Linking cognitive avoidance and GAD symptoms: The mediating role of fear of emotion
Although cognitive avoidance has been linked to generalized anxiety disorder (GAD), the mechanism that may account for this association has not been fully elucidated. The current study uses structural equation models to evaluate the relationship between cognitive avoidance and symptoms of GAD in a l...
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Veröffentlicht in: | Behaviour research and therapy 2010-05, Vol.48 (5), p.435-441 |
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description | Although cognitive avoidance has been linked to generalized anxiety disorder (GAD), the mechanism that may account for this association has not been fully elucidated. The current study uses structural equation models to evaluate the relationship between cognitive avoidance and symptoms of GAD in a large unselected sample (n = 1220), and to examine whether subjective fear of emotion partially mediate this relationship. Results support partial mediation, and follow-up analyses suggest that the pattern of relations among fear of emotion, cognitive avoidance, and GAD symptoms is invariant for men and women. However, subsequent analysis revealed equivalence of meditational models where cognitive avoidance leads to GAD symptoms and vice versa. The implications of these findings for better understanding the etiology, maintenance, and treatment of GAD are discussed. |
doi_str_mv | 10.1016/j.brat.2009.11.014 |
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The current study uses structural equation models to evaluate the relationship between cognitive avoidance and symptoms of GAD in a large unselected sample (n = 1220), and to examine whether subjective fear of emotion partially mediate this relationship. Results support partial mediation, and follow-up analyses suggest that the pattern of relations among fear of emotion, cognitive avoidance, and GAD symptoms is invariant for men and women. However, subsequent analysis revealed equivalence of meditational models where cognitive avoidance leads to GAD symptoms and vice versa. 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The current study uses structural equation models to evaluate the relationship between cognitive avoidance and symptoms of GAD in a large unselected sample (n = 1220), and to examine whether subjective fear of emotion partially mediate this relationship. Results support partial mediation, and follow-up analyses suggest that the pattern of relations among fear of emotion, cognitive avoidance, and GAD symptoms is invariant for men and women. However, subsequent analysis revealed equivalence of meditational models where cognitive avoidance leads to GAD symptoms and vice versa. The implications of these findings for better understanding the etiology, maintenance, and treatment of GAD are discussed.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anxiety</subject><subject>Anxiety Disorders - psychology</subject><subject>Anxiety disorders. Neuroses</subject><subject>Avoidance</subject><subject>Avoidance Learning</subject><subject>Behavior modification</subject><subject>Biological and medical sciences</subject><subject>Cognition & reasoning</subject><subject>Cognitive avoidance</subject><subject>Defense Mechanisms</subject><subject>Emotions</subject><subject>Equivalence</subject><subject>Fear</subject><subject>Fear & phobias</subject><subject>Fear - psychology</subject><subject>Fear of emotion</subject><subject>Female</subject><subject>GAD</subject><subject>Generalized anxiety disorders</subject><subject>Humans</subject><subject>Inhibition (Psychology)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Models, Psychological</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Repression, Psychology</subject><subject>Sex Factors</subject><subject>Statistics, Nonparametric</subject><subject>Symptoms</subject><subject>Young Adult</subject><issn>0005-7967</issn><issn>1873-622X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkcFq3DAQhkVoabZpXyCHYgolJzvSWJas0ktI2qSwkENS6E3I8jjV1rY2knchbx-Z3TaQQ5vTSPD9oxl9hBwzWjDKxOmqaIKZCqBUFYwVlPEDsmC1LHMB8PMVWVBKq1wqIQ_J2xhX6VrWQN-QwzkiSqUW5Gbpxt9uvMusvxvd5LaYma13rRltOo1tdnl2kcWHYT35IX7Obn9hNmDrzDRngu8x813WoQlzxcFPzo_vyOvO9BHf7-sR-fHt6-35Vb68vvx-frbMbcVhynmnajSCS1orC9RIY4VlVdkwVKpWAhsJIFQLzHAJrYWuaipoDE_TUxBNeUROdn3Xwd9vME56cNFi35sR_SZqyQWlkgJ_AQkSBFfV_8myVKUExRL58Rm58pswpoU1MM5ZQuaHYQfZ4GMM2Ol1cIMJD5pRPUvUKz1L1LMRzZhOElPow77zpkmf_Tfyx1oCPu0BE63pu5BsufjEgaxZTevEfdlxmCxsHQYdrcNktnUB7aRb7_41xyOBELeX</recordid><startdate>20100501</startdate><enddate>20100501</enddate><creator>Olatunji, Bunmi O.</creator><creator>Moretz, Melanie W.</creator><creator>Zlomke, Kimberly R.</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Science Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20100501</creationdate><title>Linking cognitive avoidance and GAD symptoms: The mediating role of fear of emotion</title><author>Olatunji, Bunmi O. ; Moretz, Melanie W. ; Zlomke, Kimberly R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c542t-4f98ea647089c20a7ac6c153b1e99896eb72269d21a472dc2f5b52ba4200026b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anxiety</topic><topic>Anxiety Disorders - psychology</topic><topic>Anxiety disorders. Neuroses</topic><topic>Avoidance</topic><topic>Avoidance Learning</topic><topic>Behavior modification</topic><topic>Biological and medical sciences</topic><topic>Cognition & reasoning</topic><topic>Cognitive avoidance</topic><topic>Defense Mechanisms</topic><topic>Emotions</topic><topic>Equivalence</topic><topic>Fear</topic><topic>Fear & phobias</topic><topic>Fear - psychology</topic><topic>Fear of emotion</topic><topic>Female</topic><topic>GAD</topic><topic>Generalized anxiety disorders</topic><topic>Humans</topic><topic>Inhibition (Psychology)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Models, Psychological</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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subjects | Adaptation, Psychological Adolescent Adult Adult and adolescent clinical studies Anxiety Anxiety Disorders - psychology Anxiety disorders. Neuroses Avoidance Avoidance Learning Behavior modification Biological and medical sciences Cognition & reasoning Cognitive avoidance Defense Mechanisms Emotions Equivalence Fear Fear & phobias Fear - psychology Fear of emotion Female GAD Generalized anxiety disorders Humans Inhibition (Psychology) Male Medical sciences Miscellaneous Models, Psychological Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Repression, Psychology Sex Factors Statistics, Nonparametric Symptoms Young Adult |
title | Linking cognitive avoidance and GAD symptoms: The mediating role of fear of emotion |
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