{"title":"FACT: A pilot study of process-based therapy to promote occupational well-being","authors":"Juanjo Macías-Morón , Luis Valero-Aguayo","doi":"10.1016/j.jcbs.2024.100761","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100761","url":null,"abstract":"<div><p>The current study tests the effects of a brief intervention program based on the contextual therapies (Acceptance and Commitment Therapy and Functional Analytic Psychotherapy) to enhance the well-being and interpersonal relationships in the workplace. This research represents a unified model (FACT) based on functional contextualism. As pilot study, we present the application with two workers with relational and emotional problems between them. We use a single-case design measuring pre, post and follow-up after six months. The assessment was made with various questionnaires and direct measurement of clinically relevant behaviors. The total intervention was carried out individually for a month and a half. The results revealed improvements in both employees about their personal and professional relationships, and also appearing generalisation with improvements in other areas (intimacy, personal relationships, family, friends). The study has implications by highlighting the importance of behavioral analysis or problems in work relationships, and by showing that the integration of contextual therapies can produce rapid results in non-clinical situations. Lastly, the in-depth insight into the change processes triggered by the interventions with FACT as a way to include this approach based on evidence philosophy applied in the workplace.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100761"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140632715","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 impact of functional class and depressive symptomatology on rule-based insensitivity","authors":"Conor McCloskey, Alison Stapleton, Louise McHugh","doi":"10.1016/j.jcbs.2024.100774","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100774","url":null,"abstract":"<div><p>Rule-governed behavior (RGB) is important for accounting for complex human behavior, as well as informing clinical practice. In line with Relational Frame Theory, RGB is divided into functional classes including pliance, which is rule-following under the control of apparent arbitrary social consequences, and tracking, which is rule-following under the control of apparent natural non-arbitrary consequences. In theory, pliance should produce lower levels of contingency sensitivity compared to tracking, but how this effect relates to nonclinical populations is unclear. This study (<em>n</em> = 134) tested the relationship between contingency sensitivity in pliance and tracking through a Matching-to-Sample task, while incorporating a measure of depressive symptomatology to test if a distinction in insensitivity would be seen in nondepressed participants. Results indicated that pliance was associated with lower levels of contingency sensitivity relative to tracking overall, and that depressive symptomatology did not influence this. Results are discussed in relation to prior inconsistencies in the experimental literature on RGB, and potential methods for operationalizing pliance in experimental settings.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100774"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000541/pdfft?md5=f14db06805df7361b66bf4b3ba4ab273&pid=1-s2.0-S2212144724000541-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140948439","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":"A randomized controlled trial comparing two guided self-help Acceptance and Commitment Therapy formats to education on pain","authors":"Marie-Eve Martel , Frédérick Dionne , M. Gabrielle Pagé , Manon Choinière","doi":"10.1016/j.jcbs.2024.100760","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100760","url":null,"abstract":"<div><p>Acceptance and Commitment Therapy (ACT) is an evidence-based treatment for chronic pain, but accessibility remains a major challenge. Self-help interventions are promising as they offer a cost-effective solution and can be widely accessible, but no study has yet directly compared different formats of ACT self-help for chronic pain. Furthermore, most studies conducted so far have not compared to an active control condition. This study aimed to evaluate the effectiveness of guided self-help interventions (internet-delivered, bibliotherapy) based on ACT in comparison to an education intervention among adults from the community living with chronic pain. Participants (N = 297) were randomly assigned to an internet-delivered ACT condition, an ACT-based bibliotherapy condition, or an active control condition receiving education on pain through online pamphlets. Participants completed questionnaires at baseline, after the 9-week intervention, and at 3- and 6-month follow-ups. The primary outcome was pain disability at post-intervention and secondary outcomes were depression, anxiety, and quality of life. Results of mixed linear models showed statistically significant main effects of time for pain disability (<em>F</em> = 15.15, <em>p</em> = 0.000), depression (<em>F</em> = 6.82, <em>p</em> = 0.000), anxiety (<em>F</em> = 4.88, <em>p</em> = 0.003) and quality of life (<em>F</em> = 6.85, <em>p</em> = 0.000) for all three interventions. Findings suggest all three self-help formats can lead to reductions in pain disability, depression, anxiety, and improvements in quality of life. These findings have important implications for accessibility of care. Limitations and future directions will be discussed.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100760"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000401/pdfft?md5=b75779c37116e37aa5295faecaf85b5a&pid=1-s2.0-S2212144724000401-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140948433","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}
