Psychology Commons^™

Skills To Support Mental Health In Uncertain Times, Part 2: Cultivating Awareness, Heather H. Kelley, Rachel Byers, Ty Aller, Timothy Keady

All Current Publications

Uncertainty and worry can be a common struggle for many people, whether they are uncertain about their jobs, health, or relationships. Events such as COVID-19 and the recent wars in Israel and Ukraine increase the stress and uncertainty many people face. This fact sheet discusses awareness, a fundamental part of psychological flexibility, which can help individuals maintain a high quality of life—even when experiencing uncertainty and mental health concerns.

Integrated Behavioral-Health Supports: Combining Pbis And Sel At Tier 2, Thomas K. Franzmann

All Graduate Theses and Dissertations, Fall 2023 to Present

Childhood behavior problems present many challenges for youth, families, and schools. To assist in preventing and reducing such problems, schools have adopted various strategies to assist with such concerns. Two widely used strategies for addressing problem behavior in schools are Positive Behavioral Interventions and Supports (PBIS) and Social-Emotional Learning (SEL). While both have a plethora of evidence of their effectiveness independently, less is known as to whether than can compliment one another for even better outcomes. The current study examined the effectiveness of an integrated approach (PBIS + SEL) to classroom intervention for elementary school students exhibiting behavior problems. This …

Evaluating The Effects Of A Teacher-Implemented Mindfulness-Based Intervention On Teacher Stress And Student Prosocial Behavior, Mary L. Phan

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

High levels of teacher stress have a negative impact on teacher performance, maintenance, and student outcomes. Given the escalation in teacher stress levels, it is important to decrease teacher stress to improve their wellbeing. One intervention that has received growing attention in reducing teacher stress is mindfulness training. However, few studies have focused on teachers implementing mindfulness-based interventions (MBIs) both with themselves and with school-age children within their classrooms. Additionally, few studies have examined the fidelity, feasibility, and social validity of teacher-implemented MBIs in a classroom setting. Through a single-case multiple baseline design across four teachers, the current study evaluated …

Exploring The Process Of Mindful Breathing With Stressed Mothers, Caleb D. Farley

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Mindfulness exists in many parenting and family interventions and are intended to decrease stress, improve familial relationships, and indirectly improve child wellness, and these mindfulness-based interventions (MBI) are relatively effective at doing so. However, critical issues remain related to designing effective and useful interventions for school-based and other community practitioners. Specifically, research has not demonstrated clear relationships between parent mindfulness practice increasing generalized mindfulness behaviors (i.e., awareness and acceptance), experiencing subsequent parental stress reduction, and reporting decreased behavior problems in children. The current study examined these relationships between practicing mindfulness and experiencing changes in parents’ mindfulness process, wellbeing, and perceptions …

Testing An Acceptance And Commitment Therapy Website For Hoarding: A Randomized Waitlist-Controlled Trial, Jennifer Krafft

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Hoarding disorder is relatively common and seriously affects those who experience it. However, it is difficult to access hoarding treatment, due to barriers such as availability and stigma. Moreover, only one treatment is well-established for hoarding (CBT), and it does not directly address important processes such as mindfulness and acceptance. Therefore, in order to make treatment more useful and easy to access, this study tested a self-help program that focused on teaching mindfulness and acceptance as related to hoarding. The self-help program was compared to a waitlist condition; participants were randomly assigned to use the website or wait 12 weeks. …

Preliminary Findings On Processes Of Change And Moderators For Cognitive Defusion And Restructuring Delivered Through Mobile Apps, Michael E. Levin, Jennifer Krafft, Woolee An, Clarissa W. Ong, Michael P. Twohig

Psychology Student Research

A process-based therapy approach emphasizes examining how and for whom specific therapeutic components linked to specific processes of change function. This preliminary study explored the processes of change for cognitive defusion and restructuring with daily ratings of self-criticism from a larger component trial as well as self-compassion as a moderator of these daily effects. A sample of 51 adults high in self-criticism (M age = 22.69, 78% female, 88% non-Hispanic White) were randomized to a cognitive defusion or restructuring mobile app for two weeks and completed daily assessments. Both conditions improved over time on daily frequency, defused noticing, challenging, …

An Open Trial Of Group Acceptance And Commitment Therapy (Act) With An Adjunctive Mobile App For Generalized Anxiety Disorder (Gad), Jennifer Krafft, Clarissa W. Ong, Carter H. Davis, Julie M. Petersen, Michael E. Levin, Michael P. Twohig

