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Remembering and forgetting: A dynamic social retrieval theory of posttraumatic stress 记忆与遗忘:创伤后应激的动态社会检索理论
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-09-24 DOI: 10.1016/j.brat.2025.104873
Lori A. Zoellner , Andrea Stocco , Gabrielle Gauthier , Elizabeth Lehinger , Shivani Pandey , Emma PeConga , Michele A. Bedard-Gilligan
{"title":"Remembering and forgetting: A dynamic social retrieval theory of posttraumatic stress","authors":"Lori A. Zoellner ,&nbsp;Andrea Stocco ,&nbsp;Gabrielle Gauthier ,&nbsp;Elizabeth Lehinger ,&nbsp;Shivani Pandey ,&nbsp;Emma PeConga ,&nbsp;Michele A. Bedard-Gilligan","doi":"10.1016/j.brat.2025.104873","DOIUrl":"10.1016/j.brat.2025.104873","url":null,"abstract":"<div><div>Posttraumatic stress is about memory; distressing and intrusive memories of a traumatic event. Although considerable focus has been on initial encoding, memory processes after the traumatic event are likely as important if not more important for facilitating resilience, natural recovery, and therapeutic recovery. In this proposed dynamic social retrieval theory (DSRT) of posttraumatic stress, ongoing retrieval and related forgetting processes shape the changing nature of the trauma memory. Retrieval events number in the hundreds, thousands, or even more, strengthening some memory traces and associations and weakening others. These retrieval events take many forms from conversations with friends and loved ones, social media interactions, intentional recall, spontaneous thoughts, cued- and un-cued reexperiencing, and avoidance of trauma reminders. We argue that the initial days, weeks, and months are important; through systems consolidation, the memory shifts to a more general, gist-like representation, incorporating social/cultural schemas and one's view of self. Better orthogonalized, separation from other related memories can further result in the reduction of trauma-related psychopathology. Clinical implications highlight the importance of adaptive retrieval in daily life, in social interactions and cultural messaging, and within the therapeutic relationship to shape the long-term nature of the traumatic memory and help the trauma survivor flourish.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104873"},"PeriodicalIF":4.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Better to keep a negative self-perception than ask for feedback? - How depressive symptoms are associated with the desire for social feedback 保持消极的自我认知比寻求反馈更好吗?-抑郁症状与渴望社会反馈之间的关系
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-09-21 DOI: 10.1016/j.brat.2025.104872
Edith Rapo , Christopher Milde , Julia Anna Glombiewski , Tobias Kube
{"title":"Better to keep a negative self-perception than ask for feedback? - How depressive symptoms are associated with the desire for social feedback","authors":"Edith Rapo ,&nbsp;Christopher Milde ,&nbsp;Julia Anna Glombiewski ,&nbsp;Tobias Kube","doi":"10.1016/j.brat.2025.104872","DOIUrl":"10.1016/j.brat.2025.104872","url":null,"abstract":"<div><h3>Background</h3><div>We investigated whether depressive symptom severity is associated with incongruence between how people perceive themselves (self-perception) and how they expect others to perceive them (meta-perception). We also examined whether these discrepancies explain feedback-seeking. We hypothesized that elevated depressive symptoms are related to low preference for positive and self-incongruent feedback and high preference for negative and self-congruent feedback.</div></div><div><h3>Method</h3><div>In study 1 (<em>N</em> = 149), we presented 20 positive and 20 negative traits. For each trait, participants rated their self- and meta-perception. In study 2 (<em>N</em> = 212), we presented the same traits. In addition to their self- and meta-perception, participants indicated their desire to receive other people's feedback for each trait.</div></div><div><h3>Results</h3><div>In study 1, depressive symptom severity was related to a higher incongruence between self- and meta-perception, as participants’ self-perception was more negative than their meta-perception. Study 2 indicated that depressive symptom severity was related to less feedback-seeking. Incongruence between self-and meta-perception and valence did not moderate the relationship between depressive symptoms and feedback-seeking.</div></div><div><h3>Conclusion</h3><div>Depressive symptoms are associated with incongruence between self- and meta-perception and reduced feedback-seeking. However, incongruence between self- and meta-perception and valence did not explain reduced feedback-seeking in depression, emphasizing the importance to further investigate the causes for feedback avoidance in depression.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104872"},"PeriodicalIF":4.5,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of state anxiety on jumping-to-conclusions bias in social anxiety: An experimental and computational modelling study 状态焦虑对社交焦虑中跳脱结论偏见的影响:一项实验和计算模型研究
