Journal of Contextual Behavioral Science最新文献_第9页

Acceptance and commitment therapy for couples: A systematic review and meta-analysis 夫妻接受与承诺疗法：系统回顾与元分析

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-01-01 DOI: 10.1016/j.jcbs.2024.100867

Jorge Barraca , Thomas Polanski , Andrea Duarte-Díaz , Lilisbeth Perestelo-Pérez

Couple interventions have a long tradition, yet their effectiveness is generally less well-known than that of individual therapies, particularly within contextual therapies. Although Acceptance and Commitment Therapy (ACT) has already gathered significant evidence of effectiveness in various psychological health problems and disorders, its application in the context of couple therapy has not been thoroughly analyzed. A systematic review and meta-analysis were conducted, involving a total of 17 randomized controlled trials (RCTs), examining effectiveness in various areas of couple functioning. The analyses revealed that ACT was more effective than passive control groups for alexithymia, anxiety, communication skills, fertility quality of life, marital intimacy, marital satisfaction, psychological well-being, physical health, and relational social functioning. It did not, however, have any significant effect on marital burnout, marital conflict, or conflict resolution. ACT was also effective in post-traumatic stress disorder, but in a joint intervention with Mindfulness-Based Cognitive Therapy (MBCT). When compared with active controls, ACT was sometimes similar and sometimes inferior in results. For instance, ACT, Integrative Behavioral Couple Therapy (IBCT), and CBCT all increased marital intimacy, but with no significant difference between them (g = −0.26, 95% CI: −0.98, 0.46; I² = 0%). ACT, IBCT and Emotionally Focused Couples Therapy (EFCT) also all helped social functioning, and EFCT and ACT both fostered forgiveness. However, CBCT was clearly superior to ACT in improving marital satisfaction (g = −1.23, 95% CI: −1.86, −0.59; I² = 0%) and ACT was also beaten out by Schema Therapy for fostering forgiveness. Imago therapy seems to help anxiety more than ACT while ACT helped more with physical health. The RCTs included in the review exhibit a significant series of biases and limitations, which were analyzed in detail. Taking these limitations into account, although ACT can be a promising therapy for some couple difficulties, it still needs to gather more evidence of effectiveness with new, better-controlled studies, carried out in a wider variety of countries and cultures, with well-defined protocols and comparisons with active controls like EFCT, IBCT, and CBCT, all of which have more empirical support.

夫妻干预具有悠久的传统，但其有效性通常不如个体治疗所知，特别是在情境治疗中。尽管接受与承诺疗法（ACT）在各种心理健康问题和障碍中已经收集了大量有效的证据，但其在夫妻治疗中的应用尚未得到彻底的分析。进行了系统回顾和荟萃分析，共涉及17个随机对照试验（rct），检查了在夫妻功能各个领域的有效性。分析显示，ACT组在述情障碍、焦虑、沟通技巧、生育生活质量、婚姻亲密度、婚姻满意度、心理健康、身体健康和关系社会功能方面比被动对照组更有效。然而，它对婚姻倦怠、婚姻冲突或冲突解决没有任何显著影响。ACT对创伤后应激障碍也有效，但与正念认知疗法（MBCT）联合干预。与主动对照组相比，ACT的结果有时相似，有时更差。例如，ACT、综合行为夫妻治疗（IBCT）和CBCT均增加了婚姻亲密度，但三者之间无显著差异(g = - 0.26, 95% CI: - 0.98, 0.46；i2 = 0%)。ACT、IBCT和情感聚焦夫妻治疗（EFCT）也都有助于社会功能，EFCT和ACT都促进了宽恕。然而，CBCT在提高婚姻满意度方面明显优于ACT (g = - 1.23, 95% CI: - 1.86, - 0.59；I2 = 0%)和ACT在培养宽恕方面也被图式疗法击败。意象疗法似乎比ACT疗法更能缓解焦虑，而ACT疗法对身体健康的帮助更大。纳入本综述的随机对照试验显示出一系列显著的偏倚和局限性，我们对此进行了详细分析。考虑到这些局限性，尽管ACT可能是一些夫妻困难的有希望的治疗方法，但它仍然需要通过在更广泛的国家和文化中开展的新的、更好控制的研究来收集更多的有效性证据，这些研究有明确的方案，并与EFCT、IBCT和CBCT等主动对照进行比较，所有这些都有更多的经验支持。

