{"title":"Stress and mental health: The role of emotional schemas and psychological flexibility in the context of COVID-19","authors":"Rita Sebastião , David Dias Neto","doi":"10.1016/j.jcbs.2024.100736","DOIUrl":"10.1016/j.jcbs.2024.100736","url":null,"abstract":"<div><p>Stress has been associated with mental health. During the COVID-19 pandemic, stress responses were identified as an important factor affecting mental health. However, the mechanisms underlying this relationship remain unclear. Following a process-based approach, emotional schemas and psychological flexibility seem to be promising processes for understanding these impacts. The present study aims to evaluate the role of two potential processes – emotional schemas and psychological flexibility – in the relationship between stress responses and (positive and negative) mental health. A cross-sectional study was conducted with 583 individuals from the Portuguese population (<em>M</em> age = 44.8, 64.3% females). They completed measures of stress responses, emotional schemas, psychological flexibility, positive and negative mental health. The results demonstrated that emotional schemas and psychological flexibility significantly mediate the relationship between stress responses and mental health. Our findings highlight the importance of attending to emotional schemas and psychological flexibility within stressful contexts. Furthermore, it stresses the need to develop individualised intervention programs that target emotional schemas and psychological flexibility to promote and protect mental health, ultimately decreasing symptoms and increasing well-being.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100736"},"PeriodicalIF":5.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000164/pdfft?md5=4eb676cdb1000737137dc05d7afde046&pid=1-s2.0-S2212144724000164-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140057135","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":"Perspective taking reduces the correspondence bias: A systematically replication of Hooper et al. (2015)","authors":"Cibele Pacheco Gomide , William Ferreira Perez , Candido Vinicius Bocaiuva Barnsley Pessôa","doi":"10.1016/j.jcbs.2024.100735","DOIUrl":"10.1016/j.jcbs.2024.100735","url":null,"abstract":"<div><p>Correspondence bias has been extensively described in the scientific literature, along with its harmful consequences to relationships, decision-making, etc. Interventions aiming to reduce correspondence bias or its negative impact have been also offered. In this regard, the present study systematically replicated Hooper et al. (2015) to observe the effect of a brief perspective-taking training based on Relational Frame Theory (RFT-PT) on correspondence bias. Eighty-one participants were randomized into four groups, two experimental groups that underwent training and two control groups that answered a general knowledge questionnaire. To observe the extent of correspondence bias and the effect of training on this phenomenon, all participants were exposed to an experimental condition involving the Attitude Attribution Paradigm consisting of essays in favor of or against meritocracy. This condition demanded that the participant read an essay about meritocracy, supposedly written by a candidate in a selection process, and attribute to the declarant a position in favor or against meritocracy. Attenuation of correspondence bias was observed in the groups that underwent the RFT-PT compared to the control groups, supporting the hypothesis that the opportunity to vary perspectives may decrease correspondence bias. An analysis of correspondence bias in light of the RFT is suggested.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100735"},"PeriodicalIF":5.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140056911","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}
Marissa L. Donahue, Jeremiah E. Fruge, Felicia J. Andresen, Michael P. Twohig
{"title":"Acceptance and commitment therapy (ACT) among U.S. veterans: A systematic review","authors":"Marissa L. Donahue, Jeremiah E. Fruge, Felicia J. Andresen, Michael P. Twohig","doi":"10.1016/j.jcbs.2024.100731","DOIUrl":"10.1016/j.jcbs.2024.100731","url":null,"abstract":"<div><p>Veterans of the United States military represent a large sample of the population and a distinctive culture. Veterans have a high prevalence rate of a variety of psychological disorders and disabilities. Research on treatments that meet the needs of this culturally unique group is essential. Acceptance and Commitment Therapy (ACT) may meet this need with its unified treatment approach and its focus on functioning rather than diagnosis. In this study we examine the current state of the literature of ACT for U.S. Veterans. A systematic review of 249 papers found 34 unique relevant studies involving 21 single arm studies, eight randomized clinical trials, two non-randomized controlled trials, and three case studies that met inclusion criteria. Overall, results suggest ACT is a promising intervention for Veterans across multiple conditions (e.g., anxiety disorders, depression, chronic pain) as well as intervention delivery (in-person and telehealth) and type (group and individual therapy). Limitations highlighted include recruitment methods of studies included, lack of active control conditions, and the limited number of randomized trials. Future researchers should continue to examine which presentations respond to ACT and seek to understand what types of adaptations may be necessary to increase the effectiveness of ACT for U.S. Veterans.