A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training

In this comparative intervention study, 107 working individuals with above average levels of distress were randomly assigned to one of three conditions: acceptance and commitment therapy (ACT; n = 37); stress inoculation training (SIT; n = 37); or a waitlist control group (n = 33). The interventions were delivered to small groups in the workplace via two half-day training sessions. ACT and SIT were found to be equally effective in reducing psychological distress across a three month assessment period. Mediation analysis indicated that the beneficial impact of ACT on mental health resulted from an increase in psychological flexibility rather than from a change in dysfunctional cognitive content. Contrary to hypothesis, a reduction in dysfunctional cognitions did not mediate change in the SIT condition. Results suggest that the worksite may offer a useful, yet underutilised, arena for testing cognitive-behavioural theories of change.     

A Study of Health Perception,Disability Acceptance,and Life Satisfaction Based on Types of Leisure Activity Among Koreans with a Physical Disability

Leisure studies provide evidence that leisure engagement serves as a vehicle for improving life satisfaction among individuals with a physical disability. However, a dearth of research addresses which types of leisure activities are associated with specific psychological benefits. This study sought to capture three aspects of psychological benefits: acceptance of disability, life satisfaction, and health perception, and to explore how leisure activities are related to these psychological benefits. Using data released from the 2011 Panel Survey of Employment for the Disabled in Korea, this study found that individuals with a physical disability who participate in social activity, religious activity, and Internet use reported high health perception, life satisfaction, and disability acceptance. In particular, findings of this study provide evidence that social activity participation plays an important role in increasing health benefits among individuals with a physical disability.     

Sources of autonomy support,subjective vitality and physical activity behaviour associated with participation in a lunchtime walking intervention for physically inactive adults

ObjectivesBased on Basic Needs Theory (BNT: Deci & Ryan, 1985), this study examined longitudinal relationships between autonomy support from two sources, psychological need satisfaction, subjective vitality and self-reported physical activity during a walking intervention for physically inactive adults. We proposed that autonomy support provided via a walk leader and the overall programme would independently predict change in subjective vitality and physical activity from baseline to week 16 (post-intervention) and at four month follow-up. Further, we proposed that direct relationships among sources of autonomy support and outcomes would be mediated by autonomy, relatedness, and competence need satisfaction.DesignA longitudinal examination.MethodsParticipants (N = 69; n = 63 females, n = 6 males) from a 16-week walking programme completed a multi-section questionnaire measuring the aforementioned variables at three time points, including a four month post-intervention follow-up.ResultsBoth hypotheses were partly supported. Autonomy support from the walk leader positively predicted changes in subjective vitality from baseline to week 16 and in physical activity from baseline to follow-up. Autonomy support from the programme positively predicted changes in subjective vitality from baseline to week 16. Finally, autonomy gained from the walk leader mediated the relationship between autonomy support and subjective vitality, and between perceived autonomy support and physical activity.ConclusionsFindings indicate that autonomy support from both a walk leader and wider programme can predict psychological need satisfaction, subjective vitality and physical activity. Clinicians and researchers implementing future walking interventions may increase physical activity and subjective vitality by facilitating psychological need satisfaction through autonomy support from both sources.     

All work and no play: A focus on leisure time as a means for promoting health

In a study of 294 participants the relationship between attitude to leisure time and engagement in leisure activities and psychological and physical health was investigated Using questionnaire methods a consistent and significant relationship was found in that individuals with more positive attitudes towards and engagement in leisure activities experienced less general psychological distress, anxiety, depression, and hostility. They also experienced higher levels of positive affect and reported feeling physically healthier. Leisure measures were also related to levels of achievement motivation. The data points to leisure time behaviour as a rich source of information about coping styles and the positive use of leisure counselling as a therapeutic intervention.     

Life after Trauma: Personality and Daily Life Experiences of Traumatized People

In this study, we explored differences in personality and daily life experiences of traumatized (n= 26) versus nontraumatized (n= 30) college students. Study participants completed a variety of personality measures as well as a 28–day experience sampling study assessing daily activities, emotions, and physical health. Although not differing on general demographics, traumatized individuals reported more trait anxiety and lower self–esteem than nontraumatized individuals. They scored higher on Neuroticism, were more introverted, and were less emotionally stable than nontraumatized participants. Traumatized individuals also reported more cognitive disturbances, emotional blunting, and interpersonal withdrawal. They did not report being more depressed, but did endorse cognitive styles associated with heightened risk for depression. Earlier age of trauma was associated with more pathological outcomes: lower self–esteem and psychological well–being, more anxiety, more pessimism, and emotional constriction of positive mood. We compare this symptom profile to that of posttraumatic stress disorder.     

