Poster files will be added as we receive them. If you would like your poster file to be added to this list, please email it to Laura at acbsstaff@contextualscience.org.

Location: Melia Sevilla, Planta/Floors -1 & -2

Wednesday, 21 June, 2017, 18:30-19:30 - Poster Session #1 

Friday, 23 June, 2017, 18:15-19:15 - Poster Session #2

Friday, 23 June, 2017, 19:15-20:15 - Poster Session #3

Image denotes ACBS Junior Investigator Poster Award Recipients

Wednesday, 21 June, 18:30-19:30 - Poster Session #1

1. CareACT: Internet-Based ACT for Enhancing the Psychological Wellbeing of Elderly Caregivers
Primary Topic: Clinical Interventions and Interests
Subtopic: Elderly caregivers
Päivi Lappalainen. Ph.D., University of Jyväskylä & Gerocenter Foundation, Finland
Inka Pakkala, Ph.D., Gerocenter Foundation
Riku Nikander, Ph.D., University of Jyväskylä & Gerocenter Foundation

Background: It’s well known that stress, psychological burden, low quality of life and depression are relatively common problems among caregivers. The proportion of elderly caregivers is rapidly increasing, which emphasizes the need for new support systems for caregivers. However, the rehabilitation programmes targeted for caregivers seem to be more effective to promote their physical health but they rarely have long-lasting effects on psychosocial wellbeing of caregivers. Internet-delivered psychological interventions are one possible approach in the field of caregivers’ future support system, offering benefits as they are more easily to achieve for caregivers who often are home-bound with their relatives. Aim of the study: This study will examine whether a guided Acceptance and Commitment Therapy -based online psychological intervention aiming at enhancing wellbeing would be an effective alternative for promoting caregivers quality of life and alleviating depressive symptoms and psychosocial burden. Method: The effects of an ACT-based online intervention on caregivers’ burden, depressive symptoms, anxiety, quality of life, psychological flexibility, personality and physical performance will be studied by quasi-experimental study design comparing three groups of caregivers. Group 1 will receive the 12-week guided ACT-based online intervention (n=50), group 2 receive the standardized rehabilitation programme in the rehabilitation center (n=50); group 3 receive support given by voluntary caregiver organizations (TAU) (n=50). The caregivers’ experiences of web-based intervention will also be measured using open questions. Data collection will be conducted at three time points; baseline, 3 months and 10 months. Results: The first wave of the intervention and data collection is underway. We will present the preliminary results for the first two measurement points (pre and 3-month), and discuss the caregivers’ experiences of the web-based intervention. Conclusions: A challenge in aging societies is to develop effective strategies to promote health and well-being among caregivers who are at increased risk for psychosocial stress, burden and depressive symptoms. Results of this intervention can have impact on society when new rehabilitation strategies will be planned and guidelines for caregivers will be written.

2. Physiological and Experiential Responding During Exposure for Panic Disorder
Primary Topic: Clinical Interventions and Interests
Subtopic: Panic Disorder, Agoraphobia, Exposure
Natalie Tunnell, Southern Methodist University
David Rosenfield, Ph.D., Southern Methodist University
Anke Seidel, Ph.D.
Alicia E. Meuret, Ph.D., Southern Methodist University

Background: The activation of physiological and experiential variables during feared situations has been theorized to play an important role in exposure therapy. Previous research examined if physiological and experiential dimensions are related, but it remains unclear how these two dimensions are related. The goal of this study was to examine the degree to which physiological responding during in-vivo exposure to feared situations mediated experiential responding, and vice versa. Furthermore, we investigated the extent to which prior coping skill training (cognitive appraisal versus respiration regulation) would moderate physiological and emotional responding differently. Method: Participants were 34 individuals meeting DSM-IV diagnostic criteria for panic disorder and agoraphobia. Participants received 3 weekly in-vivo exposure sessions and a 4th session at 2-month follow-up, yielding 122 total sessions for analysis. Cardio-respiratory physiology (heart rate, PCO2, respiration rate) and experiential symptoms (cardio-respiratory symptoms, cognitive symptoms, and anxiety) were assessed throughout exposure sessions, in addition to weekly assessments of panic symptomatology. Multidimensional, longitudinal moderated mediation analyses were employed to assess relatedness and direction of the psychophysiological fear indices. Results. The treatment resulted in significant improvements in panic symptom severity, panic cognition, and functioning. Quadratic trends in cardiac, but not respiratory, responding mediated reductions in the experiential symptoms, and vice versa. Overall reductions in panic symptoms (linear trends), however, were unrelated to changes in cardio-respiratory symptoms, cognitive symptoms, and anxiety during exposure. This mediation pattern was stable across sessions and independent of treatment condition. Discussion. Overall, the results suggest physiological and experiential pathways of change to interact, thus supporting the important role of the physiological dimension in exposure-based treatments of panic disorder.

3. Acting Flexible, Acting Resistant: The Upsides of an ACT Choice. A Randomized Comparison of Acceptance and Commitment Therapy Group Intervention and Cognitive Behavioral Therapy Group for the Treatment of Obese Patients
Primary Topic: Clinical Interventions and Interests
Subtopic: Obesity, Eating Disorder
Roberto Cattivelli, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy
Alessandro Musetti, Department of Literature, Arts, History and Society, University of Parma, Parma, Italy
Margherita Novelli, Istituto Auxologico Italiano IRCCS
Giorgia Varallo, Istituto Auxologico Italiano IRCCS
Chiara Spatola, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy
Emanuele Cappella, Department of Psychology, Catholic University of Milan, Milan, Italy
Gianluca Castelnuovo, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy

Background: Effective weight-management programs often include a combination of physical activity, diet, and psychological intervention. The effects of these programs are frequently not stable, and usually the maintenance of achieved weight-loss lasts only for a short period of time. The purpose of the present study is to compare an Acceptance and Commitment Therapy (ACT) group intervention and a Cognitive Behavioral Therapy (CBT) group in a sample of obese individuals with respect to mid-term outcome. Method: The comparison between ACT and CBT has been assessed in a two arm randomized clinical trial. Both CBT and ACT groups followed an in-hospital intensive four-week treatment for weight reduction that includes dietarian, metabolical, psychological and physical rehabilitation. Participants were assessed before (t0), after in-hospital rehabilitation program (t1) and after six-month (t2). The CORE-OM (Clinical Outcome Routine Evaluation – Outcome Measure) and the AAQ (Acceptance and Action Questionnaire II) were administered to evaluate respectively the psychological functioning and the psychological flexibility. As a measure of weight-loss the weight was recorded. Results and Discussion: The evidence supports the hypothesis that ACT group intervention promotes a mid-term improvement more effectively than CBT group, specifically for Binge Eating Disorder patients. A further comparison of ACT and CBT intervention is required.

4. Adolescents with Type 1 Diabetes: Usefulness of the ACT-Model
Primary Topic: Clinical Interventions and Interests
Subtopic: Diabetes, Adolescents
Iina Alho, M.A. (psych.), Central Finland Health Distrinct & University of Jyväskylä, department of psychology
Raimo Lappalainen, professor, University of Jyväskylä, department of psychology
Mirka Joro, B.A. (psych.), University of Jyväskylä, department of psychology
Laura Juntunen, B.A. (psych.), University of Jyväskylä, department of psychology
Emmiina Ristolainen, B.A. (psych.), University of Jyväskylä, department of psychology
Emma Räihä, University of Jyväskylä, department of psychology

Background: Diabetes can be very challenging disorder to manage and needs a great amount of self-care and daily management. This management tends to deteriorate during adolescence due to both physiological and psychological factors. Poor adjustment to diabetes in adolescents tends to persist to young adulthood. This study aims to study the use of acceptance and value based methods for increasing well-being, psychological flexibility and motivation for treatment. Method: We developed an ACT-based group intervention consisting of five sessions, and invited 12-16 years old diabetics at pediatric policlinic to join the groups. The participants are randomized either to ACT+Treatment-as-usual (ACT+TAU) or TAU-group only. The HbA1c-level is monitored for both groups as well as the psychological flexibility, diabetes related acceptance, depression and quality of life. We have run four intervention groups so far and will continue the data collection until the year 2018. Results: The results suggest that the pre-measurement levels of HbA1c correlate significantly with the levels of psychological flexibility (DAAS, r = -0.52, p = 0.002, n=33; CAMM, r = -0.37, p = 0.032, n = 33). Thus, the lower level of flexibility is associated with higher level of blood glucose. The initial findings based on the first groups suggest that the intervention has positive impact on psychological flexibility as well as on the general quality of life. Discussion: Our results indicate that higher level of psychological flexibility is associated with better control of diabetes. This may suggest that by increasing psychological flexibility we could possible have a positive impact on how well diabetes is controlled. On the other hand, our first observations show that we are able to increase psychological flexibility by using a short 5-session group-based ACT intervention. Based on the initial findings, the ACT-model seems to be suitable for adolescents with type 1 diabetes having difficulties to control their diabetes.

5. An Acceptance-Based Intervention for Children and Adolescents Experiencing Pain During Cancer Treatment: A Single Subject Study
Primary Topic: Clinical Interventions and Interests
Subtopic: Pain in children with cancer
Jenny Thorsell Cederberg, MS, Uppsala University
JoAnne Dahl, Ph.D., Uppsala University
Louise von Essen, Ph.D., Uppsala University
Gustaf Ljungman, Uppsala University

Background and Aim: Children and adolescents with cancer report pain as one of the most frequent and burdensome symptoms during the cancer trajectory. Pain is often associated with psychological distress, which, in turn, increases the pain experience. Psychological acceptance has been shown to improve psychosocial and physical functioning for adults and children with chronic pain. In experimentally induced pain, acceptance-based interventions have been shown to predict decreased pain intensity and experienced unpleasantness of pain and increased pain tolerance. The aim of the study was to preliminarily evaluate an acceptance-based intervention for children and adolescents experiencing pain during cancer treatment, in a single-subject design study. Methods: Children, aged 4-18 years, who were being treated at the Pediatric Oncology Ward at Uppsala University Children’s Hospital and who were reporting pain were offered participation in the study. The children rated pain intensity and experienced unpleasantness of pain at five baseline measurements and at post intervention. The intervention consisted of a 10-15 minutes long acceptance-based pain exposure exercise. Results: Five children/adolescents participated in the study. All participants carried out the exercise. Three of the participants reported decreased pain intensity and all five participants reported decreased unpleasantness of pain after the intervention. Conclusions: An acceptance-based intervention is feasible to implement for children and adolescents with cancer and may be a helpful addition to their coping repertoire when experiencing pain during cancer treatment. Given the design of the study the results are highly tentative and the intervention must be further evaluated.

6. Experiential Avoidance: Comparing Measures from AAQ-II, IRAP and Behavioral Task
Primary Topic: Clinical Interventions and Interests
Subtopic: IRAP
William F. Perez, Ph.D., Paradigma - Center of Behavioral Sciences and Technology
Roberta Kovac, M.A., Paradigma - Center of Behavioral Sciences and Technology; USP - University of Sao Paulo
Ila Linares, Paradigma - Center of Behavioral Sciences and Technology
Sarah Fernandes, Paradigma - Center of Behavioral Sciences and Technology
Gabriela dos Santos, Paradigma - Center of Behavioral Sciences and Technology
Cainã Gomes, Paradigma - Center of Behavioral Sciences and Technology

Experiential avoidance (EA) is supposed to underlie a variety of psychological problems. Studies have frequently used explicit measures, like questionnaires (e.g., AAQ-II), in order to infer the occurrence of EA in participant's daily life. The present study aimed at developing an additional measure of EA using the Implicit Relational Assessment Procedure (IRAP). Adults responded the AAQ-II and were exposed to an IRAP procedure. On IRAP trials, sentences related to "Acceptance" (e.g., It is OK to think, I allow myself to feel...) or "Avoidance" (e.g., I avoid feeling, I can't stand thinking of...) were presented as sample and sentences related to "Positive" (e.g., happy things, pleasant things...) or "Negative" (e.g., things that scares me, things that makes me anxious...) psychological contents were presented as target stimuli along with the words "True" or "False" as response options. After finishing the IRAP, participants were exposed to an avoidance task with aversive images. Results suggest that participants who emitted avoidance responses during the behavioral task responded faster to “True” on Avoid-Negative IRAP trials compared to participants who did not emit any response during the avoidance task. No differences were observed between groups concerning the AAQ-II score.

7. Psychological Flexibility, Health and Wellbeing
Primary Topic: Clinical Interventions and Interests
Subtopic: Mental Health and Psychological Inflexibility
Lidia Budziszewska, MS, Universidad Europea de Madrid, Spain
Pablo Ruisoto, Ph.D., Universidad Europea de Madrid & University of Salamanca
Alberto Bellido, Universidad Europea de Madrid, Spain

Background: A high level of psychological infexibility is often associated with poorer status of mental health and psychological well-being in the population. However, studies in the Latin American context are scarce and cross cultural validation of previous results is needed. The aim of this study is to analyze the relationship between the psychological infexibility and different indicators of health (physical and psychological) in a sample of university students in Ecuador. Method: Measures of psychological infexibility or experiential avoidance Acceptance and Action Questionnaire II (AAQ-II) (Bond et al., 2011) Life Engagement Test (LET) (Scheier et al., 2006). Measures the extent of valued based behaviour Measures of alcohol consumption: Alcohol Use Disorders Identi cation Test (AUDIT) (Babor et al. 2001). Life Satisfaction Question (LSQ) “Overall, how satisfued are you with your current life” Answers ranged from 0 (totally unsatisfied) to 10 (totally satisfied) (Dolan et al., 2011) Measures of anxiety and depression syntoms: Patient Health Questionnaire (PHQ) (Kroenke, 2009) Measures perception of unpredictability, uncontrollability and overload: Perceived Stress Scale (PSS) (Cohen et al.,1983) Measures subjective availability of mainly emotional support: UCLA Loneliness Scale Revised-Short (Hughes et al., 2004) Measures tendency to competitiveness, hostility, aggressiveness, and urgency. Type A Behavior Scale (Haynes, Baker, 1982) variables (Mann-Whitney U). The statistical significance was p <0.05. Results and discussion: 1. Psychological infexibility and engagement in valued oriented behaviour were associated with problematic alcohol consumption. 2. Psychological infexibility was the best predictor of alcohol consumption, while more engagement with value oriented behaviour was the best predictor of life satisfaction. 3. Psychological infexibility was also the best predictor of other health indicators such as anxiety, depression, stress and loneliness. 4. Females reported higher psychological infexibility than males, but we failed to find gender diferences in life engagement.

8. Effectiveness of Acceptance and Commitment Therapy on Shyness in Male Adolescents
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance and Commitment Therapy, Shyness, Male adolescents
Prof. Asghar Aghaei, Isfahan(Khorasgan) branch, Islamic Azad University, Isfahan, Iran
Parvin Tavakoli, M. A., Isfahan(Khorasgan) branch, Islamic Azad University, Isfahan, Iran

The purpose of this study was to investigate the effectiveness of Acceptance and Commitment Therapy on shyness of male adolescents. It was a quasi-experimental research with pretest- post test design and tow months follow up with the experimental and control groups. The statistical population consisted of all male students in second and 3rd grade of high schools in Isfahan city. From this population, sample of 30 students were selected by convenience sampling method, and were randomly assigned to experimental and control groups (15 per group). Subjects in both groups assessed by Stanford Shyness Inventory (1977) at pretest, post test and follow-up. The intervention involved 8 sessions of acceptance and commitment therapy, each last for 1.5 hours, which were administered only to the experimental group. Data were analyzed trough analysis of variance with repeated measures. Results showed that there was no significant difference between the mean scores of experimental and control groups in shyness in post-test and follow up stage. The finding of this study showed that acceptance and commitment therapy was not an effective therapy on this variable.

10. A Systematic Review of Third Wave Online Interventions for Depression
Primary Topic: Clinical Interventions and Interests
Subtopic: Online interventions
Marco A. Sierra, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Cindy L. Flórez, Fundación Universitaria Konrad Lorenz

Online psychological intervention is an emerging field which primary objective is to deliver therapeutic assessment through information and communication technologies, being a legitimate therapeutic activity and a promising alternative to traditional psychotherapy. The third wave of behavioral and cognitive psychotherapies is a diverse group of empirically supported treatment approaches that comprehends acceptance and commitment therapy (ACT; Hayes, Strosahl, & Wilson, 1999), functional analytic psychotherapy (FAP; Kohlenberg & Tsai, 1991), behavioral activation (BA; Martell, Addis, & Jacobson, 2001), dialectical behavioral therapy (DBT; Linehan, 1993), metacognitive therapy (MCT; Wells, 2009), mindfulness-based cognitive therapy (MBCT; Segal, Teasdale, & Williams, 2004), and rumination-focused cognitive-behavioral therapy (RF-CBT; Watkins, 2016). There is little research on the efficacy of online psychological interventions developed under this approaches. The present study pretends to analyze the efficacy of online psychological interventions conceived from any of the third wave approaches to psychotherapy and explicitly designed for the treatment of depression.

11. Are Pain Acceptance and Willingness Stable Constructs or Psychological States Influenced by Pain Intensity?
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic pain
Carlos Suso-Ribera, University Jaume I. Castellon (Spain)
Diana Castilla-López, University Jaume I. Castellon (Spain)
Irene Zaragozá-Álvarez, CiberFisiopatologia Obesidad y Nutrición (CB06/03 Instituto Salud Carlos III)
María Victoria Ribera-Canudas, Pain Unit. Vall d'Hebron Hospital
Cristina Botella, University Jaume I. Castellon (Spain)
Azucena García-Palacios, University Jaume I. Castellon (Spain)

Background: Pain acceptance and willingness are important predictors of functioning in pain settings. However, a controversy exists as to whether pain acceptance and willingness are psychological states influenced by pain intensity or stable constructs that can only be changed with psychological treatment. The aim of our study was to test whether pain acceptance and willingness change as pain intensity decreases or they remain stable even if pain is treated. Method: To achieve this goal we monitored 37 pain patients using an app called “Pain Monitor” developed by our team. Patients responded to a measure of pain intensity, acceptance, and willingness daily during 30 days. Results: We did not find changes in pain acceptance or willingness including patients who had a clinically significant reduction in pain (>30%). Discussion: Our results suggest that pain acceptance and willingness are enduring psychological characteristics that may require psychological treatment to be changed. Results support the need for a multidisciplinary treatment of chronic pain.

12. Effect of Brief ACT Protocol Focused on the Use of the Metaphorical Body Language
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT
Beatriz Harana Lahera, Ph.D. Student, Madrid Institute of Contextual Psychology (MICPSY)
Evangelina Ruiz García, MSc, Madrid Institute of Contextual Psychology (MICPSY)
Elena Belmonte Padilla, BS, Madrid Institute of Contextual Psychology (MICPSY)
Manuel Ariza Bernal, BS, Madrid Institute of Contextual Psychology (MICPSY)

The Acceptance and Commitment (ACT) therapeutic depends essentially on the use of metaphors.The main aim of this current study is the application of brief acceptance and commitment therapy (ACT) protocol focused on testing the effects of metaphors where bodily movement constitutes the source. A n=1 design is used with four adults with a compulsive – obsessive profile. The protocol was implemented successively across participants, and in turn, it was structured in three session based on the three key therapeutic strategies (Törneke, Luciano, Barnes-Holmes, & Bond, 2016): creative hopelessness, defusion, valued action. Different psychological flexibility and valued action measures will be used as pre-, in-trial and post-test. Results will be mainly discussed the need to conduct a clinical trial to compare the use of metaphorical body language in ACT with other types of therapy that specifically uses the body in the work for therapeutic change.

13. Effectiveness of Acceptance and Commitment Therapy as a Treatment for Veterans with Chronic Posttraumatic Stress Disorder
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD
Ellen J. Bluett, M.S., Utah State University
Brandon Yabko, Ph.D., Salt Lake City Veterans Affairs Medical Center
Michael Twohig, Utah State University

Background: Posttraumatic Stress Disorder (PTSD) is a common condition among military personal and veterans. Despite strong empirical support for first line treatments for PTSD, many individuals do not respond, demonstrate minimal gains post-treatment, and do not complete treatment (Garcia, Kelley, Rentz, & Lee, 2011; Steenkamp, Litz, Hoge, & Marmar, 2015). Some literature suggests, that avoidance may be the underlying factor contributing to treatment dropout and poor treatment gains (Walser & Westrup, 2007). Acceptance-based interventions target experiential avoidance and promote willingness to experience thoughts, feelings, and/or emotions, without changing their form, meaning, or frequency. One such therapy, Acceptance and commitment therapy (ACT) is an empirically supported cognitive behavioral intervention that aims to decrease experiential avoidance while increasing psychological flexibility. Research has shown ACT to be a promising intervention for the treatment of PTSD, however its effectiveness in veterans with chronic PTSD is limited. Taken together, the prevalence and chronicity of PTSD amongst military personal, along with the limitations of existing treatments, warrants the investigation of alternative treatment options for veterans with PTSD. Methods: Implementing an eight-week closed group design, this study examined the effectiveness of an ACT intervention for veterans with PTSD and subclinical PTSD who had previously completed a first line intervention for PTSD. Thirty-three veterans enrolled in the intervention, which focused on vitality (e.g., increasing valued living and decreasing experiential avoidance) rather than symptom reduction. A majority were male 87.9% (n = 29), White 84.8% (n = 28) with an average age of 49.6 (16.31). Results: Results found that 64.7% of veterans showed a favorable response to treatment as measured by a 5-point change in PTSD symptoms. One-way repeated measures ANOVAs (within-subject ANOVAs) were used to determine whether there was a statistically significant difference between pre-treatment, post-treatment, and follow-up on outcomes of interest. Results revealed a significant effect of time on PTSD symptoms, F(2, 64) = 3.40, p = .04, partial η2 = .096, with a small to moderate effect size, d = 0.31. Additional outcomes of interest including valued-living, depression, wellbeing, and moral injury by transgressions improved from pre-treatment to post-treatment. Of note, a majority of treatment gains were not maintained at follow-up. Discussion: Overall, results provide preliminary support for ACT as a second-line intervention for veterans with chronic PTSD. Findings from this study suggest that stepped-models of care for veterans with PTSD should be explored. Empirical and clinical implications are discussed along with the potential limitations and future directions of this study.

14. Effectiveness of Acceptance and Commitment Therapy on Resiliency and Codependency of Mothers of Addicts
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT, Resiliency, Codependency, mothers, addicts
Leili Nourian, Ph.D student, Isfahan(Khorasgan) branch, Islamic Azad University, Isfahan, Iran

The purpose of this research was to determine the effectiveness of acceptance and commitment therapy on resiliency and codependency of mothers of addicts. The research used semi-experimental method with pretest-post test design with a control group. For this purpose, 32 subjects were selected via convenience sampling among the mothers of addicts who referred to an addiction treatment center of Isfahan (Iran). They were randomly divided into two groups of experimental and control groups (n1=n2=16). Both groups completed Connor – Davidson Resiliency Scale (CD-RISC) and Halyock Codependency Index (HCI) before and after the training (10 sessions, 1.5 hours each). Results of covariance analysis showed a significant increase in resiliency and significant decrease in codependency at the post test (P<0.05). The finding of this study confirmed the efficacy of acceptance and commitment therapy on resiliency and codependency of mothers of addicts.

15. Effectiveness of ACT in a PTSD Specialty Partial Hospitalization Program
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD
Catherine D'Avanzato, Ph.D., Brown Medical School; Rhode Island Hospital
Darren Holowka, Ph.D., Brown Medical School; Rhode Island Hospital
Sarah McCutcheon, M.S., Rhode Island Hospital
Kirsten Langdon, Ph.D., Rhode Island Hospital
Brian Pilecki, Ph.D., Rhode Island Hospital
Mark Zimmerman, M.D., Brown Medical School; Rhode Island Hospital

There has been growing research on Acceptance and Commitment Therapy (ACT) for the treatment of Posttraumatic Stress Disorder (PTSD), however RCTs and other studies examining its efficacy have lagged behind the research on ACT for other presenting concerns. Research on the efficacy of ACT in higher level care settings, including partial and inpatient hospital programs, is particularly lacking. ACT’s transdiagnostic approach may offer several advantages over traditional cognitive and behavioral interventions in the treatment of individuals with PTSD and trauma-related concerns in higher level care settings, who often present with high rates of comorbidity, greater complexity, and difficulties with a broad range of emotions including not only fear and anxiety, but also guilt and shame (Orsillo & Batten, 2005). The aims of this study are to examine the effectiveness of an ACT-based specialty track within a routine partial hospitalization setting. Previously, we presented preliminary results demonstrating significant reductions in PTSD symptoms, as indicated by the PTSD Check List (b = 1.1, t(58) = -2.6, p = .013), as well as ACT processes (FFMQ Mindfulness, t=3.9, p<.01, AAQ-II Psychological Flexibility, t=2.8, p<.05) in a small subset of 100 participants. Outcome data collected daily and at pre- and post- treatment on a complete sample of over 1,000 individuals completing the trauma track will be presented. Results on symptom change, functioning and quality of life, as well as ACT processes and their relation to treatment outcomes, will be presented. Implications for the integration of ACT for PTSD in similar routine clinical settings will be discussed.

16. Effects of a 12-Month Compassion-Focused Intervention in a Commercial Weight Management Programme: Self-Reassurance and Self-Compassion as Processes of Change
Primary Topic: Clinical Interventions and Interests
Subtopic: Weight management interventions
Cristiana Duarte, MSc, Ph.D. Candidate, Cognitive and Behavioural Centre for Research and Intervention, University of Coimbra
Carol Stalker, Ph.D. Student, College of Life and Natural Sciences, University of Derby
Francisca Catarino, MSc., College of Life and Natural Sciences, University of Derby
Jaskaran Basran, College of Life and Natural Sciences, University of Derby
Paul Gilbert, Ph.D., College of Life and Natural Sciences, University of Derby
Graham Horgan, Ph.D., Biomathematics and Statistics Scotland, Rowett Institute of Nutrition and Health
Liam Morris, Slimming World
James R. Stubbs, Ph.D.

Background: This study tested whether adding Compassion Focused Therapy (CFT) online video exercises into a commercial weight-management programme (WMP) helped individuals control eating behaviour compared to the regular programme, and whether changes in binge eating symptomatology were mediated by increases in self-reassurance related to aspects of eating, body weight and shape and by increases in self-compassion. Method: This was a two-arm, non-randomised parallel design (i) control arm: multicomponent WMP (ii) intervention: the same multicomponent WMP with the addition of 2 days CFT training for weight management group leaders and 8 online video exercises. Participants joined the trial arm to which their group leader was allocated: intervention (n = 428) or control (n = 547). Results: In the intervention group, there were small, significant reductions in binge eating symptomatology, self-criticism, shame (at 3-12 months), and emotional distress (3-6 months); and increases in self-reassurance and self-compassion (3-12 months). At 3 months, effects of the intervention on binge eating symptoms were significantly mediated by increases in self-reassurance and self-compassion. Discussion: Combining online digital CFT exercises and weight management behavioural skills may improve psychological wellbeing and reduce binge eating symptomatology for some people.

17. Evaluating Longitudinal Changes in Undergraduates’ Suicidal Ideation and Alcohol Use with a Brief Personalized Feedback Intervention Integrating Dialectical Behavior Therapy and Motivational Interviewing
Primary Topic: Clinical Interventions and Interests
Subtopic: College students, DBT, suicide, alcohol use, brief interventions
Charlotte D. Brill, M.S., University of Washington, Department of Psychology
Ursula Whiteside, Ph.D., NowMattersNow.org
Megan M. Kennedy, M.A., LMHC, University of Washington, Division of Student Life, Health and Wellness

Background: Suicidality and maladaptive alcohol use are both highly common among undergraduate college students in the United States (e.g., Lamis et al., 2014, 2016; Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). These mental health issues frequently present comorbidly among undergraduates, such that, the more maladaptive undergraduates’ alcohol use, the greater their likelihood of experiencing suicidality (e.g., Gonzalez et al., 2009; Lamis et al., 2014, 2016; Schaffer et al., 2008). Efficacious brief interventions that target undergraduate students’ maladaptive alcohol use, such as the Brief Alcohol Screening and Intervention for College Students (BASICS) curriculum (Dimeff et al., 1999), exist; however, it is likely that such interventions do not fully address the needs of undergraduates who experience comorbid suicidality. In this study, we sought to address these unique needs with a modification of the existing BASICS program that incorporated content and principles of Dialectical Behavior Therapy (DBT), a third-wave behavior therapy that has been efficacious in treating suicidality and substance abuse (e.g., Linehan et al., 1999). Method: Participants were 35 undergraduate students (65.7% women) who reported heavy alcohol use and mood and/or anxiety symptoms. The intervention, DBT-BASICS, was delivered one-on-one in a 60-minute session. DBT-BASICS consisted in the traditional components of the BASICS intervention – feedback regarding drinking behavior, norms, consequences, and risk reduction tips, delivered in a Motivational Interviewing style – as well as feedback regarding depression and anxiety levels and related norms, identification and reinforcement of existing coping skills, and brief training in three skills from the skills group component of DBT. Prior to completing the intervention (i.e., baseline), participants completed measures on suicidal ideation, number of standard drinks consumed per week, past-month frequency of binge drinking episodes, and past-month alcohol-related problems. One- and three-months after completing DBT-BASICS, they completed the same self-report measures. Results: At both one- and three-months after completing DBT-BASICS, participants consumed fewer standard drinks per week, engaged in fewer episodes of binge drinking in the past month, and experienced fewer alcohol-related problems in the past month than they had at baseline. Baseline and one-month follow-up suicidal ideation severity did not differ; however, three-month follow up suicidal ideation severity trended towards significantly lower than baseline suicidal ideation. Discussion: Findings provide initial support for the efficacy of DBT-BASICS in reducing suicidal ideation as well as drinking problems among undergraduate students.

18. Evaluating the Effectiveness of One-Day Group Acceptance and Commitment Therapy Workshop for Non-Patient Irritable Bowel Syndrome: A Pilot Randomized Controlled Trial
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance and Commitment Therapy, Irritable Bowel Syndrome, one-day intervention
Masataka Ito, M.A., Graduate school of psychology, Doshisha Unversity
Takashi Muto, Faculty of Psychology, Doshisha University

Back ground: Irritable Bowel Syndrome (IBS) is one of the most common functional disorders. Psychological treatment is effective for IBS patients. It is said that majority of IBS patients have gone through a period of non-patient IBS. However, Intervention for non-patients IBS have rarely been investigated. The current study examined the efficacy of one-day group ACT workshop for the non-patient IBS. Methods: 130 undergraduates who scored above the clinical cutoff in the Irritable bowel syndrome severity index recruited into this study as IBS non-patient. 25 non-patients who can participate one-day workshop were randomized to an intervention group or a waitlist group. Assessment were made at pre, post, 2 month, and 6 month. Intervention followed the protocol that is listed in ACBS web site as “ACT for Irritable Bowel Syndrome”. Results: Marginally significant difference in favor of ACT was seen in symptom severity and significant difference in a part of QOL at post assessment, but not in secondary and process measures at post assessment Discussion: The results showed one-day group ACT workshop improved IBS severity. This effect may not be caused by ACT, because proses measures did not show the significant change. Although there are some of limitations, one-day ACT workshop is promising approach for IBS non-patients.

19. Predictors of Adolescent Readmission after Psychiatric Hospitalization: An Assessment of the Impact of Psychiatric Follow-Up/Aftercare
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychiatric Hospitalization
Kendra J. Homan, Ph.D., Mayo Clinic, Rochester MN
Susan L. Crowley, Ph.D., Utah State University, Logan UT
Jarrod M. Leffler, Ph.D.

Adolescent psychiatric illness is associated with a range of negative sequelea including poor academic outcomes, substance abuse, suicidality, and adult psychiatric illness. Concerns related to the severity of impairment increases the need for intensive levels of mental health care. For adolescents in an acute psychiatric crisis, inpatient psychiatric hospitalization is often necessary and is associated with improvements on global assessment scales at one-year follow-up after discharge (Green et al., 2007). However, hospitalization is not without limitations including annual costs over $3.9 billion, high rates of rehospitalization (34%-38% in 1 year), restrictive environment, lack of family involvement, and decreased hospital bed availability (Blader, 2004; Fontanella, 2008; Geller & Biebel, 2006; Ringel & Sturm, 2001). Factors associated with hospital readmission remains poorly understood. Several studies have examined the impact that patient (e.g., gender, diagnoses, severity of symptoms, comorbidity), family (e.g., parental mental illness, parental involvement), and treatment (e.g., length of stay, prior hospitalizations) characteristics have on IPH recidivism with mixed results. However, the impact of psychiatric follow-up/aftercare on readmission has not been investigated. Given the high rates of adolescent inpatient psychiatric hospitalization in the general adolescent population (969 per 100,000), understanding factors that contribute to readmission has important implications for decreasing IPH recidivism. The purpose of this study was to examine the impact that psychiatric follow-up/aftercare factors have on readmission. A retrospective cohort review of all adolescent patients (ages 12-17.9) who were consecutively admitted for a psychiatric hospitalization at a Midwestern hospital between January 1, 2015 and March 15, 2015 was conducted. The cohort consisted of 36 patients (M age=14.79 years, SD=1.3; 69.4% female; 80.62% White). Psychiatric follow-up/aftercare appointments made during hospitalization (i.e., medication management, psychotherapy, intensive outpatient therapy, chemical dependency treatment), appointment attendance within the first month following discharge, and psychiatric readmission was abstracted from patients’ medical/psychiatric records. Readmission was defined as an inpatient hospitalization occurring within two years of the adolescent's index admission. Results indicated that 10 patients (27.8%) were rehospitalized within two years of index admission. There was no statistically significant association between readmission and medication management appointment attendance, χ(1) = 0.016, p=.900, individual psychotherapy attendance, χ(1) = 0.002, p=.964, or intensive outpatient therapy attendance, χ(1) = 0.985, p=.321. There was, however, a statistically significant association between readmission and chemical dependency treatment attendance, χ(1) = 5.002, p=.025. Results of this preliminary review suggest that in general psychiatric follow-up/aftercare was not associated with psychiatric readmission. Implications for discharge planning and psychiatric follow-up/aftercare are discussed. Results are discussed in terms of the broader literature on readmission concerning the ongoing challenges in the field to better understand this concept.

20. The Effect of ACT WS for Teachers and Staffs Working for Children Having Disabilities II
Primary Topic: Clinical Interventions and Interests
Subtopic: Parent, children, disabilities
Shinji Tani, Ritsumeikan University
Kotomi Kitamura

Background: Teachers and staffs that are working with children and their parents learn the skills of ACT, and teach them mindfulness skills and other relating skills to ACT. It could be useful. Furthermore, teachers and staffs often have some mental health issues. Therefore, it could be beneficial for them to learn ACT on both children and themselves. The purpose of this research is to investigate the effects of ACT WS on acquisition of knowledge and skills of ACT, and mental health of participants. Methods: 38 participants attended the workshop. Three participants did not agree with the attendance of this research. 35 participants were divided into two groups for the waiting-list design (not randomized). The participants of waiting group attended workshop one week after finishing workshop for the experimental group. The participants of both the experimental group (N=18) and the waiting group (N=17) answered the questionnaires four times (Time1, Time2, Time3, and Time4). Four questionnaires (AAQ-II, BDI-II, FFMQ, and CFQ) were used to assess the effectiveness of the workshop. The knowledge test was also used to evaluate the knowledge of ACT. Workshop was conducted in a group format. It lasted for about five hours in a day. The textbook and PP slide were used. The common exercises and metaphors from ACT were provided, and the participants shared their experiences with each other. Results: The data getting from 24 participants who answered all questionnaires were analyzed. ANOVA (time*group) revealed the score CFQ (fusion) and knowledge test showed the significant interaction (time*group). The time effect was significant in AAQ-II, FFMQ (Observing), and BDI-II. T-test was conducted by getting two group data together in order to assess the effect between before and after the workshop. The result showed that the score of FFMQ (observing), CFQ (fusion), and the knowledge test were significantly changed after the workshop. Conclusion: The effects of the workshop were confused, because the effect of time was large. Many participants showed better mental health conditions before the workshop. The effects of the workshop on mental health were smaller.

21. The ACTonHEART Study: Feasibility, Acceptability and Preliminary Efficacy of a Brief Intervention Based on Acceptance and Commitment Therapy in a Cardiac Rehabilitation Setting
Primary Topic: Clinical Interventions and Interests
Subtopic: Cardiovascular disease
Chiara A.M. Spatola, Ph.D., Catholic University of the Sacred Heart; Istituto Auxologico Italiano
Cattivelli Roberto, Ph.D.
Emanuele A.M. Cappella, Catholic University of Sacred Heart, Milan
Giada Rapelli, Istituto Auxologico Italiano, Milano
Gianluca Castelnuovo, Catholic University of Sacred Heart, Istituto Auxologico Italiano, Milano
Enrico Molinari, Catholic University of Sacred Heart, Istituto Auxologico Italiano, Milano

Background: Modifiable risk factors, including life-style habits and psychological variables, account for approximately 90% of the population risk for cardiac events. Acceptance and Commitment Therapy (ACT) has been successfully applied to promote healthy behaviors and psychological well-being in patients with a number of chronic physical conditions. The aim of the present study is to evaluate the feasibility and acceptability of a new acceptance-based program for the modification of cardiovascular risk factors and the improvement of psychological well-being, compared to usual secondary prevention care. Method: A total of 60 patients have been recruited from an outpatient cardiac rehabilitation unit and randomly assigned to receive usual care or usual care + a brief ACT-based intervention. An unbalanced randomization has been applied with a 2:1 ratio, resulting in 39 participants assigned to the ACT group and 21 to the control group. The ACT group was administered three group therapy sessions, integrating educational topics on heart-healthy behaviours with acceptance and mindfulness skills. Data has been collected at baseline and post-treatment, while follow-up assessments are not yet available. Outcome measures include biological and functional indicators of cardiovascular risk (LDL cholesterol levels, body mass index and exercise capability) and self-reported psychological well-being (Psychological Well-Being Index). Moreover, in order to evaluate acceptability rates and satisfaction about the program we analyzed patients’ feedbacks collected through qualitative interviews. Results: The qualitative analysis of patients’ transcripts revealed interest about the experiential approach of the intervention, in particular mindfulness modules and metaphors. However, some patients suggested the need of a more intensive program with additional sessions, so that to achieve a deeper understanding of ACT principles and maintain its effects. In this regard, the desire for a follow-up meeting after the rehabilitation period strongly emerged. As for the efficacy, preliminary results showed significant changes in depression and well-being scores, in the ACTonHEART participants but not in the control group. Furthermore, a significant improvement in exercise capability was detected in all participants, regardless of treatment condition. Finally, in a subsample of patients with LDL cholesterol values above 80 we found a significant change of this indicator only in the experimental arm. Discussion: The ACTonHEART program showed good feasibility and acceptability, as reflected both by patients’ interviews and low drop-out rates. The results provided first evidence of efficacy in modifying some relevant cardiovascular risk factors during the program. However the overall aim of the ACTonHEART project is to evaluate the long-term maintenance of the changes, which will be possible only after the 12-months follow-up. Finally, we will discuss the implications of both quantitative and qualitative data in order to optimize program contents and its implementation. Trial registration: clinicaltrials.gov/ (NCT01909102)

22. The Connection Between the Relationship-Focused Values and Cortisol in Women with Breast Cancer
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness
Soultana Mpoulkoura, San Jose State University
Kendra Fisher, San Jose State University
Jannet Lara, San Jose State University
Jennifer Gregg Ph.D., San Jose State University

Diagnosis with cancer brings significant challenges for survivors attempting to live full and meaningful lives. Studies have demonstrated that perceived social support may be related to both psychological variables and cortisol variability (Dukes Holland & Holahan, 2003; Turner-Cobb, Sephton, Koopman, Blake-Mortimer, Spiegel, 2000). This is important in that cortisol variability has been shown to be a predictor of long-term survival in breast cancer patients (Sephton, Sapolsky, Kraemer, & Spiegel, 2000). The present study sought to investigate how relationship-focused values impact psychological variables, quality-of-life, and cortisol variability in a group of early stage breast cancer patients (N = 41) exhibiting elevated levels of stress. Results indicate that marital status and relationship values serve as a significant predictor of diurnal cortisol. Results are discussed in terms of future research needed and possible applications of these findings.

23. The Effect of Universal Program Based on ACT for Adolescents Under Unusual Stress
Primary Topic: Clinical Interventions and Interests
Subtopic: Universal program, Adolescents, Self-esteem
Tomu Ohtsuki, Ph.D., Waseda University, Japan
Kenichiro Ishizu, Ph.D., University of Toyama, Japan
Yoshiyuki Shimoda, Ph.D., Saga University, Japan

Previous studies have provided evidence that experiential avoidance, which is a key concept in Acceptance & Commitment Therapy (ACT), is associated with mental health in adolescents, such as depression (Biglan et al., 2015; Paulus et al., 2016), well-being (Venta et al., 2012; Ciarrochi et al., 2011). But few studies have examined to evaluate the efficacy of ACT, especially universal intervention programs for adolescents. The present study explored the effect of the ACT based universal programs that aimed to enhance self-esteem and reduce depressive symptom for adolescents under unusual stress. Participants were 347 junior high school students preparing for a high school entrance exam. This study was conducted just a month before their exam. Participants were assigned to an ACT based intervention condition or a control condition in accordance with their school classes. Self-report measures which assess the tendency of experiential avoidance, depressive symptom, and self-esteem were collected at pre-intervention, post-intervention, and follow-up. The ACT based intervention which the authors developed was a class-wide universal program consisted 4 sessions (each 50 min) and focused a process of acceptance, value, and commitment. The results showed that ACT intervention prevented to increase experiential avoidance, enhanced self-esteem, and reduced depressive symptom, compared to the control group. Especially ACT intervention led to a significant increase in self-esteem regardless of the participant’s tendency of experiential avoidance at pre-intervention. These results provide evidence for the efficacy of ACT intervention program for adolescents. Additionally, present study shows the validity of ACT for the universal program aimed to enhance self-esteem in young generation.

24. Social Rank and Psychosis: Understanding Their Role in the Pathway to Depression
Primary Topic: Clinical Interventions and Interests
Subtopic: Self-compassion, depression and psychosis
Joana Gonçalves, University of Coimbra
Ricardo Viegas, University of Coimbra
Paula Castilho, Ph.D., University of Coimbra
Maria João Martins, University of Coimbra

Background: Previous studies have already shown how the experience of psychosis might be appraised as leading to greater personal loss and humiliation, which seems related with the emergence of comorbid depression. It has been also argued that depression might occur due to a compassionate deficit towards the self. Nevertheless, although the relationship between shame, self-compassion and depression have been empirically established, it remains unexploited in psychosis. This study aimed to explore the predictor role of shame and self-compassion in the experience of depressive symptoms in a sample of patients with psychosis. Method: Until now, 30 participants diagnosed with Psychotic Disorders completed self-report scales for the evaluation of external shame, self-compassion and depressive symptoms. Results: Preliminary results showed that higher levels of external shame and lower levels of self-compassion appear to be associated with depressive symptoms, and self-compassion emerges as explanatory factor of 40% of the variance of depression. Discussion: These results are in agreement with those reported by previous studies that analysed the role of self-compassion in depression and at the same time, seem to suggest that self-compassion might be an important target for interventions aiming to address depression during the course of psychotic disorders.

