Psychological Acceptance Research Articles

Acceptance and the influencing factors towards intermittent self-catheterisation among patients with neurogenic lower urinary tract dysfunction in China: a multicentre cross-sectional study

ObjectivesThe psychological acceptance of intermittent self-catheterisation (ISC) significantly impacts its initial adoption and long-term compliance among patients. However, our understanding of this acceptance remains limited. This study aims to investigate...

A consensus-reaching model considering decision-makers’ willingness in social network-based large-scale group decision-making

For social network-based large-scale group decision-making scenarios, it is important to consider the willingness of decision-makers (DMs) in the consensus-reaching process (CRP). The bounded confidence (BC) value reflects decision-makers’ willingness. However, the BC value is usually set as a fixed value, ignoring that people's psychological acceptance changes dynamically in the CRP, which may lead to inaccurate results. Besides, existing consensus-reaching mechanisms do not sufficiently comply with DMs’ willingness. To address the above issues, we first introduce the adaptive BC value that better measures DMs’ willingness. Furthermore, a new consensus-reaching mechanism is developed to prioritise DMs’ willingness. This mechanism incorporates structural hole spanners in negotiations, enhancing communication between communities and better reflecting DMs’ willingness in the CRP. Then, a numerical example is presented to illustrate the effectiveness of our model. Finally, several simulation experiments are conducted, and the results show that our model is reliable.

The Therapeutic Approach To Complexes Created By The Primary Drive Of Intense Desire (Prospatheia): An Introduction To Neptic Psychology

This paper examines the concept of "prospatheia" and its relationship to the creation and management of psychological complexes, drawing on elements from both Neptic Theology and psychology. Prospatheia, as a powerful longing for connection, is considered a primary drive leading to emotional attachment and contributing to the formation of complexes. In psychology, complexes are interpreted as unconscious patterns that guide behavior, reinforcing dependence on external sources to fulfill fundamental emotional needs. The approach of Neptic Theology proposes a therapeutic process that differs from the psychological acceptance or integration of complexes. Specifically, Neptic Psychology emphasizes the prevention of complex formation from childhood through training the individual to develop a more measured relationship with the material world, avoiding excessive pleasure. In adulthood, Neptic Psychology supports controlling prospatheia through the conscious avoidance of pleasure, which sustains dependence. Thus, the treatment of complexes involves three phases: prevention, pleasure control, and gradual weakening of the complexes. Focusing on the abandonment complex, the paper illustrates how excessive reliance on security can transform into a fear of abandonment, leading to emotional insecurity and alienation from one’s spiritual nature. Neptic Theology advocates for self-control and the avoidance of pleasure that reinforces complexes, thereby fostering an inner balance. This methodology differs from modern psychological methods, as it aims at the weakening rather than the acceptance of complexes, offering a unique framework for understanding the human soul and its relationship to the material world.

Exploring Pain Adaptation in Youth With Juvenile Idiopathic Arthritis: Identifying Youth and Parent Resilience Resources and Mechanisms.

Although juvenile idiopathic arthritis (JIA) is often associated with pain, this experience does not necessitate negative outcomes (eg, depression, functional impairment). Little research has explored youth and parent resilience resources (ie, stable traits) and mechanisms (ie, dynamic processes) in this context, and studies have focused on their contributions independently rather than collectively. This study, informed by the Ecological Resilience-Risk Model in Pediatric Chronic Pain, sought to (1) explore the relationships among youth and parent resilience resources and mechanisms and (2) identify the relative importance (RI; ie, independent contributions when entered simultaneously) of evidence-based youth and parent resources and mechanisms in contributing to youth-reported recovery, sustainability, and growth outcomes. Youth (13-18 years) with JIA and their parents (156 dyads) completed a battery of online questionnaires assessing resilience resources (optimism, resilience), mechanisms (psychological flexibility, pain acceptance, self-efficacy), recovery and sustainability (pain intensity, functional disability, health-related quality of life), and growth (benefit finding) outcomes. Analyses demonstrated significant positive correlations across within-person resources and mechanisms and weaker correlations across within-dyad resources and mechanisms. Although the RI of predictors varied by outcome, youth pain acceptance was the most robust predictor across models (RI = 0.03-0.15). Some predictors (eg, parent psychological flexibility and pain acceptance) were generally categorized as "Not Important," whereas others (eg, youth resilience) had "Inconclusive" results, suggesting construct overlap. Although additional research is needed to further understand resilience, results highlight the importance of fostering pain acceptance in youth and incorporating parents in psychosocial interventions to optimize living with JIA.

