Australian Psychologist最新文献

{"title":"The Fears of Compassion in Sport Scale: a short, context-specific measure of fear of self-compassion and receiving compassion from others validated in UK athletes","authors":"Shuge Zhang, K. McEwan","doi":"10.1080/00050067.2023.2183108","DOIUrl":"https://doi.org/10.1080/00050067.2023.2183108","url":null,"abstract":"ABSTRACT Objective Despite the many benefits of compassion, athletes fear being compassionate. To provide a valid and reliable psychometric tool for sport researchers and practitioners, we developed and validated a Fears of Compassion in Sport Scale (FCSS), based on an existing measure of fears of compassion in general life domains. Method We generated FCSS items measuring sport-specific fear of self-compassion (FSC) and receiving compassion from others (FCO). Following a content evaluation of FCSS items, we assessed psychometric properties of the new instrument in three samples of UK athletes (total N = 792). Results The FCSS demonstrated very good factorial, concurrent, discriminant, predictive validity, measurement invariance (especially across sport types and competitive levels), internal consistency, and test-retest reliability. Both FSC and FCO in sport were negatively associated with self-compassion and associated positively with narcissistic vulnerability and psychological distress. Athletes were more fearful of self-compassion but less fearful of receiving compassion in sport compared to in general life. However, it was FCO, not FSC, that predicted psychological distress at three months follow-up. Conclusion The new instrument offers a way to assess fears of compassion in sport. The present research provided new knowledge regarding different manifestations of fears of compassion in sport. Key points What is already known about this topic: (1) Compassionate mind training offers emotion regulation benefits and is known to facilitate athletes in establishing and maintaining mental health. (2) However, athletes have raised concerns over embracing compassion because they are fearful of becoming mediocre by adopting a compassionate mind. (3) Whilst attention has been called to integrating compassion in competitive settings and examining fears of compassion in sport, no existing psychometric measure is available for assessing sport-specific fears of compassion. What this topic adds: (1) Through three athletic samples, this research validated the first psychometric measure for assessing fears of compassion in sport and demonstrated good construct validity, internal consistency, test–retest reliability, and measurement invariance. (2) Athletes appear to be more fearful of self-compassion but less fearful of receiving compassion in sport compared to general life domains. (3) Cross-lagged panel analysis revealed baseline fear of compassion from others (not fear of self-compassion) predicted athletes’ psychological distress in 3-month time.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44197575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of metacognitive beliefs versus meta-emotion beliefs in disordered eating","authors":"E. Strodl, P. Sorensen","doi":"10.1080/00050067.2023.2181685","DOIUrl":"https://doi.org/10.1080/00050067.2023.2181685","url":null,"abstract":"ABSTRACT Objective Emerging research has revealed that metacognitive beliefs (i.e., beliefs about cognition) and meta-emotion beliefs (i.e., beliefs about emotions) may play a role in disordered eating behaviour. This study aims to compare the strength of the associations between metacognitive beliefs and meta-emotion beliefs with disordered eating behaviours in a non-clinical sample. Method An Australian community sample (N = 411) completed an online questionnaire measuring disordered eating behaviours (Three-Factor Eating Questionnaire-18), metacognitive beliefs (Metacognitions Questionnaire-30) and meta-emotion beliefs (Beliefs About Emotions Questionnaire). The independent associations between metacognitive and meta-emotion beliefs with disordered eating were tested using hierarchical multiple regression. Results Only Cognitive Self-consciousness was weakly independently associated with Cognitive Restraint. The belief that emotions are overwhelming and uncontrollable was moderately independently associated with Uncontrolled Eating and Emotional Eating. Metacognitive beliefs about cognitions were not independently associated with the three disordered eating behaviours measured in this study. Conclusions Meta-emotion beliefs, or beliefs about emotions, have stronger unique associations with uncontrolled and emotional eating than metacognitive beliefs. Future longitudinal and intervention studies should focus on measuring beliefs about emotions to further understand their role in disordered eating behaviours. KEY POINTS What is already known on this topic: (1) There is emerging evidence to suggest that metacognitive beliefs are associated with disordered eating behaviour. (2) Qualitative evidence has shown support for the role of meta-emotions, or beliefs about emotions, in eating disorders. What this paper adds: (1) Neither metacognitive beliefs nor meta-emotion beliefs are strongly associated with cognitive restraint eating behaviour. (2) Metacognitive beliefs appear to not be independently associated with uncontrolled eating or emotional eating. Rather, these eating behaviours appear to be strongly associated with negative beliefs that emotions are overwhelming and uncontrollable. (3) The link between meta-emotion beliefs and emotional eating and uncontrolled eating may help explain their reactive eating behaviour in response to emotions.