Avoidance coping
{{Short description|Effort to avoid dealing with a stressor}}
In psychology, avoidance coping is a coping mechanism and form of experiential avoidance. It is characterized by a person's efforts, conscious or unconscious, to avoid dealing with a stressor in order to protect oneself from the difficulties the stressor presents. Avoidance coping can lead to substance abuse, social withdrawal, and other forms of escapism. High levels of avoidance behaviors may lead to a diagnosis of avoidant personality disorder, though not everyone who displays such behaviors meets the definition of having this disorder.{{Cite journal|last1=Weinbrecht|first1=Anna|last2=Schulze|first2=Lars|last3=Boettcher|first3=Johanna|last4=Renneberg|first4=Babette|date=March 2016|title=Avoidant Personality Disorder: a Current Review|url=http://link.springer.com/10.1007/s11920-016-0665-6|journal=Current Psychiatry Reports|language=en|volume=18|issue=3|pages=29|doi=10.1007/s11920-016-0665-6|pmid=26830887|s2cid=34358884|issn=1523-3812|url-access=subscription}} Avoidance coping is also a symptom of post-traumatic stress disorder{{Cite book|last=Horwitz|first=Allan V.|title=PTSD : a short history|date=2018|isbn=978-1-4214-2640-2|location=Baltimore, Maryland|oclc=1051003345}} and related to symptoms of depression and anxiety.{{Cite journal|date=2020-03-02|title=Toward an assessment of escape/avoidance coping in depression|url=https://www.sciencedirect.com/science/article/abs/pii/S0166432819303535|journal=Behavioural Brain Research|language=en|volume=381|pages=112363|doi=10.1016/j.bbr.2019.112363|issn=0166-4328|last1=Haskell|first1=Amanda M.|last2=Britton|first2=Peter C.|last3=Servatius|first3=Richard J.|pmid=31739002|s2cid=208047991|url-access=subscription}} Additionally, avoidance coping is part of the approach-avoidance conflict theory introduced by psychologist Kurt Lewin.{{Cite journal|last=Roth|first=Susan|date=1986|title=Approach, avoidance, and coping with stress|url=https://psycnet.apa.org/record/1986-27206-001|journal=American Psychologist|volume=41|issue=7|pages=813–819|doi=10.1037/0003-066X.41.7.813|pmid=3740641|via=APA PsycNet|url-access=subscription}}
Literature on coping often classifies coping strategies into two broad categories: approach/active coping and avoidance/passive coping.{{cite journal|last=Roth|first=S|last2=Cohen |first2=L|date=1986|title=Approach, avoidance, and coping with stress|journal=American Psychologist|series=813-819|volume=41|issue=7|pages=813–819|doi=10.1037/0003-066x.41.7.813|pmid=3740641}}{{cite book |last=Kleinke |first=Chris L. |chapter=What does it mean to cope? |date=2007 |title=The Praeger Handbook on Stress and Coping |location=Westport |publisher=Praeger |volume=2 |isbn=978-0-275-99199-9}} Approach coping includes behaviors that attempt to reduce stress by alleviating the problem directly, and avoidance coping includes behaviors that reduce stress by distancing oneself from the problem.{{cite journal|last=Carver|first=C|last2=Scheier |first2=M|last3=Weintraub |first3=J|date=1989|title=Assessing coping strategies: a theoretically based approach|journal=Journal of Personality and Social Psychology|volume=56|issue=2|pages=267–283|citeseerx=10.1.1.1022.750|doi=10.1037/0022-3514.56.2.267|pmid=2926629}} Traditionally, approach coping has been seen as the healthiest and most beneficial way to reduce stress, while avoidance coping has been associated with negative personality traits, potentially harmful activities, and generally poorer outcomes.{{cite journal|last=Holahan|first=C|last2=Moos |first2=R|date=1985|title=Life stress and health: Personality, coping, and family support in stress resistance|journal=Journal of Personality and Social Psychology|volume=49|issue=3|pages=739–747|doi=10.1037/0022-3514.49.3.739|pmid=4045701}} However, avoidance coping can reduce stress when nothing can be done to address the stressor.
Measurement
Avoidance coping is measured via a self-reported questionnaire. Initially, the Multidimensional Experiential Avoidance Questionnaire (MEAQ) was used, which is a 62-item questionnaire that assesses experiential avoidance, and thus avoidance coping, by measuring how many avoidant behaviors a person exhibits and how strongly they agree with each statement on a scale of 1–6.{{Cite journal|last1=Gámez|first1=Wakiza|last2=Chmielewski|first2=Michael|last3=Kotov|first3=Roman|last4=Ruggero|first4=Camilo|last5=Watson|first5=David|date=September 2011|title=Development of a measure of experiential avoidance: The Multidimensional Experiential Avoidance Questionnaire.|url=http://doi.apa.org/getdoi.cfm?doi=10.1037/a0023242|journal=Psychological Assessment|language=en|volume=23|issue=3|pages=692–713|doi=10.1037/a0023242|pmid=21534697|issn=1939-134X|url-access=subscription}} Today, the Brief Experiential Avoidance Questionnaire (BEAQ) is used instead, containing 15 of the original 62 items from the MEAQ.{{Cite journal|last1=Gámez|first1=Wakiza|last2=Chmielewski|first2=Michael|last3=Kotov|first3=Roman|last4=Ruggero|first4=Camilo|last5=Suzuki|first5=Nadia|last6=Watson|first6=David|date=March 2014|title=The Brief Experiential Avoidance Questionnaire: Development and initial validation.|url=http://doi.apa.org/getdoi.cfm?doi=10.1037/a0034473|journal=Psychological Assessment|language=en|volume=26|issue=1|pages=35–45|doi=10.1037/a0034473|pmid=24059474|issn=1939-134X|url-access=subscription}} In research, avoidance coping can be objectively quantified using immersive virtual reality.{{cite journal |last1=Binder |first1=Florian P. |last2=Spoormaker |first2=Victor I. |title=Quantifying Human Avoidance Behavior in Immersive Virtual Reality |journal=Frontiers in Behavioral Neuroscience |date=2020 |volume=14 |page=569899 |doi=10.3389/fnbeh.2020.569899 |pmid=33192365 |pmc=7554565 |doi-access=free }}
Treatment
Cognitive behavioral and psychoanalytic therapy are used to help those coping by avoidance to acknowledge, comprehend, and express their emotions. Acceptance and commitment therapy, a behavioral therapy that focuses on breaking down avoidance coping and showing it to be an unhealthy method for dealing with traumatic experiences, is also sometimes used.{{cite web|last=Tull|first=Matthew|title=PTSD and Emotional Avoidance|url=http://ptsd.about.com/od/symptomsanddiagnosis/a/emotionalavoid.htm|website=About.com|access-date=27 November 2011|archive-date=26 October 2011|archive-url=https://web.archive.org/web/20111026103401/http://ptsd.about.com/od/symptomsanddiagnosis/a/emotionalavoid.htm|url-status=dead}}
Both active-cognitive and active-behavioral coping are used as replacement techniques for avoidance coping. Active-cognitive coping includes changing one's attitude towards a stressful event and looking for any positive impacts. Active-behavioral coping refers taking positive actions after finding out more about the situation.{{cite journal |doi=10.1007/BF00844267 |title=The role of coping responses and social resources in attenuating the stress of life events |year=1981 |last1=Billings |first1=Andrew G. |last2=Moos |first2=Rudolf H. |journal=Journal of Behavioral Medicine |volume=4 |issue=2 |pages=139–57 |pmid=7321033|s2cid=206785490 }}