Journal of Contextual Behavioral Science最新文献

{"title":"Psychometric investigation of the avoidance and inflexibility scale (AIS) for cocaine use","authors":"Duckhyun Jo,&nbsp;Samuel J. Leonard,&nbsp;Elizabeth A. Bodalski,&nbsp;Joy M. Schmitz,&nbsp;Angela L. Stotts","doi":"10.1016/j.jcbs.2025.100902","DOIUrl":"10.1016/j.jcbs.2025.100902","url":null,"abstract":"<div><div>With the increasing use of Acceptance and Commitment Therapy (ACT)-based interventions for cocaine use disorder (CUD), the present study aimed to evaluate the psychometric properties of the Avoidance and Inflexibility Scale (AIS) in the context of cocaine use. A total of 1007 participants, aged 18 to 65, who were seeking treatment for cocaine use, were recruited from an outpatient addiction clinic in Houston, Texas. The study examined the factor structure of the AIS, its associations with relevant psychological constructs, and a potential cutoff score for the scale. The results revealed a two-factor structure for the modified AIS among adults seeking treatment for CUD. The findings also support the validity of the AIS, demonstrating theory-consistent associations with key constructs such as depression, addiction severity, and impulsivity. Additionally, a cutoff score of 38.5 was identified, which can serve as a useful threshold for identifying individuals at higher risk for CUD. These results have important implications for the design and evaluation of interventions targeting cocaine use, providing a tool to assess psychological inflexibility and experiential avoidance.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100902"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902329","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":"Utility of and preliminary psychometric reliability and validity of a measure of psychological inflexibility for misophonia","authors":"Leila K. Capel ,&nbsp;Emily M. Bowers ,&nbsp;Mercedes G. Woolley ,&nbsp;Julie M. Petersen ,&nbsp;Karen Muñoz ,&nbsp;Michael P. Twohig","doi":"10.1016/j.jcbs.2025.100896","DOIUrl":"10.1016/j.jcbs.2025.100896","url":null,"abstract":"<div><div>Misophonia is a psychological disorder that has been under researched despite the impact it can have on functioning and quality of life. Acceptance and commitment therapy (ACT) has been explored as a potential treatment option for misophonia. The process of change targeted by ACT is psychological flexibility. However, research on the association of psychological inflexibility and misophonia is nascent, as there are not misophonia-specific measures available. In this study we validated a measure of misophonia-specific psychological inflexibility, the misophonia acceptance and action questionnaire (miso-AAQ). Participants (N = 120) were from a randomized controlled trial of ACT for misophonia and matched control participants. All completed the miso-AAQ at pre-treatment. Preliminary results indicate the miso-AAQ has satisfactory internal reliability (α = .84). and validity (<em>r</em>s = 0.33-0.55, <em>ps &lt;</em>0.05). Results also provide preliminary support of misophonia-related psychological inflexibility as a potential mediator in the relationship between misophonia symptom severity and anger and stress. Future directions and implications are discussed.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100896"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868464","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":"Evaluating the naturalistic implementation of a peer-coaching service to augment online acceptance and commitment therapy for college mental health","authors":"Emily M. Bowers,&nbsp;Korena S. Klimczak,&nbsp;Michael E. Levin","doi":"10.1016/j.jcbs.2025.100897","DOIUrl":"10.1016/j.jcbs.2025.100897","url":null,"abstract":"<div><div>Digital Mental Health Interventions (DMHIs) offer accessible and scalable mental health services for college students; however, program adherence is often suboptimal. Peer-delivered coaching is an innovative solution to improve DMHI adherence rates but has yet to be examined in a naturalistic setting to assess implementation and scalability when provided as a public service. To test the external validity of peer-support coaching, we collected data from a naturalistic university sample of students using a free online self-help program, Acceptance and Commitment Therapy (ACT) Guide. The predictors of peer coaching sign-ups, feasibility of implementing a peer coaching program, and effects of peer coaching on DMHI adherence were examined. Of the total sample who registered for ACT Guide, 17.2 % enrolled in peer coaching services. Students who identified as men and those who had worked with a mental health provider were more likely to sign up for peer-coaching, while older and more anxious students were more likely to engage with peer-coaching calls. Relatively low peer-coaching sign-up and high peer-coaching dropout rates were observed. These findings suggest peer-coaching services within naturalistic settings may be a feasible solution to address DMHI engagement for a small subset of users, though scalability and implementation challenges remain.