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46625967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A brief self-compassionate reflective writing task can manage negative reactions following an eating transgression","authors":"Robyn L. Moffitt, D. Neumann, Hannah E. Gersh, Emily J. van Poppel","doi":"10.1080/00050067.2023.2183109","DOIUrl":"https://doi.org/10.1080/00050067.2023.2183109","url":null,"abstract":"ABSTRACT Objective This study investigated the efficacy of brief 3-minute reflective writing tasks to manage reactions following an upsetting self-perceived eating transgression. Methods Participants (N = 270) identified their own recent upsetting eating scenario and were randomised to complete a writing task encouraging either self-reflective re-construal or self-compassion. All state outcomes were measured immediately pre- and post-intervention, except for state self-compassion which was measured at post-intervention only. Eating regulation and healthy eating behaviours were reported by participants who completed the follow-up (N = 187, 69.3% of the original sample) two weeks after the intervention. Results Both writing tasks resulted in reduced anxiety, and increased confidence and self-esteem, at post-intervention. The self-compassion writing task led to higher state self-compassion, and lower general negative affect and depression, than the self-reflective re-construal writing task. Moreover, participants in the self-compassion group reported eating a healthier and more balanced diet during the follow-up period than participants in the self-reflection group. Conclusions The current study has provided further evidence for the efficacy of brief self-compassionate reflective writing to regulate negative affectivity and promote healthy eating behaviours in a non-clinical sample, thus revealing important potential application for this approach in the context of eating pathology and lifestyle-related chronic disease. Key Points What is already known about this topic: Perceived eating transgressions are common and upsetting, and can prompt further instances of unhealthy eating. Self-reflections regarding a personal self-regulatory failure are typically ruminative and self-critical rather than productive. Self-compassion interventions have shown promise for affect regulation and in the broad context of eating behaviour. What this topic adds: Brief and accessible self-compassionate reflective writing reduced negative affect and improved healthy eating relative to general self-reflective writing. Findings have extended the known benefits of self-compassion for affect and health to a highly prevalent, non-pathological, and ecologically valid eating context. Self-compassionate reflective writing can be included in interventions to manage emotional and behavioural responses to health-related self-regulatory lapses.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46712818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of psychologists in managing mental health comorbidities in adults with neurological disorders","authors":"M. Gandy","doi":"10.1080/00050067.2023.2183107","DOIUrl":"https://doi.org/10.1080/00050067.2023.2183107","url":null,"abstract":"ABSTRACT Neurological disorders are associated with very high rates of depression and anxiety, which significantly increase disease burden, but remain an area of considerable unmet need. Psychological therapies, especially those based on the principles of cognitive and behavioural therapy, appear to be efficacious for improving both mental health (e.g., depression and anxiety) and functional outcomes (e.g., sleep, fatigue) in patients with a variety of neurological disorders. However, access to these therapies is limited. Neuropsychologists rarely have the capacity to deliver ongoing psychological therapy and there appears to be a lack of community psychologist that specialise in this area. This commentary argues that these barriers need to be addressed and psychologists should play a greater role in reducing the burden of neurological disorders. One step towards this is building the confidence and competence of psychologists to effectively work with patients with neurological symptoms, especially common cognitive difficulties (e.g., inattention, poor memory, slower processing speed). Thus, this commentary provides a practical guide for modifying psychological therapies for adults with neurological disorders, including principles of compensatory cognitive rehabilitation. It aims to provide principles to help maximise engagement, learning and retention of psychological concepts and ultimately to encourage more psychologists to work with this under-served group. Key Points What is already known about this topic: Depression and anxiety are common in neurological disorders but often go untreated. Psychological therapies can improve mental health and functional outcomes across neurological disorders, but access to these interventions is very limited. Neuropsychologists report a lack of confidence providing ongoing psychological interventions for mental health, and identifying community psychologists specialising in neurology is challenging. What this topic adds: A discussion of the mental health burden of neurological disorders and role of psychological therapy. A guide to modifying psychological therapies for adults with neurological disorders, especially for cognitive difficulties. Tips for maximising engagement, learning and retention within therapy to support effective work with people with neurological disorders.