The effectiveness of a peer-helping programme that increases subjective well-being

The present study aims to investigate the effectiveness of a peer-helping programme in increasing the subjective well-being of a group of university students compared with a control group with the same characteristics who did not receive the intervention. The intervention recipients consisted of 13 male and 17 female participants. The peer helpers were 22 female and 8 male participants. The peer-helping programme consisted of three stages: training in helping skills, implementation and facilitating supervision sessions. The short-term effects of the programme were investigated using the Positive and Negative Affect Scale. The programme's long-term effects were evaluated using the Life Satisfaction Scale and the Positive and Negative Affect Schedule. The results indicated that the short-term subjective well-being effects of the intervention activities were statistically significant. Additionally, the results revealed statistically significant increases in positive affect and life satisfaction and significant decreases in negative affect in the intervention group compared with that in the control group. Peer-helping programme may be used to increase individuals’ subjective well-being.     

The relationship between interests-job incongruity and selection of avocational activity

The present paper presents two independent studies (n₁ = 240, n₂ = 66, respectively) conducted in two different countries, and which were designed to investigate the function of leisure activities for people with varying degrees of vocational congruence. The results of the studies showed similar trends and thus, provided a cross validation to the findings. Following S. Parker (The future of work and leisure. New York, Praeger, 1971), a distinction was made between extension compensation, and neutral functions for avocational activity choice, with corresponding inventories measuring each of them. Little more than a third of the people reported their leisure activities to be neutral avocations pursued for relaxation and tension release. Taken together, the results show the following trends: (1) people tend to select leisure activities congruent with their personality pattern; (2) people in congruent occupations were vocationally satisfied and conceived their preferred activities as an extension of the type of activities they do at work; (3) people in incongruent occupations are vocationally dissatisfied, and compensate for this by selecting compensatory leisure activities and they tend to show higher salience for their avocational activities. The distinction amongst the various leisure activity functions seems to be crucial for further research in selection of avocational activities; this may prove useful in counseling people to choose an appropriate leisure activity. It may especially benefit those in incongruent occupations.     

The quality of experience in adolescents' daily lives: developmental perspectives

The authors analyzed the pattern of experience fluctuation in adolescents' daily activities. Italian high school students (N = 120; 16-20 years of age) were tested with the experience sampling method, a technique based on on-line sampling of daily life and experience. A total of 4,794 forms were gathered and analyzed by means of a model for the study of experience fluctuations. Among daily activities, studying at home, doing classwork, watching television, and having structured leisure were selected as the focus of analysis on the basis of their frequency and meaning in the adolescents' lives. Results showed that (a) daily activities have unique experiential profiles, (b) engagement may be used as an index of long-term commitment to a given activity, (c) studying at home and doing classwork share this basic component and can foster behavioral development, (d) structured leisure can play an edifying role at the short-term level for a socially integrated transition to adulthood, and (e) watching television is associated with lack of goals and engagement and is a source of apathy. The results (a) shed light on the role of daily life experience in shaping individual development and (b) provide suggestions for educational and psychosocial intervention in adolescence.     

Effect of a behavioral intervention on dimensions of self-regulation and physical activity among overweight and obese adults with type 2 diabetes: a pilot study

The purpose of this pilot study was to determine the preliminary effect of a behavioral intervention on the use of self-regulation strategies and moderate-to-vigorous physical activity (MVPA) in overweight and obese adults with type 2 diabetes. 23 individuals recruited from ResearchMatc.org and campus advertisements were randomized into an intervention (n = 12) and control (n = 11) group. The intervention group received a behavioral intervention that used goal setting, time management, and self-monitoring to target dimensions of self-regulation and MVPA. The control received information regarding their PA habits. MVPA was measured via BodyMedia Armbands at pre- and post-test. The use of self-regulatory strategies for MVPA was assessed at pretest and posttest using the Self-Regulation for Exercise Scale. Cohen’s d effect sizes were calculated to determine the practical impact of the intervention. The intervention had a large effect on all dimensions of self-regulation across time: including total self-regulation (3.15), self-monitoring (4.63), goal setting (3.17), social support (1.29), self-reward (1.98), time management (4.41), and overcoming barriers (2.25). The intervention had no impact on dimensions of MVPA across time. This pilot study demonstrated the ability of a behavioral intervention to improve the use of self-regulation strategies for MVPA in a sample of adults with type 2 diabetes. These findings can further inform the development of health promotion programs to promote self-regulation. Future research should focus on determining ability of improvements in self-regulation to stimulate behavior change.     