25. Stressors and Guilt in Dementia Caregivers: The Mediator Role of Cognitive Fusion
Primary Topic: Clinical Interventions and Interests
Subtopic: Caregivers, Guilt, Cognitive fusion
Laura Gallego-Alberto, M.A., Universidad Autónoma de Madrid
María Márquez-González, Ph.D., Universidad Autónoma de Madrid
Rosa Romero-Moreno, Ph.D., Universidad Rey Juan Carlos
Carlos Vara-García, M.A., Universidad Rey Juan Carlos
Isabel Cabrera, Ph.D., Universidad Autónoma de Madrid
Andrés Losada, Ph.D., Universidad Rey Juan Carlos
Jorge Aguilar-Álvarez, M.A., Universidad Autónoma de Madrid

Background: Caring for a relative with dementia has been associated with poor physical and psychological health. Although feelings of guilt are frequent among caregivers, the studies analyzing guilt in caregiving are limited. Behavioral and psychological symptoms of dementia in the care recipient (CR) may likely activate caregivers´ "negative" thoughts and feelings about him/her, and high levels of cognitive fusion may mediate the effects of these private experiences on emotional well-being, leading to guilt feelings. Objective: The goal of the present study is to analyze the mediator role of cognitive fusion in the relationship between the distress associated with disruptive behaviors of the CR and the caregivers´ guilt. Method: Participants are 173 dementia family caregivers. Face to face interviews were done assessing sociodemographic variables (e.g., gender, age), caregiver guilt, cognitive fusion and distress associated with behavioral and psychological symptoms in dementia (BPSD) of the CR. Hierarchical regression analyses were carried out to analyze the mediator effect of the cognitive fusion in the relation between distress associated with BPSD and caregivers ‘guilt, after controlling for the sociodemographic variables. Results: Significant and positive associations were found between distress associated with BPSD, cognitive fusion and guilt. We found a significant partial mediator effect of cognitive fusion in the relation between the distress associated with BPSD and caregivers’ guilt (β = 0.36, p <0.001.). Also, caregiver age showed a significant effect on guilt (β = -0.16, p <0.05.). Results of the Sobel test suggest that the association between distress associated with BPSD of the CR and guilt is significantly mediated by cognitive fusion (z’ = 3.21, p<0.001). Discussion: Our findings suggest that cognitive fusion is a relevant variable to understand the guilt experienced by caregivers. The results obtained suggested that defusion strategies may be of potential use in interventions aimed to decrease high levels of guilt in family caregivers.

26. Support Group for Parents of Children with Intellectual Disability
Primary Topic: Clinical Interventions and Interests
Subtopic: Parental skills empowerment
Dr. Lucia Marconi, Nation Health Service, Tuscany Northwest USL, Viareggio
Dr. Giovanna Canepa, Nation Health Service, Tuscany Northwest USL, Viareggio
Dr. Michele Carrozzini, Accademy of Cognitive and Behavioural Science, Parma

Background: The idea to start a support group for parents of children with intellectual disability grows up from the always more significant need for the families whose children have cognitive and behavioural problems. In the Territorial Service for Childhood and Adolescence Mental Heatlh ASL Nord-Ovest Toscana - Viareggio is always more common the request to take in charge children and adolescents with intellectual and learning diseases; usually these interventions last a lot, most of the time until the age of majority. Furthermore, jointly with the intellectual disability, we usually find some related problematic behaviour in the children, that questions the educational system of their parents. The behavioural problems of the child are basically correlated to worries, low self-esteem and fears of the parent about his or her role, and therefore to experienced stress feelings, external attribution of cause and low parental satisfaction (Hassall R., Rose J. & McDonald J., 2005). A lot of evidence-based reaserches demonstrated the principle “good parenting, good outcomes”: empowering the parenting skills we can obtain permanent improvements in learning, generally, in the growth processes and, generally speaking, in the welfare of the children (Cornish, 2008; Larivée et al., 2006; Nixon et al., 2005; Weiss et al., 2006). Method: The group was composed by 7 couples of parents with at least a child with intellectual disability (from 8 to 11 years old). We structured 8 meetings fortnightly, 90 minutes long, lead by the psychologist and the child psychiatrist of the Territorial Service. The main arguments choosen for the group were the following: • Positive qualities of the children • Parenting skills • Recovering activities • Support from the social network • Worries and fears of the parents Furthermore, in order to consider the specific needs of all the subjects and to customize the meetings, we built an ad hoc questionnaire that they filled in at the beginning of the first meeting. During the sessions we used specific material to work with parents of children 0-11 years old (Sostenere la genitorialità – strumenti per rinforzare le competenze educative, Lavigueur S., Coutu S. & Dubeau D., 2011). It is based on a great reaserch programme on parenting skills and on the activities that can empower them (Lavigueur S., Coutu S. & Dubeau D., 2001, pp. 171 – 220). Expected Results: First of all we expect an increase of the parenting skills, and in particular of the knowledge about the learning process and the right management of the behavioural problems. Furthermore, we expect an increase of the self-efficacy, through the comparison and the sharing of personal experiences, and a reduction of the perceived parental stress.

27. Support Group for the Italian Red Cross Rescuers
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD, Mindfulness
Dr. Lorenzo Pellegrini, Academy of Cognitive and Behavioral Science Parma

Background: The idea of creating a support group for rescuers stems from an increasing demand for interventions on personnel who directly intervened to provide assistance to the population stricken in a very short time by earthquake, heavy snow emergency and landslides. Interventions can not neglect the cultural framework in which rescuers operate. Prevention is based on key concepts such as "the rescuer", "the territory and its risks"; supporting means promoting a community culture of "coping" (adaptation, ability to cope with stress). A thorough knowledge of the territory and of its entire network of organization are essential elements in order to improve the "performance" in the emergency and to assess community needs. Operating in favor of the personnel in charge of emergencies means enhancing their skills and provide tools that safeguard a passively endured suffering because of psychological and unconscious emotional processes. It’s important to remember that the operating environment in which the rescuer operates is characterized by sudden changes and unpredictability, it evokes pain and risk and does not allow the rescuers an organic and adequate adaptation to cope with the emotional aspects related to the stress generated by the event. Natural disasters and emergencies destabilize the affected area and its inhabitants and undermine the community both from a geological and from a psychological point of view. Those operators who are called upon particularly to help the victims of unpredictable phenomena (earthquakes, floods, floodings, landslides, fires) require adequate preparation. It’s this knowledge that drives us to consider a culture attentive both to the rescuer and the needs of emergency victims, and to a better management of the sense of drama, inadequacy, vulnerability and helplessness that they both experience. Method: The group will be composed by 15 rescue workers. The course, led by a psychologist, will be delivered fortnightly, for a total of 8 meetings, each 90 minutes long. The main topics chosen for the group are as follows: - controlli s the problem not the solution - wilingness - creative impotence - acceptance - present moment In addition, in order to take into account the specific needs of all the participants and to customize the meetings, specifically designed questionnaires will be presented during the first meeting and the last one Expected Results: First of all, we expect an increase in the endurance of stress, an enhancement in coping strategies and resilience.

28. Turkish Version of Valued Living Questionnaire (VLQ): Preliminary Analysis of Reliability and Validity in Bipolar Disorder and Schizophrenia Sample
Primary Topic: Clinical Interventions and Interests
Subtopic: VLQ clinical sample
Hasan Turan Karatepe, Medeniyet University, School of Medicine, Department of Psychiatry, Istanbul, Turkey
M. Emrah Karadere, Hitit University, School of Medicine, Department of Psychiatry, Corum, Turkey
Kaasım Fatih Yavuz, Bakirkoy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital, Bakırkoy, Istanbul, Turkey
Sevinc Ulusoy, Bakirkoy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital, Bakırkoy, Istanbul, Turkey
Murat Aktepe, Arnavutkoy State Hospital, Istanbul, Turkey
Alparslan Cansız, Siverek State Hospital, Urfa, Turkey

Turkish Version of Valued Living Questionnaire (VLQ): Preliminary Analysis of Reliability and Validity in Bipolar Disorder and Schizophrenia Sample Objective: Valued living has been posited as a primary core process of Acceptance and Commitment Therapy (ACT) and has been theoretically associated with other core processes like mindfullness acceptance, and many important outcomes such as decreased psychological distress and improvements in quality of life. Valued Living Questionnaire (VLQ) is a self-evaluating scale that systematically assesses valued living, or the extent to which an individual contacts his or her chosen values in everyday life, from an ACT perspective. The aim of this study was to examine validity and reliability of the Turkish version of “Valued Living Questionnaire (VLQ) in clinical sample. Method: 101 participants who diagnosed Bipolar I Disorder and 110 participants who diagnosed schizophrenia being treated in the outpatient clinic of Bakirkoy Research and Training Hospital for Psychiatry and Neurology Hospital between the ages of eighteen to sixty five were included into the study. After taking informed consent; Sociodemographic Data Form, Turkish version of VLQ (TVLQ), Acceptance and Action Questionnaire-II (AAQ-II), Self as Context Scale (SACS), Cognitive Fusion Questionnaire (CFQ) and Freiburg Mindfulness Inventory (FMI) were administered to participants. Positive and Negative Syndrome Scale (PANSS) and Quality of Life Scale (QoLS) were applied to schizophrenia group by clinicians and Bipolar Disorder Functioning Questionnaire (BDFQ) were also administered to Bipolar Disorder group. For reliability analysis of TVLQ Cronbach’s alpha coefficient and item-dimension total score correlations were used. We also used principal component analysis for factor analysis and Pearson correlation analysis for convergent validity. Results: The mean age of participants was 39,46±8,76 years (age range: 21-64 years) and 50,7% (n=107) were female. With respect to reliability, good internal consistency was found with both the bipolar disorder and schizophrenia samples and across the VLQ Composite score, Importance and Consistency subscales (TVLQ-importance: Cronbach α= 0,807; TVLQ-consistency: Cronbach α= 0,916; TVLQ-composite: Cronbach α= 0,918). Also all items were positively correlated with each other. Principal factor analysis performed and it was detected that one dimension explained 57,98% of the total variance. Factor loading were changing between 0,64 and 0,84. Composite score was correlated with AAQ-II (r= -0,429; p<0,001), FMI (r= 0,529; p<0,001), CFQ (r= -0,373; p<0,001) and SACS (r= 0,591; p<0,001). Conclusion: The results of this study show that TVLQ is a reliable and valid scale for the assessment of valued living in clinical bipolar disorder and schizophrenia population.

29. The Impact of a RFT-based ACT Protocol on Impulsivity
Primary Topic: Clinical Interventions and Interests
Subtopic: Impulsivity
V. Alejandro Briones, Madrid Institute of Contextual Psychology (MICPSY)
Beatriz Sebastián, Madrid Institute of Contextual Psychology (MICPSY)
Matheus Bebber, Madrid Institute of Contextual Psychology (MICPSY)
Paula Cañeque, Madrid Institute of Contextual Psychology (MICPSY)

A RFT-based ACT protocol is presented, focused on the development of a repertoire of psychological flexibility for the management of impulsive behaviors in adults. The protocol application consists of 6 treatment sessions with a duration of 50 to 60 minutes, on a weekly basis, the last one being a follow-up session. The protocol focuses on three aspects (Törneke, Luciano, Barnes-Holmes, & Bond, 2016): (a) help the client discern the relationship between what he does and the problematic consequences of his behavior (functional analysis, creative hopelessness); (b) help the client discern his own thoughts, emotions and bodily sensations by establishing an observation distance as they emerge (defusion), and (c) help clarify and expand what is important in his life and what would be the steps in that direction (valued action). Results from pre-post-treatment measures are compared in the following questionnaires: AAQ-II (Acceptance and Action Questionnaire II, Ruiz et al., 2012); VQ (Valuing Questionnaire, Smout, Davies, Burns & Christie, 2014); CFQ (Cognitive Fusion Questionnaire, Gillanders et al., 2012); SCS (Self-control schedule, Rosenbaum, 1980) and EI (Impulsivity Scale, Plutchik & Van Praag, 1989). Daily frequency behavioral worksheets/self-reports of both impulsive behaviors and values-oriented behaviors are incorporated to the assessment, as well as a personal values measure, the Goals, Actions and Barriers Form (Hayes et al., 1999). Clinically relevant behaviors in session are analyzed and significant differences in the previous measures are discussed. * Study conducted as part of the Final Project of the Master in Contextual Therapies at the Madrid Institute of Contextual Psychology (MICPSY).

30. Acceptance and Commitment Therapy with Children: Evaluation of Two Interventions
Primary Topic: Clinical Interventions and Interests
Subtopic: Children
Fernanda Gongora Miguez, Federal University of Paraná
Ana Paula Viezzer Salvador, Federal University of Paraná

In the last few years, ACT became increasingly popular in the behavior-analytic clinic for the treatment of the adult population. Aiming to inquire its viability and effectiveness in the child population, this research sought to apply and evaluate two interventions based on the principles of ACT. Two children (Child A and Child B) with behavioral and anxiety problems, aged 10 and 7, along with their mothers took part in the study. This intervention consisted of 8 sessions lasting 50 to 60 minutes each. Child Acceptance and Mindfulness Measure (CAMM), Avoidance and Fusion Questionnaire for Youth (AFQ-Y) and the parent version of the Child Behavior Check List (CBCL) were the chosen instruments to evaluate the subjects pre and post intervention. The results showed post-intervention decrease in the behavioral problems targeted in both children, however, the anxiety symptoms of Child B remained stable. This study highlighted ACT as an effective model for the treatment of externalizing and internalizing problems during childhood.

31. Does Attending an Optional Meditation in an ACT-Based Acute Care Partial Hospitalization Program Improve Treatment Outcomes?
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness
Brian Pilecki, Rhode Island Hospital/Alpert Medical School of Brown University
Theresa A. Morgan, Rhode Island Hospital/Alpert Medical School of Brown University
Catherine D'Avanzato, Rhode Island Hospital/Alpert Medical School of Brown University
Darren Holowka, Rhode Island Hospital/Alpert Medical School of Brown University
Kirsten Langdon, Rhode Island Hospital/Alpert Medical School of Brown University
Kristy Dalrymple, Rhode Island Hospital/Alpert Medical School of Brown University
Mark Zimmerman, Rhode Island Hospital/Alpert Medical School of Brown University

An optional meditation group was offered to patients in an ACT-based partial hospitalization program. Measures demonstrating adequate acceptability and feasibility of this meditation group will be summarized, as well as basic demographic information about the types of patients that choose to attend such a group. Differences between attending and non-attending patients will show whether daily meditation has an incremental impact on mindfulness skills that relate to improved treatment outcomes. Preliminary results of 348 patients suggest that patients who chose to attend a meditation group did not have any significant incremental improvements in experiential avoidance as measured by the AAQ-II (Hayes et al., 2006) or in mindfulness as measured by the FFMQ (Baer et al., 2006). However, preliminary results suggest that patients did show a significant increase in the non-judgmental sub-scale of the FFMQ from intake (M = 3.02) to discharge (M = 3.20; F = 4.70, p < .05). This finding suggests that meditation training may be particularly useful in cultivating non-judgmental awareness, or the ability to take a perspective that is more objective and related to the ability to accept thoughts and emotions as they are. Additional results will demonstrate whether attending meditation groups lead to improved outcomes in depression and anxiety. Such results may support the role of brief mindfulness-based interventions in acute medical settings to increase mindfulness skills and perhaps improve treatment outcomes.

32. Effect of a Short Mindfulness Intervention on the Cognitive Interference Caused by Pain
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness
Louis-Nascan Gill, B.Sc., Université de Montréal
Vanessa Tabry, M.Sc., Concordia University
Kristina Martinu, Ph.D., CRIUGM
Adrianna Rodriguez-Ayotte, B.Sc., Université de Montréal
Natacha Vachon, B.Sc., Université de Montréal
Mathieu Roy, Ph.D., Concordia University
Pierre Rainville, Ph.D.

Pain spontaneously captures attention and disrupts ongoing cognitive processing, thereby potentially contributing to disability in various clinical conditions. Mindfulness and acceptation interventions have been suggested to improve the quality of life of chronic pain patients. This may partly reflect a decrease in the cognitive interference caused by pain (CICP). We assessed the effects of brief mindfulness and acceptation-based intervention on CICP using experimental methods in three groups of 15 healthy volunteers. Two interventions consisted of five 20 minutes/day intervention taking place in a quiet room with a facilitator. Participants of the first group practiced mindfulness exercises (Group 1: mindfulness meditation) and participants of the second group listened to, and discussed, text excerpts on mindfulness and acceptance (Group 2: discussion on mindfulness). The third group was not engaged in any intervention (Group 3: control). CICP was assessed before and after the intervention (Time), by measuring changes in working-memory performance (2-back task) induced by brief moderately painful stimulation applied on the forearm (vs non-painful control stimulation). CICP was confirmed by an decease in accuracy in the 2-back task during pain. The discussion group showed a significantly larger decrease in CICP following the intervention, compared to the others groups (3x2 ANOVA; F= 3,520, p = 0,039). This suggests that short interventions involving conceptual learning about mindfulness and acceptation might help reduce CICP while practical exercises of mindfulness meditation might be insufficient to produce such benefits.

33. Japanese Version of Child and Adolescent Mindfulness Measure: Development and Examination of its Reliability and Validity
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness, Children
Hiramatsu Yuka, M.A., Graduate school of science for human services, Ritsumeikan University
Tani Shinji, Ph.D., Ritsumeikan University

Background: Few Acceptance and Commitment Therapy (ACT) studies for children have been conducted in Japan. One reason for this is that the Avoidance and Fusion Questionnaire for Youth is the only measure that can be used for children in Japan. This study aimed to develop a Japanese version of the Child and Adolescent Mindfulness Measure (CAMM) and examine its reliability and validity. Method: Participants included 500 children (189 boys and 311 girls). The examination was conducted from the middle of September 2016 to the middle of October 2016. A reexamination was conducted one month later to examine test–retest reliability. We conducted an online survey of the participants both during the examination and reexamination. We obtained the original author’s permission to develop a Japanese version of CAMM and for its translation, which was done by two researchers, one university student (first presenter), and one expert familiar with ACT (second presenter). After item translation, back translation was entrusted to a contractor. We conducted the investigation with the corrected items. We used SPSS statistics for analysis. Result: The exploratory factor analysis indicated that the Japanese version of CAMM had a one-factor model. A sufficient factor loading amount of 50 or more was indicated for all items. A confirmatory factor analysis revealed high compatibility (GFI > .90, AGFI > .85, CFI > .90). Next, we examined its reliability and validity using alpha coefficient and test–retest reliability; it was confirmed that the scale has high reliability. Furthermore, the Japanese version was revealed to have the same degree of correlation as the original through a correlation coefficient with related scales of psychological inflexibility and thought suppression. Discussion: From the results, factor analysis confirmed a factor structure similar to the original scale. High internal consistency, test–retest reliability, and sufficient convergent validity were also confirmed. The results demonstrated that the scale had good reliability and validity. However, as the age of some participants were unknown in this study, it is necessary to consider it and reanalyze. Moreover, it is necessary to examine the reactivity of the scale using clinical experimentation in the future.

34. Best Practices and Guidelines for Utilizing Digital Interventions to Improve Engagement and Adherence in Chronic Illness Sufferers An evidence-based review prepared in association with the European Federation of Psychologists' Association, Psychology a
Primary Topic: Clinical Interventions and Interests
Subtopic: E-HEALTH
Penelope Constantinou, University of Cyprus
Orestis Kasinopoulos, Ph.D candidate, University of Cyprus
Maria Karekla, Ph.D., University of Cyprus

Chronic health conditions cause a considerable burden in quality of life, often leading to a physical, psychological and social dysfunctioning of the sufferers and their family. There is a growing need for self-management and flexible provision of psychological services in terms of location (from the clinic to the home), personalized/tailored, and reaching underserved populations. Digital interventions (an umbrella term including e-health, m-health, internet-based, etc.) present with the potential of providing a wide range of self-management solutions that can improve functioning among chronic illness sufferers. Despite the potential of digital interventions in service delivery, concerns remain especially regarding the engagement of users that lead to low adherence rates, high attrition, and non-optimal exposure to the content of the intervention. Explanations of engagement difficulties present as the main culprits, human - computer interaction and user characteristic factors. To date there have not been any clear and concise guidelines for improved utilization and engagement in digital interventions. This paper aims to provide a holistic overview of user engagement factors, and to propose research informed guidelines for engagement and adherence planning in digital intervention development. These guidelines will inform and promote effective planning for engagement when building digital interventions thus maximizing adherence and optimal exposure in the treatment of chronic conditions.

35. The Comparison of Effectiveness of Acceptance and Commitment Therapy on Prevention of Addiction Relapse in Opium and Methamphetamine Consumers
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance and Commitment Therapy, Relapse prevention, Opium, Methamphetamine
Asghar Aghaei, Prof., Department of educational science and psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
Azam Saeedi Ghaleaghaei, Department of educational science and psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

Background: The purpose of this study was to compare the efficacy of acceptance and commitment therapy in prevention of addiction relapse in opium and methamphetamine consumers. Method: It was semi-experimental research and the study population consisted of all addicts who refereed to addiction treatment centers of Isfahan (Iran).From among 51 subject with diagnosis of opium and methamphetamine dependence(25 addicted to methamphetamine and 26 addicted to opiates)were selected by convenience sampling method and also were assigned into 4 groups randomly (a methamphetamine addicts experimental group: 12; a methamphetamine addicts control group: 13; an opiate addicts experimental group: 13; an opium addicts control group: 13).All participants were assessed by the AWARE Questionnaire(Advance Warningof Relapse). The experimental groups received 10 sessions of acceptance and commitment therapy but control groups did not receive any treatment. Results: The results of covariance analysis showed that there were no significant difference between opium and methamphetamine addicts in the extent of acceptance and commitment therapy based on prevention of relapse, But there were significant difference between methamphetamine addicts experimental group and methamphetamine addicts control group and also between opium addicts experimental group and opium addicts control group(P<0.01). Discussion: The general result was that though there was no significant difference in the impact of acceptance and commitment therapy on the prevention of relapse between methamphetamine and opiate addicts but it was effective on reducing the relapse rate in both groups.

36. ACTivate your service: Introducing an ACT model at the level of clinical intervention, training and supervision across the Adult Mental Health pathway of a rural county in the UK
Primary Topic: Clinical Interventions and Interests
Subtopic: Trans-diagnostic, service development
Rachel Black, CPsychol, 2getherNHSFT
Becky Greenhalgh, 2getherNHSFT
Philippa Capel, CPsychol, 2getherNHSFT
Andrew Turner, CPsychol, 2getherNHSFT

Background ACT is an approach which has been shown to be effective in many individual and group intervention studies. This collaborative and values based therapeutic framework is also highly relevant to service wide improvement. The 2gether trust in Herefordshire covers a geographically large area with a relatively small population and consequently low total number of staff. This context presents both challenges to service delivery and opportunities for innovative solutions. As a universal and trans-diagnostic model, ACT is ideal to address the a wide range of clinical presentations and staff support needs. This led to bold and joined up initiative to introduce ACT service wide. Method ACT groups in the acute and community services were piloted/developed for working aged adults in Herefordshire. Following positive outcomes, a service wide agenda was developed including: • An expanding therapy group programme. • A county wide training programme for staff. • Introducing ACT as an underpinning model in staff supervision. Measures To evaluate the effectiveness of the above, quantitative and qualitative measures were used: • AAQ2 • MAAS • “Three changes checklist” (TCC) • Bullseye valued living measure • Semi-structured interviews • Focus groups • Feedback forms Results Groups Improvements were observed across groups in the different services. T-tests (correlated) showed significant differences on pre and post quantitative scores for three of the four measures in the acute services group - AAQ2: t(25)=3.88, p<.001; MAAS: t(10)=2.91, p<.05; TCC: t(11)=2.26, p<.05; Bullseye: t(12) 1.91, p <.1 . Data from other groups to follow. The focus groups and semi-structured interviews showed how participants were using the learning and values in their lives. Discussion In Herefordshire, ACT as a core intervention, training schedule and supervision approach is now firmly embedded into the psychology service and forms a key part of the Working Age Adult Service operational policy. Although the function of the interventions was equivalent across all services, the form of the intervention appropriately varied by context. A number of additional benefits were observed and fed back by other staff members in the service, including: • Increased capacity to generalise learning across service areas. • Benefits of using a shared language with clients through transition and focus on values from the start of a newly forming relationship. • Multi-disciplinary staff feel better able to support continued engagement. • Further spread to other teams (Child and Adolescent services). • ACT informed policy changes.

37. Oncology Nurse Self-Care: A Literature Review of Interventions to Address Burnout and Compassion Fatigue
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Stress-management
William Kent, BSc, University of Chester
Nick Hulbert-Williams, Ph.D., University of Chester
Kevin Hochard, Ph.D., University of Chester
Ros Bramwell, Ph.D., University of Chester

Background: Oncology nurses are at high risk of stress, burnout and compassion fatigue: this has problematic consequences for absenteeism, staff turnover, and quality of patient care. Method: In this paper, we: (i) provide an overview of the literature concerning stress-management interventions for at-risk oncology nurses, and (ii) conceptually explore how ACT’s framework may be a suitable alternative. Results: Published data on stress-reduction interventions primarily use educational or psychotherapeutic frameworks. Overall, the efficacy of these interventions varies with regards to effect size and longevity. Papers reporting psychotherapeutic interventions often fail to report the underlying models and intervention components employed. Discussion: Given the overlap between the causes of stress-related problems in healthcare workers and therapeutic processes targeted in ACT, it is surprising that no studies have explored the efficacy of ACT in this population. To ensure that the intervention doesn’t add further burden, brief intervention formats are likely to be most acceptable and feasible.

38. Further Development and Psychometric Validation of a Novel Measure of Trait Mindful Eating
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Mindfulness
Lee Hulbert-Williams, University of Chester
Wendy Nicholls, University of Wolverhampton
Samantha Flynn, University of Chester
Nick Hulbert-Williams, University of Chester

Mindful eating has been promoted as a potential intervention for a range of weight- and eating-related issues. As the field moves from observational methods into full clinical trials, adequate process measures are needed if we are to be able to make claims about the specificity of such interventions. Our group had previously published the Mindful Eating Scale, a potentially useful measure, albeit with some shortcomings identified in the initial development work. In this follow-on study we recruited 236 participants to provide the data for a confirmatory factor analysis. Initial fit indices were less than ideal. We thus used the standard method to remove poorly performing items, shortening and strengthening the scale. Whilst fit indices were improved (e.g. RMSE improved from 0.079 to 0.055), further work may now be desirable to confirm the revised factor structure. We will present initial data on concurrent validity against body mass, weight fluctuation, and concern for dieting.

39. Dissemination of a Functional Analytic Psychotherapy (FAP)-Informed Intervention for Loneliness: Results from an Open Trial
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Functional Analytic Psychotherapy
Joseuda B C Lopes, MSc, Novum Paradigma
Fabian O. Olaz, Psy.D., National University of Córdoba-Integral Center of Contextual Psychoterapies (CIPCO)
Mavis Tsai, Ph.D., Independent Practice and University of Washington
Robert J. Kohlenberg, Ph.D., ABPP, University of Washington

Background: A lack of social connection or loneliness, described by poet Emily Dickinson as “the horror not to be surveyed” is a quiet devastation, a major public health epidemic (New York Times, September 5, 2016) linked to physical and mental ill health. In fact, data from 140 studies show that loneliness increases the risk of death more than excessive drinking, exposure to chronic air pollution and obesity, and as much as excessive smoking (Holt-Lunstad et al., 2015). This project is an in-progress treatment development study assessing the impact of FAP’s Awareness, Courage and Love (ACL) model (Tsai et al., 2009) on increasing social connection and alleviating loneliness in individuals worldwide. The Live with ACL Meetups foster a safe and accepting space to be one's true self, and yet create deep connections by being understanding, bold, and kind. Method: Monthly online 90 minute experiential trainings led by the 3rd author of both professional and non-professional individuals (recruited mainly through the FAP Facebook group) who were interested in creating Live with Awareness, Courage and Love (ACL) Meetups through Meetup.com in their hometown began in October 2016. These leaders are provided with monthly protocols , and agreed that: 1) they are willing to be participant leaders, to lead vulnerability with ACL; 2) they are partnering in bringing ACL to a global audience, and their creative input and expertise are encouraged; 3) they can ask for donations of up to $10 USD per attendee, but no one will be turned away due to inability to pay; 4) they will lead meetups in their hometown once a month or as their schedule permits; and 5) the ultimate aim is for non-professionals to feel comfortable in leading ACL Meetups so that this format can be widely disseminated. Results: First, dissemination data will be reported. Currently, Live with ACL Meetups have 3170 members in 27 cities, 12 countries (Belgium, Germany, Germany, Poland, Spain, Switzerland; Argentina, Brazil, Colombia; Australia, Canada, United States) and 4 continents (North America, South America Europe and Australia). Second, feedback data from the attendees of these meetups regarding what they found helpful and what they would like to see changed, will be summarized. Discussion: This study implements an innovative approach to dissemination and implementation to address the inconsistent adoption of evidence-based treatments (Centers for Disease Control & Prevention, 2006). As discussed by Addis, Wade & Hatgis (1999), barriers to dissemination include treatments that require expensive and time-consuming instruction and supervision that are not readily accessible. Dissemination and Implementation in this study are facilitated by: 1) using protocols that require minimal training or professional background; 2) using a readily available venue during the development process itself (Meetup.com) for both recruiting participants and delivering the intervention; and 3) recruitment of interested Meetup participants, typically non-clinicians, to participate in leading these groups. These groups facilitate exploring what deeply matters, sharing with courage, and listening with compassion. Participants leave with tools to enhance other relationships, and to move towards what they value most in life.

40. The Relationship between Experiencing Parental Psychological Aggression and Anger Expression Styles
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Children, Parenting
Leyla Ergüder, M.S., University of North Texas
Zeynep Hatipoglu-Sümer, Ph.D., Middle East Technical University

Having been exposed to psychological aggression from parents, children learn by observing and may imitate their parents` way of anger expressions (Bandura 1971). Thus, children's anger expression styles are shaped by their early experiences. Differences between anger expression styles are significant when examining the association of anger to psychopathology because anger expression styles are related to both physical and mental health (Stewart, Levin-Silton, Sass, Heller,& Miller, 2008). Experiencing aggression from parents was positively related to children’s use of detrimental anger expression styles for both genders (Wolf & Foshee, 2003). The purpose of the study is to investigate the association between experiencing parental psychological aggression and anger expression styles among college students. The sample of the study comprised of 614 college students from a public university in Hatay, Turkey. Emotional Abuse and Neglect Subscale of Childhood Trauma Questionnaire (CTS), Anger Expression Style Subscale of State-Trait Anger-Anger Expression Styles Inventory (STAXI), and Personal Information Form were used to collect data. Correlation analysis (Pearson product-moment correlation test) was utilized to test the hypothesized relationship between variables. The findings of the study demonstrated that for men, there were significant positive correlations between experiencing parental psychological aggression and anger expression styles of anger out and anger in (r = .16,p< .05,r = .25, p<.01, respectively), but correlation between experiencing emotional abuse/neglect and anger control, one of the sub-construct of anger expression styles, was negative and not statistically significant (r = -.12, p>.05). For women, findings revealed that the relationship between experiencing psychological parental aggression and anger expression styles were statistically significant and positive for anger out and anger in (r = .19,p< .01,r = .22, p<.01, respectively), and negative and significant for anger control (r = -.15,p< .01). Furthermore, the lowest relationships among associations yielded in correlation analysis was between expressing anger inwards and controlling anger. Results of the study suggested that expressing anger inwards positively associated with parental emotional abuse and neglect victimization. Also, externalizing anger was significantly and positively related with experiencing parental psychological aggression. Additionally, controlling anger variable of the anger expression style negatively associated with experiencing parental psychological aggression for women. Findings of the study revealed that college students who experienced emotional abuse and neglect from their parents demonstrate less control over their anger compared to students who do not have parental psychological abuse history. Moreover, college students who experience psychological aggression from their parents in their childhood more likely to express their anger outwards.Therefore, the findings of the study demonstrated the importance of the relationship between experiencing parental psychological aggression and anger expression styles.The theoretical and practical implications and recommendations for future research were presented.

41. The Role of Fears to Receive Kindness and Compassion from Others in the Link Between Early Affiliative Memories and Depression Symptoms
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Depression
Ana Laura Mendes, CINEICC, University of Coimbra
Cláudia Ferreira, CINEICC, University of Coimbra
Inês A. Trindade, CINEICC, University of Coimbra

In accordance with Gilbert and colleagues (2011), early adverse experiences characterized by feelings of shame, rejection and abuse may lead to the later experience of fearing to receive kindness and compassion and may be linked with several psychopathological conditions, such as depression. The current study tested a model which hypothesized that the fear of receiving compassion from others and social safeness and pleasure may act as mediators on the association between early positive affiliative memories and depressive symptomatology. The sample comprised 616 Portuguese women, aged between 18 and 65 years old, who completed validated self-report measures. The tested path model explained 41% of the variance of depressive symptomatology and showed excellent model fit indices. Results demonstrated that early memories of warmth and safeness with family figures presented a significant direct effect on depression symptoms and, in turn, an indirect effect through the mechanisms of fear of receiving compassion from others and social safeness and pleasure. Specifically, a lower report of early positive memories with family figures seems to explain higher levels of depressive symptomatology, via increased fear of receiving other’s compassion and kindness and decreased feelings of social safeness and connectedness. These findings seem to support the importance of developing in the community intervention programs which target maladaptive emotion strategies (e.g., being resistant to others’ kindness and compassion) and, in turn, promote mental health and well-being, especially in a context of early adverse experiences.

42. Using ACT with Adolescents Impacted by Cancer: The PEER Program
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Adolescents and Young Adults, Cancer
Pandora Patterson, Ph.D., CanTeen Australia. The University of Sydney
Elizabeth Kelly-Dalgety, CanTeen Australia
Fiona McDonald, Ph.D., CanTeen Australia. The University of Sydney

Background: A personal or familial cancer diagnosis can have a substantial negative impact on an adolescent’s distress levels and cancer related unmet needs. In this study, we developed and piloted a manualised 4-day therapeutic program (Place of Enablement, Empowerment and Relationships; PEER) for adolescents (11-17 years) based on Acceptance and Commitment Therapy (ACT). ACT was chosen as a framework due to its focus on increasing psychological flexibility and the capacity to cope with difficult thoughts and feelings. Method: Program effectiveness was assessed across three time points using validated measures for psychological flexibility, coping, mindfulness, self-compassion, sense of belonging and quality of life. Results: 175 adolescents participated across 6 pilots (age M=14.56 years, SD=1.72; 45.7% male). Significant improvements were found for supportive relationships, sense of belonging, coping, mindfulness and quality of life. These were maintained at follow-up for active and emotional coping, and mindfulness. Improvements in supportive relationships, active coping, sense of belonging and mindfulness were all greater for those whose psychological flexibility had greatest increases. Overall satisfaction for sessions was high (M=7.7/10, SD=1.85). Discussion: The results presented here demonstrate the effectiveness of a program grounded in ACT in improving the quality of living of adolescents impacted by cancer.

43. A Brief Acceptance and Commitment Therapy (ACT)–Based Group Program for Unemployed Individuals with Mental Health Problems
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Mental illness among unemployed people
Marie Christine Dekoj, Ph.D., Centre for Psychotherapy, Kitzberg Hospital, Bad Mergentheim
Lisa Gabriel, Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany
Tobias Staiger, Ph.D., Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany
Tamara Waldmann, Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany
Thorsten Brosch, Kolping-Werk Augsburg
Nicolas Rüsch, Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany

Background: People with mental illness often choose not to use mental health services and not to seek help with jobsearch and other psychosocial problems. This has harmful consequences for individuals, their families and society, such as poor clinical outcomes, continuing unemployment and productivity losses. In a Swedish study unemployed individuals with mental disorders who participated in ACT improved significantly on measures of depression, general health, and quality of life. Aim: To evaluate the acceptability, feasibility and efficacy of a brief ACT-based group program for unemployed individuals with mental health problems. Program participants should learn to behave flexibly in different situations and decide to live a value-based life. This is expected to reduce barriers to help-seeking among unemployed people with mental health problems. Methods: A pilot randomized controlled trial (RCT) with approximately 100 unemployed people with mental health problems planned. Interested individuals are screened via telephone. Inclusion criteria are being between 18 and 64 years of age, currently unemployed (persons receiving full disability pension are excluded) and psychological distress as indicated by a score ≥13 on Kessler’s K6 Psychological Distress Screening Scale. Participants are randomly allocated to the ACT intervention or a TAU control group. The ACT-based intervention consists of four sessions, covering the following topics: awareness, acceptance of unemployment and/or mental illness, values, disclosing mental health problems, and help-seeking. Assessments take part at baseline (t0), and 3 (t1) and 6 (t2) weeks after baseline. Results: Experiences with the acceptability and feasibility of the program and of conducting a Pilot-RCT in this population will be shared. Preliminary results of the intervention will be presented with respect to acceptance, value-based behaviours, help-seeking and motivation in terms of jobsearch and mental health service use. Discussion: The pilot-RCT will show whether a short ACT-based group program improves the motivation for mental health treatment and jobsearch among unemployed individuals with mental health problems by increasing value orientation and psychological flexibility.

44. From Feeling Inferior to Being Concerned About One’s Body Weight and Shape: The Weight of Body Image–Related Psychological Inflexibility
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Body Image
Joana Marta-Simões, CINEICC, University of Coimbra
Cláudia Ferreira, CINEICC, University of Coimbra
Inês A. Trindade, CINEICC, University of Coimbra

Psychological flexibility is described as an adaptive mechanism to deal with internal experiences. When associated with body image (i.e., the active contact with perceptions, thoughts, and feelings about one’s body image, without attempting to change or control them), it associates with lower body image dissatisfaction and disordered eating. On the contrary, body image difficulties and associated unhealthy eating behaviours have been linked to inflexibility toward distressing body image-related thoughts and feelings. Moreover, the perception that others evaluate one’s characteristics in a devaluing manner (external shame), and the tendency to feel inferior based on physical appearance, are both shown to associate with body image difficulties. The present study explored whether appearance-based social comparison with peers and shame would associate with higher body weight and shape concerns (main risk factors for eating disorders) via higher body image–related inflexibility. The study’s sample comprised 776 young adult Portuguese females. Results revealed that, although appearance-based comparisons with peers and shame directly associate with both weight and shape concerns, these relationships also seem to be significantly mediated by body image-related inflexibility. The path model accounted for 53% and 58% of the variances of body weight and shape concerns, respectively. Results seem to enhance that, in women, the attempt to alter the form, frequency, or intensity of private experiences, specifically those associated with one’s appearance, is often ineffective and costly. This study seems to support the pertinence of combining Compassion Focused Therapy and Acceptance and Commitment Therapy when treating and preventing disordered body image and eating.

Friday, 23 June, 18:15-19:15 - Poster Session #2

1. The Relationship Between Psychological Flexibility and Postpartum Depression: A Longitudinal Analysis with Mothers of Neonatal ICU Infants
Primary Topic: Behavioral medicine
Subtopic: Postpartum Depression
Yoly R. Villarreal, Ph.D., McGovern Medical School, University of Texas Health Science Center at Houston
Michelle R. Klawans, M.A., McGovern Medical School, University of Texas Health Science Center at Houston
Thomas F. Northrup, Ph.D., McGovern Medical School, University of Texas Health Science Center at Houston
Mackenzie L. Spellman, M.A., McGovern Medical School, University of Texas Health Science Center at Houston
Angela L. Stotts, Ph.D., McGovern Medical School, University of Texas Health Science Center at Houston

Background: Depression during the postpartum period affects 1 in 7 women and contributes toward adverse maternal and child health outcomes. This is especially true for mothers with infants admitted directly to the Neonatal Intensive Care Unit (NICU) who, in conjunction with typical depression risks must contend with exacerbated stressors associated with the NICU experience. Early detection and treatment of postpartum depression with NICU moms may help mitigate some of these risks, and psychological flexibility may be an especially important target for treatment. Avoidance and inflexibility around distressing private experiences may be related to the persistence of depression in the later postpartum period. We investigated the association between psychological flexibility shortly after delivery (baseline) and depression at 6 months postpartum in mothers whose infants were admitted to a NICU. Methods: As part of an ongoing NICU study targeting secondhand smoke (SHS) exposure, mothers of NICU infants (n=98) were administered the Center for Epidemiological Studies-Depression Scale (CES-D) and the Acceptance and Action Questionnaire II (AAQ-II) at baseline (range: 1 day – 2-weeks post-delivery); both measures were treated continuously. Additionally, the CES-D was re-administered approximately six months postpartum (follow-up). Multiple regression (PROC REG; SAS 9.4) was used to associate AAQ-II scores at delivery with CES-D scores at 6 months. Results: At baseline, 44% of NICU mothers had scores on the CES-D suggestive of clinical depression (i.e., >16). The mean CES-D score was 16.06 (SD=9.45) and scores ranged from 0 to 46. The mean score on the AAQ-II was 51.91 (SD=10.2) and scores ranged from 27 to 70. At follow-up, 21% of NICU mothers endorsed scores on the CES-D suggestive of clinical depression. Bivariate results showed greater psychological flexibility at baseline was related to lower depression at follow-up (β:-0.35, p < 0.001). Additionally, depression at baseline was related to depression at follow-up (β: 0.33, p < 0.001). Including baseline psychological flexibility and baseline depression in a multivariate regression, results indicated that psychological flexibility remained significantly predictive of depression at follow-up (β: -0.27, p = 0.0057) while depression at baseline did not (β: 0.189, p = 0.072). Depression at baseline explained 11% (R² = 0.11) of the variance of depression at follow-up, including psychological flexibility increased the overall model fit to 18% (R² = 0.18). Discussion: Psychological flexibility may play an important role in the mental health status of new mothers of NICU infants and may be even more significant than depression at delivery. Based on these findings, we are encouraged to assess psychological flexibility at delivery to identify mothers at risk for postpartum depression that extends beyond the perinatal period. Treatments, such as Acceptance and Commitment Therapy that target psychological flexibility may be efficacious at minimizing depression in the later postpartum period and improving maternal mental health outcomes, particularly for women who have medically at-risk children. Additional research is needed to further understand these relations among NICU mothers.

