Evaluating Process Variables in Acceptance and Commitment Therapy

Evaluating Process Variables in Acceptance and Commitment Therapy

Date: August 2011
Creator: Vander Lugt, Amanda Adcock
Description: Acceptance and commitment therapy (ACT) was developed to specifically target experiential avoidance (EA) rather than any specific diagnostic category. A functional ACT manual was presented and used to treat diagnostically diverse clients in a large sliding fee-for-service training clinic. A multiple baseline across participants and behaviors research design was used to evaluate session-by-session changes in EA, values identification, valued action, and clinical distress. The Acceptance and Action Questionnaire-2 (AAQ2), Valued Living Questionnaire (VLQ), and Outcome Questionnaire (OQ-45) were given to measure processes and outcomes given the functional ACT model presented in the introduction to the paper. Baseline included the Structured Clinical Interview for DSM-IV Axis I and II Disorders given across 2-5 50- minute sessions. The treatment phase consisted of 7-10 50-minute sessions. Participants were 10 clients. Four participants completed sufficient treatment sessions (4-9) to test the study hypotheses. Participants generally improved across time, but most improvements could not be attributed to the functional application of ACT due to changes during baseline for AAQ, VLQ-Consistency, and OQ-45. VLQ-Importance significantly improved for all participants given ACT.
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The Effects of Priming, Culture, and Context on Perception of Facial Emotion, Self-representation and Thought: Brazil and the United States

The Effects of Priming, Culture, and Context on Perception of Facial Emotion, Self-representation and Thought: Brazil and the United States

Date: December 2011
Creator: Hoersting, Raquel Carvalho
Description: Individualist and collectivist cultural approaches describe the relationship between an individual and his or her social surroundings. the current study had a two-fold purpose. the first was to investigate whether Brazilians, like other collective peoples, displayed more group self-representations, categorized items more relationally and paid more attention to context than Americans. the second purpose of this study was to investigate if counter-cultural primes played a role in activating either collective or individual selves. Both American (n = 100) and Brazilian (n = 101) participants were assigned either to a no-prime condition or a counter-cultural prime condition and then were asked to rate emotion cartoons, categorize items, complete the Twenty Statement Test (TST), and choose a representative object. As expected, unprimed Brazilian participants displayed more collectivist patterns on emotional (F[1,196] = 10.1, p = .001, ?²= .049; F[1,196] = 7.9, p = .006, ?²= .038; F[1,196] = 9.0, p = .005, ?²= .044) and cognitive (F[1, 196] = 6.0, p < .01, ?² = .03) tasks than Americans. However, Brazilians offered more individualist self-representations (F[1, 195] = 24.0, p < .001, ?² = .11) than American participants. Priming only had a marginal effect on item categorization (F[1,194] = 3.9, p = ...
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Oh G-d, A Borderline: Clinical Diagnostics As Fundamental Attribution Error

Oh G-d, A Borderline: Clinical Diagnostics As Fundamental Attribution Error

Date: December 2011
Creator: Schmalz, Jonathan
Description: Researchers raise concerns that the diagnostic approach can create stigma and lead to clinical inferences that focus on dispositional characteristics at the expense of situational variables. From social cognitive theory to strict behavioral approaches there is broad agreement that situation is at least as important as disposition. The present study examined the clinical inferences of graduate student clinicians randomly presented a diagnosis (borderline PD) or no diagnosis and either randomly given context information or no context information before watching a videotaped clinical interaction of a fabricated client. Responses to a questionnaire assessing dispositional or situational attributions about the client’s behavior indicated a diagnosis of borderline personality disorder did not significantly increase dispositional attributions and did not significantly moderate the importance of contextual factors. A notable difference between the attributions made by psychodynamic and third wave behavioral respondents was observed. Conceptual and experimental limitations as well as future directions are discussed.
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Values and Valuing in a College Population