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45915131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alexithymia in autism spectrum disorder","authors":"Cassie J. Ferguson, D. Preece, R. Schweitzer","doi":"10.1080/00050067.2023.2174409","DOIUrl":"https://doi.org/10.1080/00050067.2023.2174409","url":null,"abstract":"ABSTRACT Objective Alexithymia is a trait characterised by difficulty identifying and describing one’s own emotions and externally orientated thinking. Alexithymia is of clinical interest in people with autism spectrum disorder (ASD) given research that has highlighted elevated levels of overall alexithymia in people with ASD. Presently, little is known about what specific facets of alexithymia might be impaired in ASD, or whether deficits are present for both negative and positive emotions. This study therefore aimed to fill this gap, establishing a facet-level profile of alexithymia in people with ASD. Method Using the Perth Alexithymia Questionnaire, levels of alexithymia were assessed in sample of 55 people with a diagnosis of ASD and compared with 246 people in a community control sample. Results We found that all facets of alexithymia (across both valence domains) were substantially elevated in ASD (N = 55) compared to a community control sample (N = 246). Conclusions Assessing all facets of alexithymia, across both valence domains, may help identify subgroups with particular social and communication difficulties, and in turn, support the development of personalised interventions. Key Points What is already known on this topic: Alexithymia is a multidimensional construct, comprised of at least three interrelated components: difficulty identifying one’s own feelings (DIF), difficulty describing feelings (DDF), and an externally orientated thinking style (EOT). The Perth Alexithymia Questionnaire (PAQ) is a psychometrically sound measure of alexithymia. Alexithymia commonly occurs in people with Autism Spectrum Disorder (ASD). What this paper adds: In the ASD group, alexithymia was higher across all facets (i.e., DIF, DDF, EOT) compared to the community group, supporting the elevated levels of alexithymia in people with ASD. The PAQ may be important for recognising variability and individual differences among people with ASD, as whilst one third of participants with ASD scored in the “high alexithymia” range, two thirds did not. Identifying unique profiles of alexithymia may have key implications for personalised treatment and interventions.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42210333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Goal motives in depression and anxiety: the mediating role of emotion regulation difficulties","authors":"Bridget L. Robson, D. Preece, J. Dickson","doi":"10.1080/00050067.2022.2162809","DOIUrl":"https://doi.org/10.1080/00050067.2022.2162809","url":null,"abstract":"ABSTRACT Objectives Goal orientation (approach versus avoidance) and difficulties in emotion regulation have been independently associated with depression and anxiety. However, there is a lack of research that has simultaneously examined approach and avoidance goal motives and emotion regulation difficulties in depression and anxiety. The present study aims to draw together these separate lines of investigation to better understand the nature of depression and anxiety from a motivational and emotional regulation perspective. Specifically, it aims to investigate whether increased emotion regulation difficulties indirectly mediate, in part, distinct relationships between approach and avoidance goal motives and depressive and anxious symptoms. Method An online study comprised 210 participants recruited via Facebook and MTurk. Participants completed self-reported measures to rate their approach and avoidance goal motives, emotion regulation and depressive and anxious symptoms. Results Counter to prediction, no significant relationship was demonstrated between impaired approach motives and increased depressive symptoms. However, as predicted, avoidance goal motives were associated with depressive and anxious symptoms. Further, increased emotion regulation difficulties indirectly mediated relationships between avoidance goal motives and both depressive and anxious symptoms. Conclusion Our findings indicate that emotion regulation difficulties play a significant role in explaining the relationship between avoidance (but not approach) oriented motives in goal pursuit and emotional symptom. Key Points What is already known about this topic: Much research has examined approach and avoidance ‘goals’ in relation to anxiety and depression. There is strong empirical evidence to indicate that avoidance goal pursuit (focused on threatening outcomes) is associated with anxiety whereas impaired approach goal pursuit (focused on reward outcomes) is associated with depression. However, research has rarely studied underlying ‘motives’ that drive goal pursuit. Motives represent a more primary form of motivation than that expressed at the surface goal level. For instance, it is possible that an underlying avoidance motive energises and drives approach goal pursuit. We also know that emotion regulation is implicated in emotional symptoms such as anxiety and depression. Despite well-developed two-system theories of motivation and emotion regulation, research has rarely investigated the relationship between distinct approach and avoidance motives and emotion regulation in relation to depression and anxiety, which the present study addressed. What this topic adds: The research findings inform an understanding of the nature of depression and anxiety from both a motivation and emotion regulation perspective. Notably, avoidance motives gave rise to emotional regulation difficulties, which in turn indirectly