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100731"},"PeriodicalIF":5.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140003013","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}
Marina Cunha , Ana Temido , Soraia Moniz , Ana Galhardo
{"title":"Assessing psychological flexibility and mental health in adults: The Psy-Flex European Portuguese version","authors":"Marina Cunha , Ana Temido , Soraia Moniz , Ana Galhardo","doi":"10.1016/j.jcbs.2024.100730","DOIUrl":"https://doi.org/10.1016/j.jcbs.2024.100730","url":null,"abstract":"<div><p>The current study developed the European Portuguese version of the Psy-Flex. Its factor structure was studied through confirmatory factor analysis in a large community sample (N = 700) and cross-validated in calibration and validation samples created from the original sample. Confirmatory factor analyses confirmed a sample and sex-invariant single-factor structure with a very good fit to the data. These analyses supported good reliability and test-retest reliability in the PsyFlex European Portuguese version. Correlations with related and unrelated constructs were indicative of convergent and predictive validity. Because it is short and easy-to-use, it reduces participant burden and may be useful in clinical and research settings. The European Portuguese Psy-Flex version will allow the broadening of research possibilities not only in Portugal but also across cultural contexts.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100730"},"PeriodicalIF":5.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140014515","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":"Suicidality, gender identity-related stressors, and psychological flexibility among transgender and non-binary adults","authors":"Maureen K. Flynn , Olga V. Berkout , Elise Alde","doi":"10.1016/j.jcbs.2024.100732","DOIUrl":"10.1016/j.jcbs.2024.100732","url":null,"abstract":"<div><p>Transgender and nonbinary (TGNB) individuals are at increased risk for suicidality, with gender identity-related distal (i.e., external) and proximal (i.e., internal) stressors (e.g., discrimination and internalized cissexism) potentially contributing to risk. Psychological flexibility and inflexibility have served as protective and risk factors for suicidality among the general population but has yet to be investigated among TGNB individuals and their unique stressors. The current study examined whether psychological flexibility and inflexibility moderated the relationship between minority stressors and suicidality. Participants (<em>n</em> = 333) were recruited from Reddit, Facebook, and organizations that serve gender diverse individuals. Psychological flexibility and inflexibility did not moderate relationships between stressors and suicidality. Exploratory analyses demonstrated that psychological inflexibility contributed to the prediction of suicidality over and above stressor and demographic variables, supporting its importance in a TGNB population. Implications of findings are discussed.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100732"},"PeriodicalIF":5.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140003381","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":"Oncovox: A randomised controlled trial of a web-based acceptance and commitment therapy for breast cancer patients","authors":"Silvia Nicolescu, Eugen-Călin Secară, Nicoleta Monica Jiboc, Adriana Băban","doi":"10.1016/j.jcbs.2024.100729","DOIUrl":"10.1016/j.jcbs.2024.100729","url":null,"abstract":"<div><h3>Background</h3><p>iACT interventions can be cost-effective and convenient for providing evidence-based care to breast cancer patients (BCPs).</p></div><div><h3>Objectives</h3><p>Determining the feasibility, acceptability, and efficacy of Oncovox, a guided iACT intervention designed to improve psychosocial outcomes in BCP undergoing treatment.</p></div><div><h3>Methods</h3><p>A parallel, two-arm, open-label, randomized controlled trial (RCT) evaluating an 8-module intervention. Participants were randomized to the iACT group (N = 75) or a waitlist group (N = 75). Primary outcomes: Quality of Life (QoL), Behavioral Activation (BA), Symptom Interference (SI) and Reward Noticing (RN). Secondary outcomes: anxiety and depression symptoms and psychological flexibility (PF). Measurements were made pre- and post-intervention, twice during the intervention, and at 1- and 2-month follow-up.</p></div><div><h3>Results</h3><p>SI, anxiety and depression, and PF improved significantly, with further improvement at follow-up. QoL, BA and RN improved moderately, but only when imputed data were analyzed<strong>.</strong></p></div><div><h3>Conclusions</h3><p>Oncovox has good dissemination potential and could be appropriately implemented in stepped care.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100729"},"PeriodicalIF":5.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139954169","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}
