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Developmental of a checklist of transdiagnostic therapeutic skills for use in general healthcare appointments 发展用于一般医疗保健预约的跨诊断治疗技能清单
IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 Epub Date: 2025-06-25 DOI: 10.1016/j.jcbs.2025.100918
Wendy Diana Shoesmith , Assis Kamu , Nicholas Tze Ping Pang

Introduction

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.

Methods

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.

Results

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.

Conclusion

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.
全球大多数精神障碍患者无法获得心理治疗。在获得治疗的机会较低的环境中,培训普通保健人员掌握跨诊断心理干预技能是一种更可行的方法。需要工具来衡量这些技能在一般医疗保健环境中的使用情况,以便进一步研究其有效性。方法将普通医护人员心理干预课程中教授的技能进行操作,编制26项观察性检查表。通过让5位专家对26个视频进行评分,这一理论得到了验证。然后,两名研究助理使用检查表观察医生在心理干预课程前后的咨询情况。我们使用Rasch分析来完善检查表,使其符合Rasch一维测量模型。我们使用线性混合模型分析了技能使用的前后差异和任命长度。结果研究助理在课程开始前对12名医生进行了87次访谈,课程结束后对11名医生进行了75次访谈。最终的18项检查表的通用性系数为86.8%,符合Rasch模型。与课程前相比,每次咨询后使用的检查表上有4.28项额外技能(95% CI[2.40, 6.16])。聘期没有改变。结论该方法编制了一份灵活的检查表,有效、可靠、变化敏感,可供其他研究者根据需要进行修改和补充。这为进一步研究有效性提供了基础。
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引用次数: 0
Effects of an ACT-based intervention on university students’ self-compassion and psychological well-being 基于act的干预对大学生自我同情和心理健康的影响
IF 3 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 Epub Date: 2025-08-07 DOI: 10.1016/j.jcbs.2025.100927
Lysa-Marie Hontoy , Mireille Joussemet , Jean-Michel Robichaud , Geneviève A. Mageau , Simon Grégoire
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.
本研究旨在评估ACT干预措施Korsa对大学生自我同情和心理健康的影响。我们还探讨了自我同情是否可以调节Korsa的幸福感。在这个随机对照试验中,137名大学生被随机分配到Korsa组或候补组。参与者完成了干预前和干预后关于自我同情和幸福感(即生活满意度和存在意义)的问卷调查。结果显示,与等候名单上的学生相比,被分配到Korsa干预组的参与者在干预后报告了更高的生活满意度、意义和自我同情。探索性分析为增强自我同情可能是Korsa改善大学生心理健康的一个有希望的机制的假设提供了初步的支持。连接自我同情和ACT框架似乎是一个富有成效的途径,以推进有关ACT的各种好处及其潜在的变化机制的知识。
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引用次数: 0
Accept to change: Translation and validation of the Acceptance/Avoidance-Promoting Experiences Questionnaire (APEQ) in an international survey of Spanish-speaking psychedelic users 接受改变:接受/回避-促进经验问卷(APEQ)在西班牙语致幻剂使用者国际调查中的翻译与验证
IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 Epub Date: 2025-07-04 DOI: 10.1016/j.jcbs.2025.100923
Óscar Soto-Angona , Amanda Rodríguez-Urrutia , Josep Antoni Ramos-Quiroga , Óscar Álvarez-Bobo , Genís Ona , Sergio Pérez Rosal , Juan París-Pérez , Max Wolff

Introduction

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.

Material and methods

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).

Results

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.

