Journal of Contextual Behavioral Science最新文献

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Development of the Southampton Experiential Avoidance and Acceptance Scale (SEAAS) 南安普顿经验回避与接受量表(SEAAS)的开发
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI: 10.1016/j.jcbs.2024.100822
Zoe McAndrews , Claire M. Hart , Lusia Stopa
{"title":"Development of the Southampton Experiential Avoidance and Acceptance Scale (SEAAS)","authors":"Zoe McAndrews ,&nbsp;Claire M. Hart ,&nbsp;Lusia Stopa","doi":"10.1016/j.jcbs.2024.100822","DOIUrl":"10.1016/j.jcbs.2024.100822","url":null,"abstract":"<div><p>Acceptance is an important construct in various psychological models seeking to describe psychological distress and emotion regulation. Existing measures either focus on broader constructs like psychological flexibility or lack proper validation. There are no established tools which measure acceptance as a general process, as defined within Acceptance and Commitment Therapy (ACT). The absence of valid and reliable measures impedes research on acceptance processes in clinical change. To address this, we developed the Southampton Experiential Avoidance and Acceptance Scale (SEAAS). Across four studies an item pool was generated, evaluated, and refined into an 18-item scale with a theoretically coherent two-factor structure. The SEASS demonstrates strong psychometric properties, including excellent internal consistency, convergent, concurrent, and discriminant validity, and test-retest reliability. This scale is a promising new tool for assessing acceptance and experiential avoidance.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100822"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724001029/pdfft?md5=4033f3aec3ee6463779e541ea8d28f44&pid=1-s2.0-S2212144724001029-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142089540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in metacognitions and executive functions during mindfulness and acceptance-based intervention among individuals with anxiety disorders: A randomized waitlist-controlled trial 焦虑症患者在接受正念干预期间元认知和执行功能的变化:随机等待对照试验
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI: 10.1016/j.jcbs.2024.100818
Reza Didehban , Mehdi Zemestani , Gordon J. G. Asmundson , Jafar Bakhshaie
{"title":"Changes in metacognitions and executive functions during mindfulness and acceptance-based intervention among individuals with anxiety disorders: A randomized waitlist-controlled trial","authors":"Reza Didehban ,&nbsp;Mehdi Zemestani ,&nbsp;Gordon J. G. Asmundson ,&nbsp;Jafar Bakhshaie","doi":"10.1016/j.jcbs.2024.100818","DOIUrl":"10.1016/j.jcbs.2024.100818","url":null,"abstract":"<div><h3>Introduction</h3><p>This study illustrates how mindfulness and acceptance-based intervention (MABI) can change metacognitions and executive functions among individuals with anxiety disorders.</p></div><div><h3>Methods</h3><p>Forty-five Iranian individuals (mean [SD] age, 24.60 [4.94] years; 51.1 % female) with comorbid anxiety disorders participated in a randomized, waitlist-controlled trial of weekly group sessions of either MABI or waitlist control (WLC). Primary and process of change outcomes were assessed at baseline, post-intervention, and 1-month follow-up.</p></div><div><h3>Results</h3><p>Significant changes were observed over time on anxiety symptoms (Cohen <em>d</em> = 1.04, 95% CI [0.40 ± 1.65]), as well as on metacognitive beliefs (Cohen <em>d</em> = 1.04, 95% CI [0.40 ± 1.64]), executive functions (Cohen <em>d</em> = 0.91, 95% CI [0.28 ± 1.51]), and mindfulness facets (Cohen d = 0.97, 95% CI [0.34 ± 1.58]), in favor of MABI over WLC.</p></div><div><h3>Conclusions</h3><p>Overall, findings add to the knowledge in the field and provide cross-cultural evidence in support of MABIs as interventions that target anxiety symptoms, metacognitive beliefs and executive functions in a non-Western culture.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100818"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141945127","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
What makes us strong: Conceptual and functional comparisons of psychological flexibility and resilience 是什么让我们变得强大?心理灵活性和复原力的概念和功能比较
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI: 10.1016/j.jcbs.2024.100798
Duckhyun Jo , Sohwi Pyo , Yoobin Hwang , Yumi Seung , Eunjoo Yang
