MLS Psychology Research
Vol. 4 Núm. 1 (2021)
ISSN: 2605-5295
Estudio correlacional: evitación experiencial, insomnio y rumiación en adolescentes
Publicado Jun 23, 2021
Resumen
The main objective of the study was to analyze the relationship of the variables experiential avoidance, ruminant response style and insomnia according to sex, age and academic level. It is a cross-sectional correlational observational study, with a non-clinical sample in an adolescent population, selected by non-probabilistic sampling. The instruments used were the AAQ-II, the RRS and the ISI, which measure experiential avoidance, ruminant response style, and insomnia, respectively. The results show a positive linear correlation between the administered questionnaires (AAQ-II, RRS and ISI), the highest being between AAQ-II and RRS (0.648). In addition, significant differences have been found as a function of sex for experiential avoidance (sig. 0.001, assuming different variances) and for rumination (sig. 0.090, assuming equal variances). There could be an association between these three variables, in addition to reciprocal feeding in adolescents.
Palabras clave:
Terapia de aceptación y compromiso, evitación experiencial, insomnio, rumiación, adolescentes
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Cómo citar
Ortega Alcaraz, V. (2021). Estudio correlacional: evitación experiencial, insomnio y rumiación en adolescentes. MLS Psychology Research, 4(1). https://doi.org/10.33000/mlspr.v4i1.641
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Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical psychology review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004
Bastien, C. H., Vallières, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep medicine, 2(4), 297–307. https://doi.org/10.1016/s1389-9457(00)00065-4.
Biglan, A. y Hayes, S. C. (1996). Should the behavioral sciences become more pragmatic? The case for functional contextualism in research on human behavior. Applied and Preventive Psychology, 5(1), 47-57. https://doi.org/10.1016/S0962-1849(96)80026-6
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Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006). Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behaviour research and therapy, 44(9), 1251–1263. https://doi.org/10.1016/j.brat.2005.10.001
Chesson, A. L., Jr, Anderson, W. M., Littner, M., Davila, D., Hartse, K., Johnson, S., Wise, M., & Rafecas, J. (1999). Practice parameters for the nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine report. Standards of Practice Committee of the American Academy of Sleep Medicine. Sleep, 22(8), 1128–1133. https://doi.org/10.1093/sleep/22.8.1128
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Cribb, G., Moulds, M. L., & Carter, S. (2006). Rumination and Experiential Avoidance in Depression. Behaviour Change, 23(3), 165-176. https://psycnet.apa.org/doi/10.1375/bech.23.3.165
Dahl, J., Wilson, K. G., & Nilsson, A. (2004). Acceptance and Commitment Therapy and the Treatment of Persons at Risk for Long-Term Disability Resulting From Stress and Pain Symptoms: A Preliminary Randomized Trial. Behavior Therapy, 35(4), 785–801. https://doi.org/10.1016/S0005-7894(04)80020-0
Dalrymple, K. L., Fiorentino, L., Politi, M. C., & Posner, D. (2010). Incorporating principles of Acceptance and Commitment Therapy into Cognitive-Behavioral Therapy for Insomnia: A case example. Journal of Contemporary Psychotherapy, 40, 209-217.
Dewald, J. F., Meijer, A. M., Oort, F. J., Kerkhof, G. A., & Bögels, S. M. (2010). The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep medicine reviews, 14(3), 179–189. https://doi.org/10.1016/j.smrv.2009.10.004
Fernandez-Mendoza, J., Rodriguez-Muñoz, A., Vela-Bueno, A., Olavarrieta-Bernardino, S., Calhoun, S. L., Bixler, E. O., & Vgontzas, A. N. (2012). The Spanish version of the Insomnia Severity Index: a confirmatory factor analysis. Sleep medicine, 13(2), 207–210. https://doi.org/10.1016/j.sleep.2011.06.019
Fledderus, M., Oude Voshaar, M. A., Ten Klooster, P. M., & Bohlmeijer, E. T. (2012). Further evaluation of the psychometric properties of the Acceptance and Action Questionnaire-II. Psychological assessment, 24(4), 925–936. https://doi.org/10.1037/a0028200
Gregg, J. (2004). Development of an acceptance-based treatment for the self management of diabetes [Master's Thesis]. University of Nevada.
Harvey, A., Watkins, E., Mansell, W. & Shafran, R. (2004) Cognitive behavioral processes across psychological disorders: A transdiagnostic approach to research and treatment. Oxford University Press.
