Value-based Actions Research Articles

Psychological Flexibility Skills and Mental Wellbeing in Athletes: An Exploration of Associations and Gender Differences

Psychological flexibility skills (PFS) have shown to be an important aspect of wellbeing among the general population, however, there is a gap in research exploring flexibility skills among athletes. The present study examined the effects of PFS on young athletes’ (<i>n</i> = 106, <I>M</I> = 19.9) psychological wellbeing, symptomatology, and gender differences. Data was investigated using correlations and linear regression analyses. Higher PFS was associated with subjective wellbeing, recovery experiences, self-esteem, and lower levels of perceived stress, and depression symptoms (<i>r</i> = 0.30-0.53). Among the PFS, value-based actions acted as the strongest predictor for mental wellbeing and symptoms. In addition, avoidance of distressing thoughts and emotions related to sport was a significant predictor for self-esteem, symptoms of stress and depression but not for subjective wellbeing and recovery experience. Also, our results highlighted gender disparities, with female athletes reporting higher stress and depressive symptoms, while males exhibited better mental wellbeing, psychological recovery, self-esteem, and higher psychological flexibility skills. Overall, engagement in value-based actions may enhance athletes’ mental wellbeing. Further, it might be important to pay attention to individual differences related to gender both when assessing psychological flexibility skills and when applying interventions aimed at enhancing mental wellbeing among athletes.

Особенности взаимосвязи целеполагания и смыслотворчества в социокультурной деятельности

The article analyzes relationship between the processes of setting goals and substantiating their value content. The confusion of questions about the meanings and goals of life leads to the impossibility of finding a way out of the spiritual crisis that can be generated either by the fact that a person cannot find a spiritual, value justification for any of the possible goals of his activity, or by the fact that he cannot formulate any goal that can inspire him to commit value-based actions. Whatever the influence of parents, teachers, surrounding people on the formation of a cultural subject may be, no one can predict what goals will determine his activity and what meanings he will put in them. The sphere of responsibility of society, family, or education system for the formation of value-based goal-setting is limited to the creation of objective conditions that provide the younger generation with knowledge of the laws of development of nature, society, culture and real opportunities for the implementation of value-based goals of activity.

Online Self-Help Acceptance and Commitment Therapy Module for College Students with Higher Gaming Disorder During COVID-19: A Pilot Study

AbstractDuring the COVID-19 pandemic, there was an increase in online gaming behaviour among college students. This study aimed to examine the impact of online self-help interventions consisting of different components within the Acceptance and Commitment Therapy (ACT) framework on college students’ gaming disorder and gaming frequency. Additionally, it evaluated the effectiveness of both interventions in addressing psychological distress among college students during the COVID-19 pandemic. One intervention was a full ACT program, which consists of six core components, while the other intervention focused on the engaged components of ACT (specifically targeting value-based actions). The study employed a 2 conditions (Full ACT vs. Engaged ACT) × 3 times (pre-, mid- and post-program) design to examine the effectiveness of these interventions. Each intervention consisted of 10 sessions, delivered at a frequency of five sessions per week over a 2-week period for both groups. The participants in this study were enrolled in two online classes. Participants with gaming disorder scores in the top 20% were selected and assigned to either the Full group (N = 49) or the Engaged group (N = 41) for the interventions. The study assessed outcome variables, including gaming disorder, psychological flexibility, daily gaming hours, weekly gaming days and psychological distress, at pre-intervention, mid-intervention, post-intervention and one-month follow-up for both groups. No significant differences were observed between the two groups on these outcomes at the pre-intervention stage. The findings of this study indicate that both interventions effectively reduced gaming disorder and weekly gaming frequency, while enhancing psychological flexibility. Nonetheless, the Engaged group exhibited a significant reduction in daily gaming hours. There was no substantial change in psychological distress in either group during and after the intervention. The implications and limitations of this study were also reported.

