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A Tribute to the Behaviour Change Journal, 1984-2023 向《行为改变期刊》致敬,1984-2023 年
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-11-20 DOI: 10.1017/bec.2023.7
Genevieve A. Dingle
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引用次数: 0
Online Self-Help Acceptance and Commitment Therapy Module for College Students with Higher Gaming Disorder During COVID-19: A Pilot Study 新型冠状病毒肺炎期间高等游戏障碍大学生在线自助接受与承诺治疗模块:一项试点研究
4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-28 DOI: 10.1017/bec.2023.6
Dongyan Ding, Mengdie Pan, Wenjuan Wang, Xiucheng Wang, Simin Ma, Yuqing Yang, Yonghui Huang, Menghui Guo, Yizhen Wu
Abstract During the COVID-19 pandemic, there was an increase in online gaming behaviour among college students. This study aimed to examine the impact of online self-help interventions consisting of different components within the Acceptance and Commitment Therapy (ACT) framework on college students’ gaming disorder and gaming frequency. Additionally, it evaluated the effectiveness of both interventions in addressing psychological distress among college students during the COVID-19 pandemic. One intervention was a full ACT program, which consists of six core components, while the other intervention focused on the engaged components of ACT (specifically targeting value-based actions). The study employed a 2 conditions (Full ACT vs. Engaged ACT) × 3 times (pre-, mid- and post-program) design to examine the effectiveness of these interventions. Each intervention consisted of 10 sessions, delivered at a frequency of five sessions per week over a 2-week period for both groups. The participants in this study were enrolled in two online classes. Participants with gaming disorder scores in the top 20% were selected and assigned to either the Full group ( N = 49) or the Engaged group ( N = 41) for the interventions. The study assessed outcome variables, including gaming disorder, psychological flexibility, daily gaming hours, weekly gaming days and psychological distress, at pre-intervention, mid-intervention, post-intervention and one-month follow-up for both groups. No significant differences were observed between the two groups on these outcomes at the pre-intervention stage. The findings of this study indicate that both interventions effectively reduced gaming disorder and weekly gaming frequency, while enhancing psychological flexibility. Nonetheless, the Engaged group exhibited a significant reduction in daily gaming hours. There was no substantial change in psychological distress in either group during and after the intervention. The implications and limitations of this study were also reported.
在新冠肺炎疫情期间,大学生网络游戏行为有所增加。本研究旨在探讨在接受与承诺治疗(ACT)框架下,由不同成分组成的在线自助干预对大学生游戏障碍和游戏频率的影响。此外,它还评估了这两种干预措施在2019冠状病毒病大流行期间解决大学生心理困扰方面的有效性。一项干预是一个完整的ACT计划,由六个核心部分组成,而另一项干预侧重于ACT的参与部分(特别针对基于价值的行动)。本研究采用2个条件(完全ACT与参与ACT) × 3次(项目前、中、后)设计来检验这些干预措施的有效性。每次干预包括10个疗程,两组均以每周5次的频率进行,为期2周。这项研究的参与者参加了两个在线课程。游戏障碍得分在前20%的参与者被选择并分配到完整组(N = 49)或投入组(N = 41)进行干预。在干预前、干预中期、干预后和一个月的随访中,研究评估了两组的结果变量,包括游戏障碍、心理灵活性、每日游戏时间、每周游戏天数和心理困扰。在干预前阶段,两组在这些结果上没有观察到显著差异。本研究结果表明,两种干预措施都能有效减少游戏障碍和每周游戏频率,同时增强心理灵活性。尽管如此,参与度高的玩家每天的游戏时间却明显减少。在干预期间和之后,两组的心理困扰都没有实质性的变化。本研究的意义和局限性也被报道。
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引用次数: 0
The Impact of Cognitive Restructuring on Post-Event Rumination and Its Situational Effect on Socially Anxious Adolescents 认知重构对社交焦虑青少年事件后反刍的影响及其情境效应
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-08-22 DOI: 10.1017/bec.2023.5
Meng Yu, Yawen Zhu, Dingguo Gao, Qian Xu, Ye Wang, Jianping Wang
Post-event rumination (PER) has been seen as a key element in the persistence of social anxiety (disorder). Studies on PER-targeted intervention, e.g., cognitive restructuring (CR), has, however, received little attention in adults, not yet in youth. In addition, previous research showed that, compared to interaction, participants reported higher levels of PER after speech task. The main aim of the present study was to investigate the effect of CR targeting PER among socially anxious (Chinese) adolescents and also to compare the intervention effect between speech and interaction situations. The present study recruited a sample of 73 high socially anxious adolescents aged 12–16 years and then randomly assigned them into speech (n = 37) or interaction (n = 36) group, without control group. PER and social anxiety (SA) were measured before and after CR. Analysis of Covariance (ANCOVA) results showed that adolescents’ PER and SA symptoms were significantly improved with intervention with moderate to high effect size. Furthermore, the decrease in PER could significantly predict the improvement of SA. However, the intervention effect showed no difference between groups. Although no control group was included, one-session CR still showed its potential to improve participants’ PER and SA. Limitations and future directions were discussed.
