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Approach and avoidance tendencies in depression and anxiety disorders.
Struijs, Sascha Y; Lamers, Femke; Vroling, Maartje S; Roelofs, Karin; Spinhoven, Philip; Penninx, Brenda W J H.
Afiliación
  • Struijs SY; Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Centre, PO Box 74077, 1070 BB Amsterdam, the Netherlands. Electronic address: s.struijs@ggzingeest.nl.
  • Lamers F; Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Centre, PO Box 74077, 1070 BB Amsterdam, the Netherlands.
  • Vroling MS; Amarum, Expert Center for Eating Disorders (GGNet), PO Box 2003, 7230 GC Warnsveld, the Netherlands; Department of Clinical Psychology, Radboud University Nijmegen, 6525 HR Nijmegen, the Netherlands.
  • Roelofs K; Behavioral Science Institute, Radboud University Nijmegen, 6525 HR Nijmegen, the Netherlands.
  • Spinhoven P; Institute of Psychology, Leiden University, 2333 AK Leiden, the Netherlands; Department of Psychiatry, Leiden University Medical Centre, 2333 ZA, the Netherlands.
  • Penninx BWJH; Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Centre, PO Box 74077, 1070 BB Amsterdam, the Netherlands.
Psychiatry Res ; 256: 475-481, 2017 10.
Article en En | MEDLINE | ID: mdl-28715782
Anxiety is linked to increased avoidance and inhibition, whereas depression is linked to decreased approach and diminished behavioral activation. Although these notions are widely recognized, systematic investigation of approach-avoidance tendencies is lacking across these diagnostic groups. Participants (mean age = 45.6; 65.8% female) were subdivided in healthy controls (405), remitted patients (877) and currently anxious (217), depressed (154) or comorbid (154) patients. Automatic approach-avoidance tendencies in reaction to facial expression were assessed using the Approach-Avoidance-Task (AAT). Self-reported trait approach and avoidance tendencies were assessed using the BIS/BAS scale. Severity of psychopathology was assessed to examine dose-response relationships. We did not find any consistent associations of automatic approach-avoidance tendencies with psychiatric variables. In contrast, medium to large differences in BIS scores showed increased trait avoidance tendencies in all patient groups relative to healthy controls. Overall, it seems that increased trait avoidance, rather than decreased approach, is a characteristic of affective disorders. This holds for both depressed and anxious patients and more strongly so in severe and chronic patients. It underlines the importance to address trait avoidance tendencies in the treatment of affective disorders.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Ansiedad / Trastorno Depresivo / Expresión Facial / Inhibición Psicológica Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Psychiatry Res Año: 2017 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Ansiedad / Trastorno Depresivo / Expresión Facial / Inhibición Psicológica Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Psychiatry Res Año: 2017 Tipo del documento: Article Pais de publicación: Irlanda