Hayes, L., Boyd, C. P., & Sewell, J. (2011). Acceptance and commitment therapy for the treatment of adolescent depression: A pilot study in a psychiatric outpatient setting. Mindfulness, 2(2), 86–94. https://doi.org/10.1007/s12671-011-0046-5
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639-665. https://doi.org/10.1016/S0005-7894(04)80013-3
Hayes, S. C., Barnes-Holmes, D., & Roche, B. (Eds.). (2001). Relational frame theory: A post-Skinnerian account of human language and cognition. Kluwer Academic/Plenum Publishers.
Hayes, S. C., Barnes-Holmes, D. & Wilson, K. G. (2012). Contextual behavioral Science: Creating a science more adequate to the challenge of the human condition. Journal of Contextual Behavioral Science, 1(1-2), 1-16. https://doi.org/10.1016/j.jcbs.2012.09.004
Hayes S. C. & Lillis, J. (2012). Acceptance and Commitment Therapy. American Psychological Association.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour research and therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006
Hayes, S. C., Masuda, A., Bissett, R., Luoma, J., & Guerrero, L. F. (2004). DBT, FAP and ACT: How empirically oriented are the new behavior therapy technologies? Behavior Therapy, 35(1), 35–54. https://doi.org/10.1016/S0005-7894(04)80003-0
Hayes, S.C., & Strosahl, K.D. (2004). A practical guide to acceptance and commitment therapy. Springer-Verlag
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experimental avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. Journal of consulting and clinical psychology, 64(6), 1152–1168. https://doi.org/10.1037//0022-006x.64.6.1152
Hervás, G. (2008). Adaptación al castellano de un instrumento para evaluar el estilo rumiativo: la escala de respuesta rumiativa. Revista de Psicopatología y Psicología Clínica, 13(2), 111-121.
Khazaie, H. (2019). Efficacy of acceptance and commitment therapy on emotional dysregulation and sleep quality in patients with chronic insomnia. Journal of Mazandaran University of Medical Sciences, 29(178), 52–63. http://jmums.mazums.ac.ir/article-1-13283-en.htm
Kohlenberg, R. J., Bolling, M. Y., Kanter, J. W., & Parker, C. R. (2002). Clinical behavior analysis: Where it went wrong, how it was made good again, and why its future is so bright. The Behavior Analyst Today, 3(3), 248-253. http://dx.doi.org/10.1037/h0099988
Kring, A. M., & Sloan, D. M. (Eds.). (2010). Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment. The Guilford Press.
Lappalainen, P., Langrial, S., Oinas-Kukkonen, H., Muotka, J. & Lappalainen, R. (2019). ACT for sleep-internet-delivered self-help ACT for subclinical and clinical insomnia: A randomized controlled trial. Journal of Contextual Behavioral Science, 12, 119-127. https://doi.org/10.1016/j.jcbs.2019.04.001
Luciano, C., Páez-Blarrina, M., y Valdivia-Salas, S. (2010). La Terapia de Aceptación y Compromiso (ACT) en el consumo de sustancias como estrategia de evitación experiencial. International Journal of Clinical and Health Psychology, 10(1), 141-165.
Luciano, C. y Valdivia, S. (2006). La terapia de aceptación y compromiso (ACT): fundamentos, características y evidencia. Papeles del Psicólogo, 27(2), 79-91. https://www.redalyc.org/articulo.oa?id=77827203
Maero, F. (2013). ¿Qué demonios son las terapias de tercera generación? Psicología Clínica, Terapias de Tercera Generación. PSYCIENCIA.
Mandil, J., Quintero, P., y Maero, F., (2017). Terapia de Aceptación y Compromiso con adolescentes. Librería Akadia Editorial.
Morin, C. M. (1998). Insomnio: asistencia y tratamiento. Ariel.
Moulds, M. L., Kandris, E., Starr, S., & Wong, A. C. (2007). The relationship between rumination, avoidance and depression in a non-clinical sample. Behaviour research and therapy, 45(2), 251–261. https://doi.org/10.1016/j.brat.2006.03.003
Murrell, A.R., Coyne, L.W. & Wilson K.G. (2004) ACT with Children, Adolescents, and Their Parents. In: Hayes S.C., Strosahl K.D. (eds) A Practical Guide to Acceptance and Commitment Therapy. Springer. https://doi.org/10.1007/978-0-387-23369-7_10
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of personality and social psychology, 61(1), 115–121. https://doi.org/10.1037//0022-3514.61.1.115
Nolen-Hoeksema, S. & Watkins, .R. (2011). A Heuristic for developing transdiagnostic models of psychopathology: explaining multifinality and divergent trajectories. Perspectives on Psychological Science, 6(6), 589-609. https://doi.org/10.1177/1745691611419672
Páez-Blarrina, M., Gutiérrez-Martínez, O., Valdivia-Salas, S., y Luciano-Soriano, C. (2006). Terapia de Aceptación y Compromiso (ACT) y la importancia de los valores personales en el contexto de la terapia psicológica. International Journal of Psychology and Psychological Therapy, 6(1), 1-20.
