Journal of Contextual Behavioral Science最新文献

{"title":"A systematic review of acceptance and commitment therapy in sub-Saharan Africa: Understanding the cultural adaptations","authors":"Miriam Mukasa Kasozi,&nbsp;Marissa L. Donahue,&nbsp;Michael E. Levin,&nbsp;Melanie M. Domenech Rodríguez,&nbsp;Rosco Kasujja,&nbsp;Christopher Damulira,&nbsp;Jared Vance","doi":"10.1016/j.jcbs.2026.101017","DOIUrl":"10.1016/j.jcbs.2026.101017","url":null,"abstract":"<div><h3>Background</h3><div>Acceptance and Commitment Therapy (ACT) is being applied globally (Lim et al., 2024) and shows potential for addressing the significant mental health treatment gap in sub-Saharan Africa (WHO, 2022). This review examined the current evidence on the implementation, reported outcomes, and cultural adaptation of ACT in this region.</div></div><div><h3>Method</h3><div>Following PRISMA guidelines, a systematic search was conducted across four databases: PsycINFO, PubMed, ProQuest, and Scopus. We conducted a narrative synthesis, including descriptive comparison of study characteristics, reported outcomes, and effect sizes where available.</div></div><div><h3>Results</h3><div>Nineteen studies met the inclusion criteria. ACT interventions were implemented across diverse populations, including adolescents, university students, healthcare providers, and clinical groups, and were delivered in school, university, community, and healthcare settings. Interventions varied in format, duration, and targeted outcomes, with studies reporting improvements in psychological symptoms, performance-related outcomes, and psychological flexibility. Cultural adaptations were reported in some studies, primarily involving language, delivery structure, or contextual framing, although reporting often lacked specificity. Adaptations were made to language, delivery formats, and contextual factors. Interventions were applied equally among youth and adults, often in group-based settings. Acceptance emerged as the most frequently targeted ACT process. Cultural modifications enhanced both feasibility and acceptability. However, all studies relied on assessment tools developed in Western contexts.</div></div><div><h3>Conclusion</h3><div>The evidence provides preliminary supportl for the implementation of ACT in SSA across diverse populations and settings. The review highlights the importance of clearer reporting of adaptation processes and greater attention to construct validity and cultural relevance in future research.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"41 ","pages":"Article 101017"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148500623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workplace training based on the ACT Matrix for Ugandan hospital staff: A feasibility and acceptability trial","authors":"Rosco Kasujja,&nbsp;Khamisi Musanje,&nbsp;Ross McIntosh,&nbsp;Hilary Mugabo Mukula,&nbsp;Anisah Jagwe,&nbsp;Ivan Diaz Asiimwe,&nbsp;Sarah Mirembe Byamukama,&nbsp;Paul E. Flaxman","doi":"10.1016/j.jcbs.2026.101016","DOIUrl":"10.1016/j.jcbs.2026.101016","url":null,"abstract":"<div><div>Similar to other low- and middle-income countries (LMICs) in Africa, workers in Uganda have limited access to evidence-based workplace mental health promotion programs. This pilot trial assesses the feasibility, acceptability, and cultural suitability of implementing and evaluating training derived from acceptance and commitment therapy (ACT) among Ugandan healthcare staff. A sample of 16 staff (primarily nurses and midwives) employed at a hospital in Kampala participated in four group sessions of training using the ACT Matrix, and completed pre- and post-intervention measures. The program's acceptability was assessed via the multidimensional Theoretical Framework of Acceptability. In addition, a subgroup of 7 participants provided qualitative data during a focus group immediately after completing the training. Despite reported challenges surrounding the timing of sessions, the ACT Matrix was rated as an acceptable, culturally relevant, and satisfying training approach in this context. Qualitative reports further suggested that participating staff experienced benefits across different life areas. Participants revealed no issues with English language psychometric instruments commonly used to evaluate ACT interventions, including prominent markers of perceived stress, well-being, and psychological flexibility/inflexibility. Positively framed measures of well-being and psychological flexibility exhibited promising signs of short-term change sensitivity in response to the ACT Matrix. Taken together, these quantitative and qualitative data signal that it is feasible and appropriate to progress to a next stage of intervention research, aimed at examining the effectiveness of workplace ACT Matrix training with similar groups of healthcare staff in Uganda.