2. The Development of a Mindfulness Mobile App Targeting People Facing Infertility: The MindfulSpot
Primary Topic: Behavioral medicine
Subtopic: Mindfulness
Bárbara Monteiro, MSc, Instituto Superior Miguel Torga
Ana Galhardo Ph.D., Instituto Superior Miguel Torga; CINEICC_ faculta of Psychology and Educational Sciences of the University of Coimbra
Marina Cunha, Ph.D., Instituto Superior Miguel Torga; CINEICC_ faculta of Psychology and Educational Sciences of the University of Coimbra
Margarida Couto, Ph.D., Instituto Superior Miguel Torga
Frederico Fonseca, MSc, Instituto Superior Miguel Torga
Luis Abreu, Instituto Superior Miguel Torga

Background: Infertility is a medical and social condition presenting numerous challenges including psychological burden. Although most couples facing fertility issues and the demands of medical treatment are able to adjust, some of them may show psychological difficulties with clinical relevance such as depression and anxiety. Mindfulness approaches such as the Mindfulness Based Program for Infertility (MBPI) have been applied to people dealing with infertility showing promising results. Based on the MBPI a mindfulness app specifically designed for people facing infertility was developed – the MindfulSpot. Method: The MindfulSpot is a prototype mobile app that provides the chance of practicing mindfulness in a confortable and accessible way. This app covers informative audio and written texts. The audio contents correspond to mindfulness formal practice instructions and suggestions for informal practice, making possible its use throughout different moments of the day. Additionally to mindfulness instructions, users are invited to explore the informative menu that encompasses topics addressing emotional impact of infertility (e.g., common emotions, impact on the couple relationship, family, friends, etc.). Results: The efficacy of the MindfulSpot is still under analysis and results are expected to be available soon. Discussion: The MindfulSpot was designed as a tool for the promotion of mindfulness and acceptance skills. Accordingly, it is expected that it can help people to become more conscious of their experience dealing with it with openness and curiosity instead of trying to suppress, avoid or modify it and consequently decrease emotional distress. Moreover to its independent use it may also be used as a support tool of the MBPI.

3. Practices and Attitudes of Professionals Who Provide Psychological Treatments for People with Chronic Pain: A Comparison Across Approaches Within CBT
Primary Topic: Behavioral medicine
Subtopic: Chronic pain
Whitney Scott, King's College London
Francisco Montesinos Marin, Universidad Europea
Brandon Gaudiano, Alpert Medical School of Brown University
Lance M McCracken, King's College London

Background: Approaches broadly related to Cognitive Behavior Therapy (CBT) are dominant within current psychological treatments for chronic pain. This includes what might be called traditional CBT and newer generation CBT, including Acceptance and Commitment Therapy (ACT). Currently it is not known to what extent treatment providers working in the area of chronic pain might self-identify as adhering to one or the other of these orientations, and whether there are any further distinguishing features between these providers. The purpose of this study was to survey providers on these questions. Methods: During 2014 and 2015 participants were recruited from email lists for professionals with interest in psychology and chronic pain. Participants completed online questionnaires assessing basic demographic and educational information, therapeutic orientation, use of treatment methods, and processes of psychological flexibility. Results: Sixty-eight people (67.6% women) responded and provided data. The mean age was 45.2 years (sd = 11.1). Most were from the US (n = 28), followed by the UK (n = 17), Chile (n = 9), Portugal and Spain (each n = 4), or other (n = 6). Most were clinical psychologists (n = 48), health psychologists (n = 13), or other (n = 7). A total of 34 participants identified themselves as traditional cognitive behavior (TCB), 19 as “acceptance or mindfulness based,” (AMB) and 15 as some other orientation. The AMB providers reported greater use of “existential” or “humanistic” (p < .05) and “acceptance-based” approaches (p < .001), and there was a tendency for the AMB to use a wider range of these approaches, but there were no other group differences. In terms of specific methods, the TCB providers reported greater use of cognitive restructuring and relaxation compared to the ABM providers, but less use of exposure, mindfulness, cognitive defusion, values-clarification, metaphor and experiential exercises (all p < .001, except for the comparison of relaxation, p < .05). The two groups were not different in their intuitive versus experiential approaches to knowledge, or in their attitudes toward evidence-based practice. The two groups did not differ in their self-reported mindfulness or psychological flexibility. Discussion: The current data provide a preliminary probe of approaches and methods used and attitudes held by professionals from different orientations within CBT in chronic pain management. The data suggest that AMB providers currently represent a minority of providers, that their practices are consistent with the model they espouse, but that in many other ways they hold general attitudes consistent with the wider family of CBT.

4. Design of a Protocol for Addictions and Application of Contextual Therapy
Primary Topic: Behavioral medicine
Subtopic: Addiction
MªLuz Vallejo, Madrid Institute of Contextual Psychology (MICPSY)
Marina Díaz, Madrid Institute of Contextual Psychology (MICPSY)
Pablo Soto, Madrid Institute of Contextual Psychology (MICPSY)

There is a great amount of evidence which suggests that psychological inflexibility takes part in a variety of psychological difficulties, including problems with addiction to substances. The goal of the study was the design and application of an ACT protocol, making hierarchical and deictic frames explicit in three adults with addiction problems. The intervention protocol consisted of three individual sessions focused on (Törneke, Luciano, Barnes-Holmes, & Bond, 2016): (1) help the client connect with the consequences of the problematic behaviour, thus making him open to clinical change; (2) clarify areas of personal value; (3) and training the ability to differentiate himself from his private events (i.e. anxiety about substance consumption) and the promotion of actions that are consistent with what’s important for the clients. Measures were taken using psychological flexibility assessments before, during and post-treatment, and analysis of the clinical interactions in terms of the relational behaviour involved (Villatte, Villatte & Hayes, 2015). The final results showed a decrease on addictive behaviour.

5. Experiential Avoidance Longitudinally Impacts IBD Patients’ Physical Health: A Latent Growth Analysis
Primary Topic: Behavioral medicine
Subtopic: Inflammatory bowel disease; physical health
Inês A. Trindade, CINEICC, University of Coimbra
Cláudia Ferreira, CINEICC, University of Coimbra
José Pinto-Gouveia, CINEICC, University of Coimbra

Background: The current study aims to explore experiential avoidance’s influence on subsequent levels of physical health in patients with inflammatory bowel disease (IBD), a chronic and relapsing condition, known to significantly impact patients’ quality of life. Methods: The sample includes 116 IBD patients that completed validated self-report measures on an online platform in three different moments during an 18-month period. Latent growth curve models (LGMs) were conducted using structural equation modelling to estimate the growth trajectory of physical health (measured by a subscale of WHOQOL-Bref) conditioned by experiential avoidance (AAQ-II). Results: The conditional LGM model showed an excellent fit (CFI=1.00; TLI=1.00; IFI=1.00; SRMR=0.01) and indicated that experiential avoidance presented a significant negative effect on basal physical health levels (β=-0.40, p<0.001), demonstrating that individual presenting higher levels of experiential avoidance show lower levels of physical health. Furthermore, experiential avoidance presented a significant effect on the growth rate of physical health (β=0.28, p=0.015), that is, in this sample, this maladaptive emotion regulation process predicted individual differences in the growth and evolution of physical health. Conclusions: These novel findings may indicate that experiential avoidance, by being associated with paradoxical consequences and further negative affect, may cause physiological alterations that may be detrimental to physical health. Furthermore, experiential avoidance may compromise the engagement in health promoting behaviours (such as taking the prescribed medications or going to medical appointments) that can in turn impact on patients’ physical health. The present study adds an important contribution to literature by implying that promoting acceptance abilities might improve IBD patients’ health.

6. Prevention and Treatment of Psychosomatic and Psychosocial Symptoms Among Unemployed Individuals at Times of Socioeconomic Crisis: A Pilot Study of an ACT-Based Group Intervention
Primary Topic: Clinical Interventions and Interests
Subtopic: Unemployment, stress, quality of life
Charikleia Karatza, M.Sc., Aristotle University of Thessaloniki
Maria Karekla, Ph.D., University of Cyprus
Pagona Roussi, Ph.D., Aristotle University of Thessaloniki

Background: Over the past five years Greece has faced a major socioeconomic and humanitarian crisis. The implementation of severe austerity policies, the massive lay-offs and the very limited opportunities for work have led to a dramatic increase in unemployment. A direct consequence of this is the deterioration of mental and physical health in Greece. Some of the most prominent effects of unemployment on mental health are depression, elevation of stress, despair and worry, social exclusion and stigma, family and marital conflicts, marital dissolution, low self-esteem, shame and feelings of unworthiness. ACT’s stand that human suffering is normal and expected could help overcome the stigma, the sense of shame and guilt associated with unemployment and poverty. Most importantly, values clarification and committed action could address time management issues and help the unemployed invest their energy on working in life areas important to them regardless of their present employment and financial situation. Method: The primary aim of this study was to develop a novel ACT-based protocol designed for the unemployed and to pilot-test it in a group setting in order to test its effectiveness. The intervention consisted of nine weekly sessions lasting two hours each, conducted in two groups (total N=9, all females, mean age= 46.5). Participants were assessed before and after the intervention using multiple instruments including General Health Questionnaire (GHQ–28), Depression, Anxiety and Stress Scale (DASS 21), Pearlin Mastery Scale and a number of process measures. Hypotheses were tested using paired-samples t-test in order to evaluate the impact of the intervention on the dependent measures. Results: Pre-post results from two pilot groups demonstrated statistically significant decreases in stress, anxiety, depression and social dysfunction (GHQ-28) as well as statistically significant increases in sense of mastery (Pearlin Mastery Scale) and willingness/engagement in meaningful life activities. Additionally, a statistically significant decrease in medication intake and need for medical help was observed. Discussion: These preliminary findings suggest that an ACT-based group intervention could offer valuable help for the formulation of a novel, flexible, cost-effective intervention program for the unemployed, aiming at preventing and treating psychosocial and psychosomatic problems.

7. Changes in General Distress During a Psychological Treatment: The Role of Psychological Flexibility
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychological flexibility
Nikolija Rakočević, M.A., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Dragan Žuljević, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Vesna Gavrilov - Jerković, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Ivan Jerković, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Milica Lazić, M.A., Department of Psychology, Faculty of Philosophy, University of Novi Sad

The change in psychological flexibility is considered a to be the key mechanism of change within the ACT theoretical framework. The aim of our study was to evaluate the potential of this construct in predicting the reduction of general distress during the ongoing psychotherapy treatment. Our initial study included 118 clients participating in free-of-charge psychological treatment in Psychological Counseling Center in Novi Sad. 74.8% of the participants were female and 25.2% male, ranging from 18 to 63 years of age (mode = 25). The treatment consisted of 10 sessions. It was conducted by 19 psychological counselors originating from REBT and Transactional analysis theoretical orientation. To assess the change of psychological flexibility and general distress, we administered Acceptance and Action Questionnaire II (AAQ-II; Bond et al, 2011) and Depression, Anxiety and Stress Scale 21(DASS-21; Lovibond & Lovibond, 1995) during the admission interview two weeks before the start of the treatment(n = 117), as well as before the first treatment session (n = 101), after the final treatment session (n = 47), and three months after the end of the treatment (n = 36). The results of regression analyses performed on the total sample suggest that the increase in psychological flexibility seem to be a marginally significant predictor of distress reduction before the treatment starts (ß = .23, p = .02) as well as after the end of the treatment (ß = .33, p = .05), but highly significant during the treatment (ß = .63, p <.01). Having in mind that the high dropout rate (69% of total sample), we repeated the analyses on the sample of clients which participated in all of the assessments. The results did not significantly differ from prior results suggesting the lack of predictive potential before (ß = .02, p = .87) and after treatment (ß = .33, p = .05), as well as excellent predictive potential during the treatment (ß = .67, p <.00). We can conclude that our results add up to the pool of empirical findings that emphasize the role of increase of psychological flexibility as a potential mechanism of psychological change. The theoretical and practical implications of the results will be discussed.

8. Development and Validation of an Implicit Measure of (Chronic) Pain-Related Fear, Avoidance and Acceptance in Adolescents
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Pain, Adolescents
Melanie Beeckman, MSc, Ghent University - Department of Experimental-Clinical and Health Psychology - Ghent Health Psychology Lab
Sean Hughes, Ph.D., Ghent University - Department of Experimental-Clinical and Health Psychology - Learning and Implicit Processes Lab
Liesbet Goubert, Ph.D., Ghent University - Department of Experimental-Clinical and Health Psychology - Ghent Health Psychology Lab

Background and Aims: Chronic pain is a common health problem among adolescents. Until recently research has mainly focused on those pain-related contexts and antecedents (e.g., fear or avoidance of pain) that give rise to and maintain maladaptive functioning (e.g., physical disability, social and emotional problems). Others have recently started to investigate so-called ‘resilience’ factors (e.g., pain acceptance ) that can lead to successful daily functioning (e.g., continued engagement in valued activities). Although promising, such work has almost exclusively relied on self-report procedures that tap into people’s deliberate ‘explicit’ thoughts, feelings, and actions. We argue that a more sophisticated understanding of pain-related functioning in adolescents requires that their automatic (pain-related) thoughts, feelings, and actions also be taken into account. We are currently developing a version of the Implicit Relational Assessment Procedure (IRAP) that can assess implicit (pain-related) fear, avoidance, and acceptance responses. This work examines the relationship between explicit and implicit cognition as well as their relationship to (dys)functioning in adolescents. Methods: Two IRAPs were administered to 25 healthy adolescents (11-17 years; recruited through schools) to measure their implicit responses to acute pain. Participants were asked to engage in a 1-minute cold pressor task (CPT) and a neutral water task (i.e. control condition) before completing willingness-fear and approach-avoidance IRAPs. They were then asked to complete a second CPT while performing a tone detection task. Participants also completed task-specific and general pain-related self-reports. Results: On average most (92%) adolescents were able to meet IRAP performance criteria. Participants showed no implicit willingness, fear, approach, or avoidance responses towards the acute pain task, although implicit responses were found towards the neutral task. Only implicit and explicit willingness responses towards the (painful) CPT were (positively) related to one another. Although explicit pain-related responses did relate to performance on the painful CPT and tone detection task, implicit responses did not. Conclusions: The IRAP can be used with adolescents in a pain-related context. In a forthcoming study, the IRAP will be adapted to measure implicit responses in adolescents with chronic pain. Again, relations with explicit cognition and performance on a daily (painful) behavioral task will be explored.

9. Dimensions of Posttraumatic Stress Symptomology and Suicidal Ideation: The Role of Cognitive Fusion
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD; Suicide
John J Donahue, Psy.D., University of Baltimore
Joshua Humphreys, University of Baltimore

Background and Introduction: Following exposure to a traumatic event, posttraumatic stress (PTS) symptomology may persist, including re-experiencing symptoms, avoidance symptoms, negative alterations in mood and cognition, and alterations in arousal and reactivity. PTS symptoms are associated with a range of negative functional outcomes, including an increased risk for suicidality (LeBouthillier, McMillian, Thibodeau, & Asmundson, 2015; Tarrier & Gregg, 2004). However, PTS symptomology is multidimensional in nature, and when examining the relationships between individual symptom dimensions and suicidality, the negative alterations in mood and cognition cluster of symptoms has exhibited a more consistent link (Legarreta et al., 2015). This cluster is characterized by negative beliefs about oneself and the world, distorted blame, and persistent negative emotional states, and its relationship with suicidality is in accordance with the hopelessness theory of suicide (Abramson et al., 2000). Within the psychological flexibility model of psychopathology however, the context of thinking is critical in the development and maintenance of suffering, more so than the content of thinking (Hayes et al., 2012). Cognitive fusion is a process by which individuals relate to thoughts as the literal truth, thoughts are strongly believed, and behavior is markedly influenced by these thinking (Hayes et al., 2012). Within a fused context, it would be expected that the negative alterations in mood and cognition cluster of PTS symptoms would be strongly related to suicidality, whereas this relationship would likely be attenuated under contexts of low fusion. Aim and Hypothesis: The primary aim of this study is to investigate the moderating effect of cognitive fusion on the association between the negative alterations in mood and cognition cluster of PTS symptoms and suicidal ideation. After controlling for the remaining dimensions of PTS symptomology, we hypothesized that negative alterations in mood and cognition would be strongly associated with suicidal ideation when cognitive fusion is high, and weakly associated with suicidal ideation when cognitive fusion is low. We expected this association to be specific to the negative alterations in mood and cognition cluster, as we did not expect cognitive fusion to moderate the relationship between the other three clusters of PTS symptomology and suicidal ideation. Method: One hundred fifty-six community participants (51% women; mean age = 35.01, SD = 10.00) were recruited online as part of a larger study and selected for inclusion based on self-reported prior trauma exposure on the Brief Trauma Questionnaire (BTQ; Schnurr, 1999). Participants were administered an assessment battery which included the PTSD Checklist for DSM-5 (PCL-5; Weathers, et al., 2013), the Cognitive Fusion Questionnaire (CFQ; Gillanders et al., 2014), and a two-item measure of suicidal ideation and intent (SI). Results: PROCESS, a non-parametric bootstrapping procedure was conducted to test the hypothesis that CFQ would moderate the association between the negative alterations in mood and cognition symptom cluster (PCL-Mood and Cognition) and SI, after controlling for the remaining PCL subscales. Supporting our hypothesis, the overall model explained significant variance in SI, R2 = .33, F(6, 149) = 12.41, p < .001, preliminary results revealed that PCL-Mood and Cognition (B = .46. p < .01) and CFQ (B = .13, p < .05) significantly and positively predicted SI, and the addition of the PCL-Mood and Cognition - CFQ interaction term explained additional variance in SI, ΔR2 = .03, p < .01. Evidence of moderation was only found for the PCL-Mood and Cognition subscale, as significant interactions between CFQ and the other PCL-5 subscales did not emerge in the prediction of SI. Discussion. Results provide preliminary support for the role of cognitive fusion in clarifying the associations between negative beliefs and emotions and suicidal ideation in a trauma-exposed sample. Discussion will focus on future directions and possible clinical implications.

10. Social Anxiety: The Role of Experiential Acceptance in Avoidance Behavior of Social Situations
Primary Topic: Clinical Interventions and Interests
Subtopic: Social anxiety, adolescents
Maria do Céu Salvador, University of Coimbra
Maria João Martins, University of Coimbra
Sandra Vieira, University of Coimbra

Background: Acceptance and mindfulness-based approaches have been studied in social anxiety in order to better understand the emergence and maintenance of social anxiety symptoms. Herbert & Cardaciotto (2005) proposed a theoretical model in which behavioral disruption occurs as a function of experiential control and acceptance. This study sought to explore the mediator role of self-focused attention and experiential acceptance in the relationship between physiological/cognitive activation and behavioral avoidance of social situations. Method: The sample comprised 399 Portuguese adolescents (61% females) with a mean age of 15.38 (SD = 1.14). Participants completed the brief form of the Social Phobia and Anxiety Inventory for Adolescents (SPAI-B), the Social Anxiety-Acceptance and Action Questionnaire for Adolescents (SA-AAQ-A), the Self-focused Attention for Adolescents (SFA-A) and the avoidance subscale of the Social Anxiety and Avoidance Scale for Adolescents (SAASA). Two serial multiple mediation models were performed (according to one of the two IVs: i) cognitive activation, ii) physiological activation) with SFA (M1) and SA-AAQ (M2) as mediators, and behavioral avoidance as the outcome. Results: Both mediation models were statistically significant, accounting for 34% and 24% of the variance in behavioral avoidance, respectively. Discussion: Experiential acceptance and self-focused attention have an important role in the prediction of avoidance behaviors. These results may inform clinical practice and future studies in the social anxiety field. Keywords: Social anxiety; Acceptance; Social avoidance; Mediation.

11. A Brief Protocol Based on Acceptance and Commitment Therapy (ACT) for Emotional Eaters
Primary Topic: Clinical Interventions and Interests
Subtopic: Emotional Eaters
Zaida Callejón Ruiz, Madrid Institute of Contextual Psychology (MICPSY)
Edurne Maiz Aldalur, Madrid Institute of Contextual Psychology (MICPSY)
Noelia Vergel Vaquero, Madrid Institute of Contextual Psychology (MICPSY)

Study objective: Analyze the effect of a brief protocol based on Acceptance and Commitment Therapy (ACT) on emotional eating and weight reduction in obese people. Emotional eating is defined as eating in response to emotional arousal states, such as anger, fear or anxiety. The emotional eaters attempt to reduce the emotional distress by eating food rich in fats and sugars that typically generate a sense of well-being. Methods: Participants were six overweight or obese adults (BMI between 27 and 35 kg/m2) who scored above the mean and a standard deviation in the emotional eating subscale of the Dutch Eating Behaviour Questionnaire (DEBQ). A brief ACT protocol was implemented over three weeks following three core strategies indicated in Torneke et al. (2016). A multiple baseline design across participants was used. Baselines were obtained during at least two weeks and then interventions were applied. Three measures were administered: Acceptance and Action Questionnaire for Weight-Related Difficulties (AAQ-W), DEBQ and weight during the 6-week follow-up. Therapist-Participant’s interactions were analyzed during treatment implementation and were analyzed in the context of participants` reports that showed a positive change. Results –and limitations- were discussed according to the relational framing involved in the protocol implemented.

11. A New Status of Psychological Flexibility: A Possible Universal Indicator of Treatment-Induced Change
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychological flexibility
Dragan Žuljević, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Nikolija Rakočević, M.A., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Vesna Gavrilov - Jerković, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Ivan Jerković, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Milica Lazić, M.A., Department of Psychology, Faculty of Philosophy, University of Novi Sad

The treatment induced increase of psychological flexibility is considered to be a crucial mechanism of psychological change within the ACT theoretical framework. It implies a full contact with the present moment as a conscious human being, as well as changing or persisting in behavior in the service of chosen values based on what the situation affords. The aim of our research was to explore the potential change in psychological flexibility as a function of treatment as usual, without performing any of the specific procedures conceptualized within the ACT theoretical and practical framework. Our initial study included 118 clients participating in free-of-charge psychological treatment in Psychological Counseling Center in Novi Sad. 74.8% of the participants were female and 25.2% male, ranging from 18 to 63 years of age (mode = 25). The treatment consisted of 10 sessions. It was conducted by 19 psychological counselors originating from REBT and Transactional analysis theoretical orientation, without any experience or education in ACT. Psychological flexibility was operationalised by Acceptance and Action Questionnaire II (AAQ-II; Bond et al, 2011) which has been administered during the admission interview two weeks before the start of the treatment (n = 117), as well as before the first treatment session (n = 101), after the final treatment session (n = 47), and at three months follow-up (n = 36). The analyses did not detect any significant differences between two pretreatment flexibility scores on the total sample (t(99)=.80; p=.93; d=.01) as well as on the final sample (t(34)=-.90; p=.37; d=.08). The significant increase of flexibility was detected while comparing the levels of flexibility at the beginning and the end of the treatment both on the total (t(46)=3.04; p<01; d=.44) and on the final sample (t(35)=2.96; p<01; d=.51), an also while comparing the end of the treatment with the three months follow-up (t(35)=3.31; p<01; d=.15). The results indicate the significant growth of psychological flexibility as a function of the non-ACT psychological treatment. It could be concluded that the change in psychological flexibility can be considered as a promising metatheoretical phenomenon, whose role in reaching and maintaining a treatment induced psychological change is yet to be investigated and specified.

13. ACT-Based Group Intervention for Children with Social Difficulties
Primary Topic: Clinical Interventions and Interests
Subtopic: Children, bullying
Lee Sook Huey, Methodist College Kuala Lumpur

Acceptance and Commitment Therapy has been explored in recent years as psychological intervention for children and adolescence with emotional difficulties and pain conditions. Nonetheless, the literature on its usefulness for children with social difficulties are almost non-existent. This pilot study aims to investigate the effectiveness of school-based intervention that utilizes principles of psychological flexibility for students with social difficulties. Five students (age 10-11) who demonstrated bullying behaviors were recruited to participate in a 7 weeks ACT group program at school with parental consent. The group session include components of value clarification, mindfulness exercises, defusion exercises, noticing and responding to self-judgement or prejudiced thoughts, and perspective taking exercises. Metaphors such as passengers on the bus metaphor were used to communicate the concepts. Pre and post measures of Child and Adolescent Mindfulness Measure (CAMM) and Social Skills Questionnaire were administered. Children showed significant improvements in mindfulness skills and social functioning at the end of the 7 weeks group sessions. This pilot study gives preliminary evidence on ACT-based group program on children with social difficulties.

14. Does an ACT-Based Group Intervention for Chronic Pain Affect Sleep Disturbance and Depressive Symptoms?
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT, Chronic pain
Michaela Paraskeva-Siamata, M.Sc., University of Cyprus, Cyprus
Maria Karekla, Ph.D., University of Cyprus, Cyprus
Vasilis Vasiliou, Ph.D., University of Cyprus, Cyprus
Orestis Kasinopoulos, M.Sc., University of Cyprus, Cyprus
Maria Stavrinaki, M.Sc., University of Cyprus, Cyprus
Evaggelos Karademas, Ph.D., University of Crete, Greece
Yiolanda Christou, M.D., The Cyprus Institute of Neurology and Genetics, Cyprus
Savvas Papacostas, M.D., The Cyprus Institute of Neurology and Genetics, Cyprus

Background: Chronic pain is a long-term condition which is related to a number of negative consequences including depression, emotional difficulties (Von Korff et al., 2005) and sleep difficulties (Morin, Gibson, & Wade, 1998). Acceptance and Commitment Therapy (ACT) has been found to be effective for a number of psychological difficulties (Hayes et al., 2006), including chronic pain (McCracken et al., 2005). The present study aimed to examine the effectiveness of an 8-week group intervention based on ACT for chronic pain on sleep difficulties and depressive symptoms. Method: Twenty seven Greek and Greek-Cypriot chronic pain patients (74.1% women, age M=52.32) received the group intervention and completed a set of questionnaires including Athens Insomnia Scale (AIS) and Hospital Anxiety and Depression Scale (HADS) at pre-treatment, post-treatment and at 3-month follow-up. Results: Repeated measures ANOVA showed that there was a significant main effect of time on AIS scores (F(2,28)= 8.43, p<.05) and HADS scores (F(2,28)=5.43, p<.05). Specifically, sleep disturbance was significantly lower at post-treatment and at 3-month follow-up compared to pre-treatment while depressive symptoms were significantly lower at 3-month follow-up but not at post-treatment compared to pre-treatment. Moreover, it has been found that depressive symptoms before the intervention was an important predictor of sleep disturbance at 3-month follow-up (F(1,25)= 11.190, p<.05, R2=.309) but not at post-treatment. Discussion: Results show that ACT is an effective treatment for chronic pain helping individuals to cope with difficulties facing because of pain. Moreover, support is given to the idea that ACT effectiveness can immediately be seen after intervention in some aspects but not other and that psychological state before treatment can be a useful predictor for treatment effectiveness in the long-term.

15. Relations Between Each Factor of Self-Compassion and Social Anxiety Symptoms
Primary Topic: Clinical Interventions and Interests
Subtopic: Social anxiety，Self-compassion
Kazuya Inoue, Graduate School of Human Sciences, Waseda University
Kenji Sato, Faculty of Integrated Arts and Sciences, Tokushima University
Hiroaki Kumano, Faculty of Human Sciences, Waseda University

In recent years, studies on self-compassion and social anxiety have increased (e.g., Werner et al., 2012). However, there are insufficient detailed studies in Japan. Therefore, this study examined the relations between self-compassion and social anxiety tendency. Participants (136 undergraduates; 79 men, 57 women; mean age 18.52 ± 1.79 years) completed the Self-Compassion Scale (SCS), the Sort Fear of Negative Evaluation Scale (SFNE), the Social Phobia Scale (SPS), and the Acceptance and Action Questionnaire II (AAQ-II). Results of liner regression analysis revealed the total points of Self-compassion had a high impact on SFNE (β ＝ −.51, p < .001）and SPS（β ＝ −.55, p < .001）. Moreover, the results of stepwise multiple regression analysis showed the effects of each factor of self-compassion on social anxiety symptoms. The results also showed the impact isolation, self-kindness, and over-identification had on SFNE. In addition, SPS was influenced by isolation, over-identification, and common humanity. Although self-compassion includes many factors, the factors that had an actual impact on social anxiety were isolation, self-kindness, over-identification, and common humanity in this study. In the future, more empirical research is necessary for the self-compassion.

16. Fast Improvement in a Short ACT Intervention Delivered by Novice Therapists
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression
Katariina Keinonen, Ph.D. Student, University of Jyväskylä
Heidi Kyllönen, University of Jyväskylä
Piia Astikainen, University of Jyväskylä
Raimo Lappalainen, University of Jyväskylä

Background: The poster aims to introduce key findings on fast improvement and its effect on treatment outcome in a six session ACT intervention delivered by novice therapists. Fast improvement was defined as reaching the status of recovered or improved in the RCI classification after two sessions. Method: Data from 56 clients diagnosed with depression were analyzed for differences in treatment outcome on measures of symptomatology and therapeutic processes. 23 % were classified as fast improvers. Results: Fast improvement on the BDI-II was associated with superior results both on the level of depressive symptomatology and psychological flexibility at posttreatment. There were no pretreatment differences in the pretreatment measures, but pretreatment diagnosis was associated with fast improvement. Discussion: Fast improvement can be useful as a long-term prognostic tool. Recognizing and predicting fast improvement could be useful in planning treatment on an individual level and on a community level.

17. Impact of a Mindfulness Intervention (MBSR) on Clinical Severity and Inflammatory Biomarkers in Patients with Fibromyalgia: A Preliminary Analysis of EUDAIMON Data
Primary Topic: Clinical Interventions and Interests
Subtopic: Fibromyalgia
Laura Andrés-Rodríguez, MSc, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.
Adrián Pérez-Aranda, MSc, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.
Xavier Borràs Hernandez, Faculty of Psychology, Universitat Autonoma de Barcelona, Barcelona, Spain
Albert Feliu-Soler, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.
Andrés Martín-Asuero, Ph.D., Instituto Esmindfulness
Juan Vicente Luciano, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.

Fibromyalgia (FMS) is a disabling syndrome characterized by chronic widespread musculoskeletal pain, increased pain sensitivity including allodynia and hyperalgesia, along with fatigue, sleep and mood disturbances, which has been related to a chronic sub-inflammation. Objectives: To explore the relationship between mindfulness, clinical symptomatology of FMS and inflammatory biomarkers, along with examine the impact of a MBSR intervention on the FMS symptoms and on post-treatment levels of pro- (IL-6, IL-8), anti-inflammatory cytokines (IL-10), and hs-CRP in serum. Methods: Nineteen patients with FMS were randomly allocated to TAU+MBSR or TAU conditions and the following measures were administrated at baseline and at post-intervention: FIQ-R (Revised Fibromyalgia Impact Questionnaire), HADS-A/D (Hospital Anxiety and Depression Scale-Anxiety/Depression), PSS-10 (Perceived Stress Scale-10), FFMQ (Five Facet Mindfulness Questionnaire). Blood samples were taken for evaluating levels of inflammatory biomarkers in serum. Results: Significant correlations between specific mindfulness skills and FMS symptomatology were found, as well as with IL-8 and hs-CRP. Remarkably, MBSR was able to significantly change most of the clinical variables (functional status, anxiety and depressive symptoms) although the serum levels of cytokines remained unchanged. Conclusions: MBSR reduces clinical severity of FMS, though a potential role of chronic sub-inflammation could not be clearly demonstrated.

18. Psychometric Properties of the Spanish Version of Cognitive Emotion Regulation Questionnaire (CERQ) in Patients with Fibromyalgia
Primary Topic: Clinical Interventions and Interests
Subtopic: Fibromyalgia
Adrián Pérez-Aranda, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Laura Andrés-Rodríguez, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Elvira Reche, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Albert Feliu-Soler, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Xavier Borràs, Stress and Health Research Group (GIES), Faculty of Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain
Juan V. Luciano, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain

The term emotional regulation comprises different strategies oriented to modify the occurrence, intensity or duration of an emotional state by altering some of the emotion’s antecedent factors or by modifying some aspect of the emotion itself. Difficulties in emotional regulation seem to be very relevant in clinical contexts and may play a critical role in chronic pain conditions such as fibromyalgia syndrome (FM). Garnefski, Kraaij and Spinhoven designed in 2001 the Cognitive Emotion Regulation Questionnaire (CERQ) in order to assess the conscious cognitive strategies for emotional regulation. In this study we analyzed the psychometric properties of the Spanish version of the CERQ in a sample of fibromyalgia patients (n= 231). All participants completed the CERQ altogether with the Fibromyalgia Impact Questionnaire (FIQR), the Center for Epidemiologic Studies Depression Scale (CESD), the State-Trait Anxiety Inventory (STAI-T) and the Pain Catastrophizing Scale (PCS) for the assessment of convergent validity. Confirmatory factor analysis yielded the same 9-factor structure reported by Garnefski and colleagues: Acceptance, Positive refocusing, Refocus on planning, Positive reappraisal, Putting into perspective, Self-blame, Rumination, Catastrophizing and Blaming others, grouped in two second-order factors (adaptive and maladaptive strategies) with all items showing significant factorial weights (from .51 to .93). Interestingly, in our sample, we found the Acceptance factor to be more related to the second-order factor of maladaptive strategies (.29) than to the adaptive ones (.14). We found a high internal consistency of the instrument (α= .84) and its subscales (α= .77 - .93). All CERQ’s adaptive strategies but Acceptance and Refocus on planning subscales showed negative significant correlations with clinical outcomes (r=−.55 to r=−.13). Positive significant correlations between maladaptive CERQ strategies and symptomatology were also reported (with ranging from r=.13 to .47). Our findings suggest that the Spanish version of the CERQ is a psychometrically sound self-report instrument to assess cognitive strategies for emotional regulation in patients with FM. The implications of these findings are discussed in relation to chronic pain and emotion regulation research.

19. Brief Protocol for the Development of Repertoires of Psychological Flexibility in Depression Patterns
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression
Jorge Alcalá Rivero, Madrid Institute of Contextual Psychology (MICPSY)
Joan Rullan Pou, Madrid Institute of Contextual Psychology (MICPSY)
Maria Jesús Rubio Martin, Madrid Institute of Contextual Psychology (MICPSY)
Alba María Navarro Mateu, Madrid Institute of Contextual Psychology (MICPSY)

The effectiveness of a brief intervention protocol developed on contextual and functional bases to promote psychological flexibility in depressive profiles is analyzed. The instruments and measures used are BDI for depressive symptomatology, AAQ-2 and CFQ for psychological inflexibility, and VQ for values-oriented actions. The protocol consists of a training in MET for the development of psychological flexibility, being structured in 3 sessions that correspond to the three central strategies of intervention indicated in Törneke, Luciano, Barnes-Holmes & Bond (2016). Thus, activities are developed so that the clients know how to discriminate relations between functional classes of their own behavior and their problematic consequences, so they can perform a training framed in hierarchy with the deictic “I” and develop an alternative behavioral repertoire in the direction of personal values. Results are discussed in terms of the frames involved in clinical interactions (Villatte, Villatte and Hayes, 2015) and the relevance of brief interventions.

20. Acceptance and Commitment Therapy (ACT) for Co-Occurring Posttraumatic Stress Disorder (PTSD) and Alcohol Use Disorders (AUD) in U.S. Military Veterans: Preliminary Treatment outcomes
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD, alcohol use disorders, military veterans
Eric Meyer, Ph.D., VA VISN 17 Center of Excellence for Research on Returning War Veterans
Barbara Hermann, Ph.D., Burlington, VT VA
Sonja Batten, Ph.D., Booz Allen Hamilton
Bryann DeBeer, Ph.D., VA VISN 17 Center of Excellence for Research on Returning War Veterans
Paula Schnurr, Ph.D., National Center for PTSD-Executive Division
Robyn Walser, Ph.D., National Center for PTSD-Dissemination and Training

Background: PTSD and AUD frequently co-occur. Treatment outcomes, including treatment retention, are sub-optimal. We present the preliminary outcomes from an uncontrolled pilot trial of ACT for co-occurring PTSD and AUD in veterans. This is the follow-up to a recently published manual development study (Hermann et al., 2016, Journal of Contextual Behavioral Science). Method: PTSD diagnoses were made using the Clinician Administered PTSD Scale for DSM-5 (CAPS-5) and AUD using the Structured Clinical Interview for DSM-5 (SCID). Amount and frequency of drinking were assessed using the Timeline Follow-back interview (TLFB). Functional disability and quality of life were assessed using the World Health Organization measures (WHODAS, WHOQOL). PTSD could be related to any type of trauma, though combat was the most common. Treatment consisted of 12 weekly individual psychotherapy sessions. Participants could receive concurrent pharmacotherapy, but not concurrent psychosocial treatment for PTSD or AUD. Between-session practice consisted of daily mindfulness practice, worksheets to highlight ACT core processes, and behavioral assignments. Goals related to reducing drinking were made collaboratively; abstinence was not a required goal. Results: 43 participants were assigned to treatment, of whom 29 completed ten or more sessions (67.4% intent-to-treat completion rate), 11 dropped out, and 3 never started treatment. Among treatment completers, pre-post treatment outcomes included significant reductions in PTSD symptom severity (p < .001; d = .79; large effect), number of drinking days (p < .001; d = .91; large effect), heavy drinking days (p < .001; d = .88; large effect), total drinks (p = .002; d = .65; medium effect), and depression symptoms (p = .02; d = .48; medium effect). Improvements in functional outcomes were observed in terms of improved quality of life (p = .001; d = -.54; medium effect) and reduced functional disability (p = .08; d = .35; small effect). These improvements were accompanied by reductions in experiential avoidance and psychological inflexibility (p = .03; d = .43; small effect). Discussion: Overall, these preliminary outcomes suggest that ACT may have promise as a treatment for people with co-occurring PTSD-AUD.

21. ACT Protocol in Anxiety Disorder/Panic Attack
Primary Topic: Clinical Interventions and Interests
Subtopic: Anxiety
Yolanda Bueno Aguado, Micpsy Madrid
Jennifer Escolano Martinez, micpsy madrid
Guillermo Matia, micpsy madrid
Sofia Rodriguez de la Plaza, micpsy madrid

Aceptance and commitment therapy (ACT) has proven effective generating psychological flexibility in clients with Anxiety Disorders. This work tries to add evidence from a brief protocol of three consecutive sessions based on act-rft movements. The treatment procedure was applied in patients with high physical symptoms such as palpitations, chest pressure, choking sensation, instability or lack of balance, dizziness, paresthesias of the arms and legs (cramping, feeling asleep member ...) Rapid breathing or hyperventilation, headaches and contractures. In addition, all of them present a significant reduction in the quality of life due to avoidance actions that prevent contact with sources of personal value. The sessions have a special focus on therapeutic alliance, functional analysis, the use of metaphors co-created with the patient, training in perspective and the clarification of valuable actions in the patient. More specifically, this protocol is structured following the strategies of functional analysis in the first session, defusion / distancing exercises of physical and bodily sensations, as well as the contents of thought, in the second session and, in the third, a suggested guide for the patient to focus on their values (Törneke, Luciano, Barnes-Holmes, & Bond, 2016). Measures include pre-post treatment questionnaires (AAQ II, CFQ) and analysis of clinical interactions in terms of the relational behavior involved (Villatte, Villatte and Hayes, 2015). "Estudio realizado en el contexto del Trabajo Fin de Máster en Terapias Contextuales en Madrid Institute of Contextual Psychology (MICPSY)."" Master's final proyect for the master of contextual psychology in Micpsy Madrid." Key words: ACT, RFT, protocol, anxiety, panic attacks, defusion, metaphors, values.

22. Adversity and Psychopathology: The Mediating Role of Experiential Avoidance
Primary Topic: Clinical Interventions and Interests
Subtopic: Schizophrenia, Depression
Leticia Martínez Prado, Universidad Complutense de Madrid
Almudena Trucharte Martínez, Universidad Camilo José Cela
Alba Contreras Cuevas, Universidad Complutense de Madrid
Regina Espinosa López, Universidad Camilo José Cela
Carmen Valiente Ots, Universidad Complutense de Madrid

Background: Childhood trauma has been related to many mental disorders and has been implicated in both the formation and maintenance of psychopathological symptoms. However, little is understood about the mechanism through which these traumatic experiences impact on psychopathology. Experiential avoidance (EA) is a regulatory strategy characterized by efforts to control or avoid unpleasant thoughts, feelings and bodily sensations. It´s been suggested that EA is an important transdiagnostic process in the development of mental disorders. We hypothesized that adversity plays a direct causal role in maintaining paranoia ideation and depressive symptoms in people with with severe mental disorders and that the effect of trauma would be mediated by EA. Method: All 111 participants were recruited from the Hospital Universitario Clínico San Carlos and completed a battery of self-report questionnaires including a measure of persecutory ideation (PQI; McKay et al., 2006), depression (BDI-II; Beck et al., 1988), EA (Acceptance and Action Questionnaire-II) and a trauma screening (THS; Carlson et al., 2011). Seventy five had a diagnosis of schizophrenia spectrum disorder and thirty-six had a diagnosis of depression disorder. Results: Regardless of the diagnostic status, our findings suggest a significant mediation effect of EA between childhood sexual abuse and depressive symptoms (Z = 2.61, p= 0.009) and a significant mediation effect of EA between accumulative adverse events and paranoia ideation (Z = 1.96, p= 0.02). Discussuion: This study provides evidence for the role of EA in the maintenance of depression and paranoid ideation, a role of central relevance, both to the design of psychological interventions and to the conceptualizations of mental disorders.

23. An Attempt to Measure Experiential Avoidance in Daily Life Using Ecological Momentary Assessment
Primary Topic: Clinical Interventions and Interests
Subtopic: Experiential avoidance
Taiki Shima, Graduate School Human Sciences, Waseda University
Hikari Honda, Graduate School Human Sciences, Waseda University
Hiroaki Kumano, Faculty of Human Sciences, Waseda University

Background: In most studies, experiential avoidance is measured using Likert-type scales such as the Acceptance and Action Questionnaire-II (Bond et al., 2011). Likert-type scales are useful for measuring experiential avoidance tendency but fail to accurately capture individual events, behaviors, or contexts. To obtain more detailed information regarding the measurement of experiential avoidance, new methods are required. Ecological momentary assessment (EMA; Stone & Shiffman, 1994) is a measurement method that involves repeated collection of daily life, real-time data in natural environments. Consequently, this method can avoid recall bias and collect data with high ecological validity. The current study examines whether EMA can be used to measure experiential avoidance in daily life. Method: Twenty-four students (female = 18, mean age = 19.88 ± 1.45) participated in this study. They completed a questionnaire (sent via e-mail) three times a day for 10 days. Additionally, the participants completed the questionnaire when unpleasant events occurred. This questionnaire comprised the following items: pre-behavior mood (1: unpleasant to 7: pleasant), behavior, content of thought, and post-behavior mood (1–7). Because experiential avoidance is considered to be maintained through negative reinforcement, the response which the participants' mood improved (pre-behavior mood < post-behavior mood) was seen as experiential avoidance. To specify experiential avoidance, the responses when they felt unpleasant (pre-behavior mood < 4 or when they had negative thoughts) were selected from the collected data. Subsequently, each participant’s experiential avoidance percentage (the response which their mood improved/the response when they felt unpleasant) was calculated. Although experiential avoidance may be effective in the short term, it is not beneficial in the long term (Hayes et al., 2012). Therefore, the long-term mood (the average of pre-behavior mood in all responses) of each participant was calculated. Further, Spearman’s rank correlation was calculated. Results: One participant who had only one response when she felt unpleasant was excluded. Therefore, the data collected from the remaining 23 students (female = 17, mean age = 19.87 ± 1.49) were analyzed. Among the 696 responses obtained, 238 were related to when the participants felt unpleasant, and 98 fulfilled the experiential avoidance criteria. This study's analysis showed weak negative correlation (ρ = −.394, 95% CI [−.669, .068], p = .097); however, this result was marginally significant. Discussion: Although the result was marginally significant, it was demonstrated, as hypothesized, that long-term mood may deteriorate if experiential avoidance is increased in daily life. Given the foregoing discussion, EMA may be used to measure experiential avoidance in daily life. However, the measuring procedure used in this study can be improved and refined to measure experiential avoidance based on contingency. This finding was obtained by continuing the research published at the 17th Asian Congress on Psychosomatic Medicine.