Clarissa W. Ong , Joseph Ciarrochi , Stefan G. Hofmann , Maria Karekla , Steven C. Hayes
{"title":"Through the extended evolutionary meta-model, and what ACT found there: ACT as a process-based therapy","authors":"Clarissa W. Ong , Joseph Ciarrochi , Stefan G. Hofmann , Maria Karekla , Steven C. Hayes","doi":"10.1016/j.jcbs.2024.100734","DOIUrl":"10.1016/j.jcbs.2024.100734","url":null,"abstract":"<div><p>This article is part of a special issue in the <em>Journal of Contextual Behavioral Science</em> devoted to process-based therapy (PBT) or a process-based approach to therapy and the role it plays in harmonizing existing evidence-based treatments. In the present discussion, we focus on acceptance and commitment therapy (ACT) and how it fits into the PBT framework. We describe how viewing ACT through a PBT framework and its organizing rubric—the extended evolutionary meta-model (EEMM)—provides fertile ground to expand the ACT and psychological flexibility models, transforming ACT into a more inclusive and flexible version of itself and giving clinicians wider berth with respect to delivering ACT. The PBT approach allows ACT to incorporate therapeutic elements that are not traditionally part of the framework, including include cognitive reappraisal, interpersonal therapy dynamics, physiological downregulation, and the principle of nonattachment. Importantly, ACT maintains its foundational principles throughout this integration. We provide a case example of how to use PBT methods to conceptualize an ACT case, to illustrate PBT-infused ACT in practice. Finally, we outline possible future directions for ACT as it continues to evolve inside of PBT.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100734"},"PeriodicalIF":5.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000140/pdfft?md5=a10c39d738512d0f5bb7cef0c9f53228&pid=1-s2.0-S2212144724000140-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139925966","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}
Baljinder K. Sahdra , Joseph Ciarrochi , Korena S. Klimczak , Jennifer Krafft , Steven C. Hayes , Michael Levin
{"title":"Testing the applicability of idionomic statistics in longitudinal studies: The example of ‘doing what matters’","authors":"Baljinder K. Sahdra , Joseph Ciarrochi , Korena S. Klimczak , Jennifer Krafft , Steven C. Hayes , Michael Levin","doi":"10.1016/j.jcbs.2024.100728","DOIUrl":"10.1016/j.jcbs.2024.100728","url":null,"abstract":"<div><p>This study evaluated idionomic methods for identifying within-person links between therapeutically relevant processes and outcomes, using an ecological momentary assessment dataset of valued action and hedonic well-being (participants (<em>n</em>) = 425; 71.76% female; age = <em>M</em>(<em>SD</em>) = 22.20 (6.85); sampling design: 3–4 prompts per day; total measurements (<em>n</em>) = 6456). We compared the idionomic approach, integrating idiographic and nomothetic insights, with traditional multilevel modeling (MLM). Our methods included idiographic autoregressive integrative moving average models with an exogenous variable (i-ARIMAX), multivariate random-effects meta-analysis (RE-MA), deep Gaussian mixture modeling (DGMM), and multilevel vector autoregression modeling (Multilevel-VAR). The results showed that i-ARIMAX outperformed MLM in capturing within-person heterogeneity in the links between valued action and affect variables. Increases in values-based living were positively related to hedonic well-being but this effect showed a high degree of heterogeneity. A sub-group was identified, which we labeled the ‘Stoics,’ whose daily engagement in valued actions did not produce higher hedonic well-being (e.g., lower sadness or higher joy). Multilevel-VAR further revealed that for Stoics, stressful situations were linked to valued action, but not hedonic well-being. For Non-Stoics, valued action was less likely in stressful situations, but when valued action did occur it was associated with more joy and less sadness. The study offers initial evidence suggesting the superiority of an idionomic approach over a purely nomothetic one in capturing diverse pathways to clinically relevant outcomes. Idionomic methods may be useful or even necessary in personalizing psychological interventions, and thus may need to be considered by researchers and practitioners alike.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"32 ","pages":"Article 100728"},"PeriodicalIF":5.0,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724000085/pdfft?md5=93d8a73b60b5c89b1849c69c83a3055c&pid=1-s2.0-S2212144724000085-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139926028","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}
