Decoupling as a mechanism of change in mindfulness and acceptance: a literature review

Behavior Modification
Michael E LevinJack A Haeger

Abstract

A growing body of research within the acceptance and mindfulness-based therapies suggests that these treatments may function in part by reducing or eliminating (i.e., decoupling) the normative relationships between internal experiences and other internal/overt behavior. Examples of decoupling effects found in this review include reduced relationships between urges to smoke and smoking behavior, between dysphoric mood and depressive cognitions, and between pain intensity and persistence in a painful task. A literature review identified 44 studies on acceptance and mindfulness that demonstrated decoupling effects. Overall, preliminary evidence for decoupling effects were found across a broad range of problem areas, including substance abuse, depression, eating disorders, overeating, chronic pain, anxiety, relationships, anger, avoidance behavior, and self-harm, with the strongest evidence currently available in the area of substance abuse. However, the review also notes a general lack of replication studies on decoupling effects and the need for more well-powered and controlled research testing specific decoupling hypotheses.

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Citations

Dec 27, 2019·Journal of the Experimental Analysis of Behavior·Brooke M SmithSimon Dymond
Jul 18, 2020·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Ariel L BecciaJudson A Brewer
Nov 7, 2019·Frontiers in Psychology·Juliane EberthThomas Schäfer
Sep 15, 2019·The Journal of Pain : Official Journal of the American Pain Society·Samsuk KimAnna L Kratz
Nov 7, 2020·Harvard Review of Psychiatry·Zev Schuman-OlivierCarl Fulwiler
Mar 12, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Sophia ÅkerblomLance M McCracken
Jun 2, 2021·The International Journal of Eating Disorders·Corey R RoosCheri A Levinson
Jul 13, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Lynne FletcherBrent Gardiner

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