Andrea Krotter , Gema Aonso-Diego , Ana González-Menéndez , Alba González-Roz , Roberto Secades-Villa , Ángel García-Pérez
{"title":"Effectiveness of acceptance and commitment therapy for addictive behaviors: A systematic review and meta-analysis","authors":"Andrea Krotter , Gema Aonso-Diego , Ana González-Menéndez , Alba González-Roz , Roberto Secades-Villa , Ángel García-Pérez","doi":"10.1016/j.jcbs.2024.100773","DOIUrl":"10.1016/j.jcbs.2024.100773","url":null,"abstract":"<div><p>The use of acceptance and commitment therapy (ACT) has expanded in the field of addictive disorders in recent years. This systematic review and meta-analysis examined the effectiveness of ACT compared to other active interventions in terms of treatment completion, addiction-related outcomes, and changes in psychological flexibility. Searches were conducted in PsycINFO, PubMed, Scopus, and Web of Science. Four random-effects meta-analyses were conducted to assess the effectiveness of ACT in terms of completion rates and abstinence at the end of treatment (EOT), in the short term (≤6 months follow-up), and in the long term (>6-month follow-up). Participants’ sex and age, the number of ACT sessions, the characteristics of the experimental condition (i.e., ACT combined with pharmacological intervention or non-combined) and the comparison condition (i.e., ACT compared to cognitive-behavioral therapy [CBT] or non-CBT interventions), treatment modality (face-to-face or technology-based approaches), and the targeted addictive behavior were examined as moderators. A total of 28 studies were included in the systematic review and 22 in the meta-analysis. There were no differences in EOT completion rates (Log RR = 0.0038; 95% CI: −0.026, 0.034). ACT increased the odds of abstinence at EOT (Log RR = 0.264; 95% CI: 0.046, 0.482) and at short-term follow-up (Log RR = 0.295; 95% CI: 0.108, 0.483), but not in the long term (Log RR = 0.164; 95% CI: −0.101, 0.430). ACT demonstrated higher abstinence rates than CBT conditions at EOT (<em>p</em> = 0.002). A lower age increased abstinence rates in the short (<em>p</em> = 0.004) and long term (<em>p</em> < 0.001), whereas a greater number of ACT sessions increased long-term abstinence rates (<em>p</em> < 0.001). ACT is an effective approach for promoting short-term abstinence. In the long term, it is at least as effective as other empirically validated therapies, such as CBT. Further studies are needed to clarify the effects of increasing psychological flexibility on addictive behaviors.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100773"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221214472400053X/pdfft?md5=5b7d65936ac8daf124b22d2e7dadb353&pid=1-s2.0-S221214472400053X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141038278","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}
T. Holmberg Bergman , A. Sandred , T. Lindström , P. Lappalainen , A. Ghaderi , T. Hirvikoski
{"title":"A psychometric evaluation of the parental acceptance and action questionnaire (PAAQ) in parents of children with and without disabilities","authors":"T. Holmberg Bergman , A. Sandred , T. Lindström , P. Lappalainen , A. Ghaderi , T. Hirvikoski","doi":"10.1016/j.jcbs.2024.100757","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100757","url":null,"abstract":"<div><p>Parental psychological inflexibility, particularly characterized by experiential avoidance, represents a significant risk factor for chronic stress and psychological distress. The Parental Acceptance and Action Questionnaire (PAAQ) is a context-specific instrument for the measurement of parental psychological inflexibility. This study aimed to evaluate the psychometric properties of the original composite version of the 19-item PAAQ across the three distinct Swedish samples; a community sample (n = 1018), a clinical sample of treatment-seeking parents of children with disabilities (n = 667), and a test-retest sample (n = 337). The Principal Axis Factoring of the PAAQ in the community sample yielded a 16-item, three-factor solution: 1) action-taking and flexibility in the parenting context, 2) experiential acceptance of internal experiences related to parenting, and 3) experiential acceptance of child's internal experiences. This factor model was supported by the confirmatory factor analysis in the test-retest sample. The associations observed with related constructs (<em>r</em> = between 0.49 and 0.61, <em>p</em> < 0.0001) indicated good discriminant validity. The Receiver Operator Characteristic analysis demonstrated that the PAAQ can effectively classify between the clinical and community sample, achieving 79% sensitivity and 68% specificity. The showed good test-retest reliability (<em>r</em> = 0.82). As anticipated, the parents in the clinical sample showed greater psychological inflexibility compared to parents in the community sample. To conclude, the 16-item Swedish version of the PAAQ demonstrates adequate to good psychometric qualities.