Journal of Contextual Behavioral Science最新文献

{"title":"Enhancing medication adherence, depression, and values-based behaviors in HIV-positive individuals through acceptance and commitment therapy: A pilot study","authors":"Mariana Téllez ,&nbsp;Yors García","doi":"10.1016/j.jcbs.2025.100921","DOIUrl":"10.1016/j.jcbs.2025.100921","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100921"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907778","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":"Developmental of a checklist of transdiagnostic therapeutic skills for use in general healthcare appointments","authors":"Wendy Diana Shoesmith ,&nbsp;Assis Kamu ,&nbsp;Nicholas Tze Ping Pang","doi":"10.1016/j.jcbs.2025.100918","DOIUrl":"10.1016/j.jcbs.2025.100918","url":null,"abstract":"<div><h3>Introduction</h3><div>Psychotherapy is not available for most people globally with mental disorders. Training general healthcare staff in transdiagnostic psychological intervention skills is a more feasible approach in settings where the access to therapy is low. Tools are needed to measure the use of these skills in general healthcare settings to enable further research into effectiveness.</div></div><div><h3>Methods</h3><div>We operationalised skills taught in a psychological intervention course for general healthcare staff and created a 26-item observational checklist. This was validated using generalisability theory by asking five experts to rate 26 videos. Two research assistants then used the checklist to observe doctors’ consultations before and after a psychological intervention course. We used Rasch analysis to refine the checklist so that it conformed to the Rasch unidimensional measurement model. We analysed the pre-post difference in skill use, and length of appointment using linear mixed modelling.</div></div><div><h3>Results</h3><div>The research assistants observed 87 interviews of 12 doctors before the course and 75 interviews of 11 doctors after the course. The final 18-item checklist had a generalisability coefficient of 86.8 % and conformed to the Rasch model. There were 4.28 extra skills on the checklist used per consultation after compared to before the course (95 % CI [2.40, 6.16]). The length of appointment did not change.</div></div><div><h3>Conclusion</h3><div>This approach has allowed the development of a flexible checklist, which is valid, reliable and change sensitive, and can be modified and added to by other researchers according to needs. This provides a foundation for further research into effectiveness.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100918"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522274","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":"Accept to change: Translation and validation of the Acceptance/Avoidance-Promoting Experiences Questionnaire (APEQ) in an international survey of Spanish-speaking psychedelic users","authors":"Óscar Soto-Angona ,&nbsp;Amanda Rodríguez-Urrutia ,&nbsp;Josep Antoni Ramos-Quiroga ,&nbsp;Óscar Álvarez-Bobo ,&nbsp;Genís Ona ,&nbsp;Sergio Pérez Rosal ,&nbsp;Juan París-Pérez ,&nbsp;Max Wolff","doi":"10.1016/j.jcbs.2025.100923","DOIUrl":"10.1016/j.jcbs.2025.100923","url":null,"abstract":"<div><h3>Introduction</h3><div>The Acceptance/Avoidance-Promoting Experiences Questionnaire (APEQ) is a theory-based instrument designed to assess acceptance-related (ACE) and avoidance-related experiences (AVE) during psychedelic-induced altered states of consciousness, proposing a model in which these experiences shape psychological flexibility. This study aimed not only to translate and evaluate the psychometric properties of a Spanish version of the APEQ, but also to test its theoretical assumptions and examine contextual and motivational factors modulating therapeutic processes in psychedelic experiences across diverse Spanish-speaking populations.</div></div><div><h3>Material and methods</h3><div>An international retrospective survey was conducted in a Spanish-speaking cohort (n = 715) reporting a single psychedelic experience in a therapeutic, ritualistic or ceremonial context involving LSD, psilocybin, ayahuasca, mescaline, MDMA, or ketamine. Participants resided in Spain (n = 420), Latin America (n = 274), or other countries (n = 21).</div></div><div><h3>Results</h3><div>The Spanish APEQ demonstrated good construct, criterion and cross-cultural validity, as well as internal consistency across scales and in diverse Spanish-speaking populations. Indicating context-dependency, ACE scores were positively associated with therapeutic and growth-oriented motives and with increased psychological flexibility, whereas AVE scores were associated with hedonic/escapist motives and decreased flexibility. High rates of comorbid mental health conditions and concurrent substance use were observed, reflecting relevant patterns in naturalistic psychedelic users.</div></div><div><h3>Conclusion</h3><div>This study supports the validity and reliability of the Spanish APEQ and provides cross-cultural evidence for the context-dependent nature of psychedelic experiences and their psychological consequences. Beyond validation, these findings confirm core theoretical assumptions of the APEQ and suggest that promoting acceptance during psychedelic states may enhance therapeutic outcomes. The observed comorbidities and substance use patterns point to the need for informed risk-reduction strategies in these populations.