事后沉思(PER)被认为是社交焦虑(障碍)持续存在的关键因素。然而,关于PER靶向干预的研究,例如认知重构(CR),在成年人中很少受到关注,在青年中还没有受到关注。此外,先前的研究表明,与互动相比,参与者在完成言语任务后报告的PER水平更高。本研究的主要目的是调查CR在社交焦虑(中国)青少年中针对PER的效果,并比较言语和互动情况之间的干预效果。本研究招募了73名12-16岁的高度社交焦虑青少年作为样本,然后将他们随机分为言语组(n=37)或互动组(n=36),不设对照组。在CR前后测量PER和社交焦虑(SA)。协方差分析(ANCOVA)结果显示,青少年的PER和SA症状通过中等至高效果的干预得到显著改善。此外,PER的降低可以显著预测SA的改善。然而,干预效果在各组之间没有差异。尽管没有纳入对照组,但一次CR仍显示出其提高参与者PER和SA的潜力。讨论了局限性和未来方向。
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引用次数: 0
The Social Determinants of Loneliness During COVID-19: Personal, Community, and Societal Predictors and Implications for Treatment – CORRIGENDUM COVID-19期间孤独感的社会决定因素:个人、社区和社会预测因素及其对治疗的影响-勘误表
4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-06-02 DOI: 10.1017/bec.2023.4
Marlee Bower, Eleisha Lauria, Olivia Green, Scarlett Smout, Julia Boyle, Amarina Donohoe-Bales, Genevieve Dingle, Emma Barrett, Erin Fearn-Smith, Kevin Gournay, Maree Teesson
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此内容没有摘要。当您可以访问此内容时,该页上会提供完整的HTML内容。此内容的PDF也可以通过“保存PDF”操作按钮获得。
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引用次数: 0
The Social Determinants of Loneliness During COVID-19: Personal, Community, and Societal Predictors and Implications for Treatment COVID-19期间孤独感的社会决定因素:个人、社区和社会预测因素及其对治疗的影响
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.1017/bec.2023.3
Marlee Bower, Eleisha Lauria, Olivia Green, Scarlett Smout, Julia Boyle, Amarina Donohoe-Bales, G. Dingle, E. Barrett, Erin Fearn Smith, K. Gournay, M. Teesson
Abstract Objective The COVID-19 pandemic dramatically altered social determinants of health including work, education, social connections, movement, and perceived control; and loneliness was commonly experienced. This longitudinal study examined how social determinants at the personal (micro), community (meso), and societal (macro) levels predicted loneliness during the pandemic. Methods Participants were 2056 Australian adults surveyed up to three times over 18 months in 2020 and 2021. Multi-level mixed-effect regressions were conducted predicting loneliness from social determinants at baseline and two follow-ups. Results Loneliness was associated with numerous micro determinants: male gender, lifetime diagnosis of a mental health disorder, experience of recent stressful event(s), low income, living alone or couples with children, living in housing with low natural light, noise, and major building defects. Lower resilience and perceived control over health and life were also associated with greater loneliness. At the meso level, reduced engagement with social groups, living in inner regional areas, and living in neighbourhoods with low levels of belongingness and collective resilience was associated with increased loneliness. At the macro level, increased loneliness was associated with State/Territory of residence. Conclusions Therapeutic initiatives must go beyond psychological intervention, and must recognise the social determinants of loneliness at the meso and macro levels.
