Relating Coping, Fear of Uncertainty and Alexithymia with Psychological Distress: The Mediating Role of Experiential Avoidance
Bibliographic record
Abstract
Abstract The present study tests the mediating role of experiential avoidance (EA; Hayes, Wilson, Gifford, Follette, & Strosahl, 1996) to account for the relations of avoidant coping, fear of uncertainty, and alexithymia with negative psychological outcomes. Participants were 177 adults (51 males and 126 females; mean age = 34.5). Measures of EA (Acceptance and Action Questionnaire, AAQ), avoidant coping (Brief COPE scale), fear of uncertainty (Temperament and Character Inventory), alexithymia (Toronto Alexithymia Scale), and psychological outcomes (Behavior and Symptom Identification Scale) were obtained from standardized, self-administered questionnaires. Regression analyses were performed to test for mediation models. Results show that the effect of avoidant coping and fear of uncertainty on emotional distress and other negative outcomes decreases controlling avoidance scores, whereas the latter predicts psychological outcomes. Findings suggest that EA may represent a generalized mechanism through which both avoidant coping and fear of uncertainty take on psychological significance. Results did not support, however, the mediating role of EA for explaining the relations between alexithymia and psychological outcomes. Keywords: experiential avoidance, coping strategies, alexithymia, mediator Experiential avoidance (EA) is the process that occurs when a person is unwilling to remain in contact with particular private experiences (e.g., bodily sensations, emotions, thoughts, memories, images, behavioral predispositions) and takes steps to alter the form or frequency of these experiences or the contexts that occasion them (Hayes, Strosahl, Wilson, Bissett, Pistorello, Toarmino et al., 2004). It is considered that EA can become a disorganised process it is used in an inflexible way, so that a large amount of time, energy, and effort is spent in order to manage, control, or struggle with unwanted private events (Hayes, Jacobson, Follette, & Dougher, 1994; Hayes, Strosahl, & Wilson, 1999;). Experimental research has demonstrated that attempts to inhibit or hide unpleasant feelings, thoughts, and bodily sensations can lead to an increase in the frequency of these same experiences and in the distress that they cause (Cioffi & Holloway, 1993; Gold & Wegner, 1995; Gross, 1998, 2002; Hayes, Wilson, Gifford, Follette, & Strosahl, 1996; Hayes, Bissett, Korn, Zettle, Rosenfarb, & Cooper, 1999; Polusny & Follette, 1995; Purdon, 1999; Roemer & Borkovech, 1994; Salkovskis & Campbell, 1994; Wegner, 1991, 1994; Wegner & Zanakos, 1994; Wenzlaff & Wegner, 2000). Indeed, emerging empirical evidence supports EA as a broad vulnerability factor for various types of emotional distress. Results from a meta-analysis (Hayes, Luoma, Bond, Masuda, & Lillis, 2006), involving thirty-two studies and 6628 subjects, indicate that EA is negatively associated with quality of life, perceived health, and positive emotional experiences, and positively associated with a wide range of psychopathological measures, including depression, anxiety, somatisation, the re-experiencing and arousal subscales measuring posttraumatic stress disorder, social phobia, agoraphobia, blood/injury phobia, anxiety sensitivity, suffocation fear, body sensations fear, trichotillomania, stress, trauma symptoms and beliefs, dissociative experiences, alcohol dependence, job induced tension, worries, fear of intimacy, and pain. These relations have been explained considering the theoretical roots of the Relational Frame Theory (see Hayes, Barnes-Holmes, & Roche, 2001 for a review). Even if on the short run EA can be effective, efforts to avoid unwanted private events overtake the self (that is, the subject lives in her/his head, trying to control private events), the ability to engage in valued life directions is compromised (Eifert & Forsyth, 2005; Hayes, Strosahl, & Wilson, 1999). …
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.008 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".