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Feasibility of a brief, remote self-compassion intervention for employed mothers
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-11-28 DOI: 10.1016/j.jcbs.2024.100855
S. Balzarotti , I. Telazzi , L. Vismara , G. Campi , S. Dal Santo , G. Mazzei
{"title":"Feasibility of a brief, remote self-compassion intervention for employed mothers","authors":"S. Balzarotti ,&nbsp;I. Telazzi ,&nbsp;L. Vismara ,&nbsp;G. Campi ,&nbsp;S. Dal Santo ,&nbsp;G. Mazzei","doi":"10.1016/j.jcbs.2024.100855","DOIUrl":"10.1016/j.jcbs.2024.100855","url":null,"abstract":"<div><div>Although existing literature suggests that working mothers’ mental health is challenged by several sources of psychological stress, few interventions have targeted this population. The present study investigated the feasibility and potential utility of a newly developed 2-week self-compassion intervention for enhancing well-being among Italian working mothers.</div><div>Eighty working mothers agreed to participate in the study (mean age 45.20, SD = 10.63, age range 25–60). The intervention lasted two weeks and was delivered remotely. Using a pre–post within-subjects design, feasibility was assessed in multiple domains (recruitment capability, acceptability, implementation, practicality). Moreover, participants completed both baseline and post-intervention assessments of well-being measures (i.e., perceived stress, positive and negative affect, life satisfaction, and flourishing) to preliminarily evaluate pre-to post-intervention changes. The results showed that the intervention was feasible in all the domains evaluated. Participants showed significant improvements in pre–post scores of positive affect and satisfaction with life, as well as significant decreases in negative affect and perceived stress. We observed larger effect sizes for negative symptoms compared to positive outcomes.</div><div>Overall, our findings suggest that a brief, remote, self-compassion intervention may be a feasible way of promoting mental health among working mothers and warrants additional intervention development and testing with rigorous study designs.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100855"},"PeriodicalIF":3.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759089","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}
引用次数: 0
Physiological, behavioral, and self-report outcomes of acceptance- and regulation-based exposure for intrusive thoughts 以接受和调节为基础的侵扰性思维暴露的生理、行为和自我报告结果
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100850
Brooke M. Smith, Jennifer L. Barney, Clarissa W. Ong, Tyson S. Barrett, Michael E. Levin, Michael P. Twohig
{"title":"Physiological, behavioral, and self-report outcomes of acceptance- and regulation-based exposure for intrusive thoughts","authors":"Brooke M. Smith,&nbsp;Jennifer L. Barney,&nbsp;Clarissa W. Ong,&nbsp;Tyson S. Barrett,&nbsp;Michael E. Levin,&nbsp;Michael P. Twohig","doi":"10.1016/j.jcbs.2024.100850","DOIUrl":"10.1016/j.jcbs.2024.100850","url":null,"abstract":"<div><div>Leading theories regarding the mechanisms of exposure for OCD focus on Pavlovian fear reduction more than operant processes. Acceptance-based exposure directly targets operant behavior. Integrating these perspectives could lead to a more robust understanding of mechanisms of change in exposure and more effective and enduring treatments. The current study investigated acceptance and regulation of distress during exposure. Participants with intrusive thoughts were randomized into three groups, Acceptance (<em>n</em> = 23), Regulation (<em>n</em> = 20), and Control (<em>n</em> = 21), and completed two behavioral avoidance tests (BATs) 1 week apart. Active conditions completed a 30-min exposure plus 6 days of 10-min exposures at home; Control participants watched videos of the same durations. Self-report measures were collected at both sessions, and behavioral, subjective, and physiological repeated measures data were collected during both BATs. Compared to Control, active conditions decreased OCD symptom severity, rituals, and skin conductance levels, while Acceptance showed lower skin conductance levels than Regulation and Control. Acceptance showed greater willingness and psychological flexibility than Control, while Regulation did not. Results support theorized mechanisms of change in acceptance-based exposure and suggest willingness to experience distress may paradoxically lead to decreased physiological arousal, which has important implications for treatment and future research.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100850"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661134","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}
引用次数: 0
ACT in school settings: A pilot study of ACT-based universal group psycho-educational program among Japanese early adolescents 学校环境中的 ACT:在日本早期青少年中开展的基于 ACT 的通用小组心理教育计划试点研究
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100851
Kenichiro Ishizu , Tomu Ohtsuki , Yoshiyuki Shimoda , Yoshihiko Kunisato