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-09-19 DOI: 10.1016/j.brat.2025.104859
Nicole Tan , Yiyun Shou , Junwen Chen , Bruce K. Christensen
{"title":"The effect of state anxiety on jumping-to-conclusions bias in social anxiety: An experimental and computational modelling study","authors":"Nicole Tan ,&nbsp;Yiyun Shou ,&nbsp;Junwen Chen ,&nbsp;Bruce K. Christensen","doi":"10.1016/j.brat.2025.104859","DOIUrl":"10.1016/j.brat.2025.104859","url":null,"abstract":"<div><div>Research indicates that the tendency to make hasty decisions based on minimal information, also known as the Jumping-to-Conclusions bias, may be linked to social anxiety and could be exacerbated under high state anxiety, but this relationship is inconclusive due to a lack of consistent findings. The present study applied a Bayesian computational modelling approach alongside frequentist hypothesis testing to investigate the relationships between trait and state social anxiety and the Jumping-to-Conclusions bias across various beads tasks. An online experimental study involving 131 participants experiencing subclinical social anxiety revealed that higher trait social anxiety significantly attenuated one's belief updating in neutral situations when exposed to a state social anxiety induction. Conversely, higher trait social anxiety significantly increased belief updating about one's social performance, but this depended on the state social anxiety induction. No significant associations were found between trait and state social anxiety and observed dependent variables measured in the beads tasks. The implications are explored.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104859"},"PeriodicalIF":4.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Leuven Exeter Dampening Scale (LEDS) to measure dampening appraisals towards positive affect: Psychometric evaluation and initial validation in a Dutch and English community sample 鲁汶埃克塞特抑制量表(LEDS)测量对积极影响的抑制评价:荷兰和英语社区样本的心理测量评估和初步验证。
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-09-17 DOI: 10.1016/j.brat.2025.104861
Liesbeth Bogaert , Helen Lau , Barnaby D. Dunn , Filip Raes
{"title":"The Leuven Exeter Dampening Scale (LEDS) to measure dampening appraisals towards positive affect: Psychometric evaluation and initial validation in a Dutch and English community sample","authors":"Liesbeth Bogaert ,&nbsp;Helen Lau ,&nbsp;Barnaby D. Dunn ,&nbsp;Filip Raes","doi":"10.1016/j.brat.2025.104861","DOIUrl":"10.1016/j.brat.2025.104861","url":null,"abstract":"<div><div>Dampening – the tendency to downplay positive feelings – is linked to various psychopathologies, demonstrating transdiagnostic relevance. Most research to date has relied on the dampening subscale of the Responses to Positive Affect Scale (RPA-d; Feldman et al., 2008). However, concerns about its limited content validity, not reflecting clinical complexity, and potential cross-cultural universality issues prompted the development of the Leuven Exeter Dampening Scale (LEDS). Study 1 details scale development in Dutch-speaking undergraduates (<em>N</em> = 308); Studies 2 and 3 further validate it in a Dutch-speaking (<em>N</em> <sub>T1</sub> = 214, <em>N</em> <sub>T2</sub> = 148) and English-speaking UK (<em>N</em> <sub>T1</sub> = 177, <em>N</em> <sub>T2</sub> = 152, <em>N</em> <sub>T3</sub> = 102) adult community sample. Across samples, the LEDS showed excellent internal consistency (αs &gt; .90) and good test-retest reliability (ICCs = .77-.89). Confirmatory factor analyses supported a one-factor structure, demonstrating structural validity. LEDS scores positively correlated with RPA-d scores, indicating convergent validity. Multiple regressions showed the LEDS to significantly predict concurrent anhedonic/depressive symptoms, beyond age, gender, and negative rumination, supporting its concurrent predictive validity. Even with the RPA-d included as predictor, the LEDS accounted for unique variance in concurrent outcomes, showing incremental validity. Longitudinal analyses, covarying baseline symptoms, provided mixed evidence with predictive and incremental validity only verified in the UK sample. Crucially, the RPA-d never outperformed the LEDS, and mixed prospective findings align with prior inconsistent prospective relations between dampening and symptomatology. Findings support the <span>LEDS</span> as a valid alternative to the RPA-d, with a more comprehensive assessment of general dampening as key strength.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104861"},"PeriodicalIF":4.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neural mechanisms underlying exposure and response prevention for obsessive compulsive disorder: A randomized controlled trial 强迫症暴露和反应预防的神经机制:一项随机对照试验
