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Full-Text Articles in Social and Behavioral Sciences

Adding Acceptance And Commitment Therapy To Exposure And Response Prevention For Obsessive-Compulsive Disorder: A Randomized Controlled Trial, Michael P. Twohig, Jonathan S. Abramowitz, Brooke M. Smith, Laura E. Fabricant, Ryan J. Jacoby, Kate L. Morrison, Ellen J. Bluett, Lillian Reuman, Shannon M. Blakey, Thomas Ledermann Jun 2018

Adding Acceptance And Commitment Therapy To Exposure And Response Prevention For Obsessive-Compulsive Disorder: A Randomized Controlled Trial, Michael P. Twohig, Jonathan S. Abramowitz, Brooke M. Smith, Laura E. Fabricant, Ryan J. Jacoby, Kate L. Morrison, Ellen J. Bluett, Lillian Reuman, Shannon M. Blakey, Thomas Ledermann

Psychology Faculty Publications

The objective of this study was to test whether treatment acceptability, exposure engagement, and completion rates could be increased by integrating acceptance and commitment therapy (ACT) with traditional exposure and response prevention (ERP). 58 adults (68% female) diagnosed with obsessive-compulsive disorder (OCD; M age = 27, 80% white) engaged in a multisite randomized controlled trial of 16 individual twice-weekly sessions of either ERP or ACT + ERP. Assessors unaware of treatment condition administered assessments of OCD, depression, psychological flexibility, and obsessional beliefs at pretreatment, posttreatment, and six-month follow-up. Treatment acceptability, credibility/expectancy, and exposure engagement were also assessed. Exposure engagement was …


The Influence Of A Personal Values Intervention On Cold Pressor-Induced Distress Tolerance, Brooke M. Smith, Jennifer L. Villatte, Clarissa W. Ong, Grayson M. Butcher, Michael P. Twohig, Michael E. Levin, Steven C. Hayes Jun 2018

The Influence Of A Personal Values Intervention On Cold Pressor-Induced Distress Tolerance, Brooke M. Smith, Jennifer L. Villatte, Clarissa W. Ong, Grayson M. Butcher, Michael P. Twohig, Michael E. Levin, Steven C. Hayes

Psychology Faculty Publications

Research has demonstrated that values and acceptance interventions can increase distress tolerance, but the individual contribution of each remains unclear. The current study examined the isolated effect of a values intervention on immersion time in a cold pressor. Participants randomized to Values (n = 18) and Control (n = 14) conditions completed two cold pressor tasks, separated by a 30-minute values or control intervention. Immersion time increased 51.06 seconds for participants in the Values condition and decreased by 10.79 seconds for those in the Control condition. Increases in self-reported pain and distress predicted decreases in immersion time for Control, but …


Managing Distressing Thoughts In Adults With And Without Autism: The Role Of Cognitive Fusion And The Effectiveness Of A Brief Defusion Intervention, Max Emanuel Maisel May 2018

Managing Distressing Thoughts In Adults With And Without Autism: The Role Of Cognitive Fusion And The Effectiveness Of A Brief Defusion Intervention, Max Emanuel Maisel

Theses and Dissertations

In the tradition of acceptance and commitment therapy (ACT), cognitive fusion is a transdiagnostic risk factor and occurs when one becomes overly attached to or "caught up" in their thoughts, leading to a more narrowed behavioral repertoire and difficulty taking effective action in response to life's demands. Cognitive defusion is ACT's curative answer to fusion, and denotes the process of taking a step back, seeing thoughts as "simply thoughts," thereby reducing the negative impact of distressing or anxiety-provoking thoughts. While these components have been widely studied in neurotypical (NT) samples, the purpose of this study was to extend findings to …


Controlling The Uncontrollable: Understanding The Relationships Between Psychological Distress, Physical Impairment, And Acceptance Among Women With Gynecological Cancer, Kirby L. Williams May 2018

Controlling The Uncontrollable: Understanding The Relationships Between Psychological Distress, Physical Impairment, And Acceptance Among Women With Gynecological Cancer, Kirby L. Williams

MSU Graduate Theses

As women age, the risk for being diagnosed with any gynecological cancer increases. Despite outnumbering the number of breast cancer diagnoses in a given year, there are significantly fewer studies addressing gynecological cancers. Treatment for gynecological cancers can be incredibly debilitating, both physically and psychologically. Although previous studies have evaluated and shown a relationship between physical impairment and perceived control on psychological distress in cancer patients during treatment, none have evaluated the influence of willingness and acceptance. The present study sought to expand this theory by assessing 25 gynecological cancer participants via self-report measures. Utilizing structural equation modelling, a moderated …


