Journal of Contextual Behavioral Science最新文献

{"title":"Confucian-informed ACT for psychological flexibility, mental health, and sleep in college students: A randomized controlled trial","authors":"Yaping Zhou ,&nbsp;Xiaochen Wen ,&nbsp;Yinan Li ,&nbsp;Lu Liu ,&nbsp;Qiushan Li","doi":"10.1016/j.jcbs.2024.100868","DOIUrl":"10.1016/j.jcbs.2024.100868","url":null,"abstract":"<div><div>College students are susceptible to psychological and sleep problems in the face of interpersonal, academic, financial, and uncertain pressures, which are exacerbated by the limited resources available at universities for psychological or sleep interventions and the negative help-seeking attitudes of college students. Therefore, there is a need to design and apply university-based interventions that are easily accessible to college students. Transdiagnostic Internet-based Acceptance and Commitment Therapy (TACT) has been widely utilized due to its low cost and scalability; however, to date, its effectiveness and cross-cultural adaptation in mainland China remain to be studied. University students were recruited and randomly assigned to either a) the intervention group (n = 48, Student COMPASS Enhanced Course), which received the I-ACT intervention course with cross-cultural adaptation modifications, or b) the control group (n = 48, Student COMPASS Course), which received the Student COMPASS Course, in a randomized controlled trial design. The Student COMPASS Enhanced Course is a program that has undergone cultural adaptation improvements. The course utilizes the Theoretical Model of Confucian Self-Development as the ethical guideline, while mapping Zeng Guofan's (1811–1872) experience of self-cultivating to the six sub-processes of psychological flexibility and become the essential part of the course. Participants all received a post-intervention assessment after 7 weeks and a follow-up assessment after 15 weeks. The results indicated time effects across all symptom measures (ISI, GHQ-12, PPFI, ESS, DASS-21, and AAQ-II), suggesting significant improvements in mental health, sleep health, and psychological flexibility over time in both the intervention and control groups. Additionally, between-group main effects were observed for PPFI, ESS, DASS-21, and AAQ-II scores. However, the Generalized Estimating Equations (GEE) analysis revealed no group by time interaction effects for scores on any of the measures. Therefore, the Student COMPASS Enhanced Course is an effective Transdiagnostic Internet-based Acceptance and Commitment Therapy for college students in mainland China, with cross-cultural adaptation modifications to the I-ACT and incorporation of the Social workers and counselors are important for the design of psychological intervention programs and subsequent research on I-ACT in mainland Chinese universities.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100868"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect and mechanism of acceptance and commitment therapy for young adults’ appearance-based rejection sensitivity and social comparison based on appearances: A randomized controlled trial","authors":"Wen Zhao ,&nbsp;Xiangping Liu ,&nbsp;Yanhe Deng ,&nbsp;Anise M.S. Wu","doi":"10.1016/j.jcbs.2024.100848","DOIUrl":"10.1016/j.jcbs.2024.100848","url":null,"abstract":"<div><div>This study tested the effect and mechanism of acceptance and commitment therapy (ACT) on young adults’ appearance-based rejection sensitivity (ARS) and social comparison based on appearance (SCBA). A sample of 190 university students (Mage = 18.35, SD = 0.78; 56.62% female) was randomly assigned to either the ACT group (n = 94) or an active control group (n = 96), which focused on interpersonal discussions about experiences of appearance-based rejection. Participants completed six weekly group interventions, as well as three surveys: a baseline assessment before the intervention (T1), a post-test immediately after the intervention (T2), and a 3-month follow-up (T3). Clinically significant decreases in ARS and SCBA were observed in the ACT group from baseline to both the post-test and follow-up. Comparisons at each phase indicated that the ACT group outperformed the control group in reducing ARS and SCBA, as well as in improving psychological inflexibility and cognitive fusion. Furthermore, the parallel mediation models supported the mediating roles of psychological inflexibility and cognitive fusion between the ACTintervention and ARS /SCBA. These findings suggest that ACT is effective in reducing ARS and SCBA by improving psychological inflexibility and cognitive fusion. Future research should further explore the effects and mechanisms of ACT on ARS and its related constructs using diversified samples and multiple long-term follow-ups.