Journal of Contextual Behavioral Science最新文献

{"title":"Suicidality, gender identity-related stressors, and psychological flexibility among transgender and non-binary adults","authors":"Maureen K. Flynn ,&nbsp;Olga V. Berkout ,&nbsp;Elise Alde","doi":"10.1016/j.jcbs.2024.100732","DOIUrl":"10.1016/j.jcbs.2024.100732","url":null,"abstract":"<div><p>Transgender and nonbinary (TGNB) individuals are at increased risk for suicidality, with gender identity-related distal (i.e., external) and proximal (i.e., internal) stressors (e.g., discrimination and internalized cissexism) potentially contributing to risk. Psychological flexibility and inflexibility have served as protective and risk factors for suicidality among the general population but has yet to be investigated among TGNB individuals and their unique stressors. The current study examined whether psychological flexibility and inflexibility moderated the relationship between minority stressors and suicidality. Participants (<em>n</em> = 333) were recruited from Reddit, Facebook, and organizations that serve gender diverse individuals. Psychological flexibility and inflexibility did not moderate relationships between stressors and suicidality. Exploratory analyses demonstrated that psychological inflexibility contributed to the prediction of suicidality over and above stressor and demographic variables, supporting its importance in a TGNB population. Implications of findings are discussed.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100732"},"PeriodicalIF":5.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140003381","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":"Oncovox: A randomised controlled trial of a web-based acceptance and commitment therapy for breast cancer patients","authors":"Silvia Nicolescu,&nbsp;Eugen-Călin Secară,&nbsp;Nicoleta Monica Jiboc,&nbsp;Adriana Băban","doi":"10.1016/j.jcbs.2024.100729","DOIUrl":"10.1016/j.jcbs.2024.100729","url":null,"abstract":"<div><h3>Background</h3><p>iACT interventions can be cost-effective and convenient for providing evidence-based care to breast cancer patients (BCPs).</p></div><div><h3>Objectives</h3><p>Determining the feasibility, acceptability, and efficacy of Oncovox, a guided iACT intervention designed to improve psychosocial outcomes in BCP undergoing treatment.</p></div><div><h3>Methods</h3><p>A parallel, two-arm, open-label, randomized controlled trial (RCT) evaluating an 8-module intervention. Participants were randomized to the iACT group (N = 75) or a waitlist group (N = 75). Primary outcomes: Quality of Life (QoL), Behavioral Activation (BA), Symptom Interference (SI) and Reward Noticing (RN). Secondary outcomes: anxiety and depression symptoms and psychological flexibility (PF). Measurements were made pre- and post-intervention, twice during the intervention, and at 1- and 2-month follow-up.</p></div><div><h3>Results</h3><p>SI, anxiety and depression, and PF improved significantly, with further improvement at follow-up. QoL, BA and RN improved moderately, but only when imputed data were analyzed<strong>.</strong></p></div><div><h3>Conclusions</h3><p>Oncovox has good dissemination potential and could be appropriately implemented in stepped care.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100729"},"PeriodicalIF":5.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139954169","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":"Through the extended evolutionary meta-model, and what ACT found there: ACT as a process-based therapy","authors":"Clarissa W. Ong ,&nbsp;Joseph Ciarrochi ,&nbsp;Stefan G. Hofmann ,&nbsp;Maria Karekla ,&nbsp;Steven C. Hayes","doi":"10.1016/j.jcbs.2024.100734","DOIUrl":"10.1016/j.jcbs.2024.100734","url":null,"abstract":"<div><p>This article is part of a special issue in the <em>Journal of Contextual Behavioral Science</em> devoted to process-based therapy (PBT) or a process-based approach to therapy and the role it plays in harmonizing existing evidence-based treatments. In the present discussion, we focus on acceptance and commitment therapy (ACT) and how it fits into the PBT framework. We describe how viewing ACT through a PBT framework and its organizing rubric—the extended evolutionary meta-model (EEMM)—provides fertile ground to expand the ACT and psychological flexibility models, transforming ACT into a more inclusive and flexible version of itself and giving clinicians wider berth with respect to delivering ACT. The PBT approach allows ACT to incorporate therapeutic elements that are not traditionally part of the framework, including include cognitive reappraisal, interpersonal therapy dynamics, physiological downregulation, and the principle of nonattachment. Importantly, ACT maintains its foundational principles throughout this integration. We provide a case example of how to use PBT methods to conceptualize an ACT case, to illustrate PBT-infused ACT in practice. Finally, we outline possible future directions for ACT as it continues to evolve inside of PBT.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100734"},"PeriodicalIF":5.