Virmarie Correa-Fernández , Niloofar Tavakoli , Marshall Motsenbocker , Hanjoe Kim , David W. Wetter , Janice A. Blalock , Glorisa Canino , Megan E. Piper
{"title":"Culturally relevant acceptance-based telehealth wellness program for Latine adults who smoke and experience psychological distress: Findings from a feasibility study","authors":"Virmarie Correa-Fernández , Niloofar Tavakoli , Marshall Motsenbocker , Hanjoe Kim , David W. Wetter , Janice A. Blalock , Glorisa Canino , Megan E. Piper","doi":"10.1016/j.jcbs.2024.100776","DOIUrl":"10.1016/j.jcbs.2024.100776","url":null,"abstract":"<div><p>Latine adults who smoke have a low probability of receiving evidence-based smoking cessation interventions. Acceptance and Commitment Therapy (ACT) has shown to be efficacious for treating tobacco dependence, but its usefulness for Latine populations is just emerging and has not been studied in the context of a culturally tailored treatment. This single-arm study evaluated the feasibility of recruitment and retention, and treatment acceptability of the PRESENT Wellness Program: a culturally relevant ACT-based smoking cessation treatment for Latine adults who also experience psychological distress. Secondary objectives were the examination of smoking rates and levels of depression, anxiety, and psychological inflexibility (ACT core target) among Latine adults. Taking place during the COVID-19 pandemic, the treatment entailed 8 sessions delivered via telehealth (1 in-person/video and 7 by phone), and nicotine patches. Participants (N = 23) completed baseline assessments and follow-ups 1-week post-end of treatment (EOT) and 2-months post EOT. Most participants were women (70%), ranging from young adult to middle-aged, born in the US (57%), working full time (52.2%), and reporting financial strain (70%). Average number of sessions completed was 5.5. Follow-up rates were 61% at both follow-ups. The program was acceptable as indicated by quantitative and qualitative measures. Point-prevalence smoking abstinence was 35% at both follow-ups. Participants reported an average decline across time [% or M(SD)] in all secondary measures, as follows: everyday smoking [Baseline = 87%; 1-wk post EOT = 13%; 2 mo post EOT = 8.7%]; depression [Baseline = 13.7(6.3); 1-wk post EOT = 9.9 (6.6); 2 mo post EOT = 7.4 (5.8)]; anxiety [Baseline = 12.7 (5.4); 1-wk post EOT = 9.7 (6.4); 2 mo post EOT = 8.1 (5.2)]; and psychological inflexibility [Baseline = 50.6 (7.2); 1-wk post EOT = 33.0 (10.7); 2 mo post EOT = 32.6 (12.4)].</p></div><div><h3>Conclusion</h3><p>The current study observed that implementation of an acceptance-based smoking cessation treatment delivered in a hybrid mode is feasible and acceptable for English-speaking Latine persons. The PRESENT Wellness Program shows promise to address smoking and behavioral health challenges in the Latine community. Replication and expansion of the study is warranted, including the linguistic adaptation and evaluation of the program among Spanish-preferring Latine persons who smoke.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100776"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051673","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}
Huiyuan Li , Cho Lee Wong , Xiaohuan Jin , Yuen Yu Chong , Marques Shek Nam Ng
{"title":"Effects of acceptance and commitment therapy-based intervention on fatigue interference and health-related quality of life in patients with advanced lung cancer: A randomised controlled trial","authors":"Huiyuan Li , Cho Lee Wong , Xiaohuan Jin , Yuen Yu Chong , Marques Shek Nam Ng","doi":"10.1016/j.jcbs.2024.100758","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100758","url":null,"abstract":"<div><h3>Background</h3><p>Cancer-related fatigue is common in patients with advanced lung cancer, persistently interfering with their health-related quality of life. Acceptance and Commitment Therapy (ACT) may effectively reduce fatigue interference and improve health-related quality of life in the advanced lung cancer population. This study aimed to evaluate the effects of an ACT-based intervention on fatigue interference and health-related quality of life in patients with advanced lung cancer.