Psychology Student Research

Generalized anxiety disorder (GAD) is a common and debilitating condition. Effective treatments exist, but they are time-and resource-intensive. This study tested the initial efficacy and acceptability of a novel treatment protocol designed to increase efficiency: acceptance and commitment therapy (ACT) taught in groups and through an adjunctive mobile app. Participants were 21 individuals with GAD who received six weeks of 2-hour group ACT sessions as well as access to an adjunctive ACT mobile app. Significant improvements occurred in worry, anxiety, social functioning, and depression as well as relevant processes (psychological inflexibility, anxiety-related cognitive fusion). In-the-moment improvements were also observed in …

An Evaluation Of The Effects Of Behavioral Skills Training On A Mindfulness-Based Protocol, Chealsy Darby

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

This evaluation examined the effects of behavioral skills training on the correct implementation of a mindfulness-based protocol by direct support staff who provide services to adults with intellectual disabilities in a community, residential setting. Participants included two direct support staff who provide services to two different adults with intellectual disabilities who have a mindfulness-based protocol as an intervention for problem behavior described in their behavior support plan. The participants were exposed to a behavioral skills training package and were required to demonstrate mastery criteria of the mindfulness-based protocol as part of their regular job duties. The results of this evaluation …

A Randomized Controlled Trial Of Online Acceptance And Commitment Therapy To Improve Diet And Physical Activity Among Adults Who Are Overweight/Obese, Michael E. Levin, Julie M. Petersen, Carrie Durward, Brittany Bingeman, Elizabeth Davis, Cindy Nelson, Shannon Cromwell

Psychology Student Research

Background: Acceptance and commitment therapy (ACT) has shown benefit for improving diet, physical activity, and weight among adults who are overweight and obese. However, research to date in this area has primarily evaluated ACT delivered through in-person interventions, which has more limited access relative to online formats. Purpose: The present study evaluated an online guided self-help program that integrated ACT with nutrition education to improve healthy eating and physical activity. Methods: A sample of 79 adults who were overweight/obese were randomized to receive the 8-week ACT on Health program plus weekly phone coaching or to a waitlist. Results: Participants completed …

A Pilot Randomized Controlled Trial Of Acceptance And Commitment Therapy Guided Self-Help For Overweight And Obese Adults High In Weight Self-Stigma, Sarah Ann Potts, Jennifer Krafft, Michael E. Levin

Psychology Student Research

Weight self-stigma, in which individuals internalize stigmatizing messages about weight, is a prevalent problem that contributes to poor quality of life and health. This pilot randomized controlled trial evaluated acceptance and commitment therapy (ACT) guided self-help using The Diet Trap (Lillis, Dahl, & Weineland, 2014) for 55 overweight/obese adults high in weight self-stigma. Participants were randomized to the ACT self-help book plus phone coaching (GSH-P; n=17), self-help book plus email prompts only (GSH-E; n=20), or a waitlist condition (n=18), with online self-report assessments at baseline and posttreatment (8 weeks later). Participants reported high satisfaction ratings and engagement with the ACT …

Does A Brief Mindfulness Training Enhance Heartfulness In Students? Results Of A Pilot Study, Myriam Rudaz, Thomas Ledermann, Michael P. Twohig, Michael E. Levin

Psychology Faculty Publications

(1) Background: There is robust evidence that mindfulness trainings enhance mindfulness as operationalized in Western psychology, but evidence about their effect on aspects of heartfulness is sparse. This study seeks to test whether a brief mindfulness training enhances heart qualities, including self-compassion, gratitude, and the generation of feelings of happiness.

(2) Methods: Eighteen students enrolled in a mindfulness training that was offered as part of an interdisciplinary class. The training consisted of five training sessions and four booster sessions of 45 minutes each over the course of nine weeks. Mindfulness was measured with the Five Facet Mindfulness Questionnaire-Short Form (FFMQ-SF) …

Using Ecological Momentary Assessment To Clarify The Function Of Hoarding, Jennifer Krafft

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Experts have argued that hoarding disorder occurs in part because hoarding behaviors help individuals avoid distress and feel positive emotions in the moment. For example, when people who hoard choose to save something rather than discard it, they may avoid feelings of anxiety, and when people who hoard acquire something new, they may feel excited. However, no previous studies have examined whether or not these changes actually occur in the moment. These processes could also potentially be altered by how individuals respond to their emotions in the moment. For example, individuals who hoard may have stronger emotional reactions, distinguish less …

Assessing Psychological Inflexibility In University Students: Development And Validation Of The Acceptance And Action Questionnaire For University Students (Aaq-Us), Michael E. Levin, Jennifer Krafft, Jacqueline Pistorello, John R. Seeley

Psychology Faculty Publications

This study sought to develop and validate a domain-specific measure of psychological inflexibility for university students, the acceptance and action questionnaire for university students (AAQ-US). Generic versions of the AAQ tend to not be as sensitive to changes in campus-specific functioning —a key outcome of interest in this population. An online survey was conducted with 425 undergraduate students. Psychometric analyses led to the refinement of a 12-item, single factor scale with strong internal consistency. Evidence for convergent validity was found with moderate to large correlations between the AAQ-US and measures of academic outcomes, mental health, and psychological inflexibility. The AAQ-US …