{"title":"ACT in school settings: A pilot study of ACT-based universal group psycho-educational program among Japanese early adolescents","authors":"Kenichiro Ishizu ,&nbsp;Tomu Ohtsuki ,&nbsp;Yoshiyuki Shimoda ,&nbsp;Yoshihiko Kunisato","doi":"10.1016/j.jcbs.2024.100851","DOIUrl":"10.1016/j.jcbs.2024.100851","url":null,"abstract":"<div><div>The objective of this investigation was to assess the efficacy of an Acceptance and Commitment Therapy (ACT)-based group psycho-educational intervention within school environments, administered by psychologists, for early adolescents in Japan. The effectiveness indices measured in this study were ‘clarification of value and commitment (CVC)’ and ‘experiential avoidance (EA)’ as indicators of psychological flexibility of ACT, and self-esteem and self-determination disposition as outcome indices related to well-being. The participants in this study were Japanese junior high school students with a mean age of 14.85 years (SD = 0.86), 112 in the intervention group and 143 in the control group, who completed questionnaires at three time points: before the program (pre), after attending the program (post) and three weeks after the posttest (follow-up). The intervention program, which consisted of three short-term sessions, was shown to be effective in the CVC, self-esteem, and self-determination disposition scores. Conversely, the group-time interaction did not yield a notable impact on the persistence of avoidance behaviors and EA scores, suggesting a potential avenue for refinement in intervention methodologies regarding these domains. These findings offer insight into the potential effectiveness of ACT-based group psycho-educational endeavors in school settings led by psychologists.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100851"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706146","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}
引用次数: 0
Capturing the context of drug use for college students: A contextual behavioural science informed qualitative analysis of harm reduction practices using network feedback loops simulation modelling 捕捉大学生使用毒品的背景:利用网络反馈回路模拟建模对减低危害做法进行有背景的行为科学定性分析
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100844
Vasilis S. Vasiliou , Laoise Meany , Chiarra Belluci , Samantha Dockray , Conor Linehan , Samantha Dick , Martin P. Davoren , Michael Byrne
{"title":"Capturing the context of drug use for college students: A contextual behavioural science informed qualitative analysis of harm reduction practices using network feedback loops simulation modelling","authors":"Vasilis S. Vasiliou ,&nbsp;Laoise Meany ,&nbsp;Chiarra Belluci ,&nbsp;Samantha Dockray ,&nbsp;Conor Linehan ,&nbsp;Samantha Dick ,&nbsp;Martin P. Davoren ,&nbsp;Michael Byrne","doi":"10.1016/j.jcbs.2024.100844","DOIUrl":"10.1016/j.jcbs.2024.100844","url":null,"abstract":"<div><div>Drug use during college can have substantial harm on students' lives and impacts the institutions' functioning and local communities. Yet existing interventions for drug use at college poorly address the concurrent dynamic influences of the experiences in earlier developmental periods of young adults and the proximal contextual triggers of college life; both risk factors that can contribute to drug use. To address this, we leveraged system dynamic methods and contextual-behavioural science (CBS) approaches to support the development of interventions focusing at addressin these risk factors. Using Causal Loop Diagram methods (Vensim PLE), we collected qualitative data from college students to generate Network Feedback Loops (NFLs) (<em>n</em> = 24, Maged 22 years old), during the development phase of the MyUse: a contextual behavioural change intervention for harm reduction practices at college students. The findings underscored central nodes (determinants within an intervention) that support our previous identified three CBS-harm-reduction practices for college students (targeted edges: mindful drug-use decision making, value-based activities, context-sensitive personalized plan of harm reduction). Analyses revealed 4 NFLs for students with previous drug use, consisting of 13 edges (4 positive, 2 negative, and 4 balancing reinforcing relationships) and 3 NFLs for students with no previous drug use, consisting of 4 positives, one negative, and one balancing relationship. All the NFLs were nested with the three CBS-related targeted outcomes. College students who use drugs need drug-related knowledge about the unpredictable and adverse effects of drugs, presented in a compassionate way and distributed from credible resources (e.g., students’ unions/club). Students with no previous drug use need education about the effects of drugs and awareness of how drugs can devaluate value-based activities (e.g. sports, friendships, social life). These should be delivered via proxy cue reminders and mobile-text approaches conveying messages about drug use susceptibility, distributed in real-time. Idiosyncratic, dynamic, and contextual-bound factors of lapse risks or preventive practices should account for each person-specific vulnerabilities via personalized harm reduction plans.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100844"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527019","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}
引用次数: 0
Emotion dysregulation and psychological inflexibility in adolescents: Discriminant validity and associations with internalizing symptoms and functional impairment 青少年的情绪失调和心理僵化:区分有效性以及与内化症状和功能障碍的关联
