The role of Experiential Avoidance in transdiagnostic compulsive behavior: A structural model analysis.
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Abstract |
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Compulsivity is recognized as a transdiagnostic phenotype, underlying a variety of addictive and obsessive-compulsive behaviors. However, current understanding of how it should be operationalized and the processes contributing to its development and maintenance is limited. The present study investigated if there was a relationship between the affective process Experiential Avoidance (EA), an unwillingness to tolerate negative internal experiences, and the frequency and severity of transdiagnostic compulsive behaviors. A large sample of adults (N = 469) completed online questionnaires measuring EA, psychological distress and the severity of seven obsessive-compulsive and addiction-related behaviors. Using structural equation modelling, results indicated a one-factor model of compulsivity was superior to the two-factor model (addictive- vs OCD-related behaviors). The effect of EA on compulsivity was fully mediated by psychological distress, which in turn had a strong direct effect on compulsivity. This suggests distress is a key mechanism in explaining why people with high EA are more prone to compulsive behaviors. The final model explained 41% of the variance in compulsivity, underscoring the importance of these constructs as likely risk and maintenance factors for compulsive behavior. Implications for designing effective psychological interventions for compulsivity are discussed. |
Year of Publication |
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2020
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Journal |
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Addictive behaviors
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Volume |
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108
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Number of Pages |
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106464
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ISSN Number |
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0306-4603
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URL |
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https://linkinghub.elsevier.com/retrieve/pii/S0306-4603(20)30594-3
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DOI |
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10.1016/j.addbeh.2020.106464
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Short Title |
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Addict Behav
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