Pub Date : 2025-10-01DOI: 10.1016/j.jcbs.2025.100956
Jess M. Williams , Conor Heath , Daniel Leightley , Dominic Murphy , Simon Dymond
Gambling harm and post-traumatic stress disorder (PTSD) tend to be prevalent among veterans. Globally, help-seeking rates for gambling are low, and veterans may experience obstacles in accessing mental health support due to stigma. Digital health interventions may increase treatment uptake and improve outcomes for veterans. Here, we report findings from a pilot feasibility study of a novel smartphone application-based intervention, “ACT Vet”, based on Acceptance and Commitment Therapy (ACT) for veterans experiencing PTSD symptoms, gambling harm, or both. A 10-week, within-subjects design was employed with 24 veterans (21 men, 2 women, 1 undisclosed; Mage = 45.29 years; SD = 10.70). Outcome measures assessed PTSD symptoms, gambling severity, psychological flexibility, anxiety, alcohol use, suicidality, and loneliness. We also examined participants' quality of life and app usability and acceptability ratings. Findings demonstrated significant reductions in both PTSD and gambling symptoms across the intervention, with a corresponding increase in psychological flexibility. Alcohol use also decreased post-intervention. High usability scores suggest the app was well-received by participants. Overall, the sustained improvements post-intervention indicates the successful deployment of ACT-based methods in an app format. ACT Vet has potential scalability as a first-line digital intervention for PTSD and/or gambling harm.
{"title":"Smartphone app-delivered Acceptance and Commitment Therapy (ACT) for post-traumatic stress disorder and gambling harm in veterans: A pilot feasibility study","authors":"Jess M. Williams , Conor Heath , Daniel Leightley , Dominic Murphy , Simon Dymond","doi":"10.1016/j.jcbs.2025.100956","DOIUrl":"10.1016/j.jcbs.2025.100956","url":null,"abstract":"<div><div>Gambling harm and post-traumatic stress disorder (PTSD) tend to be prevalent among veterans. Globally, help-seeking rates for gambling are low, and veterans may experience obstacles in accessing mental health support due to stigma. Digital health interventions may increase treatment uptake and improve outcomes for veterans. Here, we report findings from a pilot feasibility study of a novel smartphone application-based intervention, “ACT Vet”, based on Acceptance and Commitment Therapy (ACT) for veterans experiencing PTSD symptoms, gambling harm, or both. A 10-week, within-subjects design was employed with 24 veterans (21 men, 2 women, 1 undisclosed; M<sub>age</sub> = 45.29 years; SD = 10.70). Outcome measures assessed PTSD symptoms, gambling severity, psychological flexibility, anxiety, alcohol use, suicidality, and loneliness. We also examined participants' quality of life and app usability and acceptability ratings. Findings demonstrated significant reductions in both PTSD and gambling symptoms across the intervention, with a corresponding increase in psychological flexibility. Alcohol use also decreased post-intervention. High usability scores suggest the app was well-received by participants. Overall, the sustained improvements post-intervention indicates the successful deployment of ACT-based methods in an app format. ACT Vet has potential scalability as a first-line digital intervention for PTSD and/or gambling harm.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100956"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320706","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}
Pub Date : 2025-10-01DOI: 10.1016/j.jcbs.2025.100942
Ty B. Aller , Heather H. Kelley , Marissa L. Donahue , Elizabeth B. Fauth
Introduction
Worldwide, over 10 million individuals are diagnosed with a dementia-related disease each year. Individuals often report increased depression and anxiety after receiving a dementia diagnosis. Third wave cognitive behavioral interventions are beneficial for improving mental health symptoms in persons without dementia. There is not, however, clear conclusions on if these interventions are feasible, acceptable, and effective for individuals with dementia.
Objectives
The aim of this preregistered study (https://osf.io/u2njw) was to review the feasibility, acceptability, and efficacy of third wave cognitive behavioral interventions for self-reported psychological well-being of individuals with a dementia diagnosis.
