Journal of Contextual Behavioral Science最新文献

{"title":"Focused Acceptance and Commitment Therapy Skills Training (FACT-ST) program for paraprofessionals serving families of children with special health care needs: A service evaluation study","authors":"Yuen Yu Chong ,&nbsp;Wing Chung Lam ,&nbsp;Kit Sum Wong ,&nbsp;Ching Yee Wong ,&nbsp;Patrick Chun Ming Lam ,&nbsp;Siu Man Hsu ,&nbsp;Wai Tong Chien","doi":"10.1016/j.jcbs.2024.100806","DOIUrl":"10.1016/j.jcbs.2024.100806","url":null,"abstract":"<div><p>Addressing mental health needs among parents of children with Special Health Care Needs (SHCN) requires improved access to effective interventions. This study assessed the satisfaction, skills implementation intention, and psychological flexibility of frontline paraprofessionals providing family and child rehabilitation services for families of children with SHCN in Hong Kong following participation in a Focused Acceptance and Commitment Therapy Skills Training (FACT-ST) program. The training program comprised two phases: an initial foundation training stage (i.e., the FT group), which provided theoretical instruction on ACT, and a subsequent supervised practice stage (i.e., the FT + SP group), during which participants were required to conduct at least three video-conferencing FACT sessions with parents of children with SHCN under supervision. A diverse sample of 317 paraprofessionals participated, with 246 completing the foundation training and an additional 71 completing both training phases. The FACT-ST program was positively received, as indicated by high average client satisfaction questionnaire scores. In the FT + SP group, paired sample <em>t</em>-test indicated that the mean total skills implementation intention score remained consistent at the 3-month follow-up (<em>M</em> = 36.65, <em>SD</em> = 7.56) when compared to the 2-week follow-up (<em>M</em> = 36.00, <em>SD</em> = 8.28, <em>P</em> = 0.063). Repeated measures analysis of covariance showed significant improvements in psychological flexibility from baseline to the 3-month follow-up in both the FT (F = 57.57, <em>P</em> = &lt; 0.001, ηp² = 0.20) and the FT + SP groups (F = 19.06, <em>P</em> = &lt; 0.001, ηp² = 0.24). Qualitative feedback highlighted the utility of live demonstrations, experiential exercises, and collaborative interactions during training. Our findings are one of the first affirming both the feasibility and acceptability of the FACT-ST program for paraprofessionals working with parents of children with SHCN. The findings underscore the potential of paraprofessionals to become crucial contributors to the mental health care system, addressing service gaps within the community.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100806"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629939","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":"Increasing workforce psychological flexibility through organization-wide training: Influence on stress resilience, job burnout, and performance","authors":"Rob Archer ,&nbsp;Rachel Lewis ,&nbsp;Joanna Yarker ,&nbsp;Lucie Zernerova ,&nbsp;Paul E. Flaxman","doi":"10.1016/j.jcbs.2024.100799","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100799","url":null,"abstract":"<div><p>There is growing interest in the role of psychological flexibility as a potential resilience factor in workplace settings for protecting employees against the risk of job burnout. This field study contributes to the literature by investigating the utility of delivering brief ACT-informed training to the entire regional workforce of an innovation and manufacturing organization. A total of 504 employees attended the training, 281 of whom completed study measures prior to the training and three months later. Across the 3-month timeframe, participants reported a statistically small and significant increase in work-related psychological flexibility. Increased psychological flexibility was associated with improved stress resilience, reduced exhaustion, and increased personal accomplishment. No change was observed on the depersonalization component of burnout or task performance. Moderation analyses revealed that residual change associations between work-related psychological flexibility and both exhaustion and resilience were stronger among participants with higher baseline exhaustion. By contrast, work-related psychological flexibility trended toward a stronger residual change relationship with personal accomplishment among participants with lower baseline exhaustion. We interpret these findings from the perspective of resource-based theories of workplace functioning, and highlight the potential of cultivating psychological flexibility as part of organization-wide personnel development initiatives.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100799"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000796/pdfft?md5=8eae530d556c471425fd111ac37e7d02&pid=1-s2.0-S2212144724000796-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487408","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":"From mistakes to mastery: An idiographic microanalytical study comparing processes related to effective and ineffective outcomes in behavioral interventions","authors":"Gladis-Lee Pereira ,&nbsp;Carmen Martínez-Díaz ,&nbsp;Rosana García-Morales ,&nbsp;María-Xesús Froxán-Parga","doi":"10.1016/j.jcbs.2024.100801","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100801","url":null,"abstract":"<div><p>The field of psychotherapy research increasingly recognizes the need for idiographic studies linking process of change to outcomes. However, investigations have typically focused on successful outcomes alone, neglecting the analysis of specific behaviors connected to treatment