{"title":"What makes us strong: Conceptual and functional comparisons of psychological flexibility and resilience","authors":"Duckhyun Jo ,&nbsp;Sohwi Pyo ,&nbsp;Yoobin Hwang ,&nbsp;Yumi Seung ,&nbsp;Eunjoo Yang","doi":"10.1016/j.jcbs.2024.100798","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100798","url":null,"abstract":"<div><p>Psychological flexibility and resilience represent adaptive functioning and the pursuit of values in the presence of adversity such as during the COVID-19 pandemic. Understanding the conceptual and functional differences between these constructs is essential given their overlapping roles as key protective factors. This study involved 1059 participants from a Korean community sample who completed self-reported surveys measuring psychological flexibility, resilience, and mental health outcomes. Network analysis was used to create a sparse network comprising six nodes for psychological flexibility and ten nodes for resilience. Bridge strength centrality was estimated to identify the nodes connecting the two constructs. In addition, we employed a relative weights analysis to evaluate the relative significance of each psychological flexibility process on mental health outcomes while accounting for the composite resilience score. Within the psychological flexibility cluster, “Leaving thoughts be,” “Steady self,” “Awareness of value,” and “Being engaged” emerged as bridge elements, with “Steady self” exhibiting the highest bridge strength. Additionally, different patterns were observed in the unique contribution of each psychological flexibility process to positive and negative mental health outcomes. These findings suggest the potential role of “Steady self” as a catalyst for the transfer of skills and coping mechanisms between the different dimensions of psychological flexibility and resilience. The influential processes identified in this study had predictive value in their association with mental health outcomes. Future directions and implications are discussed.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100798"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487409","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
Pilot evaluation of a self-help ACT intervention for palliative care patients 针对姑息治疗患者的自助式 ACT 干预试点评估
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI: 10.1016/j.jcbs.2024.100797
Christopher L. Martin , Kenneth I. Pakenham
{"title":"Pilot evaluation of a self-help ACT intervention for palliative care patients","authors":"Christopher L. Martin ,&nbsp;Kenneth I. Pakenham","doi":"10.1016/j.jcbs.2024.100797","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100797","url":null,"abstract":"<div><p>This pilot study evaluates the feasibility and efficacy of a brief (four-week) predominantly self-help acceptance and commitment therapy (ACT) intervention (“Full Palliative Living”) in improving palliative patient primary outcomes (death attitudes, distress, pain, and quality of life) and a secondary outcome psychological flexibility (PF) within a palliative care (PC) setting. A quasi-experimental non-equivalent group design was used with pre- and post-intervention assessments with two groups: intervention (<em>n</em> = 52) and comparison (<em>n</em> = 54). Across three sets of analyses (mixed within/between ANCOVAs, intervention group t-tests and reliable change index), results demonstrated beneficial intervention effects for distress and PF at post-intervention. Mediation analyses showed that increases in PF mediated improvements in distress. Feasibility of delivering the intervention in a frontline PC service was supported by intervention acceptability and adherence ratings, intervention engagement, and participants’ perceptions of intervention helpfulness. The intervention effects on distress are noteworthy given the high prevalence of distress and the self-reported prioritisation of help-seeking for distress among PC patients. The Full Palliative Living program has the potential to make a significant contribution to a holistic approach to PC.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100797"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000772/pdfft?md5=76fa254e609585c4ba75d7a0a16ed116&pid=1-s2.0-S2212144724000772-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487410","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
Examining psychological flexibility in unaccompanied refugee minors: A network analysis 考察孤身未成年人的心理灵活性:网络分析
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI: 10.1016/j.jcbs.2024.100808
Johannes Freymann , Dafne Morroni , Johann Roland Kleinbub , Maria Karekla
{"title":"Examining psychological flexibility in unaccompanied refugee minors: A network analysis","authors":"Johannes Freymann ,&nbsp;Dafne Morroni ,&nbsp;Johann Roland Kleinbub ,&nbsp;Maria Karekla","doi":"10.1016/j.jcbs.2024.100808","DOIUrl":"10.1016/j.jcbs.2024.100808","url":null,"abstract":"<div><h3>Background</h3><p>Refugees, particularly unaccompanied refugee minors (URM), often report poor mental health. Psychological Flexibility (PF), derived from Acceptance and Commitment Therapy (ACT), appears to positively impact mental health in various populations, including adolescents and refugees.</p></div><div><h3>Objectives</h3><p>This study aimed to examine the structure of the PF model and the connections among its core processes, as well as the structure and connections between mental health constructs (i.e., post-traumatic stress, depression, anxiety, stress, quality of life) and PF in URM.