Methods
A systematic review was carried out on studies examining third-wave cognitive behavioral interventions for individuals with a dementia diagnosis published between 2012 and 2023 using APA PsycINFO, Academic Search Ultimate, Health Source: Nursing/Academic Edition, MEDLINE, Psychology and Behavioral Sciences Collection, Science Reference Center.
Results
10 studies met inclusion criteria, of which 7 were unique studies and 3 were supplemental studies using a similar dataset. Most studies took place in the United Kingdom and included varying designs (e.g., single-arm, case study, randomized control trial). A total of 229 participants were included in this review, most of which were diagnosed with either Alzheimer's disease, vascular dementia, mixed dementia, or dementia unspecified. Mindfulness-based interventions were most used (k = 3) and interventions were primarily delivered via group sessions. Adaptations included shortening session intensity (e.g., fewer sessions, fewer activities) and making materials more accessible (e.g., larger fonts, fewer words). The most common outcome assessed was quality of life. Results of studies were mixed; some reported improvements while others reported null or negative outcomes.
Conclusion
Third wave behavioral interventions seem to be preliminarily feasible and acceptable for individuals with dementia. The efficacy of these interventions for individuals with a dementia diagnosis is still unclear. Adaptations included basic accessibility considerations. Future research should emphasize the need for more rigorous study design, increased sample sizes, and consistency in intervention adaptations.
在世界范围内，每年有超过1000万人被诊断患有痴呆症相关疾病。在接受痴呆症诊断后，人们经常报告抑郁和焦虑增加。第三波认知行为干预有利于改善无痴呆患者的心理健康症状。然而，对于这些干预措施对痴呆症患者是否可行、可接受和有效，目前还没有明确的结论。本预注册研究（https://osf.io/u2njw）的目的是回顾第三波认知行为干预对痴呆诊断个体自我报告心理健康的可行性、可接受性和有效性。方法系统回顾2012年至2023年间发表的对痴呆患者进行第三波认知行为干预的研究，使用APA PsycINFO， Academic Search Ultimate, Health Source: Nursing/Academic Edition， MEDLINE, Psychology and behavioral Sciences Collection, Science Reference Center。结果10项研究符合纳入标准，其中7项为独特研究，3项为使用相似数据集的补充研究。大多数研究在英国进行，包括不同的设计（例如，单臂、病例研究、随机对照试验）。本综述共纳入229名参与者，其中大多数被诊断为阿尔茨海默病、血管性痴呆、混合性痴呆或未明确的痴呆。最常用的是基于正念的干预（k = 3），干预主要通过小组会议进行。调整包括缩短会议强度（例如，更少的会议，更少的活动）和使材料更容易获得（例如，更大的字体，更少的单词）。最常见的评估结果是生活质量。研究结果喜忧参半；一些人报告了改善，而另一些人报告了零结果或负面结果。结论第三波行为干预对痴呆患者是初步可行和可接受的。这些干预措施对痴呆患者的疗效尚不清楚。调整包括基本的可访问性考虑。未来的研究应强调需要更严格的研究设计，增加样本量，以及干预适应的一致性。
{"title":"Third wave behavioral interventions for individuals with Dementia: A systematic review","authors":"Ty B. Aller , Heather H. Kelley , Marissa L. Donahue , Elizabeth B. Fauth","doi":"10.1016/j.jcbs.2025.100942","DOIUrl":"10.1016/j.jcbs.2025.100942","url":null,"abstract":"<div><h3>Introduction</h3><div>Worldwide, over 10 million individuals are diagnosed with a dementia-related disease each year. Individuals often report increased depression and anxiety after receiving a dementia diagnosis. Third wave cognitive behavioral interventions are beneficial for improving mental health symptoms in persons without dementia. There is not, however, clear conclusions on if these interventions are feasible, acceptable, and effective for individuals with dementia.</div></div><div><h3>Objectives</h3><div>The aim of this preregistered study (<span><span>https://osf.io/u2njw</span><svg><path></path></svg></span>) was to review the feasibility, acceptability, and efficacy of third wave cognitive behavioral interventions for self-reported psychological well-being of individuals with a dementia diagnosis.</div></div><div><h3>Methods</h3><div>A systematic review was carried out on studies examining third-wave cognitive behavioral interventions for individuals with a dementia diagnosis published between 2012 and 2023 using APA PsycINFO, Academic Search Ultimate, Health Source: Nursing/Academic Edition, MEDLINE, Psychology and Behavioral Sciences Collection, Science Reference Center.</div></div><div><h3>Results</h3><div>10 studies met inclusion criteria, of which 7 were unique studies and 3 were supplemental studies using a similar dataset. Most studies took place in the United Kingdom and included varying designs (e.g., single-arm, case study, randomized control trial). A total of 229 participants were included in this review, most of which were diagnosed with either Alzheimer's disease, vascular dementia, mixed dementia, or dementia unspecified. Mindfulness-based interventions were most used (k = 3) and interventions were primarily delivered via group sessions. Adaptations included shortening session intensity (e.g., fewer sessions, fewer activities) and making materials more accessible (e.g., larger fonts, fewer words). The most common outcome assessed was quality of life. Results of studies were mixed; some reported improvements while others reported null or negative outcomes.