failure. This study aims to link process to both effective and ineffective outcomes. By examining 80 psychotherapy sessions across 13 cases with a mixed-method approach, a turn-by-turn conversational analysis was carried out. After detecting different levels of effectiveness following a multiple baseline design, sequential analysis and intra- and inter-case comparisons were performed. The results indicated that while differential reinforcement of target behavior was found to be related to both successful and unsuccessful outcomes, the defining characteristics of effective sessions were the preciseness of specific strategies and the predominance of appetitive over aversive stimulation throughout the intervention. These findings revealed that splitting units into linear relations to analyze psychotherapeutic interaction might be insufficient. Instead, addressing not only the presence but also the absence and concurrence of covariation associated with the events of interest could be a determining factor in unveiling the processes leading to different outcomes in psychotherapy.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100801"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000814/pdfft?md5=6c85af342c46f9dd40bbb66583660981&pid=1-s2.0-S2212144724000814-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542479","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":"Suicide is my only way: The longitudinal reciprocal relations of experiential avoidance, cognitive fusion, and suicidal ideation among adolescents","authors":"Chuhan Wang,&nbsp;Jiaqi Guo,&nbsp;Yunhong Shen,&nbsp;Jianing You","doi":"10.1016/j.jcbs.2024.100803","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100803","url":null,"abstract":"<div><p>Experiential avoidance and cognitive fusion, the two interrelated processes central to psychological inflexibility according to Acceptance and Commitment Therapy, were theoretically and empirically related to adolescent suicidal ideation. However, the longitudinal interaction among experiential avoidance, cognitive fusion, and adolescent suicidal ideation has yet to be empirically examined. As such, our study aims to examine the longitudinal reciprocal relationships among these variables using the cross-lagged panel model (CLPM) and random intercept cross-lagged panel model (RI-CLPM). A total of 1720 Chinese adolescents (54.6% females; <em>M</em>_age = 14.44, <em>SD</em>_age = 1.35) completed self-reported questionnaires regarding experiential avoidance, cognitive fusion, and suicidal ideation on three occasions, using 6-month intervals. The results showed that in CLPM, experiential avoidance, cognitive fusion, and suicidal ideation positively predicted each other. However, RI-CLPM only provided support for the longitudinal interaction between experiential avoidance and cognitive fusion as well as the role of suicidal ideation in exacerbating experiential avoidance and cognitive fusion. The findings highlight that suicidal ideation may lead to increased levels of experiential avoidance and cognitive fusion in adolescents and the need to distinguish between within-person and between-person effects when studying the relationship between psychological inflexibility and adolescent suicidal ideation.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100803"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606436","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":"Coping with emotional pain: An experimental comparison of acceptance vs. avoidance coping","authors":"Pinelopi Konstantinou ,&nbsp;Andria Trigeorgi ,&nbsp;Chryssis Georgiou ,&nbsp;Michalis Michaelides ,&nbsp;Andrew T. Gloster ,&nbsp;Louise McHugh ,&nbsp;Georgia Panayiotou ,&nbsp;Maria Karekla","doi":"10.1016/j.jcbs.2024.100820","DOIUrl":"10.1016/j.jcbs.2024.100820","url":null,"abstract":"<div><p>The present study compared multi-methodically and multi-dimensionally the effects of acceptance and avoidance coping with emotional pain, both between and within-group. Convenience sampling was used, with 88 participants included (81.8% females; <em>Mage =</em> 21.75 years) and being randomly assigned to one of two instructed groups: (a) Acceptance followed by avoidance of pain sensations and thoughts, and (b) Avoidance followed by acceptance. All participants underwent an emotional pain induction procedure three times involving negative autobiographical recall and an emotional-pain standardized script. In the first emotion induction, no instructions were given whereas in the other two, participants were instructed to use the techniques they were trained in. On both autobiographical and emotional-pain script tasks, participants who used firstly avoidance and secondly acceptance exhibited significantly lower mean heart rate and higher mean heart rate variability RR index across time. Also, in the last emotional pain induction, on both tasks, acceptance resulted in lower physiological activation than avoidance. No significant differences were found for the self-report of negative affect. Overall, acceptance vs. avoidance differences were mostly found in the physiological outcomes, suggesting the importance of including objective measures when examining coping techniques. Our findings suggest that ACT's concept of creative hopelessness is supported, as participants may have to use firstly use ineffective coping strategies to better understand what methods are most effective for managing pain. To our knowledge, this study is the first study to compare acceptance vs. avoidance coping with emotional pain both between and within-group, using a multi-method and multi-dimensional approach.