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UvA-DARE is a service provided by the library of the University of Amsterdam (https://dare.uva.nl)

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Avoidance: From threat encounter to action execution

Arnaudova, I.

Publication date

2015

Document Version

Final published version

Link to publication

Citation for published version (APA):

Arnaudova, I. (2015). Avoidance: From threat encounter to action execution. Boxpress.

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Inna Arnaudova

Avoidance:

From threat encounter

to action execution

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Avoidance:

From threat encounter

to action execution

Inna Arnaudova

Department of Clinical Psychology

Faculty of Social and Behavioral Sciences

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c

• Inna Arnaudova

ISBN: 978-94-6295-388-8 Cover illustration: Toni Ortega

Cover design: Toni Ortega & Inna Arnaudova Lay-out by: Inna Arnaudova

Printed by: Proefschriftmaken.nl/Uitgeverij BOXPress Published by: Uitgeverij BOXPress, ’s-Hertogenbosch

This work was supported by an Innovation Scheme (Vidi) Grant (452-09-001), awarded to Tom Beckers by the Netherlands Organization for Scientific Research (NWO).

All rights reserved. No part of this publication may be reproduced or transmitted in any form by any means, without permission of the author.

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Avoidance:

From threat encounter

to action execution

ACADEMISCH PROEFSCHRIFT ter verkrijging van de graad van doctor

aan de Universiteit van Amsterdam op gezag van de Rector Magnificus

prof. dr. D.C. van den Boom

ten overstaan van een door het College voor Promoties ingestelde commissie, in het openbaar te verdedigen in de Agnietenkapel

op dinsdag 8 december 2015, te 14:00 uur

door

Inna Borislavova Arnaudova geboren te Varna, Bulgarije

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Promotiecommissie:

Promotors: Prof. Dr. T. Beckers Universiteit van Amsterdam KU Leuven

Prof. Dr. M. Kindt Universiteit van Amsterdam

Overige leden: Prof. Dr. A. Moors KU Leuven

Prof. Dr. A. Fischer Universiteit van Amsterdam Prof. Dr. A. Arntz Universiteit van Amsterdam Prof. Dr. M. Craske University of California

-Los Angeles

Dr. S. de Wit Universiteit van Amsterdam

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“Que me quiten lo bailao....“ Popular Spanish saying

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Contents

1 Introduction 9

1.1 Threat avoidance response selection and execution . . . 9

1.2 Classical conditioning . . . 11

1.3 Outline of the doctoral dissertation . . . 14

2 Threat avoidance response selection and execution (TeARS): A comprehensive model of avoidance 17 2.1 Definition of avoidance . . . 20

2.2 Response selection to threat . . . 22

2.3 Action tendencies . . . 28

2.4 Avoidance actions . . . 34

2.5 Dual-process models of behavior . . . 39

2.6 Framework of avoidance response selection . . . 41

2.7 Effects of clinically severe anxiety on avoidance response selection . 51 2.8 Conclusions . . . 57

3 Moving threat: Attention and distance change interact in threat responding 59 3.1 Introduction . . . 61

3.2 Materials and methods . . . 63

3.3 Results . . . 66

3.4 Discussion . . . 68

4 Fearing shades of gray: Individual differences in fear responding towards generalization stimuli 71 4.1 Introduction . . . 73

4.2 Experiment 1 . . . 75

4.3 Experiment 2 . . . 83

4.4 General discussion . . . 89

5 Individual differences in discriminatory fear learning under conditions of ambiguity: A vulnerability factor for anxiety disorders? 93 5.1 Introduction . . . 95

5.2 Materials and methods . . . 98

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5.4 Discussion . . . 106

6 The Bridget Jones effect: How negative mood shapes conditioned appetitive responses 109 6.1 Introduction . . . 111

6.2 Experiment 1 . . . 113

6.3 Experiment 2 . . . 121

6.4 General discussion . . . 127

7 General discussion 131 7.1 The Threat Avoidance and Response Selection (TeARS) model revisited . . . 131

7.2 Application of TeARS to anxiety pathology . . . 139

7.3 Evaluating treatment protocols for maladaptive avoidance through the lens of the TeARS model . . . 141

7.4 Potential improvements to treatment protocols from the perspective of the TeARS model . . . 144

7.5 Conclusion . . . 148 Summary (English) 149 Summary (Dutch) 155 Authors’ contribution 161 Acknowledgements 163 CV 169 A Appendix to Chapter 4:

Fearing shades of gray: Individual differences in fear

responding towards generalization stimuli 171

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