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"41 ","pages":"Article 101016"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148500523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the effect of functional analytic psychotherapy on intimacy repertoires and minority stress in Latinx gay men","authors":"Sara Robayo,&nbsp;Yors García,&nbsp;Amanda Muñoz-Martínez","doi":"10.1016/j.jcbs.2026.101018","DOIUrl":"10.1016/j.jcbs.2026.101018","url":null,"abstract":"<div><div>Gay men are frequently exposed to discrimination and rejection, experiences that may contribute to intimacy avoidance and interpersonal distress. Functional Analytic Psychotherapy (FAP) is a contextual behavioral intervention that shapes clinically relevant interpersonal behaviors within therapy. This preliminary, exploratory study examined the feasibility, acceptability, and outcomes of six to nine weekly FAP sessions focused on intimacy-related behaviors and minority stress among three self-identified Latinx gay men. A randomized combined concurrent/nonconcurrent multiple-baseline design was used. All participants completed the intervention, and two completed follow-up and social validity assessments. Intimacy-seeking behaviors in session increased across participants, whereas changes in intimacy-avoidant behaviors were less consistent. Out-of-session intimacy showed greater stability for two out of the three participants. Two participants also showed clinically reliable improvements in interpersonal functioning and lower overall minority stress indicators; however, one participant showed deterioration in community connectedness at follow-up. Social validity data from the two respondents suggested high perceived value of the intervention, along with concerns about session length and emotional openness. Overall, findings support the feasibility and acceptability of FAP and suggest possible clinical benefits. Given the small sample size, heterogeneous outcomes, short baselines, and limited follow-up, results should be interpreted cautiously and evaluated in larger, more diverse studies.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"41 ","pages":"Article 101018"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148500615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An item response theory analysis of the Self-as-Context Scale","authors":"Robert D. Zettle,&nbsp;Yeil Kwon","doi":"10.1016/j.jcbs.2026.101004","DOIUrl":"10.1016/j.jcbs.2026.101004","url":null,"abstract":"<div><div>The major purpose of this project was to further evaluate the psychometric properties of the Self-as-Context Scale (SACS) and its 10 items by conducting an item response theory (IRT) analysis. Prior to doing so we conducted exploratory and confirmatory factor analyses with an aggregate college student sample (<em>N</em> = 1842) that confirmed an acceptable fit for a bidimensional model after dropping an item from the transcending subscale. The General Response Model we chose for the IRT analysis indicated strong discriminating power for both sets of remaining subscale items in their ability to adequately differentiate varying levels of their respective dimensional constructs. An evaluation of difficulty parameters suggested both sets of items covered an adequate span of latent traits, but that each might be improved, albeit in differing ways. For centering items, this would entail the elimination of the neutral response option from the Likert-type scale used in rating them, while increasing the difficulty level of transcending items through some rewording could be considered. Implications as well as limitations of the findings and ways of addressing them in the service of further evaluating and improving the quality of SACS as an assessment tool in clinical research and practice are discussed.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"41 ","pages":"Article 101004"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148500525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between repetitive negative thinking, emotional distress, and valued actions of pregnant and non-pregnant women: An experience sampling method protocol","authors":"José Angel Mendoza Herrera,&nbsp;Félix Duplessis-Marcotte,&nbsp;Patrick Gosselin","doi":"10.1016/j.jcbs.2026.101022","DOIUrl":"10.1016/j.jcbs.2026.101022","url":null,"abstract":"<div><ul><li><span>•</span><span><div>ESM captures dynamic RNT and its relation to daily emotion and valued action.</div></span></li><li><span>•</span><span><div>Between- and within-person RNT is associated with higher distress.</div></span></li><li><span>•</span><span><div>Only within-person RNT increases are related to reduced valued action.</div></span></li><li><span>•</span><span><div>Within-person RNT-outcome associations vary substantially across individuals.</div></span></li></ul></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"41 ","pages":"Article 101022"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148736467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spanish validation of the PBAT and cross-country mapping of process-outcome networks using link community analysis","authors":"Carmen Goicoechea,&nbsp;Amie Wallman-Jones,&nbsp;Joseph Ciarrochi,&nbsp;Steven C. Hayes,&nbsp;Stefan G. Hofmann,&nbsp;Pandelis Perakakis","doi":"10.1016/j.jcbs.2026.101021","DOIUrl":"10.1016/j.jcbs.2026.101021","url":null,"abstract":"<div><div>The Process-Based Assessment Tool (PBAT) was developed within the framework of process-based therapy, an alternative to symptom-focused diagnostic models, to monitor biopsychosocial change processes and support personalized therapeutic interventions. This cross-sectional study validated the Spanish PBAT by replicating the original U.S. study protocol in 602 Spanish adults. We also aimed to compare predictive process-outcome networks across Spain, the U.S., Sweden, and Poland using link community network analysis<strong>.