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000140/pdfft?md5=a10c39d738512d0f5bb7cef0c9f53228&pid=1-s2.0-S2212144724000140-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139925966","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":"Testing the applicability of idionomic statistics in longitudinal studies: The example of ‘doing what matters’","authors":"Baljinder K. Sahdra ,&nbsp;Joseph Ciarrochi ,&nbsp;Korena S. Klimczak ,&nbsp;Jennifer Krafft ,&nbsp;Steven C. Hayes ,&nbsp;Michael Levin","doi":"10.1016/j.jcbs.2024.100728","DOIUrl":"10.1016/j.jcbs.2024.100728","url":null,"abstract":"<div><p>This study evaluated idionomic methods for identifying within-person links between therapeutically relevant processes and outcomes, using an ecological momentary assessment dataset of valued action and hedonic well-being (participants (<em>n</em>) = 425; 71.76% female; age = <em>M</em>(<em>SD</em>) = 22.20 (6.85); sampling design: 3–4 prompts per day; total measurements (<em>n</em>) = 6456). We compared the idionomic approach, integrating idiographic and nomothetic insights, with traditional multilevel modeling (MLM). Our methods included idiographic autoregressive integrative moving average models with an exogenous variable (i-ARIMAX), multivariate random-effects meta-analysis (RE-MA), deep Gaussian mixture modeling (DGMM), and multilevel vector autoregression modeling (Multilevel-VAR). The results showed that i-ARIMAX outperformed MLM in capturing within-person heterogeneity in the links between valued action and affect variables. Increases in values-based living were positively related to hedonic well-being but this effect showed a high degree of heterogeneity. A sub-group was identified, which we labeled the ‘Stoics,’ whose daily engagement in valued actions did not produce higher hedonic well-being (e.g., lower sadness or higher joy). Multilevel-VAR further revealed that for Stoics, stressful situations were linked to valued action, but not hedonic well-being. For Non-Stoics, valued action was less likely in stressful situations, but when valued action did occur it was associated with more joy and less sadness. The study offers initial evidence suggesting the superiority of an idionomic approach over a purely nomothetic one in capturing diverse pathways to clinically relevant outcomes. Idionomic methods may be useful or even necessary in personalizing psychological interventions, and thus may need to be considered by researchers and practitioners alike.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100728"},"PeriodicalIF":5.0,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000085/pdfft?md5=93d8a73b60b5c89b1849c69c83a3055c&pid=1-s2.0-S2212144724000085-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139926028","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":"Verbal relations in the context of university experience: An exploratory analysis using a relational density theoretical framework and case example","authors":"Dana Paliliunas,&nbsp;Breanna Lee,&nbsp;Kam Barker,&nbsp;Madeline Caughron","doi":"10.1016/j.jcbs.2023.100719","DOIUrl":"10.1016/j.jcbs.2023.100719","url":null,"abstract":"<div><p><span>College students report experiencing challenges to their mental health and wellbeing that impact their </span>academic performance<span> and experience in the university setting, however analyses of their verbal relations in the context of university experience are more limited. The present studies attempt to provide an exploratory analysis of the verbal experience of college students using a Relational Density Theory framework and a case example demonstrating the impact of a synthesized approach that targets both relational behavior and environmental context. In Study 1, we modeled relational frames related to university experience using a multidimensional scaling procedure. Participants were divided into groups based on reported psychological flexibility, and the differences between high- and low-flexibility groups were examined. In Study 2, we provide a case example of the effect of an intervention framework referred to as Values-Based Self-Management that targets psychological flexibility development and behavior change using Acceptance and Commitment Therapy and self-management approaches on a participant's university experience, examining changes in participant psychological wellbeing, academic engagement, and performance, including a measure of relational behavior via the multidimensional scaling procedure. Results suggest improvements in self-reported and self-monitored variables as well as differences in relational behavior from pre-to post-test. Implications for assessment and intervention for college students are discussed, however the results of this study should be considered exploratory due to the novel procedures and limited sample.</span></p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"31 ","pages":"Article 100719"},"PeriodicalIF":5.