Journal of Contextual Behavioral Science最新文献

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Post-traumatic stress, cognitive fusion, and intolerance of uncertainty as longitudinal predictors of post-traumatic growth from the COVID-19 pandemic 创伤后应激、认知融合和对不确定性的不耐受是COVID-19大流行创伤后成长的纵向预测因素
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2025-04-01 DOI: 10.1016/j.jcbs.2025.100894
L. Brooke Short, Rong Xia, William H. O'Brien
{"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}
引用次数: 0
Art in context: A multi-level analysis of art 语境中的艺术:艺术的多层次分析
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2025-04-01 DOI: 10.1016/j.jcbs.2025.100890
Louis Busch , Albert Malkin , Jordan Belisle
{"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}
引用次数: 0
Masculinity, social connection, and loneliness: A contextual behavioral science approach to men's social relationships and intimacy 男子气概、社会联系和孤独:男性社会关系和亲密关系的语境行为科学方法
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2025-04-01 DOI: 10.1016/j.jcbs.2025.100892
Elizabeth C. Neilson, Daniel W.M. Maitland
{"title":"Masculinity, social connection, and loneliness: A contextual behavioral science approach to men's social relationships and intimacy","authors":"Elizabeth C. Neilson,&nbsp;Daniel W.M. Maitland","doi":"10.1016/j.jcbs.2025.100892","DOIUrl":"10.1016/j.jcbs.2025.100892","url":null,"abstract":"<div><div>Loneliness—the discrepancy between actual and desired levels of social connection—is a pervasive public health concern. Research suggests that many men report loneliness and desire more intimate relationships. The Interpersonal Process Model of Intimacy posits that intimacy, the meaningful connection between two individuals, is a critical variable in preventing loneliness and develops through a bidirectional process of vulnerable self-disclosure, responsiveness, and perceived partner responsiveness. This manuscript applies the Interpersonal Process Model of Intimacy, as interpreted from a contextual behavior science lens, to contextualize the existing research on masculinity and men's social relationships to inform future research and clinical practice. We review the research on men's engagement in different components of the model (vulnerable self-disclosure, responsiveness, perceived partner responsiveness), emphasizing how masculinity informs men's behavior. Research indicates that men often do not engage in behaviors essential to a contextual behavioral model of intimacy (e.g., vulnerable emotions, distress, or asking for help) because such behaviors are inconsistent with masculinity. Research also indicates men often do not acknowledge others' disclosures or respond with judgment or confusion. Men may also perceive responsiveness as stressful due to social proscriptions regarding receiving help. We discuss implications for research and clinical interventions to ameliorate men's loneliness.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100892"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876729","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
Momentary appraisals of uncontrollable and unpredictable events predict caregiver well-being: Evidence from an experience sampling study 无法控制和不可预测事件的瞬间评估预测照顾者的幸福:来自经验抽样研究的证据
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2025-04-01 DOI: 10.1016/j.jcbs.2025.100889
Golnaz Atefi , Wolfgang Viechtbauer , Sara Czaja , Rosalie J.M. van Knippenberg , Lieve Van den Block , Joran Geeraerts , Frans R.J. Verhey , Marjolein E. de Vugt , Sara Laureen Bartels
{"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}
引用次数: 0
Is the Multidimensional Psychological Flexibility Inventory Short Form valid for ecological momentary assessment? A preliminary psychometric investigation 多维心理灵活性量表短表是否适用于生态瞬间评价?初步的心理测量调查
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2025-04-01 DOI: 10.1016/j.jcbs.2025.100903
Jennifer Krafft, Ashley C. Middleton, Natalie Tadros
{"title":"Is the Multidimensional Psychological Flexibility Inventory Short Form valid for ecological momentary assessment? A preliminary psychometric investigation","authors":"Jennifer Krafft,&nbsp;Ashley C. Middleton,&nbsp;Natalie Tadros","doi":"10.1016/j.jcbs.2025.100903","DOIUrl":"10.1016/j.jcbs.2025.100903","url":null,"abstract":"<div><div>The Multidimensional Psychological Flexibility Inventory (MPFI), and its short form, the MPFI-24, have demonstrated strong psychometric properties in assessing all components of psychological flexibility and inflexibility (Gregoire et al., 2020; Rolffs et al., 2018). However, these measures have not been validated for their use in ecological momentary assessment (EMA), a methodology that is important for understanding within-person change processes and furthering the progress of contextual behavioral science. Therefore, we conducted a preliminary psychometric investigation of the MPFI-EMA, a version of the MPFI-24 adapted for EMA, in a U.S. college student sample (n = 126). Our results provide support for the validity and reliability of the MPFI-EMA. However, validity for assessing within-person variability remained unclear, psychometric limitations were observed for some subscales, and reactivity over time occurred for the MPFI-EMA Psychological Inflexibility scale and specific subscales. Limitations include the use of novel cutoffs, as criteria for psychometric validation within EMA are not well-established, and the need for replication in diverse samples, including clinical populations.