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Testing the differential effects of acceptance and attention-based psychological interventions on intrusive thoughts and worry.

B Ainsworth, H Bolderston, M Garner

Behaviour Research and Therapy April 2017 DOI: 10.1016/j.brat.2017.01.012 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 77
Population Adults (participants in an experimental worry task)
Interventions Acceptance-based psychological exercise Progressive muscle relaxation
Duration 10 min exercise, with measurements before and after a worry induction task
Topics Anxiety Meditation
Keywords Acceptance Attention Worry
Key findings Both a 10-minute attention-based exercise and a 10-minute acceptance-based exercise led to fewer negative thought intrusions after a worry induction task than progressive muscle relaxation, with acceptance showing the largest effect and preventing worry induction. Increases in negative intrusive thoughts predicted subjective anxiety, suggesting these exercises may reduce anxiety by targeting worry-related intrusions.

Abstract

Worry is a key component of anxiety and may be an effective target for therapeutic intervention. We compared two psychological processes (attention and acceptance) on the frequency of intrusive worrying thoughts in an experimental worry task. 77 participants were randomised across three groups and completed either a 10 min attention or acceptance-based psychological exercise, or progressive muscle relaxation control. We subsequently measured anxiety, and the content and frequency of intrusive thoughts before and after a 'worry induction task'. Groups did not differ in baseline worry, anxiety or thought intrusions. Both attention and acceptance-based groups experienced fewer negative thought intrusions (post-worry) compared to the relaxation control group. The acceptance exercise had the largest effect, preventing 'worry induction'. Increases in negative intrusive thoughts predicted subjective anxiety. We provide evidence that acceptance and attention psychological exercises may reduce anxiety by reducing the negative thought intrusions that characterise worry.

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