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Behavioral and experiential avoidance in patients with hoarding disorder.

Abstract：

BACKGROUND AND OBJECTIVES:This study examined the relationship between experiential and behavioral avoidance and hoarding symptom severity, controlling for anxiety and depression symptoms, in 66 adult individuals (M age = 61.41; SD = 9.03) with HD. METHODS:Hierarchical regression was used to test the associations between hoarding severity, as defined by the Savings Inventory-Revised (SI-R) total and its three subscales, and avoidance, as defined by the Acceptance and Action Questionnaire II (AAQ-II) and two scales from the Brief COPE (Self-Distraction and Behavioral Disengagement) when controlling for anxiety and depression symptoms. RESULTS:Experiential avoidance (AAQ-II) and behavioral avoidance (Brief COPE subscales Self-Distraction and Behavioral Disengagement) uniquely accounted for aspects of hoarding severity (SI-R) in regression models. Behavioral avoidance contributed significant additional variance to the SI-R Clutter subscale, whereas experiential avoidance was uniquely predictive of additional variance in the SI-R Difficulty Discarding and the SI-R Acquisition subscales. LIMITATIONS:Future research should examine the effect of experiential avoidance on hoarding behaviors experimentally. CONCLUSIONS:Given that the AAQ-II and Self-Distraction and Behavioral Disengagement subscales were not correlated, these findings suggest that experiential and behavioral avoidance are two distinct processes contributing to the severity of specific HD. Results support the utility of avoidance in the cognitive-behavioral model for HD.

journal_name

J Behav Ther Exp Psychiatry

journal_title

Journal of behavior therapy and experimental psychiatry

authors

Ayers CR,Castriotta N,Dozier ME,Espejo EP,Porter B

doi

10.1016/j.jbtep.2014.04.005

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

408-14

issue

3

eissn

0005-7916

issn

1873-7943

pii

S0005-7916(14)00029-9

journal_volume

45

pub_type

杂志文章

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