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100903"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107613","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
Adding implementation support to a universal Acceptance and Commitment Therapy-based school well-being intervention: A cluster-randomised controlled trial 为基于普遍接受和承诺治疗的学校幸福干预增加实施支持:一项集群随机对照试验
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2025-03-12 DOI: 10.1016/j.jcbs.2025.100886
Atiyya Nisar , Richard C. Watkins , Duncan Gillard , Corinna F. Grindle , Paul A. Thompson , Jane Pegram , Richard P. Hastings
{"title":"Adding implementation support to a universal Acceptance and Commitment Therapy-based school well-being intervention: A cluster-randomised controlled trial","authors":"Atiyya Nisar ,&nbsp;Richard C. Watkins ,&nbsp;Duncan Gillard ,&nbsp;Corinna F. Grindle ,&nbsp;Paul A. Thompson ,&nbsp;Jane Pegram ,&nbsp;Richard P. Hastings","doi":"10.1016/j.jcbs.2025.100886","DOIUrl":"10.1016/j.jcbs.2025.100886","url":null,"abstract":"<div><div>Implementation support is a key factor in the success of school-based well-being programmes. To assess the impact on children's well-being of providing additional implementation support for staff delivering a universal Acceptance and Commitment Therapy informed well-being curriculum (‘Connect PSHE’) compared to delivery without support. Twenty schools were recruited and randomised to deliver Connect PSHE with additional support (<em>n</em> = 10; n = 323 children) or Connect PSHE with the standard support (<em>n</em> = 10; n = 422 children). A two-arm, parallel-group cluster-randomised (schools as clusters) controlled trial design was utilised. Additional implementation support had no impact on the primary well-being measure (Me and My Feelings scale) at post-test (<em>β</em> = 0.22, <em>95 % CI</em> [-0.59, 1.03], <em>p</em> = 0.59). Small improvements were observed in the additional support arm for two subscales of the Strengths and Difficulties Questionnaire. Overall, both trial arms were associated with improvements in children's well-being. Connect PSHE is a promising well-being programme suitable for testing in additional research.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100886"},"PeriodicalIF":3.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629110","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
Persisting with purpose: Using acceptance and commitment therapy to target comorbid opioid use disorder and chronic pain in a racially and economically marginalized population 坚持目的:在种族和经济边缘化人群中使用接受和承诺疗法来治疗阿片类药物使用障碍和慢性疼痛
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2025-03-07 DOI: 10.1016/j.jcbs.2025.100888
Yash Bhambhani , Laurie Gallo , Emily O. McNamara , Angela L Stotts , Vilma Gabbay
{"title":"Persisting with purpose: Using acceptance and commitment therapy to target comorbid opioid use disorder and chronic pain in a racially and economically marginalized population","authors":"Yash Bhambhani ,&nbsp;Laurie Gallo ,&nbsp;Emily O. McNamara ,&nbsp;Angela L Stotts ,&nbsp;Vilma Gabbay","doi":"10.1016/j.jcbs.2025.100888","DOIUrl":"10.1016/j.jcbs.2025.100888","url":null,"abstract":"<div><div>Opioid use disorder (OUD) and chronic pain (CP) are commonly comorbid health conditions that cause significant disability, distress, and mortality. Treatment for these conditions is impacted by drop out and presence of other psychiatric conditions. Acceptance and Commitment Therapy is an effective intervention to treat chronic pain and substance use disorders, however this intervention has not been systematically evaluated for treatment of comorbid OUD and CP, especially in a racially and economically marginalized population. In this paper we describe development of such an ACT manual, using an intervention mapping approach. While the manual pays close attention to opioid use and chronic pain, it includes transdiagnostic principles that target overall psychological well-being including a deep emphasis on expanding valued living. We incorporated trauma informed care, cultural humility, and harm reduction principles in the development of nine ACT skills that are easy to understand and scalable. The treatment manual centers economically and racially marginalized patients who are traditionally underrepresented in psychological research. This manual is currently being evaluated in clinical trial NCT05039554 with funding from the NIH HEAL project #RM1DA055437. The treatment manual and handouts are freely available for use and included.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100888"},"PeriodicalIF":3.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629109","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