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引用次数: 0

Examining item content across nine psychological (in)flexibility scales: What do they measure? 检查九个心理（in）灵活性量表的项目内容：它们测量什么？

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-01-01 DOI: 10.1016/j.jcbs.2025.100872

Clarissa W. Ong , Alexa M. Skolnik , Hannah M. Johnson , Eric B. Lee

Psychological inflexibility and flexibility are central to the model of acceptance and commitment therapy (ACT). As such, it is critical to assess these constructs accurately and reliably to provide robust tests of ACT theory. One measurement aspect to consider is the content covered by scales purported to assess the same construct. The present study provides a description of content included in nine psychological flexibility and inflexibility scales and evaluates the degree of content overlap across scales using the Jaccard Index. Overall, we found that the scales overwhelmingly focused on internal experiences (78.5% of items), with the most common type being emotions/feelings (41.1%) and thoughts (28.2%). In addition, the Jaccard Index indicated very weak overlap with respect to item content, suggesting that the constructs of psychological flexibility and inflexibility are measured inconsistently, compromising our ability to pool data from different studies. The Comprehensive Assessment of ACT Processes (CompACT) and Multidimensional Psychological Flexibility Inventory (MPFI) had the highest mean overlap scores. Despite broad consensus, the lack of overlap when considering precise categories and item content underscores the need to clarify definitions of psychological flexibility and inflexibility for measurement and practice greater transparency when reporting on study measures.

心理的不灵活性和灵活性是接受和承诺治疗（ACT）模型的核心。因此，准确可靠地评估这些结构以提供ACT理论的可靠测试是至关重要的。要考虑的一个测量方面是旨在评估相同结构的量表所涵盖的内容。本研究提供了九个心理灵活性和不灵活性量表的内容描述，并使用Jaccard指数评估量表之间的内容重叠程度。总体而言，我们发现量表绝大多数集中在内部体验（78.5%的项目），最常见的类型是情绪/感觉（41.1%）和想法（28.2%）。此外，Jaccard指数显示，在项目内容方面，重叠非常弱，这表明心理灵活性和不灵活性的构建是不一致的，影响了我们从不同研究中汇集数据的能力。ACT过程综合评估（CompACT）和多维心理灵活性量表（MPFI）的平均重叠分数最高。尽管有广泛的协商一致意见，但在考虑精确的类别和项目内容时缺乏重叠，强调需要澄清心理灵活性和不灵活性的定义，并在报告研究措施时实行更大的透明度。

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引用次数: 0

A systematic review and narrative synthesis of the complex interplay between psychological flexibility and sleep health 心理灵活性和睡眠健康之间复杂相互作用的系统综述和叙事综合

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-01-01 DOI: 10.1016/j.jcbs.2025.100871

Emma Ryan, Denisha O'Neill, Sinéad Smyth

Background

Sleep has been recognised as a growing health concern, with research suggesting a link between psychological flexibility, a core concept in Acceptance and Commitment Therapy (ACT), and sleep-related outcomes. While previous work has outlined correlational associations, the complexity of these relationships remains poorly understood. Our systematic review aims to comprehensively elucidate the nuanced interplay between psychological flexibility and sleep health alongside implications of their relationships across diverse populations.

Methods

We carried out searches in four electronic databases (PsycInfo, MEDLINE, EMBASE, and CINAHL) on February 9th, 2024. Following title and abstract screening, 209 full texts were screened and 29 studies that met our inclusion criteria were identified. A narrative synthesis was conducted to synthesise data from the included studies.