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100848"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Turkish validation of the short form of the Avoidance and Fusion Questionnaire (AFQ-Y8): Factor structure, measurement invariance, and incremental validity","authors":"Engin Büyüköksüz","doi":"10.1016/j.jcbs.2024.100864","DOIUrl":"10.1016/j.jcbs.2024.100864","url":null,"abstract":"<div><div>The Avoidance and Fusion Questionnaire for Youth (AFQ-Y8) was adapted to gauge psychological inflexibility among young people in a Turkish sample. The current study investigated the factorial structure, incremental validity, measurement invariance across age and gender, and test-retest reliability of the AFQ-Y8 with a sample of 968 high school students (boys = 437, girls = 531). The results confirm the factorial structure associated with psychological inflexibility. Furthermore, the AFQ-Y8 demonstrated a positive correlation with adverse psychological health outcomes. The analysis also supported measurement invariance across different age and gender groups. Additionally, psychological inflexibility exhibited incremental validity in relation to anxiety and depression. In summary, the results indicate that the Turkish AFQ-Y8 is a reliable and valid instrument for measuring psychological inflexibility in adolescents. The Turkish AFQ-Y8 may prove useful in cross-cultural research on psychological inflexibility.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100864"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptance and commitment therapy (ACT) for pediatric chronic non-cancer pain: A systematic review","authors":"Elena Rocío Serrano Ibáñez ,&nbsp;Jade Louise Houghton ,&nbsp;Gema T. Ruiz-Párraga ,&nbsp;Rosa Esteve ,&nbsp;Carmen Ramírez-Maestre ,&nbsp;Alicia E. López-Martínez","doi":"10.1016/j.jcbs.2025.100873","DOIUrl":"10.1016/j.jcbs.2025.100873","url":null,"abstract":"<div><h3>Objective</h3><div>Acceptance and Commitment Therapy (ACT) is an emerging intervention in the paediatric population but is also increasingly being applied across a range of conditions, including chronic noncancer pain (CNCP). The aim of this study was to evaluate the efficacy of ACT in paediatric CNCP.</div></div><div><h3>Methods</h3><div>A systematic review of English and Spanish articles was conducted. The search was performed in July 2023 and updated in September 2024, using Medline, APA PsycInfo, Psychology Database, APA PsycArticles, PubMed, and Web of Science. We included quasi-experimental pre-post studies and randomized controlled trials (RCT) based on ACT treatment for the paediatric population with a diagnosis of CNCP. Data were extracted by two of the authors using predefined data fields. The risk of bias was evaluated using the Study Quality Assessment Tools of the National Heart Lung and Blood Institute.</div></div><div><h3>Results</h3><div>Nine articles met the inclusion criteria (8 pre-post studies and one RCT), involving a total of 423 children and adolescents and 380 parents. The studies assessed variables related to the following areas: physical, psychological, and social/academic. The inclusion of parents in the intervention was taken into account. At a moderate level of evidence, the following variables generally showed a significant change after the intervention: pain interference, anxiety, depression, pain catastrophizing, pain reactivity, and psychological flexibility in the children, adolescents, and their parents. However, overall, the studies had a moderate risk of bias.</div></div><div><h3>Conclusions</h3><div>ACT could be efficacious in the treatment of paediatric CNCP; furthermore, the inclusion of parents could lead to improved outcomes. While these findings are promising, further research is needed.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100873"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing the assessment of psychological flexibility: Development and validation of a novel context-sensitive measure in people with chronic physical illness","authors":"Inês Matos-Pina ,&nbsp;Jéssica Ferreira ,&nbsp;Joana Marta-Simões ,&nbsp;Mariana Moura-Ramos ,&nbsp;Cláudia Ferreira","doi":"10.1016/j.jcbs.2025.100876","DOIUrl":"10.1016/j.jcbs.2025.100876","url":null,"abstract":"<div><div>The current study aimed to develop and validate a novel context-sensitive measure of chronic illness-related psychological flexibility: the Psy-Flex-CI. Its factor structure and psychometric properties were explored in a sample of 286 Portuguese adults who received at least one diagnosis of chronic physical illness. Results confirmed the plausibility of the single-factor structure of the Psy-Flex-CI, with very good fit indices. Also, findings supported the Psy-Flex-CI's reliability. Support for convergent validity was also found with significant correlations between the Psy-Flex- CI and other measures of interest (psychological flexibility and inflexibility, body functionality appreciation, psychopathological symptoms) in the expected directions. Additionally, the Psy-Flex-CI showed incremental validity over a multidimensional measure of psychological flexibility (MPFI-24). Overall, our findings suggest that the Psy-Flex-CI is a reliable and valid measure to assess chronic illness-related psychological flexibility in individuals diagnosed with chronic physical illness. The development of the Psy-Flex-CI may thus be a useful contribution for the chronic illness field, in both clinical and research contexts.