</div></div><div><h3>Conclusion</h3><div>Third wave behavioral interventions seem to be preliminarily feasible and acceptable for individuals with dementia. The efficacy of these interventions for individuals with a dementia diagnosis is still unclear. Adaptations included basic accessibility considerations. Future research should emphasize the need for more rigorous study design, increased sample sizes, and consistency in intervention adaptations.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100942"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145267732","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}
Pub Date : 2025-10-01DOI: 10.1016/j.jcbs.2025.100949
Kathryn Jamison , David Curran , Ross White , Victoria Samuel
Acceptance and Commitment Therapy (ACT) is an innovative form of cognitive behavioural therapy that aims to increase psychological flexibility. Currently, challenges exist with measuring practitioners' application and understanding of ACT. A situational judgement test (SJT) offers a novel approach to assessing a practitioner's ACT consistent knowledge and how it can be applied in practice. In the current research, two consecutive studies were completed to develop and evaluate the utility of the first SJT for assessing clinicians' applied ACT knowledge. First, expert consensus via three iterative rounds of Delphi methodology was used to develop the 10-item ACT SJT: 13 panellists participated in round one, 12 in round two, and 10 in round three. Involved experts specialised in the application of ACT in clinical practice and/or research for at least five years. A second study examined the utility of the developed ACT SJT, with significant pre-post changes in ACT SJT scores following ACT training. The development of the ACT SJT has potentially important implications for both clinical and research settings. It can be used by clinicians to self-evaluate their clinical application of ACT, by trainers evaluating the effectiveness of ACT introductory training, and by researchers investigating the application of ACT-consistent knowledge.
{"title":"Applied knowledge of Acceptance and Commitment Therapy (ACT): Developing and assessing the utility of a Situational Judgement Test (SJT)","authors":"Kathryn Jamison , David Curran , Ross White , Victoria Samuel","doi":"10.1016/j.jcbs.2025.100949","DOIUrl":"10.1016/j.jcbs.2025.100949","url":null,"abstract":"<div><div>Acceptance and Commitment Therapy (ACT) is an innovative form of cognitive behavioural therapy that aims to increase psychological flexibility. Currently, challenges exist with measuring practitioners' application and understanding of ACT. A situational judgement test (SJT) offers a novel approach to assessing a practitioner's ACT consistent knowledge and how it can be applied in practice. In the current research, two consecutive studies were completed to develop and evaluate the utility of the first SJT for assessing clinicians' applied ACT knowledge. First, expert consensus via three iterative rounds of Delphi methodology was used to develop the 10-item ACT SJT: 13 panellists participated in round one, 12 in round two, and 10 in round three. Involved experts specialised in the application of ACT in clinical practice and/or research for at least five years. A second study examined the utility of the developed ACT SJT, with significant pre-post changes in ACT SJT scores following ACT training. The development of the ACT SJT has potentially important implications for both clinical and research settings. It can be used by clinicians to self-evaluate their clinical application of ACT, by trainers evaluating the effectiveness of ACT introductory training, and by researchers investigating the application of ACT-consistent knowledge.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100949"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221516","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}
Pub Date : 2025-09-22DOI: 10.1016/j.jcbs.2025.100947