Managing public value conflicts – Institutional strategies and the greening of public pension funds

Greening public organizations demands the acknowledgment and reconciliation of tensions and conflicts between core values. This is a challenge that public pension funds have come to face as the call for sustainability has reached the finance sector. Building on the value pluralism debate and institutional theory this article provides a theoretical elaboration of strategies for managing value conflict in public organizations, discussing how value conflict management may promote or inhibit institutional change. The empirical analysis explores how sustainability-related value conflicts are managed within Swedish public pension funds. Political goals and ideals of sustainable finance are pushing funds to promote sustainability through their investments, thus, to consider and promote further values than financial return. Previous research has mainly focused on the financial profitability of sustainability concerns. This study shows that economic value calculation remains the dominant approach within funds, downplaying any conflict between environmental and financial goals. However, to maintain institutional legitimacy under increasing external pressure, the funds have implemented complementary strategies, such as organizational separation of value-related tasks, and different principles for prioritizing value-based actions. The funds thereby avoid ethical reasoning which they fear would lead to subjectivity. In conclusion, the implications for organizational change are discussed.

Striosomes and Matrisomes: Scaffolds for Dynamic Coupling of Volition and Action.

Striosomes form neurochemically specialized compartments of the striatum embedded in a large matrix made up of modules called matrisomes. Striosome-matrix architecture is multiplexed with the canonical direct-indirect organization of the striatum. Striosomal functions remain to be fully clarified, but key information is emerging. First, striosomes powerfully innervate nigral dopamine-containing neurons and can completely shut down their activity, with a following rebound excitation. Second, striosomes receive limbic and cognition-related corticostriatal afferents and are dynamically modulated in relation to value-based actions. Third, striosomes are spatially interspersed among matrisomes and interneurons and are influenced by local and global neuromodulatory and oscillatory activities. Fourth, striosomes tune engagement and the motivation to perform reinforcement learning, to manifest stereotypical behaviors, and to navigate valence conflicts and valence discriminations. We suggest that, at an algorithmic level, striosomes could serve as distributed scaffolds to provide formats of the striatal computations generated through development and refined through learning. We propose that striosomes affect subjective states. By transforming corticothalamic and other inputs to the functional formats of the striatum, they could implement state transitions in nigro-striato-nigral circuits to affect bodily and cognitive actions according to internal motives whose functions are compromised in neuropsychiatric conditions.

Development of the Shift Smartphone App to Support the Emotional Well-Being of Junior Physicians: Design of a Prototype and Results of Usability and Acceptability Testing.

BackgroundJunior physicians report higher levels of psychological distress than senior doctors and report several barriers to seeking professional mental health support, including concerns about confidentiality and career progression. Mobile health (mHealth) apps may be utilized to help overcome these barriers to assist the emotional well-being of this population and encourage help-seeking.ObjectiveThis study describes the development and pilot trial of the Shift mHealth app to provide an unobtrusive avenue for junior physicians to seek information about, and help for, well-being and mental health concerns, which is sensitive to workplace settings.MethodsA 4-phase iterative development process was undertaken to create the content and features of Shift involving junior physicians using the principles of user-centered design. These 4 phases were—needs assessment, on the basis of interviews with 12 junior physicians; prototype development with user experience feedback from 2 junior physicians; evaluation, consisting of a pilot trial with 22 junior physicians to assess the usability and acceptability of the initial prototype; and redesign, including user experience workshops with 51 junior physicians.ResultsQualitative results informed the content and design of Shift to ensure that the app was tailored to junior physicians’ needs. The Shift app prototype contained cognitive behavioral, mindfulness, value-based actions, and psychoeducational modules, as well as a tracking function that visualized patterns of daily variations in mood and health behaviors. Pilot-testing revealed possible issues with the organization of the app content, which were addressed through a thorough restructuring and redesign of Shift with the help of junior physicians across 3 user experience workshops.ConclusionsThis study demonstrates the importance of ongoing end user involvement in the creation of a specialized mHealth app for a unique working population experiencing profession-specific stressors and barriers to help-seeking. The development and pilot trial of this novel Shift mHealth app are the first steps in addressing the mental health and support-seeking needs of junior physicians, although further research is required to validate its effectiveness and appropriateness on a larger scale.

