Acceptance and commitment training focused on repetitive negative thinking for clinical psychology trainees: A randomized controlled trial

Dereix-Calonge, Iduar; Ruiz, Francisco J.; Sierra, Marco A.; Peña-Vargas, Andrés; Ramírez, Eduar S.

doi:10.1016/j.jcbs.2019.02.005

Cited by 24 publications

(27 citation statements)

References 35 publications

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“…Hayes et al, 1999;Harvey A. G. et al, 2004;Wells, 2009;Barlow et al, 2011;Watkins, 2016). A recent functional contextual approach has linked RNT and experiential avoidance in a model of brief intervention called RNT-focused ACT (Ruiz et al, 2016a(Ruiz et al, , 2018aDereix-Calonge et al, 2019;Salazar et al, 2020). The current study advances the evidence for the efficacy of brief RNT-focused ACT protocols in participants suffering from comorbid and severe GAD and depression.…”

Section: Discussionmentioning

confidence: 69%

A Multiple-Baseline Evaluation of Acceptance and Commitment Therapy Focused on Repetitive Negative Thinking for Comorbid Generalized Anxiety Disorder and Depression

et al. 2020

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Repetitive negative thinking (RNT) is a core feature of generalized anxiety disorder (GAD) and depression. Recently, some studies have shown promising results with brief protocols of acceptance and commitment therapy (ACT) focused on RNT in the treatment of emotional disorders in adults. The current study analyzes the effect of an individual, 3-session, RNT-focused ACT protocol in the treatment of severe and comorbid GAD and depression. Six adults meeting criteria for both disorders and showing severe symptoms of at least one of them participated in the study. A delayed multiple-baseline design was implemented. All participants completed a 5week baseline without showing improvement trends in emotional symptoms (Depression Anxiety and Stress Scale -21; DASS-21) and pathological worry (Penn State Worry Questionnaire; PSWQ). The ACT protocol was then implemented, and a 3-month followup was conducted. Five of the six participants showed clinically significant changes in the DASS-21 and the PSWQ. The standardized mean difference effect sizes for single-case experimental design were very large for emotional symptoms (d = 3.34), pathological worry (d = 4.52), experiential avoidance (d = 3.46), cognitive fusion (d = 3.90), repetitive thinking (d = 4.52), and valued living (d = 0.92 and d = 1.98). No adverse events were observed. Brief, RNT-focused ACT protocols for treating comorbid GAD and depression deserve further empirical tests.

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Section: Discussionmentioning

confidence: 69%

A Multiple-Baseline Evaluation of Acceptance and Commitment Therapy Focused on Repetitive Negative Thinking for Comorbid Generalized Anxiety Disorder and Depression

et al. 2020

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“…Based on findings above, viable interventions designed to improve the ability to forgiveness may be beneficial to reduce or eliminate the negative effects of work stress on the psychological well-being of clinical nursing students. For instance, the acceptance and commitment therapy might be a potential approach (Dereix-Calonge et al, 2019). Also, the workshop plan to improve students' skills, knowledge, and attitude toward palliative care for dying patients should be considered to be concluded in the training program, which has been evidenced to be useful for the reduction in students' anxiety and fear of death (Cheong et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Trait Forgiveness Moderated the Relationship Between Work Stress and Psychological Distress Among Final-Year Nursing Students: A Pilot Study

Yao

Zhang

et al. 2020

Front. Psychol.

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This study was to explore the potential moderating effect of trait forgiveness and its facets on the relationship between perceived work stress and psychological distress among Chinese nursing students in clinical practice. A total of 182 Chinese nursing students who had been receiving final-year clinical training completed selfreport measures of nursing work stress, trait forgiveness and psychological distress. Correlation analysis and hierarchical multiple regressions were mainly applied for data analysis. Results showed that trait forgiveness was negatively associated with psychological distress, even after controlling for the effects of perceived work stress and demographic/workplace related variables. Further analyses indicated that the ability to forgiveness of situations was particularly crucial in reducing the negative effects of perceived work stress on psychological well-being, especially when students perceived higher level of stress. These results demonstrated that alternative interventions targeting on trait forgiveness, especially those programs which can improve one's ability to acceptance uncontrollable bad circumstances, may be beneficial for the well-being of nursing students in clinical practice.

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“…Among them, clinical psychology trainees usually show higher levels of emotional symptoms than the rest of the psychology students (Vredenburgh et al, 1999). Accordingly, some studies have analysed the effect of psychological interventions on reducing emotional symptoms and promoting wellbeing in clinical psychology trainees (e.g., Dereix-Calonge et al, 2019;Pakenham, 2015;Rudaz et al, 2017;Stafford-Brown & Pakenham, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…In this case, the higher levels of emotional symptoms would be of greater concern than in the previous example because they could be an important barrier to clinical psychology training (McCormack et al, 2018). Some studies have been conducted in clinical psychology trainees exploring the effect of different psychological interventions to help them to cope in a more effective way with stressors (e.g., Dereix-Calonge, Ruiz, Sierra, Peña-Vargas, & Ramírez, 2019;Pakenham, 2015;Rudaz, Twohig, Ong, & Levin, 2017;Stafford-Brown & Pakenham, 2012). However, these studies were not designed to analyse the evolution of emotional difficulties in trainees; therefore, it is difficult to extract conclusions from them.…”

Section: Palabras Clavementioning

confidence: 99%

The increase in emotional symptoms of novice clinical psychology trainees compared with a control cohort

Ruiz¹,

Sierra²,

Dereix-Calonge³

2019

RLP

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Cross-sectional research has shown that clinical psychology trainees usually face a wide range of stressors related to the clinical practice and tend to present higher distress than other psychology students. However, to our knowledge, no longitudinal study has been conducted analysing this fact. Specifically, this study analyses the evolution of emotional symptoms among a group of novice clinical psychology trainees compared with a control cohort. We recruited 575 Colombian Psychology undergraduates: 52.9% were in the semester in which they began their clinical practice, and 47.1% were attending a regular semester. At the beginning of the semester (T1), participants responded to measures of emotional symptoms (Depression, Anxiety, and Stress Scale-21, DASS-21; General Health Questionnaire-12, GHQ-12). Approximately two months later (T2), participants responded to the DASS-21 and GHQ-12. The two groups did not differ in their scores on the DASS-21 and the GHQ-12 at T1. Bayesian repeated-measures ANOVA showed that clinical psychology trainees showed higher increases in scores on the DASS-Total, DASS-Depression, and DASS-Stress than participants attending a regular semester. This is the first study that shows clinical psychology trainees experiencing a higher increase in emotional symptoms compared with a control cohort.

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Acceptance and commitment training focused on repetitive negative thinking for clinical psychology trainees: A randomized controlled trial

Cited by 24 publications

References 35 publications

A Multiple-Baseline Evaluation of Acceptance and Commitment Therapy Focused on Repetitive Negative Thinking for Comorbid Generalized Anxiety Disorder and Depression

A Multiple-Baseline Evaluation of Acceptance and Commitment Therapy Focused on Repetitive Negative Thinking for Comorbid Generalized Anxiety Disorder and Depression

Trait Forgiveness Moderated the Relationship Between Work Stress and Psychological Distress Among Final-Year Nursing Students: A Pilot Study

The increase in emotional symptoms of novice clinical psychology trainees compared with a control cohort

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