</p></div><div><h3>Methods</h3><p>100 URM aged 13–18 years living in shelters in the Republic of Cyprus completed four self-reports, assessing depression, anxiety, and stress (DASS-21), PF (Psy-Flex), PTSD (CRIES-13), and HRQL (KIDSCREEN-10). Network Analysis was used to examine the structure and connections of the constructs.</p></div><div><h3>Results</h3><p>Most core PF processes showed positive connections amongst each other, with the strongest edge between committed action and values. Together with self as context, these core processes exhibited the highest expected influence. The strongest positive connections in the mental health network were found among stress, anxiety, and depression. Stress had the highest expected influence, whereas PF had the lowest. A post hoc Johnson-Neyman analysis suggested a buffering effect of PF on the impact of PTSD on anxiety and stress.</p></div><div><h3>Conclusions</h3><p>Proposed areas of focus for clinicians working with URM include incorporating strategies that address stress symptoms and facilitate individuals in pursuing value-based behavior. It is equally important to encourage critical reflection on values and the conceptualized self in the context of culture.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100808"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849691","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
The role of engaged living in the association between self-concealment and psychological distress among racially diverse college students in Hawaiʻi 参与式生活在夏威夷不同种族大学生的自我掩饰与心理困扰之间的关联中的作用
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI: 10.1016/j.jcbs.2024.100811
Stephanie L. Lin , Duckhyun Jo , Samuel D. Spencer , Akihiko Masuda
{"title":"The role of engaged living in the association between self-concealment and psychological distress among racially diverse college students in Hawaiʻi","authors":"Stephanie L. Lin ,&nbsp;Duckhyun Jo ,&nbsp;Samuel D. Spencer ,&nbsp;Akihiko Masuda","doi":"10.1016/j.jcbs.2024.100811","DOIUrl":"10.1016/j.jcbs.2024.100811","url":null,"abstract":"<div><p>Self-concealment has been identified as a significant risk factor for negative mental health outcomes. Engaged living, defined as the process of living one's life according to deeply held values with life fulfillment, is one salutary construct that may serve as a protective factor in light of mental health-related risk factors. The present cross-sectional study investigated whether engaged living moderated the positive association between self-concealment and psychological distress in a sample of 1,074 racially diverse college students in Hawaiʻi. Upon the completion of informed consent, study participants completed an online self-report survey that included the measures of interest in the present study. Results revealed that self-concealment was positively associated with psychological distress. Moreover, the strength of the positive association between self-concealment and psychological distress was smaller in participants with high (vs. low) levels of engaged living, but this moderating effect was small. A subsequent post-hoc analysis revealed that the indirect effect of self-concealment on psychological distress manifested through engaged living. Conceptual and applied implications of the present findings, as well as future directions of this line of inquiry, are discussed.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100811"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853694","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
The Mindful Healthcare Scale (MHS): Development and initial validation 心灵医疗量表(MHS):开发与初步验证
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI: 10.1016/j.jcbs.2024.100817
David Gillanders , Shaun Fisher , Gill Kidney , Nuno Ferreira , Paul Graham Morris , Lene M. Harkjaer-Thorgrimsen
{"title":"The Mindful Healthcare Scale (MHS): Development and initial validation","authors":"David Gillanders ,&nbsp;Shaun Fisher ,&nbsp;Gill Kidney ,&nbsp;Nuno Ferreira ,&nbsp;Paul Graham Morris ,&nbsp;Lene M. Harkjaer-Thorgrimsen","doi":"10.1016/j.jcbs.2024.100817","DOIUrl":"10.1016/j.jcbs.2024.100817","url":null,"abstract":"<div><h3>Objectives</h3><p>Psychological flexibility is associated with reduced burnout and improved wellbeing in healthcare professionals. This paper outlines the development and initial validation of the Mindful Healthcare Scale (MHS), a novel measure of psychological flexibility in healthcare professionals.