Examining the associations among factor-analytically derived components of mental health stigma, distress, and psychological flexibility.

Mental health stigma can be detrimental not only for the recipient, but also for the stigmatizer. As mental health stigma is often conceptualized as a multidimensional construct, Study 1 first examined the factor structure of mental health stigma as assessed by the Stigmatizing Attitude-Believability (SAB; Masuda et al., 2009). Study 2 investigated differential relations between the factor-analytically derived components of mental health stigma and psychological distress and psychological flexibility. Results of Study 1 revealed that mental health stigma consisted of two related, yet separable components: Exclusion and Course/Origin. The Exclusion component was characterized by negative emotions and cognition associated with an increased desire for social distance. Course/Origin was marked by pessimistic views toward treatment prognosis and recovery. Results of Study 2 suggested that these two components have differential associations with psychological distress and flexibility. The Course/Origin component of stigma, but not Exclusion, was associated with psychological distress of the stigmatizer. Furthermore, this association was fully mediated by lower levels of psychological flexibility. These findings suggest the importance of conceptualizing mental health stigma multidimensionally

Psychological flexibility and self-concealment as predictors of disordered eating symptoms.

The present cross-sectional study investigated whether self-concealment and psychological flexibility were uniquely associated with different facets of disordered eating (DE; i.e., dieting, bulimia/food preoccupation, and oral control) and whether these associations varied across gender. Participants included 621 female and 212 male college students, ages 18-24 years old. After controlling for age, ethnicity, and BMI, both self-concealment and psychological flexibility were uniquely related to dieting. Controlling for these demographic variables, psychological flexibility, but not self-concealment, was uniquely associated with bulimia/food preoccupation. Neither self-concealment nor psychological flexibility was uniquely associated with oral control. Finally, gender moderated the association between self-concealment and dieting, suggesting that self-concealment was relevant to dieting in the female group, but not in the male group. Limitations of the study and future directions are discussed

Mindfulness mediates the relation between disordered eating-related cognitions and psychological distress

The present study investigated whether mindfulness mediates the relation between disordered eating-related cognitions and negative psychological outcomes within a non-clinical college sample. Disordered eating-related cognitions were positively associated with general psychological ill-health and emotional distress in interpersonal contexts and inversely related to mindfulness. Mindfulness, which was also inversely related to general psychological ill- health and emotional distress, was found to partially mediate the relations between disordered eating-related cognitions and the two predicted variables

The Role of Mindfulness and Psychological Flexibility in Somatization, Depression, Anxiety, and General Psychological Distress of a Non-clinical College Sample

The current study investigated whether mindfulness and psychological flexibility uniquely and separately accounted for variability in psychological distress (somatization, depression, anxiety, and general psychological distress). An ethnically diverse, non-clinical sample of college undergraduates (N = 494, 76% female) completed a web-based survey that included the self-report measures of interest. Consistent with prior research, psychological flexibility and mindfulness were positively associated with each other, and tested separately, both variables were negatively associated with somatization, depression, anxiety, and general psychological distress. Results also revealed that psychological flexibility and mindfulness accounted for unique variance in all four measures of distress. These findings suggest that mindfulness and psychological flexibility are interrelated but not redundant constructs, and that both constructs are important for understanding the onset and maintenance of somatization, depression, anxiety, and general distress

Examining the associations among factor-analytically derived components of mental health stigma, distress, and psychological flexibility.

Mental health stigma can be detrimental not only for the recipient, but also for the stigmatizer. As mental health stigma is often conceptualized as a multidimensional construct, Study 1 first examined the factor structure of mental health stigma as assessed by the Stigmatizing Attitude-Believability (SAB; Masuda et al., 2009). Study 2 investigated differential relations between the factor-analytically derived components of mental health stigma and psychological distress and psychological flexibility. Results of Study 1 revealed that mental health stigma consisted of two related, yet separable components: Exclusion and Course/Origin. The Exclusion component was characterized by negative emotions and cognition associated with an increased desire for social distance. Course/Origin was marked by pessimistic views toward treatment prognosis and recovery. Results of Study 2 suggested that these two components have differential associations with psychological distress and flexibility. The Course/Origin component of stigma, but not Exclusion, was associated with psychological distress of the stigmatizer. Furthermore, this association was fully mediated by lower levels of psychological flexibility. These findings suggest the importance of conceptualizing mental health stigma multidimensionally

Using Acceptance and Commitment Therapy during Methadone Dose Reduction: Rationale, Treatment Description, and a Case Report.

Many clients who undergo methadone maintenance (MM) treatment for heroin and other opiate dependence prefer abstinence from methadone. Attempts at methadone detoxification are often unsuccessful, however, due to distressing physical as well as psychological symptoms. Outcomes from a MM client who voluntarily participated in an Acceptance and Commitment Therapy (ACT) - based methadone detoxification program are presented. The program consisted of a 1-month stabilization and 5-month gradual methadone dose reduction period, combined with weekly individual ACT sessions. Urine samples were collected twice weekly to assess for use of illicit drugs. The participant successfully completed the program and had favorable drug use outcomes during the course of treatment, and at the one-month and one-year follow-ups. Innovative behavior therapies, such as ACT, that focus on acceptance of the inevitable distress associated with opiate withdrawal may improve methadone detoxification outcomes

Help-seeking attitudes, mental health stigma, and self-concealment among African American college students.

Stigma has been noted as a major obstacle of mental health service utilization in African Americans. The present study investigated whether mental health stigma and self-concealment were uniquely associated with attitudes toward seeking professional psychological services in African American college students. Data of 163 African American (nFemale = 127; 78% female) were used for present analyses. Results revealed that both mental health stigma and self-concealment were uniquely associated with help-seeking attitudes after controlling for gender, age, and previous experience of seeking professional psychological services