24. The Social Anxiety – Acceptance and Action Questionnaire for Adolescents (SA-AAQ-A): Study of the Psychometric Properties in a Portuguese Sample
Primary Topic: Clinical Interventions and Interests
Subtopic: Social Anxiety Disorder, Adolescents, Assessment
Sandra Vieira, University of Coimbra
Maria João Martins, University of Coimbra
Maria do Céu Salvador, University of Coimbra
Megan MacKenzie, Ryerson University
Nancy Kocovski, Wilfrid Laurier University

Background: Given the increasing research on acceptance-based interventions in youth, the development of instruments that target specific disorders and processes is necessary to ensure a reliable understanding of the mechanisms involved in the efficacy of such interventions. The present study aimed to translate, adapt, and analyze the psychometric properties of the Social Anxiety – Acceptance and Action Questionnaire (SA-AAQ; MacKenzie & Kocovski, 2010), an instrument designed to assess the acceptance of social anxiety symptoms, to a sample of Portuguese adolescents. Method: Factor structure, internal consistency, convergent and discriminant validity were examined in a sample of 599 Portuguese adolescents (60.8% females) aged between 14 and 18. Temporal reliability was assessed in a subsample of 145 participants. In addition to the SA-AAQ-A, participants completed the Child and Adolescent Mindfulness Measure, the Social Anxiety Scale for adolescents, the Multidimensional Anxiety Scale for Children and the Children's Depression Inventory. Results: Confirmatory factor analysis suggested a two-factor structure (Acceptance and Action). Good (.92) and acceptable (.77) internal consistency were found for the Acceptance and Action subscales, respectively. Paired t-test and Pearson correlation between scores with a 5-week interval indicated a good temporal stability for both the Acceptance and Action subscales. Good convergent validity and discriminant validity were also found, although less robust results were found for the Action subscale. Discussion: The SA-AAQ-A is a sound instrument for assessing acceptance of social anxiety for an adolescent population. Keywords: Social Anxiety Disorder, Acceptance, Action, Acceptance and Commitment Therapy (ACT)

25. A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Stigma in Adults
Primary Topic: Clinical Interventions and Interests
Subtopic: Body image disatisfaction
Catrin Griffiths, University of the West of England
Heidi Williamson, University of the West of England
Fabio Zucchelli, University of the West of England
Tim Moss, University of the West of England

Background: Body image dissatisfaction and perceived weight stigma are prevalent and associated with physical and psychological ill-health. Acceptance and Commitment Therapy (ACT) is increasingly being employed to target both, yet little is known regarding its effectiveness. Method: This review aimed to systematically identify ACT intervention studies for improving body image and weight stigma, evaluate their quality and comment on effectiveness. Results: After searching 12 databases, 4 studies were identified and reviewed. Studies used randomised controlled trial designs and evaluated online and face-to-face ACT interventions of varying durations and intensity. The small number of studies of varied methodological quality emphasised that ACT for body dissatisfaction and weight stigma is not yet established. However, findings support the facilitative role of psychological flexibility in reducing body dissatisfaction and indicate that brief online, as well as lengthy and face-to-face delivery may be useful. Discussion: ACT may be a promising approach for this population, worthy of further rigorous research.

26. Effectiveness of Acceptance-Based Self-Help for Individuals with Visible Difference and Social Anxiety: A Pilot Randomised Controlled Trial
Primary Topic: Clinical Interventions and Interests
Subtopic: Self-help, Visible Difference
Luke Powell, University of Sheffield
Andrew Thompson, DClinPsy, University of Sheffield

Background: Individuals with visible difference in appearance (such as burns, skin and hair conditions and craniofacial differences) commonly experience distress due to appearance-related concerns. For some individuals, appearance-related concerns can have profound psychological impact, including reductions in quality of life, self-confidence and an increase in social anxiety. Thompson (2009) reported 30% of individuals referred to secondary care due to a dermatological condition exhibit clinically significant levels of distress, demonstrating a need for accessible resources. Self-help materials may be an accessible method of support for individuals with visible difference who are distressed. Additionally, the ‘severity’ of the visible difference does not predict distress (Moss, 2005) and thus psychological intervention focuses on managing the impact of the condition, rather than trying to change the condition itself. This intervention strategy aligns well with Acceptance and Commitment Therapy (ACT). Recent findings have demonstrated ACT self-help has been beneficial for a variety of clinical populations, including those experiencing anxiety, depression, and chronic health conditions. This study aimed to develop and examine an acceptance-based self-help booklet for individuals with visible difference. Specifically, the booklet aimed to: 1) increase psychological flexibility, 2) reduce appearance-related anxiety and 3) improve quality of life. Method: A pilot randomised controlled trial was used. Participants were individuals who self-identified as having a visible difference. Recruitment occurred through relevant charities, who advertised via social media. Participants were randomised to either the four-week intervention or a waitlist. Data were collected at pre- and post-intervention. The self-help materials were developed by the lead researcher and there are three core modules: 1) awareness of our experience (including mindfulness and willingness), 2) changing the impact of our thoughts and 3) values, goals and barriers. Results: This study is on-going with recruitment set to commence in April or early-May. Preliminary findings may be available by late-June. Data will be analysed to ascertain differences between the two groups and differences between pre- and post-intervention. Discussion: The preliminary findings will be used to discuss implications for ACT both within a self-help context and for use with individuals with visible difference and appearance-related concerns.

27. The AAQ-II Translation to Georgian: A Preliminary Validation Study
Primary Topic: Clinical Interventions and Interests
Subtopic: Assessment
Nino Gogichadze, Ilia State University, GNNT
Teona Lodia, Ivane Javakhishvili Tbilisi State University, GNNT
Nata Meparishvili, Ilia State University, GNNT
Jodi Polaha, East Tennessee State University

Background: The Acceptance and Action Questionnaire-II (AAQ-II) was developed to measure the central tenets of Acceptance and Commitment Therapy (ACT) – psychological inflexibility, acceptance, and experiential avoidance (Bond et al., 2011). Consistent with the theoretical orientation, Bond et al. showed the AAQ-II reliably predicts a range of outcomes from mental health to work absenteeism. The AAQ-II has been translated and studied in at least 22 languages. The present study aims to identify psychometric functioning of the Georgian version. This study represents the first ACT-oriented empirical endeavor in the Republic of Georgia, a developing country. Methods: The AAQ-II was translated to Georgian using best practice procedures recommended in the literature (Borsa, Damasio, & Bandeira, 2012). Questionnaires were then distributed among the students and staff of Tbilisi Ilia State University in the Republic of Georgia using an online interface. A total of 352 participants completed the survey, with bachelors level students representing 79% of the sample and the remainder distributed among graduate students and administrative staff. Questionnaires included the AAQ-II and two standard measures already established in Georgia: the Worlds Health Organization’s WHO-5, a short self-report instrument which measures subjective psychological well-being dimension of overall perceived quality of life and the Satisfaction with Life Scale (SWLS; Diener, Emmons, Larsen, & Griffin, 1985) is focused to asses global Life Satisfaction. Results: Analyses of the chronbach’s alpha for each measure showed acceptable internal validity; AAQ-II (α = .863); WHO-5 (α = .873); and SWLS (α = .959). Consistent with a growing body of literature across many countries and cultures, analyses revealed a negative correlation between psychological flexibility as measured by the AAQ-II and WHO-5 (r = -.336, p≤.001). No significant correlation was found between WHO-5 and SWLS, or AAQ-II and SWLS. Discussion: Results provide some support that the Georgian translation of the AAQ-II appears to be an appropriate and valid measure for assessing psychological flexibility. We plan to provide detailed information regarding specific item analysis and implications for future research. This preliminary study is the first to initiate the translation of essential ACT concepts to the Republic of Georgia and paves the way for future research and clinical endeavors, particularly the important connection between these researchers and others doing like-work in other countries.

28. Routine Outcomes in Psycho-oncology: Problems and Possibilities
Primary Topic: Clinical Interventions and Interests
Subtopic: Psycho-oncology, ACT, cancer
Sari Harenwall, DClinPsych, The Maggie Keswick Jencks Cancer Caring Centres Trust
Karen Verrill, The Maggie Keswick Jencks Cancer Caring Centres Trust
Lesley Howells, DClinPsy, The Maggie Keswick Jencks Cancer Caring Centres Trust
David Gillanders, DClinPsy, University of Edinburgh

Background: There is ongoing debate surrounding routine outcomes in clinical practice with many primary health care providers in the UK adopting a more uniform approach to routine outcome data collection, which is embedded in their daily practice. However, there is little consensus within psycho-oncology, with variation in the use of outcome measures and investment in the infrastructure to support data collection nationally and globally. This is a first attempt at demonstrating outcomes using ACT in a community cancer charity setting whilst developing a sustainable framework by collaborating with local Universities and offering undergraduate psychology students placements to support data entry. Therefore this service evaluation has two primary aims; 1) to explore clinical outcomes and the fidelity of ACT in community psycho-oncology and 2) to test the feasibility and utility of an innovative and cost effective approach to auditing. Method: Audit data (n=112-123) was collected as part of routine clinical practice in a third sector community cancer centre. Service users were affected by cancer either directly (personal diagnosis) or indirectly (partner/relative/bereaved). This was a naturalistic sample with some being in active treatment, and some being treated with curative or non-curative intent. The number of treatment sessions ranged from 2-26 with a mean of 5.49 and median of 4.00. Routine outcome data was measured by the Distress thermometer (DT), the Acceptance and Action Questionnaire-II (AAQ-II) and the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM). A smaller number of participants (n=74) completed written end-of-therapy feedback. Volunteer assistant psychologists were recruited from local psychology undergraduate courses annually. Volunteers were then trained in data entering and supervised by a clinical psychologist. Results: Paired sample t-test for the DT, CORE-OM and AAQ-II for pre and post treatment measures demonstrated significant results (p= 0.000) with large effect sizes (cohen’s d = 1.36-179). End of therapy feedback indicates that clients’ found therapy helpful and ACT principles were learnt. In particular, acceptance of thoughts and feelings were reported by a large proportion of clients’ to be helpful. Discussion: Data suggests that ACT can lead to significant improvement in psychological flexibility and well-being in people affected by cancer in routine practice. However, more rigorous data from multiple centres and therapists needs to be collected, not only to build on the growing evidence base for ACT in cancer populations but also for quality assurance purposes. Working closely with Universities’ with aspiring and enthusiastic psychologist is likely to be mutually beneficial. Implication for designing data collection and reporting systems will be discussed.

29. Effectiveness of a 10-Week Pilot Acceptance and Commitment Therapy Group for Social Anxiety Disorder: Results from an Acute Care General Hospital
Primary Topic: Clinical Interventions and Interests
Subtopic: Social Anxiety
Neil Levitsky, M.D., University of Toronto
Marlene Taube-Schiff, Ph.D., Ryerson University
Samantha Fashler, Ryerson University
Aiden Mehak, Ryerson University

Background: Acceptance and Commitment Therapy (ACT) has been shown in randomized controlled trials to be an effective treatment for Social Anxiety Disorder (SAD). To date, only one RCT has been done with ACT groups for social anxiety (Kocovski et al., 2013). This pilot study examined the feasibility and effectiveness of using this ACT protocol (Kocovski et al., 2013) in a naturalistic setting within an acute care general hospital. Methods: 13 adult out-patients diagnosed with SAD were enrolled in a 10 session, weekly ACT group at North York General Hospital in Toronto, Canada. The following rating scales were completed at the first and last sessions: Leibowitz Social Anxiety Scale (LSAS), Social Phobia Inventory (SPIN), Self-Compassion Scale (SCS), and the Post-event Processing Inventory (PEPI). Results: We found that total SPIN scores (n=11) were significantly reduced from week 1 (M = 39.5; SD = 10.9) to week 10 (M = 29.4; SD =10.3), p = 0.006. The total LSAS scores (n=8) were significantly reduced from week 1 (M = 65.4; SD = 27.1) to week 10 (M = 39.3; SD = 11.1), p = .015. LSAS subscales of social avoidance and performance avoidance significantly decreased while total avoidance, total fear, total fear of social, and total fear of avoidance did not significantly change. The total SCS scores (n = 11) significantly increased from week 1 (M = 2.4; SD = .7) to week 10 (M = 3.1; SD = .6), p = .005. All SCS subscales (except over-identification) significantly increased over the course of the group. The total PEPI scores (n = 11) were significantly reduced from week 1 (M = 46.5; SD = 9.5) to week 10 (M = 37.1; SD = 10.5), p = .003. All PEPI subscales significantly decreased. Discussion: This 10-week ACT group proved to be feasible with promising results. Consistent with our results, the aim of ACT is to increase value-based action, with the reduction of anxiety/fear not being a core treatment goal. Changes on the SCS scale highlight the impact of the mindfulness and self-compassion interventions. We believe our results suggest that this ACT protocol can be effective in a naturalistic setting but further research should replicate these findings within a larger sample size.

30. FACT*: Focused Acceptance and Commitment Therapy Enhanced by Functional Analytic Psychotherapy for the Treatment of Social Anxiety Disorder. Mixing Single Subjects Designs and Group Design to Test Efficacy and Efficiency of Direct Measures
Primary Topic: Clinical Interventions and Interests
Subtopic: FACT, FAP, ACT, Social Anxiety Disorder, SAD, Multiple Baseline
Roberto Cattivelli, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy
Nicola Maffini, Private Practice
Alessandro Musetti, Department of Literature, Arts, History and Society, University of Parma, Parma, Italy
Giorgia Varallo, Istituto Auxologico Italiano IRCCS
Chiara Spatola, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy
Emanuele Cappella, Department of Psychology, Catholic University of Milan, Milan, Italy
Gianluca Castelnuovo, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy

Background: Focused Acceptance and Commitment Theory focus on ways to improve behavioral flexibility for brief therapy and consulting settings and is considered cost-effective , high efficient treatments, with generally equal outcomes but better sustainability compared with more traditional Cognitive Behavioral Treatments, especially for brief hospitalizations or out-patients settings. Method: We tested the effectiveness/efficiency of a FACT intervention, a brief 6 hour protocol for outpatient diagnosed with Social Anxiety Disorder (SAD), to change SAD-related behaviors directly observed during sessions and collected in directed ways between sessions. Methods involved in this study are quite innovative, including direct collected data with technological devices as smartphone and activity trackers and including a point to point behavioral data collection. Psychometric measurements through Outcome Questionnaire 45.2 and AAQ-II are consistent with behavioral data. Results & Discussion: Findings of the study are promising, suggesting an increase of value-related behaviors and a reduction of avoidance responses.

31. Flex Game: The game of the Psychological Flexibility
Primary Topic: Clinical Interventions and Interests
Subtopic: Therapeutic Tool
Erica Oliveira Faria, Private Practice

Flex Game is a therapeutic tool that was designed based on the theoretical assumptions from Acceptance and Commitment Therapy. This game is composed of colored wooden blocks with symbolic representations of emotions. Stacked blocks form a tower, which represents life experiences. A six-sided dice, with different colors in eachside, represents uncontrollable internal or external events. When tossed, the color defines which block is to be removed from the tower, independently of the position it is in, and this piece may compose a new construction. For ACT, psychopathology is seen as psychological inflexibility that arises from attempts to control private events. Constructing psychological flexibility goes through awareness and acceptance of private experiences, and commitment to action based on personal values. The ACT therapist uses metaphors and experiential exercises for the client to contact its private experiences instead of avoiding them.

32. Beyond the use of protocols in the treatment of BPD in Colombia
Primary Topic: Clinical Interventions and Interests
Subtopic: Borderline Personality Disorder
Alexandra Avila Alzate, Centro de Terapias Contextuales, Bogotá-COL
Carolina Prieto, Centro de Terapias Contextuales, Bogotá-COL
Mónica Ramos, Centro de Terapias Contextuales, Bogotá-COL
Lucía Delgado, Centro de Terapias Contextuales, Bogotá-COL

Borderline Personality Disorder has been addressed specially by DBT in the last decades, however, in Colombia limited clinicians count with formal DBT training and experience. Few years ago, clinical programs started to include third wave approaches for complex clinical cases. Even so, only the basics were studied and CBT remains dominant in the clinical field. Having the chance to conform a DBT team, starting to use most part of the protocol suggestions brought us to conclude that CBT and DBT still could work together for treating BPD. The importance of managing both perspectives can support the specific requirements that each case requires, but we also found the need of disseminating contextual therapies in our country. We would like to share a life worth living experience and first clinical case in our Contextual Therapies Center located in Bogota, Colombia.

33. Psychometric properties of the Spanish version of the Valuing Questionnaire (VQ) in Spain.
Primary Topic: Clinical Interventions and Interests
Subtopic: Process measures of potential relevance to ACT
Paula Odriozola-González, Ph.D., Universidad de Valladolid y Universidad Europea del Atlántico
Francisco J. Ruiz, Ph.D., Fundación Universitaria Konrad Lorenz
Juan Carlos Suárez-Falcón, Universidad de Educación a Distancia
Mª Rosario Perucha Ramos, Práctica privada de psicología sanitaria

The Valuing Questionnaire (VQ) is a measure of valued living according to the definition of values of the acceptance and commitment therapy (ACT). It has a robust two-factor structure, comprising Progress and Obstruction. The VQ has shown good internal consistency and convergent and divergent validity. The current study analyzed the psychometric properties and factor structure of the Spanish version of the VQ in Spain. The VQ was administered to a total sample of 880 participants, including a general population sample and a clinical sample. The results were very similar to those obtained in the original VQ version. Internal consistency across the different samples was good. The two-factor model showed a good fit to the data.The mean Progress and Obstruction scores of the clinical sample were lower and higher, respectively, than the scores of the nonclinical sample. Correlations with other constructs were in the expected direction. In conclusion, the Spanish version of the VQ shows good psychometric properties in Spain.

34. To Evaluate the Psychometric Properties of the ISTACTS Rating Scale Among the Muslim Community
Dr. Tahereh Seghatoleslam, University of Malaya Centre of Addiction Sciences (UMCAS), Kuala Lumpur, Malaysia
Prof. Hussain Habil, Psychiatry Department at Mahsa University, Kuala Lumpur, Malaysia

Aim: To evaluate the psychometric properties of the rating scale. It was designed by basis of the Islamic Spiritual Therapy (IST) and Acceptance Commitment Therapy (ACT) Scale (ISTACTS) among the Muslim Community. Materials and Methods: in this cross sectional study 210 healthy volunteers that were selected randomly from Muslim Community at University Malaya, Malaysia. If they agreed to be participle in the study, the scale was distributed among them. They completed anonymous scale, about thirty minutes. Instruments: The scale was designed by two psychologists and two psychiatrists. The content was divided into ten parts. It includes: the six core of the ACT, and in addition four parts of the IST which are individual , social behaviour, Islamic rituals (such as five time prayers), and Islamic believes ( for instance: belief in one God). Results: This study is under process and the results are still being analysed. In the main article the results will be presented by researchers.

35. Acceptance and Commitment Therapy (ACT) for Adolescent Psychiatric and Substance Use Disorders: Results from Stage 1a Development
Primary Topic: Clinical Interventions and Interests
Subtopic: Substance Use Disorders/Adolescence
Julia Timmerman, LCSW, Denver Health and Hospital Authority
Christian Thurstone, M.D., Denver Health and Hospital Authority/University of Colorado

Background: There are few models for integrated treatment of adolescent psychiatric and substance use disorders. Many youth in substance treatment drop out and do not achieve abstinence. To address these limitations of adolescent substance treatment, this study begins to develop a novel treatment approach. Methods: Participants were 82 youth enrolled in a hospital-based clinic and three school-based clinics. Only youth who had been in treatment for at least 16 weeks were included. Participants also included the 8 therapists who administered the intervention. All youth were offered 12 weeks of manual-standardized, individual treatment consisting of: motivational interviewing, acceptance and commitment therapy, contingency management, family sessions and medication-assisted treatment. Sessions were audio-recorded monthly for fidelity monitoring. Outcome measures for the hospital-based clinic included the following: number of sessions attended, proportion of days used substances in the past 7 days (for those with non-zero baseline use, n=39), Outcome Rating Scale (ORS) (0=poor wellness, 40=optimal wellness), Session Rating Scale (SRS) (0=poor session, 40=optimal session), urine drug screens and qualitative feedback from therapists. Outcome measures for the school-based clinics included number of sessions attended, proportion of days used substances in the past 7 days (for those with non-zero baseline use, n=29), a measure of school engagement (0=minimal school engagement, 30=maximum school engagement), modified ORS (0=poor wellness, 10=optimum wellness), SRS, urine drug screens and qualitative feedback from therapists. Statistical analyses included descriptive statistics and pre-post comparison of continuous outcome measures using dependent t-tests or non-parametric equivalent. This study was approved by the Colorado Multiple Institutional Review Board. Results: Mean ORS scores increased from 22.5 to 29.3 (p<0.0001) and from 6.8 to 7.8 (p=0.050) in the hospital and school-based samples, respectively. The median proportion of days used decreased from 0.6 to 0 (p=0.0035) and from 0.4 to 0 (p=0.0004) in the hospital- and school-based samples, respectively. School engagement scores increased from 20.2 to 23.7 (p=0.011) in the school-based sample. The mean SRS score was 37.0 (SD=2.2) and 38.2 (SD=2.8) in the hospital- and school-based samples, respectively. All audio-recordings received passing scores. Therapists reported satisfaction with the intervention and recommended adaptations to the manual. Discussion: The results provide a novel, manual-standardized treatment for adolescent psychiatric and substance use disorders. This manual-standardized treatment should undergo Stage 1b testing to evaluate the feasibility of a larger, controlled trial and to estimate effect size.

36. Changing the Pattern of Subjective Well-Being in the Context of Psychological Treatment: The Role of Self-efficacy
Primary Topic: Clinical Interventions and Interests
Subtopic: Mechanism of change
Vesna Gavrilov-Jerkovic, Department of Psychology, University of Novi Sad, Serbia
Milica Lazic, Department of Psychology, University of Novi Sad, Serbia
Dragan Zuljevic, Department of Psychology, University of Novi Sad, Serbia
Nikolija Rakocevic, Department of Psychology, University of Novi Sad, Serbia
Ivan Jerkovic, Department of Psychology, University of Novi Sad, Serbia

Vast amount of research in psychotherapy established the efficacy of a range of psychological treatments. However, research also demonstrates that treatment varies widely in its effects, and it is estimated that 15% of patients get worse following treatment. Mechanisms of change may play an important role in the effects achieved by treatments, but we still have little knowledge of for whom and why psychotherapy works. According to social learning theory, changes in psychotherapy are mediated by strengthening expectations of personal efficacy. The aim of this study was to explore differences in self-efficacy during the treatment between persons whose subjective well-being improved at the end of therapy, and persons which well-being remained the same or worsened after psychotherapy. Longitudinal data were collected in four waves from 63 clients, who finished treatment (70% female, 18 to 63 years). Clients were participating in free-of-charge psychological treatment in Psychological Counseling Center. The treatment consisted of 10 sessions. It was conducted by 19 psychological counselors originating from REBT and Transactional analysis orientation. Participants completed the measure of self-efficacy (A Short Version of the Self-Efficacy Optimism Scale), life satisfaction (Satisfaction with Life Scale) and positive and negative affect (Positive and Negative Affect Schedule) during the admission interview two weeks before the start of the treatment, after third, sixth, and after the final treatment session. The results of latent profile analysis performed in each wave consistently indicated three classes: the high SWB, medium SWB and low SWB group of clients. 39 clients change their class to better one during psychotherapy (G1), while 24 clients retained class, or have worse class after treatment (G2). Results of latent growth modeling show that there is increase in self-efficacy in both groups (G1 and G2). The results of multivariate analysis of variance show that there was no difference in the level of self-efficacy between the two groups of clients before the treatment and after the first three sessions. However, the difference appears after the sixth and also after the last treatment session for the benefit of the clients of the first group indicating that the self-efficacy has a potential to be one of the mechanisms of therapeutic change, but only in the middle and the end phase of treatment. Practical and theoretical implications of the findings will be discussed.

37. Cognitive Fusion: Concept and Validation of the German Version of the Cognitive Fusion Questionnaire CFQ-D
Primary Topic: Clinical Interventions and Interests
Subtopic: Cognitive Fusion Questionnaire
Dr. Claudia China, Mühlenbergklinik Holsteinische Schweiz, Bad Malente-Gremsmühlen
Dr. Laura Birke Hansen, Mühlenbergklinik Holsteinische Schweiz, Bad Malente-Gremsmühlen
Dr. Dieter Benninghoven, Mühlenbergklinik Holsteinische Schweiz, Bad Malente-Gremsmühlen

Background: Within the ACT model of psychological flexibility, cognitive fusion (CF) refers to a person’s attitude towards their own thoughts and beliefs, more specifically, the extent to which they identify with their own thoughts and beliefs. This concept is of growing interest for those treating chronic conditions, e.g. pain. Recently developed measures of CF are available in English but so far, are lacking in German. Methods: This study aims to explore the reliability and validity of the German translation of the Cognitive Fusion Questionnaire CFQ by Gillanders et al. (2014) within a sample of chronic pain patients (n=200), currently inpatient at a rehabilitation clinic, and a non-clinical sample of university students (n=100). In addition, the patients complete a set of standard clinical measures as well as the German translation of the Psychological Inflexibility in Pain Scale (PIPS). Results: Using confirmatory factor analysis we establish the dimensionality of cognitive fusion as assed by the CFQ-D. Psychometric properties are provided including measures for reliability (i.e. internal consistency, retest-reliability), convergent validity and face validity. In addition, the contribution of CF to pain, level of functioning, life quality, depression and catastrophizing is tested by means of multiple regression analyses. Discussion: The findings will be discussed in terms of demonstrated usefulness.

38. Contributions of B.F. Skinner's writings to understand Functional Analytic Psychotherapy’s Middle-Level Terms
Primary Topic: Clinical Interventions and Interests
Subtopic: Functional Analytic Psychotherapy
Rodrigo Nunes Xavier, Universidade de São Paulo
Sonia Beatriz Meyer, Universidade de São Paulo

Functional Analytic Psychotherapy (FAP) is a treatment derived from a Skinnerian functional analysis of successful interventions for interpersonal problems. Its description changed from a purely behavioral language to the Contextual Behavioral Science's Middle-Level Terms (MLTs) for several reasons, as to wide spread FAP to non-behaviorists practitioners. Even acknowledging reasons like this one, an emerging problem is that therapists and researchers who adopt the behavior analytic approach have found difficulties to understand how the new MLTs can add any advantage to the original conceptualization of FAP. Therefore, it is also necessary to spread FAP's MLTs to behaviorists. What is presented is a narrative review of B.F. Skinner's main writings summarizing what he published about the terms awareness, courage, and love. It is hoped that this synthesis will provide a clearer understanding and a greater refinement about the FAP's target and its purpose.

39. Psychological and Cognitive Flexibility in Relationship to Age and Anxiety
Primary Topic: Functional contextual neuroscience and pharmacology
Subtopic: Psychological Flexibility, Cognitive Flexibility, Anxiety, Age, Executive functions, ACT.
Xavier Montaner Casino, Universitat Autònoma de Barcelona
Jeroni Muñoz Galindo, Hospital Ricard Fortuny
Mélodie Pulgarín Linero, Universitat Autònoma de Barcelona
Mercè Martínez Vallès, Hospital Ricard Fortuny

Background: Psychological Flexibility is linked to health and well-being and is an identified treatment outcome for therapies such as Acceptance and Commitment Therapy (ACT). In the other hand, Cognitive Flexibility is a neuropsychological construct, a component of executive function, that has a significant conceptual overlap with Psychological Flexibility. They both pretend to manifest the ability to change behavior in response to environmental change, and an impairment in both has shown an association with psychopathology. In this study, we meant to clarify the overlap between these two constructs and to discover its relationship with the state-anxiety and age in a normal sample. Method: Type of study: Descriptive Sample: 48 employees of the Ricard Fortuny Hospital (CSSV), with ages between 21 and 59 years old (=38,21; SD=12,7), 78,6% female and 21,4% male. Exclusion criteria: Acquired brain injury. Psychopharmacological treatment. Diagnosis in Axis I of the DSM-IV Measurement instruments: Subtest of the State-Trait Anxiety Inventory (STAI-R), Acceptance an Action Questionnaire-II (AAQ-II), Trail Making Test A and B (TMTA and TMTB) Statistical Analysis: SPSS Statistics 19.0 software Results: A significant relationship was found between age and Cognitive Flexibility (p<.001, r=520), but not between age and Psychological Flexibility (p=.698). On the other hand, significant relationship was found between anxiety-state levels and Psychological Flexibility (p<.001, r=817), while there was none between anxiety-state levels and Cognitive Flexibility (p=.221). Lastly, no relationship was found between Psychological Flexibility and Cognitive Flexibility (p=.948). Discussion: This study has identified that, although both Psychological and Cognitive Flexibility have definitional and conceptual overlap, only Psychological Flexibility shows a significant relationship with anxiety in a normal sample. On the other hand, we found the widely documented negative relationship between age and Cognitive Flexibility in our sample, while we found no relationship between age and Psychological Flexibility. Finally, our findings reaffirm the results of previous studies suggesting that there is no clear association between Cognitive Flexibility and Psychological Flexibility, and suggest that poor Cognitive Flexibility (common in older adults) may not be an impediment in the application of ACT in older people.

40. Revisión sistemática de la Terapia de Aceptación y Compromiso (ACT) en adolescentes
Áreas temáticas (principales): Fundamentos filosóficos y teóricos
Diana Riaño-Hernández, Pontificia Universidad Javeriana
Vanessa Riveros Fiallo, Pontificia Universidad Javeriana
Luis Manuel Silva, Pontificia Universidad Javeriana
Juan Eduardo Pulido, Pontificia Universidad Javeriana
Angélica Ramírez y Paula Villa, Pontificia Universidad Javeriana

La Terapia de Aceptación y Compromiso (ACT) se caracteriza por ser una terapia centrada en trabajar orientado a las personas a dirigirse hacia las cosas que son importantes para ellas y facilitar que se conecten con los valores personales, donde se identifican aquellas áreas de la vida que se deben fortalecer. Igualmente, es importante resaltar que la terapia se centra en mostrar el costo que la evitación experiencial ha tenido respecto a sus valores; es decir, que el cliente vea cuales son los valores que se han comprometido por la evitación de los eventos privados. Este estudio realiza una revisión sistemática de ACT en adolescentes, ya que cuando se realiza la búsqueda en Scopus en cuanto a la producción existente que evidencie la aplicación de ACT en adolescentes se encontró que desde el año 2007 viene incrementando el número de publicaciones con esas características, de esta manera en el 2007 se identifican cinco artículos publicados en Scopus y mientras que en el año 2014 se registraron 34 artículos. Para esta revisión se desarrolló un protocolo de búsqueda. Las bases consultadas fueron Scopus, Science Direct, Redalyc, Psynet, Web of Science, Dialnet, Scielo, ACBS. Los términos de búsqueda se usaron en español e inglés: (Intervención AND terapia de aceptación y compromiso AND "adolescen*) y (Terapia de aceptación y compromiso AND "adolescen*). Las búsquedas fueron realizadas de forma independiente por cuatro investigadores capacitados para realizar las búsquedas, una vez realizadas se triangularon los datos. Los resultados muestran que con esos términos de búsqueda en las bases de datos se encuentran 563 artículos, de esos 563 se seleccionaron los artículos que cumplían los criterios básicos por análisis de título y resumen, para luego realizar la lectura completa de los mismos y realizar la codificación. Los resultados de la codificación muestran el análisis respecto a las variables dependientes e independientes, tipos de estudio, diseños, características de las poblaciones con las cuales se están llevando a cabo intervenciones con adolescentes y componentes de ACT trabajados en las intervenciones y resultados reportados por la aplicación de la terapia. Se brinda con esta revisión sistemática información útil que permite a los investigadores tener una guía práctica en cuanto a cómo se está realizando intervención desde ACT con adolescentes con la finalidad de permitir tomar decisiones en cuanto a la terapia con adolescentes y la realización de futuras investigaciones.

41. Justificación y diseño de un estudio que compara una intervención basada en Terapia de Aceptación y Compromiso con una intervención basada en Mindfulness en enfermos oncológicos
Áreas temáticas (principales): Clinical Interventions and Interests
Sub-categoría temática: ACT, Mindfulness, oncology, cancer
Verónica Castrillo Sarmiento, clinical psychologist, Universidad de Salamanca
Cristina Caballo Escribano, Ph.D., Universidad de Salamanca
Manuel Ángel Franco Martín, Ph.D., Universidad de Salamanca
Andrea Taboada López, Complejo Asistencial de Zamora
Carmen Ortiz Fune, Complejo Asistencial de Zamora

El cáncer es una enfermedad que afecta el bienestar físico y psicosocial de los pacientes. La angustia surge en todas las fases de la enfermedad, desde el diagnóstico y tratamiento hasta la supervivencia. Los factores de riesgo modificables, incluidos los hábitos de vida y las variables psicológicas, han demostrado tener un papel importante en la influencia de la morbilidad y la mortalidad en los pacientes con enfermedades físicas. Las Terapias Contextuales como Aceptación y Compromiso (ACT) y Mindfulness, han demostrado resultados prometedores. ACT ha mostrado eficacia en la promoción de comportamientos saludables, y mejora del bienestar psicológico en condiciones crónicas de salud. Además los programas basados en la aceptación revelan una alta satisfacción con el tratamiento y mejora en la calidad de vida. Sin embargo, hasta la fecha ningún estudio ha evaluado la diferencia entre estos dos tipos de intervención en población oncológica. ACT pretende la aceptación de los síntomas al servicio de lo que es valioso para la persona, mientras que Mindfulness tiene como objetivo la aceptación del momento presente a través de prestar atención sin juzgar a lo que sucede en el aquí y ahora. Método: Aproximadamente 30 pacientes serán reclutados del servicio de oncología y serán asignados aleatoriamente a uno de los dos grupos de tratamiento, para recibir una intervención basada en ACT o en Mindfulness. Las intervenciones se llevarán a cabo en cinco sesiones de terapia grupal integrando temas educativos sobre comportamientos saludables. Los participantes serán evaluados al inicio, seis semanas después y en un seguimiento a los seis y doce meses. Se utilizará un diseño parcialmente anidado para equilibrar los efectos debido a la agrupación de participantes en pequeños grupos de terapia. Las medidas de resultado primarias incluirán calidad de vida y flexibilidad psicológica.

42. Efectividad tras 14 sesiones de tratamiento desde la perspectiva de ACT y FAP
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Tratamientos eficaces
Saray Cáliz Aguilera, Universidad Europea de Madrid
Lidia Budziszewska, Universidad Europea de Madrid

Background: Estudio de caso individual en el que se evaluó y trato durante 14 sesiones a una paciente desde la perspectiva de ACT y FAP. Métodos: Instrumentos: Se utilizaron para la evaluación 3 cuestionarios - SLC-90: Cuestionario para evaluar la presencia de síntomas psicológicos y psicopatológicos. - CFQ: cuestionario de 7 ítems para evaluar la fusión cognitiva. -AAQ-II: cuestionario de 7 ítems que mide la inflexibilidad psicológica y el grado de evitación experiencial El caso se llevo desde la perspectiva de ACT y FAP usando metaforas etc.... Resultados y Discussión: Tras revisar los resultados obtenidos tras las 14 sesiones y comparar las puntuaciones pre y post tratamiento, podemos observar una reducción significativa en los síntomas psicológicos que presenta la paciente así como de su grado de fusión cognitiva y de evitación experiencial. Además se ha producido un aumento de las CCR2 y CCR3, así como una disminución de las CCR1. El sujeto esta siendo capaz de identificar, distanciarse y tolerar los pensamientos, emociones, cogniciones y sensaciones que experimenta ante eventos difíciles, haciendo espacio a la aceptación de eventos privados dolorosos y reduciendo notablemente las conductas de rumia y evitación. Esto está propiciando un mayor acercamiento por parte de la paciente a todo aquello que es importante para ella, sus valores.

43. Malestar Emocional y Tipo de Cáncer en Pacientes con Enfermedad Oncológica Avanzada
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Cuidados Paliativos
Isabe Ramirez Gendrau, Residente de Psicología Clínica, Consorci Sanitari de Terrassa (Hospital de Terrassa, Barcelona).
Cristina Enero Gonzalez, Consorci Sanitari de Terrassa (Hospital de Terrassa, Barcelona).
Anna Garcia Caballero, Consorci Sanitari de Terrassa (Hospital de Terrassa, Barcelona).

INTRODUCCIÓN Y OBJETIVOS La literatura científica en Cuidados Paliativos (CP) señala que los pacientes con enfermedad oncológica avanzada están sometidos a elevados niveles de estrés durante el proceso de diagnóstico y tratamientos a los que están expuestos, repercutiendo de forma directa en su bienestar emocional. El objetivo de la presente investigación es analizar, en pacientes con enfermedad oncológica avanzada, el grado de malestar emocional (ME) que presentan y si existen diferencias según el tipo de cáncer diagnosticado. MÉTODO Muestra formada por 50 pacientes (54% mujeres, edad media: 68.24 años (SD 11.97), ingresados en unidades hospitalarias (CP y oncología) del Consorci Sanitari de Terrassa (CST, Barcelona) por enfermedad oncológica avanzada (52% Otros; 18% Colorrectal; 16% Mama; 8% Pulmón; 3% Gástrico). Todos los pacientes mantenían seguimiento con la unidad de CP durante el ingreso. Para cada paciente se registraron datos sociodemográficos, biomédicos y psicológicos. El nivel de malestar emocional se valoró mediante el cuestionario de Detección de Malestar Emocional (DME).Se aplicaron las pruebas Chi cuadrado y ANOVA entre variables para el análisis de los datos, los cuales se llevaron a cabo con el programa estadístico IBM SPSS Statistics Versión 21. RESULTADO A partir del análisis estadístico, los resultados mostraron relación significativa entre el tipo de cáncer padecido y el grado de ME (p 0.037, p< 0.05) siendo mayor en el cáncer de pulmón (x = 16.25 (5.476)) y menor en el colorrectal (x= 9.67 (3.571)). En todos los subtipos de càncer estudiados, la puntuación media de ME se sitúa por encima de punto de corte del instrumento utilizado (x= 11.18 (4.317)). Los resultados no mostraron diferencias significativas en relación al subtipo de cáncer padecido y el tipo de preocupación predominante que presentaban. CONCLUSIONES Los resultados hallados confirman la presencia de elevado ME en pacientes diagnosticados de enfermedad oncológica avanzada. Además los datos sugieren que existen diferencias en el nivel de ME experimentado entre los pacientes según el tipo de enfermedad oncológica, siendo el cáncer de pulmón el que mayor ME acarrea en la muestra estudiada. Los resultados del estudio suman evidencia en la necesidad de detectar el ME de forma precoz en pacientes oncológicos dada la elevada presencia de estresores a los que están sometidos. Además sugieren la importancia de una intervención precoz multidisciplinar e idiosincrásica según el tipo de cáncer padecido para mejorar la calidad de vida de estos pacientes.

44. Tratamiento Cognitivo-Conductual Grupal Breve en Trastornos Adaptativos
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Trastorno adaptativo
Marina Torrens-Lluch, Servicio de Salud Mental. Consorci Sanitari de Terrassa (Barcelona)
Anna Soler i Roca, Servicio de Salud Mental. Consorci Sanitari de Terrassa (Barcelona)

Objetivo: Los trastornos adaptativos se definen como una respuesta emocional -con aparición de síntomas emocionales o comportamentales- ante un estresor identificable, conllevando un malestar o deterioro clínicamente significativo. Si bien constituyen entre un 10 – 30% de los pacientes que son visitados en los centros de Salud Mental, todavía no hay consenso en relación al abordaje terapéutico óptimo y existe poca literatura acerca de la eficacia del tratamiento. El objetivo del presente estudio es analizar la efectividad del tratamiento cognitivo – conductual grupal para los trastornos adaptativos, incluyendo los subtipos con sintomatología depresiva, ansiosa y mixta. Método: La muestra se compone de 98 pacientes (34 hombres y 64 mujeres) atendidos en el Centro de Salud Mental del CST, todos ellos cumplían criterios para el diagnostico de Trastorno Adaptativo, según el DSM IV – TR. El rango de edad comprende de los 19 a los 78 años con una media de 45 años. A nivel sociodemográfico, un 12,5% está soltero, un 62,5% casado y un 25% divorciado/separado. Se han llevado a cabo diversos grupos de carácter breve (6 sesiones de una hora de duración con una periodicidad semanal) donde se realiza una intervención psicoeductiva y de aprendizaje de técnicas cognitivo – conductuales para al manejo de los síntomas y el afrontamiento al estrés. Se realizó una evaluación pre y post tratamiento: se administraron el Inventario de Depresión de Beck (BDI), el Inventario de Ansiedad Estado – Rasgo (STAI) y la Escala de Autoestima de Rosenberg (RSE). Los datos han sido analizados mediante el SPSS versión 22 (IBM). Resultados: En primer lugar se analizaron las puntuaciones tanto de depresión como de ansiedad y autoestima de la evaluación previa al tratamiento en relación al sexo, la edad, el estado civil y el nivel educativo, no obteniendo diferencias significativas entre los subgrupos. En la evaluación post tratamiento se evidencia una reducción significativa de las puntuaciones en ansiedad rasgo (p<.004), ansiedad estado (p<.006) y depresión (p<.003). Sin embargo, las diferencias en la puntuación de autoestima pre y post tratamiento no fueron significativas (p.119). Además, se observa una mayor reducción específica de la sintomatología ansiosa -menor puntuación STAI- en aquellos pacientes con un nivel de estudios bajo y en cambio una mayor reducción específica de la sintomatología depresiva –menor puntuación BDI- en aquellos pacientes con un mayor nivel educativo. Conclusiones: En conclusión, una intervención grupal breve basada en la terapia cognitivo – conductual permite alcanzar cambios en el trastorno adaptativo, evidenciándose una mejoría significativa de los síntomas y por tanto demostrando la efectividad del tratamiento.

