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Avoidance Of Experiences That May Create Negative Internal Reactions

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Avoidance of experiences that may create negative internal reactions is generalized to avoidance of many other activities, restricting the individual’s engagement in valued action and increasing distress. For these reasons, ABBT aims to help individuals modify their relationship with internal experiences, decrease experiential avoidance and increase engagement in valued action. To achieve these objectives, ABBT incorporates mindfulness strategies, cognitive behavioral interventions, ACT and Dialectical Behavior Therapy (DBT). One aspect of ABBT protocol is psychoeducation regarding the acceptance-based model: teaching individuals how worry serves as a strategy for avoiding more distressing internal experiences and about the more general …show more content…

Cognitive Behavior Therapy (CBT) and Applied Relaxation (AR) are recognized as “gold standard” treatments for GAD, thus the following studies were selected to compare ABBT with well-established GAD treatments. CBT is a commonly used, evidence-based treatment for GAD. Linden et al. (2005) conducted a controlled clinical trial to examine the efficacy of CBT for GAD. Their study included 72 outpatients with the sole diagnosis of GAD. 36 participants were randomly assigned to twenty-five sessions of CBT and the remaining 36 were assigned to a control group, receiving the CBT treatment protocol 14.5 weeks after the start of the trial. Comparison between treatment and control groups and between treatment groups were performed on multiple measures of clinician and self- rated anxiety scales. Statistically significant reductions in anxiety were found between treatment and control conditions and improvement remained stable 8 months post-treatment. However, 33.4% of participants in the first treatment group and 15.7% of participants in the second treatment group remained “moderately ill” at the end of treatment (Linden et al., 2005). Although Linden et al. (2005) suggest that their findings supports CBT as an effective treatment for GAD due to the 65.6% of control group participants that were “moderately ill” after the wait period, it seems a sizeable proportion of participants remained symptomatic post-treatment. Comparing a relatively new treatment, ABBT,

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