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139026800","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 multi-sample investigation of psychological flexibility processes and reactive and proactive functions of aggression","authors":"John J. Donahue ,&nbsp;Brittany Buck ,&nbsp;Kapil Chauhan","doi":"10.1016/j.jcbs.2024.100721","DOIUrl":"10.1016/j.jcbs.2024.100721","url":null,"abstract":"<div><p><span>Both theory and empirical research support the application of the psychological flexibility model to understanding aggressive behavior. However, methodological limitations persist, as studies have generally relied upon a single measure of psychological inflexibility, and measures of aggression typically fail to differentiate aggressive behavior based on function. This limits our ability to understand how specific dimensions of psychological (in)flexibility relate to functional differences in aggression. To extend this line of research, the primary aim of this study was to examine the associations between proactive and reactive aggression, and multiple measures of psychological (in)flexibility processes, across three samples: one undergraduate (</span><em>N</em> = 116) and two online community samples (<em>N</em> = 262 and <em>N</em><span><span> = 317). Further, we examined the unique contribution of psychological (in)flexibility processes in the prediction of aggression, over and above negative affect-related variables. Proactive and reactive aggression was assessed across all samples, with individual samples also responding to various measures of anger, negative affect, negative urgency, experiential avoidance, cognitive fusion, valued living, or a multidimensional measure of psychological flexibility. Correlational and </span>regression analyses revealed that inflexibility processes were generally associated with reactive aggression, but more inconsistent associations were found with proactive aggression in multivariable models. Flexibility processes, on the other hand, exhibited inconsistent and sometimes unexpected associations with aggression. The psychological flexibility model appears useful in understanding different functions of aggressive behavior, however additional research is necessary to clarify the nature of discrepancies within and between samples.</span></p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"31 ","pages":"Article 100721"},"PeriodicalIF":5.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139375202","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":"Emotional labor and emotional exhaustion in psychologists: Preliminary evidence for the protective role of self-compassion and psychological flexibility","authors":"James J. Clarke ,&nbsp;Clare S. Rees ,&nbsp;Vincent O. Mancini ,&nbsp;Lauren J. Breen","doi":"10.1016/j.jcbs.2024.100724","DOIUrl":"10.1016/j.jcbs.2024.100724","url":null,"abstract":"<div><p>The emotional exhaustion component of burnout is concerningly prevalent in psychologists providing psychotherapy. Emotional labor is a known contributor to burnout through the pathway of emotional dissonance and is beginning to develop attention in psychologist wellbeing literature. Although the relationship between emotional dissonance and emotional exhaustion in psychologists has been observed previously, constructs within an individual's locus of control that affect this relationship are not known. We attempted to explore possible variables that may affect emotional dissonance's relationship with emotional exhaustion in psychologists to identify possible factors amenable to future interventions aimed at improving psychologist wellbeing. Specifically, we examined how self-compassion, psychological flexibility, and career experience may affect the relationship between emotional dissonance and emotional exhaustion. We conducted a path analysis on data gathered from 454 psychologists recruited internationally. Results indicated that self-compassion may affect burnout indirectly through the mechanism of emotional dissonance. Additionally, results suggest that psychological flexibility may exert a conditional effect on the relationship between emotional dissonance and emotional exhaustion such that higher rates of psychological flexibility may weaken this relationship. We found no evidence to support career experience's hypothesized conditional effects. Our findings provide the first examination of these constructs in this occupational group and support the potential role of self-compassion and psychological flexibility in assisting psychologists to improve their wellbeing.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"31 ","pages":"Article 100724"},"PeriodicalIF":5.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000048/pdfft?md5=e62e2ef67322db40bc1085d48ed64894&pid=1-s2.0-S2212144724000048-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139515979","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":"The relation between ADHD symptoms and alcohol and cannabis use outcomes in a cross-sectional study of college students: The mediating role of experiential avoidance","authors":"W. Joshua Bradley ,&nbsp;Elizabeth A. Bodalski ,&nbsp;Abigail de Arellano ,&nbsp;Alison Looby ,&nbsp;Stephen G. Taylor ,&nbsp;Will Canu ,&nbsp;Judah W. Serrano ,&nbsp;Kate Flory","doi":"10.1016/j.jcbs.2024.100727","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100727","url":null,"abstract":"<div><p>Individuals with attention-deficit/hyperactivity disorder (ADHD) are