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100820"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997247","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":"Weight stigma and healthcare avoidance among women with obesity: The moderating roles of body image-related psychological inflexibility and cognitive fusion","authors":"Maureen K. Flynn,&nbsp;Jovan O. Hernandez,&nbsp;Jenny Valadez Fraire,&nbsp;Sara C. Hobbs,&nbsp;Cassy S. Malnar","doi":"10.1016/j.jcbs.2024.100814","DOIUrl":"10.1016/j.jcbs.2024.100814","url":null,"abstract":"<div><p>Women who have obesity engage in healthcare avoidance at a higher rate than women in the normal weight range. Body mass index (BMI) and weight stigma are positively correlated and women who have obesity report weight-related concerns as reasons for healthcare avoidance. The current study examined whether body-image related psychological inflexibility and cognitive fusion moderate the relationship between weight-related stigma and healthcare avoidance. Female participants with obesity (<em>n</em> = 261) were recruited on Prolific and completed surveys online. Results showed that inflexibility and cognitive fusion moderated the relationship between stigma and healthcare avoidance. Future studies could examine the effectiveness of interventions targeting psychological inflexibility and fusion to decrease healthcare avoidance. There is also a clear need to target weight bias within society, healthcare systems, and healthcare providers.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100814"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842416","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":"Minority stress, mental health, and mindfulness and self-compassion as moderators among young sexual minority men: A moderated structural equation analysis","authors":"Shufang Sun ,&nbsp;Arryn A. Guy ,&nbsp;Matthew J. Murphy ,&nbsp;David G. Zelaya ,&nbsp;Yohansa Fernandez ,&nbsp;Don Operario","doi":"10.1016/j.jcbs.2024.100804","DOIUrl":"10.1016/j.jcbs.2024.100804","url":null,"abstract":"<div><p>Young adult sexual minority men are at heightened risk for psychological distress (i.e., depression and anxiety). Mounting evidence suggests the adverse consequences of distal stigma, and existing frameworks (the Minority Stress Theory and Psychological Mediation Framework) posit that distal minority stress may impact psychological distress through minority stress-specific processes, such as internalized homonegativity, as well as general psychological vulnerability factors, such as emotion dysregulation. There is a lack of research examining this process integrating both frameworks and understanding potential resilience factors such as mindfulness and self-compassion and where they may assert impact. Using structural equation modeling, the current study investigated the relationship between distal minority stress, measured by heterosexist discrimination, and psychological distress (i.e., depression and anxiety) through a serial indirect effect via internalized homonegativity and emotion dysregulation, while including internalized homonegativity and emotion dysregulation for their unique indirect effects separately, among young adult sexual minority men (<em>n</em> = 307). Further, the study explored mindfulness and self-compassion as potential moderators in subsequent models. Results indicate that two significant paths explain the association between heterosexist discrimination and psychological distress, including through internalized homonegativity and emotion dysregulation as a serial indirect path, as well as through internalized homonegativity alone. Both mindfulness and self-compassion emerged as protective factors in the “upstream” part of the model, particularly in the effect of heterosexist discrimination on internalized homonegativity. Contrary to expectation, both mindfulness and self-compassion had a strengthening impact on the positive association between internalized homonegativity and emotion dysregulation. Findings support the conceptualization of emotion dysregulation as a “downstream” effect of minority stress, as well as adapting and utilizing mindfulness and self-compassion to alleviate the impact of distal minority stress. Additional longitudinal research, particularly rigorously designed clinical trials, is needed to further evaluate such intervention programs.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100804"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695076","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":"Brief transdiagnostic group Acceptance and Commitment Therapy for acute inpatients with complex mental health conditions: A randomised pilot study using an active social control","authors":"Gavin Prowse ,&nbsp;Elizabeth Conroy ,&nbsp;Lise Mogensen","doi":"10.1016/j.jcbs.2024.100821","DOIUrl":"10.1016/j.jcbs.2024.100821","url":null,"abstract":"<div><h3>Objectives</h3><p>The present study examined the feasibility and acceptability of a brief transdiagnostic group-based Acceptance and Commitment Therapy (ACT; Valued Living Program, VLP) versus an active social control condition (Social Discussion Group, SDG) for inpatients admitted for acute mental health conditions.</p></div><div><h3>Method</h3><p>Participants were group randomised to three sessions of the VLP (<em>n</em> = 17) or the SDG (<em>n</em> = 19) plus treatment-as-usual (TAU). The primary outcomes were service use data (emergency department presentations and inpatient admissions). Participants were assessed at pre-treatment, post-treatment, and at 4 and 12-months post-discharge on quantitative and qualitative secondary outcomes of psychological and behavioural functioning.