Is Avoidant Personality Disorder More Than Just Social Avoidance?

Taylor, Charles T.; Laposa, Judith M.; Alden, Lynn E.

doi:10.1521/pedi.18.6.571.54792

Cited by 105Personality Disorders and PsychopathologyAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Traits and Psychology

Is Avoidant Personality Disorder More Than Just Social Avoidance?

Taylor, Charles T., Laposa, Judith M., Alden, Lynn E.·2004·Journal of Personality Disorders

DOI 10.1521/pedi.18.6.571.54792

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Abstract

Although social avoidance is a defining feature of avoidant personality disorder (APD), some theorists posit that APD is characterized by a broader pattern of avoidance that extends beyond social situations. This paper describes a series of four studies that examined the different types of nonsocial avoidance hypothesized to characterize APD in three undergraduate student samples and a clinical sample of adults with APD. Overall, the findings revealed low to moderate associations between APD and emotional and novelty avoidance, as well as avoidance of various nonsocial events. The results provide support for contemporary models of APD.

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Avoidance is a dominant coping strategy not only in social but also in non-social situations in avoidant personality disorder.
“Furthermore, on the basis of empirical findings, it has been suggested that avoidance is a dominant coping strategy not only in social but also in non-social situations in APD [9–11].”
From Group schema therapy versus group cognitive behavioral therapy for social anxiety disorder with comorbid avoidant personality disorder: study protocol for a randomized controlled trial. (2016) · cites this paper as [11]