Effects of a self-regulation intervention on exercise are moderated by depressive symptoms: A quasi-experimental study

This study investigated whether a computer-based self-regulation intervention increases physical exercise in individuals with or without depressive symptoms. A total of 361 individuals in orthopedic rehabilitation, 36 of them with depressive symptoms, were recruited in Germany. In a quasi-experimental study, individuals were allocated to either a computer-based self-regulation intervention or an online questionnaire. Exercise was measured at the beginning of rehabilitation and six weeks after rehabilitation. Depressive symptoms were assessed at the end of rehabilitation. An analysis of covariance was conducted, controlling for exercise baseline, sex, and phase of assessment. A main effect for depressive symptoms (p = .005) and intervention group (p = .011), as well as a marginal interaction of intervention x depressive symptoms were found (p = .076). Results indicate that the self-regulation exercise intervention in an orthopedic rehabilitation setting seem to be only effective in non-depressed individuals. Future research should examine how health behavior change programs can be designed more effectively for individuals with depressive symptoms.     

Testing mediator variables in a physical activity intervention for women with type 2 diabetes

ObjectivesA limited understanding of the mechanisms of behavior change has hindered the development of more effective interventions. The aim of this study was to identify potential mediators of objectively measured physical activity (PA) behavior change in women with type 2 diabetes (T2DM).DesignMediation test of a randomized controlled trial.MethodWomen with T2DM (n = 93) from the control group (standard PA materials, n = 44) and the full intervention group (control + stage-matched printed material and telephone counseling, n = 49) of a larger PA intervention trial were included. PA outcomes were minutes of MET weighted moderate and vigorous PA/week (self-report) and steps/3-days (objective) recorded at baseline and 12-months. Social-cognitive constructs were measured and tested in a mediating variable framework.ResultsPerceived behavioral control and barrier self-efficacy mediated intervention effects on objective PA (proportion of intervention effect mediated = 18% and 24% respectively). Intention was a mediator of objective PA (23%).ConclusionPerceived behavior control, barrier self-efficacy, and intention are effective mechanisms of PA behavior change in women with T2DM.     

Methodological Overview of A Self-Determination Theory-Based Computerized Intervention to Promote Leisure-Time Physical Activity

OBJECTIVES: To provide a methodological overview of a computerized intervention to promote leisure time physical activity (PA) and to apply self-determination theory (SDT) to PA initiation to better understand the psychological mechanisms underlying PA frequency, intensity, and duration in previously-sedentary individuals. DESIGN: Based on SDT, two computerized personal trainers were developed for use with sedentary young adults. One personal trainer was designed to be need-supportive, empathic, and structured while the other was designed to be more controlling, evaluative, and judgmental. METHOD: Participants are randomly assigned to work with either the need-supportive or controlling computerized personal trainer. They complete a series of 7 weekly training sessions. In between training sessions, participants complete daily records of PA behaviors and experiences including autonomous self-regulation and perceived competence for PA and PA frequency, intensity, and duration. POTENTIAL CONTRIBUTIONS: The design of this intervention and its theoretical basis have important implications for advancing the field of exercise science specifically and health behavior change more broadly. Computerized interventions have the benefit of standardizing intervention content as well as reducing clinical contact burden for practitioners. Daily recording procedures reduce the likelihood of retrospection bias and allow for the modeling of (1) daily fluctuations in PA behavior and (2) the psychological mechanisms believed to be involved in PA behavior (e.g., autonomous self-regulation). Finally, as a broad theory of human motivation, SDT is uniquely positioned to offer explanations for the conditions that are likely to promote both the initiation and maintenance of health behavior change.     

Are self-perceptions of ageing modifiable? Examination of an exercise programme with vs. without a self-perceptions of ageing-intervention for older adults

Objective: Longitudinal studies have consistently shown beneficial effects of positive self-perceptions of ageing (SPA) on health. However, SPA are more often negative than positive, particularly in older adults. For this reason, the present study tested the effectiveness of an intervention to promote more positive SPA in the context of an exercise programme for older adults.

