The role of Experiential Avoidance in transdiagnostic compulsive behavior: A structural model analysis.
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| Abstract |    :  
                  Compulsivity is recognized as a transdiagnostic phenotype, underlying a variety of addictive and obsessive-compulsive behaviors. However, current understanding of how it should be operationalized and the processes contributing to its development and maintenance is limited. The present study investigated if there was a relationship between the affective process Experiential Avoidance (EA), an unwillingness to tolerate negative internal experiences, and the frequency and severity of transdiagnostic compulsive behaviors. A large sample of adults (N = 469) completed online questionnaires measuring EA, psychological distress and the severity of seven obsessive-compulsive and addiction-related behaviors. Using structural equation modelling, results indicated a one-factor model of compulsivity was superior to the two-factor model (addictive- vs OCD-related behaviors). The effect of EA on compulsivity was fully mediated by psychological distress, which in turn had a strong direct effect on compulsivity. This suggests distress is a key mechanism in explaining why people with high EA are more prone to compulsive behaviors. The final model explained 41% of the variance in compulsivity, underscoring the importance of these constructs as likely risk and maintenance factors for compulsive behavior. Implications for designing effective psychological interventions for compulsivity are discussed.  | 
        
| Year of Publication |    :  
                  2020 
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| Journal |    :  
                  Addictive behaviors 
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| Volume |    :  
                  108 
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| Number of Pages |    :  
                  106464 
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| ISSN Number |    :  
                  0306-4603 
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| URL |    :  
                  https://linkinghub.elsevier.com/retrieve/pii/S0306-4603(20)30594-3 
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| DOI |    :  
                  10.1016/j.addbeh.2020.106464 
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| Short Title |    :  
                  Addict Behav 
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