Leadership in a Global World Management Training Requirement Using The Example of The Asian Studies Program at University of Applied Sciences (HTWG) Konstanz

This article demonstrates the need for higher education to systematically cultivate leadership competencies. Values-based leadership is emerging as an attractive international concept, and the related competencies that managers need stem from this. Approaches taken from intercultural communication theory and classical communication psychology show how effectively and clearly value-based actions (speech) can be taught as part of intercultural management training. Experience gained in the interdisciplinary study programs 'Asian Studies' and management (USA) and 'Business and Tourism Germany' (WDT) at HTWG Konstanzi is used as an example to demonstrate teaching formats that can be used to inculcate social competence, and in particular intercultural competence as a competence values-based leadership. This article describes how it is possible to incorporate appropriate teaching formats into management training curricula and also offers observations evaluating the effectiveness of such approaches, including using methods drawn from empirical social research.

The relationship between value-based actions, psychological distress and well-being: A multilevel diary study

Although value-based actions are often associated with improved mental health outcomes, few studies have explored this relationship on a daily level. The aim of this diary study was to explore how value-based actions change over time and assess how these fluctuations are associated to psychological distress and well-being both within- and between-day. Ninety-seven Canadian post-secondary students (n = 1581 observations) took part in this study. For 21 consecutive days, they were invited to complete end-of-day diaries (EOD) querying their daily level of distress, well-being and value-based actions. The questionnaires were sent to each student's mobile phone at a random time between 18:00 p.m. and 22:30 p.m. Data were analysed using multilevel modeling and time-lagged analysis. The results show that 1) daily value-based actions were negatively associated with daily distress and positively associated with daily well-being, 2) well-being reported in a given daily diary predicted next-day value-based actions, and 3) greater variability in daily value-based actions was associated with marginally lower daily well-being and steepened increases in daily distress over time.

A Mixed-Method Study Exploring the Effectiveness of Acceptance and Commitment Therapy Based Group Psychoeducation Program on Psychological Flexibility

This study aims to develop, implement, and test the effectiveness of an Acceptance and Commitment Therapy-based psychoeducation program for fostering psychological flexibility. The study employed a convergent mixed methods design. For the quantitative phase, the pre-test post-test control group experimental design was used, while in the qualitative phase, a thematic analysis was conducted. The study group consisted of 13 first-year students of the Department of Guidance and Counseling, and Psychology, aged between 18-22, 8 of whom are in the experiment group, and 5 in the control group. The students participated in 8 sessions of 90 minutes. Before and after the psychoeducation, the Acceptance and Action Questionnaire-II was administered to the students and they were also asked to answer the formerly specified open-ended questions in writing. Mann Whitney U and Wilcoxon Signed Ranks tests were used for statistical analysis; while thematic analysis was used for the qualitative component of the study. Quantitative findings showed that psychoeducation significantly increased psychological flexibility, but the change was not at a level to differ from the control group; while qualitative findings revealed that participants experienced changes in 10 themes after psychoeducation. These themes are Being Present, Self-Control, Value-Based Actions, Defusion and Coping with Feelings and Thoughts, Knowledge of Self and Others, Acceptance, Non-Avoidance, Conflict and Crisis Management, Authenticity, and Anxiety. The quantitative and qualitative findings are discussed in light of the relevant literature.

The Dynamics of Fear at the Time of Covid-19: A Contextual Behavioral Science Perspective.

COVID-19 is the relevant disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmitted via close contact between persons. On March 12th, 2020, WHO announced COVID-19 outbreak a pandemic, in view of its worldwide escalation. As the pandemic disease explodes, a parallel outbreak of fear and worry is also spreading. We react to fear symbolically, by arbitrarily relating it to other objects and events through derived verbal relations, so language may alter the way we experience events and consequently affects how we are functionally or dysfunctionally oriented to the world around us. In this paper we will outline the different human learning processes connected to fear responding, from the simplest type to the more complex cognitive ones, approaching them from the point of view of contextual behavioral science, a modern form of behavioral thinking. We will outline a model of intervention to foster psychological flexibility and more functional value-based actions. We will argue that in a pandemic and in the post-pandemic phase it could be a key for adapting to new and changed circumstances.

