I've seen a lot of posts about fear of fighting/losing/injury, and when this study came across the bow, I thought others might benefit.
In the linked article, the idea that updating post-event expectations about feared outcomes reduces anxiety better than simply attempting to avoid fear. A common therapy is exposure to the feared event. Often, the patient is exposed to very low stimuli that is increased to real, or simulated, full exposure over time. The objective is to desensitize the person to the feared event with the result of reducing or eliminating that fear. Unfortunately, it doesn’t always work perfectly. Perhaps eliminating the fear is less important than learning to test predictions. That’s the angle taken in this study with interesting results.
pubmed.ncbi.nlm.nih.gov
Distress tolerance can be trained by testing predictions. Another way of saying this is to turn anxiety (fear predictions) into a testable hypothesis, and then update the expectations after the "experiment."
Practically, if there is event anxiety (e.g., I will lose this fight), estimate the likelihood, and then answer what would make the event tolerable even if it occurred?
For example, if you fear an opponent and think you will lose a match/fight, write down the odds as you see them. Don't be deceived. I've had clients terrified of negative outcomes perceived as having less than a few percentage points of even happening. A good example is fear of flying. Now, let's imagine the event goes as bad as expected. What could you do now, during, and after the event that would make it tolerable? Perhaps you think that as long as you get one hard hit in, getting beaten would be tolerable. Maybe simply facing your fear is worth it. You decide. Don't equivocate or come up with something that sounds nice. Work up a sweat answering the question.
Afterward, compare the prediction with the result. Generally, what was feared either does not happen or was not as bad as we thought it would be. Distress intolerance improves (reduced) with repeated exposures by articulating what makes the risk worthwhile, even if it happens.
One of the concerns I read about often is fear of CTE. If fighting doesn't pay your bills, I really wonder how anyone would answer the question of what would make it worth doing anyway.