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Acceptance and values clarification versus cognitive restructuring and relaxation: A randomized controlled trial of ultra-brief non-expert-delivered coaching interventions for social resilience
Journal of Contextual Behavioral Science ( IF 5.138 ) Pub Date : 2021-05-14 , DOI: 10.1016/j.jcbs.2021.05.001
Kevin D. Hochard , Lee Hulbert-Williams , Sam Ashcroft , Shane McLoughlin

Low social resilience (e.g., susceptibility to social anxiety, and social avoidance) has been associated with poor mental and physical health outcomes, and can lead to ostracism. Support services such as university counselling centres, which deal with non-diagnosable psychological distress, linked to low social resilience, require effective yet brief interventions deliverable by non-experts to meet service demands. As it is not always possible to prevent subjectively negative experiences, acceptance-based interventions aim to change how we respond behaviourally to such experiences. The present study tests the efficacy of an ultra-brief (1hr) non-expert delivered acceptance- and values-based (AV) coaching intervention to increase resilience to negative social interactions. This was compared to a comparable dose of a cognitive restructuring and relaxation-based (CRR) analogue, and a psycho-education and progressive muscle relaxation-based (PE-PMR) control. Participants (N=60) were assessed on perceived burdensomeness, belonging, and 3 scenarios measuring anxiety and likelihood to engage in social situations. Participants then played Cyberball, an ostracising task, before recompleting the aforementioned measures. Physiological measures indicated Cyberball was an aversive experience. In the AV condition only, we observed an improved behavioral intention to engage with social scenarios (dppc2 = .57). Ultra-brief AV-based coaching interventions delivered by non-expert coaches appear promising in increasing participant's likelihood to continue engaging in social interactions after a stressful social experience. We tentatively conclude that gains in committed action may increase the propensity of at-risk individuals to seek social support.



中文翻译:

接受和价值观澄清与认知重构和放松:超简短,非专家提供的针对社会韧性的教练干预的随机对照试验

社会适应力低下(例如,对社交焦虑症的敏感性和避免社交行为)与不良的心理和身体健康状况有关,并可能导致排斥。诸如大学咨询中心之类的支持服务,处理与社会低适应性相关的不可诊断的心理困扰,需要非专家提供有效而短暂的干预措施,以满足服务需求。由于并非总能预防主观负面体验,因此基于接受的干预旨在改变我们对此类体验的行为响应方式。本研究测试了超简短(1小时)的非专家交付的基于接受和基于价值的(AV)教练干预的功效,以增强对负面社交互动的抵御能力。将其与相当剂量的基于认知重建和放松的(CRR)类似物,以及基于心理教育和进行性肌肉放松的(PE-PMR)对照进行比较。参加者(N = 60)在感知的负担,归属感和3种测量焦虑和参与社交场合可能性的情况下进行了评估。然后,参与者在重新完成上述措施之前,玩了一项被排斥的任务“赛博球”。生理指标表明“电子球”是一种令人反感的经历。仅在视听状态下,我们观察到了与社交场景互动的改进的行为意图(d ppc2 = .57)。由非专业教练提供的基于超简短AV的教练干预措施似乎很有希望,可增加参与者在紧张的社交体验后继续进行社交互动的可能性。我们初步得出结论,采取坚定的行动可能会增加处于危险中的个人寻求社会支持的倾向。

更新日期:2021-05-19
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