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100897"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886377","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":"Estimating the effect of basic behavioral processes (access to reinforcers and experiential avoidance) on emotional disorders as transdiagnostic variables: A systematic review","authors":"Mario Andres Valderrama – Diaz ,&nbsp;Javier López – Martínez ,&nbsp;Ronald Toro","doi":"10.1016/j.jcbs.2025.100895","DOIUrl":"10.1016/j.jcbs.2025.100895","url":null,"abstract":"<div><div>This systematic review we sought to identify the effects of core behavioral processes (experiential avoidance and access to reinforcement) on emotional disorders. Although transdiagnostic research has demonstrated a close relationship between negative reinforcers and processes such as experiential avoidance in the acquisition and maintenance of emotional problems, no studies are available that relate access to positive reinforcers and their functions such as gaining attention, sensory reinforcement and access to tangibles with internalizing problems such as anxiety and depression.</div></div><div><h3>Methodology</h3><div>Studies on response-contingent positive reinforcement, negative reinforcement, experiential avoidance, access to reinforcers, and emotional difficulties (i.e., depression, unipolar depression, anxiety, emotional distress, and affective disorder) were included. Seven databases were used for this research: PubMed, MEDLINE, ScienceDirect, Scopus, PsycINFO, PsyARTICLES, SciELO Citation Index of scientific articles, and ProQuest Dissertations from 2013 to 2024. Fleiss’ Kappa was used to determine the inter-judge reliability index. Subsequently, a coding book was created, incorporating 12 criteria through which the qualitative synthesis was generated.</div></div><div><h3>Results</h3><div>a total of 21 studies (n = 2776) were included for the qualitative synthesis, comprising nine articles on access to reinforcement and twelve on experiential avoidance and their relationship with emotional disorders. A direct relationship was found between the study variables, and evidence was identified of the mediating role of access to reinforcers and experiential avoidance in the presence of emotional symptomatology.</div></div><div><h3>Conclusion</h3><div>A decade of research supports a relationship between basic behavioral processes and the presence of emotional disorders and related psychopathologies, suggesting that these variables should a focus of attention as an explanatory and treatment-directing variable.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100895"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906287","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":"Training to code therapeutic interactions in Functional Analytic Psychotherapy: The utility of a video-based Behavior Skills Training","authors":"Amanda M. Muñoz-Martínez ,&nbsp;Yors García ,&nbsp;Verónica Márquez-Barraquer ,&nbsp;Daniela González-Rodríguez ,&nbsp;Juanita Rueda","doi":"10.1016/j.jcbs.2025.100891","DOIUrl":"10.1016/j.jcbs.2025.100891","url":null,"abstract":"<div><h3>Background</h3><div>Coding therapy sessions is essential for evaluating treatment fidelity and understanding in-session mechanisms of change. However, coder training often lacks standardized, replicable methods and is resource intensive.</div></div><div><h3>Objective</h3><div>This study evaluated the effectiveness of a video-based Behavioral Skills Training (BST) protocol to teach precision coding of Functional Analytic Psychotherapy Rating Scale (FAPRS) codes during brief clinical interactions (vignettes).</div></div><div><h3>Design and methods</h3><div>A randomized nonconcurrent multiple baseline design across five master's degree students was employed, including generalization and follow-up phases. BST was delivered in two components: (a) video-based instruction (v-INS) and (b) video-based modeling, rehearsal, and performance feedback (v-MRF). Participants were required to achieve a mastery criterion of 90 % precision coding during training.</div></div><div><h3>Results</h3><div>Four of the five participants demonstrated significant improvements in coding precision following video-based BST. Precision generalized to novel clinical vignettes and was maintained at follow-up. Between-case standardized mean differences showed large effect sizes, indicating meaningful improvements in coding accuracy.</div></div><div><h3>Conclusions</h3><div>Video-based BST was effective, time-efficient, and well-accepted for training coding skills in FAP, with participants achieving mastery during training. However, precision levels during post-training phases remained below the 90 % criterion for some participants. Future research should explore the use of booster sessions and extended training phases to enhance the maintenance and generalization of coding precision.