Ida Mälarstig , Niklas Törneke , Tobias Lundgren , Sven Alfonsson , Mårten J. Tyrberg
Individually formulated goals are crucial in many therapeutic approaches, yet the underlying processes remain unclear. Relational Frame Theory (RFT) offers a framework for understanding language as a form of operant learning governed by contextual factors. For example, relating to a goal as superior influences the function of subordinate behaviours. The present feasibility study examined the concept of “goal-talk”, i.e., adolescents’ verbal behaviour surrounding goals, using data from interviews with twelve adolescents in compulsory institutional care who had undergone the Adolescent Community Reinforcement Approach (A-CRA). A coding manual was developed through deductive content analysis, and a preliminary exploratory analysis was conducted to examine associations between goal-talk, alignment with personal values, and behavioural change. Coding and analysing goal-talk from an RFT perspective proved feasible, and a higher frequency of goal-talk, particularly appetitive goal-talk, was associated with reductions in substance use and increased alignment with personal values. These findings provide preliminary support for the utility of goal-talk as a concept, but should be interpreted cautiously, given the small, homogeneous sample. Suggestions for further refinement of the coding manual and directions for future research are discussed.
{"title":"“Finding your values is important. You only die once.” - Analysing goal-talk in incarcerated adolescents struggling with substance use from a Relational Frame Theory perspective","authors":"Ida Mälarstig , Niklas Törneke , Tobias Lundgren , Sven Alfonsson , Mårten J. Tyrberg","doi":"10.1016/j.jcbs.2025.100947","DOIUrl":"10.1016/j.jcbs.2025.100947","url":null,"abstract":"<div><div>Individually formulated goals are crucial in many therapeutic approaches, yet the underlying processes remain unclear. Relational Frame Theory (RFT) offers a framework for understanding language as a form of operant learning governed by contextual factors. For example, relating to a goal as superior influences the function of subordinate behaviours. The present feasibility study examined the concept of “goal-talk”, i.e., adolescents’ verbal behaviour surrounding goals, using data from interviews with twelve adolescents in compulsory institutional care who had undergone the Adolescent Community Reinforcement Approach (A-CRA). A coding manual was developed through deductive content analysis, and a preliminary exploratory analysis was conducted to examine associations between goal-talk, alignment with personal values, and behavioural change. Coding and analysing goal-talk from an RFT perspective proved feasible, and a higher frequency of goal-talk, particularly appetitive goal-talk, was associated with reductions in substance use and increased alignment with personal values. These findings provide preliminary support for the utility of goal-talk as a concept, but should be interpreted cautiously, given the small, homogeneous sample. Suggestions for further refinement of the coding manual and directions for future research are discussed.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100947"},"PeriodicalIF":3.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159239","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}
Pub Date : 2025-09-19DOI: 10.1016/j.jcbs.2025.100946
Inge Gnatt , Jessica L. Mackelprang , Andrea Phillipou , Maja Nedeljkovic
Objective
Eating disorders (EDs) and posttraumatic stress disorder (PTSD) commonly co-occur but existing treatments do not effectively address these conditions concurrently. This pilot study describes outcomes of an online compassion-focused group therapy intervention that was adapted for adults experiencing EDs and posttraumatic stress symptoms.
Method
Twenty women and one non-binary person with an ED and PTSD symptoms (age 35.68 ± 13.61 years) completed a 10-week group-based (five groups) outpatient compassion-focused therapy (CFT) intervention. CFT was delivered online using video conferencing. In addition to ED symptoms and symptoms of PTSD, measures of self-compassion, fears of compassion, compassionate engagement and action, shame, depression, anxiety and stress were administered at baseline (the week prior to commencement), Week 6, endpoint (Week 10), and at 3-month follow up.