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100923"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580591","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":"Effects of an ACT-based intervention on university students’ self-compassion and psychological well-being","authors":"Lysa-Marie Hontoy ,&nbsp;Mireille Joussemet ,&nbsp;Jean-Michel Robichaud ,&nbsp;Geneviève A. Mageau ,&nbsp;Simon Grégoire","doi":"10.1016/j.jcbs.2025.100927","DOIUrl":"10.1016/j.jcbs.2025.100927","url":null,"abstract":"<div><div>This study aimed to evaluate the effects of an ACT intervention, Korsa, on university students' self-compassion and psychological well-being. We also explored whether self-compassion could mediate Korsa's well-being benefits. In this randomized controlled trial, 137 university students were randomly assigned to Korsa or a waitlist control condition. Participants completed pre- and post-intervention questionnaires about their self-compassion and well-being (i.e., life satisfaction and presence of meaning). Results showed that compared to students on the waitlist, participants assigned to the Korsa intervention reported higher life satisfaction, meaning, and self-compassion at post-intervention. Exploratory analyses provided preliminary support for the hypothesis that enhancing self-compassion could be a promising mechanism through which Korsa may improve psychological well-being among university students. Bridging the self-compassion and ACT frameworks seems to be a fruitful avenue to advance knowledge about the various ACT benefits and its potential mechanisms of change.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100927"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809571","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":"Efficacy of ACT for parents of children with special health care needs: Preliminary findings from Malaysia","authors":"Re Gal Lim,&nbsp;Fitri Suraya Mohamad,&nbsp;Siok Ping Voon","doi":"10.1016/j.jcbs.2025.100920","DOIUrl":"10.1016/j.jcbs.2025.100920","url":null,"abstract":"<div><div>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; <em>n</em> = 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.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100920"},"PeriodicalIF":3.4,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502073","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":"Patient-reported unwanted events and deterioration rates during acceptance and commitment therapy: A brief report of group therapy for fibromyalgia","authors":"Marie-Louise Henning Ottergård ,&nbsp;Linea Pretzmann ,&nbsp;Tobias Lundgren ,&nbsp;Lance McCracken ,&nbsp;Monica Buhrman ,&nbsp;Peter Molander ,&nbsp;Alexander Rozental","doi":"10.1016/j.jcbs.2025.100914","DOIUrl":"10.1016/j.jcbs.2025.100914","url":null,"abstract":"<div><div>Fibromyalgia is a type of generalized chronic pain condition that causes physical tenderness, fatigue, sleep disturbance, cognitive impairment, and comorbid psychiatric symptoms. Medication and psychotherapy can offer some relief. Acceptance and Commitment Therapy (ACT) is a current treatment approach that focuses on fostering acceptance of symptoms and engagement in meaningful, value-driven activities. However, no systematic attempts at investigating unwanted events and deterioration have been made in relation to ACT for fibromyalgia. This brief report presents findings on the occurrence of characteristics of such incidents in a group-based ACT-treatment at a specialized pain clinic. Among the 94 patients included, deterioration rates were generally low across most outcome measures. Unwanted events were monitored using the 32-item Negative Effects Questionnaire, a self-report measure covering symptoms, treatment quality, dependency, stigma, hopelessness, and failure. A total of 37.6 % reported having experienced unwanted events during the treatment period, and 43.2 % at post-treatment. Among the most frequently occurring unwanted events reported at post-treatment were “Unpleasant memories resurfaced” (12.7 %), “I experienced more unpleasant feelings” (9.9 %), and “I feel like I am under more stress” (8.3 %). However, unwanted events reported during treatment were not related to treatment outcome. The results point to the importance of monitoring unwanted events during treatment, although these experiences may not interfere with benefits participants obtain, and, presumably, may be part of the theorized change process. Further research is warranted to understand how unwanted events and deterioration might affect adherence and dropout.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100914"},"PeriodicalIF":3.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270765","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":"Effects of workplace acceptance and commitment therapy (ACT) programs on psychological flexibility's subprocesses: A systematic review","authors":"Yass Rad ,&nbsp;Arianna Prudenzi ,&nbsp;Lucie Zernerova ,&nbsp;Jennifer Gerson ,&nbsp;Paul E. Flaxman","doi":"10.1016/j.jcbs.2025.100915","DOIUrl":"10.1016/j.jcbs.2025.100915","url":null,"abstract":"<div><div>Despite growing interest in applying <em>acceptance and commitment therapy</em> (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.