explained the relationship between avoidance motives (but not approac","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47174969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical and psychological wellbeing among Australian and New Zealand patients seeking fertility treatment during COVID-19","authors":"I. Rodino, S. Goedeke, M. Oxlad, Sarah J. Nowoweiski","doi":"10.1080/00050067.2023.2172996","DOIUrl":"https://doi.org/10.1080/00050067.2023.2172996","url":null,"abstract":"ABSTRACT Background Worldwide, COVID-19 has disrupted the provision of fertility treatment and patients’ reproductive plans, resulting in heightened stress for many people seeking to form or expand their families. Aims Our study explored health behaviour changes and psychosocial implications of COVID-19 in patients accessing fertility treatment in Australia and New Zealand. Materials and Methods Sixty participants (58 female; 2 male) completed an online cross-sectional survey about demographics, fertility history and treatment, changes to physical and mental health status, and perceived support. Participant responses were summarised using descriptive statistics. Results Patients indicated that COVID-19 had adversely impacted their fertility treatment experience, including interruptions to treatment owing to fertility clinic closure (70%) and fears about conceiving (68.3%). Patients reported negative health behaviour changes, including a reduction in sleep quality (40%), reduced exercise (40%), weight gain (56.7%) and increases in symptoms of depression (38.3%), anxiety (75%), stress (78.3%) and loneliness (38.3%). Whilst most participants agreed their fertility clinic clearly communicated policy about COVID-19 service changes, including information about availability and/or restrictions, approximately 55% reported being offered nil to very little professional psychological support. When provided professional support, this was most commonly via fertility doctors and nurses (48.3%) compared to counsellors (3.3%). Conclusions(s) Commensurate with findings from larger international cohorts, this study highlights the negative impact of COVID-19 on health behaviours and psychological wellbeing. Moreover, given the ever-changing landscape of COVID-19, our study underscores the importance of promoting and utilising fertility clinic counselling services to enhance patient psychological care during this unprecedented pandemic. Key Points What is already known about this topic: (1) Endeavouring to conceive a pregnancy involving assisted reproductive technology is often considered a stressful process. (2) Worldwide, COVID-19 disrupted the provision of fertility treatment delaying patients’ reproductive plans, increasing patient physical and psychological health burden. (3) To date, no study has been conducted in Australia and New Zealand on the physical and psychological experiences of patients seeking fertility treatment during the era of COVID-19, as gauged from the patient perspective. What this study adds: (1) This regional study contributes to global findings on mental and physical health issues in people seeking fertility treatment during a pandemic. (2) The study highlights the under-utilisation of specialised clinic counselling suggestive of a deficit in the provision of clinic counselling services. (3) Recognition that during an unprecedented crisis, ongoing surveillance of patient psychological wellbeing and physical health behaviours relevant to f","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42699000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Greek Australian neuropsychological normative study: tests & norms for Greek Australians aged 70-85 years","authors":"Mathew Staios, M. Kosmidis, N. Kokkinis, Alexandra Papadopoulos, T. R. Nielsen, P. Kalinowski, E. March, R. Stolwyk","doi":"10.1080/00050067.2022.2151337","DOIUrl":"https://doi.org/10.1080/00050067.2022.2151337","url":null,"abstract":"ABSTRACT Objective Access to valid and reliable neuropsychological measures for use with culturally diverse groups in Australia is limited. The aim of this study was to adapt and translate a selection of English language neuropsychological tests, employ several existing standardised Greek language tests, and provide specific reference group normative data for Greek Australian older adults. Method A convenience sample of 90 healthy older Greek Australians (M = 77.14 ± 4.46; range = 70–85), with a primary school level of education (M = 5.60 ± 0.68; Range = 4–6), was recruited throughout the Melbourne metropolitan area. Several neuropsychological measures were administered which assessed domains such as verbal and visual memory, confrontational naming, and executive functions. Results Regression modelling revealed that age, education and sex predicted between 5% and 35% of the variance of test scores, with age being the most significant predictor of performance across a majority of measures. Therefore, the normative data for all tests were stratified according to three age bands (70–74, 75–79, 80–85). Conclusions The use of culture-specific tests and norms for assessment of older Greek-Australians with limited education may facilitate accuracy of assessment findings, improve diagnostic outcomes, and reduce misclassification. KEY POINTS What is already known about this topic: The use of English language tests with migrant populations and tests developed in nations of origin can lead to misclassification when applied to long-term immigrant peers. The use of test content derived from English language tests has been found to be inappropriate for use with culturally diverse groups. Access to norms and tests for assessment of culturally diverse groups in Australia are limited. What this topic adds: This paper provides a template for translating and adapting existing English language tests for use with culturally diverse groups. This is the first study to provide a set of comprehensive norms for Greek Australian older adults. Utilising culturally appropriate and specific reference group norms for Greek-Australians may improve the accuracy of assessment findings and reduce misclassification.