The role of acceptance and job control in mental health, job satisfaction, and work performance

Acceptance, the willingness to experience thoughts, feelings and physiological sensations without having to control them or let them determine one's actions, is a major individual determinant of mental health and behavioral effectiveness in a more recent theory of psychopathology. This 2-wave panel study examined the ability of acceptance also to explain mental health, job satisfaction, and performance in the work domain. The authors hypothesized that acceptance would predict these 3 outcomes 1 year later in a sample of customer service center workers in the United Kingdom (N = 412). Results indicated that acceptance predicted mental health and an objective measure of performance over and above job control, negative affectivity, and locus of control. These beneficial effects of having more job control were enhanced when people had higher levels of acceptance. The authors discuss the theoretical and practical relevance of this individual characteristic to occupational health and performance

Job control mediates change in a work reorganization: intervention for stress reduction

This longitudinal, quasi-experiment tested whether a work reorganization intervention can improve stress-related outcomes by increasing people's job control. To this end, the authors used a participative action research (PAR) intervention that had the goal of reorganizing work to increase the extent to which people had discretion and choice in their work. Results indicated that the PAR intervention significantly improved people's mental health, sickness absence rates, and self-rated performance at a 1-year follow-up. Consistent with occupational health psychology theories, increase in job control served as the mechanism, or mediator, by which these improvements occurred. Discussion focuses on the need to understand the mechanisms by which work reorgnization interventions affect change

The influence of psychological flexibility on work redesign: Mediated moderation of a work reorganization intervention

This quasi-experiment tested the extent to which an individual characteristic, psychological flexibility, moderated the effects of a control-enhancing work reorganization intervention in a call center. Results indicated that, compared to a control group, this intervention produced improvements in mental heath and absence rates, but particularly for individuals with higher levels of psychological flexibility. Findings also showed that these moderated intervention effects were mediated by job control. Specifically, the intervention enhanced perceptions of job control, and hence its outcomes, for the people who received it, but particularly for those who had greater psychological flexibility. Discussion highlights the benefits of understanding the processes (e.g., mediators, moderators, and mediated moderators) involved in work reorganization interventions

Mindfulness and meditation in the workplace: An acceptance and commitment therapy approach

There is a wide-ranging and growing body of evidence that mental health and behavioral effectiveness are influenced more by how people interact with their thoughts and feelings than by their form (e.g., how negative they are) or frequency. Research has demonstrated this key finding in a wide range of areas. For example, in chronic pain, psychosocial disability is predicted more by the experiential avoidance of pain than by the degree of pain (McCracken 1998). A number of therapeutic approaches have been developed that share this key insight: Distress tolerance (e.g., Brown et al. 2002; Schmidt et al. 2007), thought suppression (e.g., Wenzlaff and Wegner 2000), and mindfulness (Baer 2003). It is also central to a number of the newer contextual cognitive behavior therapy (CBT) approaches to treatment, such as mindfulness-based cognitive therapy (MBCT; Segal et al. 2002), dialectical behavior therapy (DBT; Linehan 1993), metacognitive therapy (Wells 2011), and acceptance and commitment therapy (ACT; Hayes et al. 1999). The purpose of this chapter is to describe how ACT conceptualizes mindfulness and tries to enhance it in the pursuit of promoting mental health and behavioral effectiveness (e.g., productivity at work). To this end, we discuss ACT’s key construct of psychological flexibility, which involves mindfulness, and how it has led to a somewhat different approach not only to conceptualizing mindfulness, but also to how we try to enhance it in the workplace. In so doing, we hope to show that whilst formal meditation practice is valued in ACT, it is only one strategy that is used to promote mindfulness, as well as psychological flexibility more generally

Identifying Psychological Mechanisms Underpinning a Cognitive Behavioural Therapy Intervention for Emotional Burnout. (Forthcoming)

One hundred employees of a UK government department were randomly assigned to one of two conditions: (1) a worksite, group-based, CBT intervention called Acceptance and Commitment Therapy (ACT; n = 43), which aimed to increase participants’ psychological flexibility; and, (2) a waitlist control group (control; n = 57). The ACT group received three half-day sessions of training spread over two and a half months. Data were collected at baseline (T1), at the beginning of the second (T2) and third (T3) workshops, and at six months follow-up (T4). Consistent with ACT theory, analyses revealed that, in comparison to the control group, a significant increase in psychological flexibility from T2 to T3 in the ACT group mediated the subsequent T2 to T4 decrease in emotional exhaustion in the ACT group. Consistent with a theory of emotional burnout development, this significant decrease in emotional exhaustion from T2 to T4 in the ACT group prevented the significant T3 to T4 increase in depersonalization seen in the control group. Strain also decreased from T2 to T3 in the ACT group, only, but no mediator of that improvement was identified. Discussion focuses on implications for theory and practice in the fields of ACT and emotional burnout