Values and Valuing in a College Population

Date: August 2013
Creator: Hernandez, Nikki C.
Description: Values and valuing behavior have many conceptualizations. Despite how they are defined, values have a significant impact on behavior and are idiosyncratic in nature. The present study reviewed values research and sought to explore values identification and successful valued living among an archived sample of university students. Specifically, in a convenience sample of 282 undergraduate students, variables that affect values identification and behavior such as ethnicity, gender, psychological distress, and psychological flexibility were identified. Results indicated that university students identified with more than one valued living domain (as measured by the PVQ) and that contextual factors such as ethnicity, gender, age, and religiosity/spirituality were associated with specific values endorsed. Furthermore, psychological distress, including depression and anxiety (as measured by the DASS) was negatively correlated with values purity – the extent to which values are freely chosen. Finally, psychological flexibility (low experiential avoidance as measured by the AAQ-2), predicted values purity and successful living in accordance with identified values, and the relationship between these two variables was mediated by psychological flexibility.
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An Investigation of the Phase Model of Psychotherapy Across Therapeutic Orientations: Are Different Approaches Actually All That Different?

An Investigation of the Phase Model of Psychotherapy Across Therapeutic Orientations: Are Different Approaches Actually All That Different?

Date: August 2013
Creator: Herbert, Gregory L.
Description: The current study investigated the process of change underlying two different evidence-based treatments that yield similar outcome effectiveness in the treatment of depression: Cognitive Therapy (CT) and Interpersonal Therapy (IPT). The phase model of psychotherapeutic change (Howard et al., 1993) change is used to provide both a theoretical and practical framework in which to assess different patterns of change across the treatment modalities. The phase model posits that recovery from distress occurs in three sequential stages: remoralization, remediation and rehabilitation. CT can be conceptualized as a treatment in which the primary focus is on the treatment of symptoms (remediation), whereas IPT can typically be conceptualized as focusing on interpersonal conflicts and functioning (rehabilitation). The study utilized the TDCRP dataset (Elkin et al., 1985). Survival analysis indicated no significant difference in terms of onset or pattern of improvement across treatment orientations. Chi square analyses indicated individuals treated with IPT spend significantly more time engaged in rehabilitation compared to their CT counterparts. Taken together, these findings represent evidence that the process of therapeutic change is similar, if not virtually identical, across therapeutic orientation. The analyses also indicate that the phases of therapy may not necessarily be mutually exclusive and sequential, but may ...
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Evaluating the Effectiveness of a Parent training Protocol Based on an Acceptance and Commitment Therapy Philosophy of Parenting

Evaluating the Effectiveness of a Parent training Protocol Based on an Acceptance and Commitment Therapy Philosophy of Parenting

Date: August 2011
Creator: O’Brien, Karen M.
Description: Thirty-four parents were referred by their CPS caseworkers to participate in one of two ACT for Parenting workshops. These workshops followed a 12 hour treatment protocol based on an acceptance and commitment therapy philosophy of parenting. Briefly, an ACT philosophy of parenting maintains that effective parenting requires awareness and acceptance of thoughts and feelings as they occur in the context of the parent-child relationship. An ACT philosophy of parenting also relies heavily on the identification and commitment to parenting values. Participants were asked to track acceptance and valuing behavior on a daily basis for 25 days prior to the intervention and 25 days post-intervention, as well as to complete a package of self-report instruments designed to measure both ACT specific and general psychological processes, at three different points (pre-, post- and follow-up). Nineteen parents received the treatment, and of those, seventeen provided follow-up data 3-4 months post-intervention. Results indicate statistically significant changes in the expected directions for scores on the BASC-2 Externalizing Composite as well as on the Meta-Valuing Measure. A total of 10 parents also evidenced clinically significant change in the expected directions on a variety of outcome measures.
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Risk and Resilience Faced by Children of Deployed Service Members

