Embodied cognitive restructuring: The impact of posture and movement on changing dysfunctional attitudes

IF 1.7 4区医学 Q3 PSYCHIATRY Journal of Behavior Therapy and Experimental Psychiatry Pub Date : 2024-02-24 DOI:10.1016/j.jbtep.2024.101955

M.S. O’Toole , J. Michalak

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Abstract

Background and objectives

Previous theoretical and empirical work has pointed to the important role of the body in emotion generation and emotion regulation. In the present study, we wanted to investigate if the performance of certain body postures and movement could facilitate cognitive restructuring of dysfunctional cognitive attitudes more effectively than traditional, verbal-only methods.

Methods

In total, 130 participants were randomized to one of two groups. One group was subjected to cognitive restructuring (i.e., restructure only group; CR-only), verbally exploring a dysfunctional attitude from a curious, strong, and courageous perspective. The other group received the same verbal instructions but in addition to this, was asked to perform different bodily exercises (i.e., motor-enhanced restructuring group; M-CR) supposed to enhance experience of the different perspectives from which cognitive restructuring was employed.

Results

Results confirmed the primary hypothesis, showing that the M-CR-group showed a larger decline in belief in dysfunctional attitudes compared with the CR-only group (F = 4.2, p = 0.041, d = 0.25). No differences on secondary outcomes were observed between the two groups.

Limitations

Future research should explore the effects of motor-enhanced CR both more long-term (e.g., durability over weeks) and in clinical samples (e.g., anxiety and depression).

Conclusion

Should the findings be replicated in clinical samples, it is encouraging that simple bodily exercises can enhance the effect of one of the most central skills of cognitive therapy.

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体现式认知重组：姿势和动作对改变功能失调态度的影响

背景和目的以前的理论和实证研究都指出了身体在情绪产生和情绪调节中的重要作用。在本研究中，我们希望调查某些身体姿势和动作的表现是否能比传统的、只用语言表达的方法更有效地促进对功能失调认知态度的认知重组。其中一组接受认知重组（即仅重组组；CR-only），从好奇、坚强和勇敢的角度对功能失调的态度进行口头探索。另一组接受同样的口头指导，但除此之外，还被要求进行不同的身体练习（即运动增强重组组；M-CR），以增强对认知重组所采用的不同视角的体验。结果结果证实了主要假设，显示与纯 CR 组相比，M-CR 组在功能失调态度信念方面的下降幅度更大（F = 4.2，p = 0.041，d = 0.25）。局限性未来的研究应探索运动增强 CR 的长期效果（如持续数周）和临床样本（如焦虑和抑郁）。

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来源期刊

Journal of Behavior Therapy and Experimental Psychiatry Multiple-

CiteScore

3.60

自引率

5.60%

发文量

期刊介绍： The publication of the book Psychotherapy by Reciprocal Inhibition (1958) by the co-founding editor of this Journal, Joseph Wolpe, marked a major change in the understanding and treatment of mental disorders. The book used principles from empirical behavioral science to explain psychopathological phenomena and the resulting explanations were critically tested and used to derive effective treatments. The second half of the 20th century saw this rigorous scientific approach come to fruition. Experimental approaches to psychopathology, in particular those used to test conditioning theories and cognitive theories, have steadily expanded, and experimental analysis of processes characterising and maintaining mental disorders have become an established research area.