</p></div><div><h3>Methods</h3><p>This paper comprises of three studies drawing on the following samples. Sample 1 (n = 480) and Sample 2 (n = 196) were cross-sectional samples of healthcare professionals. Sample 3 (n = 162) was the baseline sample of a longitudinal study who were followed up after a six-month interval. Seventy-seven participants of sample 3 provided test-retest data at six months. Classical test theory was used to evaluate the psychometric properties of the Mindful Healthcare Scale. Sample One was used to conduct an exploratory factor analysis. A confirmatory factor analysis was undertaken in sample two. Sample two and three were used to test the convergent validity and concurrent validity of the MHS via corelation with measures of burnout, wellbeing, general psychological flexibility, and self-compassion. Incremental validity of the MHS was assessed in predicting wellbeing and burnout after controlling for general psychological flexibility. The sub sample of Sample 3 was used to assess test-retest reliability.</p></div><div><h3>Results</h3><p>In study one, exploratory factor analysis led to a three-factor structure that was labelled ‘engaged’, ‘awareness’, and ‘defusion’. In study two, confirmatory factor analyses supported this model. Study 3 supported the convergent validity, construct validity, incremental validity and test-retest reliability of the MHS. Internal reliability was found to be good across all samples.</p></div><div><h3>Conclusions</h3><p>The MHS is a psychometrically sound measure of psychological flexibility in healthcare contexts. It is hoped that this measure will contribute to research and practice that aims to understand and enhance the wellbeing and training of healthcare professionals.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100817"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000978/pdfft?md5=33ccde3caaf878258ee648e75bbc02f9&pid=1-s2.0-S2212144724000978-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141979412","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
Truce: Outcomes and mechanisms of change of a seven-week acceptance and commitment therapy program for young people whose parent has cancer 休战:针对父母罹患癌症的年轻人开展的为期七周的接受与承诺疗法项目的成果和变化机制
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI: 10.1016/j.jcbs.2024.100813
Kit Bibby , Fiona E.J. McDonald , Joseph Ciarrochi , Kimberley R. Allison , Nicholas J. Hulbert-Williams , Stephanie Konings , Adam Wright , Danielle Tracey , Pandora Patterson
{"title":"Truce: Outcomes and mechanisms of change of a seven-week acceptance and commitment therapy program for young people whose parent has cancer","authors":"Kit Bibby ,&nbsp;Fiona E.J. McDonald ,&nbsp;Joseph Ciarrochi ,&nbsp;Kimberley R. Allison ,&nbsp;Nicholas J. Hulbert-Williams ,&nbsp;Stephanie Konings ,&nbsp;Adam Wright ,&nbsp;Danielle Tracey ,&nbsp;Pandora Patterson","doi":"10.1016/j.jcbs.2024.100813","DOIUrl":"10.1016/j.jcbs.2024.100813","url":null,"abstract":"<div><p><em>Truce</em> is an Acceptance and Commitment Therapy group program for young people who have a parent with cancer. In a pragmatic controlled trial, we compared <em>Truce</em> with a wait-list condition to assess its effect on unmet needs and distress. We also investigated how process variables—mindfulness, cognitive inflexibility, family functioning, and life events—might influence outcomes. Participants' unmet needs improved over time (β^ = −5.01, <em>SE</em> = 16.48, <em>p</em> = 0.036, effect size = 0.42), and those improvements were greater for the intervention group compared to controls (β^ = −5.03, <em>SE</em> = 2.41, <em>p</em> = 0.040, effect size = 0.29). There was no evidence of a significant program benefit for distress. For the intervention group, greater improvements in unmet needs were associated with higher baseline distress (<em>t</em> = 2.36, <em>df</em> = 47, <em>p</em> = 0.022), and being less mindful at baseline (<em>t</em> = 2.07, <em>df</em> = 47, <em>p</em> = 0.044). No significant mediators were identified. For the control group only, experiencing negative/mixed life events related to cancer was a significant moderator of improvement (<em>t</em> = −2.36, <em>df</em> = 33, <em>p</em> = 0.024). <em>Truce</em> appears to offer therapeutic benefits to young people who have a parent with cancer, over and above the expected adjustment to the situation over time. The program seems to buffer the impact of negative cancer-related life events on participants’ well-being, but the mechanisms of change remain unclear.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100813"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000930/pdfft?md5=efa87e2d857a61eeec7eb687ce7656db&pid=1-s2.0-S2212144724000930-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141998429","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
The effects of acceptance and commitment therapy (ACT) on psychological and physical outcomes among cancer patients and survivors: An umbrella review 接受与承诺疗法(ACT)对癌症患者和幸存者心理和生理结果的影响:综述
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI: 10.1016/j.jcbs.2024.100810
Christina Sauer , Alexander Haussmann , Gregor Weissflog