Valued Living Before and After CBT

Whether and to what degree psychotherapy leads to changes in patients’ value-based actions is not well documented. In this study we examined whether cognitive behavioral therapy, without explicit values work, enhanced value-oriented action. We also explored the role of change in valued action for subsequent life satisfaction and continued change after therapy. Additionally, data on the reliability and validity of the Valued Living Questionnaire (VLQ) are reported. We analyzed the pre-, post-, and 6-month-follow-up-data of 3687 patients of a university psychotherapy outpatient clinic, most of which suffered from reliably diagnosed anxiety and mood disorders. Questionnaires included the VLQ (with 10 items each on the “importance” and “consistency” of values), symptom scales (Beck Depression Inventory; Brief Symptom Inventory), and the Satisfaction with Life Scale. Over the course of therapy significant improvements in value-oriented action were found (d = .34), especially in treatment responders (d = .51). Increase of value-oriented action significantly explained satisfaction with life at end of treatment, even after controlling for symptom reduction. Temporally preceding improvement on the VLQ predicted further symptom reduction until follow-up. Data indicate that psychotherapy positively affects valued living, even when it is not explicitly targeted in treatment. Valued living may have a role in the course and maintenance of therapeutic change.

Role of leadership in quality education in public and private higher education institutions: A Comparative Study

Higher education institutions are no more exception to the change driven by various stakeholders along with other manufacturing and business organizations. The conceptual framework has been developed in this paper which determines role of leader imperative to attain outcome as quality education expectations from stakeholders such as faculties and students of higher education institutions. This paper is based on literature review and in-depth exploratory interview with 30 key informants from top level and middle level management Central University of Rajasthan and private Biyani Group of Colleges, 15 from each. Second section discusses the leadership in higher education and concept of quality education. This paper conceptualizes that leader has a high degree of stakeholder orientation by his moral value-based words, actions, relationships and decisions. It provides implications of study for the incorporation of leadership among academicians of higher education in public and private institutions.

Barriers to self-compassion for female survivors of childhood maltreatment: The roles of fear of self-compassion and psychological inflexibility

Preliminary evidence has demonstrated the benefits of targeting self-compassion in the treatment of posttraumatic stress disorder (PTSD). However, survivors of childhood maltreatment may present with unique challenges that compromise the effectiveness of these and other PTSD treatments. Specifically, childhood maltreatment victims often exhibit a marked fear and active resistance of self-kindness and warmth (i.e., fear of self-compassion). Victims may also attempt to control distressing internal experiences in a way that hinders engagement in value-based actions (i.e., psychological inflexibility). Research suggests that psychological inflexibility exacerbates the negative effects of fear of self-compassion. The present study expanded on previous research by examining the relations among childhood maltreatment, fear of self-compassion, psychological inflexibility, and PTSD symptom severity in 288 college women. As expected, moderate to severe levels of childhood maltreatment were associated with greater fear of self-compassion, psychological inflexibility, and PTSD symptom severity compared to minimal or no childhood maltreatment. A mediation analysis showed that childhood maltreatment had a significant indirect effect on PTSD symptom severity via fear of self-compassion, although a conditional process analysis did not support psychological inflexibility as a moderator of this indirect effect. A post hoc multiple mediator analysis showed a significant indirect effect of childhood maltreatment on PTSD symptom severity via psychological inflexibility, but not fear of self-compassion. These findings highlight the importance of addressing fear of self-compassion and psychological inflexibility as barriers to treatment for female survivors of childhood maltreatment.

Psychological Flexibility in Parents of Children with Asthma: Analysis Using a Structural Equation Model

Psychological flexibility (PF) refers to an individual’s capacity to deal with the present moment non-judgmentally and to commit to value-based actions. This study evaluated how parental PF, psychological adjustment to a child’s illness, and psychological symptoms including anxiety, depression, and stress in parents are associated with asthma morbidity in children. Three-hundred and twenty-four parents of children aged 3–12 years with asthma completed a self-administered questionnaire to measure their PF, psychological adjustment, and symptoms of anxiety, depression, and stress, their children’s asthma symptoms and their use of bronchodilators. Structural equation modeling was used to explore the relationships among these constructs. The results showed that poor PF was significantly associated with poor psychological adjustment to the child’s illness and increased psychological symptoms in parents. Parental PF was found to be the only latent construct possessing a significant association with the child’s asthma morbidity (β = 0.27, 95% CI [0.09, 0.42], p = .002). These results suggest that by fostering their PF parents may improve their own psychological well-being as well as their child’s asthma condition.