Results

Psychological flexibility was identified as an important predictor of sleep health, with acceptance and cognitive defusion emerging as particularly critical components of psychological flexibility. The majority of studies examined psychological flexibility as a predictor, mediator, and moderator, with a minority exploring the role of sleep as a risk and protective factor. Moreover, there was evidence of additional risk factors beyond flexibility, namely anxiety sensitivity dimensions, in predicting poor sleep-related outcomes.

Conclusion

Our review highlights the complexity of the relationships between psychological flexibility and sleep health. Despite measurement considerations impacting the interpretation of findings, our results provide foundations for future research endeavours aimed at refining theoretical models, designing targeted interventions, and ultimately improving sleep health, psychological flexibility, and mental well-being for individuals facing various psychological and physiological challenges.

睡眠已被认为是一个日益严重的健康问题，研究表明心理灵活性（接受与承诺疗法（ACT）的核心概念）与睡眠相关的结果之间存在联系。虽然以前的工作已经概述了相关关系，但这些关系的复杂性仍然知之甚少。我们的系统综述旨在全面阐明心理灵活性和睡眠健康之间微妙的相互作用，以及它们在不同人群中的关系。方法于2024年2月9日在PsycInfo、MEDLINE、EMBASE、CINAHL 4个电子数据库中进行检索。在标题和摘要筛选之后，我们筛选了209篇全文，并确定了29项符合我们纳入标准的研究。对纳入研究的数据进行叙事综合。结果心理灵活性被认为是睡眠健康的重要预测因素，接受和认知融合是心理灵活性的重要组成部分。大多数研究将心理灵活性作为预测、调节和调节因素，少数研究探索睡眠作为风险和保护因素的作用。此外，有证据表明，在预测与睡眠相关的不良结果时，除了灵活性之外，还有其他风险因素，即焦虑敏感性维度。结论本综述强调心理灵活性与睡眠健康之间关系的复杂性。尽管测量因素影响了研究结果的解释，但我们的结果为未来的研究工作提供了基础，旨在完善理论模型，设计有针对性的干预措施，并最终改善面临各种心理和生理挑战的个体的睡眠健康，心理灵活性和心理健康。

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引用次数: 0

Feasibility of a brief, remote self-compassion intervention for employed mothers 对职业母亲进行简短、远程自我同情干预的可行性

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2024-11-28 DOI: 10.1016/j.jcbs.2024.100855

S. Balzarotti , I. Telazzi , L. Vismara , G. Campi , S. Dal Santo , G. Mazzei

Although existing literature suggests that working mothers’ mental health is challenged by several sources of psychological stress, few interventions have targeted this population. The present study investigated the feasibility and potential utility of a newly developed 2-week self-compassion intervention for enhancing well-being among Italian working mothers.

Eighty working mothers agreed to participate in the study (mean age 45.20, SD = 10.63, age range 25–60). The intervention lasted two weeks and was delivered remotely. Using a pre–post within-subjects design, feasibility was assessed in multiple domains (recruitment capability, acceptability, implementation, practicality). Moreover, participants completed both baseline and post-intervention assessments of well-being measures (i.e., perceived stress, positive and negative affect, life satisfaction, and flourishing) to preliminarily evaluate pre-to post-intervention changes. The results showed that the intervention was feasible in all the domains evaluated. Participants showed significant improvements in pre–post scores of positive affect and satisfaction with life, as well as significant decreases in negative affect and perceived stress. We observed larger effect sizes for negative symptoms compared to positive outcomes.

Overall, our findings suggest that a brief, remote, self-compassion intervention may be a feasible way of promoting mental health among working mothers and warrants additional intervention development and testing with rigorous study designs.