Internalized weight stigma and psychological distress mediate the association of perceived weight stigma with food addiction among young adults: A cross-sectional study

BackgroundPerceived weight stigma (PWS) and internalized weight stigma (IWS) are both associated with psychological distress and food addiction (FA). Using the previously proposed ‘cyclic obesity/weight-based stigma’ (COBWEBS) model, the present study extended the framework to investigate the mediating effects of IWS and psychological distress in the association between PWS and FA among young adults. Given that individuals who are overweight/have obesity have different vulnerabilities, this population was separately analyzed alongside the total study population.MethodsAn online survey comprising the Perceived Weight Stigma Scale, Weight Bias Internalization Scale (WBIS), Depression, Anxiety and Stress Scale-21 (DASS-21), and modified Yale Food Addiction Scale Version 2 was completed by 601 participants (59.6% females; mean age 29.3 years [SD = 6.07]). A total of 219 participants were categorized as being overweight/having obesity.ResultsA direct correlation was found between PWS and FA (standardized coefficient [β] = 0.28, p < 0.001) among both populations, and was mediated by IWS and psychological distress (β [95% CI] = 0.03 [0.01, 0.05] for WBIS score and 0.10 [0.06, 0.14] for DASS-21 score) among the total participants, but only mediated by psychological distress among participants who were overweight/had obesity (β [95% CI] = 0.14 [0.06, 0.24]).ConclusionsThe results demonstrated novel perspectives by showing the direct association between PWS and FA and the mediating roles of IWS and psychological distress. Treatment strategies such as psychological acceptance and psychoeducation could be used to reduce weight stigma, which could have positive downstream benefits of ameliorating FA. Future research may seek to study strategies for reducing weight stigma and psychological distress, to investigate their efficacy in improving disordered eating.

Investigating the Impact of Different Learning Assessments on Students' Adoption of Learning Strategies Through Explore-Exploit Tensions

In the current educational reform, learning assessment activities demonstrate diversity and integration. students can actively engage in the evaluation process and monitor their learning performance across different aspects over time. However, limited research conducted on students' psychological acceptance and utilization of diverse types of learning assessments. This study examines the psychological changes in young students' learning assessment activities from the perspective of their trade-off between information exploration and exploitation. Regarding participation, students tend to rely more on teachers' intuitive quantitative evaluations rather than placing trust in results obtained through interactions with their teachers and peers. Regarding the use of evaluation results, grade-related assessments are easier for students to utilize, while assessments involving strategies, attitudes, and emotions are often perceived as less valuable. In terms of self-regulation and knowledge application, students encounter challenges when attempting to acquire useful information independently and adjust their future learning strategies. Adjusting future learning strategies based on quantifiable results such as grades is relatively straightforward for students. Based on these findings, this study proposes three pedagogical recommendations. Firstly, the teacher should establish an appropriate assessment environment. Secondly, the cultivation of students' self-regulation skills should be emphasized throughout the evaluation process. Finally, the teacher should set short-term learning goals for enhancing student abilities while fostering long-term goals aimed at developing personal adaptability skills.