Untitled work
(1970) · Cited by 24,983 · see citing works
Development and validation of measures of social phobia scrutiny fear and social interaction anxiety11Editor’s note: This article was written before the development of some contemporary measures of social phobia, such as the Social Phobia and Anxiety Inventory (Turner et al., 1989). We have invited this article for publication because of the growing interest in the scales described therein. S.T.
Mattick, R. P., & Clarke, J. C. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)10031-6 · Cited by 3,367 · see citing works
Cognitive therapy of personality disorders
(1991) · Choice Reviews Online · doi:10.5860/choice.28-2993 · Cited by 1,770 · see citing works
A psychometric evaluation of the Beck Depression Inventory–II.
Dozois, D. J. A., Dobson, K. S., & Ahnberg, J. L. (1998) · Psychological Assessment · doi:10.1037/1040-3590.10.2.83 · Cited by 1,517 · see citing works
The Collaborative Longitudinal Personality Disorders Study: Reliability of Axis I and II Diagnoses
Zanarini, M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaefer, E., Morey, L. C., Grilo, C. M., Shea, M. T., McGlashan, T. H., et al. (2000) · Journal of Personality Disorders · doi:10.1521/pedi.2000.14.4.291 · Cited by 771 · see citing works
Differential Diagnosis of Personality Disorders by the Seven-Factor Model of Temperament and Character
Švrakić, D. M. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820240075009 · Cited by 767 · see citing works
Disorders of Personality: DSM-III: Axis II
Millon, T. (1981) · Medical Entomology and Zoology · Cited by 757 · see citing works
A psychobiological perspective on the personality disorders
Siever, L. J., & Davis, K. L. (1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.12.1647 · Cited by 662 · see citing works
Interrater Reliability and Internal Consistency of the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II), Version 2.0
Maffei, C., Fossati, A., Agostoni, I., Barraco, A., Bagnato, M., Deborah, D., Namia, C., Novella, L., & Petrachi, M. (1997) · Journal of Personality Disorders · doi:10.1521/pedi.1997.11.3.279 · Cited by 516 · see citing works
Validation of the Social Interaction Anxiety Scale and the Social Phobia Scale across the anxiety disorders.
Brown, E. J., Turovsky, J., Heimberg, R. G., Juster, H. R., Brown, T. A., & Barlow, D. H. (1997) · Psychological Assessment · doi:10.1037/1040-3590.9.1.21 · Cited by 506 · see citing works
Avoidance and depression: the construction of the Cognitive–Behavioral Avoidance Scale
Ottenbreit, N. D., & Dobson, K. S. (2004) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(03)00140-2 · Cited by 457 · see citing works
Behavioral and Physiological Antecedents of Inhibited and Uninhibited Behavior
Calkins, S. D., Fox, N. A., & Marshall, T. R. (1996) · Child Development · doi:10.1111/j.1467-8624.1996.tb01749.x · Cited by 341 · see citing works
Childhood Derivatives of Inhibition and Lack of Inhibition to the Unfamiliar
Kagan, J., Reznick, J. S., Snidman, N. C., Gibbons, J. L., & Johnson, M. O. (1988) · Child Development · doi:10.1111/j.1467-8624.1988.tb03685.x · Cited by 287 · see citing works
Disorders of personality introducing a DSM/ICD spectrum from normal to abnormal
Millon, T. (2011) · Wiley eBooks · doi:10.1002/9781118099254 · Cited by 258 · see citing works
Childhood Derivatives of Inhibition and Lack of Inhibition to the Unfamiliar
Kagan, J., Reznick, J. S., Snidman, N. C., Gibbons, J. L., & Johnson, M. O. (1988) · Child Development · doi:10.2307/1130672 · Cited by 238 · see citing works
Dr. Siever and Colleagues Reply
Siever, L. J., Keefe, R. S. E., Bernstein, D. P., Coccaro, E. F., Klar, H., Zemishlany, Z., Peterson, A. C., Davidson, M. C., Mahon, T. R., Horvath, T., et al. (1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.8.1097 · Cited by 232 · see citing works
Behavioral and Physiological Antecedents of Inhibited and Uninhibited Behavior
Calkins, S. D., Fox, N. A., & Marshall, T. R. (1996) · Child Development · doi:10.2307/1131830 · Cited by 230 · see citing works
Anxiety Disorders Interview for DSM-IV: Client Interview Schedule
Brown, T. A., DiNardo, P. A., Barlow, D. H., & Mercier, M. A. (1999) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.13.4.380d · Cited by 203 · see citing works
Modern Psychopathology : A Biosocial Approach to Maladaptive Learning and Functioning
Millon, T. (1983) · Medical Entomology and Zoology · Cited by 193 · see citing works
Brief Communication: Criterion Validity of the Personality Diagnostic Questionnaire-4+ (PDQ-4+) in a Mixed Psychiatric Sample
Fossati, A., Maffei, C., Bagnato, M. J., Donati, D., Donini, M., Fiorilli, M., Novella, L., & Ansoldi, M. (1998) · Journal of Personality Disorders · doi:10.1521/pedi.1998.12.2.172 · Cited by 137 · see citing works
Avoidant Personality Disorder: Current Status and Future Directions
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Self-citation
Avoidant Personality Disorder, Generalized Social Phobia, and Shyness: Putting the Personality Back into Personality Disorders
Rettew, D. C. (2000) · Harvard Review of Psychiatry · doi:10.1080/hrp.8.6.283 · Cited by 95 · see citing works
Do personality disorders exist? On the validity of the concept and its cognitive‐behavioral formulation and treatment
Arntz, A. (1999) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00052-2 · Cited by 82 · see citing works
Negative Childhood Accounts, Sensitivity, and Pessimism: A Study of Avoidant Personality Disorder Features in College Students
Meyer, B., & Carver, C. S. (2000) · Journal of Personality Disorders · doi:10.1521/pedi.2000.14.3.233 · Cited by 77 · see citing works
Borderline and Avoidant Personality Disorders and the Five-Factor Model of Personality: A Comparison Between DSM-IV Diagnoses and NEO-PI-R
Wilberg, T., Urnes, Ø., Friis, S., Pedersen, G., & Karterud, S. (1999) · Journal of Personality Disorders · doi:10.1521/pedi.1999.13.3.226 · Cited by 52 · see citing works
Avoidant personality disorder and implicit schema-congruent information processing bias: a pilot study with a pragmatic inference task
Dreessen, L., Arntz, A. R., Hendriks, T., Keune, N., & van den Hout, M. (1999) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00154-5 · Cited by 33 · see citing works
Avoidant Personality Disorder: Empirical Support for DSM-IV Revisions
Baillie, A., & Lampe, L. A. (1998) · Journal of Personality Disorders · doi:10.1521/pedi.1998.12.1.23 · Cited by 28 · see citing works
Pathological Dependency: Distinguishing Functional from Emotional Dependency
Arntz, A. R. (2005) · Clinical Psychology Science and Practice · doi:10.1093/clipsy.bpi051 · Cited by 28 · see citing works
A First Look at the Structured Clinical Interview for DSM-IV Personality Disorders Screening Questionnaire: More Than Just a Screener?
Piedmont, R. L., Sherman, M. F., Sherman, N. C., & Williams, J. E. G. (2003) · Measurement and Evaluation in Counseling and Development · doi:10.1080/07481756.2003.11909739 · Cited by 17 · see citing works

