Biased approach-avoidance tendencies in psychopathology: A systematic review of their assessment and modification

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Publication year
2020Number of pages
23 p.
Source
Clinical Psychology Review, 77, (2020), article 101825ISSN
Publication type
Article / Letter to editor

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Organization
SW OZ DCC NRP
Psychiatry
SW OZ BSI KLP
Journal title
Clinical Psychology Review
Volume
vol. 77
Languages used
English (eng)
Subject
All institutes and research themes of the Radboud University Medical Center; Experimental Psychopathology and Treatment; Neuropsychology and rehabilitation psychology; Radboudumc 13: Stress-related disorders DCMN: Donders Center for Medical Neuroscience; Neuro- en revalidatiepsychologieAbstract
We systematically review the literature on approach-avoidance (AA) tendencies in mental disorders, including 97 empirical studies. Most evidence for the role of biased AA tendencies was found in addictive disorders: The presence of an approach bias (ApB) for substance related stimuli in subclinical populations can be a risk factor for increased future substance use, and AA modification training given as an add-on to standard treatment has the potential to reduce intake and relapse rates reliably. In depression, reduced approach of positive stimuli and reduced avoidance of negative stimuli have been found, and modification procedures seem to have clinical potential. In anxiety disorders, an avoidance bias (AvB) for threat-related stimuli has been found frequently, but modification studies did not yield any clinical effects. In eating disorder a lack of food preferences in anorexia nervosa may be present, but relations between AA measures and clinical (outcome) measures were not established. In other disorders, the evidence was limited due to a low number of published studies. Several methodological problems are discussed: It is often difficult to compare studies to each other, control groups and control stimuli are frequently missing, and many studies suffer from insufficient statistical power due to small samples. We finally give suggestions for future research on biased AA tendencies in psychopathology.
This item appears in the following Collection(s)
- Academic publications [227864]
- Electronic publications [107316]
- Faculty of Medical Sciences [86218]
- Faculty of Social Sciences [28468]
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