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100891"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821108","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":"Latent profiles of processes in acceptance and commitment therapy and their associations with eating disorder symptoms among adult women","authors":"Duckhyun Jo ,&nbsp;Lorra Garey ,&nbsp;Brooke Y. Redmond ,&nbsp;Justin M. Shepherd ,&nbsp;Michael J. Zvolensky","doi":"10.1016/j.jcbs.2025.100899","DOIUrl":"10.1016/j.jcbs.2025.100899","url":null,"abstract":"<div><div>The present study examined the latent profiles of processes in Acceptance and Commitment Therapy (ACT) to enhance the sensitivity of acceptance- and mindfulness-based interventions, particularly in the prevention of eating disorder symptoms among non-clinical female adults. A sample of 1347 female adults was recruited from a large public university in Hawaii, and latent profile analysis was employed to identify distinct groups based on ACT processes measured by the Multidimensional Psychological Flexibility Inventory (MPFI). The study also explored the influence of participants' racial backgrounds and sexual orientations on the formation of these profiles, as well as the association between the identified profiles and eating disorder symptoms. The analysis revealed a five-profile solution, indicating that racial background and sexual orientation statistically significantly influenced profile categorization. Profiles characterized by high psychological flexibility and low psychological inflexibility were generally linked to lower levels of eating disorder symptoms. Notably, some profiles, such as the Moderately Flexible and Inflexible groups, necessitated a nuanced interpretation regarding their relationship with eating disorder symptoms. These findings emphasize the variability in individuals’ experiences of ACT processes and a person-centered approach in examining the associations between ACT processes and eating disorder symptoms.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100899"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143904513","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":"Comparing cognitive coping components: An investigation of treatment outcomes and processes","authors":"Andy D. Wall,&nbsp;Eric B. Lee","doi":"10.1016/j.jcbs.2025.100893","DOIUrl":"10.1016/j.jcbs.2025.100893","url":null,"abstract":"<div><div>Both traditional cognitive behavioral therapy and acceptance and commitment therapy appear to be efficacious treatment packages for adult depression based on past research. Furthermore, some of the cognitive components of these treatments, cognitive restructuring and defusion, seem to produce similar outcomes and work through similar processes, despite theoretical opposition. While cognitive defusion has been extensively studied, its counterpart, willingness, has yet to receive the same level of empirical attention. Therefore, the aim of this study was to clarify the differences in treatment outcomes and processes between the cognitive components of CBT and ACT. Individuals with moderate to severe levels of depression symptoms took part in a week-long, online intervention meant to help them cope with a self-relevant, unwanted/unpleasant thought. Participants were randomly assigned to practice either cognitive restructuring or defusion &amp; willingness by using daily thought logs. Both within-and-between subjects effects were examined and revealed that both interventions provided benefit to participants through shared processes. Theoretical and clinical implications are discussed along with future directions.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100893"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876730","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":"Post-traumatic stress, cognitive fusion, and intolerance of uncertainty as longitudinal predictors of post-traumatic growth from the COVID-19 pandemic","authors":"L. Brooke Short,&nbsp;Rong Xia,&nbsp;William H. O'Brien","doi":"10.1016/j.jcbs.2025.100894","DOIUrl":"10.1016/j.jcbs.2025.100894","url":null,"abstract":"<div><div>The COVID-19 pandemic was a significant stressor that posed threats to life and ways of living. The harmful psychological effects of the COVID-19 pandemic have been well documented, but positive psychological changes can also follow significant stressors. These changes are referred to as post-traumatic growth (PTG). The present study explored how PTG may develop from a contextual behavioral science perspective. Intolerance of uncertainty and cognitive fusion were longitudinally examined as predictors of PTG from the COVID-19 pandemic in a national United States sample. Self-report data were collected from Amazon Mechanical Turk Workers (MTurk) at three time points between April and November of 2020 as part of a larger study. Results indicated that higher levels of PTS, higher intolerance of uncertainty, and lower cognitive fusion in April 2020 each predicted greater PTG in June 2020 but did not predict change in PTG the next four months. Intolerance of uncertainty and cognitive fusion interacted to predict PTG from June to November with intolerance of uncertainty predicting more growth when cognitive fusion was high and less growth when cognitive fusion was low. Cognitive fusion and intolerance of uncertainty were thus found to be significant predictors of PTG that interacted with each other and varied as a function of time. Explanations for their involvement in the development of PTG across time are offered.