</strong> Structural validity was assessed through inter-item correlations, and criterion validity through associations between PBAT items and clinical outcomes and need satisfaction/frustration. The Boruta algorithm identified the most predictive items for each outcome. Results confirmed the structural and criterion validity of the Spanish PBAT. Link community network analysis revealed country-specific differences in which processes most strongly predicted distress: difficulties finding appropriate emotional outlets were most central in Spain, perceived inability to change ineffective behavior was relatively prominent in the U.S., and cognitive interference and attentional difficulties were most prominent in Sweden, while Poland showed a more distributed pattern across these three processes. Future research could extend this approach to individual longitudinal data, potentially enabling clinicians to identify and target core psychological processes based on a person's unique profile.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"41 ","pages":"Article 101021"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148736468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary psychometric properties of the Spanish version of the self-as-context scale (SACS-Sp) in parents of young children","authors":"Rosa Romero-Moreno,&nbsp;María del Sequeros Pedroso-Chaparro,&nbsp;Ariadna de la Vega-Castelo,&nbsp;Celia Nogales-González,&nbsp;Jorge Leocadio-Baño,&nbsp;Robert Zettle,&nbsp;Carlos Vara-García","doi":"10.1016/j.jcbs.2026.101019","DOIUrl":"10.1016/j.jcbs.2026.101019","url":null,"abstract":"<div><h3>Introduction</h3><div>Self-as-context—the invariant perspective-taking that characterizes the observing self—is potentially the most understudied dimension of the model of psychological flexibility on which acceptance and commitment therapy is based. The aim of this study is to develop and evaluate the psychometric properties of the Spanish version of the Self-as-Context Scale (SACS-Sp) in parents of children aged 0 - 6 years old.</div></div><div><h3>Method</h3><div>A total of 202 parents of young children completed a questionnaire assessing age, sex, parental stressors, psychological flexibility, personal values, self-compassion, and emotional outcomes (depressive symptoms, anxiety symptoms, and positive and negative affect). An exploratory factor analysis was conducted, along with correlation analyses and regression models.</div></div><div><h3>Results</h3><div>Two SACS dimensions were obtained, Centering (α = .81) and Transcending (α = .91), explaining 67.64% of the variance. The two subscales exhibited distinct predictive patterns across psychological outcomes. Centering was significantly associated with lower levels of depression, anxiety, and negative affect, as well as higher positive affect. Transcending predicted lower depressive symptoms and greater positive affect. These associations remained significant after controlling for sex, age, and stress, highlighting the unique contribution of SAC dimensions to parental emotional adjustment.</div></div><div><h3>Discussion</h3><div>This study supports the psychometric properties of the Spanish SACS, extends self-as-context research to parents of young children, and shows that self-as-context explains unique variance in parental wellbeing beyond effects of parenting stress. Findings indicate that Centering and Transcending show distinct predictive patterns for parental emotional outcomes. Finally, the study provides novel evidence linking self-as-context with values consistency and self-compassion.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"41 ","pages":"Article 101019"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148500522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engaging in life as a potential key transdiagnostic mechanism in emotional disorders","authors":"Dongyang Chen,&nbsp;Yuzhuo Zhang,&nbsp;Xiangxue Wang,&nbsp;Stefan G. Hofmann,&nbsp;Xinghua Liu","doi":"10.1016/j.jcbs.2026.101020","DOIUrl":"10.1016/j.jcbs.2026.101020","url":null,"abstract":"<div><div>The high disease burden of emotional disorders underscores a need to identify efficient transdiagnostic mechanisms to improve mental health interventions. While maladaptive cognitions and emotion dysregulation are widely recognized, the role of engaging in life has been largely overlooked. Clinically, promoting engagement in everyday activities represents a highly practical, accessible and broadly implementable therapeutic pathway that requires comparatively less professional expertise. Given the significant clinical implications of engaging in life as a potential transdiagnostic mechanism, we conducted a scoping review, guided by Kazdin's criteria for mechanism evaluation, to systematically map the current research status of this construct as it relates to emotional disorders. This review analyzed 89 empirical studies to map its conceptual boundaries (aggregating definitions into five categories) and investigate the association between variables related to engaging in life and various mental health outcomes, including depression, anxiety, and overall well-being. Although critical appraisal revealed prevalent risks of methodological bias and our mechanistic evaluation highlighted a gap in definitive experimental causal evidence, consistent observational data suggest that greater engaging in life is associated with improved mental health, while reduced engagement correlates with elevated psychopathological symptoms. Future research should prioritize rigorous trial designs and adopt process-based methodologies to rigorously evaluate the real-time dynamics of targeting engaging in life and investigate whether it can function as an operational transdiagnostic mechanistic variable. Importantly, while this broad behavioral topography shows macroscopic statistical promise as a mechanism of change, future studies must disentangle the highly diverse and heterogeneous functional processes operating beneath it. This line of inquiry holds promise for developing accessible, efficient interventions to prevent and manage emotional disorders, ultimately contributing to improved global mental health and well-being.