Perceived stress, a global health problem associated with various mental disorders, is assumed to be influenced by dysfunctional beliefs. It can be hypothesized that these beliefs can be modified with the help of approach-avoidance modification trainings (AAMTs). In the present study (conducted 2020–2022), we aimed to clarify whether the efficacy of AAMTs can be enhanced by utilizing the expression of emotions to move AAMT stimuli. For this purpose, we tested the feasibility and acceptability of a new AAMT paradigm in which the expression of disgust is used to move stress-increasing beliefs away from oneself and the expression of positive emotions is used to move stress-reducing beliefs towards oneself (AAMT-DP). Additionally, we explored the therapeutic potential of the AAMT-DP intervention by comparing it to an inactive control condition and to a conventional AAMT in which stimuli are moved by swipe movements (n = 10 in each condition). The primary outcome was perceived stress 1 week after the training as assessed with the Perceived Stress Scale. Findings indicate sufficient feasibility and acceptability of the intervention and that the decrease in perceived stress in the AAMT-DP condition was greater than in the inactive control condition (g = 0.72 [0.10, 1.72]) and than in the swipe control condition (g = 0.64 [0.01, 1.41]). In sum, findings provide preliminary evidence for the feasibility, acceptability, and the therapeutic potential of the AAMT-DP intervention.

中文翻译：

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针对承受高压力的个体进行基于厌恶的方法避免修正训练：一项随机对照试点研究

感知压力是与各种精神障碍相关的全球健康问题，被认为受到功能失调的信念的影响。可以假设，这些信念可以在接近回避修正训练（AAMT）的帮助下得到改变。在本研究（2020-2022年进行）中，我们旨在阐明是否可以通过利用情绪表达来移动 AAMT 刺激来增强 AAMT 的功效。为此，我们测试了一种新的 AAMT 范式的可行性和可接受性，其中厌恶的表达用于将增加压力的信念远离自己，而积极情绪的表达用于将减轻压力的信念转移到自己身上（AAMT） -DP）。此外，我们通过将 AAMT-DP 干预与非活动控制条件和通过滑动运动移动刺激的传统 AAMT 进行比较来探索 AAMT-DP 干预的治疗潜力（每种条件下n  = 10）。主要结果是训练后 1 周使用感知压力量表评估的感知压力。研究结果表明干预措施具有足够的可行性和可接受性，并且 AAMT-DP 条件下感知压力的下降幅度大于非活动控制条件 ( g  = 0.72 [0.10, 1.72]) 和滑动控制条件 ( g  = 0.64 [0.01, 1.41]）。总之，研究结果为 AAMT-DP 干预的可行性、可接受性和治疗潜力提供了初步证据。