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“1994; Hofmann and Kashdan 2010; Simons and Gaher 2005) and putatively adaptive and maladaptive emotion regulation strategies (e.g., emotional avoidance, expressive suppression; Gross and John 2003; Taylor et al. 2004), one comprehensive measure of emotion regulation difficulties that has received extensive attention w…”
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McNeil, D. W., & Randall, C. L. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-394427-6.00001-7 · Cited by 17 · see citing works
The Inventory of Interpersonal Problems (IIP-64) as a Screening Measure for Avoidant Personality Disorder
Leising, D., Rehbein, D., & Eckardt, J. (2009) · European Journal of Psychological Assessment · doi:10.1027/1015-5759.25.1.16 · Cited by 15 · see citing works
Social phobia and avoidant personality disorder: are they separate diagnostic entities or do they reflect a spectrum of social anxiety?
Tillfors, M., & Ekselius, L. (2009) · PubMed · Cited by 15 · see citing works
Levels of Social Sharing and Clinical Implications for Severe Social Withdrawal in Patients with Personality Disorders
Colle, L., Pellecchia, G., Moroni, F., Carcione, A., Nicolò, G., Semerari, A., & Procacci, M. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2017.00263 · Cited by 15 · see citing works
Investigating the role of negative and positive emotional avoidance in the relation between generalized anxiety disorder and depression symptom severity
Buhk, A. H., Schadegg, M. J., Dixon, L. J., & Tull, M. T. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.03.006 · Cited by 13 · see citing works
Personality Disorder and Changes in Affect Consciousness: A 3-Year Follow-Up Study of Patients with Avoidant and Borderline Personality Disorder
Normann‐Eide, E., Johansen, M. S., Normann‐Eide, T., Egeland, J., & Wilberg, T. (2015) · PLoS ONE · doi:10.1371/journal.pone.0145625 · Cited by 12 · see citing works
Reward and Punishment Sensitivity in Borderline and Avoidant Personality Disorders.
Berenson, K., Weert, S. M. V. D., Nicolaou, S., Campoverde, C., Rafaeli, E., & Downey, G. (2020) · Journal of Personality Disorders · doi:10.1521/pedi_2020_34_475 · Cited by 9 · see citing works
‘It just doesn't feel right’ and other reasons why some people fear and avoid positive emotions
Bogaert, L., Dunn, B. D., Walentynowicz, M., & Raes, F. (2023) · Acta Psychologica · doi:10.1016/j.actpsy.2023.103901 · Cited by 10 · see citing works
Emotional dysfunction in avoidant personality disorder and borderline personality disorder: A cross‐sectional comparative study
Frederiksen, C. K., Solbakken, O. A., Licht, R. W., Jørgensen, C. R., Rodrigo-Domingo, M., & Telléus, G. K. (2021) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12771 · Cited by 9 · see citing works
Are Internet offenders emotionally avoidant?
Wall, G., Pearce, E., & McGuire, J. (2010) · Psychology Crime and Law · doi:10.1080/10683160903292246 · Cited by 10 · see citing works
Examination of DSM-5 Section III avoidant personality disorder in a community sample
Sellbom, M., Carmichael, K. L. C., & Liggett, J. (2017) · Personality and Mental Health · doi:10.1002/pmh.1388 · Cited by 9 · see citing works
Posttraumatic stress disorder symptom severity modulates avoidance of positive emotions among trauma-exposed military veterans in the community.
Weiss, N. H., Schick, M. R., Contractor, A. A., Goncharenko, S., Raudales, A. M., & Forkus, S. R. (2021) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0001048 · Cited by 8 · see citing works
Positive Emotion Dysregulation Identifies Trauma-Exposed Community Individuals at Risk for Suicide and Nonsuicidal Self-Injury
Raudales, A. M., Darosh, A. G., Contractor, A. A., Schatten, H. T., Dixon–Gordon, K. L., & Weiss, N. H. (2021) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001316 · Cited by 8 · see citing works
Schematherapie für Cluster-C-Persönlichkeitsstörungen
Arntz, A. R. (2011) · Zeitschrift für Psychiatrie Psychologie und Psychotherapie · doi:10.1024/1661-4747/a000071 · Cited by 7 · see citing works
Metacognitive Interpersonal Therapy for Personality Disorders Swinging from Emotional Over-Regulation to Dysregulation: A Case Study
Salvatore, G., Popolo, R., Buonocore, L., Ferrigno, A. M., Proto, M., Sateriale, A., Serio, M., & Dimaggio, G. (2016) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2016.70.4.365 · Cited by 7 · see citing works
Human social defeat and approach–avoidance: Escalating social‐evaluative threat and threat of aggression increases social avoidance
Schlund, M. W., Carter, H., Cudd, G., Murphy, K., Ahmed, N., Dymond, S., & Tone, E. B. (2020) · Journal of the Experimental Analysis of Behavior · doi:10.1002/jeab.654 · Cited by 7 · see citing works
Individual differences in avoiding feelings of disgust: Development and construct validity of the disgust avoidance questionnaire
von Spreckelsen, P., Jonker, N. C., Vugteveen, J., Wessel, I., Glashouwer, K. A., & de Jong, P. J. (2021) · PLoS ONE · doi:10.1371/journal.pone.0248219 · Cited by 6 · see citing works
Examining the Construct Validity of the MMPI–2–RF Interpersonal Functioning Scales Using the Computerized Adaptive Test of Personality Disorder as a Comparative Framework
Franz, A. O., Harrop, T. M., & McCord, D. (2016) · Journal of Personality Assessment · doi:10.1080/00223891.2016.1222394 · Cited by 6 · see citing works
