Journal of Contextual Behavioral Science最新文献

英文中文

Corrigendum to ‘Is the Multidimensional Psychological Flexibility Inventory Short Form valid for ecological momentary assessment? A preliminary psychometric investigation’ [Journal of Contextual Behavioral Science, 36 (2025) 100903] “多维心理灵活性量表简表是否适用于生态瞬间评估？”初步的心理测量调查”[Journal Contextual Behavioral Science, 36 (2025) 100903]

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 Epub Date: 2025-07-19 DOI: 10.1016/j.jcbs.2025.100925

Jennifer Krafft, Ashley C. Middleton, Natalie Tadros

引用次数: 0

Mechanisms of change in peer coaching for digital ACT: A serial mediation model on program adherence and psychological flexibility's role in reducing distress 数字ACT同伴辅导的变化机制：项目依从性和心理灵活性在减少痛苦中的作用的系列中介模型

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100922

Korena S. Klimczak, Michael P. Twohig, Gretchen G. Peacock, Michael E. Levin

Background

Coaching is a well-supported intervention for improving adherence to online mental health programs. It is currently unclear whether peer-support coaching improves mental health outcomes solely through improving program adherence, or if it can also have a direct impact on mental health. We investigated this using a randomized controlled trial and applying serial mediation models.

Method

A total of 230 college students were instructed to use the 12-session ACT Guide program over 10 weeks. They were randomly assigned to additionally receive either peer-support coaching over weekly phone calls, text message conversations, or a no-coaching control group. Coaching followed a standardized protocol.

Results

Phone coaching had a significant total effect, but not a direct effect, on psychological distress. Both the phone coaching → psychological flexibility → distress, and the phone coaching → program adherence → psychological flexibility → distress indirect pathways were significant. Text coaching had a significant total and direct effect on psychological distress. The full serial pathway was the only significant indirect effect (text coaching → program adherence → psychological flexibility → distress).

Conclusions

We found that peer coaching in both formats significantly increased program adherence, which in turn improved psychological flexibility, consequently reducing psychological distress. Coaching through phone calls had a significantly greater indirect effect on distress and direct effect on program adherence in comparison to the text message format. It is possible that the skills review and ACT-based strategies used in phone coaching directly improve psychological flexibility regardless of the number of modules completed, with text coaching being too brief to elicit this same effect.

辅导是一种得到良好支持的干预措施，可以提高对在线心理健康项目的依从性。目前还不清楚同伴支持指导是否仅仅通过提高项目的依从性来改善心理健康结果，或者它是否也能对心理健康产生直接影响。我们采用随机对照试验和串行中介模型对此进行了研究。方法总共230名大学生在10周的时间里接受了12节ACT指导课程的指导。他们被随机分配到另外一组，要么通过每周的电话、短信交谈接受同伴支持的指导，要么接受没有指导的对照组。训练遵循标准化的规程。结果电话辅导对心理困扰有显著的总影响，但没有直接影响。电话辅导→心理灵活性→痛苦和电话辅导→项目遵守→心理灵活性→痛苦的间接路径均显著。短信辅导对心理困扰有显著的总体和直接影响。完整的序列通路是唯一显著的间接效应（文本指导→程序遵守→心理灵活性→痛苦）。结论我们发现同伴辅导在两种形式下都能显著提高项目依从性，从而提高心理灵活性，从而减少心理困扰。与短信形式相比，通过电话进行的指导对痛苦有更大的间接影响，对坚持计划有更大的直接影响。电话辅导中使用的技能回顾和基于act的策略有可能直接提高心理灵活性，而不管完成了多少个模块，而短信辅导太短，无法产生同样的效果。

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引用次数: 0

Efficacy of ACT for parents of children with special health care needs: Preliminary findings from Malaysia ACT对有特殊卫生保健需要的儿童的父母的疗效：来自马来西亚的初步调查结果

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 Epub Date: 2025-06-25 DOI: 10.1016/j.jcbs.2025.100920

