The relationship between unconditional self-acceptance and cognitive fusion in psychosis

Muntean, Lorena Mihaela; Popa, Cosmin Octavian; Nireştean, Aurel; Cojocaru, Cristiana; Schenk, Alina; Bologh, Flaviu Ioan

doi:10.26416/psih.62.3.2020.3877

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…This is in line with previous research suggesting CF as a core process of PF constitutes a mechanism of change in third-wave CBT in individuals with schizophrenia ( 20 , 43 ). However, while research has shown components of PF to be predictors of social functioning ( 35 ), as well as individual difference factors for psychosis ( 37 , 67 ), in the present study CF was not found to significantly mediate the relationship between mindfulness and overall symptom severity as measured by the PANSS. Therefore, this study highlights the central role of mindfulness and CF as a compoment of PF in treating negative symptoms in particular.…”

Section: Discussioncontrasting

confidence: 91%

“…The other two dimensions, committed action and values, go beyond that concept and are rather behavioral change processes related to CBT guiding persons to become more engaged and active in their lives ( 34 ). PF is hypothesized to be negatively impacted by two core processes: cognitive fusion, namely getting caught in thoughts or emotions, and experiential avoidance, referring to the avoidance or repression of thoughts and emotions ( 35 – 37 ). PF displays a complex construct describing the mechanism of change in the ACT process.…”

Section: Introductionmentioning

confidence: 99%

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Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study

et al. 2022

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In the last decades, third wave approaches in cognitive-behavioral therapies (CBT) have shown effectiveness in treating several mental disorders, including schizophrenia spectrum disorders (SSD). Three crucial processes associated with clinical changes in patients include mindfulness, psychological flexibility (PF) and self-compassion (SC). PF is generally assessed by cognitive fusion (CF), a negative formulated key process of PF. The current study encompasses a cross-sectional design to examine the interplay of mindfulness, CF, SC and symptom severity in SSD. It was hypothesized that mindfulness is negatively correlated with symptom severity, CF mediates the negative relation between mindfulness and symptom severity, and SC moderates the link between mindfulness and CF. In total, 79 persons with SSD were recruited at the Department of Psychiatry and Neurosciences at the Charité – Universitätsmedizin Berlin. Correlations, as well as moderated mediation analyses, were performed using the analysis modeling tool PROCESS with total symptom severity and negative symptom severity as outcome variables, measured by the Positive and Negative Syndrome Scale (PANSS) and the Self-Evaluation of Negative Symptoms Scale (SNS). Results show that the moderated mediation hypothesis was confirmed for negative symptom severity assessed by SNS, however, not for total symptom severity assessed by PANSS. In general, the association between mindfulness and CF was stronger for participants with higher SC scores in our data. Future studies should investigate the relationship between mindfulness, SC, and PF regarding symptom severity in SSD in longitudinal designs while considering the impact on different outcomes and differences regarding assessment tools.

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Section: Discussioncontrasting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study

et al. 2022

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“…According to the theory framework of ACT, one process that is central to PF, as well as a cornerstone of psychopathology, is cognitive fusion (CF) [28]. CF represents the phenomenon in which behaviour is overly regulated and in uenced by cognition rather than external information and where people interpret their thoughts literally rather than recognizing them as transient states [30][31][32]. Distancing from these in exible thoughts is known as cognitive defusion [31].…”

Section: Introductionmentioning

confidence: 99%

“…In conclusion, if persons show high CF, i.e., they identify with various internal states and thoughts, and their cognition is less psychologically exible, which results, according to ACT, in the need to apply interventions aiming at cognitive defusion. Individuals with SSD showed signi cantly more frequent signs of CF than healthy controls [32]. CF was also found to be related to lower levels of mindfulness [33,34] as well as to poor mental health outcomes such as depression and anxiety [31,35,36].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Mindfulness, Psychological Flexibility, and Symptom Severity in Persons with Schizophrenia-Spectrum-Disorders – a Cross-Sectional Study

Hahne,

Segerer,

Zierhut

et al. 2024

Preprint

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The effectiveness of mindfulness-based interventions (MBIs) in enhancing mental well-being and reducing positive, negative, and depressive symptoms in schizophrenia spectrum disorders (SSD) has been demonstrated by a growing body of evidence. However, the underlying mechanisms of MBIs still need further examination. Psychological flexibility (PF), generally assessed by cognitive fusion, has been shown to be associated with clinical change in MBIs. This study used a cross-sectional design to investigate the interplay of mindfulness, PF, and symptom severity in SSD. In total, N = 94 individuals with SSD were included. Correlation and mediation analyses were performed using PROCESS analysis with positive, negative, and depressive symptom severity as outcome variables, measured by the Positive and Negative Syndrome Scale (PANSS) and the Depression Anxiety Stress Scale (DASS-21), respectively. Findings indicated that mindfulness was significantly negatively correlated with positive and depressive symptoms, as well as significantly positively related to PF. A significant mediating effect of PF was found for the relationship between mindfulness and negative as well as depressive symptoms. The current study supports previous research about PF as a possible mechanism of action in MBIs. Still, future research using longitudinal designs, more fine-grained analyses, and mixed-method approaches regarding assessment tools are warranted.

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Accepting and committing to caregiving for schizophrenia—a mixed method pilot study

Chakraborty,

Mitra,

Ray

2024

BMC Psychiatry

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The relationship between unconditional self-acceptance and cognitive fusion in psychosis

Cited by 3 publications

References 15 publications

Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study

Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study

The Relationship between Mindfulness, Psychological Flexibility, and Symptom Severity in Persons with Schizophrenia-Spectrum-Disorders – a Cross-Sectional Study

Accepting and committing to caregiving for schizophrenia—a mixed method pilot study

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