Conclusion

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.
接受/回避-促进体验问卷(APEQ)是一种基于理论的工具,旨在评估迷幻药诱导的意识改变状态下的接受相关体验(ACE)和回避相关体验(AVE),并提出了这些体验塑造心理灵活性的模型。本研究不仅旨在翻译和评估西班牙语版APEQ的心理测量特性,而且还旨在检验其理论假设,并检查在不同西班牙语人群中调节迷幻体验治疗过程的背景和动机因素。材料和方法在西班牙语队列中进行了一项国际回顾性调查(n = 715),报告了在治疗、仪式或仪式背景下的单一迷幻体验,包括LSD、裸盖菇碱、死藤水、美斯卡灵、MDMA或氯胺酮。参与者居住在西班牙(n = 420)、拉丁美洲(n = 274)或其他国家(n = 21)。结果西班牙语APEQ量表具有良好的结构、标准和跨文化效度,在不同量表和不同西班牙语人群中具有良好的内部一致性。ACE分数与治疗性动机和成长导向动机以及心理灵活性的增加呈正相关,而AVE分数与享乐/逃避主义动机和灵活性的降低相关,这表明了情境依赖性。观察到高发病率的共病精神健康状况和同时的物质使用,反映了自然致幻剂使用者的相关模式。结论本研究支持西班牙语APEQ的效度和信度,并为迷幻体验的情境依赖性质及其心理后果提供了跨文化证据。除了验证之外,这些发现证实了APEQ的核心理论假设,并表明在迷幻状态下促进接受可能会提高治疗效果。观察到的合并症和药物使用模式表明,需要在这些人群中采取知情的降低风险战略。
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引用次数: 0
Experience-sampling methods for self-compassion research: A meta-analysis 自我同情研究的经验抽样方法:元分析
IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 Epub Date: 2025-06-06 DOI: 10.1016/j.jcbs.2025.100913
Madeleine I. Fraser , Keong Yap , Baljinder Sahdra , William Li , Monique T. Andreacchio , Tsz Ying Wong , Joseph Ciarrochi