Re Gal Lim, Fitri Suraya Mohamad, Siok Ping Voon

Parents of children with special health care needs (CSHCN) often experience heightened stress and psychological distress, which not only affects parental well-being but also has cascading effects on their children. Despite the importance of supporting parental psychological health, interventions addressing their well-being remain underexplored, particularly in Malaysia. Culturally adapted interventions for these parents in the Malaysian context are especially scarce. The present study addressed this gap by evaluating the My-CARE protocol, a culturally adapted intervention targeting Chinese Malaysian parents of CSHCN in Kuching, Sarawak, Malaysia. Its preliminary efficacy was evaluated through a quasi-experimental study involving two groups (intervention and control; n = 31 per group) across three time points: baseline, post-intervention, and one-month follow-up. Linear Mixed Model analysis indicated significant time effects on depression, stress, psychological flexibility, and quality of life. Additionally, significant Group × Time interactions were identified for depression, anxiety, stress, psychological inflexibility, parenting stress, and quality of life, demonstrating significant differential changes between groups over time. These findings offer preliminary evidence regarding the potential efficacy of an ACT-based, parent-focused group intervention targeting Chinese Malaysian parents of CSHCN. This study contributes to the emerging literature on the potential value of culturally adapted ACT interventions for this population.

有特殊卫生保健需要儿童的父母往往会经历更大的压力和心理困扰，这不仅影响父母的健康，而且对他们的孩子产生连锁反应。尽管支持父母心理健康很重要，但解决他们福祉的干预措施仍未得到充分探索，特别是在马来西亚。在马来西亚，针对这些父母的文化适应干预措施尤其缺乏。本研究通过评估My-CARE协议来解决这一差距，该协议是一项针对马来西亚沙捞越古晋CSHCN华裔马来西亚父母的文化适应干预措施。通过一项准实验研究评估其初步疗效，该研究包括两组(干预组和对照组；3个时间点：基线、干预后和1个月的随访。线性混合模型分析显示时间对抑郁、压力、心理灵活性和生活质量有显著影响。此外，在抑郁、焦虑、压力、心理不灵活性、养育压力和生活质量方面，还发现了显著的组与时间的相互作用，显示出各组之间随时间的显著差异变化。这些发现为以act为基础、以父母为中心的群体干预针对CSHCN华裔马来西亚父母的潜在疗效提供了初步证据。这项研究有助于新兴文献对这一人群的文化适应性ACT干预的潜在价值。

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引用次数: 0

Examining associations of mindfulness with early-life trauma and risky health behaviors using a network analysis approach in a sample of U.S. college students 以美国大学生为样本，采用网络分析方法，研究正念与早期生活创伤和危险健康行为之间的联系

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 Epub Date: 2025-06-20 DOI: 10.1016/j.jcbs.2025.100917

Micah A. Williams , Hana-May Eadeh , Kristian Markon , Jenna L. Adamowicz , Emily B.K. Thomas

引用次数: 0

Effects of workplace acceptance and commitment therapy (ACT) programs on psychological flexibility's subprocesses: A systematic review 工作场所接受与承诺治疗（ACT）对心理弹性子过程的影响：系统回顾

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 Epub Date: 2025-06-10 DOI: 10.1016/j.jcbs.2025.100915

Yass Rad , Arianna Prudenzi , Lucie Zernerova , Jennifer Gerson , Paul E. Flaxman

Despite growing interest in applying acceptance and commitment therapy (ACT) in workplace settings, recent reviews raised doubt about the efficacy of staff-focused ACT programs for improving psychological flexibility. However, more specific processes targeted by these programs may have been obscured by aggregating effects across a wide array of psychological flexibility measures for meta-analytic review purposes. To investigate this possibility, the current systematic review examines workplace ACT intervention effects on psychological flexibility's subprocesses (i.e., contact with the present moment, acceptance, defusion, self-as-context, values, and committed action). The review protocol was registered with PROSPERO (reference: CRD42022349446). The literature search identified 30 staff-focused ACT trials (18 controlled trials) that administered measures that could be mapped onto one or more psychological flexibility subprocess. Collectively, this body of research indicates strongest evidence for the effectiveness of workplace ACT programs for targeting defusion (observed across three types of defusion measures), and moderate yet consistent evidence that these programs increase mindful awareness and acceptance. Due to measurement issues, effects on values-based action have been less consistent overall. The next generation of workplace ACT research could be advanced by 1) adopting multidimensional psychological flexibility and inflexibility instruments, 2) subprocess-level multiple mediation testing, and 3) increasing methodological quality.

