Comparing a Brief Self-as-Context Exercise to Control-Based and Attention Placebo Protocols for Coping with Induced Pain

Exploring the Validity of Adolescent Responses to a Measure of Psychological Flexibility and Inflexibility

Validating measures of psychological flexibility (PF) and psychological inflexibility (PI) has occurred in multiple adult samples, but little research has validated PF and PI measures with adolescents. This manuscript describes two studies exploring the validity of responses to the Multidimensional Psychological Flexibility Inventory (MPFI) with two samples of adolescents. The first study used exploratory factor analyses on responses to the MPFI with a sample of 16-17-year-olds (N = 249). The results yielded a reduced and simplified measurement model that consisted of two general factors: one for PF and the other for PI. These exploratory findings were further investigated with confirmatory factor analyses in the second study, with a larger sample of 14-17-year-olds (N = 503). The results from the second study generally confirmed the factor model from the first study. Findings from both studies showed that scores derived from the reduced MPFI measurement model evidenced convergent and divergent validity with a variety of mental health criterion measures. Moreover, findings from the second study showed that PF and PI scores had differential predictive power on different concurrent mental health outcomes. This discussion highlights the implications of measuring PF and PI in adolescents, considers limitations of the present studies, and recommends next steps for research.

Focusing on the self in context as an emotion regulatory strategy: an evaluation of the "self-as-context" component of ACT compared to cognitive reappraisal in managing stress

BACKGROUND

Self-as-Context (SAC) is one of the six core components of the Acceptance and Commitment Therapy model (ACT).

OBJECTIVE

The aim of the current study was to investigate whether SAC is effective in reducing negative affect and maintaining positive affect in response to a personally relevant stressor relative to cognitive reappraisal (CR) and spontaneous coping strategies.

METHOD

An undergraduate sample (N = 105) completed baseline measures and were asked to discuss a recent personally relevant stressor which was audiotaped, before being randomized to one of three conditions. Participants randomized to the SAC and CR conditions received 5-minutes of training, whilst participants allocated to the control condition were asked to read a brochure for 5-minutes. All participants then listened to their recorded stressful experience before completed follow-up measures.

RESULTS

The SAC group reported significantly less negative affect than participants in the control group post-training induction; although the CR group did not differ from the SAC or control participants in reductions in negative affect post-induction. There were no significant group differences for positive affect.

CONCLUSIONS

The findings provide preliminary evidence that SAC is an effective emotion regulatory strategy in reducing acute distress in a stress-exposed young adult sample.

The Relationship Between Flexible Perspective Taking and Emotional Well-Being: A Systematic Review of the "Self-as-Context" Component of Acceptance and Commitment Therapy

One of the core processes of acceptance and commitment therapy (ACT) is "self-as-context" (SAC). SAC is conventionally taught as an extension of mindfulness, which enables individuals to focus on a stable, grounded, and enduring sense of self that is able to have a flexible perspective. There has been a growing number of studies that have evaluated the effects of the SAC component in improving emotional well-being in various samples. The objective of this systematic review was twofold: (a) to evaluate whether SAC can be effectively taught and assessed in component analyses, and (b) to evaluate whether SAC improves emotional well-being. The electronic databases of PsycInfo and Medline were searched to identify relevant studies with the final search completed in August 2019. All studies that examined SAC as a stand-alone construct were considered. A total of 20 studies (published in 14 papers) met inclusion criteria for this review. Seven studies were based on a single-session lab trial, two studies were based on intervention trials, and 11 studies utilized cross-sectional assessment designs. On the basis of four identified studies, there is only provisional but very limited evidence to suggest that SAC can be effectively taught and implemented as a stand-alone process to manage emotional well-being. Mixed findings emerged in relation to SAC improving emotional well-being. The methodological quality of the studies was variable, which contributed to the mixed outcomes. There is limited evidence to support the use of the SAC component as a stand-alone process in ACT-based interventions, and research recommendations are discussed.