Pain Catastrophizing Mediates the Effect of Psychological Inflexibility on Pain Intensity and Upper Extremity Physical Function in Patients with Upper Extremity Illness.

Psychological inflexibility-the inability to take value-based actions in the presence of unwanted thoughts, feelings, or bodily symptoms-is associated with negative health outcomes including depression and anxiety. We aimed to determine the association between the general construct of psychological inflexibility and pain intensity, and upper extremity physical function in patients with musculoskeletal illness in an orthopedics practice. We also set out to test multiple-mediator models proposing that psychological inflexibility affects pain intensity and upper extremity physical function directly, as well as indirectly through depression, anxiety, and pain catastrophizing. One hundred and eight patients with upper extremity illness completed self-report measures of pain intensity, upper extremity physical function, psychological inflexibility, pain catastrophizing, depression, and anxiety in this cross-sectional study. We found that psychological inflexibility affected pain intensity and upper extremity physical function directly and indirectly. Pain catastrophizing but not depression or anxiety mediated the association of psychological inflexibility to pain intensity and upper extremity physical function. Psychological inflexibility plays an important role in understanding the increased pain and decreased upper extremity physical function in patients with musculoskeletal pain. It also suggests that the cognitive error of pain catastrophizing is one of the mechanisms through which the general construct of psychological inflexibility may influence pain intensity and upper extremity physical function. Psychological treatments aimed at decreasing pain and increasing upper extremity physical function should target both pain catastrophizing and psychological inflexibility.

Value-based cognitive-behavioural therapy for the prevention of chronic whiplash associated disorders: protocol of a randomized controlled trial.

BackgroundWhiplash injury is the most common traffic-related injury affecting thousands of people every year. Conservative treatments have not proven effective in preventing persistent symptoms and disability after whiplash injury. Early established maladaptive pain behaviours within the first weeks after the injury may explain part of the transition from acute to chronic whiplash associated disorder (WAD). Hence, early targeting of psychological risk factors such as pain catastrophizing, fear-avoidance-beliefs, depression, and symptoms of posttraumatic stress disorder (PTSD) may be important in preventing the development of chronic WAD. Some evidence exists that targeting fear-avoidance beliefs and PTSD with exposure strategies and value-based actions may prevent development of persistent disability after whiplash injury. Yet, the results have to be tested in a randomized controlled trial (RCT). The primary objective of the present study is to test whether a specifically tailored value-based cognitive-behavioural therapy program (V-CBT) is able to prevent the development of persistent disability, pain, and psychological distress if delivered within the first three months after a whiplash injury.Methods/designThe current study is a two-armed randomized controlled study with a crossover design. Group A is scheduled for V-CBT within one week of randomization and group B with a delayed onset 3 months after randomization.DiscussionIf the study detects significant effects of V-CBT as a preventive intervention, the study will provide new insights of preventive treatment for patients with WAD and thereby serve as an important step towards preventing the chronic condition.Trial registrationCurrent Controlled Trials Registration September 19, 2014: NCT02251028

Pediatric hearing aid use: parent-reported challenges.