摘要目的新冠肺炎大流行显著改变了健康的社会决定因素,包括工作、教育、社会联系、运动和感知控制;孤独感是普遍存在的。这项纵向研究考察了个人(微观)、社区(微观)和社会(宏观)层面的社会决定因素如何预测疫情期间的孤独感。方法参与者是2056名澳大利亚成年人,在2020年和2021年的18个月内进行了三次调查。在基线和两次随访中,根据社会决定因素进行了多水平混合效应回归预测孤独感。结果孤独感与许多微观决定因素有关:男性、一生被诊断为精神健康障碍、最近有压力事件的经历、低收入、独自生活或有孩子的夫妇、居住在自然光、噪音低的住房和严重的建筑缺陷。较低的恢复力和对健康和生活的控制感也与更大的孤独感有关。在中观层面,与社会群体的接触减少,生活在内部地区,生活在归属感和集体韧性较低的社区,与孤独感增加有关。在宏观层面上,孤独感的增加与居住州/地区有关。结论治疗措施必须超越心理干预,必须从微观和宏观层面认识到孤独的社会决定因素。
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引用次数: 0
Does Being Kind, Warm and Accepting Towards Yourself Affect Your Well-Being? A Study of Construction Apprentices in New Zealand 对自己友善、温暖、接纳会影响你的幸福吗?新西兰建筑学徒的研究
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-03-24 DOI: 10.1017/bec.2023.2
Georgina Caldwell, T. Tairi
In Australia and New Zealand, young construction workers have high suicide rates that are associated with increased psychological distress. Research so far has focused on risk factors, such as workplace bullying during young workers’ apprenticeship training. However, there is a gap in research on factors associated with fostering psychological well-being and the development of strength-based interventions for the industry. One factor which is related to psychological well-being is self-compassion, the ability to be empathic towards oneself during times of suffering or failure. The present study (N = 252) examined relationships between self-compassion, psychological well-being, psychological distress and exposure to workplace bullying in New Zealand construction apprentices. Results showed that self-compassion was positively and significantly related to psychological well-being and negatively related to psychological distress. Self-compassion also uniquely predicted all of the six dimensions of psychological well-being. Experiences of workplace bullying and psychological distress were substantial, and workplace bullying was positively related to psychological distress. Contrary to our hypothesis, self-compassion did not moderate the association between bullying and psychological distress. Overall, these findings indicate that self-compassion interventions may have promise as a mechanism to improve the well-being of construction apprentices.
在澳大利亚和新西兰,年轻的建筑工人自杀率很高,这与心理压力的增加有关。到目前为止,研究的重点是风险因素,例如年轻工人学徒培训期间的职场欺凌。然而,在与促进心理健康相关的因素研究以及为该行业制定基于力量的干预措施方面存在差距。与心理健康相关的一个因素是自我同情,即在痛苦或失败时对自己感同身受的能力。本研究(N=252)调查了新西兰建筑学徒的自我同情、心理健康、心理困扰和职场欺凌之间的关系。结果表明,自我同情与心理健康呈正相关,与心理痛苦呈负相关。自我同情也独特地预测了心理健康的所有六个维度。职场欺凌和心理困扰的经历是显著的,职场欺凌与心理困扰呈正相关。与我们的假设相反,自我同情并没有缓和欺凌和心理痛苦之间的联系。总的来说,这些发现表明,自我同情干预可能有望成为改善建筑学徒福祉的一种机制。
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引用次数: 0
A Feasibility Study Investigating Mechanisms of Change in Public Mental Health Dialectical Behaviour Therapy Programmes 公共心理健康辩证行为治疗方案变革机制的可行性研究
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-03-09 DOI: 10.1017/bec.2023.1
Gemma Frost, E. Strodl, S. Swannell, K. Macdonald, K. Madson
Few studies have investigated the feasibility of researching brief forms of dialectical behaviour therapy (DBT) for borderline personality disorder (BPD) in public mental health settings. This study aimed to provide preliminary evidence for the feasibility of implementing DBT over a 6-month period for BPD symptoms within Australian public mental health services. Of the 79 participants with BPD recruited, 62 commenced and 24 participants completed the therapy. The participants attended one of three outpatient DBT programmes and completed measures of BPD symptoms, DBT skills-use, and difficulties with emotion regulation at baseline and after 6 months of treatment. A major challenge with feasibility identified was the high attrition rate (61%). However, for completers there were significant improvements in BPD symptoms, DBT skills-use, and difficulties with emotion regulation. These effect sizes were used to estimate the sample sizes needed by future larger trials of brief DBT for BPD in public health settings. The implementation of brief DBT for BPD patients within a public mental health outpatient setting, appears to result in significant reductions in BPD symptoms. However, further exploration of strategies to reduce drop-out rates are required.