</p></div><div><h3>Methods</h3><p>An assessor-blinded, two-arm randomised controlled trial with 160 patients with advanced lung cancer was conducted. Participants were randomly allocated into either a four-week ACT-based intervention group (n = 80) or usual care control group (n = 80). The intervention consisted of a face-to-face session and three video-conferencing-based sessions and was delivered on an individual basis. The primary outcomes were fatigue interference and health-related quality of life. The secondary outcomes included cancer-related fatigue, depression and anxiety, cancer-specific distress, and activity level. Changes in psychological flexibility (PF), experiential avoidance, and cognitive fusion were also evaluated. Outcomes were measured at baselines (T0), one-week post-intervention (T1), and 3-month follow-up (T2). The intervention effects were assessed using generalised estimating equation models.</p></div><div><h3>Results</h3><p>Compared with the control group, the intervention group demonstrated significant improvements in fatigue interference (T1: <em>β</em> = −0.50, <em>p</em> < 0.001; T2: <em>β</em> = −0.16, <em>p</em> = 0.007), health-related quality of life (T1: <em>β</em> = 16.01, <em>p</em> < 0.001; T2: <em>β</em> = 11.21, <em>p</em> < 0.001), depression (T1: <em>β</em> = −0.32, <em>p</em> < 0.001) and anxiety (T1: <em>β</em> = −0.20, <em>p</em> < 0.001), cancer-specific distress (T1: <em>β</em> = −7.37, <em>p</em> < 0.001; T2: <em>β</em> = −8.00, <em>p</em> < 0.001), activity level (intensity, T1: <em>β</em> = 3.24, <em>p</em> = 0.004; T2: <em>β</em> = 2.61, <em>p</em> = 0.020; frequency, T1: <em>β</em> = 2.44, <em>p</em> < 0.001; T2: <em>β</em> = 1.96, <em>p</em> < 0.001; duration, T1: <em>β</em> = 1.36, <em>p</em> < 0.001), PF (T1: <em>β</em> = 5.54, <em>p</em> < 0.001; T2: <em>β</em> = 8.63, <em>p</em> < 0.001), experiential avoidance (T1: <em>β</em> = −7.70, <em>p</em> < 0.001; T2: <em>β</em> = −10.07, <em>p</em> < 0.001), and cognitive fusion (T2: <em>β</em> = −3.31, <em>p</em> = 0.007). The changes in experiential avoidance at one-week post-intervention mediated the effects of ACT on reducing cancer-specific distress (<em>β</em> = −7.40, <em>p</em> < 0.001; <em>β</em> = −3.68, 95%CI, −5.77 to −1.58) and promoting HRQoL (<em>β</em> = 11.15, <em>p</em> < 0.001; <em>β</em> = 5.49, 95%CI, 3.09 to 8.31) at three-month follow-up. The changes in PF at one-week post-intervention ","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100758"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140539396","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}
Julie M. Petersen, Marissa L. Donahue, Leila K. Capel, Emily M. Bowers, Mercedes G. Woolley, Sara Boghosian, Michael P. Twohig
{"title":"Telehealth acceptance and commitment therapy for adolescents with transdiagnostic health-related anxiety: A pilot randomized controlled trial","authors":"Julie M. Petersen, Marissa L. Donahue, Leila K. Capel, Emily M. Bowers, Mercedes G. Woolley, Sara Boghosian, Michael P. Twohig","doi":"10.1016/j.jcbs.2024.100764","DOIUrl":"10.1016/j.jcbs.2024.100764","url":null,"abstract":"<div><p>Health-related anxiety is an under-researched and pressing issue to understand in adolescents, particularly given the COVID-19 pandemic. The present study is a randomized, waitlist-controlled trial of 10 weekly, 50-min sessions of telehealth ACT targeting health-related anxiety in adolescents as compared to a waitlist. A sample of 30 adolescents (ages 12–17), plus one caretaker each (N = 60), currently struggling with clinical levels of health-related anxiety were enrolled. The majority of caretakers and adolescents were White, non-Hispanic/Latine, and female. Data were analyzed using multilevel modeling across pre-, mid-, post-treatment, and one-month follow-up. Adolescents reported small, significant decreases in health-related anxiety as compared to the waitlist. Caretakers reported small to medium significant decreases in child general anxiety and small to medium improvements in parental psychological inflexibility. No additional significant differences were found between groups for caretaker- or adolescent-rated variables. Both adolescents and caretakers reported positive acceptability of the treatment. Limitations of this study include a small, homogenous sample, a lack of an active comparison group, and a short period of intervention and measurement. However, this study is the first randomized controlled trial examining ACT as a potential treatment for health-related anxiety in adolescents, and thereby adds to the growing literature supporting the use of ACT as a potential treatment option for youth with anxiety and related problems.