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100847
Tara Gudarzi , Matti Cervin
{"title":"Emotion dysregulation and psychological inflexibility in adolescents: Discriminant validity and associations with internalizing symptoms and functional impairment","authors":"Tara Gudarzi ,&nbsp;Matti Cervin","doi":"10.1016/j.jcbs.2024.100847","DOIUrl":"10.1016/j.jcbs.2024.100847","url":null,"abstract":"<div><div>Emotion dysregulation and psychological inflexibility are widely regarded as key contributors to a range of mental health issues and are integral to several treatment models in the mental health field. However, no study has examined whether the two constructs reflect distinct aspects of psychological functioning or whether they can be clearly differentiated from mental health symptoms and associated impairment. Adolescence is a key period for the onset of mental health problems, making a better understanding of psychological processes involved in mental health in this age group important. The Difficulties in Emotion Regulation Scale (DERS-16, emotion dysregulation) and the Avoidance and Fusion Questionnaire for Youth (AFQ-Y8, psychological inflexibility) are widely used assessment tools of emotion dysregulation and psychological inflexibility, but critical evaluations of their validity are sparse. Using exploratory and confirmatory factor analysis, we examined the discriminant validity of emotion dysregulation and psychological inflexibility as measured via the DERS-16 and the AFQ-Y8 in a sample of 633 adolescents (M<sub>age</sub> = 16.6 [1.98]). Emotion dysregulation and psychological inflexibility did not demonstrate discriminant validity. Instead, four strongly correlated factors emerged, each comprising a combination of items from both assessment tools: (1) interference stemming from distressing thoughts and emotions, (2) negative self-evaluation, (3) loss of control when emotional, and (4) confusion about one's emotions. These factors were strongly correlated and adequately captured by an overarching factor, which we termed the X factor, which in turn was very strongly correlated with core symptoms of anxiety and depression and functional impairment stemming from mental health issues. In conclusion, the constructs of emotion dysregulation and psychological inflexibility, as assessed by the DERS-16 and AFQ-Y8, do not show discriminant validity in adolescents. Furthermore, the constructs measured by these tools are almost empirically indistinguishable from anxiety, depression, and functional impairment.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100847"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572884","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}
引用次数: 0
Is the AAQ-II that bad? AAQ-II 有那么糟糕吗?
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100854
Francisco J. Ruiz , Javier M. Bianchi , Douglas M. Bastidas-Suárez , Eduar S. Ramírez , Valentina Peña-Hernández
{"title":"Is the AAQ-II that bad?","authors":"Francisco J. Ruiz ,&nbsp;Javier M. Bianchi ,&nbsp;Douglas M. Bastidas-Suárez ,&nbsp;Eduar S. Ramírez ,&nbsp;Valentina Peña-Hernández","doi":"10.1016/j.jcbs.2024.100854","DOIUrl":"10.1016/j.jcbs.2024.100854","url":null,"abstract":"<div><div>The Acceptance and Action Questionnaire – II (AAQ-II) has been heavily criticized based on factor-analytic studies that analyzed its discriminant validity. These studies have suggested that the AAQ-II may measure trait negative emotion/neuroticism, which has led some authors to suggest that the studies utilizing the AAQ-II might be reread, changing \"psychological flexibility” or \"experiential avoidance” for \"neuroticism,” \"negative emotion,” or \"distress.” We suggest most of these findings are due to the inconsistent use of the AAQ-II as a measure of psychological flexibility and experiential avoidance instead of psychological inflexibility. Additionally, we analyze the discriminant validity of the Spanish version of the AAQ-II in three Colombian samples. In Study 1, we conducted both exploratory graph analysis (EGA) and exploratory factor analysis (EFA) to determine the number of dimensions in a general online sample (<em>N</em> = 2398) and a treatment-seeking sample (<em>N</em> = 358) that responded to the AAQ-II and the Depression, Anxiety, and Stress Scale – 21 (DASS-21). In Study 2, we conducted the same analyses in a general online sample (<em>N</em> = 444) that responded to the AAQ-II, DASS-21, and the Big Five Inventory – 2 Neuroticism subscale. All analyses indicated that the AAQ-II items pertained to a unique community/factor and strongly supported the discriminant validity of the AAQ-II in Colombian samples. We recommend using the AAQ-II only as a measure of psychological inflexibility and argue that it is too adventurous to suggest the reinterpretation of thousands of studies and discourage journals from publishing articles using the AAQ-II.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100854"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721449","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}
引用次数: 0
