Pathways towards the proliferation of avoidance in anxiety and implications for treatment
Pathways towards the proliferation of avoidance in anxiety and implications for treatment
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DOI：
10.1016/j.brat.2017.04.004
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发表时间：
2017-09-01
影响因子：
4.1
通讯作者：
Beckers, Tom
中科院分区：
文献类型：
--
作者：
Arnaudova, Inna;Kindt, Merel;Beckers, Tom
逃避是焦虑症的一个重要症状。适应不良的回避会严重损害一般功能，并维持慢性焦虑。更好地了解引起和维持过度回避的机制可能会提供改善治疗的机会。在这里，我们讨论了在焦虑症的背景下，回避可能被放大的途径：1）增加威胁评估; 2）增强威胁回避倾向; 3）回避调节受损; 4）习惯性回避; 5）试图增加心理距离。新的战略，减少避免被认为是。这些包括记忆再巩固干扰，回避倾向的再训练，正念训练和习惯破坏方法。在整个文件中，我们强调了一些建议，为未来的研究回避和如何实现持久的行为改变。(C)2017爱思唯尔有限公司版权所有。
Avoidance is a key symptom of anxiety disorders. Maladaptive avoidance impairs general functioning acutely and maintains chronic anxiety. A better understanding of the mechanisms that elicit and maintain excessive avoidance might provide opportunities to improve treatment. Here, we discuss pathways through which avoidance might get amplified in the context of anxiety disorders: 1) increased threat appraisal; 2) enhanced threat avoidance tendencies; 3) impaired regulation of avoidance; 4) habitual avoidance; and 5) attempts at increasing psychological distance. Novel strategies for reducing avoidance are considered. These include memory reconsolidation interference, retraining of avoidance tendencies, mindfulness training and habit disruption approaches. Throughout the paper, we highlight a number of suggestions for future research on avoidance and how to achieve lasting behavior change. (C) 2017 Elsevier Ltd. All rights reserved.