Risk and Resilience Faced by Children of Deployed Service Members

Date: August 2011
Creator: Geddes, Jeffrey D.
Description: The purpose of this study was to examine the impact of military deployment on children, and the roles that risk and protective factors and parenting stress play in emotional symptoms and behaviors exhibited by children while their parents are deployed. A sample of 143 parents (recruited from all branches of the military) who remained at home while their spouses were deployed completed online self-report questionnaires measuring demographic and background information, child internalizing and externalizing behavior, parenting stress, child adaptability, valuing behavior, family cohesion/environment, and parenting behaviors. The sample primarily consisted of mothers (n = 141) and Caucasian individuals (n = 126), which may limit the generalizability of the findings. Results of the study suggest risk factors including parenting stress, corporal punishment, length of time a parent is deployed, and type of deployment (combat vs. non-combat) were predictive of poorer child outcomes. Protective factors including values consistent behavior, child adaptability, and family cohesion were predictive of better childhood outcomes. Parenting stress served as a mediating variable between the relationship of total risk and child outcomes, while values consistent behavior served as a mediating variable between the relationship of protective factors experienced by children and child outcomes. Military deployments not only impact ...
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A Cross-sectional and Longitudinal Study of Adolescents and Religion: Views of Risk and Resiliency

A Cross-sectional and Longitudinal Study of Adolescents and Religion: Views of Risk and Resiliency

Date: August 2009
Creator: Miesse, Colette Ann
Description: The research literature within the past decade has documented the importance of religiosity and spirituality in helping many adults around the world cope with major life stressors and events. Still, the role of religiosity and spirituality in adolescence is not well-known as research during this developmental period has been limited by sample size, homogeneity of samples, ethnic restrictions, and use of scales with few items. The goal of the current study is to identify and understand adolescent levels of religiousness and spirituality, as well as their roles on later social, emotional, and behavioral outcomes. The current study relied upon data from the National Longitudinal Study of Adolescent Health and utilized confirmatory factor analysis and structural equation modeling in order to generate models of the relationships between the various latent variables. The religiosity and spirituality factors in the current study adequately measure religious perceptions and practices of adolescents over time. These constructs also play a role in later emotional well-being and self-esteem. Analyses also found adequate predictive abilities in the other model factors of delinquency, psychological well-being, self-esteem, and the social support. It is concluded from this study that religiosity and spirituality are not interchangeable constructs, and that more robust measures ...
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The role of attention-deficit/hyperactivity disorder and parental misperceptions in risk for child physical abuse

The role of attention-deficit/hyperactivity disorder and parental misperceptions in risk for child physical abuse

Date: December 2007
Creator: LaBorde, Cicely T.
Description: Voice over IP (VoIP) is a key enabling technology for the migration of circuit-switched PSTN architectures to packet-based IP networks. However, this migration is successful only if the present problems in IP networks are addressed before deploying VoIP infrastructure on a large scale. One of the important issues that the present VoIP networks face is the problem of unwanted calls commonly referred to as SPIT (spam over Internet telephony). Mostly, these SPIT calls are from unknown callers who broadcast unwanted calls. There may be unwanted calls from legitimate and known people too. In this case, the unwantedness depends on social proximity of the communicating parties. For detecting these unwanted calls, I propose a framework that analyzes incoming calls for unwanted behavior. The framework includes a VoIP spam detector (VSD) that analyzes incoming VoIP calls for spam behavior using trust and reputation techniques. The framework also includes a nuisance detector (ND) that proactively infers the nuisance (or reluctance of the end user) to receive incoming calls. This inference is based on past mutual behavior between the calling and the called party (i.e., caller and callee), the callee's presence (mood or state of mind) and tolerance in receiving voice calls from the ...
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Childhood Learning: Examining Attitudes toward School and Learning Ability

Childhood Learning: Examining Attitudes toward School and Learning Ability

Date: May 2009
Creator: Geddes, Jeffrey D.
Description: A child's ability to learn in school and school performance are affected by various factors. Variables that affect learning and academic performance in 46 children, 4 - 7 years old, were examined. Children, parents, and teachers completed questionnaires rating children's attitudes and behavior toward school. Children completed a computerized matching-to-sample (MTS) task. The MTS trained the children to form 3 stimulus classes. One stimulus class included three arbitrary stimuli, the others contained a positively or negatively valenced stimulus, a school-related stimulus, and an arbitrary stimulus. Class formation performance was assessed. Rate of learning predicted attitudes toward school, school attitudes predicted academic performance; however a hypothesized mediation effect of attitudes was not demonstrated. No significant differences in rate of forming stimulus classes containing emotionally valenced and school stimuli were found. Future directions for intervention in the early education of students who have poor attitudes toward school are discussed.
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