Influences on Sustainable Behavior
Willis, R., Provost, S., & Christidis, L. (2017) · Ecopsychology · doi:10.1089/eco.2016.0031 · Cited by 5 · see citing works
Posttraumatic Stress Disorder Symptoms Among Trauma-Exposed Inpatient Adolescents
Viana, A. G., Candelari, A. E., Raines, E. M., Woodward, E. C., Paulus, D. J., Berenz, E. C., & Zvolensky, M. J. (2017) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000737 · Cited by 5 · see citing works
Positive emotional intensity and substance use: the underlying role of positive emotional avoidance in a community sample of military veterans
Schick, M. R., Weiss, N. H., Contractor, A. A., Thomas, E. D., & Spillane, N. S. (2021) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2020.1868488 · Cited by 5 · see citing works
Social Facilitation Among Gamblers: A Large-Scale Study Using Account-Based Data
Hopfgartner, N., Santos, T., Auer, M., Griffiths, M. D., & Helić, D. (2021) · Proceedings of the International AAAI Conference on Web and Social Media · doi:10.1609/icwsm.v15i1.18052 · Cited by 4 · see citing works
Avoidant Personality Disorder and Its Relationship to Social Phobia
Reich, J. H. (2010) · Elsevier eBooks · doi:10.1016/b978-0-12-375096-9.00008-0 · Cited by 4 · see citing works
Clarifying relations of emotion regulation, emotional avoidance and anxiety symptoms in a community‐based treatment‐seeking sample.
Bock, R. C., Baker, L. D., Kalantar, E. A., Berghoff, C. R., Stroman, J. C., Gratz, K. L., & Tull, M. T. (2024) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12523 · Cited by 2 · see citing works
Shy, but why? Vulnerable narcissism and avoidant personality in terms of explicit and implicit interpretation bias and social acceptance
Weiss, M., & Huppert, J. (2022) · Current Psychology · doi:10.1007/s12144-022-03250-4 · Cited by 3 · see citing works
Uncovering the common factors of chemical exposure and behavior: Evaluating behavioral effects across a testing battery using factor analysis
Marinello, W. P., Gillera, S. E. A., Huang, L., Rollman, J., Reif, D. M., & Patisaul, H. B. (2023) · NeuroToxicology · doi:10.1016/j.neuro.2023.10.012 · Cited by 2 · see citing works
Difficulties in emotion regulation among patients with substance use disorder and a history of exposure to traumatic events: the role of PTSD symptoms, emotional avoidance, shame, and guilt
Vigfusdottir, J., Breivik, E., Henden, B. O., Jonsbu, E., Lien, L., Stenmark, H. I., & Mork, E. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2025.2509385 · Cited by 2 · see citing works
Avoidant Personality Disorder
Alden, L. E., Laposa, J. M., & Taylor, C. T. (2006) · Springer eBooks · doi:10.1007/978-0-387-28370-8_10 · Cited by 2 · see citing works
Self-citation
The relationship between, and treatment of, DSM Axis I and II disorders encountered in combination
Stevenson, J., Boyce, P. M., & Brodaty, H. (2008) · Personality and Mental Health · doi:10.1002/pmh.56 · Cited by 2 · see citing works
الإسهام النسبي لأساليب المعاملة الوالدية المدركة والحساسية الانفعالية في أعراض الشخصية التجنبية لدى طلبة جامعة اليرموك
Momani, F. A., & Almomani, K. M. A. (2023) · Dirasat: Educational Sciences · doi:10.35516/edu.v50i2.441 · Cited by 1 · see citing works
Sexual Assault and Alcohol Use Among Adults in Residential Substance Use Treatment: The Roles of Shame and Emotional Avoidance
Bhuptani, P. H., Srinagesh, A., Kiefer, R., & Weiss, N. H. (2025) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.24-00367 · Cited by 1 · see citing works
Nightmare experience and personality disorder functioning styles in healthy volunteers and nightmare disorder patients
Shao, X., Wang, C., Shen, C., Jia, Y., & Wang, W. (2020) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2020.84.3.278 · Cited by 1 · see citing works
Can different affect focus in early stages of therapy predict outcome for different personality disorders within cluster C
Eliasson, L. M. (2012) · NORA - Norwegian Open Research Archives · Cited by 1 · see citing works
Nonsuicidal self-injury and emotion regulation : clinical correlates and novel treatments
Bjureberg, J. (2018) · Figshare · Cited by 1 · see citing works
Personality Disorders
Trull, T. J., Carpenter, R. W., & Widiger, T. A. (2012) · Wiley eBooks · doi:10.1002/9781118133880.hop208004 · Cited by 1 · see citing works
Treatment of obsessive‐compulsive disorder in the context of an avoidant personality disorder
Wilberg, T., & Karterud, S. (2008) · Personality and Mental Health · doi:10.1002/pmh.37
COMPRENSION EXISTENCIAL DEL TRASTORNO EVITATIVO DE LA PERSONALIDAD II EXISTENTIAL COMPREHENSION OF THE AVOIDANT PERSONALITY DISORDER II
Martínez, E. (2011) · Dialnet (Universidad de la Rioja)
The Effects of Daily Emotional Experiences and Emotion Avoidance on Within-person Eating Disorder Symptoms
Hollins, T. R. (2017) · ThinkTech (Texas Tech University)
Are Fatty Acid Amide Hydrolase Levels Elevated in Social Anxiety Disorder? Preliminary Findings of a PET Study using [C-11]CURB
Ahmed, M. (2020) · TSpace (University of Toronto)
References
Millon, T., & Grossman, S. D. (2007) · Wiley eBooks · doi:10.1002/9781118269893.refs
ความสมพนธระหวางการกำกบอารมณดวยวธการทางความคด รปแบบความผกพน ปจจยทางความสมพนธ กบความทกขใจจากการเลกรา ในนสตนกศกษาระดบปรญญาตรทผานประสบการณการเลกรา
นารถ, ศ. (2020) · doi:10.58837/chula.the.2020.657
Affect Integration in patients with personality disorder
Frederiksen, C. K. (2021) · doi:10.54337/aau448604869

