Philip Spinhoven, Vivian Kraaij, Nadia Garnefski, Ernst Bohlmeijer, Maartje Witlox
{"title":"与认知行为疗法相比,哪些情绪调节策略在接受和承诺疗法治疗焦虑症状的结果中起中介作用?","authors":"Philip Spinhoven, Vivian Kraaij, Nadia Garnefski, Ernst Bohlmeijer, Maartje Witlox","doi":"10.1080/10503307.2025.2556836","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To examine multiple emotion regulation strategies as mediators in ACT compared to CBT for anxiety. It was hypothesized that augmenting acceptance and reducing suppression, distraction, and perseverative thinking would mediate the effect of ACT compared to CBT. Cognitive reappraisal was included as a competitive mediator.</p><p><strong>Method: </strong>Data were collected as part of a randomized controlled trial comparing ACT and CBT in a sample of 314 older adults with anxiety symptomatology. Participants filled in self-report questionnaires assessing anxiety symptom severity (Generalized Anxiety Disorder-2) and the putative mediators a total of five times over the course of treatment. Latent growth curve models, parallel process models, random intercept-cross lagged panel models, and autoregressive latent trajectory models were used to model the hypothesized prospective and mediational relationship.</p><p><strong>Results: </strong>ACT differentially affected acceptance, suppression, and distraction, and changes in all mediators (except acceptance) showed significant cross-sectional associations with outcome. Only cognitive reappraisal predicted subsequent anxiety levels and vice versa, irrespective of treatment. However, none of the emotion regulation variables mediated the effect of ACT.</p><p><strong>Conclusions: </strong>The discrepancy with previous positive findings on emotion regulation as a mediator may be attributed to earlier studies not using a longitudinal design and analysis on the within-person level.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.0000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Which emotion regulation strategies are mediating the outcome of acceptance and commitment therapy compared to cognitive-behaviour therapy in the treatment of anxiety symptoms?\",\"authors\":\"Philip Spinhoven, Vivian Kraaij, Nadia Garnefski, Ernst Bohlmeijer, Maartje Witlox\",\"doi\":\"10.1080/10503307.2025.2556836\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To examine multiple emotion regulation strategies as mediators in ACT compared to CBT for anxiety. It was hypothesized that augmenting acceptance and reducing suppression, distraction, and perseverative thinking would mediate the effect of ACT compared to CBT. Cognitive reappraisal was included as a competitive mediator.</p><p><strong>Method: </strong>Data were collected as part of a randomized controlled trial comparing ACT and CBT in a sample of 314 older adults with anxiety symptomatology. Participants filled in self-report questionnaires assessing anxiety symptom severity (Generalized Anxiety Disorder-2) and the putative mediators a total of five times over the course of treatment. Latent growth curve models, parallel process models, random intercept-cross lagged panel models, and autoregressive latent trajectory models were used to model the hypothesized prospective and mediational relationship.</p><p><strong>Results: </strong>ACT differentially affected acceptance, suppression, and distraction, and changes in all mediators (except acceptance) showed significant cross-sectional associations with outcome. Only cognitive reappraisal predicted subsequent anxiety levels and vice versa, irrespective of treatment. However, none of the emotion regulation variables mediated the effect of ACT.</p><p><strong>Conclusions: </strong>The discrepancy with previous positive findings on emotion regulation as a mediator may be attributed to earlier studies not using a longitudinal design and analysis on the within-person level.</p>\",\"PeriodicalId\":48159,\"journal\":{\"name\":\"Psychotherapy Research\",\"volume\":\" \",\"pages\":\"1-13\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychotherapy Research\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/10503307.2025.2556836\",\"RegionNum\":1,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychotherapy Research","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/10503307.2025.2556836","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Which emotion regulation strategies are mediating the outcome of acceptance and commitment therapy compared to cognitive-behaviour therapy in the treatment of anxiety symptoms?
Objective: To examine multiple emotion regulation strategies as mediators in ACT compared to CBT for anxiety. It was hypothesized that augmenting acceptance and reducing suppression, distraction, and perseverative thinking would mediate the effect of ACT compared to CBT. Cognitive reappraisal was included as a competitive mediator.
Method: Data were collected as part of a randomized controlled trial comparing ACT and CBT in a sample of 314 older adults with anxiety symptomatology. Participants filled in self-report questionnaires assessing anxiety symptom severity (Generalized Anxiety Disorder-2) and the putative mediators a total of five times over the course of treatment. Latent growth curve models, parallel process models, random intercept-cross lagged panel models, and autoregressive latent trajectory models were used to model the hypothesized prospective and mediational relationship.
Results: ACT differentially affected acceptance, suppression, and distraction, and changes in all mediators (except acceptance) showed significant cross-sectional associations with outcome. Only cognitive reappraisal predicted subsequent anxiety levels and vice versa, irrespective of treatment. However, none of the emotion regulation variables mediated the effect of ACT.
Conclusions: The discrepancy with previous positive findings on emotion regulation as a mediator may be attributed to earlier studies not using a longitudinal design and analysis on the within-person level.
期刊介绍:
Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.