Impact of Gender Role Attitudes and Gender Differences on the Evaluation of Female Leaders: Insights from a Survey of Japanese University Students

Women’s active participation in society is desirable. However, it has not increased sufficiently in contemporary Japan, where the ratio of women decision-makers in politics and corporations is low, and gender inequality persists. One reason for this could be people’s negative perception of female leaders. This study focused on female managers as female leaders. It examined whether people’s gender-role attitudes might affect their attitudes about female leaders and whether these attitudes might differ depending on people’s sex (males or females). We administered a collective-style questionnaire survey to university students (N=107, 46 men and 61 women, mean age=20.11, SD=1.04) in Japan. We adopted a three-way between-subjects survey design; gender-role attitudes (traditional or equal) x managers (male condition or female condition) x participants’ sex (male or female). The results indicated that the participants’ gender-role attitudes had a more substantial effect on evaluating female managers than the participants’ gender. People with liberal gender-role attitudes had a highly positive perception of female leaders, whereas those with traditional gender-role attitudes considered female leaders more strictly. The results of this study indicated that gender-role attitudes do not affect the assessment of male leaders, suggesting that individual values might not affect the evaluation of male leaders. In contrast, these variables affected the assessment of female leaders. Therefore, we concluded that gender-role attitudes are essential for promoting the psychological acceptance of women leaders, which suggests the need to develop personnel with egalitarian gender-role attitudes to increase and popularize women managers in Japanese society.

Accuracy of MRI Versus PET/CT in the Prediction of Treatment Response to Neoadjuvant Chemotherapy in Breast Cancer.

Background Breast-conserving surgeries have significantly advanced breast cancer treatment, offering favorable oncological outcomes, enhanced cosmetic results, reduced postoperative morbidity, and better psychological acceptance compared to mastectomy. The introduction of neoadjuvant therapy has expanded the applicability of breast conservation surgery to include locally advanced tumors. Tumor response to neoadjuvant chemotherapy is evaluated using imaging modalities such as breast ultrasound, breast magnetic resonance imaging (MRI), and positron emission tomography/computed tomography (PET/CT). Accurate prediction of therapeutic response facilitates the planning of surgical and adjuvant treatments. This study aims to compare the diagnostic accuracy of MRI and PET/CT in predicting treatment response to neoadjuvant chemotherapy in breast cancer patients. Methods This retrospective study was conducted at a tertiary care center in Bahrain. A total of 138 patients with locally advanced breast cancer or human epidermal growth factor receptor-2 (HER2) positive, hormone receptor-negative cancers who underwent breast-conserving surgeries between June 2018 and December 2022 were included. The inclusion criteria focused on patients achieving a complete pathological responsefollowing neoadjuvant systemic therapy, ensuring a homogenous study population. Patients with hormone receptor-positive early breast cancers or metastatic tumors, ineligible for neoadjuvant chemotherapy, were excluded. Non-responders and partial responders were also excluded from the study. Statistical analysis was performed using IBM SPSS v26.0 (IBM Corp., Armonk, US). Response rates for the imaging modalities and histopathology results were assessed. Agreement between histology and imaging modalities was computed using kappa statistics. Diagnostic performance for predicting "no residual" disease was evaluated using the McNemar Test. All tests were two-tailed, with a p-value <0.05 considered statistically significant. Results The study included 138 patients, of whom 73 (52.9%) had an incomplete response or residual disease, while 65 (47.1%) had a complete response or no residual disease according to histology reports. There was slight agreement between post-neoadjuvant MRI and histology results (Cohen's kappa 0.172, p=0.010), while substantial agreement was observed between post-neoadjuvant PET/CT and histology results (Cohen's kappa 0.614, p=0.000). PET/CT demonstrated a higher sensitivity of 93.8% (p<0.001) and a specificity of 68.5%. Although MRI was more specific, the positive predictive value was comparable for both PET/CT and MRI. Conclusion PET/CT shows higher sensitivity and can serve as an early marker for predicting complete pathological response in post-neoadjuvant breast cancer patients. However, the prediction of residual disease is optimized by combining both MRI and PET/CT as diagnostic modalities.