Avoidant personality in social phobia and panic–agoraphobic disorder: a comparison
Perugi, G., Nassini, S., Socci, C., Lenzi, M., Toni, C., Simonini, E., & Akiskal, H. S. (1999) · Journal of Affective Disorders · doi:10.1016/s0165-0327(99)00062-2 · Cited by 27 · see citing works
Avoidant Personality Disorder: Current Status and Future Directions
Alden, L. E., Laposa, J. M., Taylor, C. T., & Ryder, A. G. (2002) · Journal of Personality Disorders · doi:10.1521/pedi.16.1.1.22558 · Cited by 113 · see citing works
Self-citation
Search strategies-Characteristics, treatment, and outcomes of avoidant personality disorder- A systematic review of case report and case series.
Muñoz, J., Núñez, S., Gualotuña, C., Castillo Correa, A. A., Llerena Guevara, L. G., & Espinosa, S. (2023) · Figshare · doi:10.6084/m9.figshare.22257811
Social Phobia and Avoidant Personality Disorder: Similar but Different?
Lampe, L. A., & Sunderland, M. (2013) · Journal of Personality Disorders · doi:10.1521/pedi_2013_27_079 · Cited by 33 · see citing works
Avoidant Personality Disorder
Alden, L. E., & Fung, K. (2015) · The Encyclopedia of Clinical Psychology · doi:10.1002/9781118625392.wbecp250 · Cited by 1 · see citing works
Self-citation

