A contextual approach to experiential avoidance and social anxiety: Evidence from an experimental interaction and daily interactions of people with social anxiety disorder.
Open accessAbstract
Experiential avoidance (EA), the tendency to avoid internal, unwanted thoughts and feelings, is hypothesized to be a risk factor for social anxiety. Existing studies of experiential avoidance rely on trait measures with minimal contextual consideration. In two studies, we examined the association between experiential avoidance and anxiety within real-world social interactions. In the first study, we examined the effect of experiential avoidance on social anxiety in everyday life. For 2 weeks, 37 participants with Social Anxiety Disorder (SAD) and 38 healthy controls provided reports of experiential avoidance and social anxiety symptoms during face-to-face social interactions. Results showed that momentary experiential avoidance was positively related to anxiety symptoms during social interactions and this effect was stronger among people with SAD. People low in EA showed greater sensitivity to the level of situational threat than high EA people. In the second study, we facilitated an initial encounter between strangers. Unlike Study 1, we experimentally created a social situation where there was either an opportunity for intimacy (self-disclosure conversation) or no such opportunity (small-talk conversation). Results showed that greater experiential avoidance during the self-disclosure conversation temporally preceded increases in social anxiety for the remainder of the interaction; no such effect was found in the small-talk conversation. Our findings provide insight into the association between experiential avoidance on social anxiety in laboratory and naturalistic settings, and demonstrate that the effect of EA depends upon level of social threat and opportunity.
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Experiential avoidance is a mechanism that can be changed through intervention.
“EA is a mechanism malleable to intervention (Kashdan et al., 2014).”
From Evaluating Experiential Avoidance in terms of COVID-19 Fear and Pandemic Emotional Distress Symptoms Among Latinx Adults (2022) · cites this paper as Kashdan et al., 2014
The Study 2 Discussion reports reasonable evidence that experiential avoidance causally influences social anxiety, and the General Discussion says its use is influenced by situational factors. But the paper does not report an intervention that changes experiential avoidance or establish that it is malleable through treatment. (LLM, conf=0.84)
Experimental — accuracy not yet measuredIn non-clinical adolescent samples, experiential avoidance is positively correlated with social anxiety.
“Regarding adolescents’ social anxiety difficulties, existing research with non-clinical samples has also demonstrated that experiential avoidance is positively correlated with social anxiety (Kashdan et al., 2014; Papachristou et al., 2018; Shimoda et al., 2018), as well as cognitive fusion (Cheng et al., 2021).”
From Psychological inflexibility explains social anxiety over time: a mediation analyses with a clinical adolescent sample (2024) · cites this paper as Kashdan et al., 2014
The Abstract reports a positive association between momentary experiential avoidance and social anxiety, and the General Discussion identifies Study 2 as non-clinical. However, Study 2’s Method describes undergraduates aged 18–49 (mean 22.11), not an adolescent sample. Its reported effect was also specific to the self-disclosure conversation, with no such effect in the small-talk condition. (LLM, conf=0.91)
Experimental — accuracy not yet measuredExperiential avoidance has been identified as one potential mechanism driving SAD.
“Experiential avoidance, or EA, has been identified as one potential mechanism driving SAD (Glick & Orsillo, 2011;Kashdan et al., 2006Kashdan et al., , 2014)).”
From Evaluating Mechanisms: Mapping Weekly Dynamics between Experiential Avoidance and SAD Symptoms (2021) · cites this paper as Kashdan et al., 2014
Experimental — accuracy not yet measuredKashdan et al. (2014) provided an excellent example of using a contextual approach to assess experiential avoidance.
“Kashdan et al. (2014) provided an excellent example of using a contextual approach to assess experiential avoidance.”
From Acceptance and Commitment Therapy Processes and Mediation: Challenges and How to Address Them (2023) · cites this paper as Kashdan et al., 2014
Kashdan et al. (2014) found that EA significantly predicted higher social anxiety in social situations with greater chance of being vulnerable and negatively evaluated compared with situations where self-disclosure was minimized.
“Kashdan et al. (2014) also found context to be important, as EA significantly predicted higher social anxiety in social situations where there was a greater chance of being vulnerable and negatively evaluated by others compared with social situations where personal self-disclosure was minimized.”
From Anxiety Sensitivity, Experiential Avoidance, and Mindfulness Among Younger and Older Adults: Age Differences in Risk Factors for Anxiety Symptoms (2015) · cites this paper as Kashdan et al. (2014)
Kashdan et al found that momentary experiential avoidance presented a stronger association with anxiety during social interactions for individuals with social anxiety disorder than for individuals without social anxiety disorder.
“Using the same sample, Kashdan et al [21] found that momentary experiential avoidance presented a stronger association with anxiety during social interactions for individuals with SAD than for individuals without SAD.”
