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There are ongoing questions regarding the similarities and differences in the clinical impact and processes of change for cognitive restructuring and cognitive defusion. This clinical component test compared 87 adults high in self-criticism randomized to a cognitive defusion mobile app, restructuring app, or waitlist condition for 2 weeks. Equivalent improvements were found from the defusion and restructuring apps relative to the waitlist on self-criticism and distress as well as decentering, self-compassion, and dysfunctional attitudes. However, the defusion condition had a more consistent pattern of improvements relative to waitlist. Improvements in cognitive decentering, self-compassion, and dysfunctional attitudes mediated effects for cognitive defusion relative to waitlist. These mediators were inconsistent for cognitive restructuring. Improvements in self-compassion and cognitive decentering correlated with improvements in outcomes in the defusion condition, but not the restructuring condition. Overall, these results suggest mobile apps providing cognitive defusion and cognitive restructuring strategies are equally effective, but work through distinct processes of change.
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Baiao, R., Gilbert, P., McEwan, K., & Carvalho, S. (2015). Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study. Psychology and Psychotherapy: Theory, Research and Practice, 88, 438–452. CrossRef
Bangor, A., Kortum, P. T., & Miller, J. T. (2008). An empirical evaluation of the system usability scale. International Journal of Human-Computer Interaction, 24, 574–594. CrossRef
Barrera, T. L., Szafranski, D. D., Ratcliff, C. G., Garnaat, S. L., & Norton, P. J. (2016). An experimental comparison of techniques: Cognitive defusion, cognitive restructuring, and in-vivo exposure for social anxiety. Behavioral and Cognitive Psychotherapy, 44, 249–254. CrossRef
Brooke, J. (1996). SUS: A “quick and dirty” usability scale. In P. W. Jordan, B. Thomas, B. A. Weerdmeester & I. L. McClelland (Eds.), Usability evaluation in industry (pp. 189–194). London: Taylor and Francis.
Cox, B. J., Walker, J. R., Enns, M. W., & Karpinski, D. C. (2002). Self-criticism in generalized social phobia and response to cognitive-behavioral treatment. Behavior Therapy, 33, 479–491. CrossRef
Deacon, B. J., Fawzy, T. I., Lickel, J. J., & Wolitzky-Taylor, K. B. (2011). Cognitive defusion versus cognitive restructuring in the treatment of negative self-referential thoughts: An investigation of process and outcome. Journal of Cognitive Psychotherapy: An International Quarterly, 25, 218–232. CrossRef
Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13, 353–379. CrossRef
Hayes, S. C., & Hofmann, S. G. (2018). Process- based CBT: The science and core clinical competencies of cognitive behavioral therapy. Oakland: New Harbinger.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change. New York: The Guilford Press.
Luoma, J. B., & Platt, M. G. (2015). Shame, self-criticism, self-stigma, and compassion in acceptance and commitment therapy. Current Opinion in Psychology, 2, 97–101. CrossRef
Moffitt, R., Brinkworth, G., Noakes, M., & Mohr, P. (2012). A comparison of cognitive restructuring and cognitive defusion s strategies for resisting a craved food. Psychology & Health, 27, 74–90. CrossRef
Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the Self-Compassion Scale. Clinical Psychology & Psychotherapy, 18, 250–255. CrossRef
Rector, N. A., Bagby, R. M., Segal, Z. V., Joffe, R. T., & Levitt, A. (2000). Self-criticism and dependency in depressed patients treated with cognitive therapy or pharmacotherapy. Cognitive Therapy and Research, 24, 571–584. CrossRef
Segal, Z. V., Teasdale, J. D., & Williams, J. M. G. (2004). Mindfulness-based cognitive therapy: Theoretical rationale and empirical status. In S. C. Hayes, V. M. Follette, & M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition (pp. 45–65). New York: Guilford Press.
Torous, J. B., Levin, M. E., Ahern, D., & Oser, M. (2017). Cognitive behavioral mobile applications: Research literature, marketplace data, and evaluation guidelines. Cognitive and Behavioral Practice, 24, 215–225. CrossRef
Verbeke, G., & Molenberghs, G. (2000). Linear mixed models for longitudinal data. New York: Springer.
Wackerly, D. D., Mendenhall, W., & Scheaffer, R. L. (2008). Mathematical statistics with applications. Belmont: Thomson Brooks/Cole.
Wells, A. (2008). Metacognitive therapy: Cognition applied to regulating cognition. Behavioral and Cognitive Psychotherapy, 36, 651–658. CrossRef
Zelkowitz, R. L., & Cole, D. A. .(2018). Self-criticism as a transdiagnostic process in nonsuicidal self-injury and disorered eating: Systematic review and meta-analysis. Suicide and Life- Threatening Behavior (in press).
Zettle, R. D. (2005). The evolution of a contextual approach to therapy: From comprehensive distancing to ACT. International Journal of Behavioral Consultation and Therapy, 1, 77–89. CrossRef
- Comparing Cognitive Defusion and Cognitive Restructuring Delivered Through a Mobile App for Individuals High in Self-Criticism
Michael E. Levin
Michael P. Twohig
- Springer US
- Cognitive Therapy and Research
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819