Telepsychotherapy For The Treatment Of Trichotillomania: A Randomized Controlled Trial, Eric B. Lee May 2018

Telepsychotherapy For The Treatment Of Trichotillomania: A Randomized Controlled Trial, Eric B. Lee

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Trichotillomania is defined as recurrent pulling of one’s hair that results in distress and negative effects on general functioning and quality of life. Estimates of trichotillomania lifetime prevalence generally range from approximately 1% to 3% and it is likely as common as disorders such as obsessive-compulsive disorder and agoraphobia. Yet, quality treatment for trichotillomania is often difficult to find as many mental health professionals are uninformed about the disorder and its treatment. Moreover, mental health services in general are inaccessible to many with estimates suggesting that 96.5 million people do not have access to adequate services. The use of telepsychology …


Cognitive Fusion And Post-Trauma Functioning In Veterans: Examining The Mediating Roles Of Emotion Dysregulation, Daniel W. Cox, Thomas C. Motl, A. Myfanwy Bakker, Rachael A. Lunt Apr 2018

Cognitive Fusion And Post-Trauma Functioning In Veterans: Examining The Mediating Roles Of Emotion Dysregulation, Daniel W. Cox, Thomas C. Motl, A. Myfanwy Bakker, Rachael A. Lunt

Education, Health & Behavior Studies Faculty Publications

When cognitively fused, people have difficulty accepting and clearly perceiving their internal experiences. Following trauma, emotional non-acceptance and emotional non-clarity have been associated with post-trauma functioning. The aim of the present study was to integrate theory and research on cognitive fusion and posttrauma functioning to evaluate a theory-based model in which emotion dysregulation—specifically, emotional non-acceptance and emotional non-clarity—mediated the association between cognitive fusion and post-trauma functioning in a veteran sample. Participants were 149 veterans with a history of military-related trauma. Veterans completed measures of cognitive fusion, emotion dysregulation, posttraumatic stress disorder (PTSD) symptoms, and life satisfaction. Overall, emotion dysregulation and …


The Role Of Experiential Avoidance In Problematic Pornography Viewing, Michael E. Levin, Eric B. Lee, Michael P. Twohig Jan 2018

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 Jan 2018

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 …


Acceptance And Commitment Therapy For A Case Of Scrupulosity-Related Obsessive-Compulsive Disorder, Eric B. Lee, Clarissa W. Ong, Woolee An, Michael P. Twohig Jan 2018

Acceptance And Commitment Therapy For A Case Of Scrupulosity-Related Obsessive-Compulsive Disorder, Eric B. Lee, Clarissa W. Ong, Woolee An, Michael P. Twohig

Psychology Faculty Publications

Acceptance and Commitment Therapy (ACT) is a modern form of Cognitive Behavior Therapy (CBT) with growing support for treating obsessive-compulsive disorder (OCD). We present a case wherein a client presented with scrupulosity-related OCD. We briefly review scrupulosity, explain the theory behind ACT, and present a case, the treatment process, and desired outcomes. Exposure and response prevention (ERP) is described from an ACT perspective and discussed as an option for people with OCD who may be reluctant to engage in more traditional forms of ERP.


Acceptance And Commitment Therapy As An Intervention For Adolescent Chronic Pain Related To Pectus Excavatum: A Case Study, Hayley N. Roberts Jan 2018

Acceptance And Commitment Therapy As An Intervention For Adolescent Chronic Pain Related To Pectus Excavatum: A Case Study, Hayley N. Roberts

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The most common chest wall deformity, Pectus Excavatum (PE), is a congenital deformity in which the sternum and adjoining chest wall cave inwards toward the spine (Lawson et al., 2003). While corrective surgical procedures have been shown to have positive effects on the physical and psychosocial well-being of patients with PE (Krasopoulos, Dusmet, Ladas, & Goldstraw, 2006), often surgical procedures, such as those done to correct PE, can result in what is known as Chronic Post-Surgical Pain (CPSP). CPSP has been shown to have great bearing on the patient’s overall well-being (Weinrib et al., 2017), meaning that while the corrective …