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100876"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symbolic or derived generalization of fear and avoidance in humans: A systematic review","authors":"Leandro S. Boldrin ,&nbsp;Martyn Quigley ,&nbsp;Simon Dymond","doi":"10.1016/j.jcbs.2024.100869","DOIUrl":"10.1016/j.jcbs.2024.100869","url":null,"abstract":"<div><div>Fear and avoidance responses acquired in the presence of one event often generalize to other symbolically related cues or events, increasing the range of potential threatening stimuli capable of evoking defensive responses. In this way, symbolic or derived generalization of fear or avoidance occurs when physically dissimilar, arbitrary stimuli come to occasion conditioned fear or avoidance responses without further training. Despite being a well-studied domain of obvious translational and clinical relevance, a systematic review of this literature has not yet been conducted. We systematically searched Web of Science and PsycINFO databases for empirical articles on the symbolic generalization of fear and avoidance in humans. Following screening, 31 articles were identified that described studies conducted with a wide range of variables and procedures, relatively small samples sizes, and often lacking justification for participant recruitment and the use of task mastery criteria. We conclude by discussing how research on the symbolic generalization of fear and avoidance in humans can provide a valid and reliable contextual behavioral model for studying and treating anxiety related disorders.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100869"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to the special issue on process-based therapy","authors":"Clarissa W. Ong ,&nbsp;Stefan G. Hofmann ,&nbsp;Joseph Ciarrochi ,&nbsp;Ross G. Menzies ,&nbsp;Steven C. Hayes","doi":"10.1016/j.jcbs.2025.100874","DOIUrl":"10.1016/j.jcbs.2025.100874","url":null,"abstract":"<div><div>Process-based therapy (PBT) is a meta-theoretical approach to psychological assessment and intervention rooted in evolutionary science and focused on dynamic change processes within particular people in their unique context. Part of the aspiration of PBT is to integrate and streamline clinical expertise across theoretical orientations, to clarify the most efficient and effective means of reducing human suffering and promoting psychological prosperity. This special issue in the <em>Journal of Contextual Behavioral Science</em>, introduced by the current paper, is an initial step toward this goal. We present six articles, each highlighting a specific therapeutic approach, from acceptance and commitment therapy to existential therapy. These articles demonstrate how integrating PBT with existing models enhances the depth of case conceptualization and treatment planning.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100874"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the effects of process-based therapy: A multiple baseline study","authors":"Clarissa W. Ong ,&nbsp;Kate Sheehan ,&nbsp;Adam J.D. Mann ,&nbsp;Estella Fox","doi":"10.1016/j.jcbs.2025.100875","DOIUrl":"10.1016/j.jcbs.2025.100875","url":null,"abstract":"<div><div>Process-based therapy (PBT) is a model of psychological assessment and treatment focused on processes of change within particular people in their unique context. Many theoretical articles have been published on PBT, but few empirical studies explicitly examining PBT exist. The current study aimed to examine the effects of PBT using a multiple baseline design (<em>N</em> = 5) with intensive longitudinal assessment from baseline to 6-month follow-up. Overall, idiographic outcomes improved over time, with effects varying by participant. Gains appeared to be maintained at 6-month follow-up for two of three participants. In addition, individual-level networks contained fewer pathways overall or more inhibitory pathways over time, indicating that the relationships among symptoms changed over the course of treatment. At the same time, extent of change in standardized outcomes across participants varied and certain pathways in participant networks were consistent at multiple timepoints, suggesting that treatment was not universally effective across problem indices. The present study provides a proof of concept for PBT delivery and underscores the need to consider person-level outcomes when evaluating treatment efficacy. Future directions and limitations, including small sample size, are discussed.