The aim of this study was to investigate parent-reported challenges related to hearing aid management and parental psychosocial characteristics during the first 3 years of the child's life. Using a cross-sectional survey design, surveys were distributed to parents of children with hearing loss via state Early Intervention programs in Utah and Indiana. Packets contained one family demographic form and two sets of three questionnaires to obtain responses from mothers and fathers separately: the Parent Hearing Aid Management Inventory explored parent access to information, parent confidence in performing skills, expectations, communication with the audiologist, and hearing aid use challenges. The Acceptance and Action Questionnaire measured psychological flexibility, experiential avoidance, and internal thought processes that can affect problem-solving ability and decrease an individual's ability to take value-based actions. The Patient Health Questionnaire identified symptoms of depression. Thirty-seven families completed questionnaires (35 mothers and 20 fathers). Most responses were parents of toddlers (M = 22 months) who had been wearing binaural hearing aids for an average of 15 months. Both mothers and fathers reported that even though the amount of information they received was overwhelming, most (84%) preferred to have all the information at the beginning, rather than to receive it over an extended time period. Parents reported an array of challenges related to hearing aid management, with the majority related to daily management, hearing aid use, and emotional adjustment. Sixty-six percent of parents reported an audiologist taught them how to complete a listening check using a stethoscope, however, only one-third reported doing a daily hearing aid listening check. Both mothers and fathers reported a wide range of variability in their confidence in performing activities related to hearing aid management, and most reported minimal confidence in their ability to troubleshoot hearing aid problems. More than half of the parents reported child behavior and activities, such as playing outside, as a major hearing aid use challenge. Parents reported hearing aids were worn all waking hours by 35% of children and less than 5 hr/day by 31%. Almost half of the parents (47%) did not feel that they had enough time to talk about their emotions when speaking with their audiologist(s), 69% reported the audiologist did not help them know what to expect related to emotions about their child's hearing loss, and 22% reported symptoms of depression. Parents reported an array of challenges, even after their child had been wearing hearing aids for a prolonged time, revealing critical implications for how to provide audiological care. Audiologists have an important role in partnering with parents to identify and jointly problem-solving challenges related to their child's hearing aid use. Supporting parents includes not only addressing technical aspects of hearing testing and hearing aid function but also addressing parent thoughts, feelings, and emotions.

Cortico-subthalamic connection predicts individual differences in value-driven choice bias

It has been suggested that a connection between the STN and value-sensitive areas of the prefrontal cortex might mediate value-based actions in perceptual decision making. In this study, we first seek to quantify a structural connection between the STN and a cortical region that was associated with mechanisms underlying bias in choice behavior (vmPFC). Next, we tested whether individual differences in the probabilistic tract-strength of this connection were predictive for individual differences in the magnitude of bias in a perceptual decision-making task. Probabilistic tractography was used to measure the tract-strength between the STN and the vmPFC. Bias was quantified using an accumulation-to-bound model where a shift in the starting point of the accumulation of sensory evidence causes faster and more choices for an alternative that is more likely or more valuable. Results show that vmPFC is structurally connected with the STN and that the strength of this connection is predictive for choice bias towards an alternative that is more valuable, but not for choice bias towards an alternative that is more likely. These findings confirm the involvement of the cortico-subthalamic circuit in mechanisms underlying value-based actions in perceptual decision making.

Development and initial evaluation of a smartphone application based on acceptance and commitment therapy

BackgroundAn intervention, consisting of an ACT-based smartphone-application and a web-based psychoeducation, has been developed. The smartphone-application, together with the psychoeducation, aims to function as a self-help intervention for living consistently with one's values. The study is an exploratory investigation of this new smartphone-based tool.Case descriptionPrimarily, the study aims at investigating a new field, providing a basis for generating hypotheses for further research. The first aim of this initial, exploratory study was to examine if this intervention had an effect on the variables of: valued actions, psychological flexibility, and life satisfaction as well as the states of depression, anxiety and stress, for a non-clinical sample of 11 Swedish Iphone users. This was made with a quasi-experimental pretest-posttest design without control group. The second aim was to investigate how the participants experienced the intervention, as measured by a qualitative questionnaire.Discussion and evaluationThe group analyses showed that the participants increased their valued action and psychological flexibility significantly during the intervention. Furthermore, value-based actions and psychological flexibility showed small effect sizes when comparing pretest and posttest score. However, the design of the study makes it impossible to draw any certain conclusions. The qualitative questionnaire showed a general positive experience of the intervention.ConclusionsThe results from the present study indicated that the intervention should be studied further. The findings also generated a number of hypotheses that could be investigated in further research.Electronic supplementary materialThe online version of this article (doi:10.1186/2193-1801-1-11) contains supplementary material, which is available to authorized users.