Research on the Pathways for Innovative Cultural Development of University Music Courses Based on Music Education Concepts

In order to improve the music education in colleges and universities for cultivating students' comprehensive quality and enriching students' cultural literacy. In this paper, firstly, we optimize the music teaching mode, based on the theory of multiple intelligences and centered on the characteristics of students' intelligence structure, we innovate the teaching mode of music courses in colleges and universities, and emphasize the authenticity and context of the teaching environment. Secondly, the ant colony algorithm is used to find the optimal solution of music course classroom-time. In the solution process, hard constraints and soft constraints are considered to set up a class schedule that teachers and students are satisfied at the same time. Next, the optimal results of music course scheduling without and with conflicts are calculated. The traditional teaching model was set as a control class, and the final validation found that the experimental class scored the highest 90.2 ± 9.4 for music knowledge mastery and was statistically significant. In terms of music composition and music understanding, the experimental class fully agreed with 43% and 48%, higher than 41.0% and 40% of the control class, and the innovative music teaching content was above the students' psychological acceptability, with an average cultural satisfaction score of 4.2487 and an average cultural recommendation score of 4.5347. Therefore, colleges and universities should base their curriculum on the concept of music education, constantly explore and innovate, improve the rationality of curriculum arrangement, and promote the dissemination and development of music culture.

Factors and Motives for Professional Self-Determination

The article is devoted to the study of factors and motives that determine professional self-determination. The article examines the content of the concepts “career guidance”, “professional self-determination”, “professional identity”. The aim of the article is to determine the factors and motives influencing the choice of profession. Under the term “vocational guidance” it is proposed to understand the free and independent choice of profession in accordance with the abilities, aptitudes, interests and desires of the individual, requiring personality-oriented assistance aimed at preparing young people to choose a profession. The term “professional self-determination” is interpreted as a long and continuous process of purposeful work, conscious creative and professional choice of a person seeking to form himself as a full-fledged participant of the community of professionals, requiring individual assistance starting from the stage of choosing a future profession. “Professional identity” should be considered as a set of leading characteristics of a person’s professional development, personal and professional values, reflecting the unity of a person with his activity in interaction with a professional group. The research methodology consists of a comprehensive comprehensive study of the choice of future profession by a person depending on vocational guidance, professional self-determination, development of professional identity, indicating the psychological acceptance of the chosen professional activity, as well as depending on some factors that determine such a choice. Methods of research: general theoretical – analysis, synthesis of materials from scientific sources on the stated topic, empirical – diagnosis of factors of choice of future profession by students, statistical calculations of the obtained data. Conclusion. The article emphasized objective and subjective factors that are taken into account when choosing a profession. According to the results of the research on revealing the motives for choosing a profession of 1st year students of Saratov State Medical University named after V. I. Razumovsky, according to the original methodology of E. A. Klimov, it is proved that the choice of profession is mostly influenced by such motives as the desire to build their professional path in an exciting and useful way for other people, and only then there is a desire to ensure their material well-being.

Структура и факторы академической адаптации студентов-иностранцев в российских университетах

Introduction. Academic adaptation of foreign students in terms of academic mobility is the basis of academic achievements and is associated with psychological well-being, which serves as a condition for a positive attitude towards the host country. Therefore, the study of the peculiarities of academic adaptation of foreign students will allow us to determine the conditions for their secondary socialization and psychological acceptance of the host country. Theoretical analysis. Academic adaptation of foreign students is associated with problems of cultural stress, awareness, socio-psychological relations of the host party, knowledge of the language for establishing contacts and interaction with local students and everyday problems. Academic problems themselves are considered to a lesser extent. Empirical analysis. The purpose of the study is to analyze the structure and factors of academic adaptation of foreign students. It is assumed that the social characteristics of the academic adaptation of foreigners (communicative, personal) are more pronounced than the psychophysiological ones, reflecting the physical well-being of students, the subjective assessment of their exhaustion and fatigue. Conclusion. As a result of the research, the indicators of personal, emotional and motivational and lower psychophysiological components of academic adaptation were found to be more pronounced than those of Russians. The adaptation of foreign students is conditioned by satisfaction of the basic need for connectedness with others, characterizing the possibilities of their support from relatives, connectedness with them, adaptation of Russian students - with satisfaction of the need for connectedness with others, competence, happiness and life satisfaction. Involvement in the educational activity of students, regardless of their residence status, is the most important factor in academic adaptation.