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43550248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moderators of suicide ideation in Asian international students studying in Australia","authors":"Yinhui Low, S. Bhar, W. Chen","doi":"10.1080/00050067.2022.2148514","DOIUrl":"https://doi.org/10.1080/00050067.2022.2148514","url":null,"abstract":"ABSTRACT Objective Stressful life events have been identified as risk factors for suicidal ideation in students. However, little research has explored the extent to which such events constitute a risk for suicidal ideation in Asian international students living in Australia. Even fewer studies have explored variables that moderate the relationship between stressful life events and suicidal ideation in this cohort. Methods One hundred and thirty-eight such students were asked to complete a battery of online questionnaires measuring experiences of stressful life events, loneliness, campus connectedness, coping strategies and suicidal ideation. Results Regression analyses indicated that the relationship between stress and suicidal ideation was moderated by lower levels of loneliness, higher levels of campus connectedness and problem-focused coping. Conclusions These findings emphasise factors to be addressed in suicide prevention for Asian international students studying in Australia. Key Points What is already known about this topic: Suicide is the leading cause of death among people aged 15-24 years in Australia. International students are at high risk for developing suicide ideation because of their exposure to stressors connected to living abroad. Stressful life events are associated with risk for suicidal ideation in Asian international students studying in universities in Australia. However, there is little empirical research that has explored moderators that may buffer against the adverse effects of such stressors in international students. What this topic adds: Compared to Asian international students who feel less socially connected, those who feel more socially connected feel less suicidal even when experiencing a high level of stressful life events. Compared to Asian international students who use less problem focused coping skills, those who use more problem focused coping skills feel less suicidal even when experiencing a high level of stressful life events. Social support, involvement in one’s university campus, and problem focused coping skills act as a buffer against the effects of stressful life events on suicidal ideation in Asian international students.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43052533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dancing with change: a qualitative exploration of in-session motivation to change in the treatment of anorexia nervosa","authors":"Rebekah M. Rankin, J. Conti, S. Touyz, J. Arcelus, C. Meyer, P. Hay","doi":"10.1080/00050067.2022.2151338","DOIUrl":"https://doi.org/10.1080/00050067.2022.2151338","url":null,"abstract":"ABSTRACT Objective Motivation is considered essential in the treatment of anorexia nervosa (AN). However, the in-session nature of, and variables associated with, changes in motivation are only partially understood in this population. The aim of this study was to conduct an exploratory investigation of the in-session nature of motivation to change in people during cognitive behavioural therapy for anorexia nervosa (CBT-AN). Method Thirty-eight therapy-session transcripts from nine participants, collected as part of a larger multi-site randomised control trial, were analysed using inductive thematic analysis. Results Two superordinate themes were generated: (i) betwixt and between; and (ii) rhythms of motivation. Two concurrent yet distinct rhythms of motivation were observed within and across participant sessions, with shifts in motivation occurring alongside identity (re)negotiations. Conclusions Findings highlight the complex and multifaceted nature of the in-session processes of motivational change in persons with AN, and support previous literature suggesting factors independent of treatment may facilitate tipping points of change. Furthermore, this study proposes that an integrated or dual-wave model of motivation may assist clinicians in understanding how they can better facilitate and support motivation for change in clients with AN during treatment. KEY POINTS What is already known about this topic: Enhancing motivation is considered essential for improving treatment outcomes. Motivation is conceptualised as a dynamic process; however, it is typically assessed through quantitative self-report measures at set points during treatment. The in-session dynamics of motivation to change are poorly understood. What this topic adds: In-session motivation to change is a complex, multifaceted process closely associated with individual identity (re)negotiations. There may be dual processes of motivation occurring during treatment that are influenced by factors independent of treatment. A proposal for an integrated model of motivation for anorexia nervosa.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42606060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}