Results
Across all groups, uptake and attendance was high and completion rates across the five groups averaged 86.7 %. Significant improvement was evident for all variables between baseline and endpoint, with the exception of dietary restraint and anxiety. Symptoms were largely stable or demonstrated further improvement across measures at the 3-month follow-up. All participants stated that they would recommend the intervention to others.
Discussion
This study provides preliminary evidence of the feasibility and acceptability of compassion-focused group therapy delivered in an outpatient setting via video conferencing. Results suggest that CFT may be an effective transdiagnostic treatment for reducing aspects of ED and PTSD symptoms. Larger trials are needed to build the evidence base for this novel, telehealth intervention.
{"title":"A pilot feasibility and acceptability study of an online compassion-focused group therapy intervention to treat comorbid eating disorders and PTSD symptoms","authors":"Inge Gnatt , Jessica L. Mackelprang , Andrea Phillipou , Maja Nedeljkovic","doi":"10.1016/j.jcbs.2025.100946","DOIUrl":"10.1016/j.jcbs.2025.100946","url":null,"abstract":"<div><h3>Objective</h3><div>Eating disorders (EDs) and posttraumatic stress disorder (PTSD) commonly co-occur but existing treatments do not effectively address these conditions concurrently. This pilot study describes outcomes of an online compassion-focused group therapy intervention that was adapted for adults experiencing EDs and posttraumatic stress symptoms.</div></div><div><h3>Method</h3><div>Twenty women and one non-binary person with an ED and PTSD symptoms (age 35.68 <em>±</em> 13.61 years) completed a 10-week group-based (five groups) outpatient compassion-focused therapy (CFT) intervention. CFT was delivered online using video conferencing. In addition to ED symptoms and symptoms of PTSD, measures of self-compassion, fears of compassion, compassionate engagement and action, shame, depression, anxiety and stress were administered at baseline (the week prior to commencement), Week 6, endpoint (Week 10), and at 3-month follow up.</div></div><div><h3>Results</h3><div>Across all groups, uptake and attendance was high and completion rates across the five groups averaged 86.7 %. Significant improvement was evident for all variables between baseline and endpoint, with the exception of dietary restraint and anxiety. Symptoms were largely stable or demonstrated further improvement across measures at the 3-month follow-up. All participants stated that they would recommend the intervention to others.</div></div><div><h3>Discussion</h3><div>This study provides preliminary evidence of the feasibility and acceptability of compassion-focused group therapy delivered in an outpatient setting via video conferencing. Results suggest that CFT may be an effective transdiagnostic treatment for reducing aspects of ED and PTSD symptoms. Larger trials are needed to build the evidence base for this novel, telehealth intervention.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100946"},"PeriodicalIF":3.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109614","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}
Pub Date : 2025-09-10DOI: 10.1016/j.jcbs.2025.100944
Haydi N. Barajas , Nicolás Farfán , Laura J. Rodríguez , Betty Peña-Tomas , Yury A. Larrea-Rivera , Yeraldin Gutiérrez , Sofía Iriarte-Becerra , Paola A. Rodríguez , Jaime H. Moreno-Méndez , Francisco J. Ruiz
Anxiety disorders are common among children, with generalized anxiety disorder (GAD) being one of the most prevalent. Cognitive-behavioral therapy (CBT) has demonstrated efficacy in treating these disorders, but there is still room for improvement. Notably, the most extensively tested CBT intervention is only slightly more efficacious than non-directive therapy (NDT), which is often used as a psychological placebo intervention. Acceptance and commitment therapy (ACT) is an alternative to CBT and is gaining traction as a viable treatment for childhood anxiety disorders. Specifically, a version of ACT that integrates relational frame theory (RFT) in greater depth and targets repetitive negative thinking (RNT) appears particularly suited for addressing GAD in children. This study conducted an idiographic comparison of RNT-focused ACT versus NDT for treating GAD in children aged 8–12 years. The research employed a randomized, two-sample, multiple-baseline design with 17 participants. The interventions were delivered via videoconference and consisted of three 45-min sessions. The results indicated that participants who received the RNT-focused ACT protocol demonstrated greater improvements in emotional symptoms and pathological worry than those who received NDT, as reported by parents and children. The reduction of worry mediated the effect of the RNT-focused ACT intervention for all participants, according to their parents’ reports. In conclusion, brief RNT-focused ACT interventions are promising for treating GAD in children.
