{"title":"A Tribute to the Behaviour Change Journal, 1984-2023","authors":"Genevieve A. Dingle","doi":"10.1017/bec.2023.7","DOIUrl":"https://doi.org/10.1017/bec.2023.7","url":null,"abstract":"","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139259421","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}
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.
{"title":"Online Self-Help Acceptance and Commitment Therapy Module for College Students with Higher Gaming Disorder During COVID-19: A Pilot Study","authors":"Dongyan Ding, Mengdie Pan, Wenjuan Wang, Xiucheng Wang, Simin Ma, Yuqing Yang, Yonghui Huang, Menghui Guo, Yizhen Wu","doi":"10.1017/bec.2023.6","DOIUrl":"https://doi.org/10.1017/bec.2023.6","url":null,"abstract":"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.","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135344895","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}
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.
{"title":"The Impact of Cognitive Restructuring on Post-Event Rumination and Its Situational Effect on Socially Anxious Adolescents","authors":"Meng Yu, Yawen Zhu, Dingguo Gao, Qian Xu, Ye Wang, Jianping Wang","doi":"10.1017/bec.2023.5","DOIUrl":"https://doi.org/10.1017/bec.2023.5","url":null,"abstract":"\u0000 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.","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43340617","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}
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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{"title":"The Social Determinants of Loneliness During COVID-19: Personal, Community, and Societal Predictors and Implications for Treatment – CORRIGENDUM","authors":"Marlee Bower, Eleisha Lauria, Olivia Green, Scarlett Smout, Julia Boyle, Amarina Donohoe-Bales, Genevieve Dingle, Emma Barrett, Erin Fearn-Smith, Kevin Gournay, Maree Teesson","doi":"10.1017/bec.2023.4","DOIUrl":"https://doi.org/10.1017/bec.2023.4","url":null,"abstract":"An abstract is not available for this content. As you have access to this content, full HTML content is provided on this page. A PDF of this content is also available in through the ‘Save PDF’ action button.","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136000895","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}
Pub Date : 2023-06-01Epub Date: 2022-06-16DOI: 10.1017/bec.2022.7
Tera L Fazzino, Adrianne Kunkel, Joseph Bellitti, Rebecca Swinburne Romine, Richard Yi, Courtney McDaniel, Carl W Lejuez
Behavioural activation (BA) is an efficacious treatment approach. Activity monitoring is a key component of brief BA treatments; however, no studies have examined the most efficacious format for monitoring. The present pilot study tested brief versus intensive activity monitoring approaches during a BA intervention administered in a college orientation course. Outcomes characterised (1) engagement with the treatment protocol via activity monitoring and (2) participant qualitative experiences with monitoring and the intervention as reported during focus group interviews. Four course sections were randomly assigned to receive monitoring forms that were brief (assessed activities three times daily) or intensive (assessed activities hourly). Forms were provided electronically to students via a web-based platform which tracked completion. There were no significant differences in monitoring frequency (38.0 vs. 23.0 days; p = .154) or the duration of monitoring engagement (62.0 vs. 36.0 days; p = .054) between the brief and intensive conditions. Qualitative findings suggested that participants in both conditions found utility in activity monitoring, particularly during the first month as they transitioned to college. Overall, findings indicated that participants may find utility in monitoring during the first month of a BA intervention using either brief or intensive monitoring forms.
{"title":"Engagement with Activity Monitoring During a Behavioral Activation Intervention: A Randomized Test of Monitoring Format and Qualitative Evaluation of Participant Experiences.","authors":"Tera L Fazzino, Adrianne Kunkel, Joseph Bellitti, Rebecca Swinburne Romine, Richard Yi, Courtney McDaniel, Carl W Lejuez","doi":"10.1017/bec.2022.7","DOIUrl":"10.1017/bec.2022.7","url":null,"abstract":"<p><p>Behavioural activation (BA) is an efficacious treatment approach. Activity monitoring is a key component of brief BA treatments; however, no studies have examined the most efficacious format for monitoring. The present pilot study tested brief versus intensive activity monitoring approaches during a BA intervention administered in a college orientation course. Outcomes characterised (1) engagement with the treatment protocol via activity monitoring and (2) participant qualitative experiences with monitoring and the intervention as reported during focus group interviews. Four course sections were randomly assigned to receive monitoring forms that were brief (assessed activities three times daily) or intensive (assessed activities hourly). Forms were provided electronically to students via a web-based platform which tracked completion. There were no significant differences in monitoring frequency (38.0 vs. 23.0 days; <i>p</i> = .154) or the duration of monitoring engagement (62.0 vs. 36.0 days; <i>p</i> = .054) between the brief and intensive conditions. Qualitative findings suggested that participants in both conditions found utility in activity monitoring, particularly during the first month as they transitioned to college. Overall, findings indicated that participants may find utility in monitoring during the first month of a BA intervention using either brief or intensive monitoring forms.</p>","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10424774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10019863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"The Social Determinants of Loneliness During COVID-19: Personal, Community, and Societal Predictors and Implications for Treatment","authors":"Marlee Bower, Eleisha Lauria, Olivia Green, Scarlett Smout, Julia Boyle, Amarina Donohoe-Bales, G. Dingle, E. Barrett, Erin Fearn Smith, K. Gournay, M. Teesson","doi":"10.1017/bec.2023.3","DOIUrl":"https://doi.org/10.1017/bec.2023.3","url":null,"abstract":"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.","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47773566","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}
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.
{"title":"Does Being Kind, Warm and Accepting Towards Yourself Affect Your Well-Being? A Study of Construction Apprentices in New Zealand","authors":"Georgina Caldwell, T. Tairi","doi":"10.1017/bec.2023.2","DOIUrl":"https://doi.org/10.1017/bec.2023.2","url":null,"abstract":"\u0000 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.","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48488774","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}
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.
{"title":"A Feasibility Study Investigating Mechanisms of Change in Public Mental Health Dialectical Behaviour Therapy Programmes","authors":"Gemma Frost, E. Strodl, S. Swannell, K. Macdonald, K. Madson","doi":"10.1017/bec.2023.1","DOIUrl":"https://doi.org/10.1017/bec.2023.1","url":null,"abstract":"\u0000 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.","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42781799","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}
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.
{"title":"Intolerance of Uncertainty and Social Anxiety: An Experimental Investigation","authors":"Pooja D. Saraff, Bethany Shikatani, Anna Maria Rogic, Erin Faith Dodig, Snigdha Talluri, Heather Murray-Latin","doi":"10.1017/bec.2022.25","DOIUrl":"https://doi.org/10.1017/bec.2022.25","url":null,"abstract":"\u0000 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.","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49177810","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}
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.
{"title":"A Preliminary Examination of Treatment Barriers, Preferences, and Histories of Women with Symptoms of Social Anxiety Disorder","authors":"Julie A Black, J. Paparo, Bethany M. Wootton","doi":"10.1017/bec.2022.26","DOIUrl":"https://doi.org/10.1017/bec.2022.26","url":null,"abstract":"\u0000 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.","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42675082","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}
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