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100764"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780909","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":"Chinese version of the simplified psychological flexibility scale-6 (C-Psy-Flex): Study of its psychometric properties from the perspective of classical test theory and network analysis","authors":"Shuanghu Fang, Dongyan Ding, Mingjie Huang, Qilin Zheng","doi":"10.1016/j.jcbs.2024.100769","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100769","url":null,"abstract":"<div><p>Existing measures of psychological flexibility have demonstrated certain limitations, highlighting the critical need for the development of a more comprehensive assessment tool that encompasses all facets of psychological flexibility. In response to this necessity, we have developed the 6-item Psychological Flexibility Scale (C-Psy-Flex) as a concise instrument designed to evaluate individuals' psychological flexibility comprehensively. The objective of this study was to assess the reliability and validity of the Psy-Flex among Chinese college students and teachers. A total of 1511 valid responses were collected, and participants completed the Chinese version of the Psy-Flex, along with several other questionnaires. Exploratory factor analysis with 6 factors and 6 items was conducted on Sample 1 (n = 756). Confirmatory factor analysis on Sample 2 (n = 755) demonstrated good fit for a single-factor structure (χ2 = 21.17, df = 8, P < 0.001, CFI = 0.989, TLI = 0.980, RMSEA = 0.047, RMSEA 90% CI [0.023, 0.071], SRMR = 0.020). Measurement invariance testing indicated strict equivalence of the Chinese version of Psy-Flex across different gender and sample groups. Psychological flexibility was significantly positively associated with life satisfaction, indicators of physical and mental health, and value questionnaire scores, and significantly negatively associated with negative emotions (depression, anxiety, stress) and experiential avoidance. Network analysis visualization techniques were used to further confirm the factor structure of the scale, providing additional evidence of the scale's structural consistency and internal coherence. The Chinese version of the psychological flexibility scale demonstrated good internal consistency, with a Cronbach's α coefficient of 0.82, 95% CI [0.810, 0.840], and a McDonald's ω coefficient of 0.83, 95% CI [0.811, 0.841]. Overall, the study found that the Chinese version of the Psychological Flexibility Scale demonstrated good reliability and validity.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100769"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893888","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}
Duckhyun Jo, Patrick K. Goh, Stephanie L. Lin, Samuel D. Spencer, Akihiko Masuda
{"title":"Bridging eating disorder symptoms and psychological flexibility and inflexibility in racially diverse emerging adult women: A network analysis","authors":"Duckhyun Jo, Patrick K. Goh, Stephanie L. Lin, Samuel D. Spencer, Akihiko Masuda","doi":"10.1016/j.jcbs.2024.100766","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100766","url":null,"abstract":"<div><p>Previous research has emphasized the importance of identifying the core mechanisms underlying eating disorder psychopathology. However, processes that bridge psychological flexibility (PF) and psychological inflexibility (PI) with eating disorder symptoms have yet to be fully clarified, particularly for racially diverse emerging adult women. To address this empirical gap, the current study employed network analysis to explore the interconnections among PF, PI, and eating disorder symptoms in a racially diverse sample of emerging adult women (<em>N</em> = 389). Analyses produced a sparse network, with bridge nodes identified using bridge expected influence (EI). Multiple bridge nodes were identified within the clusters of PI (i.e., <em>lack of awareness</em>), and eating disorder symptoms (i.e., <em>body dissatisfaction</em>). Specifically, results suggested that <em>lack of awareness</em> (PI) and <em>body dissatisfaction</em> (eating disorder symptoms) play essential roles in connecting eating disorder symptoms with PI, even after accounting for PF. In contrast, PF did not appear to be uniquely associated with the deactivation (or activation) of eating disorder symptoms above and beyond PI. These findings contribute to the development of nuanced treatment and prevention models, especially in process-based cognitive behavioral therapy (PB-CBT). Our study also highlights specific processes as primary targets that, when intervened on, could help alleviate eating disorder symptoms, especially for racially diverse emerging adult women.