BACKGROUND Evidence about how cognitive fusion (CF) and experiential avoidance (EA) interact with emotional distress underlines the importance of analyzing the interrelationships between the different processes of psychological inflexibility in order to improve ways of addressing emotional problems. This study analyzes the moderating effect of CF, EA and activation (A) in relation to four criteria of anxiety and depression. METHOD A cross-sectional study of a clinical sample of adults was carried out by means of a questionnaire administered before (N = 172) and 6 months after (N = 114) participation in a clinical study. RESULTS Regression analyses gave results which were consistent in the two evaluations. The EAxCF interaction modulated anxiety symptomatology, whereas A was not a significant predictor. Nevertheless, a reduction in A was the principal modulating condition in the symptomatology of depression; and although CF and EA did act as independent predictors, the EAxCF interaction was not significant. CONCLUSIONS The presence and intensity of manifestations of emotional distress are explained and modulated by the progressive concurrence of CF, EA and reduction in A. The use of therapeutic approaches which increase activation could be a beneficial strategy with regard to decreasing cognitive fusion and experiential avoidance.

中文翻译：

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心理僵化、焦虑和抑郁：认知融合、经验回避和激活的调节作用。

背景 关于认知融合 (CF) 和经验回避 (EA) 如何与情绪困扰相互作用的证据强调了分析不同心理僵化过程之间的相互关系以改进解决情绪问题的方法的重要性。本研究分析了 CF、EA 和激活 (A) 对焦虑和抑郁的四个标准的调节作用。方法 通过在参与临床研究之前（N = 172）和之后 6 个月（N = 114）进行问卷调查，对成人临床样本进行横断面研究。结果 回归分析得出的结果在两次评估中是一致的。EAxCF 相互作用调节焦虑症状，而 A 不是显着的预测因子。尽管如此，A 的降低是抑郁症症状的主要调节条件；尽管 CF 和 EA 确实作为独立的预测因子，但 EAxCF 的交互作用并不显着。结论 情绪困扰表现的存在和强度可以通过 CF、EA 和 A 值的减少来解释和调节。使用增加激活的治疗方法可能是减少认知融合和经验回避的有益策略。