A multimethod approach and novel intervention: Testing relations between implicit and explicit experiential avoidance and social anxiety disorder symptoms

Bibliographic Details
Main Author:	Sarfan, Laurel D.
Language:	English
Published:	Miami University / OhioLINK 2020
Subjects:	Psychology Clinical Psychology Experiential Avoidance Social Anxiety Disorder Mechanisms Bivariate Latent Change Score Modeling Structural Equation Modeling
Online Access:	http://rave.ohiolink.edu/etdc/view?acc_num=miami159501616913879

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spelling	ndltd-OhioLink-oai-etd.ohiolink.edu-miami1595016169138792021-08-03T07:15:42Z A multimethod approach and novel intervention: Testing relations between implicit and explicit experiential avoidance and social anxiety disorder symptoms Sarfan, Laurel D. Psychology Clinical Psychology Experiential Avoidance Social Anxiety Disorder Mechanisms Bivariate Latent Change Score Modeling Structural Equation Modeling Social anxiety disorder (SAD) is prevalent and debilitating. More research is needed on a) the factors driving SAD symptoms and b) targeted interventions to shift these factors. Experiential avoidance (EA) has been identified as a possible factor driving SAD symptoms. Many empirically-supported treatments focus on reducing EA as a mechanism of symptom change. However, past research on the relation between EA and SAD symptoms has almost exclusively focused on explicit (i.e., consciously controlled) as compared to implicit (i.e., outside of conscious control) measures of EA. Further, little is known about how EA and SAD symptoms bidirectionally interact throughout the course of an intervention. To address these limitations of past research, the present study: 1) evaluated the psychometric properties of two implicit measures of EA, 2) dynamically modeled the week-to-week temporal relations between explicit EA and SAD symptoms, and 3) tested the efficacy and acceptability of a novel, 3-session pilot intervention targeting EA, which included a computerized program and psychoeducation. Participants (N = 78) consisted of undergraduates with elevated explicit EA and SAD symptoms. There was mixed evidence that the implicit measures demonstrated adequate validity and reliability. In partial support of hypotheses, bidirectional models of explicit EA and SAD symptoms suggested that changes in SAD symptoms preceded and predicted changes in explicit EA from week to week, but not vice versa. Further, the pilot intervention was not associated with reductions in EA and SAD symptoms, but generally, was found to be acceptable and credible. These novel findings advance our understanding of the dynamic relationships between EA and SAD symptoms throughout treatment. Given that many empirically-supported treatments target EA as a mechanism of symptom change, this study highlights a need for future work to more clearly delineate the time course by which changes in mechanisms leads to changes in symptoms. Ultimately, this could provide patients with more realistic expectations for recovery. 2020-07-20 English text Miami University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=miami159501616913879 http://rave.ohiolink.edu/etdc/view?acc_num=miami159501616913879 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection	NDLTD
language	English
sources	NDLTD
topic	Psychology Clinical Psychology Experiential Avoidance Social Anxiety Disorder Mechanisms Bivariate Latent Change Score Modeling Structural Equation Modeling
spellingShingle	Psychology Clinical Psychology Experiential Avoidance Social Anxiety Disorder Mechanisms Bivariate Latent Change Score Modeling Structural Equation Modeling Sarfan, Laurel D. A multimethod approach and novel intervention: Testing relations between implicit and explicit experiential avoidance and social anxiety disorder symptoms
author	Sarfan, Laurel D.
author_facet	Sarfan, Laurel D.
author_sort	Sarfan, Laurel D.
title	A multimethod approach and novel intervention: Testing relations between implicit and explicit experiential avoidance and social anxiety disorder symptoms
title_short	A multimethod approach and novel intervention: Testing relations between implicit and explicit experiential avoidance and social anxiety disorder symptoms
title_full	A multimethod approach and novel intervention: Testing relations between implicit and explicit experiential avoidance and social anxiety disorder symptoms
title_fullStr	A multimethod approach and novel intervention: Testing relations between implicit and explicit experiential avoidance and social anxiety disorder symptoms
title_full_unstemmed	A multimethod approach and novel intervention: Testing relations between implicit and explicit experiential avoidance and social anxiety disorder symptoms
title_sort	multimethod approach and novel intervention: testing relations between implicit and explicit experiential avoidance and social anxiety disorder symptoms
publisher	Miami University / OhioLINK
publishDate	2020
url	http://rave.ohiolink.edu/etdc/view?acc_num=miami159501616913879
work_keys_str_mv	AT sarfanlaureld amultimethodapproachandnovelinterventiontestingrelationsbetweenimplicitandexplicitexperientialavoidanceandsocialanxietydisordersymptoms AT sarfanlaureld multimethodapproachandnovelinterventiontestingrelationsbetweenimplicitandexplicitexperientialavoidanceandsocialanxietydisordersymptoms
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A multimethod approach and novel intervention: Testing relations between implicit and explicit experiential avoidance and social anxiety disorder symptoms

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