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-09-17 DOI: 10.1016/j.brat.2025.104858
Ryan J. Jacoby , Jennifer L. Greenberg , Aura Hurtado , Walker Pedersen , Kristen K. Ellard , Edward F. Pace-Schott , Katelyn I. Oliver , Mohammed R. Milad , Sabine Wilhelm , Joan A. Camprodon
{"title":"Neural mechanisms underlying exposure and response prevention for obsessive compulsive disorder: A randomized controlled trial","authors":"Ryan J. Jacoby ,&nbsp;Jennifer L. Greenberg ,&nbsp;Aura Hurtado ,&nbsp;Walker Pedersen ,&nbsp;Kristen K. Ellard ,&nbsp;Edward F. Pace-Schott ,&nbsp;Katelyn I. Oliver ,&nbsp;Mohammed R. Milad ,&nbsp;Sabine Wilhelm ,&nbsp;Joan A. Camprodon","doi":"10.1016/j.brat.2025.104858","DOIUrl":"10.1016/j.brat.2025.104858","url":null,"abstract":"<div><h3>Background</h3><div>Fear extinction is an important treatment target of obsessive-compulsive disorder (OCD). In the current randomized controlled trial, we examined the therapeutic modulation of exposure and response prevention (ERP) on neural activation during fear extinction in OCD to identify mechanisms of action and response biomarkers.</div></div><div><h3>Methods</h3><div>Thirty-four patients with OCD were randomized to either 12-weeks of ERP or a waitlist. Before, during, and 12-weeks after treatment, patients were assessed using functional magnetic resonance imaging (fMRI) during a 2-day fear extinction paradigm. Neural activation was examined in disease- and construct-relevant circuits and nodes (<em>n</em> = 18).</div></div><div><h3>Results</h3><div>The ERP group had a significant reduction in OCD severity compared to waitlist. A voxel-wise GLM analysis of fMRI data revealed clusters of ERP &gt; waitlist activation during fear conditioning (bilateral dorsal amygdala and right hippocampus) and extinction (right ventrolateral prefrontal cortex, located within the salience network). These changes in activation did not correlate with OCD severity changes, however. In contrast, we observed that a reduction in the activation of the left supramarginal gyrus (in the executive control network) during extinction recall correlated with OCD symptom improvement, suggesting a possible role as a response biomarker.</div></div><div><h3>Conclusions</h3><div>This study highlights the relevance of a dimensional approach (e.g., focused on fear extinction) for biomarker discovery in neuropsychiatry, provides insights into the mechanisms of action of ERP in OCD, and identifies a potential treatment target in the parietal cortex that could support the biomarker-driven development of novel therapies (e.g., brain stimulation protocols), including combination treatments with ERP.</div></div><div><h3>Clinicaltrials.gov identifier</h3><div>NCT02467374.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104858"},"PeriodicalIF":4.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The update of interpersonal beliefs in everyday life situations in relation to depressive symptoms and state affect – An ecological momentary assessment proof-of-principle study 日常生活情境中人际信念与抑郁症状和状态影响的更新——一项生态瞬时评估原理证明研究。
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-09-13 DOI: 10.1016/j.brat.2025.104860
Saskia Scholten , Lea Gegner , Maja Stoverock , Tobias Kube
{"title":"The update of interpersonal beliefs in everyday life situations in relation to depressive symptoms and state affect – An ecological momentary assessment proof-of-principle study","authors":"Saskia Scholten ,&nbsp;Lea Gegner ,&nbsp;Maja Stoverock ,&nbsp;Tobias Kube","doi":"10.1016/j.brat.2025.104860","DOIUrl":"10.1016/j.brat.2025.104860","url":null,"abstract":"<div><div>Previous research has provided valuable insights into associations of belief updating with aspects of psychopathology. However, prior work was mostly based on laboratory studies or scenario-based tasks. Thus, applications to everyday life situations are unclear. To address this limitation, the present study employed an Ecological Momentary Assessment (EMA) design to examine change in interpersonal expectations following interpersonal experiences and its relationship with depressive symptoms, assessed once at baseline. After a baseline assessment, a non-clinical sample (<em>N</em> = 43, age 