{"title":"Latent structure, measurement invariance, and further validation of an Arabic version of the brief experiential avoidance questionnaire","authors":"Ahmad Kassab Alshayea","doi":"10.1016/j.jcbs.2024.100807","DOIUrl":"10.1016/j.jcbs.2024.100807","url":null,"abstract":"<div><p>Experiential avoidance (EA) is a key construct in psychopathology research and practice. Thus, various measures were constructed to assess it, including the Brief Experiential Avoidance Questionnaire (BEAQ). Nevertheless, an Arabic version of the BEAQ has yet to be available, a demand that this study was conducted to fulfill. An Arabic version (BEAQ-A) was developed and tested psychometrically using data from 599 Saudi participants who completed the measures online (Mage = 28.93, ± 8.35, 65.9 % women). Exploratory and confirmatory factor analyses uncovered a 14-item hierarchical structure that comprised one second-order factor and three first-order factors: Perceived Avoidance (PA; 10 items), Procrastination (Proc.; 2 items), and Repression/Denial (RD; 2 items). Utilizing further data from a second sample that completed a paper and pencil (PP) version (N=324, Mage = 22.09, ± 3.92, 56.2 % women), this structure appeared to be partially invariant across modes of administration and gender. The Proc. and R/D loaded significantly, along with psychological distress and negative affectivity items, on the same factor in an EFA, thereby undermining their discriminant validity. All subscales demonstrated good internal consistency reliability. The R/D and BEAQ-A total scores were unique predictors of psychological inflexibility and negative affect. In contrast, depressive and anxiety symptoms, positive affect, and well-being were predicted by Proc. and R/D. In general, findings supported the psychometric suitability of BEAQ-A. However, further research is warranted to replicate findings in larger samples and examine the measure's clinical utility.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100807"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852076","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}
Rony Kapel Lev-ari , Roy Aloni , Daniella Margalit , Amichai Ben Ari
{"title":"Shared trauma: Examining the moderating role of parental psychological flexibility and self-compassion on PTSD and distress in refugee families","authors":"Rony Kapel Lev-ari , Roy Aloni , Daniella Margalit , Amichai Ben Ari","doi":"10.1016/j.jcbs.2024.100826","DOIUrl":"10.1016/j.jcbs.2024.100826","url":null,"abstract":"<div><h3>Background</h3><p>Russia's 2022 assault on Ukraine caused widespread destruction and displacement, affecting families. War and displacement heighten the risk of mental health issues, particularly when both parents and children are exposed to trauma. Resilience factors such as parental self-compassion and psychological flexibility might play a crucial role in moderating the symptoms.</p></div><div><h3>Objective</h3><p>This study aimed to investigate the mental health issues among parent-child refugees and assess their association with parental self-compassion and psychological flexibility.</p></div><div><h3>Method</h3><p>50 parent-child refugees who arrived in Israel after fleeing the war in Ukraine participated in the study. Parents completed self-report questionnaires assessing mental health issues and resilience factors regarding them and their children.</p></div><div><h3>Results</h3><p>56% of parents and 2% of children met the PTSD cutoff, while 56% of parents and 50% of children met the criteria for general psychological distress. Associations were found between children's PTSD, general distress, and those of their parents. High levels of parental psychological flexibility, self-kindness, and common humanity eliminated the association between parent and child symptoms. While in low and medium levels of these factors, children's PTSD and distress were linked to their parents.</p></div><div><h3>Conclusions</h3><p>Refugee parents and children mutually influence each other's mental health difficulties. Parental psychological flexibility and self-compassion may moderate these dynamics, offering potential assistance in managing and alleviating children's symptoms. Targeting these parental resilience factors in treatment can enhance outcomes, improving the overall mental well-being of both children and parents.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100826"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142077387","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}
Thomas B. Sease , Mathew Andersland , David R. Perkins , Emily K. Sandoz , Caleb Jean , Hunter Sudduth , Cathy R. Cox