虽然现有文献表明，职业母亲的心理健康受到多种心理压力来源的挑战，但很少有针对这一人群的干预措施。本研究探讨了可行性和潜在效用的新开发的自我同情干预2周提高幸福感的意大利职业母亲。80位职场母亲同意参与这项研究（平均年龄45.20岁，SD = 10.63，年龄范围25-60岁）。干预持续了两周，并通过远程交付。采用学科内岗前设计，在多个领域（招聘能力、可接受性、实施性、实用性）评估可行性。此外，参与者还完成了基线和干预后的幸福感评估（即感知压力、积极和消极影响、生活满意度和繁荣），以初步评估干预前后的变化。结果表明，该干预措施在所有评估领域都是可行的。参与者在积极影响和生活满意度方面表现出显著的改善，在消极影响和感知压力方面表现出显著的降低。我们观察到，与积极结果相比，消极症状的效应更大。总的来说，我们的研究结果表明，一个简短的、远程的、自我同情的干预可能是一种促进职业母亲心理健康的可行方法，值得进一步的干预开发和严格的研究设计的测试。

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引用次数: 0

Physiological, behavioral, and self-report outcomes of acceptance- and regulation-based exposure for intrusive thoughts 以接受和调节为基础的侵扰性思维暴露的生理、行为和自我报告结果

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100850

Brooke M. Smith, Jennifer L. Barney, Clarissa W. Ong, Tyson S. Barrett, Michael E. Levin, Michael P. Twohig

Leading theories regarding the mechanisms of exposure for OCD focus on Pavlovian fear reduction more than operant processes. Acceptance-based exposure directly targets operant behavior. Integrating these perspectives could lead to a more robust understanding of mechanisms of change in exposure and more effective and enduring treatments. The current study investigated acceptance and regulation of distress during exposure. Participants with intrusive thoughts were randomized into three groups, Acceptance (n = 23), Regulation (n = 20), and Control (n = 21), and completed two behavioral avoidance tests (BATs) 1 week apart. Active conditions completed a 30-min exposure plus 6 days of 10-min exposures at home; Control participants watched videos of the same durations. Self-report measures were collected at both sessions, and behavioral, subjective, and physiological repeated measures data were collected during both BATs. Compared to Control, active conditions decreased OCD symptom severity, rituals, and skin conductance levels, while Acceptance showed lower skin conductance levels than Regulation and Control. Acceptance showed greater willingness and psychological flexibility than Control, while Regulation did not. Results support theorized mechanisms of change in acceptance-based exposure and suggest willingness to experience distress may paradoxically lead to decreased physiological arousal, which has important implications for treatment and future research.

关于强迫症暴露机制的主要理论侧重于巴甫洛夫恐惧减少法，而不是操作过程。基于接受的暴露疗法直接针对操作行为。将这些观点结合起来，可以更深入地了解暴露中的变化机制，以及更有效、更持久的治疗方法。目前的研究调查了暴露过程中的接受和对痛苦的调节。有侵入性想法的参与者被随机分为三组：接受组（23 人）、调节组（20 人）和控制组（21 人），并完成了两次行为回避测试（BATs），每次间隔一周。主动型参与者在家完成 30 分钟的暴露和 6 天 10 分钟的暴露；控制型参与者观看相同时长的视频。在两次测试中都收集了自我报告测量数据，并在两次 BAT 测试中收集了行为、主观和生理重复测量数据。与 "对照组 "相比，"主动组 "的强迫症症状严重程度、仪式和皮肤电导水平都有所下降，而 "接受组 "的皮肤电导水平则低于 "调节组 "和 "对照组"。与 "对照组 "相比，"接受组 "表现出更大的意愿和心理灵活性，而 "调节组 "则没有。研究结果支持接受型暴露的理论变化机制，并表明愿意体验痛苦可能会自相矛盾地导致生理唤醒降低，这对治疗和未来研究具有重要意义。

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引用次数: 0

ACT in school settings: A pilot study of ACT-based universal group psycho-educational program among Japanese early adolescents 学校环境中的 ACT：在日本早期青少年中开展的基于 ACT 的通用小组心理教育计划试点研究