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.
自我同情是一种关注自己痛苦的敏感度,并希望采取有益的行动来减轻痛苦。将经验抽样方法应用于自我同情研究,可以深入了解自我同情对心理健康和痛苦的动态和情境影响。这一荟萃分析综合了最近自我同情ESM研究的增长。我们比较了ESM研究中的方法,并分析了自我同情与日常生活中心理健康和痛苦之间潜在的动态关系。方法检索medline、EMBASE、PsycINFO、Web of Science数据库。包括使用自我同情测量和ESM的研究。31项研究共3370名受试者被纳入定性综合,19项研究被纳入进一步的meta分析。结果表明,大多数ESM研究每天采样一次,采样时间少于一周。在提供经济补偿的研究中,依从率明显更高。荟萃分析结果显示,个人自我同情与心理健康和痛苦之间存在显著和中等程度的关联。研究间异质性从52%到85.6%不等。研究发现,自我同情与所有结果之间的关联,个体内部的效应量小于个体之间的效应量,这表明,与一组个体的平均总和相比,个体内部的这些关系在不同时间内可能存在更多的可变性。结论sesm是一种很有前景的研究自我同情在日常生活中的个体变异的方法。目前未来研究需要解决的差距包括使用ESM针对年轻人和临床样本。
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引用次数: 0
Psychometric investigation of the avoidance and inflexibility scale (AIS) for cocaine use 可卡因使用回避和不灵活性量表(AIS)的心理测量学研究
IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI: 10.1016/j.jcbs.2025.100902
Duckhyun Jo, Samuel J. Leonard, Elizabeth A. Bodalski, Joy M. Schmitz, Angela L. Stotts
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.
随着可卡因使用障碍(CUD)的接受和承诺治疗(ACT)干预措施的使用越来越多,本研究旨在评估可卡因使用背景下回避和不灵活性量表(AIS)的心理测量特性。共有1007名参与者,年龄在18岁至65岁之间,他们正在寻求可卡因使用的治疗,他们是从德克萨斯州休斯顿的一家门诊成瘾诊所招募的。该研究考察了AIS的因素结构,它与相关心理构念的关联,以及量表的潜在临界值。结果显示,在寻求CUD治疗的成人中,改进的AIS具有双因素结构。研究结果也支持了AIS的有效性,证明了与抑郁、成瘾严重程度和冲动等关键结构的理论一致的关联。此外,确定了38.5分的临界值,这可以作为识别CUD高风险个体的有用阈值。这些结果对设计和评估针对可卡因使用的干预措施具有重要意义,为评估心理不灵活性和经验回避提供了工具。
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引用次数: 0
Evaluating the naturalistic implementation of a peer-coaching service to augment online acceptance and commitment therapy for college mental health 评估同伴辅导服务的自然实施,以增强在线接受和承诺治疗对大学心理健康的影响
IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 Epub Date: 2025-04-24 DOI: 10.1016/j.jcbs.2025.100897
Emily M. Bowers, Korena S. Klimczak, Michael E. Levin
Digital Mental Health Interventions (DMHIs) offer accessible and scalable mental health services for college students; however, program adherence is often suboptimal. Peer-delivered coaching is an innovative solution to improve DMHI adherence rates but has yet to be examined in a naturalistic setting to assess implementation and scalability when provided as a public service. To test the external validity of peer-support coaching, we collected data from a naturalistic university sample of students using a free online self-help program, Acceptance and Commitment Therapy (ACT) Guide. The predictors of peer coaching sign-ups, feasibility of implementing a peer coaching program, and effects of peer coaching on DMHI adherence were examined. Of the total sample who registered for ACT Guide, 17.2 % enrolled in peer coaching services. Students who identified as men and those who had worked with a mental health provider were more likely to sign up for peer-coaching, while older and more anxious students were more likely to engage with peer-coaching calls. Relatively low peer-coaching sign-up and high peer-coaching dropout rates were observed. These findings suggest peer-coaching services within naturalistic settings may be a feasible solution to address DMHI engagement for a small subset of users, though scalability and implementation challenges remain.
数字心理健康干预(DMHIs)为大学生提供可获得和可扩展的心理健康服务;然而,程序遵守通常不是最优的。同侪指导是一种创新的解决方案,可以提高DMHI的遵守率,但在作为公共服务提供时,还需要在一个自然的环境中进行评估,以评估实施和可扩展性。为了测试同伴支持指导的外部有效性,我们从一个自然主义的大学样本中收集数据,这些学生使用免费的在线自助程序,接受和承诺治疗(ACT)指南。本研究检视同伴辅导注册、实施同伴辅导计划的可行性及同伴辅导对DMHI依从性的影响。在注册ACT指南的总样本中,17.2%的人参加了同伴辅导服务。那些自认为是男性的学生和那些曾与心理健康提供者合作过的学生更有可能报名参加同伴辅导,而年龄较大和更焦虑的学生更有可能参加同伴辅导电话。观察到相对较低的同伴辅导注册率和较高的同伴辅导辍学率。这些研究结果表明,在自然环境下的同伴指导服务可能是解决DMHI用户一小部分参与度的可行解决方案,尽管可扩展性和实施挑战仍然存在。
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引用次数: 0
Utility of and preliminary psychometric reliability and validity of a measure of psychological inflexibility for misophonia 恐音症心理不灵活性量表的效用及初步信度效度
IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 Epub Date: 2025-04-22 DOI: 10.1016/j.jcbs.2025.100896
Leila K. Capel , Emily M. Bowers , Mercedes G. Woolley , Julie M. Petersen , Karen Muñoz , Michael P. Twohig
Misophonia is a psychological disorder that has been under researched despite the impact it can have on functioning and quality of life. Acceptance and commitment therapy (ACT) has been explored as a potential treatment option for misophonia. The process of change targeted by ACT is psychological flexibility. However, research on the association of psychological inflexibility and misophonia is nascent, as there are not misophonia-specific measures available. In this study we validated a measure of misophonia-specific psychological inflexibility, the misophonia acceptance and action questionnaire (miso-AAQ). Participants (N = 120) were from a randomized controlled trial of ACT for misophonia and matched control participants. All completed the miso-AAQ at pre-treatment. Preliminary results indicate the miso-AAQ has satisfactory internal reliability (α = .84). and validity (rs = 0.33-0.55, ps <0.05). Results also provide preliminary support of misophonia-related psychological inflexibility as a potential mediator in the relationship between misophonia symptom severity and anger and stress. Future directions and implications are discussed.
恐音症是一种心理障碍,尽管它会对功能和生活质量产生影响,但研究仍在进行中。接受与承诺疗法(ACT)作为恐音症的一种潜在治疗选择已被探索。ACT所针对的变化过程是心理灵活性。然而,由于没有针对恐音症的具体措施,关于心理不灵活性和恐音症之间关系的研究尚处于起步阶段。在这项研究中,我们验证了恐音症特异性心理不灵活性的测量,恐音症接受和行动问卷(miso-AAQ)。参与者(N = 120)来自一项针对恐音症的ACT随机对照试验和匹配的对照参与者。所有患者均在治疗前完成了miso-AAQ测试。初步结果表明,miso-AAQ具有良好的内部信度(α = 0.84)。效度(rs = 0.33-0.55, ps <0.05)。研究结果也初步支持恐音相关的心理不灵活性可能是恐音症状严重程度与愤怒和压力之间关系的中介。讨论了未来的发展方向和意义。
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引用次数: 0
Estimating the effect of basic behavioral processes (access to reinforcers and experiential avoidance) on emotional disorders as transdiagnostic variables: A systematic review 评估作为跨诊断变量的基本行为过程(获得强化物和经验回避)对情绪障碍的影响:一项系统综述
IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 Epub Date: 2025-05-02 DOI: 10.1016/j.jcbs.2025.100895
Mario Andres Valderrama – Diaz , Javier López – Martínez , Ronald Toro
This systematic review we sought to identify the effects of core behavioral processes (experiential avoidance and access to reinforcement) on emotional disorders. Although transdiagnostic research has demonstrated a close relationship between negative reinforcers and processes such as experiential avoidance in the acquisition and maintenance of emotional problems, no studies are available that relate access to positive reinforcers and their functions such as gaining attention, sensory reinforcement and access to tangibles with internalizing problems such as anxiety and depression.

