Top

Gepubliceerd in:

01-08-2014

Acceptance as a mediator in internet-delivered acceptance and commitment therapy and cognitive behavior therapy for tinnitus

Auteurs: Hugo Hesser, Vendela Zetterqvist Westin, Gerhard Andersson

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 4/2014

Abstract

Despite demonstrated efficacy of behavioral and cognitive techniques in treating the impact of tinnitus (constant ringing in the ears), little is known about the mechanisms by which these techniques achieve their effect. The present study examined acceptance of tinnitus as a potential mediator of treatment changes on global tinnitus severity in internet-delivered acceptance and commitment therapy (iACT) and internet-delivered cognitive behavior therapy (iCBT). Data from 67 participants who were distressed by tinnitus and who were randomly assigned to 1 of the 2 treatments were analyzed using a multilevel moderated mediation model. We predicted that acceptance as measured with the two subscales of the tinnitus acceptance questionnaire (i.e., activity engagement and tinnitus suppression) would mediate the outcome in iACT, but not in iCBT. Results provided partial support to the notion that mediation was moderated by treatment: tinnitus suppression mediated changes in tinnitus severity in iACT, but not in iCBT. However, inconsistent with the view that the treatments worked through different processes of change, activity engagement mediated treatment changes across both iACT and iCBT. Acceptance is identified as a key source of therapeutic change in behavioral-based treatments for tinnitus.

vorige artikel Changes in Routine Health Behaviors Following Late-life Bereavement: A Systematic Review

volgende artikel Motivational interviewing with primary care populations: a systematic review and meta-analysis

Linear time was estimated for several reasons. First, in many situations, especially when the time period is short or when the number of measurement points is few, a linear model can provide a good approximation of complex growth processes (Raudenbush and Bryk 2002). Second, to our knowledge, little is currently known about how the estimated combined multivariate model of mediation performs when non-linear associations are estimated in terms of, for example, accuracy of estimates and SE. Third, and most important, despite the fact that there was room for improvement, linear models provided a reasonable fit to the observed data (fit indices for linear models can be provided upon request from the first author).

We also considered models in which we allowed the effect of the time-varying predictor, TAQ, on the outcome, THI, to vary across individuals (i.e., random effect of the b _j coefficient). Kenny et al. (2003) have suggested to included the covariance of a and b paths in lower level multilevel models in the computation of the standard error of the ab-product. However, as the variance associated with the TAQ was not significantly different from zero in any of the estimated models, and thus, the covariance of a and b paths was fixed at zero.

Andersson, G. (2009). Using the internet to provide cognitive behaviour therapy. Behaviour Research and Therapy, 47, 175–180. doi:10.1016/j.brat.2009.01.010 PubMedCrossRef

Andersson, G., Kaldo-Sandström, V., Ström, L., & Strömgren, T. (2003). Internet administration of the Hospital Anxiety and Depression Scale (HADS) in a sample of tinnitus patients. Journal of Psychosomatic Research, 55, 259–262. doi:10.1016/S0022-3999(02)00575-5 PubMedCrossRef

Arch, J. J., & Craske, M. G. (2008). Acceptance and commitment therapy and cognitive behavioral therapy for anxiety disorders: Different treatments, similar mechanisms? Clinical Psychology Science and Practice, 15, 263–279.CrossRef

Arch, J. J., Wolitzky-Taylor, K. B., Eifert, G. H., & Craske, M. G. (2012). Longitudinal treatment mediation of traditional cognitive behavioral therapy and acceptance and commitment therapy for anxiety disorders. Behaviour Research and Therapy, 50, 463–468. doi:10.1016/j.brat.2012.04.007 CrossRef

Baguley, D. M., Humphriss, R. L., & Hodgson, C. A. (2000). Convergent validity of the tinnitus handicap inventory and the tinnitus questionnaire. Journal of Laryngology and Otology, 114, 840–843.PubMed

Bauer, D. J., Preacher, K. J., & Gil, J. M. (2006). Conceptualizing and testing random indirect effects and moderated mediation in multilevel models: New procedures and recommendations. Psychological Methods, 11, 142–163. doi:10.1037/1082-989X.11.2.142 PubMedCrossRef

Bond, F. W., & Bunce, D. (2000). Mediators of change in emotion-focused and problem focused worksite stress management interventions. Journal of Occupational Health Psychology, 5, 156–163. doi:10.1037//1076-8998.5.1.156 PubMedCrossRef

Davis, A., & El Refaie, A. (2000). Epidemiology of tinnitus. In R. S. Tyler (Ed.), Tinnitus handbook (pp. 1–23). San Diego, CA: Singular.