尽管人们对在工作场所应用接受和承诺疗法（ACT）越来越感兴趣，但最近的研究对以员工为中心的ACT项目在提高心理灵活性方面的有效性提出了质疑。然而，这些项目针对的更具体的过程可能已经被各种心理灵活性措施的综合效应所掩盖，以进行荟萃分析。为了研究这种可能性，本系统综述考察了工作场所ACT干预对心理灵活性子过程（即与当下时刻的接触、接受、融合、自我作为情境、价值观和承诺行动）的影响。审查方案已在PROSPERO注册（参考编号：CRD42022349446）。文献检索确定了30个以工作人员为中心的ACT试验（18个对照试验），这些试验管理的措施可以映射到一个或多个心理灵活性子过程。总的来说，这一研究表明了针对融合的工作场所ACT计划的有效性的最有力证据（通过三种类型的融合措施观察到），以及适度但一致的证据表明，这些计划提高了正念意识和接受度。由于测量问题，对基于价值的行动的影响总体上不太一致。下一代职场ACT研究可以通过以下几个方面来推进：1)采用多维心理灵活性和非灵活性工具；2)子过程水平多重中介检验；3)提高方法质量。

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引用次数: 0

Relating-as-context: Utilizing functional analytic psychotherapy to enhance perspective- taking and the development of the self 关联即情境：运用功能分析心理疗法来加强观点的采纳和自我的发展

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 Epub Date: 2025-08-07 DOI: 10.1016/j.jcbs.2025.100928

Alexander Broekhuijse , Amanda Muñoz-Martinez , Yors Garcia , Matthew D. Skinta

Deficits in self-related processes, including emotion recognition, perspective-taking, and individuation, are increasingly recognized as transdiagnostic mechanisms underlying a range of psychological disorders. From a behavioral perspective, the self is not a fixed entity but a dynamic repertoire of referential verbal behaviors that emerge and evolve through social-verbal interactions—a process conceptualized as selfing. Despite its clinical significance, interventions specifically targeting selfing deficits remain underdeveloped. Functional Analytic Psychotherapy (FAP) provides a compelling framework for addressing these difficulties by leveraging real-time interpersonal interactions to observe, shape, and reinforce adaptive relational behaviors. This paper conceptualizes the logical FAP interaction as a structured intervention that includes relational cues that transform different relational cues (e.g., deictic, coordination), leading to a shift in derived relational responding to promote selfing behaviors, emotional awareness, and perspective-taking. By integrating Relational Frame Theory (RFT) principles into the analysis of the FAP logical interaction, this approach advances the theoretical and clinical application of FAP for self-development and interpersonal functioning. A clinical case vignette illustrates how this method fosters a flexible and adaptive self-concept, reinforcing its potential for enhancing relational flexibility and well-being.

自我相关过程的缺陷，包括情绪识别、换位思考和个性化，越来越多地被认为是一系列心理障碍的跨诊断机制。从行为的角度来看，自我并不是一个固定的实体，而是通过社会语言互动而产生和发展的动态语言行为库，这一过程被概念化为自我。尽管具有临床意义，但专门针对自我缺陷的干预措施仍然不发达。功能分析心理治疗（FAP）通过利用实时人际互动来观察、塑造和加强适应性关系行为，为解决这些困难提供了一个引人注目的框架。本文将逻辑FAP交互定义为一种结构化的干预，包括转换不同关系线索的关系线索（如指示、协调），导致衍生关系反应的转变，以促进自我行为、情感意识和观点采纳。通过将关系框架理论（RFT）原理整合到FAP逻辑相互作用的分析中，该方法促进了FAP在自我发展和人际功能方面的理论和临床应用。一个临床案例说明了这种方法如何培养灵活和适应性的自我概念，加强其增强关系灵活性和福祉的潜力。

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引用次数: 0

Integrating ACT with ERP for OCD treatment: A randomized controlled trial examining symptom reduction and psychological flexibility mechanisms 结合ACT和ERP治疗强迫症：一项检查症状减轻和心理灵活性机制的随机对照试验

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 Epub Date: 2025-07-16 DOI: 10.1016/j.jcbs.2025.100924

Zahra Nejad-Ebrahim Soumee , Amirhossein Rasouli , Eric B. Lee , Seyedeh Elnaz Mousavi

Background

Despite Exposure and Response Prevention's (ERP) established efficacy for Obsessive-Compulsive Disorder (OCD), there is growing interest in exploring complementary therapeutic approaches that may enhance treatment outcomes through different mechanisms of change. This study investigated the efficacy of combined Acceptance and Commitment Therapy plus ERP (ACT + ERP) in treating OCD and its underlying psychological mechanisms in an Iranian sample.