at greater risk for alcohol and cannabis misuse compared to peers. College students with ADHD are particularly vulnerable to problematic alcohol/cannabis use, given widespread misuse of these substances. Experiential avoidance has been positively associated with ADHD symptoms and substance use problems. However, it is unclear what role experiential avoidance plays in the relation <em>between</em> ADHD and alcohol/cannabis use. This study examined whether experiential avoidance mediates the relation between ADHD symptoms and alcohol and cannabis use and related problems (e.g., driving under the influence). In addition, we examined two exploratory aims: (a) whether mediation effects differ by sexual/gender minoritized status (SGM; e.g., lesbian, bisexual, transgender) and (b) whether mediation effects differ by ADHD symptom dimension (i.e., hyperactive/impulsive, inattentive). Participants (<em>N</em> = 2,158; <em>M</em> age = 19.72) were college students in the U.S. with and without ADHD who reported past-month alcohol or cannabis use. Participants completed an online, self-report survey at a single time point. Experiential avoidance mediated the relation between ADHD symptoms and alcohol- and cannabis-related problems. Moderated mediation analyses showed that indirect effects did not differ according to SGM status; however, SGM status moderated the relation between ADHD symptoms and experiential avoidance, such that the relation was more robust for the non-SGM group compared to the SGM group. Finally, indirect effects were larger when inattentive symptoms were entered in mediation models versus hyperactive/impulsive symptoms. Implications for future research and clinical practice are discussed.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"31 ","pages":"Article 100727"},"PeriodicalIF":5.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139748977","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":"Acceptability of ACT group intervention for adolescents with type 1 diabetes","authors":"Iina Alho ,&nbsp;Päivi Lappalainen ,&nbsp;Raimo Lappalainen","doi":"10.1016/j.jcbs.2024.100722","DOIUrl":"10.1016/j.jcbs.2024.100722","url":null,"abstract":"<div><h3>Background</h3><p>Type 1 diabetes<span><span> (T1D) is a demanding condition for both adolescents and their parents. The first aim of this study was to investigate the acceptability of an acceptance and commitment therapy (ACT) group intervention for 12–16-year-old adolescents with T1D. The second aim was to investigate how adolescents whose </span>glycemic control improved during the intervention differed from those who did not improve.</span></p></div><div><h3>Methods</h3><p>A total of 28 adolescents and their parents who completed the intervention were interviewed at the end of the intervention. The adolescents filled in questionnaires regarding diabetes-related psychological flexibility (DAAS) and acceptance and mindfulness<span><span><span> (CAMM) before and after the intervention. Glycosylated hemoglobin (HbA1c) levels were obtained from the </span>medical records before and after the intervention. The experiences of the intervention were investigated using semi-structured questionnaires and a thematic analysis. Statistical analyses were performed to study the group differences between adolescents who improved in </span>glycemic control and those who showed no improvement.</span></p></div><div><h3>Results</h3><p><span>Of those who completed the intervention, 86% of the adolescents and 89% of the parents reported being very satisfied or satisfied with the intervention. The thematic analysis showed that among the themes arising from the experiences of adolescents were increased motivation for the treatment of diabetes and a better attitude toward diabetes</span><em>.</em><span> Among the parents, themes such as positive changes in mood, a better attitude toward diabetes, and increased motivation for treatment emerged. In terms of group differences, those who improved with regard to glycemic control were older, their HbA1c was higher at the start, and they reported greater changes in diabetes-related psychological flexibility.</span></p></div><div><h3>Conclusions</h3><p>The ACT-based group intervention was well accepted and complemented the usual treatment. Thus, this intervention is recommended, especially for adolescents who have not met the glycemic targets.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"31 ","pages":"Article 100722"},"PeriodicalIF":5.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139410441","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":"Introducing article numbering to Journal of Contextual Behavioral Science","authors":"Kate Wilson","doi":"10.1016/S2212-1447(24)00024-3","DOIUrl":"https://doi.org/10.1016/S2212-1447(24)00024-3","url":null,"abstract":"","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"31 ","pages":"Article 100744"},"PeriodicalIF":5.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000243/pdfft?md5=8bb454c1c5cd6508b5ce81ec8972bbf4&pid=1-s2.0-S2212144724000243-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998908","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}