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100757"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000371/pdfft?md5=81869a30eb74367eb9bc72bb8caed99d&pid=1-s2.0-S2212144724000371-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140543173","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":"Two-session contextual couples therapy via videoconferencing in Japan: A feasibility randomized controlled trial","authors":"Takashi Mitamura, Chisato Tani, Cheng Liu, Junko Shinsha, Azusa Harada","doi":"10.1016/j.jcbs.2024.100763","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100763","url":null,"abstract":"<div><p>Although divorce rates are increasing in Japan, studies on the relationships of Japanese couples are lacking. This is the first empirical study on couples therapy in Japan. We developed <em>Contextual Couples Therapy (CCT)</em>, a principle-based intervention comprising two sessions for Japanese couples. We evaluated the efficacy and feasibility of the intervention in a randomized controlled trial. A total of 36 individuals (18 couples) were randomly assigned to CCT (<em>n</em> = 16) and waitlist control conditions (<em>n</em> = 20). Couples were assessed at pre- and post-treatment and 1- and 3-month follow-ups using the Couples Satisfaction Index. The results indicated that CCT significantly improved the quality of relationships, and the effects were maintained at 1- and 3-month follow-ups. The findings on the satisfaction and acceptability of CCT are encouraging for conducting full-scale randomized control trials.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100763"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140646797","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}
Vincent Allen , Danielle Lottridge , Sally Merry , Karolina Stasiak
{"title":"Building a digital tool to support focused acceptance and commitment therapy practitioners in New Zealand primary care: A qualitative exploration of user needs to guide software feature development","authors":"Vincent Allen , Danielle Lottridge , Sally Merry , Karolina Stasiak","doi":"10.1016/j.jcbs.2024.100762","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100762","url":null,"abstract":"<div><p>Mental health service scalability needs to be improved to meet the growing global demand. The scalability of Focused Acceptance and Commitment Therapy (fACT), a popular evidence-based brief behavioural intervention used in primary care contexts, could be improved through the development and implementation of a digital tool that supports practitioners to overcome service-delivery problems within their practice context.</p><p>Through semi-structured in-depth interviews with 12 fACT practitioners, we examined the service-delivery problems that they face within the New Zealand primary care context and identified organisational factors which may be contributing to these problems. From these interviews, six key themes emerged: (1) The brief model works for most clients but is not suitable for every client, (2) practitioners often struggle to access culturally appropriate fACT congruent exercises and psychoeducation material, (3) practitioners feel that they need additional training to maintain good model fidelity, (4) short session times can negatively impact model delivery, (5) public health employed practitioners have high workloads and are often unable to refer clients to secondary or crisis services, and (6) fACT practitioners are unable to effectively follow up with their clients post-session.</p><p>This study is part of a broader project aimed at developing an adjunctive digital tool to support the delivery of fACT in New Zealand primary care. These interviews will help us to understand the problems practitioners face in this service-delivery context, identify context-specific factors that may be causing these problems, and offer insights into the necessary features of an engaging digital tool designed to improve model scalability.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100762"},"PeriodicalIF":5.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140549537","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}
Cristiana C. Marques , Kenneth Goss , Miguel Castelo-Branco , Ana T. Pereira , Paula Castilho
{"title":"Food Thought Suppression Inventory: Item response theory and measurement invariance in Portuguese adults","authors":"Cristiana C. Marques , Kenneth Goss , Miguel Castelo-Branco , Ana T. Pereira , Paula Castilho","doi":"10.1016/j.jcbs.2024.100752","DOIUrl":"10.1016/j.jcbs.2024.100752","url":null,"abstract":"<div><p>The Food Thought Suppression Inventory (FTSI) is a 15-item measure to assess cognitive suppression related to food. The present study aimed to: 1) study the original 15-item FTSI in both women and men through item response theory (IRT), using a graded response model; 2) replicate the factor structure obtained previously in a women sample and test the measurement invariance across body mass index (BMI) groups. In Study 1 (<em>N</em> = 434), the IRT model resulted in an 11-item FTSI shortened version that was equivalent across a community sample of women and men. The original FTSI was highly correlated with the FTSI short version. The short version also presented comparable correlations as the original scale in relation to body image cognitive fusion, psychological flexibility and eating psychopathology. In Study 2 (<em>N</em> = 435), confirmatory factor analyses revealed that the FTSI short version fitted the data well among women with normal weight and those with overweight/obesity, with the measure demonstrating invariance across both groups. These findings indicate that the FTSI short version, comprising the highest quality items, is a reliable and valid measure to assess food thought suppression in both women and men, and maintains the same factorial structure across women's BMI groups. Clinical implications were addressed.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100752"},"PeriodicalIF":5.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269336","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}