Methodology

Studies on response-contingent positive reinforcement, negative reinforcement, experiential avoidance, access to reinforcers, and emotional difficulties (i.e., depression, unipolar depression, anxiety, emotional distress, and affective disorder) were included. Seven databases were used for this research: PubMed, MEDLINE, ScienceDirect, Scopus, PsycINFO, PsyARTICLES, SciELO Citation Index of scientific articles, and ProQuest Dissertations from 2013 to 2024. Fleiss’ Kappa was used to determine the inter-judge reliability index. Subsequently, a coding book was created, incorporating 12 criteria through which the qualitative synthesis was generated.

Results

a total of 21 studies (n = 2776) were included for the qualitative synthesis, comprising nine articles on access to reinforcement and twelve on experiential avoidance and their relationship with emotional disorders. A direct relationship was found between the study variables, and evidence was identified of the mediating role of access to reinforcers and experiential avoidance in the presence of emotional symptomatology.

Conclusion

A decade of research supports a relationship between basic behavioral processes and the presence of emotional disorders and related psychopathologies, suggesting that these variables should a focus of attention as an explanatory and treatment-directing variable.
本系统综述旨在确定核心行为过程(体验性回避和获得强化)对情绪障碍的影响。虽然跨诊断研究已经证明了消极强化因素与情绪问题获得和维持过程(如经验回避)之间的密切关系,但目前还没有研究表明,积极强化因素的获取及其功能(如获得注意力、感官强化和接触内化问题(如焦虑和抑郁)的有形物质)之间的关系。方法包括反应-偶然正强化、负强化、经验回避、获得强化物和情绪困难(即抑郁、单极抑郁、焦虑、情绪困扰和情感障碍)的研究。本研究使用了7个数据库:PubMed, MEDLINE, ScienceDirect, Scopus, PsycINFO, PsyARTICLES, SciELO科学论文引文索引和ProQuest 2013 - 2024年的论文。采用Fleiss Kappa法确定法官间信度指数。随后,创建了一本编码书,其中包含12个标准,通过这些标准产生了定性合成。结果共纳入21项研究(n = 2776),包括9篇关于获得强化的文章和12篇关于经验回避及其与情绪障碍的关系的文章。研究发现了研究变量之间的直接关系,并确定了在存在情绪症状的情况下获得强化物和经验回避的中介作用的证据。结论近十年的研究支持基本行为过程与情绪障碍及相关精神病理之间的关系,表明这些变量应作为解释和指导治疗的变量而受到关注。
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引用次数: 0
Distinct pathways to well-being: Exploring valued action and mood among stoics and non-stoics 通往幸福的不同途径:探索禁欲主义者和非禁欲主义者之间有价值的行为和情绪
IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 Epub Date: 2025-04-23 DOI: 10.1016/j.jcbs.2025.100898
Nicola V. Catts , Baljinder K. Sahdra , Joseph Ciarrochi , Madeleine I. Fraser , Cristóbal Hernández , Steven C. Hayes , Andrew T. Gloster
To examine the relationship between valued action and mood, this study analyzed Ecological Momentary Assessment data from a transdiagnostic in- and out-patient sample (EMA; N = 134; 62 female, 72 male; 62 inpatient, 72 outpatient; Mage = 36.6 years, SD = 11.6). Individual time series models were constructed to capture each participant's unique relationship between valued action and mood. The models were then meta-analyzed, revealing substantial variability, with two subgroups; Stoics (n = 64) and Non-Stoics (n = 70). The Stoics subgroup showed null or negative links between valued action and mood, replicating past findings from a nonclinical sample. The Non-Stoic group engaged significantly more in valued actions characterized by enjoyment and relaxation. Subsequent multilevel VAR networks were created to examine differences between Stoics and Non-Stoics. Within-person analyses indicated that, unlike Non-Stoics, Stoics showed no significant association between valued action and mood in contemporaneous networks. Temporal networks revealed that, for Non-Stoics, mood positively influenced future engagement in valued action. These findings challenge assumptions of a universally positive relationship between valued action and mood, suggesting divergent paths to well-being based on individual differences in mood-action dynamics.
为了检验有价值的行为和情绪之间的关系,本研究分析了来自跨诊断的住院和门诊患者样本(EMA;n = 134;女性62人,男性72人;住院62人,门诊72人;年龄= 36.6岁,SD = 11.6)。构建了个体时间序列模型来捕捉每个参与者在有价值的行为和情绪之间的独特关系。然后对模型进行荟萃分析,揭示了两个亚组的实质性变异性;斯多葛派(n = 64)和非斯多葛派(n = 70)。斯多葛学派的亚组显示,有价值的行为和情绪之间存在零联系或负联系,这与过去非临床样本的研究结果一致。非斯多葛组明显更多地参与以享受和放松为特征的有价值的行为。随后创建了多层VAR网络来检查斯多葛派和非斯多葛派之间的差异。内部分析表明,与非斯多葛学派不同,斯多葛学派在同一网络中没有显示出有价值的行为和情绪之间的显著关联。时间网络显示,对于非斯多葛学派,情绪积极影响未来参与有价值的行动。这些发现挑战了有价值的行为和情绪之间普遍存在积极关系的假设,表明基于情绪-行动动力学的个体差异,通往幸福的不同途径。
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引用次数: 0
Training to code therapeutic interactions in Functional Analytic Psychotherapy: The utility of a video-based Behavior Skills Training 在功能分析心理治疗中编码治疗互动的训练:基于视频的行为技能训练的效用
IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 Epub Date: 2025-04-08 DOI: 10.1016/j.jcbs.2025.100891
Amanda M. Muñoz-Martínez , Yors García , Verónica Márquez-Barraquer , Daniela González-Rodríguez , Juanita Rueda

