2008.10.015
更新日期：2009-02-01 00:00:00
abstract：:It is hypothesized that individuals who benefit less from CBT will be those who have more pathological core beliefs (unconditional beliefs, unrelated to food, shape and weight). Twenty bulimic women were treated using 12 sessions of conventional group CBT. Eating behavior and attitudes were assessed pre- and posttreat...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(99)00026-1
更新日期：2000-02-01 00:00:00
abstract：:Intolerance of uncertainty (IU) is a dispositional tendency to find uncertain situations aversive. There is limited understanding as to how IU may bias attention to uncertainty in the absence of direct threat. Here we examined the extent to which uncertain distractors and individual differences in IU impacted eye-move...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2019.03.011
更新日期：2019-07-01 00:00:00
abstract：:The present study examined the contribution of three main cognitive factors (i.e., anxiety sensitivity, catastrophic misinterpretations of bodily symptoms, and panic self-efficacy) in predicting panic disorder (PD) severity in a sample of patients with a principal diagnosis of panic disorder. It was hypothesized that ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2015.01.005
更新日期：2015-04-01 00:00:00
abstract：:Anxiety disorders in children and adolescents are common and impairing. As many patients do not benefit from - or have difficulties accessing - frontline treatments, novel, effective and easy-to-deliver interventions are needed. Cognitive Bias Modification of Interpretations (CBM-I) training has been used to treat adu...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,评审
doi：10.1016/j.brat.2013.07.001
更新日期：2013-10-01 00:00:00
abstract：:The differential effectiveness of three treatment packages for agoraphobia was tested. Patients received one of three short-term treatments: Breathing Retraining and Cognitive Restructuring, graded Self-Exposure in vivo, or a combination of both. No differential effects were found between the treatment conditions at p...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0005-7967(92)90098-2
更新日期：1992-01-01 00:00:00
abstract：:An interactive model implicating high perfectionism, high weight and shape concern, and low self-esteem in the onset and maintenance of bulimic symptoms (Bardone, Vohs, Abramson, Heatherton, & Joiner, 2000; Vohs, Bardone, Joiner, Abramson, & Heatherton, 1999) has received mixed support. This study aimed to replicate t...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2011.04.002
更新日期：2011-09-01 00:00:00
abstract：:The objective of this study was to investigate the effect of a positive 'mood for sex' on genital and subjective sexual arousal in functional women, using a musical mood induction procedure. Fifty-one female Ss were randomly assigned to one of four conditions: erotic film preceded by mood induction; erotic fantasy pre...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0005-7967(94)00059-s
更新日期：1995-05-01 00:00:00
abstract：:Ost (2008) recently compared the methodological rigor of studies of acceptance and commitment therapy (ACT) and traditional cognitive behavior therapy (CBT). He concluded that the ACT studies had more methodological deficiencies, and thus the treatment did not qualify as an "empirically supported treatment." Although ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2009.07.020
更新日期：2009-12-01 00:00:00
abstract：:With the advent of DSM-III-R, the diagnostic criteria for generalized anxiety disorder (GAD) shifted in emphasis from the autonomic arousal to the cognitive component of the disorder, namely worry. The Penn State Worry Questionnaire was developed to assess the trait of worry and has proven to be a reliable and valid m...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(92)90093-v
更新日期：1992-01-01 00:00:00
abstract：:A brief, cognitive-behavioral, phone-based intervention was employed with an Israeli sample experiencing anticipatory anxiety about potential war-related attacks. In this quasi-experimental controlled pilot study, the cognitive-behavioral therapy intervention (diaphragmatic breathing and a modified cognitive-restructu...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2004.05.006
更新日期：2005-05-01 00:00:00
abstract：:Exposure and response prevention (EX/RP) is an evidence-based treatment for obsessive-compulsive disorder (OCD), yet not all patients achieve wellness with EX/RP. The degree to which patients adhere to EX/RP procedures outside of sessions has been found to predict therapy outcomes, including who achieves post-treatmen...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2016.07.010
更新日期：2016-10-01 00:00:00
abstract：:Animal research has shown that anxiety may inhibit pain through the release of endogenous opioids. On the other hand, anxiety is often believed to exacerbate pain in clinical situations, and anxiety reduction has been shown to attenuate the affective component of pain. In the present study phobic anxiety was induced b...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章
doi：10.1016/s0005-7967(98)00100-4
更新日期：1999-01-01 00:00:00
abstract：:There is a growing interest on how mental imagery may be involved in the onset and maintenance of anxiety-related disorders. Here, we used an experimental design to investigate whether a key symptom across anxiety-related disorders, namely avoidance, can be induced via mental imagery. Healthy participants first learne...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2020.103652
更新日期：2020-06-01 00:00:00
abstract：:Studies on the link between checking and memory problems have produced equivocal results regarding a general memory deficit in patients with obsessive-compulsive disorder and subclinical checkers. However, there is clear and consistent evidence that patients with obsessive-compulsive disorder (OCD) show lack of confid...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2003.11.001
更新日期：2005-01-01 00:00:00
abstract：:Nineteen of 27 patients suffering from Irritable Bowel Syndrome (IBS) who had completed a multicomponent treatment involving progressive muscle relaxation, thermal biofeedback, cognitive therapy and IBS education were located and evaluated 4 yr posttreatment. Seventeen of 19 (89.5, or 63% of the total original sample)...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(90)90085-w
更新日期：1990-01-01 00:00:00
abstract：:Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR) emphasize the importance of mindfulness practice at home as an integral part of the program. However, the extent to which participants complete their assigned practice is not yet clear, nor is it clear whether this practice is ass...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.brat.2017.05.004
更新日期：2017-08-01 00:00:00
abstract：:This study compared and combined fluoxetine and individual cognitive behavioral therapy in the treatment of bulimia nervosa. Participants were 76 women who sought treatment at the Eating Disorders Program of the Toronto Hospital and who met DSM-III-R criteria for bulimia nervosa. Subjects were randomly assigned to rec...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0005-7967(97)00041-7
更新日期：1997-09-01 00:00:00
abstract：BACKGROUND:Repetitive negative thinking is a transdiagnostic process that occurs across several psychological disorders, including eating disorders. Individuals with eating disorders have higher levels of repetitive negative thinking than controls, and repetitive negative thinking is associated with eating disorder beh...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2018.11.005
更新日期：2019-01-01 00:00:00
abstract：:The features of severe health anxiety, intense and persistent anxiety about one's present and future health, are described. In common with other anxiety disorders such as GAD, PTSD and OCD, the core of HAD is distressing, uncontrollable anxiety, and is classifiable as an Anxiety Disorder, Health Anxiety Disorder (HAD)...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,评审
doi：10.1016/j.brat.2012.05.001
更新日期：2012-08-01 00:00:00
abstract：:Avoidance behaviors are central to the anxiety disorders and implicated in many other forms of psychopathology, but the reinforcing mechanism of avoidance remains largely elusive. It has been suggested that subjective relief during successful omission of threat may serve as a reinforcer and contribute to the developme...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2019.103526
更新日期：2020-01-01 00:00:00