</p></div><div><h3>Results</h3><p>Both interventions were rated as acceptable and useful. Primary and secondary outcomes demonstrated a longitudinal pattern of improvement for the VLP condition relative to the SDG condition. Longitudinal drop-out was high, which reduced the reliability of quantitative secondary outcomes.</p></div><div><h3>Conclusions</h3><p>The VLP appears acceptable to inpatients experiencing acute mental health conditions. Positive initial outcomes support further investigation into the VLP's effectiveness. However, the feasibility of evaluating the VLP via RCT was limited by poor participant retention which might be improved with additional study resources. Further investigation into protocol engagement is also warranted prior to proceeding with a larger RCT.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100821"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724001017/pdfft?md5=87dc526fe4436849c7742723daed1da9&pid=1-s2.0-S2212144724001017-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142012200","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":"Elucidating the process-based emphasis in cognitive behavioral therapy","authors":"Truls Ryum ,&nbsp;Nikolaos Kazantzis","doi":"10.1016/j.jcbs.2024.100819","DOIUrl":"10.1016/j.jcbs.2024.100819","url":null,"abstract":"<div><p>This paper delves into the examination of cognitive behavioral therapy (CBT), a therapeutic modality reliant on both longitudinal and cross-sectional biopsychosocial data regarding the client, through the lens of evolutionary language within a process-based therapy (PBT) framework. The exposition commences with an elucidation and delineation of pivotal features and assumptions underpinning CBT, encompassing its philosophical foundations, postulated change processes, and the empirical research substantiating these processes. We posit ideas for clinicians to enhance their case formulation by incorporating process-based principles into CBT, invoking concepts such as variation, selection, retention, and contextual fit. Furthermore, we offer a case illustration and a treatment plan utilizing a network-based approach. In conclusion, we explore potential strengths, barriers, and future trajectories for PBT. Although CBT has predominantly undergone scrutiny as a treatment protocol in group-level outcome studies, we assert that CBT inherently operates as a process-driven model, as evidenced by established metrics assessing therapist competence in its implementation. Specifically, we illustrate how the judicious selection and utilization of specific procedures (techniques) targeting change processes emanate from an individualized and integrative case formulation. This formulation is rooted in the evidence supporting the chosen procedure, aligned with the client's preferences and goals, and embedded within the in-session process of selecting, planning, and reviewing between-session homework. CBT, therefore, emerges as a model for clinical practice and training characterized by inherent pragmatism, integrativeness, and transtheoreticism. It aligns seamlessly with the emphasis on process-informed, person-centered, evidence-based treatment within the PBT framework.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100819"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000991/pdfft?md5=09f67b1b5b1563e0da2860e38cd46631&pid=1-s2.0-S2212144724000991-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141945128","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 relationship between psychosis and psychological flexibility and other acceptance and commitment therapy processes: A systematic review and meta-analysis","authors":"James Pittman,&nbsp;Thomas Richardson,&nbsp;Emma Palmer-Cooper","doi":"10.1016/j.jcbs.2024.100800","DOIUrl":"10.1016/j.jcbs.2024.100800","url":null,"abstract":"<div><h3>Introduction</h3><p>The psychological inflexibility model proposes several transdiagnostic processes maintaining psychological distress and is one of the models forming the basis of Acceptance and Commitment Therapy (ACT). ACT has been used as an intervention for psychosis but prior to the present review and meta-analysis (PROSPERO ID: CRD42022369048) the relationship between psychological inflexibility and other ACT processes in the context of psychosis or psychosis-like symptoms has not been investigated.</p></div><div><h3>Method</h3><p>A Literature search of PsychINFO, Medline, PsychArticles, Web of Science and Embase was conducted, and methodological quality assessed. 655 titles were screened and were included if they explored the relationship between psychological inflexibility (experiential avoidance, cognitive fusion, values clarity, committed action) and psychosis or psychosis-like symptoms in the general population.</p></div><div><h3>Results</h3><p>A total of 35 studies were included in this review. Most studies were cross sectional and rated moderate in their methodological quality. Meta-analyses revealed a large effect of psychological inflexibility on paranoia, medium effect on delusions, small effect on auditory hallucinations. A medium effect of cognitive fusion on paranoia was found and medium effect size when comparing group differences (psychosis vs controls) in psychological flexibility. Additional findings (mostly mediation and moderation effects) not included in the meta-analyses are reported.</p></div><div><h3>Discussion</h3><p>The overall evidence suggests that there is a significant relationship between psychological flexibility and psychotic symptoms, particularly paranoia. This provides evidence supporting the use of interventions which target these processes in the context of psychosis. Limitations and future directions are discussed.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100800"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950307","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}