18–66, 67 % female) indicated their interpersonal expectations in the morning and actual interpersonal experiences as well as updated expectations in the evening over 18 days. Multi-level modelling shows that, consistent with associative learning models, participants updated their beliefs the more, the greater the expectation-outcome discrepancy was – irrespective of the valence of the discrepancy. When considering the valence of the expectation-outcome discrepancy, participants updated their beliefs more towards better-than-expected than towards worse-than-expected experiences, in line with the optimistic update bias. Depressive symptoms were associated with increased updating in a negative direction after worse-than-expected experiences, but not with reduced updating in a positive direction after better-than-expected experiences. These findings provide proof-of-principle evidence for investigating biased belief updating using EMA.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104860"},"PeriodicalIF":4.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Explaining anxiety prediction in psychotherapy transcripts: The role of patient linguistic features and theoretical constructs 解释心理治疗记录中的焦虑预测:患者语言特征和理论结构的作用。
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-09-09 DOI: 10.1016/j.brat.2025.104857
Tobias Steinbrenner , Christopher Lalk , Kim Targan , Jana Schaffrath , Steffen Eberhardt , Anke Haberkamp , Wolfgang Lutz , Julian Rubel
{"title":"Explaining anxiety prediction in psychotherapy transcripts: The role of patient linguistic features and theoretical constructs","authors":"Tobias Steinbrenner ,&nbsp;Christopher Lalk ,&nbsp;Kim Targan ,&nbsp;Jana Schaffrath ,&nbsp;Steffen Eberhardt ,&nbsp;Anke Haberkamp ,&nbsp;Wolfgang Lutz ,&nbsp;Julian Rubel","doi":"10.1016/j.brat.2025.104857","DOIUrl":"10.1016/j.brat.2025.104857","url":null,"abstract":"<div><h3>Objective</h3><div>Linguistics can be a helpful tool when researching psychological processes and symptoms. This study aimed to predict anxiety severity from patient language in psychotherapy transcripts. In contrast to prior work focusing on isolated feature types, we combine theory-driven psychological constructs with state-of-the-art NLP and machine learning techniques to enhance both performance and interpretability. Specifically, we asked (1) how well anxiety can be predicted, (2) which models perform best, (3) which features are most important.</div></div><div><h3>Method</h3><div>We extracted LIWC features, unigrams and bigrams, Transformer emotions, and topics from 529 psychotherapy transcripts from 118 patients. In addition, we constructed theory-driven features to measure negative self-focused attention, self-insight, future focus of perceived threat, and uncertainty avoidance. Each feature set was modeled using multiple machine learning algorithms. To gain insights into the most informative predictors of anxiety, eXplainable Artificial Intelligence was applied.</div></div><div><h3>Results</h3><div>The Unigram-Bigram Model achieved the best predictive performance (<em>r</em> = .77; <em>95 %-CI</em> = .75–0.80). However, the Anxiety Process Model achieved notable predictive accuracy despite having only four interpretable, theory-based features. Features related to leisure, social relationships, and insecurity were associated with lower anxiety severity, health-related features and “certainty words” (e.g., totally) with higher severity.</div></div><div><h3>Conclusions</h3><div>Our findings highlight a trade-off between performance and interpretability. Unigram-bigram models maximized predictive accuracy, whereas theory-driven constructs provided clinically meaningful insights into core psychological processes. Identifying predictive linguistic features, especially those linked to psychological theory, may guide future research on feedback systems and clinical applications by providing interpretable and theory-aligned insights.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104857"},"PeriodicalIF":4.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reduced anxiety and depression predict improved health-related quality of life in school-based CBT 减少焦虑和抑郁预示着学校CBT中健康相关生活质量的改善
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-09-05 DOI: 10.1016/j.brat.2025.104855
Pal (Pål) Teigland Lystrup , Bente Storm Mowatt Haugland , Gro Janne Wergeland , Asle Hoffart , Ronald M. Rapee , Rolf Gjestad