Expanding the Psychological Domain of Technological Acceptance: The Use of Smart Wearable Devices in Leisure

This study introduces a new integrated framework by incorporating the Unified Theory of Acceptance and Use of Technology as the technological acceptance component, combined with satisfaction and perceived risk as the psychological acceptance components. The aim is to explore consumers’ behavioral intentions toward smart wearable devices and their expectations for the industry. The findings reveal that all research hypotheses were met as anticipated. Notably, the relatively low influence of Facilitating Conditions within the technological acceptance part and the prominent Perceived Functional Value within the psychological acceptance part highlight consumers’ concerns about the compatibility of smart wearable device ecosystems and their satisfaction with basic functionalities. This conclusion indicates that the market needs to address and improve the challenges posed by multi-brand product ecosystems and that addressing the lack of innovation reduces the emotional connection between products and consumers.

A short review of the ADAS progress in the last decade and the potential concept of Human-Machine Symbiosis (HMS)

Abstract This short review highlights the main sensor structures that are used in the ADAS (Advanced Driver Assisted System) field, in order to outline the progress at this moment (2023). Starting from this achieved level, we have proposed another approach to the ADAS problematics, regarding the prospects for development after the current moment, a different perspective than the one that has AV (Autonomus Vehicle) as its endpoint. Computer Assisted Driving represents a necessary and sufficient solution for increasing traffic safety in the near future. The integrated driver concept in the assisted environment implies a symbiotic human-machine collaboration. This collaboration requires a psychological acceptance of the ADAS system on behalf of humans, as an essential part of the current and future automobile. The progress highlighted by the documentation undertaken allows us to imagine a concept of a symbiotic human-machine system, based on the communication between ADAS and an external computing resource that assists the driver, based on the long analysis of recorded car events. Future automobiles must include an ADAS system that provides a subtle human-machine synapse, based on a series of computerized warnings to the driver generated in a timely manner, resulting from the high predictive capacity of AI-DLM algorithms. The computing speed of the local ADAS algorithms will be supplemented by the external server processing resource, accessed at the right time, to resolve an unexpected deadlock in the car roll.

자기자비 마음챙김 훈련집단과 자기자비 ACT집단에서 심리적 안녕감, 자기자비와 수용의 변화 과정

Self-compassion is a treatment mechanism closely related to acceptance, so it needs to be used as a component of Acceptance Commitment Therapy (ACT) explicitly and integratively. This study explored changes in psychological well-being, self-compassion, and acceptance among three groups: mindful self-compassion training (n=11), ACT-based self-compassion (n=8), and control (n=8) undergraduates. Mindful self-compassion training comprised 8 sessions of 16 to 20 minutes each, while ACT-based self-compassion group program involved 8 sessions of 90 minutes per week. Using latent growth modeling, changes were analyzed at four time points: pre, mid, post, and follow-up. Results showed that in the training group, the three variables increased but rapidly decreased at follow-up. In the ACT group, self-compassion increased and then decreased slowly at follow-up. These findings suggest mindful self-compassion training enhances psychological well-being, self-compassion, and acceptance. Incorporating self-compassion interventions into ACT helps maintain self-compassion effects over time.

More effective diagnostic methods for the early evaluation of congenital heart disease: A systematic review

Objectives: To evaluate which diagnostic methods are most effective for the early assessment of possible cardiac anomalies in utero and in the neonatal period, with the aim of analyzing the impact of tests performed during prenatal care and correlating early diagnosis with the risk of infant mortality. Method: a systematic review was carried out using the Science and Pubmed platforms in the period between 2012 and 2022, where 'newborns' OR 'premature infants' AND 'congenital heart disease' OR 'congenital heart defects' OR 'congenital heart defects' were used in the search” OR “baby's heart” AND “early diagnosis” OR “prenatal diagnosis”. Successively, the articles found were selected according to the previously determined inclusion and exclusion criteria to suit the type of research. Results: after analyzing 97 articles, 23 were in the same parameters and were considered in the study, addressing exams such as ultrasound, nuchal translucency, fetal echocardiogram, genetic tests, pulse oximetry, cardiovascular physical examination and echocardiographic reassessment. Conclusion: given the assumption, it was found that prior identification of the pathological change results in a more improved and prepared therapeutic plan and better psychological acceptance by parents. Therefore, the importance of disseminating the various methods available and how to perform them correctly is justified in order to make an early diagnosis of congenital heart diseases and contribute to reducing the mortality of these newborns.