From Studies of Social Anxiety Using Ambulatory Assessment: Systematic Review (2024) · cites this paper as [21]
Experiential avoidance at the daily level can be distinguished from highly related constructs of mental distress.
“However, other research suggests that experiential avoidance at the daily level can be distinguished from highly related constructs of mental distress (Kashdan et al., 2014).”
From Using Genetic Algorithms in a Large Nationally Representative American Sample to Abbreviate the Multidimensional Experiential Avoidance Questionnaire (2016) · cites this paper as Kashdan et al., 2014
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“Recent years have witnessed novel conceptualizations of anxiety and depression, which consider contextual and mechanistic factors that maintain clinical levels of psychopathology (Hofmann, 2014; Kashdan et al., 2014).”
BackgroundO’Toole, M. S., Zachariae, R., & Mennin, D. S. (2017) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2017.1346792 · Cited by 49 · see citing works
Naragon-Gainey, K., McMahon, T. P., & Park, J. (2018) · American Psychologist · doi:10.1037/amp0000371 · Cited by 42 · see citing works
“…(such as avoidance, rumination, thought suppression, and expressive suppression), they also had higher levels of internalizing symptoms at that time or shortly after (Kashdan et al., 2014; Li, Starr, & Hershenberg, 2017; McMahon & Naragon-Gainey, in press; Short, Boffa, Clancy, & Schmidt, 2018).”
BackgroundDaros, A. R., Daniel, K. E., Meyer, M. J., Chow, P. I., Barnes, L. E., & Teachman, B. A. (2019) · Motivation and Emotion · doi:10.1007/s11031-019-09773-x · Cited by 42 · see citing works
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Goodman, F. R., Stiksma, M. C., & Kashdan, T. B. (2018) · Behavior Therapy · doi:10.1016/j.beth.2017.10.002 · Cited by 35 · see citing works
Self-citationZucchelli, F., Donnelly, O., Williamson, H., & Hooper, N. (2018) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.32.3.171 · Cited by 30 · see citing works
“, & Kent, G. (2001). Adjusting to disfigurement: Processes involved in dealing with being visibly different. Clinical Psychology Review, 21(5), 663–682. Thompson, A. R., Kent, G., & Smith, J. A. (2002). Living with vitiligo: Dealing with difference.”
BackgroundGoodman, F. R., Daniel, K. E., Eldesouky, L., Brown, B. A., & Kneeland, E. T. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100210 · Cited by 31 · see citing works
Self-citationAre people with social anxiety disorder happier alone?
Goodman, F. R., Rum, R., Silva, G., & Kashdan, T. B. (2021) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2021.102474 · Cited by 33 · see citing works
Self-citationDaniel, K. E., Baee, S., Boukhechba, M., Barnes, L. E., & Teachman, B. A. (2019) · Depression and Anxiety · doi:10.1002/da.22970 · Cited by 30 · see citing works
Asher, M., Hofmann, S. G., & Aderka, I. M. (2021) · Behavior Therapy · doi:10.1016/j.beth.2020.04.001 · Cited by 27 · see citing works
Epkins, C. C. (2016) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-015-9502-1 · Cited by 24 · see citing works
Cheng, Q., Shi, C., Yan, C., Ren, Z., Chan, S. H.-W., Xiong, S., Zhang, T., & Zheng, H. (2022) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2021.1955864 · Cited by 22 · see citing works
“Second, experiential avoidance is positively correlated with social anxiety in adolescents (Kashdan et al., 2014; Papachristou et al., 2018; Shimoda et al., 2018).”
BackgroundParsons, E. M., Dreyer-Oren, S. E., Magee, J. C., & Clerkin, E. M. (2019) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000993 · Cited by 19 · see citing works
When two hearts beat as one: Heart-rate synchrony in social anxiety disorder
Asher, M., Barthel, A. L., Hofmann, S. G., Okon-Singer, H., & Aderka, I. M. (2021) · Behaviour Research and Therapy · doi:10.1016/j.brat.2021.103859 · Cited by 17 · see citing works
Examining the Role of Implicit Emotional Judgments in Social Anxiety and Experiential Avoidance
Levin, M. E., Haeger, J., & Smith, G. S. (2017) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-016-9583-5 · Cited by 16 · see citing works
Shimoda, Y., Ishizu, K., & Ohtsuki, T. (2018) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.10.001 · Cited by 16 · see citing works
Figueiredo, D. V., Alves, F., & Vagos, P. (2024) · Current Psychology · doi:10.1007/s12144-023-04650-w · Cited by 13 · see citing works
“…social anxiety difficulties, existing research with non-clinical samples has also demonstrated that experiential avoidance is positively correlated with social anxiety (Kashdan et al., 2014; Papachristou et al., 2018; Shi-moda et al., 2018), as well as cognitive fusion (Cheng et al., 2021).”