Investigating the delivery of an acceptance and commitment therapy (ACT) smartphone app intervention on symptomology in adult IBS patients: A feasibility study 调查接受和承诺治疗(ACT)智能手机应用程序对成人IBS患者症状的干预:一项可行性研究
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2025-03-04 DOI: 10.1016/j.jcbs.2025.100887
Anna Ryan , Nuno Ferreira , Helen Moffat , Maria Eugenicos , William Howson , Anna Casburn-Jones , Francesca Moroni , Perdita Stevens , Maria Wolters , David Gillanders
{"title":"Investigating the delivery of an acceptance and commitment therapy (ACT) smartphone app intervention on symptomology in adult IBS patients: A feasibility study","authors":"Anna Ryan ,&nbsp;Nuno Ferreira ,&nbsp;Helen Moffat ,&nbsp;Maria Eugenicos ,&nbsp;William Howson ,&nbsp;Anna Casburn-Jones ,&nbsp;Francesca Moroni ,&nbsp;Perdita Stevens ,&nbsp;Maria Wolters ,&nbsp;David Gillanders","doi":"10.1016/j.jcbs.2025.100887","DOIUrl":"10.1016/j.jcbs.2025.100887","url":null,"abstract":"<div><h3>Background</h3><div>Irritable Bowel Syndrome (IBS) significantly impacts patients and healthcare systems. While digital therapeutics show promise for IBS self-management, the feasibility of an Acceptance and Commitment Therapy (ACT) smartphone app remains unexplored.</div></div><div><h3>Methods</h3><div>This feasibility study recruited 53 participants across three UK Health Services to use an ACT app over 8 weeks. Pre- and post-treatment outcomes were assessed using standardized self-report questionnaires and analyzed with repeated-measures t-tests.</div></div><div><h3>Results</h3><div>Of 53 participants, 44 downloaded the app, and 29 completed follow-ups. Participants were predominantly female, with an average IBS duration of 14.6 years, and 90.9% had moderate-to-severe symptoms. Feasibility was demonstrated through successful recruitment (64% of identified eligible participants) and retention (66% of those who accessed the app). Acceptability showed variability, in terms of user engagement and attrition rates. Significant improvements were observed in IBS acceptance, quality of life, and gastrointestinal-related anxiety, though changes in IBS-related behaviours were not significant. Improvements in physical symptoms were noted but did not reach statistical significance.</div></div><div><h3>Discussion</h3><div>ACT-based self-help apps may benefit individuals with mild-to-moderate IBS symptoms. Recommendations include enhancing intervention acceptability through gamification, improved content delivery, and tailoring to symptom severity. Baseline screening of gastrointestinal symptoms could inform a stepped-care approach, optimizing intervention intensity. Despite limitations such as a small sample size and attrition, this study supports the feasibility of ACT apps for IBS and highlights their potential to improve access to psychological therapies while reducing healthcare burdens.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100887"},"PeriodicalIF":3.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682213","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
Perspectives on an integrated acceptance and commitment therapy and mindfulness meditation program: A qualitative study of veterans with chronic pain 综合接受与承诺治疗与正念冥想计划的观点:退伍军人慢性疼痛的定性研究
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2025-02-25 DOI: 10.1016/j.jcbs.2025.100885
Matthew S. Herbert , Mara Tynan , Alexandra Higdon , Autumn Backhaus , Gage M. Chu , Niloofar Afari
{"title":"Perspectives on an integrated acceptance and commitment therapy and mindfulness meditation program: A qualitative study of veterans with chronic pain","authors":"Matthew S. Herbert ,&nbsp;Mara Tynan ,&nbsp;Alexandra Higdon ,&nbsp;Autumn Backhaus ,&nbsp;Gage M. Chu ,&nbsp;Niloofar Afari","doi":"10.1016/j.jcbs.2025.100885","DOIUrl":"10.1016/j.jcbs.2025.100885","url":null,"abstract":"<div><div>To maximize the delivery and efficacy of acceptance and commitment therapy (ACT), there is a need to better understand the lived experiences of individuals undergoing ACT-based interventions. This can be helpful to determine what was perceived as effective and examine shifts in perspectives that influence daily functioning. The current study examined qualitative feedback among 21 U.S. Veterans (M<sub>age</sub> = 57.43, SD = 12.94) with chronic pain one month after