Davis, C. G., & Morgan, M. S. (2008). Finding meaning, perceiving growth, and acceptance of tinnitus. Rehabilitation Psychology, 53, 128–138. doi:10.1037/0090-5550.53.2.128 CrossRef

Feingold, A. (2009). Effect sizes for growth-modeling analysis for controlled clinical trials in the same metric as for classical analysis. Psychological Methods, 14, 43–53. doi:10.1037/a0014699 PubMedCentralPubMedCrossRef

Flaxman, P. E., & Bond, F. W. (2010). A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training. Behaviour Research and Therapy, 48, 816–820. doi:10.1016/j.brat.2010.05.004 PubMedCrossRef

Forman, E. M., Chapman, J. E., Herbert, J. D., Goetter, E. M., Yuen, E. K., & Moitra, E. (2012). Using session-by-session measurement to compare mechanisms of action for acceptance and commitment therapy and cognitive therapy. Behavior Therapy, 43, 341–354. doi:10.1016/j.beth.2011.07.004 PubMedCrossRef

Gregg, J. A., Callaghan, G. M., Hayes, S. C., & Glenn-Lawson, J. L. (2007). Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 75, 336–343. doi:10.1037/0022-006X.75.2.336 PubMedCrossRef

Hayes, S. C., Levin, M., Plumb, J., Boulanger, J., & Pistorello, J. (2011). Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy. Advanced online publication. doi:10.1016/j.beth.2009.08.002

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy. An experiential approach to behavior change. New York: The Guilford Press.

Hayes-Skelton, S. A., Usmani, A., Lee, J. K., Roemer, L, & Orsillo, S. M. (2012). A fresh look at potential mechanisms of change in applied relaxation for generalized anxiety disorder: A case series. Cognitive and Behavioral Practice. Advanced online publication. doi:10.1016/j.cbpra.2011.12.005

Henry, J. A., Dennis, K. C., & Schechter, M. A. (2005). General review of tinnitus: Prevalence, mechanisms, effects, and management. Journal of Speech, Language, and Hearing Research, 48, 1204–1235. doi:10.1044/1092-4388(2005/084 PubMedCrossRef

Hesser, H., Gustafsson, T., Lundén, C., Henrikson, O., Fattahi, K., Johnsson, E., et al. (2012). A randomized controlled trial of Internet-delivered cognitive behavior therapy and acceptance and commitment therapy in the treatment of tinnitus. Journal of Consulting and Clinical Psychology, 80, 649–661. doi:10.1037/a0027021 PubMedCrossRef

Hesser, H., Molander, P., Jungermann, M., & Andersson, G. (2013). Costs of suppressing emotional sound and countereffects of mindfulness induction: An experimental analog of tinnitus impact. PLoS ONE, 8, e64540. doi:10.1371/journal.pone.0064540 PubMedCentralPubMedCrossRef

Hesser, H., Pereswetoff-Morath, C. E., & Andersson, G. (2009a). Consequences of controlling background sounds: The effect of experiential avoidance on tinnitus interference. Rehabilitation Psychology, 54, 381–389. doi:10.1037/a0017565 PubMedCrossRef

Hesser, H., Weise, C., Zetterqvist Westin, V., & Andersson, G. (2011). A systematic review and meta-analysis of randomized controlled trials of cognitive-behavioral therapy for tinnitus distress. Clinical Psychology Review, 31, 545–553. doi:10.1016/j.cpr.2010.12.006 PubMedCrossRef

Hesser, H., Westin, V., Hayes, S. C., & Andersson, G. (2009b). Clients’ in-session acceptance and cognitive defusion behaviors in acceptance-based treatment of tinnitus distress. Behaviour Research and Therapy, 47, 523–528. doi:10.1016/j.brat.2009.02.002 PubMedCrossRef

Kaldo, V., Cars, S., Rahnert, M., Larsen, H.-C., & Andersson, G. (2007). Use of a self-help book with weekly therapist contact to reduce tinnitus distress: A randomized controlled trial. Journal of Psychosomatic Research, 63, 195–202. doi:10.1016/j.jpsychores.2007.04.007 PubMedCrossRef

Kaldo, V., Levin, S., Widarsson, J., Buhrman, M., Larsen, H.-C., & Andersson, G. (2008). Internet versus group cognitive-behavioral treatment of distress associated with tinnitus: A randomized controlled trial. Behavior Therapy, 39, 348–359.PubMedCrossRef

Kenny, D. A., Korchmaros, J. D., & Bolger, N. (2003). Lower level mediation in multilevel models. Psychological Methods, 8, 115–128.PubMedCrossRef

Kraemer, H. C., Wilson, T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59, 877–883.PubMedCrossRef

Lockwood, A. H., Salvi, R. J., & Burkard, R. F. (2002). Tinnitus. New England Journal of Medicine, 347, 904–910.PubMedCrossRef

MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. New York: Lawrence Erlbaum Associates.

MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83–104. doi:10.1037//1082-989X.7.1.83 PubMedCentralPubMedCrossRef

MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39, 99–128.PubMedCentralPubMedCrossRef

Martinez Devesa, P., Waddell, A., Perera, R., & Theodoulou, M. (2010). Cognitive behavioural therapy for tinnitus. Cochrane Database Systematic Reviews, 9, CD005233. doi:10.1002/14651858.CD005233.pub2

Maxwell, S. E., & Cole, D. A. (2007). Bias in cross-sectional analyses of longitudinal mediation. Psychological Methods, 12, 23–44. doi:10.1037/1082-989X.12.1.23 PubMedCrossRef

McCracken, L. M., & Vowles, K. E. (2006). Acceptance of pain. Current Pain and Headache Reports, 10, 90–94.PubMedCrossRef

McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: Component analysis and a revised assessment method. Pain, 107, 159–166.PubMedCrossRef

McCracken, L. M., Vowles, K. E., & Gauntlett-Gilbert, J. (2007). A prospective investigation of acceptance and control-oriented coping with chronic pain. Journal of Behavioral Medicine, 30, 339–349.PubMedCrossRef

Møller, A. R. (2000). Similarities between severe tinnitus and chronic pain. Journal of the American Academy of Audiology, 11, 115–124.PubMed

Morley, S., Eccleston, C., & Williams, A. (1999). Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behavior therapy for chronic pain in adults, excluding headache. Pain, 80, 1–13.PubMedCrossRef

Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the tinnitus handicap inventory. Archives of Otolaryngology Head and Neck Surgery, 122, 143–148.PubMedCrossRef

Newman, C. W., Sandridge, S. A., & Jacobson, G. (1998). Psychometric adequacy of the tinnitus handicap inventory (THI) for evaluating treatment outcome. Journal of the American Academy of Audiology, 9, 153–160.PubMed

Preacher, K. J., Zyphur, M. J., & Zhang, Z. (2010). A general multilevel SEM framework for assessing multilevel mediation. Psychological Methods, 15, 209–233. doi:10.1037/a0020141 PubMedCrossRef

Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Newbury Park, CA: Sage.

Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177. doi:10.1037//1082-989X.7.2.147 PubMedCrossRef

Scott, B., Lindberg, P., Lyttkens, L., & Melin, L. (1985). Psychological treatment of tinnitus. An experimental group study. Scandinavian Audiology, 14, 223–230. doi:10.3109/01050398509045945 PubMedCrossRef

Snijders, T., & Bosker, R. (2012). Multilevel analysis: An introduction to basic and advanced multilevel modeling (2nd ed.). London: Sage.

Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology 1982 (pp. 290–312). San Francisco: Jossey-Bass.

Turk, D. C., & Okifuji, A. (2002). Psychological factors in chronic pain: Evolution and revolution. Journal of Consulting and Clinical Psychology, 70, 678–690. doi:10.1037//0022-006X.70.3.678 PubMedCrossRef

Veehof, M. M., Oskam, M., Schreurs, K. M. G., & Bohlmeijer, E. T. (2011). Acceptance-based interventions for the treatment of chronic pain: A systematic review and meta-analysis. Pain, 152, 533–542. doi:10.1037//0022-006X.70.3.678 PubMedCrossRef

Vowles, K. E., & Thompson, M. (2010). Acceptance and commitment therapy for chronic pain. In L. M. McCracken (Ed.), Mindfulness and acceptance in behavioral medicine: Current theory and practice (pp. 31–60). Oakland, CA: New Harbinger.

Weise, C., Kleinstäuber, M., Hesser, H., Zetterqvist Westin, V., & Andersson, G. (2013). Acceptance of tinnitus: Validation of the tinnitus acceptance questionnaire. Cognitive Behaviour Therapy, 42, 100–115. doi:10.1080/16506073.2013.781670

Westin, V., Hayes, S. C., & Andersson, G. (2008a). Is it the sound or your relationship to it? The role of acceptance in predicting tinnitus impact. Behaviour Research and Therapy, 46, 1259–1265. doi:10.1016/j.brat.2008.08.008 PubMedCrossRef

Westin, V., Östergren, R., & Andersson, G. (2008b). The effects of acceptance versus thought suppression for dealing with the intrusiveness of tinnitus. International Journal of Audiology, 47, 184–190.CrossRef

Zetterqvist Westin, V., Schulin, M., Hesser, H., Karlsson, M., Zare Noe, R., Olofsson, U., et al. (2011). Acceptance and commitment therapy versus tinnitus retraining therapy in the treatment of tinnitus distress: A randomized controlled trial. Behaviour Research and Therapy, 49, 737–747. doi:10.1016/j.brat.2011.08.001 CrossRef

Titel: Acceptance as a mediator in internet-delivered acceptance and commitment therapy and cognitive behavior therapy for tinnitus
Auteurs: Hugo Hesser
Vendela Zetterqvist Westin
Gerhard Andersson
Publicatiedatum: 01-08-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 4/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-013-9525-6

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 4/2014

The impact of age on outcomes in chronic obstructive pulmonary disease differs by relationship status

The reciprocal relationship between vigor and insomnia: a three-wave prospective study of employed adults

Changes in Routine Health Behaviors Following Late-life Bereavement: A Systematic Review

Associations among pain, pain attitudes, and pain behaviors in patients with metastatic breast cancer

Assessing rumination in response to illness: the development and validation of the Multidimensional Rumination in Illness Scale (MRIS)

Anger regulation style, anger arousal and acute pain sensitivity: evidence for an endogenous opioid “triggering” model