The Role Of Experiential Avoidance In Problematic Pornography Viewing, Michael E. Levin, Eric B. Lee, Michael P. Twohig

Psychology Faculty Publications

Research suggests that online pornography use can have harmful consequences for some individuals, but the psychological processes that contribute to problematic viewing are unclear. This study sought to evaluate the role of experiential avoidance in the negative consequences of online pornography viewing in a small cross sectional survey sample of 91 male college students who reported viewing. Results indicated that viewing pornography for experientially avoidant motivations was related to more frequent viewing and predicted self-reported negative consequences of viewing over and above other motivations (e.g., sexual pleasure, curiosity, excitement seeking). Although more frequent viewing was related to more self-reported negative …

Tailoring Acceptance And Commitment Therapy Skill Coaching In-The-Moment Through Smartphones: Results From A Randomized Controlled Trial, Michael E. Levin, Jack Haegar, Rick A. Cruz

Psychology Faculty Publications

There is growing evidence for the efficacy of acceptance and commitment therapy (ACT) interventions delivered through smartphones, but research has not yet focused on how to optimize such interventions. One benefit of mobile interventions is the ability to adapt content based on in-the-moment variables. The current randomized controlled trial evaluated whether an ACT app that tailored skill coaching based on in-the-moment ecological momentary assessments (EMAs) would be more efficacious than the same app where skill coaching was random or an EMA-only condition. A sample of 69 adults interested in using a self-help app were randomized to one of three app …

Mindfulness And Acceptance-Based Trainings For Fostering Self-Care And Reducing Stress In Mental Health Professionals: A Systematic Review, Myriam Rudaz, Michael P. Twohig, Clarissa W. Ong, Michael E. Levin

Psychology Faculty Publications

This review summarizes the effectiveness of Mindfulness-Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT), Mindful Self-Compassion (MSC), and Acceptance and Commitment Therapy (ACT) to foster self-care and reduce stress in mental health professionals. Twenty-four quantitative articles from PsycInfo and PubMed were identified that focused on mindfulness, self-compassion, psychological flexibility, stress, burnout, or psychological well-being. All MBSR and MBCT studies lacked active control conditions, but some of the ACT studies and one MSC study included an active control. Most studies support evidence that all training programs tend to improve mindfulness and some also self-compassion. In addition, psychological flexibility was measured in …

The Interaction Of Mindful Awareness And Acceptance In Couples Satisfaction, Jennifer Krafft, Jack Haegar, Michael E. Levin

Psychology Faculty Publications

Past studies indicate that the awareness and acceptance facets of trait mindfulness both independently predict relationship satisfaction. However, this study hypothesized that the combination of awareness and acceptance might be a stronger contributor to relationship functioning than either in isolation. Regression analyses were used to test whether mindful awareness and acceptance interact in predicting couples satisfaction in a sample of dating or married college students (n = 138). Acceptance was positively associated with couples satisfaction, while awareness was unrelated. These two mindfulness facets interacted such that greater awareness was related to poorer satisfaction when acceptance was low, but was …

Evaluating An Adjunctive Mobile App To Enhance Psychological Flexibility In Acceptance And Commitment Therapy, Michael E. Levin, Jack Haegar, Benjamin G. Pierce, Rick A. Cruz

Psychology Faculty Publications

The primary aims of this study were to evaluate the feasibility and potential efficacy of a novel adjunctive mobile app designed to enhance the acquisition, strengthening, and generalization of acceptance and commitment therapy (ACT) skills being taught in therapy. A sample of 14 depressed/anxious clients receiving ACT used the ACT Daily app for two weeks in a pre-post, open trial design. Participants reported a high degree of program satisfaction. Clients significantly improved over the two-week period on depression and anxiety symptoms as well as a range of psychological inflexibility measures. Analyses of mobile app data indicated effects of …

The Psychological And Physiological Effects Of Using A Therapy Dog In Mindfulness Training, Courtney L. Henry

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study examined the psychological and physiological effects of adding animal-assisted therapy to a modified mindfulness-based stress reduction program (MBSR) for clients experiencing psychological distress, including anxious and depressive symptoms. State and trait mindfulness, state and trait anxiety, psychological distress, blood pressure, and heart rate were collected during each session of the intervention from college students recruited at Utah State University. Results support that participants experienced less anxiety and depressive symptoms and increased mindfulness skills from pre- to posttreatment. No significant difference was found between the control and experimental groups, indicating that that interaction with a therapy dog had no …