Changes in university students’ behaviour and study burnout risk during ACT-based online course intervention: A mixed methods study 基于 ACT 的在线课程干预中大学生行为和学习倦怠风险的变化:混合方法研究
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100845
Kristiina Räihä, Henna Asikainen, Nina Katajavuori
{"title":"Changes in university students’ behaviour and study burnout risk during ACT-based online course intervention: A mixed methods study","authors":"Kristiina Räihä,&nbsp;Henna Asikainen,&nbsp;Nina Katajavuori","doi":"10.1016/j.jcbs.2024.100845","DOIUrl":"10.1016/j.jcbs.2024.100845","url":null,"abstract":"<div><div>Previous research in higher education has shown that Acceptance and Commitment Therapy (ACT) -based interventions have beneficial effects on students’ well-being. However, not much is known about the range of behaviour changes behind these outcomes.</div><div>In this mixed methods study, we explored the variety of the changes ACT-based course participating university students (N = 101) describe in their reflective learning reports. We did so by applying the Extended Evolutionary Meta Model (EEMM) in abductive content analysis, and by applying network visualisation of the various study burnout risk change groups.</div><div>The results showed that the largest proportion of students described changes in the EEMM dimension of overt behaviour (75%), especially time and effort management. Vitality, and decreased distress were the most described outcomes related to behaviour changes.</div><div>Study burnout risk decreased significantly at the course level. When observing the interrelations of behaviour changes in the networks of burnout risk change groups, alongside time and effort management, attentional and affective dimensions representing present moment awareness and acceptance were central changes in the group that had the greatest reduction in burnout risk. These findings contribute to the need to map out the variety of beneficial mechanisms and serve further idiographic research about changes during study-integrated ACT-based interventions.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100845"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441861","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}
引用次数: 0
Exploring the interconnectedness of depression, anxiety, diabetes distress, and related psychosocial factors in adults with type 2 diabetes: A network analysis 探索 2 型糖尿病成人患者抑郁、焦虑、糖尿病困扰及相关社会心理因素之间的相互联系:网络分析
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100843
Wanting Zu , Fei Li , Xiaoxuan Ma , Shiyun Zhang , Wenbo Nie , Lisheng Wang
{"title":"Exploring the interconnectedness of depression, anxiety, diabetes distress, and related psychosocial factors in adults with type 2 diabetes: A network analysis","authors":"Wanting Zu ,&nbsp;Fei Li ,&nbsp;Xiaoxuan Ma ,&nbsp;Shiyun Zhang ,&nbsp;Wenbo Nie ,&nbsp;Lisheng Wang","doi":"10.1016/j.jcbs.2024.100843","DOIUrl":"10.1016/j.jcbs.2024.100843","url":null,"abstract":"<div><h3>Background and objective</h3><div>Anxiety, depression, and diabetes distress are three common psychological distresses among people with type 2 diabetes. Although previous research has explored factors associated with them, most studies have viewed these factors as independent constructs, overlooking the complex interactions between these factors, which can limit our understanding of psychological symptoms and associated factors from an integrated perspective. The purpose of this study was to explore the relationships between psychological distress outcomes and related psychological factors in people with diabetes from a network analysis perspective and further provide evidence for the selection of specific psychological intervention targets.</div></div><div><h3>Design and setting</h3><div>A cross-sectional study was conducted in person at diabetes centers of three tertiary hospitals in China.</div></div><div><h3>Participants</h3><div>481 adults with type 2 diabetes (62% male; mean age 51.91 ± 13.64 years; mean HbA1c 9.34 ± 2.23%) were recruited between December 2022 and April 2023.</div></div><div><h3>Methods</h3><div>Psychological distress outcomes and related factors analyzed included depression (PHQ-9), anxiety (GAD-7), diabetes distress (DDS), acceptance level (AADQ), cognitive fusion (CFQ), social support (PSSS), and self-efficacy (DMSES). Correlation analyses and network analyses were used to explore complex associations among these variables.</div></div><div><h3>Results</h3><div>The network included ten nodes, diabetes-related interpersonal distress, anxiety, and regimen-related distress were the most influential in the network. Significant relationships emerged in networks with five nodes, with both acceptance level and cognitive fusion associated with the general psychological distress and diabetes distress; social support demonstrated stable associations with all three psychological outcomes in each network.</div></div><div><h3>Conclusion</h3><div>After controlling for other factors, psychological flexibility and social support could still be significantly associated with psychological distress outcomes, indicating the potential to integrate them as transdiagnostic processes into psychological interventions for this population. However, the results of this study are based on the group level, and the dynamic networks of individuals need to be further explored in order to meet the needs of individuals in different contexts.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100843"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416097","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}