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100851

Kenichiro Ishizu , Tomu Ohtsuki , Yoshiyuki Shimoda , Yoshihiko Kunisato

The objective of this investigation was to assess the efficacy of an Acceptance and Commitment Therapy (ACT)-based group psycho-educational intervention within school environments, administered by psychologists, for early adolescents in Japan. The effectiveness indices measured in this study were ‘clarification of value and commitment (CVC)’ and ‘experiential avoidance (EA)’ as indicators of psychological flexibility of ACT, and self-esteem and self-determination disposition as outcome indices related to well-being. The participants in this study were Japanese junior high school students with a mean age of 14.85 years (SD = 0.86), 112 in the intervention group and 143 in the control group, who completed questionnaires at three time points: before the program (pre), after attending the program (post) and three weeks after the posttest (follow-up). The intervention program, which consisted of three short-term sessions, was shown to be effective in the CVC, self-esteem, and self-determination disposition scores. Conversely, the group-time interaction did not yield a notable impact on the persistence of avoidance behaviors and EA scores, suggesting a potential avenue for refinement in intervention methodologies regarding these domains. These findings offer insight into the potential effectiveness of ACT-based group psycho-educational endeavors in school settings led by psychologists.

本研究旨在评估由心理学家在学校环境中为日本早期青少年实施的基于接纳与承诺疗法（ACT）的团体心理教育干预的有效性。本研究测量的有效性指标是 "价值与承诺的澄清（CVC）"和 "体验性回避（EA）"，作为 ACT 的心理灵活性指标，以及自尊和自我决定倾向，作为与幸福感相关的结果指标。本研究的参与者为日本初中生，平均年龄为 14.85 岁（SD = 0.86），其中干预组 112 人，对照组 143 人，他们在三个时间点填写了调查问卷：课程前（pre）、课程后（post）和课程后测试三周后（uprint）。结果表明，由三节短期课程组成的干预计划在CVC、自尊和自我决定性处置得分方面都很有效。相反，小组时间互动对回避行为的持续性和 EA 分数并没有产生明显的影响，这表明在这些领域的干预方法可能还有改进的余地。这些发现为心理学家在学校环境中开展以 ACT 为基础的小组心理教育工作的潜在有效性提供了启示。

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引用次数: 0

Capturing the context of drug use for college students: A contextual behavioural science informed qualitative analysis of harm reduction practices using network feedback loops simulation modelling 捕捉大学生使用毒品的背景：利用网络反馈回路模拟建模对减低危害做法进行有背景的行为科学定性分析

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100844

Vasilis S. Vasiliou , Laoise Meany , Chiarra Belluci , Samantha Dockray , Conor Linehan , Samantha Dick , Martin P. Davoren , Michael Byrne

Drug use during college can have substantial harm on students' lives and impacts the institutions' functioning and local communities. Yet existing interventions for drug use at college poorly address the concurrent dynamic influences of the experiences in earlier developmental periods of young adults and the proximal contextual triggers of college life; both risk factors that can contribute to drug use. To address this, we leveraged system dynamic methods and contextual-behavioural science (CBS) approaches to support the development of interventions focusing at addressin these risk factors. Using Causal Loop Diagram methods (Vensim PLE), we collected qualitative data from college students to generate Network Feedback Loops (NFLs) (n = 24, Maged 22 years old), during the development phase of the MyUse: a contextual behavioural change intervention for harm reduction practices at college students. The findings underscored central nodes (determinants within an intervention) that support our previous identified three CBS-harm-reduction practices for college students (targeted edges: mindful drug-use decision making, value-based activities, context-sensitive personalized plan of harm reduction). Analyses revealed 4 NFLs for students with previous drug use, consisting of 13 edges (4 positive, 2 negative, and 4 balancing reinforcing relationships) and 3 NFLs for students with no previous drug use, consisting of 4 positives, one negative, and one balancing relationship. All the NFLs were nested with the three CBS-related targeted outcomes. College students who use drugs need drug-related knowledge about the unpredictable and adverse effects of drugs, presented in a compassionate way and distributed from credible resources (e.g., students’ unions/club). Students with no previous drug use need education about the effects of drugs and awareness of how drugs can devaluate value-based activities (e.g. sports, friendships, social life). These should be delivered via proxy cue reminders and mobile-text approaches conveying messages about drug use susceptibility, distributed in real-time. Idiosyncratic, dynamic, and contextual-bound factors of lapse risks or preventive practices should account for each person-specific vulnerabilities via personalized harm reduction plans.

