Which emotion regulation strategies are mediating the outcome of acceptance and commitment therapy compared to cognitive-behaviour therapy in the treatment of anxiety symptoms?

IF 3 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Philip Spinhoven, Vivian Kraaij, Nadia Garnefski, Ernst Bohlmeijer, Maartje Witlox
{"title":"Which emotion regulation strategies are mediating the outcome of acceptance and commitment therapy compared to cognitive-behaviour therapy in the treatment of anxiety symptoms?","authors":"Philip Spinhoven, Vivian Kraaij, Nadia Garnefski, Ernst Bohlmeijer, Maartje Witlox","doi":"10.1080/10503307.2025.2556836","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To examine multiple emotion regulation strategies as mediators in ACT compared to CBT for anxiety. It was hypothesized that augmenting acceptance and reducing suppression, distraction, and perseverative thinking would mediate the effect of ACT compared to CBT. Cognitive reappraisal was included as a competitive mediator.</p><p><strong>Method: </strong>Data were collected as part of a randomized controlled trial comparing ACT and CBT in a sample of 314 older adults with anxiety symptomatology. Participants filled in self-report questionnaires assessing anxiety symptom severity (Generalized Anxiety Disorder-2) and the putative mediators a total of five times over the course of treatment. Latent growth curve models, parallel process models, random intercept-cross lagged panel models, and autoregressive latent trajectory models were used to model the hypothesized prospective and mediational relationship.</p><p><strong>Results: </strong>ACT differentially affected acceptance, suppression, and distraction, and changes in all mediators (except acceptance) showed significant cross-sectional associations with outcome. Only cognitive reappraisal predicted subsequent anxiety levels and vice versa, irrespective of treatment. However, none of the emotion regulation variables mediated the effect of ACT.</p><p><strong>Conclusions: </strong>The discrepancy with previous positive findings on emotion regulation as a mediator may be attributed to earlier studies not using a longitudinal design and analysis on the within-person level.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.0000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychotherapy Research","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/10503307.2025.2556836","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To examine multiple emotion regulation strategies as mediators in ACT compared to CBT for anxiety. It was hypothesized that augmenting acceptance and reducing suppression, distraction, and perseverative thinking would mediate the effect of ACT compared to CBT. Cognitive reappraisal was included as a competitive mediator.

Method: Data were collected as part of a randomized controlled trial comparing ACT and CBT in a sample of 314 older adults with anxiety symptomatology. Participants filled in self-report questionnaires assessing anxiety symptom severity (Generalized Anxiety Disorder-2) and the putative mediators a total of five times over the course of treatment. Latent growth curve models, parallel process models, random intercept-cross lagged panel models, and autoregressive latent trajectory models were used to model the hypothesized prospective and mediational relationship.

Results: ACT differentially affected acceptance, suppression, and distraction, and changes in all mediators (except acceptance) showed significant cross-sectional associations with outcome. Only cognitive reappraisal predicted subsequent anxiety levels and vice versa, irrespective of treatment. However, none of the emotion regulation variables mediated the effect of ACT.

Conclusions: The discrepancy with previous positive findings on emotion regulation as a mediator may be attributed to earlier studies not using a longitudinal design and analysis on the within-person level.

与认知行为疗法相比,哪些情绪调节策略在接受和承诺疗法治疗焦虑症状的结果中起中介作用?
目的:比较ACT和CBT对焦虑的影响,探讨多种情绪调节策略的中介作用。假设与CBT相比,ACT的效果可以通过增加接受度和减少压抑、分心和持续思考来调节。认知重评被认为是竞争中介。方法:收集数据作为一项比较ACT和CBT在314例有焦虑症状的老年人样本中的随机对照试验的一部分。在整个治疗过程中,参与者填写了评估焦虑症状严重程度的自我报告问卷(广泛性焦虑障碍-2)和假定的中介共五次。使用潜在增长曲线模型、平行过程模型、随机截距交叉滞后面板模型和自回归潜在轨迹模型来模拟假设的前瞻性和中介关系。结果:ACT对接受、抑制和分心的影响不同,所有介质(接受除外)的变化与结果有显著的横断面关联。无论治疗方式如何,只有认知重新评估能预测随后的焦虑水平,反之亦然。然而,没有情绪调节变量介导行为的影响。结论:与先前关于情绪调节作为中介的积极研究结果的差异可能归因于早期研究没有使用纵向设计和个人层面的分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信