Dana Paliliunas, Breanna Lee, Kam Barker, Madeline Caughron
{"title":"Verbal relations in the context of university experience: An exploratory analysis using a relational density theoretical framework and case example","authors":"Dana Paliliunas, Breanna Lee, Kam Barker, Madeline Caughron","doi":"10.1016/j.jcbs.2023.100719","DOIUrl":"10.1016/j.jcbs.2023.100719","url":null,"abstract":"<div><p><span>College students report experiencing challenges to their mental health and wellbeing that impact their </span>academic performance<span> and experience in the university setting, however analyses of their verbal relations in the context of university experience are more limited. The present studies attempt to provide an exploratory analysis of the verbal experience of college students using a Relational Density Theory framework and a case example demonstrating the impact of a synthesized approach that targets both relational behavior and environmental context. In Study 1, we modeled relational frames related to university experience using a multidimensional scaling procedure. Participants were divided into groups based on reported psychological flexibility, and the differences between high- and low-flexibility groups were examined. In Study 2, we provide a case example of the effect of an intervention framework referred to as Values-Based Self-Management that targets psychological flexibility development and behavior change using Acceptance and Commitment Therapy and self-management approaches on a participant's university experience, examining changes in participant psychological wellbeing, academic engagement, and performance, including a measure of relational behavior via the multidimensional scaling procedure. Results suggest improvements in self-reported and self-monitored variables as well as differences in relational behavior from pre-to post-test. Implications for assessment and intervention for college students are discussed, however the results of this study should be considered exploratory due to the novel procedures and limited sample.</span></p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"31 ","pages":"Article 100719"},"PeriodicalIF":5.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139026800","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":"A multi-sample investigation of psychological flexibility processes and reactive and proactive functions of aggression","authors":"John J. Donahue , Brittany Buck , Kapil Chauhan","doi":"10.1016/j.jcbs.2024.100721","DOIUrl":"10.1016/j.jcbs.2024.100721","url":null,"abstract":"<div><p><span>Both theory and empirical research support the application of the psychological flexibility model to understanding aggressive behavior. However, methodological limitations persist, as studies have generally relied upon a single measure of psychological inflexibility, and measures of aggression typically fail to differentiate aggressive behavior based on function. This limits our ability to understand how specific dimensions of psychological (in)flexibility relate to functional differences in aggression. To extend this line of research, the primary aim of this study was to examine the associations between proactive and reactive aggression, and multiple measures of psychological (in)flexibility processes, across three samples: one undergraduate (</span><em>N</em> = 116) and two online community samples (<em>N</em> = 262 and <em>N</em><span><span> = 317). Further, we examined the unique contribution of psychological (in)flexibility processes in the prediction of aggression, over and above negative affect-related variables. Proactive and reactive aggression was assessed across all samples, with individual samples also responding to various measures of anger, negative affect, negative urgency, experiential avoidance, cognitive fusion, valued living, or a multidimensional measure of psychological flexibility. Correlational and </span>regression analyses revealed that inflexibility processes were generally associated with reactive aggression, but more inconsistent associations were found with proactive aggression in multivariable models. Flexibility processes, on the other hand, exhibited inconsistent and sometimes unexpected associations with aggression. The psychological flexibility model appears useful in understanding different functions of aggressive behavior, however additional research is necessary to clarify the nature of discrepancies within and between samples.</span></p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"31 ","pages":"Article 100721"},"PeriodicalIF":5.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139375202","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}