State and Trait Emotion Regulation Diversity in Social Anxiety
Daniel, K. E., Larrazabal, M. A., Boukhechba, M., Barnes, L. E., & Teachman, B. A. (2023) · Clinical Psychological Science · doi:10.1177/21677026231151956 · Cited by 14 · see citing works
Goodman, F. R., & Kashdan, T. B. (2021) · The Journal of Positive Psychology · doi:10.1080/17439760.2019.1689423 · Cited by 12 · see citing works
Self-citationAcceptance and Commitment Therapy: A Critical Review to Guide Clinical Decision Making
Levin, M. E., Herbert, J. D., & Forman, E. M. (2017) · Treatments for Psychological Problems and Syndromes · doi:10.1002/9781118877142.ch27 · Cited by 12 · see citing works
Contextual Behavioral Science: An Overview
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Disentangling trait and state psychological inflexibility: A longitudinal multilevel approach
Klimczak, K. S., Schwartz, S. E., Donahue, M. L., Capel, L. K., Snow, J. L., & Levin, M. E. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.05.006 · Cited by 11 · see citing works
Mayorga, N. A., Manning, K. F., Derrick, J. L., Viana, A. G., Garey, L., Nizio, P., Matoska, C. T., & Zvolensky, M. J. (2022) · Cognitive Therapy and Research · doi:10.1007/s10608-021-10265-x · Cited by 8 · see citing works
Stefan, S., Stroian, P., Fodor, L., Matu, S., Nechita, D., Boldea, I., Fechete, I., Mătiță, D., & Mustățea, M. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.06.005 · Cited by 8 · see citing works
Saulnier, K. G., Saulnier, S. J., & Allan, N. P. (2022) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2022.102571 · Cited by 8 · see citing works
Studies of Social Anxiety Using Ambulatory Assessment: Systematic Review
Fernández-Álvarez, J., Colombo, D., Gómez Penedo, J. M., Pierantonelli, M., Baños, R. M., & Botella, C. (2024) · JMIR Mental Health · doi:10.2196/46593 · Cited by 8 · see citing works
Ratcliff, C. G., Fowler, S. N., Sinclair, K. L., Prinsloo, S., Chaoul, A., Zepeda, S. G., Spelman, A., Yang, W. T., & Cohen, L. (2021) · Mindfulness · doi:10.1007/s12671-020-01581-6 · Cited by 5 · see citing works
Alves, F., Figueiredo, D. V., & Vagos, P. (2023) · Clinical Case Studies · doi:10.1177/15346501221144069 · Cited by 3 · see citing works
“Experiential avoidance has been correlated with social anxiety in adolescents (Kashdan et al., 2014; Shimoda et al., 2018).”
BackgroundInfluentialMerging Acceptance and Commitment Therapy with Exposure Exercises to Treat Social Anxiety in a Teen
Farley, C. D., & Twohig, M. P. (2024) · Clinical Case Studies · doi:10.1177/15346501231217745 · Cited by 1 · see citing works
Evaluating Mechanisms: Mapping Weekly Dynamics between Experiential Avoidance and SAD Symptoms
Sarfan, L. D., Magee, J. C., & Clerkin, E. M. (2021) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-021-09899-8 · Cited by 1 · see citing works
- Authors
- Kashdan, T. B., Goodman, F. R., Machell, K. A., Kleiman, E. M., Monfort, S. S., Ciarrochi, J., & Nezlek, J. B.
- Affiliations
- George Mason University (US)
- Australian Catholic University (AU)
- William & Mary (US)
- ORCID
- Venue
- Emotion
- Published
- 2014-08
- Volume
- 14
- Issue
- 4
- Pages
- 769-781
- ISSN
- 1528-3542 (ISSN-L)
- 1931-1516
- PMC
- PMC4191827
- OpenAlex
- W2102502640
- Semantic Scholar
- 0144f69c97478c7cf5e6e20b9d23b994265373e8
- Cited by
- 187
- References
- 77
- Citations by year
- 2026: 15 · 2025: 12 · 2024: 23 · 2023: 26 · 2022: 17 · 2021: 18 · 2020: 11 · 2019: 16 · 2018: 13 · 2017: 11 · 2016: 8 · 2015: 10 · 2014: 7
- FWCI
- 16.70
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Emotion (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- W&M Publish (College of William & Mary) (submittedVersion)
- Funders
- National Institute of Mental Health (R21-MH073937)
- George Mason University
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Keywords
- experiential avoidance, social anxiety disorder, social anxiety, social danger, self-disclosure, small talk, social interaction, everyday life, contextual factors, risk factors for anxiety
- MeSH terms
- Adolescent, Adult, Female, Humans, Interpersonal Relations, Male, Middle Aged, Models, Psychological, Phobic Disorders, Social Behavior, Social Control, Informal, Case-Control Studies, Young Adult
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