Gain through pain: Augmenting in vivo exposure with enhanced attention to internal experience leads to increased resilience to distress

Katz, Benjamin A.; Breznitz, Hila; Yovel, Iftah

doi:10.1016/j.brat.2018.12.001

Cited by 7 publications

(9 citation statements)

References 57 publications

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“…A number of controlled studies examined the utility of interventions that are based on therapeutic processes akin to emotional awareness. The results of these studies indicate that when people closely attend to their aversive internal experiences, they may subjectively report experiencing higher rates of distress, while still showing essential behavioral gains (e.g., Katz, Breznitz, & Yovel, 2019). Such findings suggest that engagement with internal aversive experiences may not result in immediate relief of subjective discomfort.…”

Section: Awareness Of Internal Experiences In Current Cognitive and B...mentioning

confidence: 88%

The role of enhanced emotional awareness in promoting change across psychotherapy modalities.

Lane

Subič-Wrana²,

Greenberg

et al. 2022

Journal of Psychotherapy Integration

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Although there is widespread agreement that emotion plays an important role in effecting change in psychotherapy, exactly how it plays a role is uncertain. A way forward is to draw upon the preclinical literature for guidance in bridging basic science with clinical application. Here we focus on the promotion of emotional awareness, the recognition and description of one’s own emotional experiences, as foundational to change across a variety of psychotherapy approaches. We begin by focusing on emotion from a preclinical perspective, highlighting how automatic emotional responses provide instantaneous adaptation to changes in interaction with the environment. We distinguish these responses from awareness of them, which makes changing them possible. We then briefly refer to a body of empirical research on levels of emotional awareness that can be used to understand and measure clinically relevant change in emotional awareness. Next, the role of emotional awareness in how change occurs is considered from the perspective of 3 different ways of doing psychotherapy: current cognitive–behavioral approaches, emotion-focused/experiential psychotherapy, and psychodynamic psychotherapy. All 3 modalities consider the developmental process of enhancing emotional awareness to be necessary but not sufficient for change, potentially serving as a common factor comparable in importance to the therapeutic alliance. In consideration of the broader question of how emotion contributes to change, this new perspective highlights the need to further examine the relative importance of emotion expression per se versus the awareness that precedes emotional expression or arises in the symbolization process inherent in verbal expression.

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Section: Awareness Of Internal Experiences In Current Cognitive and B...mentioning

confidence: 88%

The role of enhanced emotional awareness in promoting change across psychotherapy modalities.

Lane

Subič-Wrana²,

Greenberg

et al. 2022

Journal of Psychotherapy Integration

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“…Indeed, recent calls have been made for a new wave of cognitive behavioral interventions that target transdiagnostic basic processes in addition to those specific to particular disorders (Hofmann & Hayes, 2019). The current meta-analyses emphasize the need for transdiagnostic interventions for punishment sensitivity, such as distress tolerance and acceptance-based exercises (Katz, Breznitz, & Yovel, 2019;M. J. Zvolensky, Vujanovic, Bernstein, & Leyro, 2010), alongside disorder-specific modules that promote rewarding experiences, such as behavioral activation (Cuijpers, van Straten, & Warmerdam, 2007;Hofmann & Hayes, 2019).…”

Section: Discussionmentioning

confidence: 99%

Reinforcement sensitivity, depression and anxiety: A meta-analysis and meta-analytic structural equation model