45. Desenganchados de la vida: Flexibilidad psicológica en pacientes en tratamiento con metadona
Primary Topic: Intervenciones y aspectos clínicos
Sub-categoría temática: Abuso de sustancias
Andrea Taboada López, Complejo Asistencial de Zamora
María del Carmen Ortiz Fune, Complejo Asistencial de Zamora.
Verónica Castrillo Sarmiento, Asociación Contra el Cáncer. Zamora
Mónica Santos Rivas, PsicAct
Laura Turiel Flórez

Introducción: Los programas de mantenimiento con metadona han mostrado ser un tratamiento eficaz reducir el consumo de drogas. Sin embargo, las diferencias inter e intraindividuales dificultan entender las variables implicadas en la eficacia de este tipo de intervención. Su conceptualización como tratamiento de reducción de daño en lugar de mejora de la calidad de vida, los riesgos asociados a la dosis y la comorbilidad presente en este grupo, hacen necesario seguir desarrollando modelos comprehensivos de conceptualización e intervención. El gran desarrollo teórico y práctico de la Terapia de Aceptación y Compromiso y sus bases filosóficas, ha dado lugar a un gran número de estudios que avalan su eficacia en pacientes dependientes de múltiples sustancias. Entre estos avances destaca la definición de “flexibilidad psicológica” como “una clase funcional, una operante, que consiste en responder a la propia conducta en un marco de jerarquía con la perspectiva deíctica-YO”. En este trabajo, recogemos la idea teóricamente bien desarrollada de que la falta de un patrón comportamental flexible basa el abuso de sustancias, y con ello, del no abandono del uso de metadona durante largos períodos. Pretendemos estudiar la flexibilidad psicológica en un grupo de pacientes en tratamiento con metadona, relacionándolo con la presencia de otras dificultades. Métodos: La muestra estuvo compuesta de 13 pacientes en tratamiento con metadona. Se aplicó un protocolo de evaluación compuesto por una medida de psicopatología general (SCL-90-R), un screening de trastornos de la personalidad (IPDE) y dos medidas de flexibilidad psicológica, una relacionada con el constructo general (AAQ-II) y otra específicamente referida al ámbito del consumo de sustancias (AAQ-SA). Resultados: Se encuentra un elevado nivel de psicopatología general, siendo la media de este grupo el percentil 85,54. Es elevada la presencia de Trastornos de Personalidad, siendo los más frecuentes el límite, el obsesivo-compulsivo y el evitativo. La inflexibilidad psicológica es alta en el AAQ-II (X= 34,45) y AAQ-SA (x=68,54). La relación entre malestar psicopatológico general y flexibilidad es más estrecha con los datos obtenidos en el segundo, dibujando un perfil casi idéntico. Discusión: Nuestros resultados son congruentes con lo reflejado en la literatura. En primer lugar, encontramos una alta comorbilidad relacionada con altos niveles de inflexibilidad psicológica. También en cuanto a la idoneidad de utilizar instrumentos que evalúen este constructo en el grupo de consumidores de sustancias específicamente, ya que AAQ-II y AAQ-SA parecen mostrar información relacionada, aunque no solapada. La conceptualización de los problemas de abuso de drogas como un patrón de regulación conductual inflexible, permite entenderlo en base a la actuación directamente controlada por las funciones que se desprenden de los eventos privados presentes en cada momento, dando lugar a acciones fusionadas que generan una vida “desenganchada” de las cosas que tienen significado para la persona. Ello permitirá diseñar tratamientos más integrados, basados en el lenguaje y la cognición y alejados de la topografía de la conducta. Esto dará lugar a intervenciones que logren para nuestros pacientes una mejor calidad de vida, de forma más duradera.

46. Aplicación de ACT a Grupo de Pacientes de ESM
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Psicoterapia grupal de Act en adultos Salud Mental
Rosa Elena Mateo Álvarez, Psicóloga Clínica Hospital de Burgos
Verónica Castrillo Sarmiento, Psicóloga Clínica Asociación Española Contra el Cáncer
Laura Álvarez Cadenas, PIR Hospital Universitario de Burgos
Diana Cobo Alonso, PIR Hospital Universitario de Burgos
Iván Torres Viejo, PIR Hospital Universitario de Burgos

Objetivo: Análisis de los resultados obtenidos en la aplicación de un programa grupal de ACT para pacientes del Equipo de Salud Mental. Material Y Método: Estudio cuasiexperimental con diseño intragrupo pretest-postest sin grupo control. Los cuestionarios: MAAS (Mindfulness Attention Awareness Scale, adapt. Luciano y Ruiz 2007), AAQ-II (Preliminary psychometric properties of the Acceptance and Action Questionnaire-II, adapt. Luciano y Ruiz, 2007), WBSI (White Bear Supression Inventory (Wegner, D. M., y Zanakos, S. 1994) y Escala de Autocompasión SCS de García-Campayo. Participaron 13 pacientes atendidos en consulta de Psicología Clínica y/o Psiquiatría del ESM con diversos diagnósticos. El protocolo se realiza durante 12 semanas en sesiones de 90 minutos de duración. Primeramente se contextualiza la terapia, se hace Análisis funcional, se genera desesperanza creativa, se emplearon técnicas de defusión para hacer emerger funciones, se generan claves de jerarquía-deícticas, contacto con el momento presente, diferenciación del yo, clarificación de valores y compromiso de acción. Se incluye cultivo de la autocompasión. Resultados: Los pacientes van tomando perspectiva, aprendiendo a contactar con lo que piensan, sienten y hacen en el momento presente, a diferenciar entre el yo contenido y el yo contexto, a generar distancia del contenido y abrir espacio a la aceptación. Se potencia la flexibilidad psicológica y van clarificando valores y dirigiendo su conducta hacia lo que de verdad les importa. Los resultados en las medidas cuantitativas - postest no pueden incluirse en este resumen dado que el programa se encuentra aún en curso. Conclusiones: La aplicación de la Terapia de Aceptación y Compromiso a grupos de pacientes de Salud Mental supone una intervención terapéutica novedosa, flexible, que se adapta a las necesidades del paciente y grupo de pacientes, modelo de salud y no de enfermedad, que altera los contextos verbales que tienen atrapado al paciente y que apuesta porque aprenda a elegir la dirección de su vida para que ésta sea más amplia y llena de significado. Cultivando la autocompasión se refuerza al paciente para que sea consciente de su propio sufrimiento y se responda a sí mismo con bondad y comprensión. No obstante, hacer hincapié en la necesidad de seguir trabajando e investigando sobre la efectividad y eficacia de ACT.

47. Morir antes de tiempo: Terapia de Aceptación y Compromiso en Cuidados Paliativos
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Cuidados Paliativos
Andrea Taboada López, Complejo Hospitalario de Zamora
Verónica Castrillo Sarmiento, Asociación Contra en Cáncer. Zamora.
María del Carmen Ortiz Fune, Complejo Hospitalario de Zamora
Mónica Santos Rivas, PsicAct

Introducción: Los cuidados paliativos se conciben como “el enfoque que mejora la calidad de vida de pacientes y familias que se enfrentan a problemas asociados con enfermedades que amenazan la vida, a través de la prevención y alivio del sufrimiento, por medio de la identificación temprana e impecable evaluación y tratamiento del dolor y de otros problemas físicos, psicológicos y espirituales”. Es frecuente que aparezcan eventos privados indeseados en los afectados. Si esto da lugar a un patrón rígido de funcionamiento basado en la evitación, nos encontramos el Trastorno de Evitación Experiencial (TEE), con resultados negativos en la vida de las personas. Aquí presentamos los resultados obtenidos de un protocolo de intervención funcional-contextual, para conocer la eficacia de la Terapia de Aceptación y Compromiso en el abandono de la evitación y la generación de repertorios más flexibles de conducta. Teniendo en cuenta que el psicólogo también puede verse envuelto en conductas de evitación experiencial que pueden interferir en su labor profesional, se analiza la presencia de barreras y la actuación del profesional en relación a las mismas, así como su relación con los resultados finales del tratamiento. Se estudiarán también las dificultades encontradas en la aplicación de este protocolo y se harán sugerencias para solventarlas de cara a futuros trabajos. Métodos: se aplicó el protocolo a una muestra de 7 pacientes atendidos por un Equipo de Cuidados Paliativos Domiciliario. Los criterios de inclusión fueron ser paciente de dicho recurso o cuidador principal del mismo, y mostrar un patrón de evitación que causase interferencia en la vida cotidiana. Se utilizaron instrumentos de autoinforme para evaluar el grado de bienestar del paciente durante cada semana de intervención, su implicación en actividades valiosas y la satisfacción del paciente y familia con el tratamiento. Las barreras del terapeuta fueron recogidas por el mismo en relación a cada intervención, y clasificadas en función de su intensidad y grado de fusión. Resultados: Se encuentra una media de 3,85 puntos de bienestar psicológico antes de la primera sesión, que se eleva hasta un 6,14 tras la intervención. La satisfacción de paciente y familia fue elevada en todos los casos (X=9, X=9,57). Las barreras del terapeuta fueron medias (42,85% de los casos) o altas (57,14%). Se planificó la sesión en un 71,42% de los casos. El grado de fusión fue bajo en el 80% de los casos, siendo mayor cuando la sesión no fue planificada. De igual modo, la planificación precedió a mayores aumentos en el bienestar informado por el paciente (aumenta de media 2,4 puntos). Se encuentra relación inversa entre el grado de fusión con las barreras y el bienestar del paciente (a menor fusión, mayor diferencia entre el bienestar autoinformado antes y tras la intervención). Discusión: La aplicación de intervenciones psicológicas protocolizadas en cuidados paliativos es compleja. También lo es la investigación de resultados de las mismas. Por ello, las limitaciones metodológicas de este trabajo solo permiten extraer hipotésis a confirmar en posteriores investigaciones. En cuanto a los resultados obtenidos vemos que han sido positivos, y que tanto pacientes como familiares se muestran satisfechos. Por tanto, ACT supone un enfoque útil y aceptable en el campo de los cuidados paliativos. En segundo lugar, destacar que es fundamental el trabajo personal continuado del terapeuta, de forma que este logre aumentar su flexibilidad psicológica, para optimizar los resultados de sus intervenciones. Para ello, parece útil la planificación de las sesiones.

48. Impactos de la Terapia de Aceptación y Compromiso en la calidad de vida de personas con estrés postraumático y depresión.
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Estrés postraumático, trastorno depresivo mayor, calidad de vida
Angelica Nathalia Vargas Salinas, Contextual Behavioral Science and Therapy Institute
Michel André Reyes Ortega, Contextual Behavioral Science and Therapy Institute

El estrés postraumático (TEPT) es el único trastorno psiquiátrico al que se le atribuye una causa concreta de la sintomatología (exposición a un evento traumático), que limita y afecta la calidad de vida de las personas. Los tratamientos con mayor evidencia para trabajar con este problema, no contemplan las comorbilidades y están orientados a la disminución de síntomas y no a la calidad de vida. En este estudio de tipo pretest - postest con dos seguimientos, a los 3 y 6 meses, participaron dos grupos de personas diagnosticadas con TEPT crónico y trastorno depresivo mayor, un grupo participó de ACT (n=11) y el otro de Terapia de Exposición Prolongada (TE) (n=11), ambas intervenciones constaron de 12 sesiones en formato grupal. Se midieron los impactos en sintomatología depresiva, estrés postraumático y calidad de vida, ambos tratamientos muestran disminución de síntomas en TEPT (p ≤ 0.002) y en depresión (p ≤ 0.000), peros solo ACT mantiene los cambios a lo largo de seis meses, mientras que en la calidad de vida ACT muestra impactos significativos en preocupaciones, desempeño físico, aislamiento, percepción corporal, funciones cognitivas, actitud ante el tratamiento, tiempo libre, vida cotidiana y redes sociales (p ≤ 0.05) y solo TE muestra cambios en el aislamiento, tiempo libre, vida cotidiana y familia (p ≤ 0.05) y solo se mantienen en el primer mes.

49. Protocolo breve basado en la Terapia de Aceptación y Compromiso: a propósito de un caso de Trastorno Adaptativo
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Protocolo de intervención en atención ambulatoria
Mª del Carmen Ortiz Fune, Psicóloga Residente en el Complejo Asistencial de Zamora
Manuel Mateos García, Psicólogo General Sanitario en Centro de Asesoramiento Sevilla
Andrea Taboada López, Psicóloga Residente en Complejo Asistencial de Zamora
Verónica Castrillo Sarmiento, Psicóloga Clínica en Asociación Española Contra el Cáncer

En algunos contextos clínicos, como es la atención a pacientes en el sistema público de salud, se hace imprescindible aplicar las terapias de una forma breve y eficiente, tratando de obtener los mejores resultados empleando menos tiempo. En este contexto, la mayor parte de las demandas atendidas se refieren a problemas adaptativos con síntomas de ansiedad y/o depresión, en cambio a menudo nos encontramos que tras la aplicación de tratamientos habituales (Terapia Cognitivo Conductual y psicofármacos) un elevado porcentaje de pacientes acaban siendo crónicos, consumiendo muchos recursos. Se diseñó, con el objetivo de mejorar el servicio de salud mental ambulatoria, un programa de intervención breve basado en la Terapia de Aceptación y Compromiso. El programa se compone de cuatro sesiones que recogen todos los elementos de la terapia (desesperanza creativa, defusión y clarificación de valores) así como la posibilidad de ser ampliado en el seguimiento para adaptarlo a casos particulares, tratando siempre de no superar las 8 sesiones. En el presente trabajo, se presentan los resultados obtenidos tras la aplicación del protocolo a una paciente de 29 años con Trastorno Adaptativo Mixto (sintomatología ansiosa y depresiva). Al inicio de la intervención la paciente presentaba puntuaciones elevadas en el Inventario de Depresión de Beck y el Inventario de Ansiedad de Beck, así como niveles elevados de Evitación Experiencial reflejados por el AAQ-II. El protocolo de intervención se aplicó en un centro de salud público de la provincia de Zamora, por una terapeuta que se encontraba en formación en Terapias Contextuales. Las sesiones tuvieron una duración de entre 45 y 60 minutos, y se desarrolló a lo largo de siete sesiones durante tres meses, se consideró oportuno ampliar tres sesiones de seguimiento dadas las características de la paciente (el motivo principal de asistir a consulta había sido su embarazo y dio a luz durante el tratamiento). Las sesiones de seguimiento consistían principalmente en reformulación del análisis funcional y algunos ejercicios puntuales de defusión y trabajo con valores. La evolución de la paciente se midió con un registro de malestar y acciones valiosas adaptado para el caso. Tras la intervención, se apreciaron cambios significativos en el patrón de comportamiento de la paciente, que presentaba una conducta dirigida a valores y mayor flexibilidad y apertura ante la presencia de malestar. Por todo ello, consideramos que la inclusión de este tipo de protocolos de intervención en Atención Primaria podría mejorar considerablemente el Sistema Público de Salud.

50. Dejar de fumar con ACT
Áreas temáticas (principales): Prevención e intervenciones comunitarias
Sub-categoría temática: Terapia de Grupo, Metáforas, Tabaquismo, Adicciones
Verónica Castrillo Sarmiento, Universidad de Salamanca
Andrea Taboada López, Complejo Asistencial de Zamora
Carmen Ortiz Fune
Rosa Mateo Álvarez, Hospital Universitario de Burgos
Mónica Santos Rivas
Iván Torres Viejo

Actualmente existe evidencia que muestra la eficacia de la Terapia de Aceptación y Compromiso (ACT) en la alteración de los comportamientos adictivos, y en el mantenimiento de la abstinencia a largo plazo. ACT ha mostrado ser eficaz en el desarrollo de una vida consistente con los valores personales cuyo coste principal supone afrontar el malestar que se deriva de la abstinencia. Se exponen los elementos terapéuticos utilizados en un programa de tratamiento grupal, se analiza su utilidad, y se evalúa el nivel de compromiso y malestar durante el proceso. Además se presentan los resultados de abstinencia en el seguimiento. La muestra estuvo compuesta por 30 adultos, con una duración promedio de más de 20 años de consumo. Se analizan los resultados pre y postratamiento, análisis durante el proceso terapéutico así como seguimiento a los 3 y 6 meses. Los principales resultados indican una abstinencia a los 6 meses mayor del 60%. Por todo ello, parece que se consiguen tasas de éxito terapéutico prometedoras. Distintas revisiones indican una eficacia general promedio de 20 – 45% de éxito. Quizás ACT consiga mayores tasas de éxito a largo plazo porque las personas con historia de consumo de tabaco, suelen tener experiencia en hacer compromisos y romperlos, por lo que temen comprometerse. Desde ACT se trabaja el compromiso en cada sesión, no como un resultado, sino que se trata de un compromiso con una dirección valiosa. Por lo que, el compromiso de dejar de fumar no significa que no pueda haber una recaída. En definitiva, este compromiso significa que la persona está dispuesta a dejar de consumir tabaco porque esa elección está en consonancia con sus valores y ese compromiso incluye la responsabilidad de elegir retomar el rumbo cuantas veces sean necesarias.

51. Shame, Guilt and Substance Use Coping: The Mediating Role of Self-Compassion
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Self-Compassion
Christina Chwyl, Portland Psychotherapy
Jason B. Luoma, Portland Psychotherapy

Background: Shame and guilt have distinct relationships with alcohol consumption and alcohol-related problems. While shame-proneness typically predicts more drinking and drinking-related problems, guilt-proneness typically predicts less drinking and fewer drinking-related problems. Although shame- and guilt- proneness may prove relatively resistant to intervention, other, more modifiable variables may mediate the relationship between these emotions and drinking motives. Objectives: Investigate whether two potentially modifiable variables may mediate the relationship between shame and negative drinking outcomes: self-compassion and the motivation to drink to cope with anxiety (a variable highly related to experiential avoidance and linked to problematic substance use). Method: One hundred and seven community-dwelling, non-abstaining adults completed self-report measures of shame, guilt, drinking motives, and drinking-related problems. Results: Shame-proneness, but not guilt-proneness, predicted people’s motivation to drink to cope with anxiety. Importantly, meditational models showed that self-compassion mediated the relationship between shame-proneness and drinking to cope with anxiety. Path analysis showed that shame-proneness led to drinking to cope through decreases in self-compassion, which, in turn, led people to experience fewer interpersonal alcohol-related problems. Discussion: Together, our results underline the distinct consequences of shame- and guilt-proneness, and reveal that self-compassion may play an important role in drinking motives and ensuing alcohol-related problems amongst shame-prone people. Future longitudinal and experimental studies may clarify the temporal and causal relationships amongst these variables.

52. Brief Evidence-Based ACT-Enhanced Parenting Intervention to Promote Young Adolescents’ School Engagement
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Group based interventions
Larry Dumka, Ph.D., Sandford School of Social and Family Dynamics, Arizona State University, USA

This poster presents ways ACT was integrated in a universal group-based parenting intervention already been shown to be effective (the Bridges to High School program; http://psycnet.apa.org/journals/ccp/80/1/1/). This skills-focused intervention aims to prevent school disengagement and behavioral health problems in middle school age adolescents (11-13 years old) by increasing parents’ capacity to monitor adolescents, enact effective limits, and stay connected. ACT enhancements were integrated to increase parents’ psychological flexibility to optimize skill learning and committed action. These enhancements are described including activities to clarify parenting values, brief mindfulness exercises to increase parents’ present moment attention when communicating with adolescents, and strategies to promote defusion to reduce parent-adolescent conflict. Lessons from implementing the intervention are shared.

53. How Do Compassionate and Acceptance Strategies Explain Feelings of Social Safeness and Depression Symptoms?
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Depression
Cláudia Ferreira, CINEICC, University of Coimbra
Ana Laura Mendes, CINEICC, University of Coimbra
Andreia Máximo, University of Coimbra
Maria João Dias, University of Coimbra
Inês A. Trindade, CINEICC, University of Coimbra

The ability to present a kind and compassionate attitude towards the self has been consistently linked to psychological well-being and lower levels of depressive symptoms. On the other hand, individuals who present a critical and judgmental self-relationship tend to become more vulnerable to the development of several psychopathological conditions. The current study explored experiential avoidance and feelings of social safeness and connectedness as mediators between self-compassion and self-judgment and depression symptoms. Participants in this study were 413 individuals of both sexes (126 males and 287 females), aged between 18 and 60 years old, who completed validated self-report measures. Path analysis explained 35% and 35% of the variances of social safeness and pleasure and depressive symptomatology, respectively, and demonstrated excellent model fit indices. Results revealed that experiential avoidance mediated the impact of self-compassion and self-judgment in feelings of social safeness and pleasure and depression symptoms. Particularly, a compassionate self-to-self relationship seem to be associated with lower depression symptoms through a lower tendency to avoid or control unwanted inner events and more feelings of safeness and connectedness. On the other hand, harsh critical attitudes towards the self were linked to the adoption of maladaptive emotion regulation processes (such as experiential avoidance) and to lower feelings of safeness and connectedness within social relationships and, in turn, to higher levels of depression symptoms. These findings offer significant clinical and research implications, emphasizing the role of emotion regulation processes in the promotion of psychosocial well-being and mental health, and supporting the relevance of combining Acceptance and Commitment Therapy (ACT) and compassion-based interventions.

54. Physiological and Psychological Barriers to Progressing Along the Stages to Quit Smoking Among People with Schizophrenia
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Smoking cessation
Yim-wah Mak, RN, RM, Ph.D., School of Nursing, The Hong Kong Polytechnic University
Winnie WY Lau, BA, School of Nursing, The Hong Kong Polytechnic University
Alice Yuen Loke, Ph.D., School of Nursing, The Hong Kong Polytechnic University

Background: Studies are lacking on the barriers that influence the stages of readiness to quit smoking among people with schizophrenia. Objective: To identify the physiological and psychological contributors to progressing along the stages of change in smoking behavior among people with schizophrenia. Method: From 47 community-based mental health care settings in Hong Kong, we recruited 219 participants who were current smokers and who had been diagnosed with schizophrenia. Results: Participants at the precontemplation stage showed significantly less perceived support from family and friends, lower self-perceived importance of quitting and confidence in being able to quit, but better mental health related-quality of life. Higher self-perceived importance of quitting and confidence in being able to quit were important psychological predictors to a later stage of readiness to quit smoking. Conclusions: The result indicated the impact of the patients’ self-perceived confidence and self-perceived importance of smoking cessation on their progress along the stages of readiness to quit smoking. Strategies designed to increase these psychological factors, such as health education and modeling effects, may contribute to increasing their motivation to quit.

55. Can Psychological Flexibility Model Predict Prosocial Behavior in Anti-Social Personality?
Primary Topic: Prevention and Community-Based Interventions
Oktay Şahin, MD, Ergani State Hospital, Diyarbakir, Turkey
K. Fatih Yavuz, Bakırköy Mental Health and Neurological Diseases Hospital, Istanbul, Turkey
Ahmet Nalbant, MD, Bakırköy Mental Health and Neurological Diseases Hospital, Istanbul, Turkey

The aim of this study is to determine how psychological inflexibility model predicts social functioning and clinical severity in people with ASPD. Current study includes 220 individuals with ASPD. Socio-demographic data form, Interpersonal Reactivity Index (IRI), Perspective Taking sub-scale (PT), Acceptance and Action Questionnaire-II (AAQ-II), Self as Context Scale (SCS), Cognitive Fusion Questionnaire (CFQ), Social Functioning Scale (SFS) were applied. According to results, total scores of Social Activities(SA) sub-scale were predicted by SCS and CFQ. Social Engagement (SE) sub-scale was predicted by SCS and AAQ-II. Interpersonal Communication (IC) sub-scale was found to be predicted by CFQ and SCS. Total scores for SCID-II ASPD were predicted by AAQ-II. Our study points out the results that self as context, cognitive fusion and experiential avoidance attitudes also predict both social functioning and the severity of APD in individuals with APD.

56. Work-Related Stress, Psychological Flexibility and Organizational Wellfare in a Sicilian Hospital
Primary Topic: Organizational behavior management
Subtopic: Work-related stress, organizational welfare
Giovambattista Presti, University of Enna "Kore"
Valeria Squatrito, University of Enna "Kore"
Francesca Mongelli, University of Enna "Kore"
Melina Di Blasi, University of Enna "Kore"
Enrica Basile, University of Enna "Kore"
Paolo Moderato, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)
Tiziana Ramaci, University of Enna "Kore"

Health workers are, by definition, in contact with patients living emotionally complex situations, which can threaten their psychological well-being and capacity to work effectively. Under these conditions a key role is played by the way they relate to their own internal events (thoughts, emotions, feelings, memories, etc.). We aimed to evaluate the relationship between stressful working environment and individual and contextual factors and organizational context. One third of the staff in service at a Sicilian Hospital were in. Measures were: Mayer D’Amato Questionnaire (M_DOQ10), Occupational Stress Indicator (OSI), Mindfulness Attention Awareness Scale (MAAS), Acceptance and Action Questionnaire – II (AAQ-II), Valued Living Questionnaire (VLQ). A total of 411 questionnaires were collected. Data show that Sicilian health workers have low levels of psychological flexibility (AAQ-II average = 48.88, d.s. = 8.61) and have good levels of awareness (MAAS average = 4.59, d.s. = 0.93). OSI scores show that causes of problems are attributed to organization rather than individual (external locus of control); the main sources of pressure are attributed to the managerial role and the climate. Workers have a good way to deal with stress.

57. Study Protocol for the Development and Testing of a Questionnaire to Measure Mindfulness, Acceptance and Commitment
Primary Topic: Other
Subtopic: Questionnaire
Nina Schulze, Dipl.-Psych., Neuropsychiatric Center Hamburg-Altona, Germany
Silja C. Reuter, Neuropsychiatric Center Hamburg-Altona, Germany
Peter Tonn, M.D., Neuropsychiatric Center Hamburg-Altona, Germany

Background: The objective of this study is to create and evaluate a questionnaire that measures the levels of mindfulness, acceptance and commitment in the general population. Methods: Based on our daily clinical experience, we created an item pool with 90 items which measure the scales mindfulness, acceptance, and commitment. This item collection was presented to a group of experts, which reduced the number of items to 60 items. The next step will be to present the questionnaire to a sample of n = 1000 participants, recruited from the general population in Germany. After completing the data collection, the questionnaire will be checked for its quality by calculation (item difficulty etc.). The final version of the questionnaire should contain less than 30 items. In a second study, the questionnaire will be correlated with related questionnaires (construct validity). Discussion: There are only a few questionnaires to measure mindfulness, acceptance, and commitment in German-speaking countries. We want to create a valid measuring instrument to fill this gap. Currently we have finished the first step of a three-step-process.

58. The Impact of Experience on Implicit Attitudes Towards Children with Language Disorders and Autism
Primary Topic: Relational Frame Theory
Subtopic: IRAP
Francisco Cabello, Ph.D., Universidad de Murcia (Spain)
Silvia Abellan, Universidad de Murcia (Spain)
Ana Vanesa Valero, Universidad de La Rioja (Spain)

Research has shown that healthcare and education professionals hold negative attitudes about children with disabilities, which can impact their work (Pruett & Chan, 2006; Wright, 1988). In this poster we use the IRAP procedure in two separate studies to examine implicit attitudes towards children with language disorders and autism, and to analyze the impact of clinical experience on these attitudes. In Study 1, participants were 34 speech-therapy students that were about to have their first clinical practice, so that the IRAP was administered before and after this practice. In Study 2, participants were 37 teachers in two mainstream schools; 17 had experience with children with autism, and 16 did not. Results from both studies show (1) that having actual experience with disabled children produced a change in implicit attitudes; (2) that attitudes towards children with language disorders or autism were not affected; and (3) that attitudes towards normal children became more positive. In other words, experience with disabled children produced a more positive view of normal children in both speech-therapy students and teachers, rather than a decrease in negative attitudes. These findings are discussed in the context of the impact that implicit attitudes can have in the professional work of healthcare and education professionals.

59. Learning Model of Metaphorical Reasoning for Children with Autism Spectrum Disorders
Primary Topic: Relational Frame Theory
Subtopic: Autism
Fen-Fen Wang, University of Chinese Academy of Sciences
Zhuo-Hong Zhu, Institute of Psychology，Chinese Academy of Sciences

A considerable amount of research has indicated that children with autism spectrum disorders (ASD) have difficulty with figurative language, specifically with metaphorical language. As a common language phenomenon and competence, metaphor is a restriction to the language development and interpersonal communication of children with ASD. However, few studies have attempted to teach children with ASD to understand metaphor. Relational framing theory (RFT) came up with a behavioral approach to the topic of metaphorical language and it treats relating, per se as learned behavior. The current study attempted to construct and evaluate the learning model of metaphorical reasoning for children with ASD in China by means of multiple exemplar training for teaching them to establish the relational frames among subjects in a metaphor. Research also explored children’s behavior changes during the training. Participants included four children, ages 12-16. Results suggest that the learning model is effective for teaching children with ASD to learn metaphorical reasoning. The data for all four children with diagnosis of autism revealed their success in post-training phase and probe session, for accuracy data in all sessions reached above 80%. Two of them even got 100% in five or six sessions. Furthermore, generalization to untrained metaphors was found and one of them even demonstrate the generalization to create their own metaphors.

61. CBS Consistent Definitions of Relational Coherence, Incoherence and Ambiguity
Primary Topic: Relational Frame Theory
Subtopic: Relational Coherence
Sam Ashcroft, The University of Chester
Lee Hulbert-Williams, The University of Chester
Kevin Hochard, The University of Chester
Nick Hulbert-Williams, The University of Chester

Coherence is fundamental to many theories in psychology. For example, coherence is implicated in the development of a sense of meaning, it is at the core of Cognitive Dissonance Theory, it explains basic findings such as the Stroop effect, and it is part of the Multi-Dimensional Multi-Level framework that currently steers much of RFT research. Despite this central importance, coherence has not been defined satisfactorily within CBS. The lack of a precise definition of coherence may be holding back research in CBS. Even within CBS, scholars use the term coherence in multiple ways, which means that research contributions, rather than being cumulative, threaten to become divergent and imprecise. We present CBS consistent definitions of coherence, incoherence and ambiguity that will enable discussion and investigation of these concepts with precision, scope and depth. Our intention is that these definitions will simultaneously steer and invigorate a cumulative body of research on coherence.

62. Citation Analysis of Relational Frame Theory: 2009-2016
Primary Topic: Relational Frame Theory
Subtopic: Relational Frame Theory
Martin O'Connor, MSc, University College Dublin
Lynn Farrell, University College Dublin
Anita Munnelly, University College Dublin
Louise McHugh, University College Dublin

Relational Frame Theory (RFT) is a contemporary account of language and cognition rooted in behavior analysis. This paper presents a citation analysis of the RFT literature that follows on from that conducted by Dymond, May, Munnelly and Hoon (2010) who examined the evidence base for and impact of RFT between 1991 and 2008. The current analysis focused on empirical and non-empirical studies citing RFT-related search terms and their publishing outlets in the period from 2009 to 2016. A particular emphasis was placed on Empirical RFT articles, which were organized by frames targeted, country of origin and participant demographics. The analysis revealed 522 papers that met inclusion criteria. Of these 289 were Empirical and 233 were Non-Empirical. The Empirical category included 160 Empirical RFT and 129 Empirical Other. The Non-Empirical category included 110 Review and 123 Conceptual. This analysis provides further evidence of substantial growth in RFT research.

63. Consolidating ACT Training in Uganda
Primary Topic: Supervision, Training and Dissemination
Subtopic: Mindfulness
Racheal D. Nuwagaba-K

The presentation will be about the Consolidation of ACT training in Uganda. ACT training started in 2014 and since then a number of students and mental health practitioners have had an opportunity to get trained. This has been based at Makerere University and Butabika hospital. ACT has been embraced by many practitioners because concepts like psychological flexibility and mindfulness are fresh to the world of mental health and answer questions not covered by therapies like Cognitive Behavioral therapy. The aim of training is to have ACT adopted by therapists in treating patients and also engaging it in the under and post graduate curriculum. In this effort, a number of training have been organised by Dr. Rosco Kassujja and the Special Interest Group (SIG) with support of the ACBS community. As a result of the training, the feedback from attendees is positive and ACT seems highly applicable in the local settings they work. Going forward, the SIG will work to follow up trainees so as to ensure effectiveness through supervision of both SIG members and therapists. More organizations are to be trained so as to increase the number of people using ACT. The SIG is putting up an organizing committee for better formalization of ACT plans in Uganda. Hence growth of ACT work in Uganda.

64. Polish Adaptation of the Valuing Questionnaire (VQ) and the Committed Action Questionnaire (CAQ)
Primary Topic: Theoretical and philosophical foundations
Subtopic: Values, Commited Action
Magdalena Hyla, University of Silesia in Katowice
Lidia Baran, University of Silesia in Katowice
Bartosz Kleszcz, Private Practice

The main aim of the poster is to present the Polish version of Valuing Questionnaire (VQ) and Committed Action Questionnaire (CAQ). In successive studies we established psychometric properties of given questionnaires. In study one (N=325) we conducted factor analysis to confirm factor structure of questionnaires. We also tested reliabilty of questionnaires and their theoretical validity (relations with psychological flexibility, wellbeing and depression). In study two (N=177) we confirmed factor structure of questionnaires after changes post study one and also tested stability at an interval of two weeks. In study three (N=70) we tested reliability and validity of the final scale (relationship with psychological flexibility, global motivation, midfullness, boredom proneness). The main objectivity of the presentation is to share the specific data along with discussing steps of the studies and comparing the results with other cultural adaptations of VQ and CAQ.

65. Interface between Acceptance and Commitment Therapy and Strategic Therapy
Primary Topic: Theoretical and philosophical foundations
Subtopic: Theoretical reflection
Carina Magalhães, Master Research Fellow, School of Psycology, University of Minho
Joana Silva, Post-doc fellow, School of Psycology, University of Minho
Miguel M. Gonçalves, Ph.D. Professor, School of Psycology, University of Minho

This poster aims to analyse and compare the main aspects of Acceptance and Commitment Therapy and Strategic Therapy, including treatment components and processes. ACT is based on the premise that psychological problems result and are perpetuated by clients’ attempts to avoid or attenuate unpleasant emotions, which frequently prevents their movement toward valued goals. Thus clinical work is centred on promoting psychological flexibility. On the other hand, Strategic Therapy assumes that problems are produced and maintained by rigid and repetitive behavioural sequences that may limit clients’ movement toward adaptation and change. These dysfunctional patterns that result from the repetition of the same strategies constitute the main target of therapeutic work, through the deliberate intervention on the clients’ ongoing system, emerging in therapeutic interaction. By exploring the commonalities between ACT and ST intervention strategies we find that they both imply a functional approach, focusing on what is occurring rather than why is occurring. Moreover, both models have a conceptual framing that privileges the contextual change in order to stop clients’ usual pattern of functioning namely by blocking the features that are part of the problem.

66. Moving Beyond Traditional Latent Variable Models: Exploring the Concept of Psychological Flexibility and Experiential Avoidance Through a Dynamical Network
Primary Topic: Theoretical and philosophical foundations
Subtopic: Measurement
Sofie Vindevogel, Ph.D., University College Ghent
Maarten De Schryver, Ghent University
Yvonne Barnes-Holmes, Ghent University
Ciara McEnteggart, Ghent

Traditional latent variable models, such as a reflective or formative model, are characterized by simplicity, linearity, monocausality and dualism (e.g., Borsboom et al., 2003). They exclude the possibility of causal and self-amplifying loops and trajectories whereby observable variables play a role in the etiology of other variables. Moreover, these arborescent models only allow us to study unitary and not multipath relations between construct and variables, limiting the understanding of multidirectional progress and how variables may be connected through multiple, causal relations. We argue that the study of psychological flexibility (PF) as measured by the AAQ should be built upon a multifactorial framework and that relations among these multiple factors, and the dynamics they invoke, should be the primary unit of analysis. We therefore present a network approach to PF as an alternative, comprehensive model to further both the substantive theorizing and empirical investigation of PF itself.

67. Mapping Acceptance and Commitment Therapy’s (ACT) Middle-Level Terms: A Structured Conceptualization
Primary Topic: Theoretical and philosophical foundations
Subtopic: Middle-level terms
Maarten De Schryver, Ghent University
Prof. Dr. Dermot Barnes-Holmes, Ghent

The development of acceptance and commitment therapy (ACT), and “third-wave” therapies generally, has involved the introduction of, an increasing reliance upon, the use of middle-level terms (e.g., defusion, acceptance, willingness, values-based action, self-as-context). Such terms have been deemed useful in terms of facilitating communication among both researchers and clinicians, while recognizing that such terms lack the relative precision of technical terms associated with traditional behavior analysis and relational frame theory. There has been some debate around the benefits, but also the potential disadvantages and risks, involved in the use of middle-level terms. Rather than simply continue with this largely abstract discussion, it may be useful to consider adopting another strategy. One such strategy would be to develop a conceptual framework that allows researchers and practitioners to visualize how each middle level term or construct relates statistically to the specific behaviors that they are meant to capture. The current poster will present the method of “concept mapping” as one way in which to achieve this objective. Engaging in such an exercise may help to better understand how middle level terms are related to each other and could help to reduce unnecessary overlap and redundancy.

68. Behavior (in Its Own Right) as the Subject Matter of a Behavioral Contextual Approach: the Case of Attitudes and Social Cognition
Primary Topic: Theoretical and philosophical foundations
Subtopic: Attitudes and Social Cognition
Henrique Mesquita Pompermaier, MS., Universidade Federal de São Carlos
João Henrique de Almeida, Ph.D., Universidade Federal de São Carlos

A non-mediational comprehension of psychological phenomena is one of the greatest principles underpinned by a behavioral perspective in Psychology. In this sense, different authors have argued on the necessity of considering behavior in its own right as the subject matter of a psychological science. Radical Behaviorism can be considered the most prominent approach in this sense. However, a theoretical analysis of Skinner’s work shows that the indication of behavior as the subject matter of a behavioral science is not completely achieved. Based on this analysis, we discuss the possibilities of completion of this behavioral perspective in Contextual Behavioral Science. To illustrate the difficulties and potentialities of a contextual comprehension, we consider theoretical and empirical works on attitudes and social cognition develop at Contextual Behavioral Science literature.

Friday, 23 June, 19:15-20:15 - Poster Session #3

2. Risk and Protective Factors for Internalization Following Bullying Victimization in Middle Schoolers
Primary Topic: Clinical Interventions and Interests
Subtopic: Children, Bullying, PTSD, Depression, Risk and Protective Factors
Chelsea VanderWoude, M.A., Southern Illinois University
Mary Louise Cashel, Ph.D., Southern Illinois University

Background: Research has consistently shown that bullying victimization creates lasting and compounding effects. Bullying increases a student’s likelihood to experience a range of emotional and behavioral disorders, such as anxiety, depression, and Oppositional Defiant Disorder (ODD). A recent study by Boyes and colleagues (2014) reported that scores of victimization were predictive of internalizing behaviors, measured by symptoms depression, anxiety, and posttraumatic stress disorder symptoms, at a one-year follow-up. These results indicate that there is a significant relation between victimization and disorders but few studies have examined the development of such difficulties. The current study seeks to evaluate risk and protective factors related to the development of depression and symptoms of PTSD in the context of bullying victimization. Method: This study collected data from 64 students from two separate rural middle schools. Each student completed a packet of measures assessing each of the relevant constructs. Bullying victimization was assessed with the The Bully Survey – Student Version (BYS-S; Swearer & Carey, 2003). Symptoms of depression and posttraumatic stress were assessed using Center of Epidemiological Studies Depression Scale Revised (CES-DR; Eaton, Muntaner, Smith, Tien, & Ybarra, 2004) and the University of California at Los Angeles Posttraumatic Stress Disorder Reaction Index (UCLA PTSD-RI; Steinberg, Brymer, Decker, & Pynoos, 2004). Thought suppression and social support was assessed using the the White Bear Thought Suppression Inventory (WBSI; Wegner & Zanakos, 1994) and the Child and Adolescent Social Support Scale (CASSS; Malecki & Elliott, 1999). Results: A correlational analysis was conducted between the BYS-S, CES-DR, UCLA PTSD-RI, WBSI, and the CASSS. Results indicated a significant relation between the BYS-S and symptoms of depression (r = .703) and posttraumatic stress disorder (r = .688). Results showed a significant relation between symptoms of depression and thought suppression (r = .711) and social support (r = -.343). Similarly, results also demonstrated a significant correlation between symptoms of PTSD and thought suppression (r = .603) and social support (r = -.316). Gender differences were evaluated using an independent samples t-test. The results indicated that there were no gender differences for symptoms of posttraumatic stress and depression. However, there were significant results for thought suppression based on gender. Female students obtained higher scores for thought suppression than male students (t = 1.83, p < .001, d = .81). Discussion: These results provide further support to the literature by indicating that bullying victimization is related to symptoms of internalization. Moreover, these results also suggest that thought suppression and social support may serve as risk and protective factors for the development of symptoms of depression and posttraumatic stress following bullying victimization. This study provides preliminary evidence to suggest that thought suppression is influenced by a student’s gender. The relation between gender, symptomology, and thought suppression will be discussed as well as clinical implications.

3. Self-Compassion and Fears of Compassion: A Comparative Study in Clinical Samples with Personality Disorders, Psychosis, and Eating Disorders and a Non-Clinical Sample
Primary Topic: Clinical Interventions and Interests
Subtopic: Compassion
Paula Castilho, University of Coimbra
Maria João Martins, University of Coimbra
Raquel Guiomar, University of Coimbra
Diana Carvalho, University of Coimbra
Joana Gonçalves, University of Coimbra
Marta Simão, University of Coimbra

Background: Self-compassion has been described as having a protective role in various forms of psychopathology. Therefore, compassion-based interventions have been emerging with promising results particularly among samples with diagnosis associated with self-criticism and shame issues. Nevertheless, authors have stressed the possibility of fears of affiliative emotions (e.g. compassion) emerging in people with highly activated threat-defense system. This study sought to compare the levels of self-compassion and fears of compassion (FOC) a) between clinical and non-clinical samples; and b) among three different clinical samples with diagnosis associated with difficulties in emotional regulation (personality disorders-PD, psychosis-PSY and eating disorders-ED). Method: A clinical sample of people with PD (n=53; 67.9% female; 33.47 years old), psychotic-spectrum disorder (n=50; 62% male; 32.48 years old) and ED (n=32; 100% female; 29.75 years old) was collected as well as a non-clinical sample (n=50; 74%; 37.94 years old). The participants filled in the FOC scales and self-compassion scale. Non-parametric mean comparisons and post-hoc analysis were performed. Results: The combined clinical sample had significantly higher levels of FOC and lower levels of self-compassion than the non-clinical sample. In FOC a tendency for differences between the clinical and non-clinical groups was found but not between the clinical groups. A similar pattern was found for common humanity. ED and PSY had higher levels of self-criticism, isolation and over-identification than PD. ED and PD had significantly lower levels of mindfulness and self-kindness than PSY. Discussion: Although the three diagnostic groups represented in the present study might benefit from compassion-based interventions our results preliminarily show that tailoring those interventions for specific populations may bring advantages. Other clinical and research implications are discussed. Keywords: Fears of compassion; Self-compassion; Fears of compassion; Personality disorders; Psychosis; Eating disorders

4. Can We Improve Self-Compassion with a Brief Perspective-Taking Intervention?
Primary Topic: Clinical Interventions and Interests
Subtopic: Self-compassion
Lee Hulbert-Williams, Ph.D., University of Chester
Rosina Pendrous, University of Chester

Self-compassion has been linked to general psychological well-being in observational studies. Self-compassion is conceptualised as self-kindness, mindfulness plus a sense of common-humanity, yet little research has been done on any single component. We hypothesised that common-humanity, being able to see suffering as shared, requires perspective-taking. Adopting a Relational Frame Theory analysis of perspective-taking, we devised a brief computerised intervention where participants were asked to identify with another person, or with themselves at another time, having the same self-referential negative thoughts (SRNT) reported by the participant. Undergraduate students (N=35) completed both trait and state self-compassion scales before being randomised to the experimental intervention or control. Participants provided a negative self-referential thought and rated it on state distress, willingness and believability. The perspective-taking intervention asked participants to describe what they would say to comfort someone when imagining, 1) someone close to them, 2) a young child, and 3) themselves as a young child, in each case this person was experiencing something akin to the SRNT provided. Those who completed a brief perspective-taking intervention (N=18) had significantly increased levels of state self-compassion (p=0.009, partial eta-squared= 0.19) and significant reductions in distress (p<0.001, partial eta-squared= 0.34) immediately after, compared to those who completed a memory task (N=17). Interventions based on an RFT analysis of perspective-taking may be useful to increase state self-compassion and reduce distress towards a negative self-referential thought. Whether longer interventions can generalise this behaviour to the status of ‘trait’ remains to be seen.