Enhancing students' well-being with a unified approach based on contextual behavioural science: A randomised experimental school-based intervention

A new generation of interventions has begun to move towards principles of acceptance that deal with the context and function of psychological events. The aim of this paper is to analyse the effectiveness of a brief contextual behavioural intervention to improve the psychological well-being of secondary school students. This intervention represents a unified model with key processes based on contextual behavioural science, including Acceptance and Commitment Therapy (ACT) and Functional Analytic Psychotherapy (FAP). We conducted an intervention with 94 students (age range 17–19 years), randomly assigned to an experimental group (n = 50) or control group (n = 44). Participants took a pretest and post-test of distress, life satisfaction, psychological flexibility and mindfulness. The intervention consisted of three sessions of 1 h each. The results showed significant differences between the groups in distress and significant differences for the interaction (group × pre–post) in all the other variables. The intervention had greater benefits for girls than for boys. These results may provide a breakthrough, thus leading to a process of evidence-based therapies, which would be responsible for inducing psychological improvements in brief periods, in a population with an increasing risk of distress.This study was carried out in Marbella (Spain), did not receive funding and was self-financed. Funding for open access charge: Universidad de Málaga / CBUA

The efficacy of functional-analytic psychotherapy and acceptance and commitment therapy (FACT) for public employees

Background: The literature is replete with evidence regarding the impact of psychological distress in the workplace. Traditionally, worksite interventions to enhance mental health have been carried out in groups. This study aimed to implement a brief individual program in the workplace through the combination of Functional Analytic Psychotherapy (FAP) and Acceptance and Commitment Therapy (ACT) for Public Administration employees. Method: One hundred and six public employees from a Spanish city council completed pretest measures and forty-three met the inclusion criteria. The participants’ scores on distress, burnout, psychological flexibility, depression, anxiety and stress were examined in a pretest-posttest design with a waiting list control group and random assignment. Thirty-eight employees completed the intervention (FACT group= 19; Waiting list control group= 19). The intervention lasted three individual sessions using a protocol with the processes of FAP and ACT, resulting in a protocol named FACT. Results: The FACT group showed statistically significant improvements in distress, burnout, psychological flexibility and anxiety compared with the waiting list control group. Conclusion: These results provide a breakthrough and initial support for the inclusion of FAP in the workplace along with the integration with brief ACT in individual sessions to improve employees’ mental health

Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women

To explore the efficacy of a mindfulness-based weight loss intervention for women. Sixty-two women (ages 19-64; BMI 22.5-52.1) who were attempting to lose weight were randomised to an intervention or control condition. The former were invited to attend four 2-h workshops, the latter were asked to continue with their normal diets. Data were collected at baseline, 4 and 6 months. BMI, physical activity, mental health. At 6 months intervention participants showed significantly greater increases in physical activity compared to controls (p<.05) but no significant differences in weight loss or mental health. However, when intervention participants who reported 'never' applying the workshop principles at 6 months (n=7) were excluded, results showed both significantly greater increases in physical activity (3.1 sessions per week relative to controls, p<.05) and significantly greater reductions in BMI (0.96 relative to controls, equivalent to 2.32 kg, p<0.5). Reductions in BMI were mediated primarily by reductions in binge eating. Despite its brevity, the intervention was successful at bringing about change. Further refinements should increase its efficacy

CMB Anisotropy of the Poincare Dodecahedron

We analyse the anisotropy of the cosmic microwave background (CMB) for the Poincare dodecahedron which is an example for a multi-connected spherical universe. We compare the temperature correlation function and the angular power spectrum for the Poincare dodecahedral universe with the first-year WMAP data and find that this multi-connected universe can explain the surprisingly low CMB anisotropy on large scales found by WMAP provided that the total energy density parameter Omega_tot is in the range 1.016...1.020. The ensemble average over the primordial perturbations is assumed to be the scale-invariant Harrison-Zel'dovich spectrum. The circles-in-the-sky signature is studied and it is found that the signal of the six pairs of matched circles could be missed by current analyses of CMB sky maps

Preliminary psychometric properties of the Acceptance and Action Questionnaire – II: A revised measure of psychological flexibility and acceptance.

The present research describes the development and psychometric evaluation of a second version of the Acceptance and Action Questionnaire (AAQ-II), which assesses the construct referred to as, variously, acceptance, experiential avoidance and psychological inflexibility. Results from 2,816 participants across six samples indicate the satisfactory structure, reliability, and validity of this measure. For example, the mean alpha coefficient is .84 (.78 - .88), and the 3- and 12-month test-retest reliability is .81 and .79, respectively. Results indicate that AAQ-II scores concurrently, longitudinally, and incrementally predict a range of outcomes, from mental health to work absence rates,that are consistent with its underlying theory. The AAQ-II also demonstrates appropriate discriminant validity. The AAQ-II appears to measure the same concept as the AAQ-I (r = .97), but with better psychometric consistency