Methods

A randomized controlled trial was conducted with 40 OCD-diagnosed participants, randomly allocated to ACT + ERP intervention (n = 20) or wait-list control group (n = 20). The intervention comprised sixteen 120-min sessions delivered twice weekly. Assessments were conducted at baseline, post-treatment, and three-month follow-up using the Obsessive-Compulsive Inventory-Revised (OCI-R), Acceptance and Action Questionnaire-II (AAQ-II), Cognitive Fusion Questionnaire (CFQ), and Interpretation of Intrusions Inventory (III-31).

Results

Mixed-model ANOVAs revealed significant time × group interactions across all measures. The ACT + ERP group demonstrated substantial improvements in OCD severity (η² = 0.301), experiential avoidance (η² = 0.139), cognitive fusion (η² = 0.241), and interpretation of intrusions (η² = 0.217). Large effect sizes were maintained at follow-up (Hedges’ g ranging from 0.75 to 1.20). The waitlist group showed no significant changes.

Conclusions

The integrated ACT + ERP protocol effectively reduced OCD symptoms and improved psychological flexibility processes, with benefits maintained at follow-up. These findings suggest that combining ACT and ERP may offer a comprehensive treatment approach that enhances therapeutic outcomes through multiple mechanisms of change.

尽管暴露和反应预防（ERP）对强迫症（OCD）的疗效已经确立，但人们对探索互补治疗方法的兴趣越来越大，这些方法可能通过不同的改变机制来提高治疗效果。本研究以伊朗为研究对象，探讨接受与承诺联合疗法加ERP （ACT + ERP）治疗强迫症的疗效及其潜在的心理机制。方法采用随机对照试验方法，将40例强迫症患者随机分为ACT + ERP干预组（n = 20）和等候组（n = 20）。干预包括16次，每次120分钟，每周两次。在基线、治疗后和三个月的随访中，使用强迫量表修订（OCI-R）、接受和行动问卷（AAQ-II）、认知融合问卷（CFQ）和入侵解释量表（III-31）进行评估。结果混合模型方差分析显示，所有测量值均存在显著的时间×组交互作用。ACT + ERP组在强迫症严重程度（η值2 = 0.301）、经验回避（η值2 = 0.139）、认知融合（η值2 = 0.241）和对干扰的解释（η值2 = 0.217）方面均有显著改善。在随访中保持较大的效应量（Hedges ' g从0.75到1.20不等）。等候名单组没有明显的变化。结论ACT + ERP综合治疗方案可有效减轻强迫症症状，改善心理灵活性过程，并在随访中保持疗效。这些发现表明，联合ACT和ERP可能提供一种综合治疗方法，通过多种机制的改变来提高治疗效果。

{"title":"Integrating ACT with ERP for OCD treatment: A randomized controlled trial examining symptom reduction and psychological flexibility mechanisms","authors":"Zahra Nejad-Ebrahim Soumee , Amirhossein Rasouli , Eric B. Lee , Seyedeh Elnaz Mousavi","doi":"10.1016/j.jcbs.2025.100924","DOIUrl":"10.1016/j.jcbs.2025.100924","url":null,"abstract":"<div><h3>Background</h3><div>Despite Exposure and Response Prevention's (ERP) established efficacy for Obsessive-Compulsive Disorder (OCD), there is growing interest in exploring complementary therapeutic approaches that may enhance treatment outcomes through different mechanisms of change. This study investigated the efficacy of combined Acceptance and Commitment Therapy plus ERP (ACT + ERP) in treating OCD and its underlying psychological mechanisms in an Iranian sample.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 40 OCD-diagnosed participants, randomly allocated to ACT + ERP intervention (n = 20) or wait-list control group (n = 20). The intervention comprised sixteen 120-min sessions delivered twice weekly. Assessments were conducted at baseline, post-treatment, and three-month follow-up using the Obsessive-Compulsive Inventory-Revised (OCI-R), Acceptance and Action Questionnaire-II (AAQ-II), Cognitive Fusion Questionnaire (CFQ), and Interpretation of Intrusions Inventory (III-31).</div></div><div><h3>Results</h3><div>Mixed-model ANOVAs revealed significant time × group interactions across all measures. The ACT + ERP group demonstrated substantial improvements in OCD severity (η<sup>2</sup> = 0.301), experiential avoidance (η<sup>2</sup> = 0.139), cognitive fusion (η<sup>2</sup> = 0.241), and interpretation of intrusions (η<sup>2</sup> = 0.217). Large effect sizes were maintained at follow-up (Hedges’ g ranging from 0.75 to 1.20). The waitlist group showed no significant changes.</div></div><div><h3>Conclusions</h3><div>The integrated ACT + ERP protocol effectively reduced OCD symptoms and improved psychological flexibility processes, with benefits maintained at follow-up. These findings suggest that combining ACT and ERP may offer a comprehensive treatment approach that enhances therapeutic outcomes through multiple mechanisms of change.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100924"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665823","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}