5. Two Focus Groups Comprised of Veteran Service Users and ACT Trained Practitioners Working Together to Adapt an ACT Group Protocol Specifically for Veterans
Primary Topic: Clinical Interventions and Interests
Subtopic: Veteran, co-production, group
Jennifer Ring, Veterans' First Point Lanarkshire, NHS Lanarkshire
Charlie Allanson-Oddy, Veterans' First Point Lothian, NHS Lothian
Nicola Cogan, Veterans' First Point Lanarkshire, NHS Lanarkshire

Background: Whilst generic mental health services in the UK are available to veterans, there are now specialist services for ex-forces and their families. This study sought to co-produce and adapt a generic ACT group protocol (Tansey & MacLeod, 2016) for veterans with mental health needs accessing a veteran specialist service. Method: Focus groups were conducted based across two specialist service site locations and comprised of veteran service-users and ACT-trained practitioners. Participants in the focus groups were asked to review and evaluate written, verbal, and activity-based material within the ACT group protocol. They were also asked to problem-solve and develop adaptations where necessary. The aim was to ascertain veteran's perceived sense of relevance, credibility and accessibility of the group protocol for them; whilst maintaining fidelity with the ACT model. Focus groups were audio recorded and transcribed in full verbatim and qualitative data was analysed using a thematic approach. Results: Thematic outcomes relating to the unique needs and experiences of veterans enabled meaningful and credible adaptations to be made to the ACT group protocol. Discussion: In co-producing and adapting the ACT group protocol to address the specific mental health needs of veterans accessing a veteran specialist service, it is envisaged that co-facilitation of the group with ACT-trained practitioners and veteran peer support workers will further enhance the relevance, credibility and accessibility of the group for veteran service users.

6. Application of Acceptance and Commitment Therapy in a Lobectomized Patient: Case Report
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT, Traumatic Brain Injury, Neuropsychology, Anxiety
Xavier Montaner Casino, Universitat Autònoma de Barcelona
Mélodie Pulgarín, Universitat Autònoma de Barcelona

Introduction: There is a growing body of evidence around the idea that Acceptance and Commitment Therapy might facilitate adaptation and acceptance of changed functioning and life circumstances following a severe Traumatic Brain Injury. That is the case of people who suffer from pharmacoresistant epilepsy. In this cases, the only therapeutic alternative is surgical resection of the cerebral tissue in which the epileptic focus is found. In the following poster we present a case report of a right temporal lobectomy to which ACT was applied during the neurorehabilitation process. Method: Case Information: A 41 year old woman who underwent surgery due to pharmacoresistant epilepsy. Two years after the right temporal lobe resection , she attended a neuropsychological rehabilitation service due to problems of visual memory, attention concentration, clinical anxiety, and experiential avoidance linked to social situations. Pre and post measures: Complete neuropsychological examination, State and Trait Anxiety Inventory (STAI-T), Acceptance and Action Questionnaire II (AAQ-II), and Fear of negative Evaluation Scale (FNE). Intervention: We did an ACT based intervention during 2 months, 2 sessions per week. The clinical focus was on cognitive impairment acceptance, and we used verbal strategies and external aids in the form of notes to compensate the memory impairment. Results: The response to treatment at two months resulted in a significant improvement of clinical anxiety (STAI-T pre = 42; post = 22 ) and a decrease in social avoidance behaviors (FNE pre = 26; post = 19), which resulted in a better acceptance of cognitive impairment in front of people (AAQ-II pre = 39; post = 17 ). Conclusions: Our case report suggests that Acceptance-Based Therapies may be a prerequisite to cognitive rehabilitation interventions, as they allow patients to accept their deficits and emotions instead of avoid them. This kind of gain can be translated in lower anxiety, that could improve the process of neuropsychological rehabilitation.

7. Testing the Efficacy of a Low Intensity Internet Therapy for Chronic Illness (@LIIT-CI): The Specific Contributes of Mindfulness and Explicit Compassion Practices
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Ilness
Inês A. Trindade, CINEICC, University of Coimbra
Sérgio Carvalho, CINEICC, University of Coimbra
Cláudia Ferreira, CINEICC, University of Coimbra
Paula Castilho, CINEICC, University of Coimbra
David Gillanders, The University of Edinburgh
José Pinto-Gouveia, CINEICC, University of Coimbra

Background: There has been an increasing demand for e-health interventions, namely those specifically targeted for chronic health conditions due to the link between chronic illness and decreased quality of life and mental health. The current study thus aims to develop and test the efficacy of an online low-intensity intervention for chronic illness (@LIIT.CI) in a sample of Portuguese college students (aged between 18 and 35) living with a chronic illness. More specifically, the study aims to test the hypothesis that adding a compassion-focused component in a mindfulness intervention significantly improves results in several outcome and process measures. Method: Participants will be selected according to a cut-off value of 5 in a 5-items measure of illness impact. Exclusion criteria (the presence of severe psychopathology) will be assessed by a clinical psychologist using SCID-I and SCID-II. Participants will be randomly assigned into three conditions: 1) a Mindfulness condition (a 2-hour psychoeducation workshop + 4 week mindfulness intervention - Mindful breathing, Body scan, Mindfulness of sounds, Mindfulness of thoughts; 2) @LIIT-CI: a Mindfulness + Compassion condition (a 2-hour psychoeducation workshop + a 4 week mindfulness intervention + compassion-focused intervention - Soothing Rhythm Breathing and Loving Kindness; 3) a control condition (2-hour support group meeting + a 4 week online forum discussion between patients). Results: We expect that the illness impact on quality of life will be lower in participants who had a 4-week mindfulness intervention, as well as lower levels of depression and anxiety symptoms, when compared to the control condition. Additionally, we expect that participants in the @LIIT-CI condition (with an additional 2-week compassion component) will present better results when compared with both the 4-week mindfulness intervention and control condition. Conclusions: We expect that our results will corroborate the hypothesis that adding an explicit compassion-focused component to a mindfulness programme boosts the efficacy of the intervention.

8. The Take ACTION Program: Acceptability of a Behavioural Activation and ACT-Based Group Intervention for Participants Dealing with Chronic Illness
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Illness
Catherine Ethier, Psy.D. ( c ), Université du Québec à Trois-Rivières
Marie-Claude Blais, Ph.D., Université du Québec à Trois-Rivières
Pierre Gagnon, M.D., Université Laval
Maïra Filteau, Psy.D. (c), Université du Québec à Trois-Rivières
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières

Take ACTION is a manualized intervention based on Behavioral Activation and Acceptance and Commitment Therapy. This program involves five weekly group sessions (and two additional booster sessions at 1-3 months) delivered by two therapists. It has been implemented among participants dealing with chronic illness such as fibromyalgia, back pain, diabetes, multiple sclerosis or a physical disability. Take ACTION aims to help participants reengage in their life by performing committed actions (values-based) while fostering acceptance of painful experiences (emotions, thoughts, and sensations). It targets the negative avoidance cycle that is likely to develop when people experience distressful emotions in the context of stress, life changes and losses, as their coping resources may be overloaded. We piloted the Take ACTION program among 16 participants at the psychology clinic of the Université du Québec à Trois-Rivières over two groups. Preliminary findings on program's acceptability show no attrition throughout the program. 93,75% of participants missed out on only 2 sessions or less, 60% of whom attended every session. While participants seem to be globally satisfied with treatment, data on treatment’s acceptability (satisfaction, treatment modalities and structure, perception of the therapists and exercises and documentation) are still being collected and will be analysed for this poster. These pilot data support Take ACTION as an acceptable brief group-based approach for helping participants dealing with chronic illness.

9. Exploring the Predictive Effects of Social Support and Experiential Avoidance on Psychological Health in Breast Cancer Patients: A Longitudinal Analysis
Primary Topic: Clinical Interventions and Interests
Subtopic: Cancer
Inês A. Trindade, CINEICC, University of Coimbra
Cláudia Ferreira, CINEICC, University of Coimbra
José Pinto-Gouveia, CINEICC, University of Coimbra

Background: Social support has been considered an important factor in physical and mental functioning, especially during stressful situations such as living with an oncologic condition. This study aims to analyse the effects of social support and experiential avoidance, a key maladaptive emotion regulation process to the Acceptance and Commitment Therapy model, in a sample of breast cancer patients. Methods: Twenty-five females diagnosed with breast cancer, with ages between 41 and 85 years, completed validated self-report measures (MSPSS, AAQ-II and WHOQOL-Bref) in two different times, spaced 8 weeks apart. All patients were under Radiotherapy treatment during the study’s recruitment. A hierarchical regression analysis was performed to explore the predictive effects of social support and experiential avoidance on psychological health. Results: Results demonstrated that social support significantly predicted psychological health in the first step of the analysis, with an effect of 0.58 (p = 0.007), explaining 34% of the variance of this outcome. Nevertheless, when experiential avoidance was added to the analysis in the second step, social support became a non-significant predictor (p = 0.114) and experiential avoidance presented a significant effect of -0.74 (p < 0.001) on psychological health. In the final step of the regression analysis experiential avoidance thus became the only significant predictor of the model, which explained 76% of patients’ psychological health. Conclusions: These findings go in line with previous research demonstrating the relevant, determining and detrimental impact of experiential avoidance on mental health. Future research should explore the possible moderator effect of experiential avoidance on the relationship between social support and psychological health with larger oncologic samples.

10. Fears of Compassion in Psychosis: Preliminary Results on Reliability, Validity and Dimensional Structure of the Fears of Compassion Scales
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychosis
Maria João Martins, University of Coimbra
Paula Castilho, University of Coimbra
Joana Gonçalves, University of Coimbra
Diana Carvalho, University of Coimbra
Célia Barreto Carvalho, University of Azores
Ana Telma Pereira, University of Coimbra
António Macedo, University of Coimbra

Background: Fears of compassion (FOC) include experiencing defensive emotions and reactions when receiving or giving compassion: to and from others and self-compassion. The FOC scales were developed to measure the fears of compassion in these compassion flows. This study sought to preliminary study the reliability and validity of the FOC scales in a sample of patients with a diagnosis of psychosis, as well as to preliminarily explore their dimensional structure. Method: The sample of participants with a diagnosis of a psychotic disorder (n=99) was mostly male (76.8%) with a mean age of 33.65 (SD = 8.93) and 10.87 years of education (SD = 3.45). The participants filled in the FOC scales and a subsample filled the self-compassion scale (n=50). Reliability and validity analysis were performed in SPSS software and CFA and EFA with MPLUS software. Results: Adequate internal consistency was found for the three scales (alpha=.84, .90 and .92, respectively) and significant negative associations were found with self-compassion components. The FOC for others unifactorial solution was the only that had adequate fit to the data (RMSEA=0.06, CFI=0.94; TLI=0.92; SRMR=0.07). Exploratory factor analysis on the FOC from others yield an alternative two-factor structure (‘self’ and ‘other’ oriented) with adequate fit (RMSEA=0.07, CFI=0.95; TLI=0.92; SRMR=0.05). CFA on the FOC for self had unacceptable fit. EFA indicated that the unifactorial structure might be the better factor solution although we did not find acceptable fit indices. Discussion: The FOC scales seem to have adequate reliability in psychosis population. The negative associations with self-compassion are indicative of validity although further study is needed. Although the dimensional structure study is still preliminary, it can provide orientation for future research on FOC scales with people with psychotic disorders. Keywords: Fears of compassion; Psychosis; Factor analysis; Reliability; Validity

11. Functioning Better if not Feeling Better: An ACT Intervention for Patients with Early-Onset Dementia
Primary Topic: Clinical Interventions and Interests
Subtopic: Dementia, health
Andrew Carr, Ph.D., VA Greater Los Angeles, UCLA
Mario Mendez, M.D., Ph.D., VA Greater Los Angeles, UCLA

In the United States (US), the CDC (2014) estimates that over 20 million individuals each year have a form of acquired brain injury (e.g. cerebrovascular accident, traumatic brain injury) and over eight million individuals have a dementia syndrome. People affected not only represent a major health issue, but also represent a significant financial burden with charges for hospital visits estimated at around four billion dollars per year in the US, which expected to increase with continued proliferation of cerebrovascular risk factors and aging population (Cooper et al., 2004; Wimo, Winblad, & Jönsson, 2010). These neurodegenerative conditions impact the psychological, social, and occupational functioning of these individuals. Early-onset dementia, dementia occurring prior to age 60, represent a burden to their families as often these individuals are caught between caregiving for aging parents and children (Werner, Stein-Shvachman, & Korczyn, 2009). Furthermore, the behavioral features of these syndromes cause significant distress for both patients and their caregivers(Mendez & Shapira, 2011). Given these patients, also tend to have less insight about their socioemotional state, they struggle to respond to interventions (Carr, S. Samimi, Paholpak, Jimenez, & Mendez, 2016). No intervention to date has been shown to mitigate neurodegeneration completely; additionally, there is a paucity of behavioral interventions studied in this population. The current study examined 30 people with early-onset dementia (10 with early-onset Alzheimer’s disease, 10 with frontotemporal dementia, and 10 with acquired brain injuries of mixed etiology). Participants were selected from consultation services at Huntington Memorial Hospital. This project was under the auspices of the IRB board of the University of California, Los Angeles. Each participant underwent a neuropsychological and neurological evaluation. Pre-intervention and post-intervention, patients and their caregivers completed inventories including: the Beck Anxiety Inventory (BAI; Beck & Steer, 1990) , the Geriatric Depression Scale (GDS; Parmelee & Katz, 1990), the Neuropsychiatric Inventory, (NPI; Cumming et al., 1994), and the Socioemotional Dysfunction Scale (SDS; Barsuglia et al., 2014). Participants were randomly assigned to an ACT-based intervention group or to a supportive counseling control group, such that five participants from each diagnosis were either the intervention or control group. The course of the treatments lasted for two months. Each participant completed three 15-minute sessions per week, of which one occurred in person while the other two visits involved telehealth visits in either voice and video formats. Statistics and graphs were computed using SPSS version 21 software. The intervention and control groups did not differ significantly by age, demographic factor, cognitive status, or neuropsychiatric variable. Comparing treatment groups by anxiety between time points, no significant interaction occurred, p = .125. When measuring across treatment and control groups, there was a slight, but significant reduction in self-reported anxiety over time, ( = .65, F(1, 30) = 7.65, p = .015.) However, there were no differences in self-reported anxiety occurred over time when comparing intervention group to treatment group, p = .35. For self-rated depression (GDS), no interaction or time differences occurred for the groups, p = .59 - .69. However, comparing the treatment groups post-hoc at post-intervention, the ACT group reported more depressive symptoms than the control group, p = .023. However, a different pattern emerged for caregiver ratings of the participant functioning. On caregiver ratings of patient neuropsychiatric function, there was a significant treatment group by time interaction, ( = .66, F(1, 14) p = .018). Specifically, the intervention group was rated to have fewer neuropsychiatric symptoms across time-points across intervention while the control group remained relatively stable. Similarly, when caregivers rated the socioemotional dysfunctional symptoms of the participants, the ACT group reduced problematic socioemotional behaviors compared overtime while the control group remained stable, ( = .71, F(1, 14) = 5.68, p = .032. In conclusion, this study examined an ACT-based intervention in an early onset dementia sample. Whereas early-onset dementia patients, who tend to have less emotional insight, reported no major differences in the mood functioning; from the caregivers’ perspective, there was marked decrease of behavioral disturbances. Although many of them did not “feel better” they may be functioning better overall.

12. Gender Differences in Response to Daily Peer Hassles Among Adolescents: The role of Experiential Avoidance
Primary Topic: Clinical Interventions and Interests
Subtopic: Children/Adolescence
Ana Xavier, University of Coimbra, Portugal
Marina Cunha, Instituto Superior Miguel Torga, Coimbra, Portugal
José Pinto-Gouveia, University of Coimbra, Portugal

Background: Literature reports gender differences in emotion regulation processes throughout developmental phases. Adolescence is a developmental period with increased risk for psychopathology, where emotion dysregulation may play an important role. The current study aims to test the mediating role of rumination, experiential avoidance, dissociation and depressive symptoms in the association between daily peer hassles and non-suicidal self-injury among adolescents. Additionally, this study explored gender differences in these associations. Method: The sample consisted of 776 adolescents, of them 369 are males (47.6%) and 407 are females (52.4%), with ages between 12 and 18 years old from middle and high schools in Portugal. Participants completed self-report questionnaires to measure variables under study. Results: The effect of daily peer hassles on non-suicidal self-injury is mediated by brooding, experiential avoidance, dissociation and depressive symptoms. Male adolescents are more likely to engage in brooding and experiential avoidance in response to daily peer hassles, whereas female adolescents are more likely to engage in non-suicidal self-injury in response to internal distress. Discussion: The adaptive regulation of emotions is critical for psychological well-being, especially in adolescence. The development of adaptive emotion regulation processes, such as acceptance and mindfulness skills, may help adolescents to cope with daily hassles and internal distress.

13. Group Treatment for OCD: Preliminary Evaluation of Treatment Effectiveness and Client Perceptions of Change
Primary Topic: Clinical Interventions and Interests
Subtopic: OCD
Annette Dufresne, Ph.D., University of Windsor
Chantal Boucher, M.A., University of Windsor
Tsubasa Sawashima, M.A., University of Windsor
Simritpal Malhi, M.A., University of

There is growing data on the effectiveness of ACT for Obsessive Compulsive Disorder (e.g., Twohig et al., 2010). There is also evidence supporting the effectiveness of group CBT⁄ERP treatment for OCD (Jonsson & Hougaard, 2009). We examined the effectiveness of a 6-week ACT-based outpatient group treatment program for individuals with OCD symptoms. Additionally, we sought to better understand the process of change from the client’s perspective. Pre- and post-treatment data were gathered from 7 clients participating in the group. Results indicated that 86% of clients showed a decrease in Total OCI (Foa et al., 1998) distress scores from pre- to post-treatment, and for 57% of clients the decrease was sufficient to be a reliable change. Maintenance of gains will be examined at a 3-month follow-up at a group booster session. Clients also completed a modified Helpful and Hindering Aspects of Therapy form (Llewelyn, 1988) after each group session to obtain information on their perceptions of change. Themes that emerged in a qualitative analysis of client feedback data included: acceptance/safety (e.g., feeling acceptance, get to talk openly), sense of community/feeling understood (e.g., feel others understand, feeling part of a community), new realizations (e.g., made me more aware of my issues with avoidance), changing relationship to thoughts/feelings (e.g., my thoughts separate from me, necessity of allowing myself to feel anxious), focus toward values (e.g., realizing what is important), and willingness (e.g., helped me feel more willing to put the practices into effect). The results indicate that ACT-based group treatment is a promising treatment for OCD. Group cohesion and support that are uniquely available in group treatment are suspected to be an important mechanism of change that should be further investigated.

14. Group-Based Acceptance and Commitment Therapy Preceded by an Experimental Attentional Bias Modification Procedure for Residual Symptoms of Depression
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression
Tom Ostergaard, University of Oslo
Tobias Lundgren, Ph.D., Department of Clinical Neuroscience, Center for Psychiatry Research, Karolinska Institute, Stockholm, Sweden
Robert Zettle, professor, Wichita State University
Rune Jonassen, Ph.D., Clinical Neuroscience Research Group, Department of Psychology, Oslo, Norway
Catherine Harmer, professor, Psychopharmacology and Emotional Research Lab (PERL), University Department of Psychiatry, Oxford, UK
Vegard Haaland, Ph.D., Clinical Neuroscience Research Group, Department of Psychology, Oslo, Norway
Nils Inge Landrø, Clinical Neuroscience Research Group, Department of Psychology, Oslo, Norway

Background: This project studies the effect of group based Acceptance and Commitment Therapy (ACT) and Attention Bias Modification (ABM) in secondary prevention of major depression (MDD). ACT is a modern behaviour therapy combining acceptance and mindfulness processes with commitment and behaviour change processes. ACT has shown a treatment effect for MDD and promising results in secondary prevention for other patient groups. The experimental cognitive bias modification (ABM) procedure has been shown to reduce surrogate markers of depression vulnerability in patients in remission from depression. The aim of the current project is to explore if ABM enhances ACT treatment. The study will assess whether ACT in combination with ABM is better than ACT alone in reducing residual symptoms. Thus it combines ideas and science from the field of behavioural psychology and neuropsychology. As such, the approach represents an exciting opportunity for secondary prevention using acceptable, non-drug interventions. Method: The present study has an experimental as well as a quasiexperimental design. Former depressed participants (N=200) will be randomized to ABM or a control-condition without bias modification. All participants recruited at one of the sites (Sørlandet Hospital) will after the ABM/Control-intervention receive an 8-week group based ACT-intervention, no intervention will be given at other sites. The dependent variables are cognitive, neurobiological and emotional markers of vulnerability as well as frequency of major depressive episodes over a 12-month follow up. Results: The study is still ongoing. Approximately 150 persons will have completed the first part of the study (ABM and ACT) by june 2017, and we will be able to present preliminary results at the acbs world conference. Discussion: Treatments in depression are mostly offered in one format, and are seldom combined. If formats are combined they are often closely interrelated theoretically and philosophically. It could be argued that ACT and ABM differ from each other when it comes to theoretical and philosophical paradigms. Paradoxically this may also be why ACT and ABM may work well together. The two treatments target the same mechanism but on different levels cognitively, theoretically and philosophically. The hypothesis is that the two treatments complement each other, and that ABM treatment augments ACT treatment. A positive attentional bias established through ABM is expected to make the subjects more available for the psychological interventions of ACT. ABM could be thought to involve “lower order” cognitive processes, which is implicit attention without apparent language or cultural-based processes involved. ACT, on the other hand, involves “higher-order” cognitive processes where explicit attention is made to language and cultural practices.

15. How Bullying May Influence the Development of Disordered Eating Symptoms in Adolescence: The Mediator Role of Body Image Shame
Primary Topic: Clinical Interventions and Interests
Subtopic: Disordered eating; Adolescence
Cristiana Duarte, Msc., Ph.D. Candidate, Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, UC
José Pinto-Gouveia, M.D., Ph.D., Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, UC
James Stubbs, Ph.D., Appetite Control and Energy Balance Research Group, School of Psychology, University of Leeds

Cross-sectional studies suggest that body image shame mediates de association between bullying experiences and eating psychopathology in adolescent girls. The current study examined these associations through a prospective design that involved three waves of data collection in a nonclinical sample of adolescent girls assessed over three years. The mediator effect of body image shame on the association between bullying experiences with peers and eating psychopathology was examined through a path analysis. Results revealed that body image shame significantly mediated the relationship between bullying and disordered eating symptomatology. Data suggests that the extent to which experiences of victimization with peers may influence the development of disordered eating symptoms is influenced by how these experiences may become internalized as shame focused on physical appearance. Bullying prevention programmes that target shame and promote compassion and acceptance could decrease adolescents' risk of developing body image issues and disordered eating.

16. Hyperactivity and Emotions Research action with a group of children in a Childhood Adolescent Mental Health Service
Primary Topic: Clinical Interventions and Interests
Subtopic: Children, Mindfulness
Beatrice Milianti, neuropsychiatrist, UFSMIA Lucca
Anna Belmonte, neuropsychiatrist, Ufsmia Lucca
Gini Francesca, psychologist
Annamaria Marongiu, psycotherapist, ufsmia Lucca

The Action Research has been founded as a necessity of the Childhood and Adolescent Mental Health Territorial Service (UFSMIA USL North West Tuscany - Lucca Italy) to meet the growing demand for assessment and support with respect to attention difficulties, ostility and conduct disorder for students from the Primary and Secondary School. It is estimated that in Italy 4% of children fall within the diagnostic criteria with male/female ratio 2:1 (APA 2013). The diagnostic criteria of ICD-10 identifies a more homogeneous sample of children with severe disorder but underestimate the presence of children with significant attention difficulties and hyperactivity which should be properly taken into account. In a 2006 study Lahley et al. have indeed found that only 26% of subjects diagnosed with ADHD according to DSM-IV also met the ICD-10 criteria. The most evident manifestations are hyperactivity, impulsivity and acting out with little capacity to emotional modulation and attention impairment for long times. Before coming to a clear diagnosis, leveraging our experience we have structured a work in phases aimed at supporting a preventive function. The working hypothesis starts from the detection of a low tolerance to frustration on the part of the patient sample combined with hypersensitivity to the analog aspects of the Communication. The work uses an approach aimed at strengthening emotional intelligence which allows a grasp inner emotional signals and ability to communicate them to others. The intervetion want to develope emphatic capacity towards other people translating signals emotional that they can be mimicked in the emotional brain.The exercises activate the prefrontal areas and associative areas involving the circuit between the visual cortex, amygdala and connected areas covered by the neuromotor and visceral system. The working group is composed of 7 children between 7 and 10 years old come to the service for the challenges identified in the school and also in the family. Research Action has been divided into phases. An initial evaluation phase with standardized instrument and projective tests for incoming and outgoing children. A subsequent stage of the intervention divided into: -psychoeducational work with children in small groups every two weeks for 9 sessions lasting 75 minutes - Testing for parents (CBCL) and teachers (cbcl) with subsequent psychoeducational moments The Instruments: The inbound children were tested to check IQ (WISC IV), attentional skills (BIA), tolerance to frustration through a projective test (Rosenzweig), a survey of personality with the use of test C.A.T. The same tests will be repeated in output and after the psychoeducational group work unless the cognitive tests. The structure of the work in small groups is: - Initial phase of socialization through presentation games - Central working phase of individual emotions that would bring the self-narration and experience of mirroring and empathic listening among children - Experience of mindfullness (act for kids) - Final phase with closing feedback and greetings Expected Results: Increased awareness of them-Self and their bodily space through experiential work, improved ability to self-regulation of enactments with greater awareness of emotional experiences, better capability of empathy and development of appropriate social interactions among peers and with adults . As regards of adults better management skills with strategies tailored to meet the needs of children. This work is to be considered a pilot project that will see the continuation of the work of fortnightly meetings for the small group. In perspective it is being evaluated starting a Parent Traning job in small group for parents.

17. Loss of Self as a Cancer Caregiver: Learning from RFT and ACT to Develop More Effective Psychological Interventions to Improve Wellbeing
Primary Topic: Clinical Interventions and Interests
Subtopic: Adult Cancer Caregivers, Self-concept, psychological wellbeing
Jayne Joy, University of Chester
Professor Nick Hulbert-Williams, University of Chester
Dr. Lee Hulbert-Williams, University of Chester
Dr. Brooke Swash, University of Chester

Background: Psychological sequela and vulnerability to increased mortality can manifest when caring for someone with cancer at the end of life. Immersion into an informal caregiving role can be overwhelming and challenging. This may lead a person to experience personal identity loss, or ‘loss of self’ ‑ a concept known to predict poor psychological well-being. Method: A systematic search and narrative review of current literature was performed as a starting point for a developing programme of work. Results: Our review of existing literature highlighted multiple psychosocial interventions that have been tested to improve psychological well-being for cancer caregivers. Nineteen systematic reviews, appraising these different approaches, were sourced from examination of computerised databases and hand searches. Evaluation found the impact of interventions on psychological outcomes to be inconsistent and overall efficacy questionable. To date, no study has tested the usefulness of Acceptance and Commitment Therapy (ACT) in this specific population. Discussion: The development of effective interventions for cancer caregivers is vital. Interventions that target loss of self seem especially suitable. Given the emphasis on concepts of self within the ACT model, this therapeutic approach holds promise. An emerging body of work exploring ACT processes from a Relational Frame Theory (RFT) perspective attempts to offer deeper insight and development of optimally specific intervention components. Extension of this research by studying loss of self for caregivers seems a logical next step. Robust measures and development studies of intervention components for ‘self’ are currently scarce. Therefore, our objectives are to (i) develop a psychometrically sound and clinical useful measure of self-concept, and (ii) to draw on latest RFT science to develop and test specific components for those in this population who are struggling with loss of self.

18. MAC-CBT Group Therapy for Adult Attention Deficit Hyperactivity Disorder
Primary Topic: Clinical Interventions and Interests
Subtopic: Adult ADHD, acceptance, activity, mindfulness, MAC-CBT
Isabelle Kuchler, M.Sc, Neuropsychiatric Center Hamburg Germany
Dr. Peter Tonn, Neuropsychiatric Center Hamburg Germany

Background: Attention deficit hyperactivity disorder (ADHD) symptoms are often assumed to decease in adolescence, however in up to 60% of children, ADHD persist to adulthood. The prevalence estimates for adult ADHD over ten countries in America, Europe and the middle east is assumed to be averaged 3.4%. In many cases adult ADHD leads to mental distress and decrease in quality of life like difficulties finding a job to be successful with, a higher risk to be dismissed from their jobs, difficulties in relationships and more break-ups. Currently pharmacological therapy is the number-one choice ADHD treatment. Despite its evidenced effects of pharmacological interventions there are side effects, contraindications and non-responders which send some patients disliking the use of medication and asking for alternative treatments. In previous studies mindfulness-based interventions already have shown similar effects in neural regions as pharmacological treatment and positive changes in ADHD symptoms, quality of life, awareness and concentration. The following study wants to improve mindfulness-based treatment approaches in ADHD with a new therapy concept. Methods/Design: Mindfulness, acceptance, commitment and cognitive behavioral group therapy (MAC-CBT) combines 3rd wave therapies with focus on mindfulness meditation, acceptance of unchangeability, commitment to new goals with elements of cognitive behavioral therapy. The design of this study is a single-center, parallel-group, randomized superiority trial. MAC-CBT is a newly designed mindfulness-based treatment with CBT-elements for adults with ADHD. Included patients will be allocated randomly to MAC-CBT or to progressive muscle relaxation training (PMR by Jacobson). Data about ADHD symptoms, quality of life, awareness and concentration will be collected on the base of various questionnaires. Participants will be assessed two times before treatment to determine natural course of adult ADHD and two times after treatment to evaluate short and long term effects. Discussion: This trial will offer new knowledge about the effects of third wave therapies on ADHD. Furthermore the following study is one of few studies that will compare ADHD treatment to relaxation training instead of comparison to waiting list. The aim of the following study is to verify previous outcomes of mindfulness-based treatments on ADHD and to evaluate superiority of mindfulness towards relaxation programs.

19. Measuring Psychological Flexibility in Chronic and Acute Pain
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Pain
Chiara Vona, Kore University, Enna (Italy)
Valeria Squatrito, Kore University, Enna (Italy)
Giovambattista Presti, Kore University, Enna (Italy)
Paolo Moderato, IULM University, Milan (Italy)

A battle which has no solution is usually undertaken by those who experience chronic in the desperate attempt to reduce or eliminate it. Changes in patient’s lifestyle can give a temporary relief, but in the long term drain his life and lead to a worsening of the general physical and psychological conditions. Psychological flexibility is defined as the ability to act effectively in the light of personal values, even in the presence of thoughts, emotions and body sensations interfering with one’s life. Several studies have related it to the bettering in functioning and quality of life of patients with chronic pain. To test the relation between pain, quality of life and psychological flexibility, two groups of hospitalized patients suffering from either acute (n=75) or chronic (n=100) pain were assessed by the following measures: Acceptance and Action Questionnaire-II (AAQ-II), the Chronic Pain Acceptance Questionnaire-Revised (CPAQ-R), the Valued Living Questionnaire (VLQ), the Hospital Anxiety and Scale (HADS), the Survey on the State of Health (SF-36), the Illness Perception Questionnaire (IPQ), the McGill Pain Questionnaire (MPQ), and the Visual Analogue Scale (VAS) to measure pain intensity at the time of the interview, in the last 24hrs and in the last week. A group of 123 students served as a healthy control group. Measures aimed to investigate the possible relation between psychological flexibility and levels of anxiety and depression, cognitive representations of illness, psychological impact of the disease, intensity of perceived pain. Results shows that there is no statistical difference in the two patients group and in the control group in the level of depression and anxiety symptoms as measured by HADS (total HADS score is 21,30 (3,45) for chronic pain group, 21,16 (3,05) for acute pain group and 22,44 (2,83) for control group). No statistical difference were detected in the CPAQ scores between the two experimental groups, while AAQ-II differed between chronic and acute pain (t (59) = 2.59, p = .012) and also between control group and chronic patients ( t (83) = 3.44, p = .001). A correlation between psychological flexibility (AAQ-II and CPAQ) and health status (SF-36) was found in the two pain groups.

20. Nonverbal Events in Psychotherapy and Impact on Outcome: A Literature Review
Primary Topic: Clinical Interventions and Interests
Subtopic: Nonverbal communication, Emotions
Tien Kuei, MSc, University of Glasgow

This poster presents a literature review of studies on Nonverbal events in psychotherapy and relation to clinical or process outcomes. 22 studies were isolated in the review. Design and methodology issues of measuring nonverbal behaviors will be illustrated, as well as results that impact on outcome which can inform clinical practice.

21. Outcomes of a Brief ACT Intervention Among University Students with Borderline Personality Disorder Symptoms
Primary Topic: Clinical Interventions and Interests
Subtopic: Borderline Personality Disorder
Martine Coulombe, M.Sc., Ph.D.(c), Université du Québec à Trois-Rivières
Chantal Thibodeau, M.Sc., Centre d'aide aux étudiants, Université Laval
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières

Background: Borderline personality disorder (BPD) affects 1-2% of the general population, mostly women (75%) and half of cases begin between age of 18 and 25. Approximately 75% of these people will engage in self-harm behaviors, 50% will make suicidal attempts and 5% of them will ultimately die from suicide (CSMC, 2015). BPD is characterized by instability in relationships, identity and affects (APA, 2013). Research on ACT and BPD is relatively new but recent studies linked ACT processes, like experiential avoidance and lack of psychological flexibility, to the emotional dysregulation inherent to BPD. (Buckholdt et al., 2015, Gratz et al., 2012; Hill et al., 2012). Method: This pre-experimental design research evaluates the effectiveness of a brief ACT intervention among 82 university students (Mean age = 25) with BPD or traits (92% women) on ACT processes like experiential avoidance (AAQ2), cognitive fusion (CFQ28, MBSI) and mindfulness (MAAS), and different aspects of functioning related to BPD like impulsivity (BIS-10), problem-solving (QAP) and beliefs (PBQ). Data were collected from 2013 and 2016 at Laval University, Quebec City. Results: Repeated measured analysis yielded significant results across all variables. Effects sizes ranged from small to moderate. Discussion: Despite some limitations mostly due to the pre-experimental design, the results demonstrate the importance to pursue further study on ACT with BPD. Findings are discussed in terms of future developments.

22. Psychometric Properties of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y) in Colombia
Primary Topic: Clinical Interventions and Interests
Subtopic: Assessment
Daniela Salazar-Torres, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Cindy L. Flórez, Fundación Universitaria Konrad Lorenz

The aim of this study is to describe and analyze the content validity and psychometric properties of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y; Greco, Lambert, & Baer, 2008) in children between 9-13 years old in Colombia. The AFQ-Y was administered to approximately 800 students from third to eighth grade who attended private and public schools in the Cundinamarca Department of Colombia. The results showed that the AFQ-Y had a good internal consistency, with Cronbach’s alpha of .89. The instrument showed a two-factor solution: experiential avoidance and cognitive fusion. The AFQ-Y showed theoretically coherent correlations with other constructs such as emotional symptoms, pathological worry, negative repetitive thinking, and generalized pliance. In conclusion, the AFQ-Y shows good psychometric properties in Colombia.

23. Psychometric Properties of the Generalized Pliance Questionnaire: Children in Colombia
Primary Topic: Clinical Interventions and Interests
Subtopic: Asesssment
Daniela Salazar-Torres, Fundación Universitaria Konrad Lorenz
Cindy L. Flórez, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz

The GPQ is a measure of generalized pliance for adults that has shown excellent psychometric properties and a one-factor solution. In this study, we aim to analyze a modified version of the GPQ for children that is called the Generalized Pliance Questionnaire for Children (GPQ-C) in Colombian. Approximately 800 children between 9 and 13 years old responded to the GPQ-C and other measures questionnaire. The children attended private and public schools in the Cundinamarca Department of Colombia. The results showed that the CPQ-C had a good internal consistency, with Cronbach’s alpha of .86 and a one-factor structure. The CPQ-C showed theoretically coherent correlations with other constructs such as emotional symptoms, pathological worry, negative repetitive thinking, and cognitive fusion. In conclusion, the CPQ-C shows good psychometric properties in Colombia.

24. The Effectiveness of Acceptance and Commitment Therapy (ACT) in Improving Stress and Wellbeing for Employees in a Hospital Setting
Primary Topic: Clinical Interventions and Interests
Subtopic: Stress and General Wellbeing
Josh Hope-Bell, UWE Bristol
Dr. Olivia Donnelly, North Bristol Trust NHS
Dr. Nic Hooper, UWE Bristol
Fabio Zuchelli, UWE Bristol
Lois Coy

Stress and poor general wellbeing in the workplace is an issue affecting many in the UK. The healthcare sector is particularly prone to high levels of stress and low levels of wellbeing among its employees because of the “high pressure” nature of the work, staff cuts and staff shortages. Consequently, various interventions have been developed to help healthcare staff better manage stress. One such intervention, which has been heavily evaluated in the workplace context but not so much with hospital staff, is Acceptance and Commitment Therapy (ACT). This talk will describe a piece of recently conducted research that aimed to evaluate the effectiveness of the 2+1 ACT model. Results, which indicated positive outcomes, will be discussed in terms of how to improve research of this kind in future studies.

25. The Effectiveness of an Art-Based ACT Group Therapy Program with Young Adolescents
Primary Topic: Clinical Interventions and Interests
Subtopic: Early Adolescence
Aja Meyer, Ph.D., Johns Hopkins All Children's Hospital
Heather Agazzi, Ph.D., ABPP, University of South Florida

Background: Acceptance and Commitment Therapy (ACT) has become more widely used with children and adolescents in recent years. Unfortunately, the research on ACT has not kept pace with its popularity in practice and therefore, few empirical studies on the efficacy of this intervention for youth exist. Of the available literature, research findings indicate that ACT can be beneficial for adolescents with OCD (Armstrong, 2013; Yardley, 2012), depression (Hayes, Boyd, & Swell, 2011), anorexia (Heffner et al., 2002), externalizing behavior (Bencuya, 2013), chronic pain (Gauntlett-Gilbert et al., 2013; Ghomian and Shairi, 2014), and PTSD (Woidneck et al., 2014). Many studies have resulted in positive outcomes, such as increased acceptance and defusion (Swain, Hancock, Dixon, Koo, & Bowman, 2013) and decreased depressive symptoms (Livheim, Hayes, Ghaderi et al., 2015). While studies indicated that ACT results in improvements in symptomatology and quality of life outcomes, very few studies have included measures to specifically assess changes in the core components of ACT including cognitive defusion, values and committed action. Clinicians have discussed the need for adaptations to ACT to meet the biopsychosocial developmental needs of children and adolescents. Some recommended adaptations include: increased behavioral activation, age-appropriate examples, personalized goals, and the inclusion of peers. Additionally, there is a dearth of evidence for ACT among children under 12 years of age and in ACT treatment delivered in group formats. As such, we seek to extend the emerging evidence for ACT with young adolescents aged 10-12 years in a group setting. Method: Five to seven young adolescents, ages 10-12 years, with diagnoses of an anxiety disorder will participate in an 8-week group therapy program entitled Acceptance and Commitment Therapy: Experiential Adolescent Group Program (Louise Hayes and Julie Rowse, 2008). The program aims to utilize experiential art media, such as paint and clay, to help facilitate understanding of ACT concepts. Through artwork, it is hoped that adolescents are better able to explore their own experiences without getting caught up in language processes. Confirmatory research will be used to test the hypotheses surrounding expected improvements in awareness and acceptance of internal processes (assessed with the Child Acceptance and Mindfulness Measure [CAMM]) as well as improvements in psychological flexibility, decreases in cognitive fusion and experiential avoidance (as measured by the Avoidance and Fusion Questionnaire for Youth [AFQ-Y8]), and decreases in anxiety symptoms (assessed with the Multidimensional Anxiety Scale for Children, 2nd edition [MASC 2]). All measures will be administered pre- and post- treatment. Results: Potential Results. Over the course of the study, it is expected that young adolescents who participate in the ACT group therapy program will self-report increases in self-awareness, and acceptance without judgment (as measured by the CAMM). We also expect to observe decreases in cognitive fusion and experiential avoidance with an increase in psychological flexibility (as measured by the AFQ-Y8) and decreases in anxiety symptoms (as measured by the MASC 2). Discussion: In summary, we hypothesize that the ACT group therapy program is likely to be an effective, time-limited group treatment for young adolescents that will increase psychological flexibility, improve mindfulness skills, and decrease cognitive fusion and experiential avoidance.

26. The Effects of an ACT Group Therapy Program for Adolescents in an Outpatient Psychiatry Setting
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT wtih teens
Pascale St-Amand, Ph.D., CISSS Chaudière-Appalaches
Isabelle Rose, Ph.D., CISSS Chaudière-Appalaches
Maude Lafond, Université du Québec à Trois-Rivières
Joel Gagnon, Ph.D. (c), Université du Québec à Trois-Rivières
Frederick Dionne, Ph.D., Université du Québec à Trois-Rivières

Background: The demand for services in child and adolescent psychiatry are growing. In this context, it is important to develop and evaluate brief, effective, and well-adapted interventions for adolescents. To date, cognitive and behavioral therapy (CBT) remains the most empirically supported form of psychotherapy for teenagers. However, one in four teenagers would not respond to this type of intervention (Bluett et al., 2014). In recent years, Acceptance and Commitment Therapy (ACT) has attracted the attention of researchers and clinicians in the field (Ciarrochi, Hayes, & Baily, 2012; Turrell & Bell, 2016). To our knowledge, there are more than 15 clinical studies on ACT with adolescents. Despite encouraging results on psychological flexibility processes and symptoms (e.g. anxiety and depression), further studies are needed to better understand the impact of these interventions in clinical settings (Swain, Hancock, Dixonn, & Bowman, 2015). Method: The purpose of this pre-experimental study is to evaluate the effects of a six-session intervention program based on the self-help Get out of your mind and into your life for teens (Ciarrochi et al., 2012). The sample is comprised of 24 teenagers between the ages of 14 and 17 years (71% girls) who attended an outpatient child psychiatry clinic in Quebec (Canada). Results: Mean comparisons analyses revealed that, in line with our hypothesis, the intervention was associated with a reduction in anxiety and depressive symptoms, as well as improvements in psychological flexibility processes. Discussion: Findings are discussed in terms of future developments to enhance the quality and the efficacy of the intervention.