{"title":"The effects of acceptance and commitment therapy (ACT) on psychological and physical outcomes among cancer patients and survivors: An umbrella review","authors":"Christina Sauer ,&nbsp;Alexander Haussmann ,&nbsp;Gregor Weissflog","doi":"10.1016/j.jcbs.2024.100810","DOIUrl":"10.1016/j.jcbs.2024.100810","url":null,"abstract":"<div><h3>Background</h3><p>Acceptance and Commitment Therapy (ACT) is a promising approach in psycho-oncology that has led to an increasing number of studies and reviews. This systematic umbrella review provides a comprehensive overview of the results of existing systematic reviews and meta-analyses to investigate the <em>trans-symptomatic</em> (i.e., psychological and physical symptoms) efficacy of ACT in the context of cancer. The study addresses both physical and psychological outcomes, aiming to identify existing research gaps and delineate potential focal points for future studies exploring the application of ACT in psycho-oncological settings.</p></div><div><h3>Methods</h3><p>A systematic literature search was conducted in Pubmed, Ebsco Host Academic Search Complete (incl. APA PsycInfo), Web of Science, Cochrane Library, website of the Association of Contextual Behavioral Science (ACBS), and Prospero. To be included, studies had to meet the following criteria: 1) be a systematic review and/or meta-analysis focusing on ACT and its impact on psychological and physical outcomes in cancer patients or survivors; 2) include only patients with oncological conditions; 3) be published in English. The quality of the reviews and meta-analyses was assessed using the AMSTAR 2 criteria.</p></div><div><h3>Results</h3><p>We included eight systematic reviews and meta-analyses in our synthesis. Results of the reviews and meta-analyses indicate that ACT interventions increase the health-related quality of life (HRQoL) and psychological flexibility, and reduce depression, anxiety, and psychological distress in cancer patients and survivors. The best evidence exists regarding psychological distress and HRQoL. The efficacy of these interventions concerning other psychological outcome measures (e.g., fear of progression/recurrence, hope) and biological parameters has not yet been well investigated. Moderator analyses revealed larger effects for younger patients, individuals from Eastern countries (Iran, China), and after longer intervention durations. Results suggest potential differential effects based on the cancer stage. According to the AMSTAR 2 criteria, the quality of the included reviews was low or critically low.</p></div><div><h3>Conclusion</h3><p>Recent meta-analyses and reviews suggests that ACT interventions are an effective and evidence-based treatment for increasing HRQoL and reducing psychological distress in patients with cancer. However, the results should be interpreted with caution, as the quality of the included reviews was generally low. Our synthesis highlights the need for more high-quality randomized controlled trials, reviews, meta-analyses, and mediator analyses in this research area.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100810"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000905/pdfft?md5=8dd57d8fb60e2efba39c7406ba93f0da&pid=1-s2.0-S2212144724000905-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141945130","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
Further evidence in support of psychological flexibility as a model of eudaimonic activity 支持将心理灵活性作为快乐活动模式的进一步证据
IF 3.4 3区 心理学
Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI: 10.1016/j.jcbs.2024.100802
Andrew J. Howell, Mateo F. Brnada, Karen Buro
{"title":"Further evidence in support of psychological flexibility as a model of eudaimonic activity","authors":"Andrew J. Howell,&nbsp;Mateo F. Brnada,&nbsp;Karen Buro","doi":"10.1016/j.jcbs.2024.100802","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100802","url":null,"abstract":"<div><p>Recent research demonstrated that associations between psychological flexibility (PF) and subjective well-being are mediated by psychological need satisfaction, in accordance with conceiving PF as a model of eudaimonic activity. The current studies tested whether such relationships persist even when controlling for alternative operationalizations of eudaimonic activity. In Study 1 (<em>N =</em> 289 undergraduates), need satisfaction mediated associations between Psy-Flex scores and both positive affect and life satisfaction when controlling for scores on the Flourishing Scale or Questionnaire for Eudaimonic Well-Being. Similar findings emerged in Study 2 (<em>N</em> = 283 undergraduates) when controlling for scores on the Multidimensional Existential Meaning Scale; these findings were then replicated using a pre-existing data set. We discuss PF in relation to the Eudaimonic Activity Model and Self-Determination Theory.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100802"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542478","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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