Design: Eighty-four community-dwelling older adults (66-88 years; M(SD)=76.8(5.29)) were randomly assigned to a group-based exercise programme over 12 weeks with (n?=?46) or without (n?=?38) a psychological intervention to change SPA, consisting of four intervention units over the programme period.

Main Outcome Measures: A gain- and a loss-related domain of SPA were assessed at baseline, after the first half of the programme, directly after the programme and in a follow-up four weeks later.

Results: Latent change score models showed an improvement of participants’ SPA in the intervention group in both SPA domains after the programme, whereas SPA did not change in the control group. Both groups showed an improvement in physical performance, however, only the IG showed additional improvements in mental health.

Conclusion: The implementation of an SPA intervention is a promising approach in regular health promotion programmes for older adults.     

Mirroring effects: Using psychodynamic-oriented video feedback to work on dyadic risk. A pilot experience

This study examines the qualitative and quantitative effects of a short-term, psychodynamically oriented video-feedback intervention in an Italian sample (n = 30) of non-clinical mothers with high potential dyadic risk due to work–family conflict. We adopted a psychodynamically informed and video-assisted approach based on theoretical and clinical assumptions that are used in psychodynamically oriented dialogue and observations. We proposed a cycle of four clinically oriented consultations including a single video feedback session, using the CARE-Index for both assessment and intervention. Independent t-tests were computed to evaluate how effective the programme was in reducing parental stress. We present two case examples in order to discuss the process of change in maternal attitudes activated by the programme. Quantitative findings revealed a drastic reduction of the participants’ resistance in recognising conflictual aspects of their parenting experience. From a qualitative perspective, the video feedback programme solicited three psychic functions: mirroring, resignifying and repairing. We highlight the key role of the observer’s countertransference and of her relationship with the mother in creating a safe and transformative setting. Results are encouraging in using our programme to help mothers to improve their holding function. We discuss possibilities for reinforcing the relevant changes obtained by extending the programme.     

Exploring the perceived effectiveness of a life skills development program for high-performance athletes

The purpose of this study was to explore attitudes towards, experiences of, and perceived effectiveness of a life-skills programme for high-performance young athletes from multiple perspectives, including the athletes, coaches, parents, programme facilitators, and sport administrators. Six focus groups were conducted with 54 high-performance athletes from six sports: squash, softball, baseball, netball, triathlon, and surfing. Three focus groups were conducted with parents (n = 8) of athletes and a further eight semi-structured interviews were conducted with coaches (n = 4) and lead facilitators (n = 4) of the life-skills programme. Four semi-structured interviews were also held with representatives from State Sporting Associations (SSAs) from the sports involved. Thematic content analysis revealed seven main themes: achieving balance and managing stress, time management, goal setting, confidence and control, information overload and repetition, credible role-models, coach reinforcement and follow-up. The programme was perceived to be moderately successful in developing adaptive behaviours and motives including better engagement in training and in adopting time management and planning skills in contexts outside of sport such as homework and academic study. The programme also fostered the development of skills, attitudes, and motives important for sport success such as goal setting and having confidence to succeed. To improve the effectiveness of such programmes, more emphasis should be placed on the practice of, and engagement with, applied techniques to develop skills with less emphasis on information giving and theory. Facilitators of programmes should also be more pro-active in involving parents and coaches as a way to improve continuity and provide post-program reinforcement and support.     

Meaning in Life Promotes Proactive Coping via Positive Affect: A Daily Diary Study

Previous research on meaning in life and coping has generally been focused on reactive coping strategies and global meaning judgments. To extend this, the present study used a daily diary method to collect longitudinal data, and examined whether individuals’ daily meaning in life predicted use of proactive coping techniques and whether this relationship was mediated by positive affect. Adults (n = 132) completed a diary to track their meaning in life and positive affect every day for 21 consecutive days. Global levels of meaning in life, positive affect, and proactive coping were measured both at baseline and after the daily reporting phase ended. Hierarchical linear modeling demonstrated that daily meaning in life was a positive predictor of daily positive affect. Furthermore, combined latent growth curve and structural equation models indicated that the rate of change in daily meaning in life predicted change in proactive coping over the course of the study, and that this relationship was mediated by change in positive affect. The mediational effect of positive affect in the relationship between meaning in life and proactive coping was also verified by the reported global levels of these variables. These findings suggest that meaning in life may play an important role in coping with future life stress. Our discussion centers on the positive functions of meaning in life and the mechanisms of the predictive relationship of meaning in life in terms of proactive coping.     