27. Effectiveness of an Interdisciplinary (ACT + PT) Outpatient Program on Functional Capacity for People with Chronic Low Back Pain
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic back pain
Heather Poupore-King, Ph.D., Stanford Pain Management Center
Corinne Cooley, DPT, OCS, Stanford Pain Management Center

Background: Self-efficacy, distress, and fear are primary mediators of disability for people suffering with chronic low back pain (CLBP) (Lee, 2015). Chronic low back pain is a high health care cost, leading cause of disability and interferes with patient’s quality of life, as well as a reason to seek medical/health care treatment. Though evidence shows intensive interdisplinary care (5x/week) that includes Acceptance and Commitment Therapy (ACT) can improve chronic pain acceptance in patients with chronic pain, reduce depressive symptoms, reduce pain -related anxiety, and physical disability at both at 3 months post treatment and up to 3 years (Vowel, 2011) there is less research that demonstrated effects in an outpatient, less intensive interdisciplinary intervention. In various health care systems, intensive inpatient interdisciplinary interventions are not available to a patient with chronic low back pain despite the patients continued report of high levels of disability and high use of medical treatment costs. This study includes an outpatient interdisciplinary approach with pain psychology intervention (ACT) and physical therapy interventions (PNE, therapeutic exercise, group exercise) delivered for 4 hours each session 2x/week for 6 weeks for a total of 48 hours of interdisciplinary treatment aimed at reducing distress and pain-related fear of movement, reducing disability and improving participation in patient-chosen valued activities. Methods: Our pilot program included 6 participants, with chronic low back pain with a mean age of ___ and average time of back pain as ___ years. Intervention included: 2 hours of pain psychology, 2 hours of physical therapy for each session, 2 sessions for 6 weeks, for a total of 48 hours of intervention at an outpatient -based pain management center. The pain psychology interventions included 1 hour of ACT, 30 minutes of meditation techniques/ mindfulness, and 30 minutes of values based goal setting. The physical therapist had attended 2 ACT workshops and discussed with the pain psychologist content for each session, and how to incorporate recently learned concepts in the gym / exercise portions of the intervention. Results: The Roland Morris Disability Questionnaire (RMDQ) initial (pre intervention) mean score was 14.5 and reduced to 5.8 post intervention and greater than the MCID of 7 for the RMDQ, or from 60% disabled to 24% disabled, which is clinically significant. The Chronic pain acceptance score (CPAQ) initial mean score was 50. 8 and increased to 73.3, which are similar changes seen in the intensive inpatient study (Vowels, 2011). Discussion: A 6 week outpatient interdisciplinary program (ACT +PT) reduces disability and improve chronic pain acceptance at pre-and post-intervention in patients with chronic low back pain.

28. Turkish Version of Valued Living Questionnaire (VLQ): Preliminary Analysis of Reliability and Validity in Non-Clinical Sample
Primary Topic: Clinical Interventions and Interests
Subtopic: VLQ nonclinical sample
M. Emrah Karadere, Hitit University, School of Medicine, Department of Psychiatry, Corum, Turkey
Hasan Turan Karatepe, Medeniyet University, School of Medicine, Department of Psychiatry, Istanbul, Turkey
Kaasım Fatih Yavuz, Bakirkoy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital, Bakırkoy, Istanbul, Turkey
Sevinc Ulusoy, Bakirkoy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital, Bakırkoy, Istanbul, Turkey
Alparslan Cansız, Siverek State Hospital, Urfa, Turkey
Murat Aktepe, Arnavutkoy State Hospital, Istanbul, Turkey

Turkish Version of Valued Living Questionnaire (VLQ): Preliminary Analysis of Reliability and Validity in Non-clinical Sample Background: Valued Living Questionnaire (VLQ) is a self-evaluating scale that has been developed to measure the extent to which an individual contacts his/her chosen values, an important construct in Acceptance and Commitment Therapy. The aim of this study was to examine validity and reliability of the Turkish version of “Valued Living Questionnaire (VLQ). Method: The sample consisted of 210 healthy volunteers including hospital employees and their relatives who had no psychiatric complaints between the ages of eighteen to sixty five. After translation, back-translation and pilot assessment of Turkish version of VLQ (TVLQ) completed; socio-demographic data form, Acceptance and Action Questionnaire-II (AAQ-II) and TVLQ were administered to participants. For reliability analysis of TVLQ Cronbach’s alpha coefficient and item-dimension total score correlations were used. We also used principal component analysis for factor analysis and Pearson correlation analysis for convergent validity. Results: The mean age of participants was 35,93±10,77 years (age range: 18-65 years) and 60.5% (n=127) were female. Statistically significant results supported TVLQ’s reliability. Inter-item consistency was adequate for both ‘importance’, ‘consistency’ and composite subscales (TVLQ-importance: Cronbach α= 0,793; TVLQ-consistency: Cronbach α= 0,883; TVLQ-composite: Cronbach α= 0,879). Also all items were positively correlated with each other. Principal factor analysis performed and it was detected that one dimension explained 48,87% of the total variance. Factor loading were changing between 0,58 and 0,83. Composite score were negatively correlated with AAQ-II (r= -0,195; p<0,01). Conclusion: The results of this study show that TVLQ is a reliable and valid scale for the assessment of valued living in non-clinical population.

29. Embodying the Compassionate Self: How Does Practice Quality Impact the Effectiveness of a Compassion Training Program?
Primary Topic: Clinical Interventions and Interests
Subtopic: Compassion
Marcela Matos, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Cristiana Duarte, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Joana Duarte, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
José Pinto-Gouveia, Ph.D., M.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Paul Gilbert, Ph.D., OBE, Centre for Compassion Research and Training, University of Derby, College of Health and Social Care Research Centre, Derby

Research has demonstrated that compassion mind training (CMT) is effective on the promotion of well-being, however the impact of the quality of the practice remains to be explored. A recent study of the effect of a two-week compassionate mind training intervention on well-being, also investigated participants’ qualitative and subjective experiences of the practices. This paper will explore how participants who completed a brief CMT program (n=77) experienced the compassion practices, and the impact of the quality of these experiences on the effectiveness of the intervention and the development of the compassionate self. Results reveal that it is not so much the frequency of the practice, but the usefulness of the concept of compassion and the embodiment of the compassionate self in everyday life and moments of difficulty that are associated with increases in compassion for the self, for others and from others, reassured self, positive affect and compassionate goals, and decreases in self-criticism, fears of compassion and stress.

30. The Psychological and Physiological Impact of a Brief Compassion Training Intervention: An Exploration of Processes of Change in Positive Affect
Primary Topic: Clinical Interventions and Interests
Subtopic: Compassion
Marcela Matos, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Joana Duarte, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Cristiana Duarte, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
José Pinto-Gouveia, Ph.D., M.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Nicola Petrocchi, Ph.D., John Cabot University, Rome, Italy
Paul Gilbert, Ph.D., OBE, Centre for Compassion Research and Training, University of Derby, College of Health and Social Care Research Centre, Derby

This study explores the impact of a two-week Compassionate Mind Training (CMT) intervention on emotional, self-evaluative and psychopathology measures and on heart-rate variability (HRV), and explores processes of change in positive affect. Participants (general population and college students) were randomly assigned to one of two conditions: CMT (n=56) and Wait-List Control (n=37). At post-intervention the experimental group significantly increased compassion for the self and openness to the compassion from others, safe and relaxed positive affect, and HRV; and showed reductions in shame, self-criticism and fears of compassion. Mediation analyses revealed that changes in positive affect (safe and relaxed) were mediated by increases in compassion for the self and openness to the compassion from others, and by decreases in fears of compassion. Improvements in HRV mediated the impact of the CMT intervention on relaxed affect.

31. But What Exactly Are Values? A brief discussion about the concept and utility of values in the clinical setting
Primary Topic: Clinical Interventions and Interests
Subtopic: Values
Aline Simões, Universidade Federal da Bahia
Tiago Ferreira, Ph.D., Universidade Federal da Bahia
Bruno Oliveira, Private Practise
Amanda Raña, Universidade de São Paulo

The context of psychotherapy involves ethical, theoretical and technical matters regarding practical limits and possibilities. Two of such relate to the definition of goals to clinical practice and therapist’s limitations when formulating and executing such objectives. Given the central role that the concept of “values” seem to have in these matters in current behavioral therapeutic models, this paper intends to analyze and discuss perspectives regarding this concept as brought by authors such as Skinner, Leigland, Plumb, Wilson and Harris in order to propose a definition, using low-level terms, that can generate basic and applied research without losing its relevance to the clinical setting. We propose that values are stable and diverse qualities of behavior that have acquired reinforcing function by being described by the individual or his community. Further utility of such a definition involves its precision and focus on aspects that are under direct influence of the patient.

32. Testing a Brief ACT-Based Intervention for Potent Suicide Risk-Factors: A Lab-Based Analogue Study
Primary Topic: Clinical Interventions and Interests
Subtopic: Burdensomeness, Suicide, Brief intervention
Kevin Hochard, Ph.D., University of Chester
Sam Ashcroft, BSc, University of Chester
Lee Hulbert-Williams, Ph.D., University of Chester

The Integrated Motivational Volitional (IMV) model of suicidal behaviour (O’Connor, 2011) outlines several predictive factors for suicide. Social support and belongingness are protective factors, while defeat and entrapment exacerbate suicidality. Accordingly, these factors are key intervention targets. Murrell et al. (2014) suggest Acceptance and Commitment Therapy may be beneficial for suicide prevention and Collins et al. (2016) provide supporting evidence for the mitigating effect of mindfulness on low belonging. This experimental analogue study compares brief manualized ACT-consistent, CBT-consistent, or placebo interventions. Following the intervention, participants were exposed to Cyberball, an online game designed to induce feelings of social ostracism. Physiological and psychometric measures of stress were obtained, in addition to behavioural measures of willingness to re-engage with the aversive task. We discuss the implication of these results on future ACT-based suicide prevention interventions.

33. Acceptance and Commitment Therapy for Weight Control
Primary Topic: Clinical Interventions and Interests
Subtopic: Obesity, weight control
Maria Christina Geraldini Ferreira, Ph.D.Candidate, Pontificia Universidade Catolica de Goias
Sonia Maria Mello Neves, Ph.D., Pontificia Universidade Catolica de Goias

Research conducted to verify the efficacy of Acceptance and Commitment Therapy (ACT) for eating-related problems, such as high concern about weight, body image dissatisfaction, obesity, subclinical eating pathology and eating disorders, has shown promising results. We selected six studies that applied ACT to people with higher than normal Body Mass Index (MBI) to identify their procedures, measures, obtained results and follow-up. These studies used in their interventions a protocol based on the book by Hayes, Strosahl and Wilson (1999). The six studies used scales and questionnaires as a measure for efficacy of results and process of change; four of which used the Acceptance and Action Questionnaire for Weight (AAQ-W); one used the Body Image-Acceptance and Action Questionnaire (BI-AAQ); three used MBI; two used the Self-Monitoring of problematic eating; one used the Self-Monitoring of hunger and satiety; and five conducted three-month follow-up. Evidence from all the studies supported ACT as an effective instrument for change.

34. Psychological Flexibility Affecting Psychological Well-Being: A Study on Italian Youths
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescents, psychological flexibility, measures
Emanuele Rossi, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Erika Melchiorri, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

This poster presents an exploratory study on Italian adolescents concerning the existence of a direct correlation between psychological inflexibility and psychological distress and, as a consequence, the existence of a direct correlation between psychological flexibility and psychological well-being. The outcomes presented here emerge from two wide validation studies on a total sample of 1315 Italian adolescents. About 17 measures assessed psychological flexibility and inflexibility (with a particular focus on mindfulness facets, such as acceptance, presence, awareness), psychological distress (anxiety, depression, somatization, dissociation, perceived stress), psychological well-being and quality of life. The scores obtained were submitted to a correlation analysis in order to explore the relationship existing between the ACT core processes and psychological well-being. The implications of the study reveal themselves to be crucial to both researchers and clinicians.

35. A Research Update on Italian Clinical Instruments Usable for Measuring Psychological Flexibility and Inflexibility During the Adolescence
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescents, psychological flexibility, measures
Emanuele Rossi, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Erika Melchiorri, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

This poster illustrates in short the last research update on three clinical instruments available in Italy in order to measure psychological flexibility and inflexibility in the developmental age. The key focus of this poster is on three self-report instruments: (1) Child and Adolescents Mindfulness Measure (CAMM), measuring mindfulness and acceptance; (2) Avoidance and Fusion Questionnaire for Youth (AFQ-Y), assessing fusion and experiential avoidance resuming the theoretical foundations of Acceptance and Commitment Therapy; (3) Mindful Attention Awareness Scale for Adolescents (MAAS-A), measuring mindfulness as a "receptive state of attention and awareness of the present experience". Using these tools in clinical practice has led to very promising implications. However, it is necessary to deepen the study of psychological flexibility on Italian children and adolescents broadening the range of the evaluation tools.

36. “Unfolding the Values of Work” A Qualitative Study on How Therapists in an Occupational Rehabilitation Program Based on Acceptance and Commitment Therapy (ACT) Experience That They Attend to Their Participants´ Return-To-Work Process
Primary Topic: Clinical Interventions and Interests
Subtopic: Return-to-work rehabilitation
Nina Elisabeth Klevanger, M.A., Ph.D. candidate, NTNU - Norwegian University of Science and Technology, Trondheim, Norway
Marius Steiro Fimland, Ph.D., Researcher, NTNU - Norwegian University of Science and Technology, Trondheim, Norway & Hysnes Rehabilitation Center, St. Olav’s U. Hospital
Professor Roar Johnsen, NTNU - Norwegian University of Science and Technology, Trondheim, Norway
Marit By Rise, NTNU - Norwegian University of Science and Technology, Trondheim, Norway

Objectives: Musculoskeletal pain, common mental disorders and other unspecific disorders are responsible for a large part of the sick-leave in the western world, and comorbidity is very common. We are therefore currently investigating a generic group-based occupational rehabilitation program which included patients with these disorders in the same therapy group. The program was multidisciplinary, consisting of physical training, work-related problem solving and psychological therapy. The prevailing therapy approach was Acceptance and Commitment Therapy (ACT), a third wave behavioural and cognitive therapy intended to increase psychological flexibility by using acceptance and mindfulness processes, and commitment and behaviour change processes. Few studies have examined ACT when used in rehabilitation intended to support return-to-work, and no studies have so far investigated therapists’ experience with providing occupational rehabilitation programs based on ACT. The aim of this study was therefore to explore how therapists experience that they attend to their participants´ return-to-work process in an occupational rehabilitation program based on Acceptance and Commitment Therapy (ACT). Methods: This was a qualitative interview study supported by participant observation. The therapists were interviewed regarding their experiences of working with occupational rehabilitation based on ACT, and how they attended to the return-to-work process of their participants. In addition, the rehabilitation program was investigated through participant observation, focusing on how supporting return-to-work was attended to during the program. The interviews were analysed according to Interpretive Phenomenological Analysis (IPA), and informed by the analysis of field notes from the participant observation. Results: The results of this study show that the therapists had a twofold goal for the rehabilitation program; to help participants build a meaningful life, and engage in sustainable work participation. We identified five processes of change that the therapists used in order to help participants to move towards these goals; 1) enabling the participants´ ownership to their rehabilitation process, 2) identifying the complex causes of sick leave, 3) changing how the participant related to own and others´ expectations, 4) unfolding the personal values of work, and 5) exploring the scope of the participants´ agency. The therapists described that the changes they sought to facilitate were long-term processes that exceeded the timeframe of the rehabilitation program, and that they could only help instigate them and enable the participants to uphold them long-term. Conclusion: The results from this study implicate that therapists experience that it is feasible to use ACT as an approach in return-to-work rehabilitation, but that the approach presents restrictions on how the topic of return-to-work may be attended to throughout the program.

37. Eye Tracking Patterns of an Autistic Child Before and After a Multiple-Exemplar Training to Follow the Direction of the Adult Gaze
Primary Topic: Educational settings
Subtopic: Autism
Carolina Coury Silveira, MS, Universidade Federal de São Carlos (UFSCar)
João Henrique de Almeida, Ph.D., Universidade Federal de São Carlos (UFSCar)
Andréia Schmidt, Universidade de São Paulo (USP)
Sérgio Fukusima, Universidade de São Paulo (USP)
Camila Domeniconi, Universidade Federal de São Carlos (UFSCar)

The use of eyetracker to identify unusual looking tracking patterns in individuals with autism has traditionally been used for diagnostic purposes. Research employing the eyetracker to investigate changes in this pattern throughout a learning process has not yet been documented. The objective of the present study was to examine changes in the gaze orientation of an autistic child (Max) during a joint attention teaching, in which the participant should follow the gaze of a sample (profile face aimed at an object at your left or right). For this, Max should point or name to which comparison (of animal, fruit or vehicle) the sample was looking after given the instruction "what is he seeing? ". A multiple-exemplar training with differential reinforcement was performed, gradually increasing the number of comparisons around the face that was positioned in the center of the computer screen. Max presented 0% of correct answers at the baseline and after completing the MET (14 sessions), responded 87.5% correct in the post-test. The results of the eye-tracking equipment indicated differences in the number of records for each of the stimuli in the post-test compared to the pre-test. The Mann Whitney test indicated statistically significant decreases in the mean records of gaze for the comparison stimuli that appeared above the model (p <0.05) and for the sample (p <0.01). In addition, it indicated a statistically significant increase in the mean records for the correct comparison stimuli (p <0.05). The tendency to decrease the ocular fixations to the distractor stimuli and the sample were contingent on the increase of the observations to the correct comparison stimuli. It was possible to verify the change in the stimulus control of the participant´s gaze following, after changes in the contingencies of reinforcement of the joint attention. Even more important, the results highlight the importance of S + for establishing an adequate gaze tracking pattern. Keywords: eye-tracking; autism; Joint attention; multiple exemplar training.

38. RFT Based Educational Interventions in the Context of the Italian National Health System
Primary Topic: Educational settings
Subtopic: Language and Learning Disorders
Melissa Scagnelli, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)
Concetta Messsina, University Kore of Enna
Martina Leuzzi, University Kore of Enna
Francesca Brasca, Fondazione IRCCS Cà Granda – Ospedale Maggiore Policlinico
Antonella Costantino, Fondazione IRCCS Cà Granda – Ospedale Maggiore Policlinico
Giovambattista Presti, University Kore of Enna
Paolo Moderato, IESCUM, Istituto Europeo per lo Studio del Comportamento Umano, Libera Università di Lingue e Comunicazione IULM

This work is based on a collaboration between IESCUM and UONPIA Foundation IRCCS Cà Granda Hospital - Ospedale Maggiore Policlinico, over 4 months focused on brief interventions in 11 children, aged between 3 and 11 years, with language and learning disorders (mostly dyslexia).Training based on Relational Frame Theory aimed to teach categorization and reading-writing skills (for schoolage children).Training is based on frame of coordination.Children were taught two relationships, AB and BC respectively, and tested a series of derived relational responses choosing C in the presence of A and viceversa. In the reading protocol by sillabic words in upper-case letters formed stimuli in class A, picture of those words were stimuli class B, and words in lower-case letter were class C stimuli. In the categorization training a vocal stimulus “Give me X” was the class A stimuli, where X is the name of the category, and class B and C stimuli were formed by three different instances each of the X category. Derived relations tested responses to “Tell me the names of all the X you know” and “Y is an…”, where Y is the name of a member of the category X. Over a limited number (7) of training sessions RFT based training was effective in promoting the extension of lexical repertoire, the development of categorization in language impaired kids, and amelioration of reading skills in dyslexic kids. Standardized testing demonstrated beneficial effects in language skills beyond the category offered. In dyslexic children improvements in speed and accuracy scores emerged.

39. Can a Specialist Physical Education Program, Incorporating Mindfulness Based Activities, Have a Positive Impact on Children’s Body Acceptance? Findings from the Australian Lifestyle of our Kids (LOOK) Longitudinal Study
Primary Topic: Educational settings
Subtopic: Mindfulness, body acceptance
Lisa Olive, Ph.D., Deakin University
Rohan Telford, University of Canberra

Background: In clinical and research contexts, mindfulness as a specific type of meditation practice has been described as a “non-elaborative, non-judgemental awareness” of present-moment experience. Preliminary research in young adults has shown that mindfulness is associated with acceptance of one’s body and identity, however, less research has examined these relationships in younger populations. This study investigates the effects of specialist-lead physical education (S-PE) program, which incorporates mindfulness based activities, on children’s body acceptance during the course of primary (elementary) school. Method: Data from the Lifestyle of our Kids (LOOK) longitudinal study involving 736 initially grade 2 children (370 boys M age = 8.18; 366 girls M age = 8.13) from 29 primary schools were analysed. Schools were randomly allocated to intervention (13 schools) or control groups (16 schools). Intervention groups received 90 min/week of S-PE from visiting specialists as part of, and not in addition to the recommended 150 min/week of PE set out by the Australian Government. On average, 20-to-25% of class time was allocated to mindfulness based activities. Control groups received all of their 150 min/week of PE from classroom teachers, with no specific mindfulness content. Approximately 86% of the children had one or both parents of Caucasian descent, 8% of Asian descent, 3% Australian Aboriginal or Torres Strait Islander or 1% Polynesian, and we had no data on 2% of the families. Participants completed assessments of Appearance Beliefs in Children Scale (ABC-S), a measure of body acceptance and satisfaction, in grade 2 prior to the commencement of the intervention and again in grade 3 after receiving approximately one year of the intervention. Measures of percent body fat (DEXA), puberty (Tanner scale) and physical activity (pedometers) were also assessed as potential confounds. Results: Children receiving S-PE reported greater improvements in overall body acceptance (p = 0.042) and on the appearance satisfaction subscale (p = 0.028) compared to children of the control group. There was some evidence of similar trends toward improvements in self-perceptions acceptance subscale (p = 0.050) and perceptions by others subscale (p = 0.087) and less evidence for acceptance of physical attributes subscale (p = 0.116). Discussion: Physical education (PE) programs utilising specialist PE teachers, which incorporate mindfulness based activities, may improve body acceptance and satisfaction among children beyond that which is achieved through ‘usual practice’ PE delivered by classroom teachers. The improvements reported here stemmed from the existing time allocated to PE in schools. No additional time was added for PE meaning there was no disruption to the existing school curriculum. Our findings provide support for the use of mindfulness practices in PE as a means for improving body acceptance in children, which can reach almost all children.

40. The Portuguese Version of the Teacher Acceptance and Action Questionnaire: Preliminary Data
Primary Topic: Educational settings
Subtopic: Assessment
Ana Galhardo, Ph.D., Instituto Superior Miguel Torga; CINEICC-Faculty of Psychology and Educational Sciences of the University of Coimbra
Bruna Cravalho, Intituto Superior Miguel Torga
Marina Cunha, Ph.D., Instituto Superior Miguel Torga; CINEICC-Faculty of Psychology and Educational Sciences of the University of Coimbra

Background: Experiential avoidance (EA) can be defined as a process that occurs when people are unwilling to remain in contact with particular private experiences (e.g., bodily sensations, emotions, thoughts) and it has been pointed as being related to psychopathological symptoms. The development of self-report instruments for the assessment of EA has deserved the attention of researchers and specific versions of the Acceptance and Action Questionnaire (AAQ-II) are now available targeting different populations. The Teacher Acceptance and Action Questionnaire (TAAQ) is one of these specific instruments. The current study sought out to explore the factor structure and psychometric properties of the Portuguese version of the TAAQ. Method: A total of 255 teachers (213 women and 42 men) took part in the study. An email containing the aims and inclusion criteria as well as a link to an online platform was sent to several teachers associations. Informed consent was mandatory and participants completed a set of self-report measures including a sociodemographic and professional questionnaire, the Teacher Acceptance and Action Questionnaire, the Depression, Anxiety and Stress Scales, and the Five Facet Mindfulness Questionnaire. Results: Principal component analysis extracted a single component explaining 56.93% of the variance. Component loadings ranged from .-43 to .86; communalities ranged from .19 to .74. The Cronbach’s alpha estimate of internal consistency was .87, the item-total correlations ranged from -.25 to .87. Correlations with the other measures were as expected, suggesting its convergent and discriminant validity. Discussion: The Portuguese version of the TAAQ demonstrated a single component structure easy to interpret, high internal consistency, convergent and discriminant validity. The TAAQ appears to be a reliable and valid measure of EA in teachers. This can be an easy to use self-report instrument for the assessment of EA considering that teachers are a professional group particularly exposed to psychological problems (e.g., depression, burnout, substance use).

41. About the Development of ACT-Program for Implementing ACT on the Web
Primary Topic: Evolution
Subtopic: Vocational Rehabilitation
Fumiki Haneda, Vocational Counselor, Startline Co.Ltd

On the Startline Co., Ltd., we are consulting on employment of persons with disabilities and managing satellite offices with support for persons with disabilities. At our company, ACT is carried out in the initial training for disabled people who are working in satellite office and trained for improvement of employability to persons with disabilities using employment transition support agencies. There are also many people who have mentally handicapped persons and people with developmental disabilities who are enrolled in the satellite office, incorporating ACT exercises into their daily occupational life and practicing it. On the other hand, in the practice of ACT, it is important to know how to feed back on awareness and doubt of each person, at what timing and how to combine various exercises, There is need for consideration on effective practice methods. Also, considering that not only our company but also the place of practice with various rehabilitation will expand, we will provide stable exercise and contents, support practical daily exercise, collect behavioral information in everyday situations and management efficiency improvement will be a major issue. Features of this software developed this time are as follows. ● You can practice ACT exercises on the Web using PCs, smartphones, tablet terminals, etc. ● You can record and reference your own practice results, and you can send it to a supporter by e-mail etc. ● You can periodically record behavioral data such as actions committed to value. ● You can add new exercises at any time. ● You can register exercises on the Web, such as using sentences, sounds, and videos. ● Supporters adjust the exercises that individual users can implement according to individual needs, and the functions of management, such as providing it from time to time, are also substantial. In this presentation I would like to introduce these features, examples of utilization, possibility of future application.

42. Effects of a Mindfulness-Based Stress Reduction-Sport Performance Program (MBSR-SP) in Athletes Self-Compassion and Flow
Primary Topic: Performance-enhancing interventions
Subtopic: Mindfulness-based intervention on sports
Bruno Carraça, FMH-University of Lisbon
Sidonio Serpa, FMH-University of Lisbon
Joan Palmi, INEFC-Lleida University
Catia Magalhães, Polytechnic Institute- ESEV

Background: The field of sports psychology is now utilizing mindfulness, compassion, and acceptance-based strategies because it appears to support the development of a broad range of essential capacities including regulation of attention, motivation, arousal, cognitive functions related to perception and motor control, self-compassion, recovery, social connectedness, and leadership (Moore, 2009; Aherne et al., 2011; Birrer et al., 2013; Mosewich, Crocker, Kowalski, & Delongis, 2013; Deci & Ryan, 2000; Monshat et al., 2013). Objectives: The aim of these two studies was to evaluate the effectiveness of the Sport Performance- Mindfulness Based Stress Reduction Program (MBSR-SP) program, an 8-week MBSR-SP designed to train elite athletes to be more self-compassionate, awareness and improve dispositional flow. Methods: elite soccer players (n= 28) were assigned to an eight-week mindfulness intervention (MBSR, Kabat-Zinn, 2003), or a wait-list control condition (n=29). The participants completed pre-post test measures of mindfulness, flow, self-compassion, experiential avoidance, psychopathology symptoms, and sport-related rumination attributions. The instruments used are well-know and reliability and were conducted analyses of covariance. Results: Analyses showed significant positive effects on the mindfulness intervention group compared with the waitlist control group, namely intervention participants reported significantly larger increases in self-compassion (f= 6.122; p= .0017), mindfulness (f=12.811; p= .001), and flow (f= 7.765; p= .007). Discussion: Results suggest that the MBSR-SP program appears to be effective at facilitating dispositional flow, as well at enhancing self-compassion, mindfulness on elite soccer athletes. Keywords: self-compassion; mindfulness; flow; elite athletes

43. Training program based on ACT & Mindfulness to improve well-being and performance in kickboxing fighters
Primary Topic: Performance-enhancing interventions
Subtopic: ACT-Mindfulness and sport performance
Adrián Muñoz, University of Malaga
J.J Macías, University of Malaga
Frank Bond, Goldsmiths, University of London

One of the purposes and challenges of science is to improve the quality of life of people. For years, strategies have been implemented in other fields, such as sports, with promising results.The aim of the present study was to examine the effectiveness of a training program based on Acceptance and Commitment Therapy (ACT) and Mindfulness, to improve well-being and performance in kick-boxing fighters. The sample consisted of 10 participants, randomly assigned in two conditions: control (n=5) and experimental (n=5). Competitive anxiety levels were assessed using the Competitive Anxiety Scale (SAS-2); The degree of acceptance through the Acceptance and Action Questionnaire (AAQ-II); Mindfulness through the Mindful Attention Awareness (MAAS) scale, before and after training. The analysis of the data showed an improvement in all the variables analyzed in the experimental group, compared to the control group, being statistically significant for: acceptance (p = .026) and mindfulness (p = .049); but no statistically significant for SAS-2. In conclusion, we consider the benefits of applying an intervention based on ACT and Mindfulness to enhance sports performance.

44. CheerApp: Mobile Application Based on ACT
Primary Topic: Performance-enhancing interventions
Subtopic: Technology, mobile ACT
Giovambattista Presti, University of Enna"Kore"
Valentina Costanza, University of Enna"Kore"
Alberto Catania, University of Enna"Kore"
Davide Cutaia, University of Enna"Kore"
Melina Di Blasi, University of Enna"Kore"
Francesca Mongelli, University of Enna"Kore"
Paolo Moderato, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)

With the advent of smartphones and wereable devices many health applications have been created for the psychological and physical well-being; they are able to follow individual at any time and often the opportunity of extending the area of action of a psychotherapist outside the traditional therapeutic setting. About 30% of applications provides a sort of knowledge about the disorders and many of them are self-help type. "CheerApp" is an application for mobile devices, which has been prototyped, based on the Acceptance and the Commitment Therapy. The App has two interfaces: one for the psychotherapist in which patients are recordered, assign exercises and assessment scales, notify text messages; the other app is for patients to allow them to perform ACT-Based exercises assigned by the therapist. 'CheerApp', was born from the union of the two terms "to cheer up" and "App" which stands for "application.". The app aims to provide new ways to manage ACT therapy compared to more traditional therapeutic setting. Thanks to the simple and intuitive interface it makes the therapeutic exercises possible, improving the consistency to ACT daily treatment. Future research will show if effective in various psychopathological conditions.

45. Assessment of Cognitive Fusion among Portuguese Samples: Psychometric Properties and Factor Structure of the Cognitive Fusion Questionnaire
Primary Topic: Performance-enhancing interventions
Subtopic: Assessment measure of cognitive fusion
José Pinto-Gouveia, M.D., Ph.D., CINEICC, University of Coimbra, Portugal
Alexandra Dinis, Ph.D., CINEICC, University of Coimbra, Portugal
Sónia Gregório, Ph.D., CINEICC, University of Coimbra, Portugal
Ana Pinto, MSc., CINEICC, University of Coimbra, Portugal
Cristiana Duarte, MSc., Ph.D. Candidate, CINEICC, University of Coimbra Portugal

Background: Acceptance and Commitment Therapy (ACT) conceptualizes human suffering as a result of psychological inflexibility. Within ACT's model of psychopathology cognitive fusion, broadly defined as the entanglement with thoughts, is a key psychological process. Attending to the importance of measuring fundamental psychological processes within clinical and research settings, and given the need of adapting existent measures for non-English speakers, this cross-sectional study addresses three aims: (1) to explore the underlying factor structure of the Portuguese Cognitive Fusion Questionnaire (CFQ); (2) to test the measurement invariance of its latent structure across three different Portuguese samples; and (3) to evaluate the psychometric characteristics of this particular measure of cognitive fusion. Method: A total of 800 subjects from the Portuguese general population completed the CFQ and a subsample of 408 participants completed additional measures of mindfulness, metacognitions, decentering, psychopathological symptoms, and life satisfaction. Statistical analysis included Confirmatory Factor Analysis (CFA), Multigroup Confirmatory Factor Analysis (MCFA), and tests of reliability and convergent validities. Results: The CFAs conducted separately for the three samples supported the hypothesized unidimensional factor structure for the Portuguese CFQ, with all models tested showing an adequate model fit. The Multigroup CFA confirmed the invariance of the measurement model across the three samples, giving additional evidence for the existence of a general factor of cognitive fusion underlying the scale. Additionally, CFQ showed a good internal consistency among the samples under study (Cronbach’s Alpha coefficients >.70). At last, results from product-moment Pearson correlations between cognitive fusion and other variables (mindfulness, decentering, metacognitions, psychopathological symptoms and life satisfaction) attested for the convergent validity of CFQ. Discussion: This study corroborates prior research and supports the validity and reliability of CFQ as a suitable measure to assess cognitive fusion. Results are also favorable to the use of the Portuguese version of CFQ for research purposes. Future research should focus on the psychometric exploration of this measure within clinical groups.

46. The Development of a Mobile Health Care Application for Spinal Cord Injury Patients Using Acceptance and Commitment Therapy (ACT)
Primary Topic: Performance-enhancing interventions
Subtopic: Spinal Cord Injury
Julion Marrinan, M.A., William James College

Background: In 2015, the National Spinal Cord Injury Statistical Center stated that “the number of people in the U.S. who are alive [in 2014] who have a spinal cord injury (SCI) has been estimated to be approximately 276,000 persons.” However, this does not account for the lack of literature and research surrounding psychological interventions for those living with spinal cord injuries. Spinal cord injuries can be debilitating; those affected may find normal tasks of daily living to be challenging. The intersection of health care and mobile technology has recently found itself to be in high demand. An electronic mobile application that delivers mental health interventions through mobile devices such as cell phones and tablets may benefit the spinal cord injury population in a new way. Given the prevalence of those affected by injuries to the spine in the United States, it would be meaningful to examine the various ways in which the field of psychology might begin to address this population’s mental health concerns. Not only would it be important to develop psychological interventions for SCI patients living in the United States; it would be meaningful to expand this initiative worldwide. One can imagine how transportation and access to outpatient mental health care can be challenging for individuals who are either wheel chair bound or bed ridden as a result of an SCI. Seeing how many SCI patients struggle with mobility issues, a mobile application that delivers an evidence based psychological treatment may be better suited for reaching the population than solely utilizing office visits alone. Method: The purpose of this project is to develop a mobile healthcare application for the SCI population that utilizes an evidence based psychological intervention- specifically, acceptance and commitment therapy (ACT). This section will highlight the procedures for developing the application. The development of the proposed application is informed by the Mobile Application Rating Scale (MARS) - these include ratings of engagement, functionality, aesthetics, information quality, and subjective quality (Stoyanov et al., 2015). In addition to these criteria, the expert review process, revision of an existing prototype, and the procedures for finalizing the prototype will all be discussed. Procedures for Development: The researcher will create interactive worksheets for each core process of ACT with the guidance of existing ACT and CBT treatment manuals/resources. The worksheets will be tailored specifically to meet the physical and psychological needs of SCI patients. The author will then present the drafted content to a software engineer for development. Additionally, the professional input of five expert reviewers will be sought in order to hone the application and produce a version that is ready for circulation. This feedback will inform the researcher, doctoral committee, and software engineer in drafting the final version of the software. The application’s content will be based on the recommendations set by the MARS; engagement, functionality, aesthetics, information quality, and subjective quality. Engagement: To ensure that the user will find use of the application compelling, the following will be required for inclusion of any content or design feature: a. Does the application possess entertaining elements? b. Can it address individual psychological concerns? c. Will the user be engaged by the content? d. Can the content be customized to meet the needs of SCI patients? e. Does it directly address the specific issues of the SCI population? Functionality: It is imperative for the proposed application to function and deliver the core content with minimal interference or obstacles. The following will be required for inclusion of any content or design feature: a. Application will perform as designed with no systematic or software errors. b. Application will require minimal effort from the user to navigate content effectively. c. Interface design will clearly indicate the features of application for the user to navigate. Aesthetics: An argument can be made for the importance of a mobile application’s visual appeal and draw to the consumer/user. Although the researcher generally agrees with this viewpoint, the content, information, and delivered interventions certainly surpass this concern. The following will be required for inclusion of any content or design feature: a. Is the application aesthetically pleasing? b. Does the layout of the application cater to the physical limitations of SCI patients? c. Is the content and layout of the application visual appealing? d. Do graphics and visual learning aids capture the attention of users? Information Quality: The content will be drawn from the literature review of this study as well as treatment manuals and other mhealth apps in the area of intervention using an ACT or CBT approach. The following will be required for inclusion of any content or design feature: a. Does the information address the core processes of ACT? b. Does the information apply to the purpose of the application? c. Information is neither excessive nor deficient b. Has research demonstrated the effectiveness of this information? c. Is the content appropriate for interactive therapeutic exercises? d. Can the information/exercise be delivered on a mobile device? Subjective Quality: Using the MARS guidelines, an effort will be made to create an application that leaves users satisfied and captivated by its usage. The researcher will develop the mobile application while remaining cognizant of the following criteria: a. Is the application worthy of recommending to others? b. Is the application stimulating enough to prompt repeated use? c. Would a consumer pay for such an application? If so, how much? d. What is the overall star rating of the application? Expert Review of Prototype: The completed prototype will be reviewed by five professionals hailing from the fields of psychology, health care and software engineering. A broad range of viewpoints based on varied experiences associated with healthcare applications was sought in order to identify issues in content and design. The criteria for the selection of these experts are as follows: Expert One- Licensed clinical psychologist with prior experience in the development of software applications. Experts Two and Three- Neuroexercise specialists with bachelor degrees in exercise science who possess at least two years of work experience as neuroexercise specialists at a rehabilitation facility. Expert Four- Clinical psychologist employed by the Department of Veteran Affairs and currently practicing on a rehabilitation unit at a VA hospital. Expert Five – Software engineer currently employed as an application developer Each will be solicited by the researcher via phone or email. Each will be provided with a summary of the study and expectations for their participation. Those agreeing to participate will read and sign an informed consent addressing their rights and responsibilities as research participants. Each reviewer will be asked to provide feedback in each of the MARS categories: engagement, functionality, aesthetics, information quality, subjective quality. Additionally, reviewers will be prompted to comment on the application’s efforts to safeguard the protected health information of potential users. Revision of Prototype: Gained feedback data will be discussed with the researcher’s doctoral committee and a consensus decision will be made regarding modifications to the application. Elected modifications will be incorporated into the final coding of the application which will then be ready for clinical testing. Results: It was determined that a mobile health care application for spinal cord injury patients was able to be constructed in accordance with the MARS system. The researcher was able to create interactive worksheets for all of the core processes of ACT. The core processes of ACT and psychological flexibility were defined as terms in a separate area of the application for users to access as a glossary. In addition to these features, a news feed containing the latest science and medical news pertaining to SCI was created. The application also possesses the capability for users to communicate with their outpatient mental health provider; however, a user must request access from their provider prior to using this particular feature. This allows providers to determine whether a given patient is appropriate to correspond with them through the application’s messaging system. Discussion: The researcher recommends testing the application with the spinal cord injury population in clinical settings such as hospitals, rehabilitation centers, and neuroexercise gymnasiums in order to obtain data regarding the application’s therapeutic effects. Additionally, the researcher believes that multiple treatment modules must be created prior to launching the full version of the application, as a single course of treatment would expire rather quickly and may leave users un-stimulated and dissatisfied with application’s ability to assist them in achieving treatment goals.Therefore, it would be meaningful for the researcher to market the application as a “fee for content” application. This business practice is similar to the tactics that are employed by popular mobile game and self-help application developers. This would allow the researcher to be reimbursed for creating additional treatment modules as opposed to consumers purchasing the application once.

47. Body Image-Related Psychological Inflexibility: A Moderator of the Impact of Body Image Discrepancy in Weight Concern and Control Behaviours
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Body Image
Cláudia Ferreira, CINEICC, University of Coimbra
Joana Marta-Simões, CINEICC, University of Coimbra
Inês A. Trindade, CINEICC, University of Coimbra

Body image-related psychological inflexibility defines as the incapability of fully contacting feelings, thoughts, and beliefs about one’s body appearance in the present moment, which motivates the engagement in maladaptive strategies to alter their form, frequency and intensity. As a non-adaptive strategy, body image-related psychological inflexibility often results in the overvaluation of such feelings and thoughts, and may lead to unhealthy body-controlling strategies (e.g., dieting). The present study aimed at analyzing the moderator role of body image-related psychological inflexibility in the association of the perception of discrepancy between one’s actual and idealized body appearance with body weight concerns and with the intention of engaging in dieting behaviours. Participants in this study were 782 Portuguese young female adults. Results revealed that body image-related psychological inflexibility appeared as a moderator of both the relationships of body appearance-related perceived discrepancy with weight concerns and with dietary intentions. Specifically, for the same levels of body appearance-related discrepancy, women who were more inflexible towards body image-related internal events revealed higher concerns about their weight and more marked intentions to engage in dieting practices. Overall, the present analyses seem to suggest that body image-related psychological inflexibility exacerbates the impact of perceiving a discrepancy between one’s actual and desired body image in the intensity of weight concerns and in the intention to engage in a diet. These results underline the pertinence of targeting body image inflexibility in intervention programs for the promotion of a balanced and healthy relationship with body image in females.

48. Building Pro-Social Communities in Sierra Leone
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Pro-Social, Global Mental Health
Edmond Brandon, commit & act
Tien Kuei, commit & act

commit and act centre in Sierra Leone practices Prosocial and ACT in our meetings, trainings and workshops to change behavior. We have helped people to create rich, full and meaningful lives, whilst accepting that life inevitably brings pain. we use ACT mindfulness exercises to help handle painful thoughts and feelings, and the matrix teaches communities to take valued directions towards the goals that really matter. In the recent fight against Ebola, we trained teachers that have gone into the communities to help to break the chain of transmission of Ebola in the Bo district with cultural-specific behavioral changes. The Poster presents case examples from Gender-based violence, ACT training for health workers and the various pro-social groups run by the centre.

49. Acceptance and Commitment Training for Employees’ Wellbeing: Results From a Randomized Controlled Trial
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Well-being at work, ACT intervention, burnout, work-related stress
Laurence De Mondehare, Université du Québec à Montréal
Simon Grégoire, Université du Québec à Montréal
Laurence Morin, Université du Québec à Montréal
Cloé Fortin, Université du Québec à Montréal
Lysa-Marie Hontoy, Université de Montréal

Background: The healthcare sector is a stressful work environment where more professionals suffer from mental health problems (Michie et Williams, 2003; Walsh et Walsh, 2001). The prevalence of depression among nurses is 9% while it varies between 4 and 7% within the general population (Shields et Wilkins, 2006). In 2005, nearly one-fifth of nurses reported that their mental health condition had impaired their ability to perform their job normally (Shields et Wilkins, 2006). These problems have individual and organizational consequences. In addition to decreasing the quality of life of professionals and the quality of care provided, they contribute to increase absenteeism, turnover rate, workplace accidents and medical errors (“Association paritaire pour la santé et la sécurité du travail du secteur affaires sociales”, 2009). Recently, interventions have been offered within workplaces to help employees develop different abilities related to mindfulness. These interventions include Acceptance and Commitment Therapy (ACT) (Hayes, Strosahl, & Wilson, 2012), which aims increase wellbeing by helping people develop their psychological flexibility, namely the ability to be in contact with the present moment and to engage in actions consistent with their personal values rather than automatic and maladaptive actions. Studies on ACT interventions offered at work show that they seem to help reduce symptoms of stress, anxiety, depression and burnout and improve satisfaction and psychological flexibility (ex.: Flaxman, Bond et Livheim, 2013). However, very few studies have been conducted with healthcare professionals. Moreover, the contribution of the different ACT processes is still unknown. The objective of this project is to evaluate the effectiveness of an ACT-based intervention designed to help healthcare professionals cope with work-related stress and better understand the impact of the different ACT processes. Twenty-three healthcare professionals from two different public organizations in Canada participated in this project. The intervention consists of four 2-hour workshops and was based on six core components: acceptance, defusion, contact with the present moment, values, committed actions and self-as-context. Method: A randomized controlled trial was used to assess changes in psychological wellbeing, psychological distress, and psychological flexibility over the course of the intervention. Data were collected with self-report questionnaires among 23 employees both before and after the intervention. Results: Analysis of variance showed that compared to a wait-list control group, employees who took part in the workshops reported more psychological wellbeing and less distress. They also reported greater psychological flexibility: they were more mindful, engaged in valued actions and less prone to fuse with their difficult thoughts. Zero-order correlations based on gain scores suggested that changes in psychological wellbeing and distress were associated with changes in psychological flexibility. A qualitative evaluation of the employee’s experience was also done through focus groups at the end of the intervention. Employees explained that they had found many ways to integrate what they had learned during the workshops into their everyday life, at home and at work. They also mentioned that it was beneficial to have the opportunity to take a pause at work to take care of their wellbeing, clarify their values and take concrete actions to live a more engaged and meaningful life. They said that the interventions had helped them connect more easily to present moment experiences which allowed them to be more focused and present with the people they interact with. Discussion: This study contributes to the field of organizational psychology and behavioral-contextual science by introducing a novel ACT-based group intervention specifically designed for healthcare professionals and assessing its impact on psychological flexibility and wellbeing.