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100766"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140621746","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":"Remediating rigid rule-following in subclinical obsessive-compulsive disorder using a brief mindfulness task: A case-control pilot study","authors":"Athanasios Hassoulas , Phil Reed , Louise McHugh","doi":"10.1016/j.jcbs.2024.100767","DOIUrl":"10.1016/j.jcbs.2024.100767","url":null,"abstract":"<div><p>A pioneering experiment by Hayes et al. (1986a, b) demonstrated the influence of instructional control and rule-governed behaviour on sensitivity to alternating reinforcement schedules. Hassoulas et al. (2017) replicated the same experimental design in a sample of participants exhibiting obsessive-compulsive behavioural (OCB) traits, supporting the results reported by the original study but also providing further insights into the maintenance of rigid rule following in OCB. The current pilot study replicated the same experimental design and procedure once again, however in considering whether a brief mindfulness-based intervention would facilitate contact with schedule contingencies in a group of participants exhibiting OCB traits. A total of 78 participants were recruited, 38 of whom exhibited OCB traits as measured using the Maudsley Obsessive-Compulsive Inventory (MOCI). The results revealed a significant difference in sensitivity to changing schedules between the group of participants exhibiting OCB traits and those with few such traits (n = 40), dependent on the degree of instructional accuracy they were provided with. The findings of the current study provide insights into the proposed concomitant administration of mindfulness-based interventions, alongside traditional first-line therapeutic modalities currently administered in the management of obsessive-compulsive disorder.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100767"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000474/pdfft?md5=14f3f457bfd8be19808c9ec822740096&pid=1-s2.0-S2212144724000474-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781997","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}
Oscar Lecuona , Carlos García-Rubio , Sara de Rivas , Joana Vidal , Jennifer E. Moreno-Jiménez , Raquel Rodríguez-Carvajal
{"title":"Unveiling the mirage of mindfulness profiles through mindfulness-based stress reduction","authors":"Oscar Lecuona , Carlos García-Rubio , Sara de Rivas , Joana Vidal , Jennifer E. Moreno-Jiménez , Raquel Rodríguez-Carvajal","doi":"10.1016/j.jcbs.2024.100775","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100775","url":null,"abstract":"<div><h3>Objectives</h3><p>The Five Facet Mindfulness Questionnaire (FFMQ) stands out as a standard of mindfulness assessment in scientific literature, although scientific understanding of its properties is still in development. Among them, the FFMQ seems to present latent profiles with specific patterns in its facets. However, no study has explored the behavior of mindfulness profiles across mindfulness-based interventions. This study explores how Mindfulness-Based Stress Reduction (MBSR) impacts mindfulness profiles.</p></div><div><h3>Methods</h3><p>An overall sample of 624 participants were measured pre and post-MBSR in mindfulness, decentering, self-compassion, psychopathological symptoms, well-being, and positive and negative emotional states.</p></div><div><h3>Results</h3><p>MBSR altered the structure of latent profiles, shifting from 3 profiles to 2 profiles: A High Mindfulness minority profile and a General Mindfulness majority profile. These profiles could be interpreted as a single dispositional mindfulness continuum. The Judgmentally Observing and Non-Judgmentally Aware profiles were more present in the High Mindfulness profile post-MBSR. All profiles tended to display increased decentering, self-compassion, well-being, and positive states, while decreased negative states and psychological symptoms. Thus, MBSR seemed to “arrange” latent profiles in a continuum of overall mindfulness.</p></div><div><h3>Conclusions</h3><p>MBSR seems to dissipate heterogeneities in the FFMQ, allocating its measurements to a more homogeneous continuum of mindfulness. Implications and recommendations for future studies are discussed.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100775"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000553/pdfft?md5=8706c6979849dbf150658a6d1c028c5f&pid=1-s2.0-S2212144724000553-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140948421","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}
Valeria Donisi , Silvia Poli , Loretta Berti , Francesca Gobbin , Giorgia Giusto , Michele Capurso , Marco Gagliani , Angela Campo , Giovambattista Presti , Giuseppe Deledda , Russ Harris , Michela Rimondini
