Assessment & Research

Does experiential avoidance mediate the effects of maladaptive coping styles on psychopathology and mental health?

Fledderus et al. (2010) · Behavior modification 2010
★ The Verdict

Experiential avoidance is the hidden link between passive coping and worse mental health.

✓ Read this if BCBAs working with anxious or depressed adults in outpatient clinics.
✗ Skip if Clinicians serving clients whose main concern is developmental disability without mood symptoms.

01Research in Context

01

What this study did

Fledderus et al. (2010) asked adults with mild to moderate distress to fill out questionnaires.

They wanted to know if experiential avoidance sits between passive coping and poor mental health.

Passive coping means waiting for problems to fix themselves. Experiential avoidance means trying not to feel upsetting thoughts or feelings.

02

What they found

The team found that experiential avoidance explains why passive coping leads to more anxiety and depression.

When people use both passive coping and high avoidance, their emotional well-being drops.

03

How this fits with other research

Jardin et al. (2016) saw a similar chain: acculturative stress raised sexual compulsivity, which then raised risky sex.

Both papers show a middle-step process that turns life stress into behavior or mood problems.

Vereenooghe et al. (2013) reviewed therapy for adults with intellectual disabilities. They also say targeting process variables like avoidance matters, backing the same idea in a different group.

Jaffe et al. (2002) found that only certain therapy compliance pieces predict OCD improvement. Their focus on key process steps echoes Martine’s call to aim at avoidance, not just coping style.

04

Why it matters

You can add brief acceptance exercises to any anxiety or depression case. Ask clients to notice, not fight, unwanted thoughts. Track if their avoidance drops and mood lifts across sessions.

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Start one session with a two-minute values clarification, then practice allowing an anxious thought without escape behavior.

02At a glance

Intervention
not applicable
Design
other
Sample size
93
Population
not specified
Finding
positive

03Original abstract

Experiential avoidance (EA) is considered a risk factor for psychopathology.This study explores whether EA mediates the relationship between maladaptive coping styles (palliative, avoidance, and passive coping) and psychopathology and positive mental health. A total of 93 adults with mild to moderate psychological distress completed measures assessing coping styles, psychopathology (depression, anxiety, and alcohol use), and mental health (emotional, psychological, and social well-being). Results showed that EA mediated the effects of passive coping on both increased anxiety and depression and decreased emotional and psychological well-being. These results suggest that a person who is prone to use EA or has learned EA in stressful situations has a higher risk of developing psychopathology and lower mental health.This indicates that early interventions that aim at people with high levels of EA are highly relevant.

Behavior modification, 2010 · doi:10.1177/0145445510378379