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Investigating Pain-Related Avoidance Behavior using a Robotic Arm-Reaching Paradigm
Published on: October 3, 2020
Anxious and depressive avoidance behavior in post-loss psychopathology: a longitudinal study.
Paul A Boelen1, Maarten C Eisma
1a Department of Clinical and Health Psychology , Utrecht University , Post Box 80140, 3508 TC Utrecht , the Netherlands.
Anxious and depressive avoidance behaviors are linked to prolonged grief disorder, depression, and PTSD. Anxious avoidance is particularly harmful during the first year after a loss.
Area of Science:
- Psychology
- Psychiatry
- Bereavement Studies
Background:
- Avoidance behavior is key in bereavement theories but its role in psychopathology is unclear.
- This study investigates anxious and depressive avoidance in relation to prolonged grief disorder (PGD), depression, and posttraumatic stress disorder (PTSD).
Purpose of the Study:
- To examine the concurrent and prospective associations of anxious and depressive avoidance behaviors with PGD, depression, and PTSD symptom levels.
- To understand the differential impact of anxious and depressive avoidance based on time since loss.
Main Methods:
- 291 individuals experiencing loss within three years completed self-report measures.
- Measures assessed anxious/depressive avoidance and emotional distress at baseline and one-year follow-up.
Main Results:
- Both avoidance types were concurrently linked to PGD, depression, and PTSD symptoms.
- Anxious avoidance predicted increased symptoms of PGD, depression, and PTSD in the first year post-loss.
- Depressive avoidance predicted increased PTSD symptoms one year later, regardless of time since loss.
Conclusions:
- Anxious and depressive avoidance are associated with poorer long-term adjustment after loss.
- Anxious avoidance appears most detrimental during the initial year of bereavement.
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