Katz

Matanky

Aviram

et al. 2020

Clinical Psychology Review

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Reinforcement Sensitivity Theory (RST) posits that individual differences in reward and punishment processing predict differences in cognition, behavior, and psychopathology. We performed a quantitative review of the relationships between reinforcement sensitivity, depression and anxiety, in two separate sets of analyses. First, we reviewed 204 studies that reported either correlations between reinforcement sensitivity and self-reported symptom severity or differences in reinforcement sensitivity between diagnosed and healthy participants, yielding 483 effect sizes. Both depression (Hedges' g = .99) and anxiety (g = 1.21) were found to be high on punishment sensitivity. Reward sensitivity negatively predicted only depressive disorders (g =-.21). More severe clinical states (e.g., acute vs remission) predicted larger effect sizes for depression but not anxiety. Next, we reviewed an additional 39 studies that reported correlations between reinforcement sensitivity and both depression and anxiety, yielding 156 effect sizes. We then performed meta-analytic structural equation modeling to simultaneously estimate all covariances and control for comorbidity. Again we found punishment sensitivity to predict depression (β = .37) and anxiety (β = .35), with reward sensitivity only predicting depression (β =-.07). The transdiagnostic role of punishment sensitivity and the discriminatory role of reward sensitivity support a hierarchical approach to RST and psychopathology. Highlights: Sensitivity to punishment positively predicts both depression and anxiety. Sensitivity to reward discriminates between them, negatively predicting depression. This pattern was observed even when directly controlling for comorbidity. Depression's effect sizes are uniquely sensitive to clinical state. Depression's effect sizes are also moderated by method of clinical assessment.

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“…En relación al idioma, todas se encontraban publicadas en inglés. En cuanto al lugar de realización, tres trabajos se llevaron a cabo en Israel (Katz et al, 2019;Strous et al, 2005;Ritsner et al, 2012), mientras que, en Noruega (Geirdal et al, 2019), Japón (Kato et al, 2015), Estados Unidos (Fleishman et al, 2003) y Reino Unido (Molassiotis et al, 1996), se realizó una investigación, respectivamente. Por otro lado, los trabajos integrados en el presente estudio tuvieron diferentes objetivos.…”

Section: Resultsunclassified

“…Geirdal et al (2019) han descrito la angustia psicológica como la presencia de un impacto negativo que afecta la calidad de vida del individuo y a la capacidad de poder participar de manera activa en la sociedad. Así, Katz et al (2019) recomiendan participar en nuevas experiencias donde la angustia psicológica se encuentre presente para poder obtener aquellas estrategias necesarias para adaptarse a la situación y hacerle frente. Por otro lado, entre los estilos de afrontamiento se encuentran el centrado en el problema, el afrontamiento centrado en la emoción y la evitación al problema (Simblett et al, 2015).…”

Section: Introductionunclassified

Factores psicológicos asociados a la adaptación al cambio ante situaciones angustiosas: una revisión sistemática

Soriano-Sánchez,

Parras-Blanca,

Jiménez-Vázquez

2023

Rev. estudios psicol.

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Actualmente, hemos vivido inmersos en la presencia de situaciones poco habituales, como ha sido la COVID-19. Ante esta circunstancia, se deben abordar desafíos que aseguren la adaptación y el bienestar de las personas. Por ello, el objetivo del presente trabajo consistió en identificar mediante una revisión sistemática distintos factores psicológicos que influyen en la adaptación al cambio para hacer frente a situaciones angustiosas. De este modo, se realizó una búsqueda de artículos científicos en diferentes bases de datos, tales como electrónicos Web of Science, Scopus y PsycINFO, donde se obtuvieron 123 investigaciones que, tras aplicar los criterios establecidos, quedaron 7 trabajos para revisión. Los resultados revelan que la angustia psicológica se vio reducida por el apoyo laboral y la calidad de vida donde el afrontamiento se vio incrementada por la autoeficacia, el apoyo social y el nivel de angustia psicológica. En conclusión, se sugiere la realización de nuevos estudios de intervención que permitan verificar los hallazgos presentados en la presente investigación.

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Gain through pain: Augmenting in vivo exposure with enhanced attention to internal experience leads to increased resilience to distress

Cited by 7 publications

References 57 publications

The role of enhanced emotional awareness in promoting change across psychotherapy modalities.

The role of enhanced emotional awareness in promoting change across psychotherapy modalities.

Reinforcement sensitivity, depression and anxiety: A meta-analysis and meta-analytic structural equation model

Factores psicológicos asociados a la adaptación al cambio ante situaciones angustiosas: una revisión sistemática

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