ArticleFrontiers in psychiatry2026
Behavioral, not self-reported, experiential avoidance predicts early treatment discontinuation at residential substance use treatment.
Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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4 authors.
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Abstract
Objectives: A large proportion of unhoused individuals in residential substance use treatment discontinue treatment, though a longer stay in treatment consistently predicts successful recovery. Experiential avoidance (EA) as an important function underlying dysregulated emotions may contribute to negative treatment outcomes. Limited evidence is available for the effect of EA in predicting treatment discontinuation. The current study aimed to investigate the roles of both behavioral and self-reported EA in predicting early treatment discontinuation among unhoused individuals receiving residential substance use treatment. Method: Fifty-five male participants were recruited from a residential treatment facility. Upon admission, participants rated their EA using the Acceptance and Action Questionnaire (AAQ) and completed a word-based Algebra Avoidance Task, with EA being indexed by premature termination of the task. Participants' treatment completion status and days spent in treatment were obtained upon discharge. Cox proportional hazards regression analyses were conducted to predict time until treatment discontinuation, controlling for age, years of education, and psychological distress. Results: Results suggest a significant effect of behavioral, but not self-reported, EA in predicting early treatment discontinuation, such that greater behavioral EA was associated with an increased hazard of early treatment discontinuation, Conclusions: Behavioral measures might provide a more proximal measure of EA than self-report. Treating EA may help improve treatment retention. More research is needed to extend the current findings and clarify the mechanisms.
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