{"title":"An idiographic comparison of ACT focused on repetitive negative thinking versus non-directive therapy in child generalized anxiety","authors":"Haydi N. Barajas , Nicolás Farfán , Laura J. Rodríguez , Betty Peña-Tomas , Yury A. Larrea-Rivera , Yeraldin Gutiérrez , Sofía Iriarte-Becerra , Paola A. Rodríguez , Jaime H. Moreno-Méndez , Francisco J. Ruiz","doi":"10.1016/j.jcbs.2025.100944","DOIUrl":"10.1016/j.jcbs.2025.100944","url":null,"abstract":"<div><div>Anxiety disorders are common among children, with generalized anxiety disorder (GAD) being one of the most prevalent. Cognitive-behavioral therapy (CBT) has demonstrated efficacy in treating these disorders, but there is still room for improvement. Notably, the most extensively tested CBT intervention is only slightly more efficacious than non-directive therapy (NDT), which is often used as a psychological placebo intervention. Acceptance and commitment therapy (ACT) is an alternative to CBT and is gaining traction as a viable treatment for childhood anxiety disorders. Specifically, a version of ACT that integrates relational frame theory (RFT) in greater depth and targets repetitive negative thinking (RNT) appears particularly suited for addressing GAD in children. This study conducted an idiographic comparison of RNT-focused ACT versus NDT for treating GAD in children aged 8–12 years. The research employed a randomized, two-sample, multiple-baseline design with 17 participants. The interventions were delivered via videoconference and consisted of three 45-min sessions. The results indicated that participants who received the RNT-focused ACT protocol demonstrated greater improvements in emotional symptoms and pathological worry than those who received NDT, as reported by parents and children. The reduction of worry mediated the effect of the RNT-focused ACT intervention for all participants, according to their parents’ reports. In conclusion, brief RNT-focused ACT interventions are promising for treating GAD in children.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100944"},"PeriodicalIF":3.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097145","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}
Pub Date : 2025-09-06DOI: 10.1016/j.jcbs.2025.100943
Büşra Kavla , Yasin Kavla , Hasan Turan Karatepe
Purpose
Emotional eating (EE) is a significant clinical feature of eating disorders. Acceptance and Commitment Therapy (ACT) is an effective treatment approach for eating disorders. However, the effectiveness of ACT on EE remains unclear. This study aims to develop a new ACT-based intervention and evaluate its effectiveness on EE.
Methods
Forty-five females participated and were randomly assigned to either the ACT group (n = 46) or the control group (n = 45). All participants completed validated measures of emotional eating, psychological flexibility, emotion regulation difficulty, and mindful eating at two points: baseline and post-treatment. At one-month follow-up, participants in the ACT group also completed the baseline measures.
Results
Post-intervention, EE and psychological inflexibility were significantly reduced, while psychological flexibility and mindful eating were significantly increased in the ACT group compared to the control. At follow-up, the ACT group continued to show significantly lower EE levels.
Conclusion
To date, only one study has investigated ACT's effectiveness in addressing EE, using a one-day workshop format, which was considered inadequate for developing acceptance and value clarification skills. This study is the first to adapt traditional ACT practices specifically for EE, with sufficient treatment duration. It is also the first to assess the intervention's impact on psychological flexibility. The results provide preliminary evidence of the potential of an ACT-based approach to reduce EE.
Level of evidence
Level I, Evidence obtained from at least one properly designed randomized controlled trial, systematic reviews, and meta-analyses; experimental studies.