{"title":"Surrendering to thrive: Evaluating the psychometric properties of the State of Surrender (SoS) scale and its relationship with well-being","authors":"Thomas B. Sease , Mathew Andersland , David R. Perkins , Emily K. Sandoz , Caleb Jean , Hunter Sudduth , Cathy R. Cox","doi":"10.1016/j.jcbs.2024.100815","DOIUrl":"10.1016/j.jcbs.2024.100815","url":null,"abstract":"<div><p>State of Surrender (SoS)—the willingness to accept what is to come without resistance—has been conceptualized as a psychological state associated with heightened well-being. Conceptually, SoS bears a resemblance to existing constructs shown to be related to psychological health (e.g., psychological flexibility, mindfulness). As such, the purpose of this paper was to evaluate the psychometric proprieties of the SoS scale, demonstrate its novelty as a correlate of well-being, and experimentally manipulate a surrender state. Study 1 found that the SoS scale consisted of a single factor associated with thriving and flourishing, even while controlling for significant covariates. Study 2 confirmed the single-factor solution and identified social connectedness and self-compassion as statistical mediators of the relationship between SoS and happiness. Finally, Study 3 demonstrated that SoS could be manipulated using a mindfulness exercise; people completing a 10-min mindfulness practice reported higher levels of SoS when compared to a time-matched control. Implications and future directions are discussed.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100815"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141945129","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}
Erin K. Johns, Seint Kokokyi, Darren Neufeld, Valerie Krysanski, Benjamin P. Meek
{"title":"Taking ACTion for anxiety and depression: A pilot study of a brief virtual Acceptance and commitment therapy group in primary care","authors":"Erin K. Johns, Seint Kokokyi, Darren Neufeld, Valerie Krysanski, Benjamin P. Meek","doi":"10.1016/j.jcbs.2024.100812","DOIUrl":"10.1016/j.jcbs.2024.100812","url":null,"abstract":"<div><p>Brief Acceptance and Commitment Therapy (ACT) interventions are well-suited to facilitate timely access to effective treatment for patients experiencing common mental health concerns. This study piloted a 4-session virtual ACT group for primary care patients experiencing symptoms of depression and anxiety (<em>n =</em> 21). Changes in symptoms of depression and anxiety, psychological flexibility, and quality of life (QoL) were examined at post-treatment and at 1- and 3-month follow-up. At a group level, there were significant reductions in symptoms of depression for all time points and symptoms of anxiety were significantly reduced at 1- and 3-month follow-up. Measures of psychological flexibility and QoL were significantly improved at 1- and 3-month follow-up. Reliable change index scores revealed high proportions of individual improvement for depression and anxiety symptoms (56–83% across time points). Proportions of reliable change ranged from 25 to 50% for measures of psychological flexibility and QoL at 1- and 3-month follow-up. Overall, these results are comparable with previously reported rates of improvement for empirically supported treatments and provide preliminary evidence for the effectiveness of this brief ACT intervention delivered in a community setting.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100812"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000929/pdfft?md5=b34020ddcdc444468dccc4e1ae5c862e&pid=1-s2.0-S2212144724000929-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848699","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":"Acceptance and commitment therapy: What the history of ACT and the first 1,000 randomized controlled trials reveal","authors":"Steven C. Hayes , Grant A. King","doi":"10.1016/j.jcbs.2024.100809","DOIUrl":"10.1016/j.jcbs.2024.100809","url":null,"abstract":"<div><p>Contextual Behavioral Science (CBS) and Acceptance and Commitment Therapy or Training (“ACT” in either case) are arguably entering their 5th decade of development. This paper describes features of their early history and divides development into three phases, plus a fourth that is just beginning. In the context of that review, it examines what can be learned by a content analysis of the first ∼1000 randomized controlled trials on ACT-based interventions, from 1986 through 2022. The expansive vision of CBS and the early ACT research base defined their breadth as far wider than psychological intervention targeting traditional psychiatric syndromes, emphasizing instead the principles, processes, and components needed for a more generally applicable approach. After an era of scientific establishment, ACT research has expanded globally and topically. Many RCTs now take place in lower- and middle-income countries with cultural and policy environments that give rise to unique research priorities. Finally, based on the ACBS Task Force Report and new research findings, we suggest that ACT research may be entering a new era of personalized and process-based intervention based on new “idionomic” forms of functional analysis.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100809"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000899/pdfft?md5=16f670a61f9bec5eecb02323d2278f9b&pid=1-s2.0-S2212144724000899-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853833","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}
Chu Wu , Yafei Tan , Scott D. Blain , Shiyu Shao , Lei Jia , Xiaoqin Wang