在大学期间使用毒品会对学生的生活造成巨大伤害，并影响学校的运作和当地社区。然而，现有的针对大学期间吸毒问题的干预措施并不能很好地解决青少年早期成长时期的经历和大学生活的近似环境触发因素的并发动态影响；这两种风险因素都可能导致吸毒。为了解决这个问题，我们利用系统动态方法和情境行为科学（CBS）方法来支持干预措施的开发，重点解决这些风险因素。在 "MyUse：针对大学生减低伤害行为的情境行为变化干预 "的开发阶段，我们使用因果循环图方法（Vensim PLE）收集了大学生的定性数据，以生成网络反馈循环（NFLs）（n = 24，Maged 22 岁）。研究结果强调了中心节点（干预措施中的决定因素），这些节点支持我们之前确定的针对大学生的三项 CBS 减害实践（目标边缘：用心的药物使用决策、基于价值的活动、情境敏感的个性化减害计划）。分析表明，针对曾吸食毒品的学生，有 4 个 NFL，包括 13 个边缘（4 个正向、2 个负向和 4 个平衡强化关系）；针对未吸食毒品的学生，有 3 个 NFL，包括 4 个正向、1 个负向和 1 个平衡关系。所有 NFL 都与三个 CBS 相关的目标结果嵌套。吸食毒品的大学生需要毒品相关知识，了解毒品的不可预知性和不良影响，这些知识应以同情的方式呈现，并从可靠的资源（如学生会/俱乐部）分发。没有吸食过毒品的学生需要了解毒品的影响，并认识到毒品会贬低以价值为基础的活动（如体育、友谊、社交生活）。这些教育应通过代理提示提醒和手机短信的方式进行，传达有关吸毒易感性的信息，并实时发布。应通过个性化的减低危害计划，将失效风险或预防措施的偶然、动态和环境约束因素考虑到每个人的具体弱点。

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引用次数: 0

Emotion dysregulation and psychological inflexibility in adolescents: Discriminant validity and associations with internalizing symptoms and functional impairment 青少年的情绪失调和心理僵化：区分有效性以及与内化症状和功能障碍的关联

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100847

Tara Gudarzi , Matti Cervin

Emotion dysregulation and psychological inflexibility are widely regarded as key contributors to a range of mental health issues and are integral to several treatment models in the mental health field. However, no study has examined whether the two constructs reflect distinct aspects of psychological functioning or whether they can be clearly differentiated from mental health symptoms and associated impairment. Adolescence is a key period for the onset of mental health problems, making a better understanding of psychological processes involved in mental health in this age group important. The Difficulties in Emotion Regulation Scale (DERS-16, emotion dysregulation) and the Avoidance and Fusion Questionnaire for Youth (AFQ-Y8, psychological inflexibility) are widely used assessment tools of emotion dysregulation and psychological inflexibility, but critical evaluations of their validity are sparse. Using exploratory and confirmatory factor analysis, we examined the discriminant validity of emotion dysregulation and psychological inflexibility as measured via the DERS-16 and the AFQ-Y8 in a sample of 633 adolescents (M_age = 16.6 [1.98]). Emotion dysregulation and psychological inflexibility did not demonstrate discriminant validity. Instead, four strongly correlated factors emerged, each comprising a combination of items from both assessment tools: (1) interference stemming from distressing thoughts and emotions, (2) negative self-evaluation, (3) loss of control when emotional, and (4) confusion about one's emotions. These factors were strongly correlated and adequately captured by an overarching factor, which we termed the X factor, which in turn was very strongly correlated with core symptoms of anxiety and depression and functional impairment stemming from mental health issues. In conclusion, the constructs of emotion dysregulation and psychological inflexibility, as assessed by the DERS-16 and AFQ-Y8, do not show discriminant validity in adolescents. Furthermore, the constructs measured by these tools are almost empirically indistinguishable from anxiety, depression, and functional impairment.

