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The Contrast Avoidance Model: Conclusion and synthesis of new research in the special issue
Journal of Anxiety Disorders ( IF 10.3 ) Pub Date : 2024-01-10 , DOI: 10.1016/j.janxdis.2024.102830
Amy Przeworski , Michelle G. Newman

In this special series, new research on the Contrast Avoidance Model (CAM) was presented, including studies on the role of CAM in the maintenance of chronic worry, the incremental validity of CAM, CAM as a mediator of the association between generalized anxiety disorder (GAD) and other variables, CAM as transdiagnostic, and interpersonal behaviors as a means to avoid negative emotional contrasts (NECs). Furthermore, the role of perseverative thought in relation to positive emotional contrasts (PECs) was explored. Studies indicated that higher worry was positively and negatively reinforced, a factor that is likely to contribute to the maintenance of GAD. Further, research demonstrated that CAM contributed unique variance to understanding GAD above and beyond other variables associated with GAD, such as intolerance of uncertainty and negative problem orientation. Additional research revealed the transdiagnostic nature of contrast avoidance, as well as the association between contrast avoidance and problem-solving deficits. In addition, both worry and rumination increased the likelihood of PECs. Further, data suggested that anxious individuals may use interpersonal strategies to avoid NECs. Finally, savoring positive emotions was found to reduce contrast avoidance, providing a novel intervention strategy to address contrast avoidance in individuals with GAD.



中文翻译:

对比避免模型:特刊中新研究的结论和综合

在这个特别系列中,介绍了关于对比避免模型(CAM)的新研究,包括关于 CAM 在维持慢性忧虑中的作用、CAM 的增量有效性、CAM 作为广泛性焦虑症之间关联的中介的研究。 GAD)和其他变量,CAM作为跨诊断,人际行为作为避免负面情绪对比(NEC)的手段。此外,还探讨了坚持不懈的思想与积极情绪对比(PEC)相关的作用。研究表明,较高的担忧程度会被正向和负向强化,这一因素可能有助于维持广泛性焦虑症。此外,研究表明,CAM 对理解 GAD 的贡献超过了与 GAD 相关的其他变量,例如对不确定性的不容忍和消极问题导向。其他研究揭示了避免对比的跨诊断性质,以及避免对比和解决问题的缺陷之间的关联。此外,担忧和沉思都增加了发生 PEC 的可能性。此外,数据表明,焦虑的人可能会使用人际策略来避免 NEC。最后,人们发现享受积极情绪可以减少对比回避,这为解决广泛性焦虑症患者的对比回避问题提供了一种新颖的干预策略。

更新日期:2024-01-10
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