Investigating an Acceptance and Commitment Therapy-Based Exposure Therapy Intervention in Treatment-Refractory OCD and Related Disorders: Changes in Psychological Flexibility, Treatment Engagement, and Treatment Perceptions.

While exposure therapy is the most effective psychological treatment for obsessive-compulsive disorder (OCD), anxiety, and traumatic stress-related disorders, it is not universally effective, indicating a need for further treatment optimization. This study investigated a shift in approach to exposure therapy with 29 treatment-refractory adults in an OCD clinic not responding to standard treatment, comprising habituation-based exposure therapy. Participants completed standard exposure as a continuation of standard clinic treatment, followed by an acceptance and commitment therapy (ACT) consultation session to assess psychological inflexibility processes interfering with treatment progress, and then an ACT-based exposure targeting behavior change through increasing psychological flexibility. After each exposure, participants and independent raters reported levels of psychological flexibility, rituals, distress, treatment engagement, and treatment perceptions. We observed that the shift to ACT-based exposure was associated with greater psychological flexibility, treatment engagement, treatment acceptability, and treatment preference. These findings suggest that there may be situations where ACT-based exposure has particular utility.

Interdisciplinary pain therapy in the elderly

Chronic pain in the elderly is becoming increasingly important and is associated with serious health impacts. Therefore, international guidelines demand that pain therapy for the elderly preferably be amultimodal therapy based on abio-psycho-social pain model. Specific psychometric tests and interview guidelines are available for the interdisciplinary pain assessment. Evidence for the effectiveness of multimodal pain therapy in the elderly remains limited. However, controlled clinical trials have shown that these patients benefit-especially if the intervention is adapted to their specific needs. The focus of movement therapy is not only muscle strengthening but also coordination exercises. In individual physical therapy and occupational therapy, everyday solutions can be developed for individual physical limitations that are more frequent in old age. In psychological training, pain acceptance, balancing rest and activity, social integration and dealing with aging are particularly important topics. Relaxation and mindfulness techniques can also favorably affect pain and function. Thus, these are popular with patients and are often adopted in everyday pain management. Pain education is considered useful as an adjunctive measure and can also be increasingly supported by digital media in the elderly. Complementary therapy components include confrontational treatment of fear-avoidance beliefs (the German AMIKA scale, Ältere Menschen in körperlicher Aktion, "older people in physical action") and naturopathic applications as an active self-help strategy. Since it is unclear how long the achieved therapeutic effects last, follow-up care is of particular importance in therapy for older patients.

Reflective Engagement With a Digital Physical Activity Intervention Among People Living With and Beyond Breast Cancer: Mixed Methods Study.

People living with and beyond breast cancer can face internal barriers to physical activity (eg, fatigue and pain). Digital interventions that promote psychological acceptance and motivation may help this population navigate these barriers. The degree to which individuals (1) adhere to intervention protocols and (2) reflect on and internalize intervention content may predict intervention efficacy. The objective of this study was to characterize the nature of reflective processes brought about by an 8-week acceptance- and mindfulness-based physical activity intervention for insufficiently active survivors of breast cancer (n=75). Furthermore, we explored the potential utility of a metric of reflective processes for predicting study outcomes. Of the intervention's 8 weekly modules, 7 (88%) included an item that asked participants to reflect on what they found to be most useful. Two coders conducted directed content analysis on participants' written responses. They assessed each comment's depth of reflection using an existing framework (ranging from 0 to 4, with 0=simple description and 4=fundamental change with consideration of social and ethical issues). The coders identified themes within the various levels of reflection. We fit multiple linear regression models to evaluate whether participants' (1) intervention adherence (ie, number of modules completed) and (2) the mean level of the depth of reflection predicted study outcomes. Participants were aged on average 57.2 (SD 11.2) years, mostly non-Hispanic White (58/75, 77%), and mostly overweight or obese (54/75, 72%). Of the 407 responses to the item prompting personal reflection, 70 (17.2%) were rated as reflection level 0 (ie, description), 247 (60.7%) were level 1 (ie, reflective description), 74 (18.2%) were level 2 (ie, dialogic reflection), 14 (3.4%) were level 3 (ie, transformative reflection), and 2 (0.5%) were level 4 (ie, critical reflection). Lower levels of reflection were characterized by the acquisition of knowledge or expressing intentions. Higher levels were characterized by personal insight, commentary on behavior change processes, and a change of perspective. Intervention adherence was associated with increases in self-reported weekly bouts of muscle-strengthening exercise (B=0.26, SE 0.12, 95% CI 0.02-0.50) and decreases in sleep disturbance (B=-1.04, SE 0.50, 95% CI -0.06 to -2.02). The mean level of reflection was associated with increases in psychological acceptance (B=3.42, SE 1.70, 95% CI 0.09-6.75) and motivation for physical activity (ie, integrated regulation: B=0.55, SE 0.25, 95% CI 0.06-1.04). We identified a useful method for understanding the reflective processes that can occur during digital behavior change interventions serving people living with and beyond breast cancer. Intervention adherence and the depth of reflection each predicted changes in study outcomes. Deeper reflection on intervention content was associated with beneficial changes in the determinants of sustained behavior change. More research is needed to investigate the relations among digital behavior change intervention use, psychological processes, and intervention efficacy.