Pérez-Álvarez, M. (2006). La terapia de conducta de tercera generación. EduPsykhé: Revista de psicología y psicopedagogía, 5(2), 159-172.
Pérez-Álvarez, M. (2014). Las terapias de tercera generación como terapias contextuales. Síntesis.
Ramnerö, J. y Törneke, N. (2008). The ABCs of human behavior: Behavioral principles for the practicing clinician. New Harbinger.
Roberts, R. E., Roberts, C. R., & Chan, W. (2006). Ethnic differences in symptoms of insomnia among adolescents. Sleep, 29(3), 359–365. https://doi.org/10.1093/sleep/29.3.359
Ruiz, F. J. (2010). A review of Acceptance and Commitment Therapy (ACT) Empirical Evidence: Correlational, Experimental Psychopathology, Component and Outcome Studies. International. International Journal of Psychology & Psychological Therapy, 10(1), 125-162.
Ruiz, F. J., Langer, A. I., Luciano, C., Cangas, A. J., & Beltrán, I. (2013). Measuring experiential avoidance and psychological inflexibility: the Spanish translation of the Acceptance and Action Questionnaire. Psicothema, 25(1), 123–129. https://doi.org/10.7334/psicothema2011.239
Ruíz, F. J. y Luciano, C. (2009). Eficacia de la terapia de aceptación y compromiso (ACT) en la mejora del rendimiento ajedrecístico de jóvenes promesas. Psicothema, 21(3), 347-352.
Saxena, P., Dubey, A. & Pandey, R. (2011). Role of emotion regulation difficulties in predicting mental health and well-being. Journal of Projective Psychology and Mental Health, 18(2), 147–54. https://doi.org/10.5964/ejop.v7i4.155
Spoormaker, V. I., & van den Bout, J. (2005). Depression and anxiety complaints; relations with sleep disturbances. European psychiatry: the journal of the Association of European Psychiatrists, 20(3), 243–245. https://doi.org/10.1016/j.eurpsy.2004.11.006
Törneke, N., Luciano, C., Barnes-Holmes, Y. & Bond, F. (2015). Relational Frame Theory and three core strategies in understanding and treating human suffering. En R. D. Zettle, S. C. Hayes, D. Barnes-Holmes y A. Biglan (eds.), The Wiley Handbook of Contextual Behavioral Science, 254-272. https://doi.org/10.1002/9781118489857.ch12
Treynor, W., González, R., y Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247-259. https://doi.org/10.1023/A:1023910315561
Wilson, K.G., y Luciano, M. C. (2002). Terapia de aceptación y compromiso. Un tratamiento conductual orientado a los valores. Pirámide.
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Bastien, C. H., Vallières, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep medicine, 2(4), 297–307. https://doi.org/10.1016/s1389-9457(00)00065-4.
Biglan, A. y Hayes, S. C. (1996). Should the behavioral sciences become more pragmatic? The case for functional contextualism in research on human behavior. Applied and Preventive Psychology, 5(1), 47-57. https://doi.org/10.1016/S0962-1849(96)80026-6
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behavior therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007
Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006). Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behaviour research and therapy, 44(9), 1251–1263. https://doi.org/10.1016/j.brat.2005.10.001
Chesson, A. L., Jr, Anderson, W. M., Littner, M., Davila, D., Hartse, K., Johnson, S., Wise, M., & Rafecas, J. (1999). Practice parameters for the nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine report. Standards of Practice Committee of the American Academy of Sleep Medicine. Sleep, 22(8), 1128–1133. https://doi.org/10.1093/sleep/22.8.1128
Cova, F., Rincón, P. & Melipillán, R. (2007). Rumiación y presencia de sintomatología ansiosa y depresiva en adolescentes. Revista Mexicana de Psicología, 24(2), 175-183. https://www.redalyc.org/articulo.oa?id=2430/243020637003
Cribb, G., Moulds, M. L., & Carter, S. (2006). Rumination and Experiential Avoidance in Depression. Behaviour Change, 23(3), 165-176. https://psycnet.apa.org/doi/10.1375/bech.23.3.165
Dahl, J., Wilson, K. G., & Nilsson, A. (2004). Acceptance and Commitment Therapy and the Treatment of Persons at Risk for Long-Term Disability Resulting From Stress and Pain Symptoms: A Preliminary Randomized Trial. Behavior Therapy, 35(4), 785–801. https://doi.org/10.1016/S0005-7894(04)80020-0
Dalrymple, K. L., Fiorentino, L., Politi, M. C., & Posner, D. (2010). Incorporating principles of Acceptance and Commitment Therapy into Cognitive-Behavioral Therapy for Insomnia: A case example. Journal of Contemporary Psychotherapy, 40, 209-217.