引用次数: 0
Effects of a randomized controlled trial of mobile app-based Acceptance and Commitment Therapy on depressive symptoms and process variables in college students - Focusing on the mediating effects of acceptance and cognitive defusion- 基于手机应用的 "接纳与承诺疗法 "随机对照试验对大学生抑郁症状和过程变量的影响--关注接纳和认知化解的中介效应
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100842
Narae Jeong , Eunjung Kim , Jonghoon Chun
{"title":"Effects of a randomized controlled trial of mobile app-based Acceptance and Commitment Therapy on depressive symptoms and process variables in college students - Focusing on the mediating effects of acceptance and cognitive defusion-","authors":"Narae Jeong ,&nbsp;Eunjung Kim ,&nbsp;Jonghoon Chun","doi":"10.1016/j.jcbs.2024.100842","DOIUrl":"10.1016/j.jcbs.2024.100842","url":null,"abstract":"<div><div>As social costs rise due to the increasing prevalence of depression, there is a growing emphasis on cost-effective and evidence-based psychotherapeutic methods. Acceptance and Commitment Therapy (ACT) for depression is an effective approach that reduces depressive symptoms and helps prevent recurrence by enhancing psychological flexibility. This study developed a mobile app-based ACT and tested its effectiveness for college students with depression. Eighty college students with depression were randomly assigned to either a treatment group (<em>n</em> = 41) or a control group (<em>n</em> = 39). The treatment group received mobile app-based ACT for 4 weeks, the control group waited without treatment. The scores from pre, post, and follow-up assessments were compared between the two groups. Significant interaction effects of time and group were found for depression and anxiety symptoms, as well as for treatment process variables such as acceptance, inflexibility, defusion, values, commitment, and mindfulness. Acceptance and cognitive defusion emerged as significant mediators in the impact of mobile app-based ACT on depression. The mobile app-based ACT effectively reduced depression and improved treatment process variables, demonstrating its cost-effectiveness. The study also discusses the implications, limitations, and directions for future research.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100842"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433546","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}
引用次数: 0
Third wave interventions for adolescents with mental health disorders: A systematic review with meta-analysis 针对有心理健康障碍的青少年的第三波干预措施:系统回顾与荟萃分析
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100841
Paul Sandery, John Baranoff, Diana Dorstyn
{"title":"Third wave interventions for adolescents with mental health disorders: A systematic review with meta-analysis","authors":"Paul Sandery,&nbsp;John Baranoff,&nbsp;Diana Dorstyn","doi":"10.1016/j.jcbs.2024.100841","DOIUrl":"10.1016/j.jcbs.2024.100841","url":null,"abstract":"<div><div>Third wave interventions have demonstrated efficacy as a treatment option to promote wellbeing in adolescents. Evidence of their effectiveness for chronic mental health disorders remains unclear. The PubMed, PsycINFO, ProQuest, Embase, and CINAHL databases were searched from inception until March 2024 for five established interventions: acceptance and commitment therapy (ACT), compassion focused therapy, dialectical behaviour therapy (DBT), mindfulness-based cognitive therapy, and mindfulness-based stress reduction (MBSR). Risk of bias was assessed (QualSyst tool), and standardized mean group differences (Hedges’ <em>g</em>) with associated <em>p</em>-values, 95% confidence intervals, and prediction intervals calculated. Three randomized controlled trials and 10 single-group designs, all assessing DBT and representing 700 adolescents (most with subthreshold or full syndrome borderline personality disorder), were included. All studies were of sound methodological quality. DBT was associated with large and significant reductions in mental health symptoms (depression, anxiety, emotional regulation, suicidal ideation, self-harm, and BPD symptoms; <em>g</em> range = 0.69 to 1.05) – although individual variability in treatment response was noted. Symptom improvements were maintained at follow-up (<em>g</em> range = 0.70 to 1.71), although based on limited data. Neither DBT intensity nor duration significantly moderated treatment effects. DBT is the most assessed intervention for adolescents with severe emotional or behavioral problems. Additional controlled studies with diverse samples are needed to confirm the unique effects of DBT relative to other promising third wave interventions. Protocol registration: Open Science Framework [<span><span>https://osf.io/fgd2j/</span><svg><path></path></svg></span>].</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100841"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142526855","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}
引用次数: 0
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