情绪失调和心理不灵活被广泛认为是导致一系列心理健康问题的关键因素，也是心理健康领域多种治疗模式不可或缺的组成部分。然而，还没有研究探讨过这两个概念是否反映了心理功能的不同方面，或者它们是否可以与心理健康症状和相关损伤明确区分开来。青春期是心理健康问题发生的关键时期，因此更好地了解这一年龄段人群的心理健康过程非常重要。情绪调节困难量表（DERS-16，情绪调节障碍）和青少年回避与融合问卷（AFQ-Y8，心理不灵活）是被广泛使用的情绪调节障碍和心理不灵活的评估工具，但对其有效性的批判性评估却很少。通过探索性和确认性因子分析，我们以 633 名青少年（Mage = 16.6 [1.98]）为样本，研究了通过 DERS-16 和 AFQ-Y8 测量的情绪失调和心理不灵活的判别有效性。情绪失调和心理不灵活并没有表现出区别有效性。相反，出现了四个相关性很强的因子，每个因子都由两个评估工具中的项目组合而成：(1) 由痛苦的想法和情绪引起的干扰，(2) 消极的自我评价，(3) 情绪失控，(4) 对自己的情绪感到困惑。这些因素之间具有很强的相关性，并被我们称之为 X 因子的总体因子所充分捕捉，而 X 因子又与焦虑和抑郁的核心症状以及由心理健康问题引起的功能障碍具有很强的相关性。总之，DERS-16 和 AFQ-Y8 所评估的情绪失调和心理不灵活这两个构念在青少年中并没有显示出区别有效性。此外，这些工具所测量的建构与焦虑、抑郁和功能障碍几乎没有经验上的区别。

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引用次数: 0

Changes in university students’ behaviour and study burnout risk during ACT-based online course intervention: A mixed methods study 基于 ACT 的在线课程干预中大学生行为和学习倦怠风险的变化：混合方法研究

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100845

Kristiina Räihä, Henna Asikainen, Nina Katajavuori

Previous research in higher education has shown that Acceptance and Commitment Therapy (ACT) -based interventions have beneficial effects on students’ well-being. However, not much is known about the range of behaviour changes behind these outcomes.

In this mixed methods study, we explored the variety of the changes ACT-based course participating university students (N = 101) describe in their reflective learning reports. We did so by applying the Extended Evolutionary Meta Model (EEMM) in abductive content analysis, and by applying network visualisation of the various study burnout risk change groups.

The results showed that the largest proportion of students described changes in the EEMM dimension of overt behaviour (75%), especially time and effort management. Vitality, and decreased distress were the most described outcomes related to behaviour changes.

Study burnout risk decreased significantly at the course level. When observing the interrelations of behaviour changes in the networks of burnout risk change groups, alongside time and effort management, attentional and affective dimensions representing present moment awareness and acceptance were central changes in the group that had the greatest reduction in burnout risk. These findings contribute to the need to map out the variety of beneficial mechanisms and serve further idiographic research about changes during study-integrated ACT-based interventions.