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100875"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contextual approach to emotional and psychological support for Malaysian adolescents: Feasibility and pilot outcomes","authors":"Jhia Mae Woo ,&nbsp;Cai Lian Tam ,&nbsp;Sharuna Verghis","doi":"10.1016/j.jcbs.2024.100865","DOIUrl":"10.1016/j.jcbs.2024.100865","url":null,"abstract":"<div><div>The call to action to develop and implement a culturally appropriate prevention program has become an important goal to remedy Malaysia's growing number of emotionally distressed adolescents. Contextual behavioural-based interventions are progressively favoured to support adolescents and young people. The present study primarily investigates the feasibility of implementing a prevention program for Malaysian adolescents using a culturally adapted Discoverer, Noticer, Advisor and Values (DNA-V) protocol. The study consisted of two phases. In Phase 1, the content and ecological validity of the culturally adapted protocol, the Time to <em>ACT</em>! (‘<em>TTA</em>’) protocol was examined by five experts using a concurrent transformative mixed-methods design. The content validity was evaluated using Lawshe's Content Validity Index, and the ecological validity was assessed using Bernal's Ecological Validity Model. In Phase 2, nineteen Malaysian secondary students were recruited for the pilot to test its feasibility and acceptability by assessing anxiety, stress, and psychological flexibility levels pre- and post-program, number of dropouts, and participants' receptiveness. Further refinement and finalisation of the protocol were made post-program. In Phase 1, recommendations by the experts were made to improve the importance and clarity criteria of the major components of language (i.e. translation of terms from English to Bahasa Malaysia), metaphor (i.e. symbolism in Malaysian context) and concepts (i.e. uses of DNA-V concepts and terminologies in the Malaysian context) to enhance the content validity and ecological sensitivity of the protocol. The results in Phase 2 showed no statistically significant differences in the reduction of anxiety, stress and psychological inflexibility. Nevertheless, participants' and experts' high endorsement of its application and content showed the program's feasibility and acceptability as a prevention program for Malaysian adolescents. Most contents remained in the final versions of the ‘<em>TTA</em>’ protocol, with few refinements of the terminologies in the Bahasa Malaysia version of the ‘<em>TTA</em>’ protocol. Main findings, strengths, limitations and future directions were discussed. This study acts as a stepping stone toward future improved trials which will benefit Malaysian adolescents' mental health.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100865"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mixed methods study investigating alexithymia, experiential avoidance, and psychological distress: Insights into men with high externally oriented thinking","authors":"Rebecca O'Sullivan ,&nbsp;Jeeda Alhakim","doi":"10.1016/j.jcbs.2024.100866","DOIUrl":"10.1016/j.jcbs.2024.100866","url":null,"abstract":"<div><div>Previous research suggests that experiential avoidance mediates the relationship between alexithymia and psychological distress. However, concerns persist regarding the validity of:</div><div>1) mediation analyses in cross-sectional samples, 2) common measures of alexithymia and experiential avoidance, and 3) solely quantitative approaches to studying alexithymic individuals. This study addresses these gaps using a sequential explanatory methodology comprising of: 1) a quantitative phase employing improved psychometric questionnaires to examine relationships between alexithymia, experiential avoidance, and distress, and 2) a qualitative phase exploring the lived experiences of individuals with alexithymia. A sample of 211 UK adults replicated prior quantitative findings, showing strong positive correlations between experiential avoidance, alexithymia, and psychological distress. However, no link was found between the Externally Oriented Thinking (EOT) facet of alexithymia and psychological distress. This led to a qualitative investigation of men with EOT, analysed using template analysis, a codebook approach to Thematic Analysis. The combined results suggest that life experiences may drive avoidance of unwanted private experiences. Moreover, the qualitative findings indicate two mechanisms explaining EOT's lack of association with psychological distress. First, EOT may serve as a protective factor against positive and negative emotional affect. Second, patriarchal norms may encourage emotional suppression and avoidant coping, leading to underreporting distress in mood questionnaires. Important theoretical and clinical implications are discussed through a Counselling Psychology lens, leading to a critique of assumptions underlying modern therapeutic techniques that may contribute to social injustice.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100866"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}