{"title":"Acceptance and commitment therapy can reduce emotional eating behavior in Turkish adults: A randomized controlled trial","authors":"Büşra Kavla , Yasin Kavla , Hasan Turan Karatepe","doi":"10.1016/j.jcbs.2025.100943","DOIUrl":"10.1016/j.jcbs.2025.100943","url":null,"abstract":"<div><h3>Purpose</h3><div>Emotional eating (EE) is a significant clinical feature of eating disorders. Acceptance and Commitment Therapy (ACT) is an effective treatment approach for eating disorders. However, the effectiveness of ACT on EE remains unclear. This study aims to develop a new ACT-based intervention and evaluate its effectiveness on EE.</div></div><div><h3>Methods</h3><div>Forty-five females participated and were randomly assigned to either the ACT group (n = 46) or the control group (n = 45). All participants completed validated measures of emotional eating, psychological flexibility, emotion regulation difficulty, and mindful eating at two points: baseline and post-treatment. At one-month follow-up, participants in the ACT group also completed the baseline measures.</div></div><div><h3>Results</h3><div>Post-intervention, EE and psychological inflexibility were significantly reduced, while psychological flexibility and mindful eating were significantly increased in the ACT group compared to the control. At follow-up, the ACT group continued to show significantly lower EE levels.</div></div><div><h3>Conclusion</h3><div>To date, only one study has investigated ACT's effectiveness in addressing EE, using a one-day workshop format, which was considered inadequate for developing acceptance and value clarification skills. This study is the first to adapt traditional ACT practices specifically for EE, with sufficient treatment duration. It is also the first to assess the intervention's impact on psychological flexibility. The results provide preliminary evidence of the potential of an ACT-based approach to reduce EE.</div></div><div><h3>Level of evidence</h3><div>Level I, Evidence obtained from at least one properly designed randomized controlled trial, systematic reviews, and meta-analyses; experimental studies.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100943"},"PeriodicalIF":3.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019986","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}
Pub Date : 2025-09-01DOI: 10.1016/j.jcbs.2025.100933
Daniel Núñez , Rubén Trigueros , Jaime Yañez-Lizana , Jose M. Aguilar Parra , Jonathan M. Salazar , Vania Martínez , Jorge Gaete , Álvaro I. Langer
Psychological inflexibility (PI) is considered a transdiagnostic mechanism that underlies the development, maintenance, and exacerbation of a wide range of psychological problems in adolescents. The main instrument for evaluating PI in adolescents is the Avoidance and Fusion Questionnaire for Youth (AFQ-Y), however, there is scarce evidence of its relation with other constructs in socioeconomically disadvantaged adolescents. This study is a secondary data analysis aimed at examining the factor structure, reliability, convergent validity, and invariance across sex of the 8-item AFQ-Y in 297 Chilean adolescents from socioeconomically disadvantaged contexts (M = 14.87 (.78), 46.8 % women). Results confirmed that the AFQ-Y8 has an unifactorial structure as well as adequate internal reliability and convergent validity. Furthermore, it was observed that it is significantly associated with measures of mindfulness and depression and the emotion regulation strategy expressive suppression, but not with the strategy cognitive reappraisal. Given its adequate psychometric properties, the AFQ-Y8 can be used with Chilean adolescents in socioeconomically disadvantaged settings. However, further research testing its psychometric properties in a broader adolescent population is needed.