{"title":"Corrigendum to ‘Emotion regulation difficulties in depression and anxiety: Evidence from the dynamics of strategy use and daily affect’ [Journal of Contextual Behavioral Science 33 (2024) /100781]","authors":"Chu Wu , Yafei Tan , Scott D. Blain , Shiyu Shao , Lei Jia , Xiaoqin Wang","doi":"10.1016/j.jcbs.2024.100825","DOIUrl":"10.1016/j.jcbs.2024.100825","url":null,"abstract":"","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100825"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724001054/pdfft?md5=c3e5fe5cdc1cef876945cda591f028fe&pid=1-s2.0-S2212144724001054-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048600","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}
Re Gal Lim , Siok Ping Voon , Fatahyah Yahya , Fitri Suraya Mohamad , Aidi Ahmi
{"title":"Global and LMIC insights into Acceptance and Commitment Therapy (ACT): A bibliometric study from 1998 to 2023","authors":"Re Gal Lim , Siok Ping Voon , Fatahyah Yahya , Fitri Suraya Mohamad , Aidi Ahmi","doi":"10.1016/j.jcbs.2024.100796","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100796","url":null,"abstract":"<div><p>This bibliometric study examined the current state, publication trends, key authors and counties, inter-country collaboration, and research themes of the Acceptance and Commitment Therapy (ACT) publications produced globally and in low-to-middle-income countries (LMIC) from 1998 to 2023. 1458 ACT publications, with 287 (19.68%) publications from LMIC, were extracted from the Scopus database and analyzed using biblioMagika, OpenRefine, VOSviewer, and Biblioshiny. The global publications received 41,357 citations over 25 years, while the LMIC publications received approximately 4% (n = 1,713) of the total citations since its first publication in 2010. Most ACT publications were written in English (92.80%) and focused on the fields of psychology and medicine. Publication output rose over time, yet citation trends varied globally and in LMIC. Michael Twohig was the most prolific author with 71 publications, whereas Steven Hayes was the most highly cited author with 6,115 total citations. The US, UK, Iran, and China were the most productive contributors in the global and LMIC contexts, accounting for 51.9% (n = 757) and 76.3% (n = 219) of total publications, respectively. Additionally, the US was the central hub of international scholarly collaboration while limited inter-country collaboration existed in some parts of Asia and Europe. Co-word and factorial analyses identified thematic clusters, knowledge evolution, and potential research opportunities for ACT scholars.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100796"},"PeriodicalIF":3.4,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141439185","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":"Optimizing process-based therapy: A Boruta-driven approach to Identifying key clinical outcomes in a Swedish validation of the process-based assessment tool (PBAT)","authors":"Andreas B. Larsson , Felicia T.A. Sundström","doi":"10.1016/j.jcbs.2024.100794","DOIUrl":"10.1016/j.jcbs.2024.100794","url":null,"abstract":"<div><h3>Background</h3><p>The Process-Based Assessment Tool (PBAT), is an item pool showing promising results in assessing psychological processes of change relevant for both psychotherapy and research in its original English version. However, further research focusing on translation and validation in other languages is needed for broader applicability. This study aims to translate and validate the PBAT in Swedish, and to examine the relationship with common clinical outcome variables.</p></div><div><h3>Methods</h3><p>The PBAT and STOP-D were translated and culturally adapted to Swedish. The study included 427 Swedish-speaking participants recruited online, with a mean age of 48. The PHQ-4 and Single Item Stress Scale were used as criterion variables. Correlational analyses and the Boruta feature selection algorithm were employed for data analysis.</p></div><div><h3>Results</h3><p>The translated PBAT demonstrated significant correlations with clinical outcomes, indicating its effectiveness in a Swedish context. Positive PBAT items correlated with higher vitality and health, while negative items were predictive of sadness, anxiety, and stress. The Boruta analysis highlighted the importance of specific PBAT items to different clinical outcomes, underscoring the tool's validity.</p></div><div><h3>Conclusion</h3><p>The Swedish version of the PBAT shows strong validity and reliability in assessing psychological health. This study contributes to the cross-cultural applicability of the PBAT, offering a valuable tool for psychological assessment in the Swedish context.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100794"},"PeriodicalIF":3.4,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000747/pdfft?md5=1bad0c302e027a17e13fb6644361b283&pid=1-s2.0-S2212144724000747-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141407683","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}
Eric B. Lee, Irene A. Miller, Kenneth Bro, Mike Robertson, Myles Arendtson, Sarah T. Loew, Andy D. Wall