completing the Acting with Mindfulness for Pain (AMP) protocol, an 8-week, group-delivered ACT intervention that integrates formal mindfulness meditation practice as a principal treatment component. We analyzed responses to semi-structured interviews performed at 1-month post-treatment using an inductive thematic approach and found four overarching themes: Shift in Internal State, Engaging in Life, Symptom Relief, and Group Dynamics. The Shift in Internal State and Engaging in Life themes and sub-themes reflected important elements of psychological flexibility as defined within ACT, including pain acceptance, change in the experience of thoughts and emotions, improvement in daily functioning and movement towards personal values. The Symptom Relief theme was primarily supported by descriptions of the utility of mindfulness meditation for pain and stress relief. The Group Dynamics theme highlighted the importance of member-member and member-facilitator relationships. These data provide insights into the lived experiences of Veterans undergoing the AMP protocol and provide support for future research examining the efficacy of AMP. While theoretically consistent themes were identified, the Symptom Relief theme provides important considerations on the inclusion of mindfulness meditation within ACT-based approaches.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100885"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511174","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
Confucian-informed ACT for psychological flexibility, mental health, and sleep in college students: A randomized controlled trial 孔子教育ACT对大学生心理灵活性、心理健康和睡眠的影响:一项随机对照试验
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2025-01-01 DOI: 10.1016/j.jcbs.2024.100868
Yaping Zhou , Xiaochen Wen , Yinan Li , Lu Liu , Qiushan Li
{"title":"Confucian-informed ACT for psychological flexibility, mental health, and sleep in college students: A randomized controlled trial","authors":"Yaping Zhou ,&nbsp;Xiaochen Wen ,&nbsp;Yinan Li ,&nbsp;Lu Liu ,&nbsp;Qiushan Li","doi":"10.1016/j.jcbs.2024.100868","DOIUrl":"10.1016/j.jcbs.2024.100868","url":null,"abstract":"<div><div>College students are susceptible to psychological and sleep problems in the face of interpersonal, academic, financial, and uncertain pressures, which are exacerbated by the limited resources available at universities for psychological or sleep interventions and the negative help-seeking attitudes of college students. Therefore, there is a need to design and apply university-based interventions that are easily accessible to college students. Transdiagnostic Internet-based Acceptance and Commitment Therapy (TACT) has been widely utilized due to its low cost and scalability; however, to date, its effectiveness and cross-cultural adaptation in mainland China remain to be studied. University students were recruited and randomly assigned to either a) the intervention group (n = 48, Student COMPASS Enhanced Course), which received the I-ACT intervention course with cross-cultural adaptation modifications, or b) the control group (n = 48, Student COMPASS Course), which received the Student COMPASS Course, in a randomized controlled trial design. The Student COMPASS Enhanced Course is a program that has undergone cultural adaptation improvements. The course utilizes the Theoretical Model of Confucian Self-Development as the ethical guideline, while mapping Zeng Guofan's (1811–1872) experience of self-cultivating to the six sub-processes of psychological flexibility and become the essential part of the course. Participants all received a post-intervention assessment after 7 weeks and a follow-up assessment after 15 weeks. The results indicated time effects across all symptom measures (ISI, GHQ-12, PPFI, ESS, DASS-21, and AAQ-II), suggesting significant improvements in mental health, sleep health, and psychological flexibility over time in both the intervention and control groups. Additionally, between-group main effects were observed for PPFI, ESS, DASS-21, and AAQ-II scores. However, the Generalized Estimating Equations (GEE) analysis revealed no group by time interaction effects for scores on any of the measures. Therefore, the Student COMPASS Enhanced Course is an effective Transdiagnostic Internet-based Acceptance and Commitment Therapy for college students in mainland China, with cross-cultural adaptation modifications to the I-ACT and incorporation of the Social workers and counselors are important for the design of psychological intervention programs and subsequent research on I-ACT in mainland Chinese universities.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100868"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174509","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
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