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100894"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873131","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":"Art in context: A multi-level analysis of art","authors":"Louis Busch ,&nbsp;Albert Malkin ,&nbsp;Jordan Belisle","doi":"10.1016/j.jcbs.2025.100890","DOIUrl":"10.1016/j.jcbs.2025.100890","url":null,"abstract":"<div><div>Experiencing art, both as the artist and observer, plays a major role in experiencing humanity. The current paper approaches art through a behavioral lens rooted in functional contextualism, where producing and observing art are behaviors that emerge and evolve within a multilevel functional context, encompassing natural selection, operant selection, and cultural selection. At the biological level, evolutionary pressures have shaped neurological processes and physiological responses that support artistic engagement. At the operant level, relational frame theory provides insights into how language and experience transform the function of art, and, bi-directionally, how art transforms human experience. At the cultural level, art propagates shared practices and values through mechanisms like metacontingencies and cultural cusps, facilitating intergenerational transmission and societal change. Potential applications include therapeutic interventions leveraging art to promote psychological flexibility, educational initiatives fostering artistic appreciation, and community programs enhancing collective resilience. By integrating biological, behavioral, and cultural perspectives, this analysis highlights art's unique role as a dynamic, adaptive component of human life, capable of enriching and transforming individual and collective experiences.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100890"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808316","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":"Momentary appraisals of uncontrollable and unpredictable events predict caregiver well-being: Evidence from an experience sampling study","authors":"Golnaz Atefi ,&nbsp;Wolfgang Viechtbauer ,&nbsp;Sara Czaja ,&nbsp;Rosalie J.M. van Knippenberg ,&nbsp;Lieve Van den Block ,&nbsp;Joran Geeraerts ,&nbsp;Frans R.J. Verhey ,&nbsp;Marjolein E. de Vugt ,&nbsp;Sara Laureen Bartels","doi":"10.1016/j.jcbs.2025.100889","DOIUrl":"10.1016/j.jcbs.2025.100889","url":null,"abstract":"<div><h3>Objectives</h3><div>Family caregivers of people with dementia are at risk of chronic stress, which can adversely affect their mental well-being. Understanding how daily stressors impact caregivers is crucial for developing effective support strategies.</div></div><div><h3>Methods</h3><div>This experience sampling study involved spousal caregivers of home-dwelling individuals with dementia. Data on caregivers' appraisals of daily events and their emotional and behavioural responses were collected over six weeks. The association between perceived controllability and unpredictability of events and caregivers' responses, and how these responses predicted future mental well-being outcomes was analysed using a multi-level modelling.</div></div><div><h3>Results</h3><div>Family caregivers who perceived events as less controllable experienced higher momentary negative affect (B = −.10, SE = .01, p &lt; .001) and lower momentary positive affect (B = .18, SE = .02, p &lt; .001). Similarly, more unpredictable events were associated with lower positive (B = −.05, SE = .01, p &lt; .01) and higher negative momentary affect (B = .03, SE = .01, p &lt; .05). These stressors were also related to reduced engagement in meaningful activities (B = −.09, SE = .02, p &lt; .001) and lower social participation (B = −.03, SE = .01, p &lt; .01). Greater affective reactivity to unpredictable events was linked to increasing stress (B = −24.62, SE = 12.10, p &lt; .05) and decreasing sense of competence (B = −24.86, SE = 11.29, p &lt; .05) over time. Within- and between-person variability of variables was observed.</div></div><div><h3>Conclusion</h3><div>Uncontrollable and unpredictable events seem to significantly impact some mental well-being outcomes of dementia caregivers. Future research should further investigate the cause of these stressors and whether they are dementia-specific, also using idionomic methods.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100889"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821107","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}