Evidence map›Paper›PMID 27718414›Full record

Trial reportBehaviour research and therapy2016

Reductions in experiential avoidance as a mediator of change in symptom outcome and quality of life in acceptance-based behavior therapy and applied relaxation for generalized anxiety disorder.

Elizabeth H Eustis, Sarah A Hayes-Skelton, Lizabeth Roemer, Susan M Orsillo

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behaviour research and therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 67 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Elizabeth H EustisDepartment of Psychology, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA 02125, United States. Electronic address: liz.eustis@gmail.com.
Sarah A Hayes-SkeltonDepartment of Psychology, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA 02125, United States.
Lizabeth RoemerDepartment of Psychology, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA 02125, United States.
Susan M OrsilloDepartment of Psychology, Suffolk University, 41 Temple Street, Boston, MA 02114, United States.
University of Massachusetts Boston · USSuffolk University · US

Funding

An RCT of Acceptance-based Behavior Therapy for GADR01MH074589 · NIMH · UNIVERSITY OF MASSACHUSETTS BOSTON · PI ROEMER, LIZABETH · 2007 to 2011
$2.3M
NIMH NIH HHS R01 MH074589
6 · The paper itself

Abstract

As a field, we lack information about specific mechanisms that are responsible for changes that occur over the course of treatments for anxiety disorders (Kazdin, 2007). Identifying these mechanisms would help streamline evidence-based approaches, increase treatment response rates, and aid in the dissemination and implementation of evidence-based approaches in diverse contexts. The current study examined reductions in experiential avoidance (EA; Hayes, Wilson, Gifford, Follette, & Strosahl, 1996), attempts to control or eliminate distressing internal experiences, regardless of behavioral consequences, as a potential mechanism of change in participants with a principal diagnosis of generalized anxiety disorder (GAD) receiving either acceptance-based behavior therapy (ABBT) or applied relaxation (AR). Participants' EA scores across treatment on the Acceptance and Action Questionnaire (AAQ) were used to calculate slopes, which were used as predictors in a series of linear regressions. Greater change in EA across treatment significantly predicted change in worry (PSWQ) and quality of life (QOLI) across both treatments. These results contribute to the body of literature on common mechanisms of change across traditional CBTs and mindfulness and acceptance-based approaches.

Indexed as

Acceptance and Commitment TherapyAvoidance LearningAdultAnxiety DisordersFemaleHumansMaleQuality of LifeRelaxation TherapyYoung Adultacceptanceacceptance-based behavior therapyapplied relaxationexperiential avoidancegeneralized anxiety disordermechanisms of change

Identifiers

PMID27718414
PMCPMC5127767
OpenAlexW185182777

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.