Effects of Rumination and Mindful Self-Focus Inductions During Daily Life in Patients With Remitted Depression: An Experimental Ambulatory Assessment Study

Rumination has been proposed as an important risk factor for depression, whereas mindful attention is considered a protective form of self-focusing. Experimental studies have demonstrated differential effects of these modes when induced in the lab. However, their impact on daily life processes is poorly understood, particularly in individuals vulnerable to depressive relapses. The aim of our study was to examine short- and longer-term effects of repeated brief rumination and mindful self-focus inductions during daily life on momentary mood, cognitions, and cortisol in patients with remitted depression (rMDD) as well as in healthy individuals, and to identify their potential differential effects in these groups. The study involved repeated short ambulatory inductions of a ruminative or a mindful self-focus during daily life with additional assessments of momentary mood, rumination, self-acceptance, and cortisol over 4 consecutive days in a sample of patients with rMDD (n = 32, ≥2 lifetime episodes, age 19–55 years) and matched healthy controls (n = 32, age 21–54 years). Multilevel models revealed differential immediate effects of the two induction modes on all momentary mood and cognitive outcomes (all p’s < .001), but not on cortisol. Detrimental effects of rumination over mindful self-focus inductions were particularly strong for cognitions in the patient group. Longer-term effects of the inductions over the day were lacking. This study underlines immediate deteriorating effects of an induced ruminative compared to a mindful self-focus on momentary mood and cognitions during daily life in patients with rMDD and in healthy individuals. The observed stronger rumination-related reactivity in patients suggests heightened cognitive vulnerability. Understanding rumination- and mindfulness-based mechanisms of action in real-life settings can help to establish mechanism-based treatment options for relapse prevention in depression.     

Cognition,daily living,and health-related quality of life in 85-year-olds in Sweden

ABSTRACT

This study investigates how cognition influences activities of daily living and health-related quality of life in 85-year-olds in Sweden (n?=?373). Data collection included a postal questionnaire comprising demographics and health-related quality of life measured by the EQ-5D. The ability to perform personal activities of daily living (PADL) was assessed during a home visit that included administering the Mini Mental State Examination (MMSE). Cognitive impairment was shown in 108 individuals (29%). The majority were independent with respect to PADL. A larger number of participants with cognitive impairment reported that they needed assistance in instrumental activities of daily living (IADL) compared to the group without cognitive impairment. Impaired cognition was significantly related to problems with IADL. Significant but low correlations were found between cognition and health-related quality of life – higher ratings on perceived quality of life correlated with higher results on the MMSE.     

Momentary affective response to bouts of moderate-to-vigorous physical activity predicts changes in physical activity and sedentary behavior during behavioral weight loss

BackgroundAffective responses are posited to be key predictors of the uptake and maintenance of health behaviors. However, few studies have examined how individuals’ affective response to physical activity, as well as the degree to which their affect response changes, may predict changes in physical activity and sedentary time during behavioral weight loss treatment.PurposeThe current study examined how baseline momentary affective response (i.e., stress and anxiety) to moderate-to-vigorous physical activity (MVPA) and the degree of pre--post intervention change in this response predicted change in daily sedentary, light, and MVPA time during a three-month internet-based weight loss program.MethodsWomen with overweight/obesity (final N = 37) completed 14-day ecological momentary assessment (EMA) protocols with objective measurement of physical activity (i.e., bout-related MVPA time) before and after the intervention.ResultsWomen who had more reinforcing responses to MVPA (i.e., greater reductions in anxiety and stress response following MVPA bouts) at baseline had greater increases in overall MVPA at the end of the intervention. Those who had greater anxiety reductions after MVPA bouts at baseline also evidenced less sedentary time at the end of the intervention. Changes in affective responses across the intervention were not related to changes in physical activity levels.ConclusionsFindings suggest initial levels of affective reinforcement from MVPA bouts predict future change in MVPA and sedentary time during behavioral weight loss. Future work is needed to examine the utility of more precisely targeting affective responses to physical activity to optimize intervention approaches.