Dewald, J. F., Meijer, A. M., Oort, F. J., Kerkhof, G. A., & Bögels, S. M. (2010). The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep medicine reviews, 14(3), 179–189. https://doi.org/10.1016/j.smrv.2009.10.004
Fernandez-Mendoza, J., Rodriguez-Muñoz, A., Vela-Bueno, A., Olavarrieta-Bernardino, S., Calhoun, S. L., Bixler, E. O., & Vgontzas, A. N. (2012). The Spanish version of the Insomnia Severity Index: a confirmatory factor analysis. Sleep medicine, 13(2), 207–210. https://doi.org/10.1016/j.sleep.2011.06.019
Fledderus, M., Oude Voshaar, M. A., Ten Klooster, P. M., & Bohlmeijer, E. T. (2012). Further evaluation of the psychometric properties of the Acceptance and Action Questionnaire-II. Psychological assessment, 24(4), 925–936. https://doi.org/10.1037/a0028200
Gregg, J. (2004). Development of an acceptance-based treatment for the self management of diabetes [Master's Thesis]. University of Nevada.
Harvey, A., Watkins, E., Mansell, W. & Shafran, R. (2004) Cognitive behavioral processes across psychological disorders: A transdiagnostic approach to research and treatment. Oxford University Press.
Hayes, L., Boyd, C. P., & Sewell, J. (2011). Acceptance and commitment therapy for the treatment of adolescent depression: A pilot study in a psychiatric outpatient setting. Mindfulness, 2(2), 86–94. https://doi.org/10.1007/s12671-011-0046-5
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639-665. https://doi.org/10.1016/S0005-7894(04)80013-3
Hayes, S. C., Barnes-Holmes, D., & Roche, B. (Eds.). (2001). Relational frame theory: A post-Skinnerian account of human language and cognition. Kluwer Academic/Plenum Publishers.
Hayes, S. C., Barnes-Holmes, D. & Wilson, K. G. (2012). Contextual behavioral Science: Creating a science more adequate to the challenge of the human condition. Journal of Contextual Behavioral Science, 1(1-2), 1-16. https://doi.org/10.1016/j.jcbs.2012.09.004
Hayes S. C. & Lillis, J. (2012). Acceptance and Commitment Therapy. American Psychological Association.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour research and therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006
Hayes, S. C., Masuda, A., Bissett, R., Luoma, J., & Guerrero, L. F. (2004). DBT, FAP and ACT: How empirically oriented are the new behavior therapy technologies? Behavior Therapy, 35(1), 35–54. https://doi.org/10.1016/S0005-7894(04)80003-0
Hayes, S.C., & Strosahl, K.D. (2004). A practical guide to acceptance and commitment therapy. Springer-Verlag
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experimental avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. Journal of consulting and clinical psychology, 64(6), 1152–1168. https://doi.org/10.1037//0022-006x.64.6.1152
Hervás, G. (2008). Adaptación al castellano de un instrumento para evaluar el estilo rumiativo: la escala de respuesta rumiativa. Revista de Psicopatología y Psicología Clínica, 13(2), 111-121.
Khazaie, H. (2019). Efficacy of acceptance and commitment therapy on emotional dysregulation and sleep quality in patients with chronic insomnia. Journal of Mazandaran University of Medical Sciences, 29(178), 52–63. http://jmums.mazums.ac.ir/article-1-13283-en.htm
Kohlenberg, R. J., Bolling, M. Y., Kanter, J. W., & Parker, C. R. (2002). Clinical behavior analysis: Where it went wrong, how it was made good again, and why its future is so bright. The Behavior Analyst Today, 3(3), 248-253. http://dx.doi.org/10.1037/h0099988
Kring, A. M., & Sloan, D. M. (Eds.). (2010). Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment. The Guilford Press.
Lappalainen, P., Langrial, S., Oinas-Kukkonen, H., Muotka, J. & Lappalainen, R. (2019). ACT for sleep-internet-delivered self-help ACT for subclinical and clinical insomnia: A randomized controlled trial. Journal of Contextual Behavioral Science, 12, 119-127. https://doi.org/10.1016/j.jcbs.2019.04.001
Luciano, C., Páez-Blarrina, M., y Valdivia-Salas, S. (2010). La Terapia de Aceptación y Compromiso (ACT) en el consumo de sustancias como estrategia de evitación experiencial. International Journal of Clinical and Health Psychology, 10(1), 141-165.