{"title":"Combining acceptance and commitment therapy with adventure therapy to face vulnerability: Examples and insights from a sailing experience","authors":"Valeria Donisi , Silvia Poli , Loretta Berti , Francesca Gobbin , Giorgia Giusto , Michele Capurso , Marco Gagliani , Angela Campo , Giovambattista Presti , Giuseppe Deledda , Russ Harris , Michela Rimondini","doi":"10.1016/j.jcbs.2024.100759","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100759","url":null,"abstract":"","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100759"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140618783","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":"The developmental trajectory of college students’ psychological flexibility: Based on latent growth model","authors":"Jing Wang, Shuanghu Fang","doi":"10.1016/j.jcbs.2024.100765","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100765","url":null,"abstract":"<div><p>The purpose of this study is to explore the development law of college students' psychological flexibility (PF), the influencing factors of demographic variables, and group heterogeneity through longitudinal tracking. This study collected the PF data of 1068 college students in three times and constructed the data model. Results show that the PF level of college students exhibited a significant upward trend across the three measurements, gender and left-behind experience had a remarkable impact on the slope factor. It means the PF of college students improves over time, gender and left-behind experience may affect the speed and amplitude of the improvement. The development trajectory of PF of college students showed obvious group heterogeneity and could be divided into the “high flexibility-low development group” (92%) and the “low flexibility-high development group” (8%). It means college students can be divided into two categories, which allows for the implementation of tailored psychological counseling and intervention methods. The practical significance of this study is that it has a certain grasp of the development track and law of college students' PF, which is helpful for mental health educators to teach students by their aptitude. According to the development characteristics of different types of college students' PF, different methods of psychological counseling and intervention are adopted to improve the effectiveness of mental health education.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100765"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140646798","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}
Carlos Schmidt , Joaquim Soler , Daniel Vega , Juan C. Pascual
{"title":"Practice matters: The role of mindfulness skills in emotion dysregulation in borderline personality disorder","authors":"Carlos Schmidt , Joaquim Soler , Daniel Vega , Juan C. Pascual","doi":"10.1016/j.jcbs.2024.100756","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100756","url":null,"abstract":"<div><p>Mindfulness skills training constitute a core element of dialectical behavior therapy (DBT) that has been proposed as a key component to improve emotion dysregulation (ED) in borderline personality disorder (BPD). However, the relationship between the time spent practicing mindfulness skills at home and changes in ED is not well-understood. This study aimed to determine whether daily mindfulness practice meaningfully improves ED, and, if so, the minimum dose needed to do so. A total of 75 BPD outpatients participated in a 10-week DBT mindfulness skill training program. We systematically tracked the participants' mindfulness practice and their ED levels throughout the sessions. A total of 499 observations were recorded. We used multilevel modeling with a time-lagged approach to investigate the association between weekly practice and ED over time. Greater mindfulness practice predicted improvements in ED in the following week. A bidirectional relationship was also found; a higher level of ED impaired subsequent mindfulness practice. When accounting for the previous week's ED level, participants who practiced ≥3 days and >30 min per week experienced a statistically significant decrease in ED compared to those who did not engage in regular practice. These results highlight the key role of mindfulness practice as a behavioral component to improve emotion regulation in individuals with BPD. These findings suggest that therapists should inform patients about the minimum dose of mindfulness practice needed to improve emotion regulation in order to adjust expectations and improve treatment outcomes.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100756"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140338642","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}