很少有研究调查在公共心理健康环境中研究简单形式的辩证行为疗法(DBT)治疗边缘型人格障碍(BPD)的可行性。本研究旨在为在澳大利亚公共心理健康服务中对BPD症状实施为期6个月的DBT的可行性提供初步证据。在招募的79名BPD参与者中,62人开始治疗,24人完成治疗。参与者参加了三个门诊DBT项目中的一个,并在基线和治疗6个月后完成了BPD症状、DBT技能使用和情绪调节困难的测量。可行性方面的一个主要挑战是高流失率(61%)。然而,对于完成者来说,BPD症状、DBT技能使用和情绪调节困难都有显著改善。这些效应大小用于估计未来在公共卫生环境中对BPD进行简短DBT的大型试验所需的样本大小。在公共心理健康门诊环境中对BPD患者实施简短的DBT,似乎可以显著减少BPD症状。然而,还需要进一步探索降低辍学率的战略。
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引用次数: 0
Intolerance of Uncertainty and Social Anxiety: An Experimental Investigation 不确定性不容忍与社交焦虑的实验研究
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-02-20 DOI: 10.1017/bec.2022.25
Pooja D. Saraff, Bethany Shikatani, Anna Maria Rogic, Erin Faith Dodig, Snigdha Talluri, Heather Murray-Latin
Intolerance of uncertainty (IU) is a cognitive bias that leads to perception and intolerance of uncertainty and has associated negative cognitive, emotional, and behavioural responses. It plays a strong role in social anxiety disorder (SAD; Counsell et al., 2017). Our experimental study examined the impact of uncertainty related to a social stressor on SAD using a speech task. We examined features of SAD including anticipatory anxiety, anxiety during the task, willingness to perform the task, and avoidance of the task. Undergraduate students (N = 110, 88% female) with significant social anxiety completed a series of questionnaires, then were randomised to one of two conditions related to level of uncertainty about an impromptu speech task. The experimental condition (state IU) did not predict any of the outcome variables, while trait IU significantly predicted anxiety levels. Results indicate that increased uncertainty of a social situation does not impact acute anxiety levels in SAD and reinforce the strong role of trait IU as a transdiagnostic cognitive variable. Neither trait nor state IU predicted the willingness and avoidance variables. Results also highlighted the central role of the experience of anxiety on avoidance behaviours, above cognitive factors such as IU.
不确定性不容忍(IU)是一种认知偏见,会导致对不确定性的感知和不容忍,并产生负面的认知、情绪和行为反应。它在社交焦虑症中起着重要作用(SAD;Counsel等人,2017)。我们的实验研究通过言语任务检验了与社会压力源相关的不确定性对SAD的影响。我们研究了SAD的特征,包括预期焦虑、任务中的焦虑、执行任务的意愿和对任务的回避。具有显著社交焦虑的本科生(N=110,88%为女性)完成了一系列问卷调查,然后被随机分配到与即兴演讲任务的不确定性水平相关的两种情况之一。实验条件(状态IU)不能预测任何结果变量,而特质IU显著预测焦虑水平。结果表明,社会状况的不确定性增加不会影响SAD中的急性焦虑水平,并强化了特质IU作为一种跨诊断认知变量的强大作用。特质和状态IU均未预测意愿和回避变量。研究结果还强调了焦虑体验对回避行为的核心作用,高于IU等认知因素。
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引用次数: 1
A Preliminary Examination of Treatment Barriers, Preferences, and Histories of Women with Symptoms of Social Anxiety Disorder 对有社交焦虑症症状的女性的治疗障碍、偏好和病史的初步调查
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-17 DOI: 10.1017/bec.2022.26
Julie A Black, J. Paparo, Bethany M. Wootton
Social anxiety disorder (SAD) is a common mental health condition that is characterised by a persistent fear of social or performance situations. Despite effective treatments being available, many individuals with SAD do not seek treatment or delay treatment seeking for many years. The aim of the present study was to examine treatment barriers, treatment histories, and cognitive behavioural therapy (CBT) delivery preferences in a sample of women with clinically relevant SAD symptoms. Ninety-nine women (Mage = 34.90, SD = 11.28) completed the online questionnaires and were included in the study. Participants were recruited from advertisements on community noticeboards and posts on social media. The results demonstrated that less than 5% of those who received psychological treatment in the past were likely to have received best-practice CBT. The most commonly cited barriers to accessing treatment for women with SAD related to direct costs (63%) and indirect costs (e.g., transport/childcare) (28%). The most preferred treatment delivery method overall was individual face-to-face treatment (70%). The study demonstrates a need to provide a variety of treatment options in order to enhance access to empirically supported treatment for women with SAD.