{"title":"Performance-based acceptance and commitment training in a collegiate flight program","authors":"Eric B. Lee, Irene A. Miller, Kenneth Bro, Mike Robertson, Myles Arendtson, Sarah T. Loew, Andy D. Wall","doi":"10.1016/j.jcbs.2024.100795","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100795","url":null,"abstract":"<div><p>Students in flight training programs experience high levels of stress and anxiety that may impede their performance on practical exams. The restrictive nature of Federal Aviation Administration (FAA) regulations and perceived negative consequences of seeking mental health treatment further exacerbates these challenges. This study examined the efficacy of performance-based acceptance and commitment training (ACT) in enhancing psychological flexibility, resilience, and mental well-being as well as improving FAA practical examination outcomes among collegiate flight training students. A randomized controlled trial was used to compare outcomes between students receiving a six-week ACT intervention (n = 23) and a control group (n = 27). The planned sample size of 100 was not achieved, thus, the analyses were underpowered and should be cautiously interpreted. Results indicate significant improvements among intervention participants in anxiety sensitivity (<em>g</em> = 0.43) and psychological flexibility (<em>g</em> = 0.58) compared to those in the control group. However, no significant differences in examination pass rates or time to completion were found between groups. To examine idiographic differences, individual change scores were plotted, demonstrating the heterogeneity of effects between participants. Potential explanations for the intervention's lack of effect on practical exam performance are discussed and suggestions are given to improve future performance-based interventions in this unique context.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100795"},"PeriodicalIF":5.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141323813","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}
Samara Barrera-Caballero , Rosa Romero-Moreno , María Márquez-González , Lucía Jiménez-Gonzalo , Cristina Huertas-Domingo , Javier Olazarán , Andrés Losada-Baltar
{"title":"Longitudinal effects of cognitive fusion in depressive and anxious symptoms of family caregivers of people with dementia.","authors":"Samara Barrera-Caballero , Rosa Romero-Moreno , María Márquez-González , Lucía Jiménez-Gonzalo , Cristina Huertas-Domingo , Javier Olazarán , Andrés Losada-Baltar","doi":"10.1016/j.jcbs.2024.100782","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100782","url":null,"abstract":"<div><p>Family dementia caregiving has been commonly associated with psychological distress for caregivers. Cognitive fusion, that is, the tendency to become too entangled in thoughts, beliefs, or judgments (in the absence of objectivity) that may often lead to rigid thinking and impact psychological distress, is a transdiagnostic and central process of psychological inflexibility. Cross-sectional studies have shown that family caregivers of people with dementia who could present high levels of stress may be vulnerable to experiencing psychological symptoms such as depression and anxiety (even comorbidity) if they present this rigid way of thinking without seeing the objectivity of their thoughts, which could be related to aspects of the family member's dementia or helplessness in being a caregiver, for example. Specifically, studies in the caregiving field, as well as in other populations, suggest that cognitive fusion could play a mediating role in the relationship between stress and psychological symptoms. However, the predictive role of caregivers' cognitive fusion on psychological distress has not been analyzed in longitudinal studies. The objective of this study was to analyze the longitudinal effect of cognitive fusion in depressive and anxious symptoms after controlling for other relevant variables in a sample of Spanish family caregivers. Face to face assessments were conducted with a total of 176 Spanish family dementia caregivers. The study involved three assessments in a two-year period (baseline, 12 and 24 months). Linear mixed model analysis was used to analyze the associations between time-varying values of frequency and reaction to care-recipient behavioral problems, cognitive fusion, and caregivers' depressive and anxiety symptoms. Increases in cognitive fusion significantly predicted depressive and anxious symptoms (p < 0.01). In addition, reaction to care-recipients’ behavioral problems and being a female caregiver predicted increases in anxiety symptoms over time (p < 0.05). These results suggested that cognitive fusion may constitute a core dysfunctional mechanism involved in depressive and anxious symptoms. Psychological strategies aimed at reducing cognitive fusion and stress levels may be especially helpful for reducing caregivers' distress.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100782"},"PeriodicalIF":5.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291750","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}