Authors: Taylor, C. T., Laposa, J. M., & Alden, L. E.
Affiliations: University of British Columbia (CA)
ORCID: Taylor, Charles T.
Laposa, Judith M.
Alden, Lynn E.
Venue: Journal of Personality Disorders
Publisher: Guilford Publications
Published: 2004-12
Volume: 18
Issue: 6
Pages: 571-594
ISSN: 0885-579X (ISSN-L)
DOI: 10.1521/pedi.18.6.571.54792
OpenAlex: W2069371562
Cited by: 105
References: 29
Citations by year: 2026: 2 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 1 · 2021: 7 · 2020: 12 · 2019: 2 · 2018: 3 · 2017: 9 · 2016: 8 · 2015: 6 · 2014: 2 · 2013: 5 · 2012: 9
FWCI: 2.82
Type: journal article
Language: en
Open access: closed
Locations: Journal of Personality Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords: avoidant personality disorder, social avoidance, emotional avoidance, novelty avoidance, avoidance behavior
MeSH terms: Adolescent, Adult, Diagnosis, Differential, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Personality Disorders, Phobic Disorders, Surveys and Questionnaires, Severity of Illness Index, Diagnostic and Statistical Manual of Mental Disorders

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Is Avoidant Personality Disorder More Than Just Social Avoidance?

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