Luciano, C. y Valdivia, S. (2006). La terapia de aceptación y compromiso (ACT): fundamentos, características y evidencia. Papeles del Psicólogo, 27(2), 79-91. https://www.redalyc.org/articulo.oa?id=77827203
Maero, F. (2013). ¿Qué demonios son las terapias de tercera generación? Psicología Clínica, Terapias de Tercera Generación. PSYCIENCIA.
Mandil, J., Quintero, P., y Maero, F., (2017). Terapia de Aceptación y Compromiso con adolescentes. Librería Akadia Editorial.
Morin, C. M. (1998). Insomnio: asistencia y tratamiento. Ariel.
Moulds, M. L., Kandris, E., Starr, S., & Wong, A. C. (2007). The relationship between rumination, avoidance and depression in a non-clinical sample. Behaviour research and therapy, 45(2), 251–261. https://doi.org/10.1016/j.brat.2006.03.003
Murrell, A.R., Coyne, L.W. & Wilson K.G. (2004) ACT with Children, Adolescents, and Their Parents. In: Hayes S.C., Strosahl K.D. (eds) A Practical Guide to Acceptance and Commitment Therapy. Springer. https://doi.org/10.1007/978-0-387-23369-7_10
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of personality and social psychology, 61(1), 115–121. https://doi.org/10.1037//0022-3514.61.1.115
Nolen-Hoeksema, S. & Watkins, .R. (2011). A Heuristic for developing transdiagnostic models of psychopathology: explaining multifinality and divergent trajectories. Perspectives on Psychological Science, 6(6), 589-609. https://doi.org/10.1177/1745691611419672
Páez-Blarrina, M., Gutiérrez-Martínez, O., Valdivia-Salas, S., y Luciano-Soriano, C. (2006). Terapia de Aceptación y Compromiso (ACT) y la importancia de los valores personales en el contexto de la terapia psicológica. International Journal of Psychology and Psychological Therapy, 6(1), 1-20.
Pérez-Álvarez, M. (2006). La terapia de conducta de tercera generación. EduPsykhé: Revista de psicología y psicopedagogía, 5(2), 159-172.
Pérez-Álvarez, M. (2014). Las terapias de tercera generación como terapias contextuales. Síntesis.
Ramnerö, J. y Törneke, N. (2008). The ABCs of human behavior: Behavioral principles for the practicing clinician. New Harbinger.
Roberts, R. E., Roberts, C. R., & Chan, W. (2006). Ethnic differences in symptoms of insomnia among adolescents. Sleep, 29(3), 359–365. https://doi.org/10.1093/sleep/29.3.359
Ruiz, F. J. (2010). A review of Acceptance and Commitment Therapy (ACT) Empirical Evidence: Correlational, Experimental Psychopathology, Component and Outcome Studies. International. International Journal of Psychology & Psychological Therapy, 10(1), 125-162.
Ruiz, F. J., Langer, A. I., Luciano, C., Cangas, A. J., & Beltrán, I. (2013). Measuring experiential avoidance and psychological inflexibility: the Spanish translation of the Acceptance and Action Questionnaire. Psicothema, 25(1), 123–129. https://doi.org/10.7334/psicothema2011.239
Ruíz, F. J. y Luciano, C. (2009). Eficacia de la terapia de aceptación y compromiso (ACT) en la mejora del rendimiento ajedrecístico de jóvenes promesas. Psicothema, 21(3), 347-352.
Saxena, P., Dubey, A. & Pandey, R. (2011). Role of emotion regulation difficulties in predicting mental health and well-being. Journal of Projective Psychology and Mental Health, 18(2), 147–54. https://doi.org/10.5964/ejop.v7i4.155
Spoormaker, V. I., & van den Bout, J. (2005). Depression and anxiety complaints; relations with sleep disturbances. European psychiatry: the journal of the Association of European Psychiatrists, 20(3), 243–245. https://doi.org/10.1016/j.eurpsy.2004.11.006
Törneke, N., Luciano, C., Barnes-Holmes, Y. & Bond, F. (2015). Relational Frame Theory and three core strategies in understanding and treating human suffering. En R. D. Zettle, S. C. Hayes, D. Barnes-Holmes y A. Biglan (eds.), The Wiley Handbook of Contextual Behavioral Science, 254-272. https://doi.org/10.1002/9781118489857.ch12
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