引用次数: 0

Struggles and solutions in psychological research with unaccompanied minors: Reflections from the field 心理学研究中无人陪伴未成年人的挣扎与解决：来自该领域的反思

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 Epub Date: 2025-06-21 DOI: 10.1016/j.jcbs.2025.100919

Dafne Morroni , Eleonora Charalambous , Maria Karekla

Background

In 2022, 22,182 individuals applied for asylum in Cyprus, of whom 941 were Unaccompanied Minors (UM).

Objectives

A cluster randomized controlled trial (RCT) examining Acceptance and Commitment Therapy with UM was carried out in shelters in Cyprus. The purpose of this paper is to present struggles and solutions from the RCT and to provide recommendations to clinicians and researchers working with UM.

Method

Obstacles faced in setting up the study and throughout research with UM were recorded systematically and resolved in team meetings. The Consolidated Framework for Implementation Research (CFIR) was applied to present the struggles and solutions.

Results

Akin to established literature, the authors faced several challenges including: UM hesitancy regarding written consent, language and cultural barriers, interpreter bias, difficulties engaging social workers, demanding circumstances in shelters and methodological issues concerning collection of quantitative self-report measures. Solutions included: replacing written consent with child assent, cultural and language adaptation required with material provided in booklets, providing psychoeducation to interpreters prior to an intervention, training social workers in the treatment protocol, building rapport with shelter staff, using tablets for data collection and shorter battery of questionnaires.

Conclusions

It is evident that carrying out research in refugee settings requires flexibility and adaptability. Findings from this study inform future intervention efforts and provide both researchers and clinicians with a framework to guide and support their work.

2022年，有22182人在塞浦路斯申请庇护，其中941人为无人陪伴的未成年人。目的在塞浦路斯的收容所进行了一项随机对照试验（RCT），研究了UM的接受和承诺治疗。本文的目的是介绍RCT的困难和解决方案，并为临床医生和研究人员提供与UM合作的建议。方法系统地记录在研究开始和整个研究过程中遇到的障碍，并在小组会议上解决。应用了实施研究综合框架（CFIR）来提出斗争和解决办法。结果与已有文献类似，作者面临着一些挑战，包括：UM对书面同意的犹豫，语言和文化障碍，翻译偏见，与社会工作者接触的困难，收容所的苛刻环境以及收集定量自我报告措施的方法问题。解决办法包括：用儿童同意取代书面同意，用小册子提供的材料适应所需的文化和语言，在干预之前向口译人员提供心理教育，培训社会工作者了解治疗方案，与收容所工作人员建立融洽关系，使用平板电脑收集数据，缩短调查问卷。结论在难民环境中开展研究显然需要灵活性和适应性。这项研究的发现为未来的干预工作提供了信息，并为研究人员和临床医生提供了指导和支持他们工作的框架。

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引用次数: 0

Adolescents’ psychological flexibility and non-suicidal self-injury: Exploring between-person and within-person association 青少年心理弹性与非自杀性自伤：人际关系与人际关系探讨

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 Epub Date: 2025-06-10 DOI: 10.1016/j.jcbs.2025.100916