以往的高等教育研究表明，以接纳与承诺疗法（ACT）为基础的干预措施对学生的身心健康有益。在这项混合方法研究中，我们探讨了参与 ACT 课程的大学生（人数 = 101）在其反思学习报告中描述的各种变化。我们在归纳内容分析中应用了扩展进化元模型（EEMM），并对不同的学习倦怠风险变化群体进行了网络可视化分析。结果显示，最大比例的学生描述了公开行为的 EEMM 维度变化（75%），尤其是时间和精力管理。在课程层面，学习倦怠风险显著降低。在观察倦怠风险改变群体网络中行为改变的相互关系时，除了时间和精力管理，代表当下意识和接受的注意力和情感维度也是倦怠风险降低幅度最大的群体的核心改变。这些发现表明，有必要绘制出各种有益机制的图谱，并为进一步研究基于ACT的研究整合干预过程中的变化提供服务。

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引用次数: 0

Is the AAQ-II that bad? AAQ-II 有那么糟糕吗？

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2024-10-01 DOI: 10.1016/j.jcbs.2024.100854

Francisco J. Ruiz , Javier M. Bianchi , Douglas M. Bastidas-Suárez , Eduar S. Ramírez , Valentina Peña-Hernández

The Acceptance and Action Questionnaire – II (AAQ-II) has been heavily criticized based on factor-analytic studies that analyzed its discriminant validity. These studies have suggested that the AAQ-II may measure trait negative emotion/neuroticism, which has led some authors to suggest that the studies utilizing the AAQ-II might be reread, changing "psychological flexibility” or "experiential avoidance” for "neuroticism,” "negative emotion,” or "distress.” We suggest most of these findings are due to the inconsistent use of the AAQ-II as a measure of psychological flexibility and experiential avoidance instead of psychological inflexibility. Additionally, we analyze the discriminant validity of the Spanish version of the AAQ-II in three Colombian samples. In Study 1, we conducted both exploratory graph analysis (EGA) and exploratory factor analysis (EFA) to determine the number of dimensions in a general online sample (N = 2398) and a treatment-seeking sample (N = 358) that responded to the AAQ-II and the Depression, Anxiety, and Stress Scale – 21 (DASS-21). In Study 2, we conducted the same analyses in a general online sample (N = 444) that responded to the AAQ-II, DASS-21, and the Big Five Inventory – 2 Neuroticism subscale. All analyses indicated that the AAQ-II items pertained to a unique community/factor and strongly supported the discriminant validity of the AAQ-II in Colombian samples. We recommend using the AAQ-II only as a measure of psychological inflexibility and argue that it is too adventurous to suggest the reinterpretation of thousands of studies and discourage journals from publishing articles using the AAQ-II.

接受与行动问卷-II》（AAQ-II）在分析其判别效度的因子分析研究中饱受批评。这些研究表明，AAQ-II 可能会测量特质消极情绪/神经质，因此一些作者建议，可以重新解读使用 AAQ-II 的研究，将 "心理灵活性 "或 "经验回避 "改为 "神经质"、"消极情绪 "或 "苦恼"。我们认为，这些发现大多是由于 AAQ-II 作为心理灵活性和体验回避而非心理不灵活性的测量方法的使用不一致造成的。此外，我们还分析了西班牙语版 AAQ-II 在三个哥伦比亚样本中的判别效度。在研究 1 中，我们进行了探索性图形分析（EGA）和探索性因子分析（EFA），以确定对 AAQ-II 和抑郁、焦虑和压力量表-21（DASS-21）做出反应的一般在线样本（N = 2398）和寻求治疗样本（N = 358）的维度数量。在研究 2 中，我们对一般在线样本（N = 444）进行了同样的分析，这些样本对 AAQ-II、DASS-21 和大五量表 - 2 神经质子量表做出了回答。所有分析都表明，AAQ-II 项目与一个独特的群体/因素相关，并有力地支持了 AAQ-II 在哥伦比亚样本中的判别有效性。我们建议仅将 AAQ-II 作为心理不灵活性的测量方法，并认为建议重新解释数千项研究过于冒险，不鼓励期刊使用 AAQ-II 发表文章。

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引用次数: 0