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"41 ","pages":"Article 101020"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148500521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comprehensive psychometric evaluation of the Avoidance and Fusion Questionnaire for the Youth 8-item short form in a large sample of Finnish adolescents","authors":"Jaime Navarrete,&nbsp;Francesca Brandolin,&nbsp;Päivi Lappalainen,&nbsp;Carlos García-Rubio,&nbsp;Cláudia Ferreira,&nbsp;Juan V. Luciano,&nbsp;Raimo Lappalainen,&nbsp;Noona Kiuru","doi":"10.1016/j.jcbs.2026.101015","DOIUrl":"10.1016/j.jcbs.2026.101015","url":null,"abstract":"<div><div>The Avoidance and Fusion Questionnaire for Youth (AFQ-Y) and its 8-item short form (AFQ-Y8) are widely used measures of psychological inflexibility in adolescents. This study evaluated the validity, reliability, responsiveness, and interpretability of the Finnish AFQ-Y8 using an observational psychometric design with a nested RCT subsample for longitudinal analyses. The main analyses were conducted in a community sample of 885 Finnish adolescents from 15 secondary schools (aged 14-18 years; 56.2% female). To examine cross-cultural validity (measurement invariance testing), data from 246 Spanish adolescents (48.4% female) and 152 Portuguese adolescents (60.5% female) from previous AFQ-Y8 validation studies were also included. Confirmatory factor analysis (CFA; WLSMV estimator), multi-group CFA for measurement invariance (configural, metric, scalar, and strict) across gender, depression status, time, and countries, correlations with related constructs (depression, stress, mindfulness, and life satisfaction), ROC curve analyses, reliability indices (including 7-week test-retest), and the estimation of clinically useful change indices were computed. CFA supported a robust single-factor structure (CFI = .989, TLI = .985, RMSEA = .069, 90% CI [.056, .083]) and broad measurement invariance, with partial strict invariance across Finland, Spain, and Portugal. AFQ-Y8 scores correlated strongly with symptoms of depression and stress, mindfulness, and life satisfaction. The scale also demonstrated good internal consistency (α = .89, ω = .89), satisfactory test–retest reliability (ICC = .84), and promising utility for identifying depression caseness and interpreting meaningful change. These findings support the use of the AFQ-Y8 to identify and monitor psychological inflexibility in adolescents, a core process targeted in ACT.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"41 ","pages":"Article 101015"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148500524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A randomized control trial of an online ACT-based eco-anxiety and sustainable well-being course for young adults","authors":"Jeremy S. Bekker,&nbsp;Amy N. Gorniak,&nbsp;Mikaela K. Ahlstrom,&nbsp;Bryce O. Klingonsmith,&nbsp;Jared S. Warren","doi":"10.1016/j.jcbs.2026.101023","DOIUrl":"10.1016/j.jcbs.2026.101023","url":null,"abstract":"<div><div>Helping young people live meaningful and happy lives in a changing climate is a major challenge for modern psychology (Pereira &amp; Freire, 2021). Rates of eco-anxiety are rising in young people, with current estimates suggesting 45% of young people in the UK and the United States report that worry about climate change impacts their daily lives (Hickman et al., 2021). We created a novel online sustainable well-being course built on the tenets of acceptance and commitment therapy (ACT), positive psychology, and systems theory with the goal of reducing eco-anxiety and promoting subjective well-being. This article shares the results of the pilot study we completed to assess the feasibility and efficacy of this course. We hypothesized that taking the course would result in lower eco-anxiety and higher well-being in service of increased capacity for meaningful and values-directed living in the context of a changing climate. Using a randomized crossover repeated measures research design to assess pre and post effects, quantitative results indicated that participating in the course led to significant reductions in eco-anxiety and improvements in hedonic well-being, but did not lead to significant improvements in overall well-being, pro-environmental values or behavior. Qualitative results indicated that participants found the course engaging and useful. Future directions for research on sustainable well-being courses are discussed.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"41 ","pages":"Article 101023"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148843068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}