Dongyan Ding, Shuanghu Fang

Most research on the relationship between psychological flexibility and non-suicidal self-injury (NSSI) has been cross-sectional, focusing primarily on specific sub-dimensions of psychological flexibility (e.g., experiential avoidance, cognitive fusion) rather than its integrated constructs. To address these gaps, this study employed the Random Intercept Cross-Lagged Panel Model (RI-CLPM) to investigate the within-person dynamic relationships between psychological flexibility (including six sub-dimensions) and NSSI. A total of 1119 adolescents (mean age = 13.15, SD = 1.26; 50.2 % female) participated in the study, with data collected at six-month intervals over a 1.5 year period. The study revealed that higher psychological flexibility and its six sub-dimensions (i.e., present awareness, acceptance, cognitive defusion, self-as-context, values, and committed action) significantly predicted lower future NSSI over time, while NSSI did not significantly influence psychological flexibility or its sub-dimensions. Moreover, at the between-person level, committed action and cognitive defusion were negatively associated with NSSI. This research is the first to use RI-CLPM to differentiate within-person effects from between-person effects, providing a comprehensive analysis of the dynamic relationship between psychological flexibility (including its sub-dimensions) and NSSI. The findings offer a solid theoretical foundation for future interventions aimed at enhancing psychological flexibility to reduce NSSI among adolescents.

大多数关于心理灵活性与非自杀性自伤之间关系的研究都是横向的，主要关注心理灵活性的特定子维度（如经验回避、认知融合），而不是其综合构念。为了解决这些差距，本研究采用随机截距交叉滞后面板模型（RI-CLPM）来研究心理灵活性（包括六个子维度）与自伤之间的人内动态关系。共1119名青少年(平均年龄= 13.15,SD = 1.26；（50.2%为女性）参与了这项研究，在1.5年的时间里每隔6个月收集一次数据。研究发现，随着时间的推移，较高的心理灵活性及其六个子维度（即当下意识、接受、认知融合、自我-情境、价值观和承诺行为）显著预测未来较低的自伤行为，而自伤对心理灵活性及其子维度没有显著影响。此外，在人际层面上，承诺行为和认知融合与自伤呈负相关。本研究首次使用RI-CLPM区分人内效应和人间效应，全面分析了心理灵活性（包括其子维度）与自伤之间的动态关系。该研究结果为未来旨在提高心理灵活性以减少青少年自伤的干预措施提供了坚实的理论基础。

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引用次数: 0

Enhancing medication adherence, depression, and values-based behaviors in HIV-positive individuals through acceptance and commitment therapy: A pilot study 通过接受和承诺治疗增强hiv阳性个体的药物依从性、抑郁和基于价值观的行为：一项试点研究

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 Epub Date: 2025-07-19 DOI: 10.1016/j.jcbs.2025.100921

Mariana Téllez , Yors García

This pilot study evaluated the impact of the Acceptance and Commitment Therapy (ACT) matrix on values-driven behaviors, medication adherence, viral load, and depression among individuals living with HIV in a middle-income country. A randomized, non-concurrent multiple baseline design across four participants was employed. Outcomes were assessed at baseline, post-intervention, and follow-up, with daily tracking of values-driven behaviors and medication adherence throughout. Participants underwent a 7-session ACT matrix training. Results revealed increases in values-driven behaviors and improvements in medication adherence across all participants. Viral loads decreased for three participants, with two achieving undetectable levels. Depression scores improved for three participants, with changes sustained through follow-up. Participants described the intervention as acceptable and relevant to addressing adherence barriers and mental health concerns. Findings underscore the potential for ACT to enhance antiretroviral adherence and psychological outcomes in middle-income countries, offering a scalable, culturally adaptable intervention for improving HIV care.

本试点研究评估了接受和承诺治疗（ACT）矩阵对中等收入国家艾滋病毒感染者价值观驱动行为、药物依从性、病毒载量和抑郁的影响。在四名参与者中采用随机、非并发多基线设计。结果在基线、干预后和随访中进行评估，并在整个过程中每天跟踪价值观驱动的行为和药物依从性。参与者接受了7期ACT矩阵训练。结果显示，所有参与者的价值观驱动行为有所增加，药物依从性有所改善。三名参与者的病毒载量下降，其中两名达到了检测不到的水平。三名参与者的抑郁得分有所提高，这种变化在随访中持续存在。参与者认为干预措施是可接受的，与解决坚持治疗障碍和心理健康问题相关。研究结果强调了ACT在中等收入国家增强抗逆转录病毒依从性和心理结果的潜力，为改善艾滋病毒护理提供了一种可扩展的、适应文化的干预措施。

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