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100915"},"PeriodicalIF":3.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321564","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":"Adolescents’ psychological flexibility and non-suicidal self-injury: Exploring between-person and within-person association","authors":"Dongyan Ding,&nbsp;Shuanghu Fang","doi":"10.1016/j.jcbs.2025.100916","DOIUrl":"10.1016/j.jcbs.2025.100916","url":null,"abstract":"<div><div>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 (<em>e.g.</em>, 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.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100916"},"PeriodicalIF":3.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321563","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":"Experience-sampling methods for self-compassion research: A meta-analysis","authors":"Madeleine I. Fraser ,&nbsp;Keong Yap ,&nbsp;Baljinder Sahdra ,&nbsp;William Li ,&nbsp;Monique T. Andreacchio ,&nbsp;Tsz Ying Wong ,&nbsp;Joseph Ciarrochi","doi":"10.1016/j.jcbs.2025.100913","DOIUrl":"10.1016/j.jcbs.2025.100913","url":null,"abstract":"<div><h3>Objectives</h3><div>Self-compassion is a sensitivity to attend to one's own suffering with a desire to take helpful action to alleviate it. Applying experience sampling methods (ESM) to self-compassion research may provide insight to the dynamic and context-specific impacts of self-compassion on psychological well-being and distress. This meta-analysis provides a synthesis of the recent growth in self-compassion ESM studies. We compare the methodologies in ESM studies and analyze the potentially dynamic relationship between self-compassion and psychological well-being and distress in daily life.</div></div><div><h3>Methods</h3><div>MEDLINE, EMBASE, PsycINFO, and Web of Science databases were searched. Studies that used a self-compassion measure and ESM were included. Thirty-one studies with a total of 3370 participants were included in the qualitative synthesis and 19 studies were included in further meta-analyses.</div></div><div><h3>Results</h3><div>Results demonstrate that most ESM studies sampled data once daily for less than one week. There were notably higher compliance rates in studies that offered financial compensation. The results of the meta-analysis indicated significant and moderate associations between within person self-compassion and both psychological well-being and distress. Between study heterogeneity ranged from 52 % to 85.6 %. It was found that within person pooled effect sizes were smaller than between person pooled effect sizes for the association between self-compassion and all outcomes, suggesting there may be more variability in these relationships within individuals across time compared to averages aggregated across a group of individuals.</div></div><div><h3>Conclusions</h3><div>ESM is a promising method of exploring within-person variability in self-compassion as experienced in daily life. Current gaps for future research to address include targeting youth and clinical samples using ESM.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100913"},"PeriodicalIF":3.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270773","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":"Psychometric investigation of the avoidance and inflexibility scale (AIS) for cocaine use","authors":"Duckhyun Jo,&nbsp;Samuel J. Leonard,&nbsp;Elizabeth A. Bodalski,&nbsp;Joy M. Schmitz,&nbsp;Angela L. Stotts","doi":"10.1016/j.jcbs.2025.100902","DOIUrl":"10.1016/j.jcbs.2025.100902","url":null,"abstract":"<div><div>With the increasing use of Acceptance and Commitment Therapy (ACT)-based interventions for cocaine use disorder (CUD), the present study aimed to evaluate the psychometric properties of the Avoidance and Inflexibility Scale (AIS) in the context of cocaine use. A total of 1007 participants, aged 18 to 65, who were seeking treatment for cocaine use, were recruited from an outpatient addiction clinic in Houston, Texas. The study examined the factor structure of the AIS, its associations with relevant psychological constructs, and a potential cutoff score for the scale. The results revealed a two-factor structure for the modified AIS among adults seeking treatment for CUD. The findings also support the validity of the AIS, demonstrating theory-consistent associations with key constructs such as depression, addiction severity, and impulsivity. Additionally, a cutoff score of 38.5 was identified, which can serve as a useful threshold for identifying individuals at higher risk for CUD. These results have important implications for the design and evaluation of interventions targeting cocaine use, providing a tool to assess psychological inflexibility and experiential avoidance.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100902"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902329","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}