社交焦虑症(SAD)是一种常见的心理健康状况,其特征是对社交或表现情况的持续恐惧。尽管有有效的治疗方法,但许多SAD患者多年来都没有寻求治疗或推迟寻求治疗。本研究的目的是在具有临床相关SAD症状的女性样本中检查治疗障碍、治疗史和认知行为疗法(CBT)的分娩偏好。99名女性(Mage=34.90,SD=11.28)完成了在线问卷调查并被纳入研究。参与者是从社区公告板上的广告和社交媒体上的帖子中招募的。结果表明,在过去接受过心理治疗的人中,只有不到5%的人可能接受过最佳实践CBT。SAD妇女获得治疗的最常见障碍与直接成本(63%)和间接成本(如交通/儿童保育)(28%)有关。总体而言,最受欢迎的治疗方法是个人面对面治疗(70%)。该研究表明,有必要提供各种治疗选择,以增加SAD女性获得经验支持治疗的机会。
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引用次数: 1
Writing Yourself Well: Dispositional Self-Reflection Moderates the Effect of a Smartphone App-Based Journaling Intervention on Psychological Wellbeing across Time 写好自己:性情性自我反思调节基于智能手机应用程序的日志干预对心理健康的影响
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-11-29 DOI: 10.1017/bec.2022.24
A. MacIsaac, Aislin R. Mushquash, C. Wekerle
Self-reflection is often viewed positively; paradoxically, however, it is also associated with distress, potentially because of its relationship with rumination. Focusing self-reflection on positive themes may be one way to promote adaptive self-reflection. This study examined whether the disposition to engage in self-reflection motivates use of a journal containing positively focused writing prompts and moderates the benefit gained from it, specifically when rumination is controlled for. For 28 days, participants (N = 152) accessed an app-based mental health intervention containing various features, including the aforementioned journal. Outcomes of self-regulation and psychological wellbeing were assessed, controlling for time spent using other app features. As expected, journaling was associated with improvements in psychological wellbeing but only when baseline self-reflection was average or higher. Journaling was also initially associated with improvements in self-regulation, but this was diminished after controlling for time spent using other app features. Findings suggest self-reflection could be a strength for fostering wellbeing when it is directed in a positive way.
自我反省往往被积极看待;然而,矛盾的是,它也与痛苦有关,可能是因为它与沉思的关系。将自我反思集中在积极的主题上可能是促进适应性自我反思的一种方式。这项研究考察了进行自我反思的倾向是否会激励使用包含积极关注的写作提示的期刊,并调节从中获得的好处,特别是当沉思受到控制时。在28天的时间里,参与者(N=152)访问了一个基于应用程序的心理健康干预,该干预包含各种功能,包括上述期刊。对自我调节和心理健康的结果进行了评估,控制了使用其他应用程序功能的时间。正如预期的那样,写日记与心理健康的改善有关,但只有在基线自我反思平均或更高时。日志记录最初也与自我调节的改善有关,但在控制了使用其他应用程序功能的时间后,这种情况有所减少。研究结果表明,当以积极的方式引导自我反思时,它可能是培养幸福感的一种力量。
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引用次数: 2
期刊
Behaviour Change
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