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61.
Mediation analyses of Internet-facilitated cognitive behavioral intervention for maternal depression
John R. Seeley Lisa B. Sheeber Edward G. Feil Craig Leve Betsy Davis Erik Sorensen 《Cognitive behaviour therapy》2019,48(4):337-352
This study evaluated the putative mediating mechanisms of an Internet-facilitated cognitive-behavioral therapy (CBT) intervention for depression tailored to economically disadvantaged mothers of preschool-age children. The CBT mediators were tested across two previously published randomized controlled trials which included the same measures of behavioral activation, negative thinking, and savoring of positive events. Trial 1 included 70 mothers with elevated depressive symptoms who were randomized to either the eight-session, Internet-facilitated intervention (Mom-Net) or to treatment as usual. Trial 2 included 266 mothers with elevated depressive symptoms who were randomized to either Mom-Net or to a motivational interviewing and referral to services condition. Simple mediation models tested each putative mediator independently followed by tests of multiple mediation that simultaneously included all three mediators in the model to assess the salient contributions of each mediator. The pattern of results for the mediating effects were systematically replicated across the two trials and suggest that behavioral activation and negative thinking are salient mediators of the Mom-Net intervention; significant mediating effects for savoring were obtained only in the simple mediation models and were not obtained in the multiple mediation models. 相似文献
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Loving-kindness meditation (LKM), a meditative practice directing caring feelings toward self and others, is a popular, evidence-base approach to increasing well-being. Music listening is also a popular form of emotion regulation used to enhance well-being. This interdisciplinary study evaluated a novel intervention called Convergence—combining LKM with accompanying classical guitar music—and its effects on adults’ well-being, mindfulness, compassion and self-compassion outcomes. Convergence was compared to active control groups LKM-only and Music-only regarding their relative effectiveness in improving these outcomes. Participants (N?=?78; aged 18 to 69?years; 90% females; recruited from the general public) were assigned to either the Convergence, LKM-only, or Music-only condition. Each condition received a 2-hour workshop, involving psychoeducation, three prerecorded meditations, and group enquiry and discussion. Participants were assessed at pre-program, post-program, and 4-week follow-up. Findings revealed that Convergence, LKM-only and Music-only were equally effective interventions, producing improvements in dependent variables with small effect sizes. There was no additive effect of the components when delivered together as Convergence. Significant correlations were found between the amount of home practice, and mindfulness and self-compassion at follow-up. LKM, music listening and Convergence all provide brief, evidence-based alternatives for improving well-being. Practical and theoretical implications are provided, as well as recommendations for future research. 相似文献
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Roy Sorensen 《Pacific Philosophical Quarterly》1999,80(3):278-283
A large family of paradoxical arguments have been subsumed under the label "backward induction arguments". These include the iterated prisonerÃs dilemma, the centipede game, and the surprise test paradox. They are described as backward because they begin by considering a future hypothetical alternative, rule it out, and then rule out each predecessor. Thus they go backward in time ruling out finitely many alternatives. I present examples that go forward in time and eliminate infinitely many alternatives. These pose problems for solutions that focus on common knowledge assumptions. 相似文献
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