Background

Coding therapy sessions is essential for evaluating treatment fidelity and understanding in-session mechanisms of change. However, coder training often lacks standardized, replicable methods and is resource intensive.

Objective

This study evaluated the effectiveness of a video-based Behavioral Skills Training (BST) protocol to teach precision coding of Functional Analytic Psychotherapy Rating Scale (FAPRS) codes during brief clinical interactions (vignettes).

Design and methods

A randomized nonconcurrent multiple baseline design across five master's degree students was employed, including generalization and follow-up phases. BST was delivered in two components: (a) video-based instruction (v-INS) and (b) video-based modeling, rehearsal, and performance feedback (v-MRF). Participants were required to achieve a mastery criterion of 90 % precision coding during training.

Results

Four of the five participants demonstrated significant improvements in coding precision following video-based BST. Precision generalized to novel clinical vignettes and was maintained at follow-up. Between-case standardized mean differences showed large effect sizes, indicating meaningful improvements in coding accuracy.

Conclusions

Video-based BST was effective, time-efficient, and well-accepted for training coding skills in FAP, with participants achieving mastery during training. However, precision levels during post-training phases remained below the 90 % criterion for some participants. Future research should explore the use of booster sessions and extended training phases to enhance the maintenance and generalization of coding precision.
编码治疗过程对于评估治疗保真度和理解治疗过程中的改变机制至关重要。然而,程序员培训往往缺乏标准化、可复制的方法,而且资源密集。目的:本研究评估基于视频的行为技能训练(BST)方案在简短的临床互动(小视频)中教授功能分析心理治疗评定量表(FAPRS)代码精确编码的有效性。设计与方法采用随机非并发多基线设计,包括归纳和随访两个阶段。BST分为两个部分:(a)基于视频的教学(v-INS)和(b)基于视频的建模、排练和性能反馈(v-MRF)。参与者被要求在训练中达到90%的编码精度的掌握标准。结果5名参与者中有4名在基于视频的BST后表现出显著的编码精度提高。精确度扩展到新的临床小插曲,并在随访中保持。病例间标准化平均差异显示出较大的效应量,表明编码准确性有意义的提高。结论基于视频的BST是一种有效的、省时的、被广泛接受的FAP编码技能培训方法,参与者在培训过程中能够熟练掌握编码技能。然而,一些参与者在训练后阶段的精度水平仍然低于90%的标准。未来的研究应探索使用促进课程和扩展的训练阶段,以提高编码精度的维护和推广。
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Journal of Contextual Behavioral Science
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