Exploring the relationship between positive and negative emotional avoidance and anxiety symptom severity: the moderating role of attentional control

J Behav Ther Exp Psychiatry. 2014 Sep;45(3):415-20. doi: 10.1016/j.jbtep.2014.04.006. Epub 2014 May 8.

Abstract

Background and objectives: Emotional avoidance has been found to be associated with higher levels of anxiety. However, no research to date has differentiated between the avoidance of positive and negative emotions in relation to anxiety. Additionally, no studies have examined the extent to which attentional control moderates the relation between the avoidance of emotions and anxiety. Thus, the purpose of this study was to (a) clarify relations between both positive and negative emotional avoidance and anxiety, and (b) examine attentional control as a moderator of the relations between both positive and negative emotional avoidance and anxiety.

Methods: A community sample of adults (N = 93) completed a series of questionnaires, as well as a laboratory-based measure of attentional control.

Results: Greater avoidance of both positive and negative emotions was associated with higher levels of anxiety. Additionally, attentional control moderated the relationship between negative (but not positive) emotional avoidance and anxiety. Specifically, the avoidance of negative emotions was associated with higher levels of anxiety for those with lower attentional control.

Limitations: Limitations include a cross-sectional design, use of self-report measures, and the examination of hypotheses within a non-clinical sample.

Conclusion: Findings are consistent with a growing body of research demonstrating the moderating role of attentional control in the relation between risk factors and negative outcomes. Findings also suggest that empirically-based treatment approaches that contain attention-based components may be beneficial for emotionally avoidant individuals with poor attentional control abilities.

Keywords: Anxiety; Attentional control; Emotion regulation; Emotional avoidance; Positive emotion.

MeSH terms

  • Adolescent
  • Adult
  • Anxiety / diagnosis*
  • Anxiety / psychology
  • Attention / physiology*
  • Cross-Sectional Studies
  • Emotions / physiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Psychiatric Status Rating Scales
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Young Adult