{"title":"Psychometric properties of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y8) in socioeconomically disadvantaged Chilean adolescents","authors":"Daniel Núñez , Rubén Trigueros , Jaime Yañez-Lizana , Jose M. Aguilar Parra , Jonathan M. Salazar , Vania Martínez , Jorge Gaete , Álvaro I. Langer","doi":"10.1016/j.jcbs.2025.100933","DOIUrl":"10.1016/j.jcbs.2025.100933","url":null,"abstract":"<div><div>Psychological inflexibility (PI) is considered a transdiagnostic mechanism that underlies the development, maintenance, and exacerbation of a wide range of psychological problems in adolescents. The main instrument for evaluating PI in adolescents is the Avoidance and Fusion Questionnaire for Youth (AFQ-Y), however, there is scarce evidence of its relation with other constructs in socioeconomically disadvantaged adolescents. This study is a secondary data analysis aimed at examining the factor structure, reliability, convergent validity, and invariance across sex of the 8-item AFQ-Y in 297 Chilean adolescents from socioeconomically disadvantaged contexts (M = 14.87 (.78), 46.8 % women). Results confirmed that the AFQ-Y8 has an unifactorial structure as well as adequate internal reliability and convergent validity. Furthermore, it was observed that it is significantly associated with measures of mindfulness and depression and the emotion regulation strategy expressive suppression, but not with the strategy cognitive reappraisal. Given its adequate psychometric properties, the AFQ-Y8 can be used with Chilean adolescents in socioeconomically disadvantaged settings. However, further research testing its psychometric properties in a broader adolescent population is needed.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100933"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145005202","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}
Pub Date : 2025-09-01DOI: 10.1016/j.jcbs.2025.100941
Elisabet Casellas-Pujol , Joaquim Soler , Carlos Schmidt , Anna Soria-Madrid , Matilde Elices , Juan Carlos Pascual
{"title":"Corrigendum to “Contextual-compassion training for borderline personality with long lasting symptoms: A randomized clinical trial” [Journal of Contextual Behavioral Science, 34 (2024) 2–10/100846]","authors":"Elisabet Casellas-Pujol , Joaquim Soler , Carlos Schmidt , Anna Soria-Madrid , Matilde Elices , Juan Carlos Pascual","doi":"10.1016/j.jcbs.2025.100941","DOIUrl":"10.1016/j.jcbs.2025.100941","url":null,"abstract":"","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100941"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097146","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}
Pub Date : 2025-08-29DOI: 10.1016/j.jcbs.2025.100934
Yue Chen , Fei Lei
The core extrusion schema (CES) and psychological inflexibility (PI) significantly influence individuals’ experiences of social anxiety. Previous research has predominantly centered on correlations and regressions between PI, CES, and social anxiety, leaving a gap in understanding at the symptom level. However, investigating these symptom-level relationships may not only provide valuable insights into the dynamics among PI, CES, and social anxiety symptoms, but also point toward more targeted strategies for clinical treatment and prevention.
In this study, network analysis was employed to examine symptom-level interconnections among symptoms of PI, CES, and social anxiety in a sample of 1745 high school students. Results from the PI network highlighted the significant impact of cognitive fusion on school life, particularly how “Thoughts Hinder Performance in School” drives social anxiety symptoms. Results from both the CES network and a combined network incorporating all variables pointed to “Hiding Oneself in Socialization” and “Fear of the Real Self Being Perceived” as crucial in sustaining the co-occurrence of social anxiety symptoms, CES variables, and PI variables.
These findings may help illuminate the cognitive processes that perpetuate social anxiety symptoms and reveal precise targets for clinical intervention.
{"title":"The core extrusion schema, psychological inflexibility and social anxiety symptoms in Adolescents: A network analysis","authors":"Yue Chen , Fei Lei","doi":"10.1016/j.jcbs.2025.100934","DOIUrl":"10.1016/j.jcbs.2025.100934","url":null,"abstract":"<div><div>The core extrusion schema (CES) and psychological inflexibility (PI) significantly influence individuals’ experiences of social anxiety. Previous research has predominantly centered on correlations and regressions between PI, CES, and social anxiety, leaving a gap in understanding at the symptom level. However, investigating these symptom-level relationships may not only provide valuable insights into the dynamics among PI, CES, and social anxiety symptoms, but also point toward more targeted strategies for clinical treatment and prevention.</div><div>In this study, network analysis was employed to examine symptom-level interconnections among symptoms of PI, CES, and social anxiety in a sample of 1745 high school students. Results from the PI network highlighted the significant impact of cognitive fusion on school life, particularly how “Thoughts Hinder Performance in School” drives social anxiety symptoms. Results from both the CES network and a combined network incorporating all variables pointed to “Hiding Oneself in Socialization” and “Fear of the Real Self Being Perceived” as crucial in sustaining the co-occurrence of social anxiety symptoms, CES variables, and PI variables.</div><div>These findings may help illuminate the cognitive processes that perpetuate social anxiety symptoms and reveal precise targets for clinical intervention.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100934"},"PeriodicalIF":3.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050153","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}
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