The Role of Psychological Flexibility, Acceptance, and Commitment in Marital Adjustment Among Couples

Objective: The present study aimed to determine the role of psychological flexibility, acceptance, and commitment in marital adjustment among couples. Method: This study was applied and descriptive-correlational in nature. The population included couples (both women and men) from Amol County, who were studied using a convenience sampling method involving 126 couples. Data were collected using the Cognitive Flexibility Inventory by Dennis and Vander Wal (2010), the second version of the Acceptance and Action Questionnaire by Bond et al. (2007), and the Spanier Dyadic Adjustment Scale (1976). For the analysis of data in the inferential statistics section, simultaneous multiple regression was conducted using SPSS version 21. Findings: The findings indicate that psychological flexibility, acceptance, and commitment can explain 16.9% of the variance in marital adjustment. The t-tests for significance in regression for the coefficient of psychological flexibility (β = 0.191) and acceptance and commitment (β = 0.285) were significant. Acceptance and commitment have a greater unique contribution in predicting marital adjustment among couples (α = 0.05). Conclusion: According to the results, the most significant influences on marital adjustment are acceptance and commitment, followed by psychological flexibility. It is recommended that the findings of this research be utilized to enhance marital adjustment among both women and men.

Acceptability of ACT group intervention for adolescents with type 1 diabetes

BackgroundType 1 diabetes (T1D) is a demanding condition for both adolescents and their parents. The first aim of this study was to investigate the acceptability of an acceptance and commitment therapy (ACT) group intervention for 12–16-year-old adolescents with T1D. The second aim was to investigate how adolescents whose glycemic control improved during the intervention differed from those who did not improve. MethodsA total of 28 adolescents and their parents who completed the intervention were interviewed at the end of the intervention. The adolescents filled in questionnaires regarding diabetes-related psychological flexibility (DAAS) and acceptance and mindfulness (CAMM) before and after the intervention. Glycosylated hemoglobin (HbA1c) levels were obtained from the medical records before and after the intervention. The experiences of the intervention were investigated using semi-structured questionnaires and a thematic analysis. Statistical analyses were performed to study the group differences between adolescents who improved in glycemic control and those who showed no improvement. ResultsOf those who completed the intervention, 86% of the adolescents and 89% of the parents reported being very satisfied or satisfied with the intervention. The thematic analysis showed that among the themes arising from the experiences of adolescents were increased motivation for the treatment of diabetes and a better attitude toward diabetes. Among the parents, themes such as positive changes in mood, a better attitude toward diabetes, and increased motivation for treatment emerged. In terms of group differences, those who improved with regard to glycemic control were older, their HbA1c was higher at the start, and they reported greater changes in diabetes-related psychological flexibility. ConclusionsThe ACT-based group intervention was well accepted and complemented the usual treatment. Thus, this intervention is recommended, especially for adolescents who have not met the glycemic targets.