{"title":"Reduced anxiety and depression predict improved health-related quality of life in school-based CBT","authors":"Pal (Pål) Teigland Lystrup ,&nbsp;Bente Storm Mowatt Haugland ,&nbsp;Gro Janne Wergeland ,&nbsp;Asle Hoffart ,&nbsp;Ronald M. Rapee ,&nbsp;Rolf Gjestad","doi":"10.1016/j.brat.2025.104855","DOIUrl":"10.1016/j.brat.2025.104855","url":null,"abstract":"<div><div>Health-related quality of life (HRQOL) adds important information about the quality and usefulness of interventions. It has not previously been examined in school-based indicated prevention for anxiety in adolescents. Using secondary analyses of data from a randomized controlled trial of cognitive behavioral therapy (CBT) interventions for anxious adolescents (N = 302; mean age 14), we examined whether HRQOL increased during and after treatment. Additionally, we examined whether changes and pre-treatment levels in anxiety and depression symptoms predicted changes in and final levels of HRQOL. This was done using latent growth curve modeling. Results showed that the interventions increased levels of HRQOL and that the levels of HRQOL were sustained at 1-year follow-up, independent of the timing of change. Pre-treatment levels and changes in symptoms of anxiety and depression predicted the changes and final levels in HRQOL. The results indicate that the school-based indicated-preventive interventions may have benefits on HRQOL in addition to reduction in symptoms of anxiety and depression and that these benefits are associated with changes in symptoms.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"193 ","pages":"Article 104855"},"PeriodicalIF":4.5,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ACTing with Mindfulness for Pain (AMP): A pilot randomized controlled trial of an integrated acceptance and commitment therapy and mindfulness meditation program 以正念治疗疼痛(AMP):一项综合接受和承诺疗法和正念冥想计划的随机对照试验
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-09-05 DOI: 10.1016/j.brat.2025.104854
M.S. Herbert , J.N. Fishbein , M. Tynan , E. Martinez , A.J. Lang , P. Casmar , A. Higdon , A. Backhaus , S. Golshan , N. Afari
{"title":"ACTing with Mindfulness for Pain (AMP): A pilot randomized controlled trial of an integrated acceptance and commitment therapy and mindfulness meditation program","authors":"M.S. Herbert ,&nbsp;J.N. Fishbein ,&nbsp;M. Tynan ,&nbsp;E. Martinez ,&nbsp;A.J. Lang ,&nbsp;P. Casmar ,&nbsp;A. Higdon ,&nbsp;A. Backhaus ,&nbsp;S. Golshan ,&nbsp;N. Afari","doi":"10.1016/j.brat.2025.104854","DOIUrl":"10.1016/j.brat.2025.104854","url":null,"abstract":"<div><div>Acceptance and commitment therapy (ACT) is an empirically-supported psychotherapy for chronic pain. Although mindfulness is a key component of ACT, most ACT protocols do not include formal mindfulness meditation practice as a principal treatment method, leaving open the question of whether formal practice may bolster ACT's effects. Addressing this gap, the present study assessed the feasibility and preliminary treatment effects of ACTing with Mindfulness for Pain (AMP), an ACT-based protocol that emphasizes and measures daily formal mindfulness meditation practice. A total of 87 Veterans (M<sub>age</sub> = 49.44, SD = 12.42) were randomized to AMP or cognitive behavioral therapy (CBT). Feasibility was supported by attainment of enrollment targets, achievement of retention rates at post-treatment greater than 80 %, and high levels of treatment credibility and satisfaction. Treatment expectancy was lower than hypothesized in both groups. Within the AMP group, there were significant improvements in pain interference (primary outcome; d = −0.58), pain acceptance (d = 0.72), cognitive defusion (d = 0.23) and pain catastrophizing (d = −0.50) at posttreatment. Within the CBT group, there were significant improvements in pain interference (d = −0.59), pain acceptance (d = 0.50), and pain catastrophizing (d = −0.39) at posttreatment. In both groups, effect sizes were reduced at 3-month follow-up. Home meditation practice was dose-dependently associated with a greater reduction of depressive symptoms and pain-related helplessness in the AMP group. Taken together, despite meeting important feasibility metrics, the effect size estimates from this pilot randomized controlled trial highlight the need for further treatment development before moving to formal efficacy evaluation.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"193 ","pages":"Article 104854"},"PeriodicalIF":4.5,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Testing associations between negative interpretation inflexibility, anxiety symptoms and intolerance of uncertainty 测试消极解释缺乏灵活性、焦虑症状和对不确定性的不耐受之间的关系
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-09-04 DOI: 10.1016/j.brat.2025.104851
Gabriella Tyson , Victoria Ferreira , Persia Shoja-Assadi , Colette R. Hirsch
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