50. The Effect of Psychological Flexibility on Implicit and Explicit Stigma Toward Mental Illness
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Stigma
Natsumi Tsuda, Graduate school of Doshisha University
Takashi Muto, Ph.D., Doshisha University

Background: The purpose of this study is to figure out the difference of stigma toward mental illness between high and low psychological flexibility groups. Method: Psychological flexibility was measured by the Japanese Version of the Acceptance and Action Questionnaire-II (AAQ-II), 7-item version. Eighteen undergraduate students in the High AAQ-II score group and nine in the Low AAQ-II score group were included in this study. Implicit stigma toward mental illness was measured with the Implicit Association test (IAT). Explicit stigma was measured with the Japanese version of the Link stigma questionnaire. Procedure: Participants came to the experimental room and answered the IAT and the Link stigma questionnaire. The order of measures was counterbalanced. Results: (1) There was no significant difference of stigma between High and Low AAQ-II groups (IAT: t(25) = −0.178, n.s., Link stigma questionnaire: t(25) = −0.378, n.s.). (2) There was no relation between IAT and Link stigma questionnaire scores (r = .11, n.s.) Discussion: In this research, there was no difference of stigma toward mental illness between high and low psychological flexibility groups. There were some needs to compare the change of implicit stigma between pre- and post-intervention.

51. Effectiveness of Psychoeducation Applications Using Acceptance and Commitment Therapy on Reducing Test Anxiety in High School Students
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Test Anxiety
Engin Büyüköksüz Ph.D. Student, Okan University
Raşit Avcı, Muğla Sıtkı Koçman University

The purpose of this experimental study is to observe the effectiveness of Psychoeducation Applications using Acceptance and Commitment Therapy on reducing test anxiety in high school students. From İstanbul-Maltepe Uğur Temel High School, with 7 students in Experimental Group (6 Female, 1 Male), and 10 students in Control Group (4 Female, 6 Male), a total of 17 students with high scores on exam stress inventory has participated in the research. The scale includes 20 statements, and has two sub-dimensions; delusion and perception. In this study, Experimental and Control Group’s pretest and posttest randomized experimental design has been used. Group applications using Acceptance and Commitment Therapy has been applied to the Experimental Group once a week, for 75 minutes for the duration of 6 weeks. The scale has been applied twice, once before the sessions and once at the last session. Analysis of covariance has been used to analyze the data. According to the data analysis, the interference in the experimental group has been successful in reducing the exam anxiety of the participants (F=6,967, p<.05). The end results of the research have proved that the acceptance and commitment therapy is effective in reducing the test anxiety.

52. RFT Training to Teach Complex Skills: A Direction to IIIrd aba Generation Training
Primary Topic: Relational Frame Theory
Subtopic: Autism
Giovambattista Presti, Department of Human and Social Science, Kore University
Maria Josè Sireci, Department of Human and Social Science, Kore University
Paolo Moderato, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)

Relational Frame Theory (RFT) is a powerful account of human language and cognition, developed in the past decade on the basis of research from Hayes and Barnes-Holmens. According to RFT, such complex human behaviors can be conceptualized as a through an examination of derived relational responding, the ability of respond to relations between stimuli (Hayes, Barnes-Holmes e Roche, 2001). In recent years research has implemented more and more RFT based training to teach language and other abilities to children with autism in order to make learning faster and more efficient and increase novel behavior. From an RFT’s perspective language is a complex behavior that can be explained like the ability to respond to derived relations: humans can respond appropriately to the relationship between stimuli in the absence of a history of learning. Is the frame that elicit a variety of studies applied to study and implement advanced skills in language, cognition and academic tasks. From this point of research we had build different training, designed for children with autism and other developmental disabilities, based on RFT and addressed to build complex abilities like reading, writing and counting. We present some different training RFT based and new datas from children with different type of disabilities, from learning impairement to epylepsia.

53. Face-Off: Does Religious Context Alter the Way We “Read” Faces?
Primary Topic: Relational Frame Theory
Subtopic: Implicit Relational Association Procedure (IRAP)
Valeria Squatrito, University of Enna "Kore"
Giovambattista Presti, University of Enna "Kore"
Annalisa Oppo, Sigmund Freud University (SFU)
Paolo Moderato, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)

Prejudice (as a verbal operant class) is the result of processes of derivation and transformation of stimulus function. Using the Implicit Association Test (IAT) various studies have demonstrated that people with western race and white skin show a relatively strong racial stereotype (Dasgupta, McGhee and Greenwald, 2000; Greenwald et al., 2002; Monteith, Voils and Ashburn-Nardo, 2001; Livingston, 2002; Ottaway, Hayden and Oakes, 2001). The present study aims to empirically test the validity of an implicit model of analysis of facial recognition of positive and negative emotions (specifically joy and fear) in the context of the symbols of the Christian and Islamic religion using Implicit Relational Association Procedure (IRAP). Specifically, our hypothesis was that religious symbols could alter the derivation of joy or fear. The subjects participated in the study are homogeneous with respect to socio-demographic characteristics. Assessed with self-report questionnaries empathy, values, authoritarianism, the degree of bias for inequality between social groups. In our population study subjects indipendently relate joy and fear to religious symbols Higher levels of fusions (CFQ; r=.536; p=.015), lower levels of psychological flexibility (AAQ-II, r=-.473; p=.035) and higher levels in right-wing authoritharism (RWA; r=.562; p=.045) were related to high speed in relating “joy to cross”. The subjects were more quick to associate the expression of joy to the Christian symbol than the expressions of joy and fear with the Islamic symbol; they also associated faster the expression of fear with the Christian symbol than this expression with the Islamic ones. Data show that the model seems fitted to explore how emotions are related to religious symbols.

54. Implicitly Measuring the Context of Healthy Food Choices
Primary Topic: Relational Frame Theory
Subtopic: Functional Nutrition, Implicit Relational Assessment Procedure (IRAP)
Andrea Modica, University of Enna “Kore”
Valeria Squatrito, University of Enna “Kore”
Annalisa Oppo, Sigmund Freud University (SFU)
Giovambattista Presti, University of Enna “Kore”
Paolo Moderato, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)

Decision making can be conceptualized as responding to stimuli based on the relationship between elements which have been learned by the individual; choice can be a consequence of the short and immediate relational responses of the individual, or of more elaborated and extended relational responses. Modern Nutrition Science has gone beyond the classical concepts of nutrient deficiency and basic nutrition adequacy, focusing on the concept of “positive” or “optimal” nutrition. Research is now focused on the identification of those biologically active food components which are able to reduce the risk of contracting diseases and possibly capable of optimizing physical and mental health. The aim of this pilot study was to analyze the relationships between implicit and explicit behavior in relation to food choice. Fifty subjects, mostly students from Kore University of Enna, underwent the Implicit Relational Assessment Procedure task. The subjects were put in front of a combination of stimuli relating to the potential purchase of affordable food or functional food. They were requested to choose a functional food in the context of price or food quality. Research show that both criteria were equal evaluated by subjects, however food quality appeared to be the primary criterion of choice compared to food price.

55. Examining Differences in Gender-STEM Bias Between STEM and Non-STEM Students
Primary Topic: Relational Frame Theory
Subtopic: IRAP
Lynn Farrell, University College Dublin
Louise McHugh, University College Dublin

Background: Only 28% of science researchers worldwide are women. Research has identified implicit gender-bias as a major barrier to women’s progression in Science, Technology, Engineering and Maths (STEM). Therefore, in order to understand this bias fully we must examine it implicitly as well as explicitly. Much of the research in this area has relied upon self-report measures or relative measures of implicit bias such as the Implicit Association Test (IAT). Previous IAT research suggests that individuals studying/working in STEM fields exhibit different levels of implicit male-STEM bias than those in non-STEM fields. The Implicit Relational Assessment Procedure (IRAP) utilised in this study allowed a non-relative examination of gender-STEM bias among STEM and non-STEM students to probe this difference further. Method: STEM and non-STEM male and female university students (N = 61) completed an IAT, an IRAP and a rating scale measuring gender-STEM bias. Results: The IRAP revealed a more complex picture of gender-STEM bias. All groups demonstrated a significant implicit pro-male-STEM bias however there was also evidence directionally of a pro-female-STEM bias. This pro-female-STEM bias only reached significance among female STEM students. Correlations were observed between the explicit and implicit measures, particularly the IRAP. Discussion: This study allowed a deeper examination of gender-STEM bias among STEM and non-STEM students. The presence of a pro-female-STEM bias (though weak for most groups) has implications for the development of interventions. If this relational response can be made more normative it may influence attitudes and behaviour towards women in STEM.

56. Examining the Malleability of Gender-STEM Bias Among Adults
Primary Topic: Relational Frame Theory
Subtopic: IRAP
Lynn Farrell, University College Dublin
Louise McHugh, University College Dublin

Background: Women constitute <25% of STEM workforce in Ireland (Accenture, 2014), while worldwide only 28% of science researchers are women (UNESCO, 2015). Gender equality would enhance economic growth and opportunities for women (Global Gender Gap Report, 2015; Gatta & Trigg, 2001). The greatest barrier for women in STEM is systematic gender-bias that is often implicit (National Academy of Sciences, 2006). Implicit bias lacks the awareness, intention or control of explicit responses (Hughes, Barnes-Holmes & Vahey, 2012) and can predict behaviour better than explicit attitudes, particularly with socially sensitive domains. Thus it is important to understand the nature of this bias and intervene against it. The aim is to reduce gender-STEM bias by strengthening the relationship between women and STEM. Method: Participants are assigned to one of four intervention conditions: (i) perspective-taking of a female scientist, (ii) exposure to counter-stereotypical exemplars, (iii) psychoeducation regarding implicit gender-STEM bias or (iv) control group. Gender-STEM bias is then assessed implicitly using the Implicit Relational Assessment Procedure (IRAP) and explicitly using rating scales. Participants return one day later and their bias is assessed implicitly and explicitly again without re-exposure to their specific intervention condition. Results: Statistical analysis will determine (i) If gender-STEM bias is influenced by a relevant bias intervention? (ii) If this reduction lasts for 24hours? (iii) Which intervention is the most effective at influencing gender-STEM bias? Discussion: Results will be discussed in relation to the greater detail offered by the IRAP when examining bias malleability and future applications of successful gender-STEM bias interventions. By determining an effective intervention that influences gender-STEM bias we will be able to implement it with key groups, (e.g. academic faculty), who may influence the academic and career choices of individuals interested in STEM.

57. ¿Se Puede Predecir el Abandono en un Tratamiento Grupal de Mindfulness?
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Mindfulness
Laura Camacho Guerrero, Ph.D., Hospital la Plana (Vila-Real, Castelló)
Cristina Colomina Llobell, Hospital la Plana (Vila-Real, Castelló)
Selene Martínez Lluesma, Hospital la Plana (Vila-Real, Castelló)
Carlos David Collado Navarro, Hospital la Plana (Vila-Real, Castelló)
Ingrid Nebot García, Hospital la Plana (Vila-Real, Castelló)

Entre los problemas que presentan las terapias grupales se encuentra la tasa de abandonos (entre 25 y 60%). Este trabajo analiza las características sociodemográficas y clínicas de pacientes de la Unidad de Salud Mental de Carinyena (Vila-Real) que abandonaron un grupo de intervención basada en Mindfulness en comparación con los que acabaron el tratamiento. La muestra está compuesta por 58 pacientes: 82,8% fueron mujeres, de entre 30 y 50 años. La tasa de abandonos fue de 53,4%. El protocolo de evaluación incluyó: Cuestionario de Calidad de Vida, Cuestionario de Autoeficacia, STAI-E/R, BDI-II, Escala de Inadaptación y MAAS. Los análisis de comparación de medias no evidenciaron diferencias significativas en ninguna de las variables sociodemográficas y clínicas entre aquellos pacientes que abandonaron el grupo y los que permanecieron en él. Sería interesante analizar cualitativamente los motivos que llevaron al abandono, dado que las variables cuantitativas exploradas no ayudaron a predecir la adherencia.

58. Efectividad del Tratamiento Grupal Basado en Mindfulness en un Contexto de Sanidad Pública
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Mindfulness, Sanidad pública
Ingrid Nebot García, Hospital la Plana (Vila-Real, Castelló)
Selene Martínez Lluesma, Hospital la Plana (Vila-Real, Castelló)
Laura Camacho Guerrero, Ph.D., Hospital la Plana (Vila-Real, Castelló)
Cristina Colomina Llobell, Hospital la Plana (Vila-Real, Castelló)
Carlos David Collado Navarro, Hospital la Plana (Vila-Real, Castelló)
Yolanda Vilar Mollar, Hospital la Plana (Vila-Real, Castelló)

Algunos de los beneficios de las intervenciones grupales basadas en Mindfulness son el aumento en la calidad de vida y la mejora en autoeficacia y en actitud de conciencia plena. Este trabajo examina si se replican estas mejoras en una muestra de 58 pacientes con síntomas ansioso-depresivos de la Unidad de Salud Mental de Carinyena (Vila-Real, Castellón), que participaron en una intervención grupal basada en Mindfulness (6-12 pacientes, ocho sesiones semanales, dos horas de duración). Se realizó una evaluación basal y otra al finalizar la intervención, incluyendo diferentes variables sociodemográficas y clínicas. Los resultados mostraron un aumento estadísticamente significativo en calidad de vida, autoeficacia y actitud de conciencia plena. Los resultados aportan nueva evidencia a favor del tratamiento grupal basado en Mindfulness. El formato grupal hace que esta terapia sea coste-efectiva y pueda implementarse de forma fácil en contextos de sanidad pública.

59. Efecto del Entrenamiento Mindfulness Self-Compassion sobre Bienestar Psicológico y Autocompasión en Profesionales de la Salud Durante Su Formación
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Entrenamiento en Autocompasion
Jose Ramón Yela Bernabé, Ph.D., Universidad Pontificia de Salamanca
Maria Angeles Gómez Martínez, Ph.D., Universidad Pontificia de Salamanca
Antonio Crego Diaz. Ph.D., Universidad a Distancia de Madrid
Laura Jiménez Gómez, Asociación Española contra el Cáncer
Elena Sánchez Zaballos, Universidad Pontificia de Salamanca

De acuerdo al modelo de Neff (2003), la autocompasión está constituida por tres componentes: ser bondadoso en lugar de crítico con uno mismo (amabilidad hacia uno mismo), percibir nuestras propias experiencias no como algo aislado, sino como parte de lo que le sucede a todos los seres humanos (humanidad compartida), y ser conscientes de nuestras propias experiencias sin juzgarlas, en lugar de sobreidentificarnos con ellas (mindfulness). Los psicólogos podrían beneficiarse de intervenciones que incrementaran su nivel de autocompasión, lo cual podría fortalecer sus relaciones con los clientes, reducir la fatiga y el burnout derivados de empatizar constantemente con ellos e incrementar su bienestar. Algunos trabajos han revisado la eficacia de intervenciones basadas en el empleo de mindfulness y meditación de trato amable hacia uno mismo (loving kindness) sobre el desarrollo de la autocompasión. A pesar de las limitaciones metodológicas, los estudios ofrecen cierto apoyo a la hipótesis de que las intervenciones basadas en mindfulness pueden incrementar la autocompasión en profesionales de la salud. En lo relativo a la meditación de trato amable hacia uno mismo, hay resultados alentadores en muestras no clínicas de que este tipo de entrenamiento puede incrementar la autocompasión y la compasión hacia el sufrimiento de los otros (Boellinghaus, Jones y Hutton, 2013; 2014). Tanto la auto-compasión como compasión con el sufrimiento de los demás son cualidades importantes en los terapeutas. Estas variables están relacionadas con características de calidez y empatía en la relación terapéutica; además cultivar la autocompasión podría proteger a los profesionales de la salud contra el riesgo de burnout derivado del continuo desgaste de empatizar constantemente (Klimecki y Singer, 2011). De este modo, podría ser útil entrenar a los clínicos en desarrollar autocompasión, dado que podría desempeñar un papel importante a la hora de mantener su propia salud mental (Kuyken y cols., 2010; Ringenbach, 2009) . Germer y Neff (2013) propusieron un programa estructurado de entrenamiento en autocompasión mindful -Mindfulness Self-compassion (MSC)-, que se desarrolla a lo largo de 8 semanas. Tiene un formato grupal, y se ha mostrado útil para generar mejorías significativas en estado de ánimo (ansiedad y depresión), autocompasión, atención plena o mindfulness y calidad de vida en muestras no clínicas. También en la disminución de psicopatología asociada (Jiménez, Yela y Riesco, 2016). Nuestro estudio piloto emplea este programa de entrenamiento MSC con una muestra de estudiantes de Posgrado en Psicología General Sanitaria (N=11), con una edad media de 27,18 años (Sd=7,54). Se evaluó el efecto de este entrenamiento en autocompasión a través de la Self-Compassion Scale (SCS),ansiedad (STAI), depresión (BDI), Bienestar Psicológico (PWBS) y Satisfacción con la Vida (SWLS). Se llevaron a cabo evaluaciones pre-post, y dado el tamaño reducido de la muestra, empleamos la prueba no paramétrica de Wilcoxon para llevara a cabo las comparaciones. Resultados: se apreciaron cambios significativos en las puntuaciones globales en autocompasión (SCS) de la muestra (z = -2,673; p=.008) como consecuencia del entrenamiento, y en concreto en el componente de Amabilidad hacia uno mismo (z = - 2,199; p=.028) y Humanidad compartida (z= -1,793; p=.073), aunque no en el componente Mindfulness de la autocompasión.También se apreciaron cambios significativos en la puntuación total de la Escala de Bienestar Psicológico (PWBS) (z= -2,047; p=.041), y más en concreto en las Escalas de Autonomía (z=-2,728; p=.006), Dominio del entorno (z= -2,680; p=.007) y Autoaceptación (z=-1,896; p=.048). No se apreciaron cambios significativos en las escalas de Crecimiento personal, Relaciones positivas y Propósito en la vida.Tampoco se apreciaron cambios significativos en la escala de Satisfacción con la vida (SWLS). Dado que se trata de una muestra no clínica, tal y como sucedió cabía esperar que no se apreciaran cambios en las escalas de Ansiedad (STAI) y Depresión (BDI). Se discuten los resultados valorando la utilidad de el entrenamiento MSC en los futuros profesionales de la salud en el ámbito de la intervención psicológica, a la hora de dotarles de estrategias personales de manejo de las dificultades que puedan aparecer en el contexto de su trabajo cotidiano, así como de mejora en su bienestar psicológico.

60. Protocolo de tratamiento psicológico del duelo basado en un modelo integrador en madres que viven un nuevo embarazo tras una pérdida perinatal
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Modelo psicológico integrador
Anna Torà Ardèvol, Hospital Universitari Mútua de Terrassa
Clara Mercadé Carranza, Hospital Universitari Mútua de Terrassa
Itxaso Figueras Urenga, Hospital Universitari Mútua de Terrassa

Introducción: La pérdida de un hijo al inicio de la vida constituye uno de los estresores emocionales más intensos que puede experimentar una mujer (Mota et al., 2011). Las parejas se sienten solas e incomprendidas en su dolor. La poca validación que socialmente se da a las pérdidas perinatales reprime muchos duelos, los acorta innecesariamente y muchas mujeres que se permiten vivirlo son culpabilizadas y se autoculpabilizan por ello (Claramunt, 2009). Los mensajes del entorno a menudo invitan a sustituir la pérdida del hijo muerto con el nacimiento de un siguiente hijo y en el caso del nuevo embarazo, los padres pueden experimentar sentimientos de ambivalencia entre la alegría por un nuevo embarazo y la tristeza/dolor por la muerte del hijo que estaban esperando (Claramunt, 2009). Esta autora describe cambios en la vivencia del siguiente embarazo entre los que destacan el miedo, la hipervigilancia y las conductas de evitación. En el CSMA Rambla (HUMT) se ofrece atención psicológica a las parejas que han sufrido este tipo de pérdidas. Método: El método ha consistido en una revisión sistemática de la bibilografía disponible sobre la intervención psicológica en el duelo y en la adaptación de dicha literatura a las características particulares de las madres que viven un nuevo embarazo durante el proceso de duelo por una pérdida perinatal. Procedimiento: La intervención específica en el proceso de duelo de madres que viven nuevos embarazos tras una pérdida perinatal se basa en el modelo de Worden (2002). Aborda las siguientes tareas psicológicas: 1) Aceptación de la realidad de la pérdida; 2) Trabajo en la gestión de las emociones y el dolor; 3) Adaptación al medio después de la pérdida y 4) Recolocación emocional y orientación a la vida. Conclusiones: El impacto de una pérdida perinatal y su repercusión en el siguiente embarazo eviencian la necesidad una intervención psicológica que visibilice y valide las necesidades específicas de estas madres.

61. Interferencia de las barreras del terapeuta en ACT: un caso de rumia obsesiva
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Barreras del terapeuta
Mª del Carmen Ortiz Fuen, Psicóloga Residente en el Complejo Asistencial de Zamora
Manuel Mateos García, Psicólogo General Sanitario en Centro de Asesoramiento Sevilla
Andrea Taboada López, Psicóloga Residente en Complejo Asistencial de Zamora
Verónica Castrillo Sarmiento, Psicóloga Clínica en Asociación Española Contra el Cáncer

El presente trabajo ofrece una reflexión sobre cómo las barreras del terapeuta pueden perturbar el proceso de intervención. Cuando se está aplicando la Terapia de Aceptación y Compromiso y/o la Terapia Analítico Funcional, es importante analizar la influencia de las barreras del terapeuta, especialmente cuando la intervención se está llevando a cabo por un terapeuta con poca experiencia y que se encuentra en formación. Esta reflexión se presenta en el contexto de un caso de rumia obsesiva, en tratamiento desde hace 12 años en un servicio público de salud mental. A lo largo de este periodo, se le habían aplicado múltiples diagnósticos, tales como Trastorno de Ansiedad Generalizada, Trastorno Mixto de la Personalidad, Trastorno Paranoide de la Personalidad y Trastorno límite entre otros, así como varias intervenciones (Terapia Cognitivo Conductual y psicofármacos). Durante estos 12 años, la paciente había presentado diversos ciclos de seguimiento y abandono del tratamiento, tanto psicológico como psiquiátrico, en el ámbito público y privado. Es en 2016, momento en que la paciente vuelve a consulta tras un largo periodo sin intervención, cuando se inicia la terapia basada en ACT. En el momento en el que se inicia el tratamiento la paciente presenta constantes rumiaciónes con respecto a numerosos ámbitos de su vida, incapacidad para tomar decisiones, fluctuaciones en el estado del ánimo, dificultades en las relaciones sociales, había abandonado múltiples actividades, se encontraba de baja laboral y mostraba incapacidad para discriminar numerosos aspectos de su comportamiento así como para identificar sus valores. La intervención, de 12 sesiones de duración, se compuso del análisis funcional de las conductas de evitación, identificación de CCRs en sesión, desesperanza creativa, defusión y trabajo centrado en clarificar valores. En este caso concreto, las barreras del terapeuta le llevaron a emitir conductas que entorpecieron el proceso terapéutico, tales como dejarse llevar por la rumia y ceder ante las demandas de la paciente. Estas conductas del terapeuta entorpecieron considerablemente el proceso de intervención, alargándolo y haciéndolo menos efectivo. Por todo ello consideramos que tener en cuenta dichas barreras y contar con supervisores es fundamental para este tipo de intervenciones, especialmente cuando se cuenta con poca experiencia.

62. Intervención grupal basada en Mindfulness: resultados en ansiedad y depresión
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Mindfulness, Sanidad pública
Carlos David Collado Navarro, Hospital la Plana (Vila-Real, Castelló)
Laura Camacho Guerrero, Ph.D., Hospital la Plana (Vila-Real, Castelló)
Cristina Colomina Llobell, Hospital la Plana (Vila-Real, Castelló)
Ingrid Nebot García, Hospital la Plana (Vila-Real, Castelló)
Selene Martínez Lluesma, Hospital la Plana (Vila-Real, Castelló)
Lorena Rodríguez Díaz, Hospital la Plana (Vila-Real, Castelló)

Cada vez existe más evidencia sobre los beneficios para la salud física y psicológica del tratamiento grupal basado Mindfulness. El presente trabajo tiene como objetivo explorar su eficacia en un contexto de salud pública, lo que apoyaría su inclusión en el actual sistema público de salud mental español. La muestra estuvo compuesta por 58 pacientes (82,8% mujeres, edad media 39,16 años; DT = 11,52) con sintomatología ansioso-depresiva que asistían a una Unidad de Salud Mental. Los grupos (de 6-12 personas) recibieron 8 sesiones semanales de dos horas de duración, dirigidas por dos terapeutas. Los análisis indicaron un descenso significativo en todas las variables de estudio (ansiedad, depresión e inadaptación) tras el tratamiento, con tamaños del efecto entre medios y altos. Así, los resultados van en la línea de trabajos anteriores y apoyan la implantación del tratamiento grupal basado en Mindfulness en el sistema público de salud mental español.

63. Datos preliminares de un protocolo para manejo de evitación experiencial en adolescentes
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática:
Diana Riaño-Hernández, Pontificia Universidad Javeriana
Paula Alexandra Atehortúa Rivera, Pontificia Universidad Javeriana
Vanessa Riveros Fiallo, Pontificia Universidad Javeriana
Luis Manuel Silva, Pontificia Universidad Javeriana

En el último reporte de salud mental de la Organización mundial de la salud se informa que los adolescentes en Colombia presentan dificultades asociadas a ansiedad, fobia social, depresión o comportamientos disruptivos en el contexto social, académico y familiar. Desde la Terapia de Aceptación y Compromiso (ACT) dichos comportamientos se abordan como Trastorno de Evitación Experiencial (TEE). El TEE se caracteriza porque las personas no están dispuestas a entrar en contacto con sus Pensamientos Privados Problemáticos (PPP), por lo que desarrollan patrones de evitación, que a corto plazo son funcionales, pero a largo plazo generan mayores problemas ya que afectan diferentes áreas del individuo, alejándolas de las cosas que son importantes para ellas. El propósito de este estudio fue evaluar la efectividad de un protocolo centrado en desesperanza creativa, defusión y valores para reducir los pensamientos repetitivos negativos, los patrones de evitación, las conductas agresivas y aumentar la flexibilidad psicológica y acciones valiosas. Los participantes fueron tres adolescentes de 13 y 17 años, estrato 3, residentes en la ciudad de Bogotá, escolarizados, que evidencian trastorno de evitación experiencial y un grado de afectación media en al menos dos áreas de funcionamiento y los padres de los adolescentes quienes evidenciaban niveles bajos de ansiedad. Se planteó un diseño intra-sujeto con medidas repetidas, donde se estableció una línea de base en las medidas repetidas durante tres semanas, tanto para padres como para los adolescentes. Posteriormente se realizó la intervención con una duración de cuatro sesiones para los adolescentes y tres sesiones para los padres. Se continuó con un período de seguimiento. Las medidas recolectadas fueron: depresión, ansiedad y estrés (DASS-C); preocupación (PSWQ-C); pensamiento negativo repetitivo (PTQ-C); pliance generalizado (CPG); agresividad (AQ-PA); depresión (IDEREN); ansiedad (IDAREN); aceptación (CAMM); flexibilidad psicológica (AFQ-Y). Los datos preliminares muestran que el protocolo de intervención puede ayudar a reducir los pensamientos repetitivos negativos tanto para padres como adolescentes, los patrones de evitación y las conductas agresivas. Se concluye que el protocolo puede funcionar para reducir síntomas problemáticos de los adolescentes y ayudar a disminuir ansiedad en padres, además de conectar a las adolescentes y padres con sus valores en relación al proyecto de vida que están construyendo. Sin embargo, para futuros estudios se debe tener en cuenta con mayor precisión la labor de los padres dentro del proceso terapéutico pues se reconoció que la interacción familiar puede limitar el efecto de la intervención.

64. Datos preliminares sobre el efecto de un protocolo breve en ACT para disminuir estrategias de experiencial
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática:
Diana Riaño-Hernández, Pontificia Universidad Javeriana
Paula Alexandra Atehortúa, Pontificia Universidad Javeriana
Vanessa Riveros Fiallo, Pontificia Universidad Javeriana
Luis Manuel Silva, Pontificia Universidad Javeriana

El Trastorno de Evitación Experiencial (TEE) se caracteriza porque las personas generan diferentes repertorios de evitación para no entrar en contacto con eventos privados que les resultan aversivos. Esto puede llevar a que se pierda de vista lo que es valioso para el individuo e impedir que se desarrollen acciones valiosas. Se identifica que estas personas han invertido la mayoría de su tiempo en preocuparse y realizar diferentes acciones que les permitan eliminar el malestar, lo cual a corto plazo les ha resultado efectivo, pero a largo plazo el resultado es que poco a poco van abandonando las cosas que son importante para ellos. El objetivo de este estudio consistió en evaluar la efectividad de un protocolo de cuatro sesiones, fundamentado en la terapia de aceptación y compromiso (ACT), sobre la presencia de pensamientos recurrentes que servían como estrategia de evitación. Los participantes fueron dos adultos, quienes presentaban pensamientos repetitivos como una estrategia de evitación experiencial y exhibían síntomas de malestar emocional. Se planteó un diseño intra-sujeto con medidas repetidas, donde se estableció una línea de base en las medidas repetidas durante tres semanas. Posteriormente se realizó la intervención con una duración de cuatro sesiones y se continuó con un período de seguimiento. Las medidas recolectadas fueron: pensamientos repetitivos (PSWQ, RRS-SF, ATQ-F y ATQ-B), evitación experiencial (AAQ-II), fusión cognitiva (CFQ) y síntomas de malestar emocional (DASS-21 y GHQ-12), junto con actuación en dirección a los valores (VQ). Tras la aplicación del protocolo se presentó reducción en el TEE y aumento en la medida de actuación en dirección a los valores (VQ). Se concluyó que el protocolo de cuatro sesiones parece ser efectivo para desmontar el ciclo de evitación experiencial y aumentar las acciones valiosas. Lo anterior pudo haber ocurrido dado que la terapia de aceptación y compromiso se centra en clarificar los valores para elegir la dirección de la vida, recurrir a otra forma de actuación frente a los eventos privados como alternativa al intento de control para reducir el malestar que generan, potencializar la flexibilidad psicológica para elegir cómo responder frente a éstos y al sufrimiento, y alterar los contextos verbales que mantienen la evitación experiencial. Aun así, dado el tamaño de la muestra, se reconoce la limitación del estudio para establecer generalizaciones.

65. Una experiencia de Supervisión por Pares y Grupo de Estudio
Áreas temáticas (principales): Supervisión, formación y difusión
Sub-categoría temática: Entrenamiento en habilidades terapeuticas
Maria José Lami, Ph. D., Instituto de Psicoterapia Conductual Contextual (IPsiCCo)

Se comparte una experiencia de una combinación entre el Modelo de Supervisión por Pares de Portland (Thompson, Louma, Terry, Lejeune, Guinter y Robb, 2015) y un Grupo de Estudio en Santiago del Estero, Argentina. En esta provincia argentina residen 631 psicólogos (Colegio Oficial de Psicólogos de Santiago del Estero, 2017) sobre una totalidad de aproximadamente un millón de; y una Universidad Católica que ofrece formación en Licenciatura en Psicología; la principal orientación teórica de los profesionales es psicoanalítica o psicodinámica. A finales del año 2015 comenzamos la experiencia de reunirnos una vez por semana durante 1 hora y media de duración, con el objetivo de leer y aprender sobre Terapia de Aceptación y Compromiso. La bibliografía utilizada fue: 1- Wilson, K. y Luciano, C. (2002) Terapia de Aceptación y Compromiso (ACT) Un Tratamiento Conductual Orientado a Los Valores. Madrid: Pirámide. 2- Hayes, S., Strosahl, W., Wilson, K. (2014) Terapia de Aceptación y Compromiso. Proceso y práctica del cambio consciente (Mindfulness). Madrid: DESCLEE DE BROUWER. Esta actividad se mantiene hasta la fecha. A principios del año 2017 se sumó a esta actividad un espacio de Supervisión por Pares desde el modelo de Portland conservando la estructura, formato, roles y valores de este Modelo, sumándose a éstos los valores propios de los integrantes posterior a un trabajo de clarificación de los mismos (¿Cuáles son los valores que nos guían como terapeutas ACT?). El grupo estuvo constituido en un principio (el grupo es abierto) por 5 psicoterapeutas con diversas formaciones de base, pero que asistieron durante todo el año 2016 al grupo de estudio. Con diversos años de experiencia clínica (de 2 a 15 años), diversas edades (de 26 a 40 años), diversos ámbitos de trabajo entre otras diferencias. En cada encuentro del grupo de estudio se comienza con un ejercicio de Mindfulness de 5 a 10 minutos guiados, en su mayoría, por la coordinadora general, sin embargo esta función es también rotativa a voluntarios. Y luego se continúa con la lectura de manera ordenada y secuencial dando logar a debate abierto, dudas y consultas donde todos opinan. El modelo de Supervisión de Portland se mantiene en su totalidad como lo presentan los autores. Se presentarán los resultados de dicha experiencia en la voz de las participantes luego de su asistencia durante 4 meses (es decir 4 sesiones de Supervisión y 15 encuentros de Grupo de Estudio) y la repercusión percibida en su práctica clínica. Así como datos relativos a la adherencia, puntualidad, expresiones espóntaneas y observaciones durante las supervisiones. Conservando la confidencialidad de los datos y el consentimiento informado de las participantes.

66. El Contexto Social en una Prueba Grupal IRAP sobre Estereotipos de Género: Influencia del Carácter Mixto o Separado por sexos del Grupo de Aplicación / Social context in a collective IRAP application about gender stereotypes: mixed vs single gender groups
Áreas temáticas (principales): Teoría de los Marcos Relacionales
Sub-categoría temática: IRAP
Jose Errasti, Ph.D., Universidad de Oviedo
Hugo Martínez Martínez, Universidad de Oviedo
Carmen Rodríguez Muñiz, Universidad de Oviedo
Jennifer Márquez García, Universidad de Oviedo
Alejandro Maldonado Lucena, Universidad de Oviedo
Álvaro Menéndez, Universidad de Oviedo

Introducción: El IRAP (Implicit Relational Assessment Procedure) es un procedimiento desarrollado por Barnes-Holmes para la evaluación de creencias, actitudes y otros elementos cognitivos implícitos, vinculado a la Psicología Contextual y a la Teoría del Marco Relacional. Habitualmente se han estudiado variables que afectan al rendimiento en el IRAP relacionadas con los estímulos presentados, pero pocas veces se ha estudiado la influencia de aspectos de la propia situación social de aplicación de la prueba. Así mismo, es habitual que la prueba se aplique individualmente para evitar que su complejidad dé lugar a altas tasas de abandono. Método: Esta investigación se centra en varias aplicaciones grupales del IRAP (N total=75) sobre los estereotipos de género. Se han distinguido dos condiciones: en la primera, la prueba se aplica en grupos mixtos compuestos por 5 mujeres y 5 hombres; en la segunda, la prueba se aplica en grupos separados por sexos, bien 10 mujeres o bien 10 hombres. Resultados: Un 70,7% (53 de 75) de los participantes superaron los bloques de ensayo y llegaron a los bloques de test. Las puntuaciones D en todos los tipos de ensayos tanto para hombres como para mujeres mostraron diferencias estadísticamente significativas respecto de 0. En las cuatro condiciones experimentales, tanto los hombres como las mujeres mostraron mayor sesgo de género en los grupos separados por sexo que en los grupos mixtos. Esta diferencia alcanzó significación estadística en el caso de las mujeres contestando a ensayos consistentes acerca de los hombres. Conclusiones: La aplicación colectiva del IRAP es una alternativa interesante a la aplicación individual habitual. El contexto social en el cual se aplica el IRAP influye sobre la ejecución de los participantes. Los estereotipos de género están presentes tanto en hombres como en mujeres. Estos estereotipos son mayores cuando las personas se encuentran en grupos de su mismo sexo y menores cuando se encuentran en grupos mixtos.

67. Efecto de la Variación en la Cantidad de Modalidades sobre la Adquisición y Transferencia de Discriminaciones Conticionales
Áreas temáticas (principales): Teoría de los Marcos Relacionales
Sub-categoría temática: Discriminaciones condicionales
Luis Alberto Quiroga-Baquero, Fundación Universitaria Konrad Lorenz
Carlos Wilcen Villamil-Barriga, Universidad de Guadalajara
Harold Esteban Mendoza-Duran, FUNDACIÓN UNIVERSITARIA KONRAD-LORENZ
Christian Parra-Olarte, Universidad del Rosario

En el campo de análisis del control abstracto de estímulo, se ha propuesto que el ajuste del comportamiento a las denominadas contingencias de abstracción, supone el responder a propiedades modales variantes de los estímulos presentes (propiedades dimensionales) en términos de propiedades modales constantes que son relacionales (propiedades instruccionales). Dado esto, se propuso evaluar el efecto de la variación en la cantidad de modalidades concurrentes en los estímulos de segundo orden, muestra y comparaciones en una tarea de igualación de la muestra de segundo orden sobre el establecimiento de control abstracto de estímulo. En un primer experimento, se varió el número de propiedades dimensionales: los estímulos de segundo orden indicaban las relaciones de identidad o diferencia ensayo a ensayo bajo dos modalidades: forma y color y se varió el número de modalidades de los estímulos muestra y comparaciones en las fases de entrenamiento o en las fases de prueba de transferencia dando lugar a cuatro grupos experimentales. Con el objetivo de evaluar el efecto en la variación concurrente entre propiedades dimensionales e instruccionales, en un segundo experimento se presentó la misma variación en las modalidades de los estímulos muestra y comparaciones, pero adicionalmente los estímulos de segundo orden indicaban la relación y modalidades pertinentes. Los resultados muestran una relación lineal entre el número de modalidades y el porcentaje de aciertos en fases de transferencia, mientras que no se observan efectos en las fases de entrenamiento. Asimismo, la variación concurrente en el número de modalidades en todos los segmentos de estímulo, auspicia mejores desempeños en fases de entrenamiento y transferencia. Estos hallazgos se discuten en términos de las conceptualizaciones acerca del control abstracto de estímulo y de la formación conceptos.

68. Atribución mediante marcos relacionales y efecto en la autoestima
Áreas temáticas (principales): Teoría de los Marcos Relacionales
Sub-categoría temática: IRAP
Manuel Murillo de las Heras, Universidad de Almería
Xana Grech Pesquera, Universidad de Almería
Carmen Luciano Soriano, Universidad Almería y Madrid Institute Contextual Psychology -MICPSY.
Zaida Callejón, Universidad de Almería
Jorge Ruiz, Universidad de Almería
Bárbara Gil-Luciano, Universidad de Almería

The contextual analysis of self-components is relevant to analyze their verbal nature but also their role in controlling own behavior. The aim of this study is to analyze the effect of amplifying self-components on self-steem reports by using explicit participants` reports and by using an IRAP preparation that might be explicit the implicit beliefs. Thirty participants responded to maisntrain self-steem questionaire and reported the positive personal characteristics. Then, they were ramdomly distributed in two conditions. The experimental participants received a relational training to enhance the positive personal charateristics (a cue was related to positive arbitrary stimuli and positive personal characteristics while other cue was related to opposite characterisitcs). Then, they responded to the self-steem questionnaire. Finally, and IRAP was implented to respond to real-self (the one connected to one` experiences) and to the ideal-self. Self-steems reports and the differences between the experimental and control participants on the IRAP are discussed.

69. La pérdida perinatal como factor de riesgo para el desarrollo de Trastornos de Ansiedad y del Estado de Ánimo en el siguiente embarazo
Áreas temáticas (principales): Prevención e intervenciones comunitarias
Sub-categoría temática: Trastornos de Ansiedad y Trastornos del Estado de Ánimo
Clara Mercadé Carranza, PIR, Hospital Universitari Mútua de Terrassa
Anna Torà Ardèvol, Hospital Universitari Mútua de Terrassa
I. Figueras Uranga, Hospital Universitari Mútua de Terrassa

Introducción: Una pérdida perinatal supone un impacto traumático en diferentes áreas de la vida de la madre que la sufre y tiene una repercusión en su proyecto de futuro. El siguiente embarazo tras esta pérdida supone un complejo proceso psicológico caracterizado por miedo, ansiedad e hipersensibilidad, percepción permanente de peligro y aparición de conductas de evitación y seguridad. Este proceso puede derivar en trastornos psiquiátricos en las madres, principalmente del estado de ánimo y de ansiedad. El presente estudio evalúa los cambios emocionales, cognitivos y conductuales que experimentan las madres en este siguiente embarazo durante la etapa perinatal. Método: El método utilizado ha consistido en una entrevista semi-estructurada a cuatro madres que han sufrido una pérdida perinatal previa al nuevo embarazo. Resultados: Los resultados reflejan cambios afectivos como la presencia de miedo a que se repita el mismo desenlace que en el embarazo anterior, el sentimiento de apego, tristeza y pérdida por el hijo fallecido, la percepción de invalidación por parte del entorno y el estado de alerta permanente. En relación a los cambios cognitivos, destacan las anticipaciones catastrofistas, los recuerdos relacionados con el bebé anterior y los pensamientos de comparación de los dos procesos. Finalmente, en el plano conductual, aparecen evitaciones de la expresión emocional y de situaciones relacionadas con la pérdida, así como conductas de comprobación y seguridad dirigidas a la búsqueda de control y a la sobreprotección del bebé en gestación. Palabras clave: pérdida perinatal, nuevo embarazo, duelo, salud mental perinatal. Conclusiones: La experiencia de la pérdida perinatal influye de forma significativa en la vivencia del siguiente embarazo. Los resultados obtenidos subrayan la importancia de atender estas características específicas de estos procesos y la conveniencia de un apoyo psicológico durante este periodo.