Terapia de aceptación y compromiso centrada en el pensamiento negativo repetitivo para el duelo por ruptura complicada: Una evaluación aleatoria de líneas de base múltiples

Autores/as

DOI:

https://doi.org/10.33898/rdp.v33i122.1149

Palabras clave:

terapia de aceptación y compromiso, pensamiento negativo repetitivo, relación de pareja, ruptura, duelo

Resumen

Las rupturas de relaciones románticas suelen provocar importantes consecuencias conductuales y emocionales que pueden llevar a experimentar un duelo complicado. Sin embargo, son pocas las investigaciones empíricas que han puesto a prueba intervenciones psicológicas para este problema tan frecuente. Este estudio preliminar exploró la eficacia de un protocolo de tres sesiones de Terapia de Aceptación y Compromiso (ACT) centrado en el pensamiento negativo repetitivo (PNR) para el tratamiento del duelo complicado por ruptura de pareja en tres mujeres. Se llevó a cabo un diseño de línea de base múltiple, aleatorio y no concurrente entre participantes. Las tres participantes mostraron disminuciones muy grandes en la angustia por la ruptura que superaron los criterios para afirmar la presencia de cambios clínicamente significativos. Dos participantes mostraron cambios clínicamente significativos en los síntomas emocionales, y todos ellos alcanzaron cambios significativos en la satisfacción vital. Las tres participantes mostraron cambios clínicamente significativos en pensamiento negativo repetitivo, evitación experiencial, fusión cognitiva y la vida valiosa. Los tamaños del efecto comparables entre diseños fueron muy grandes y estadísticamente significativos para la angustia de ruptura (d = 7.11), síntomas emocionales (d = 2.46) y satisfacción vital (d = 1.25). En conclusión, los protocolos de ACT centrados en PNR podrían ser eficaces en casos de duelo complicado por ruptura de pareja.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Barber, L., & Cooper, M. (2014). Rebound sex: Sexual motives and behaviors following a relationship breakup. Archives of Sexual Behavior, 43, 251-265. https://doi.org/10.1007/s10508-013-0200-3

Boelen, P. A., Van Den Hout, M. A., & Van Den Bout, J. (2006). A cognitive‐behavioral conceptualization of complicated grief. Clinical Psychology: Science and Practice, 13(2), 109-128. https://doi.org/10.1111/j.1468-2850.2006.00013.x

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

Cupach, W., Spitzberg, B., Bolingbroke, C., & Tellitocci, B. (2011). Persistence of attempts to reconcile a terminated romantic relationship: A partial test of relational goal pursuit theory. Communications Reports, 24(2), 99-115. https://doi.org/10.1080/08934215.2011.613737

Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with Life Scale. Journal of Personality Assessment, 49(1), 71-75. https://doi.org/10.1207/s15327752jpa4901_13

Ehring, T., Zetsche, U., Weidacker, K., Wahl, K., Schönfeld, S., & Ehlers, A. (2011). The Perseverative Thinking Questionnaire (PTQ): Validation of a content-independent measure of repetitive negative thinking. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 225-232. https://doi.org/10.1016/j.jbtep.2010.12.003

Eisma, M. C., Schut, H. A., Stroebe, M. S., van den Bout, J., Stroebe, W., & Boelen, P. A. (2014). Is rumination after bereavement linked with loss avoidance? Evidence from eye-tracking. PloS One, 9, e104980. https://doi.org/10.1371/journal.pone.0104980

Eisma, M. C., & Stroebe, M. S. (2017). Rumination following bereavement: An overview. Bereavement Care, 36(2), 58-64. https://doi.org/10.1080/02682621.2017.1349291

Eisma, M. C., Stroebe, M. S., Schut, H. A., Stroebe, W., Boelen, P. A., & van den Bout, J. (2013). Avoidance processes mediate the relationship between rumination and symptoms of complicated grief and depression following loss. Journal of Abnormal Psychology, 122(4), 961-970. https://doi.org/10.1037/a0034051

Falb, M. D. (2015). Effects of mindfulness training on individuals experiencing post-breakup distress: A randomized controlled trial (Doctoral Dissertation, Bowling Green State University).

Field, T. (2011). Romantic breakups, heartbreak and bereavement. Psychology, 2(4), 382 - 387. http://dx.doi.org/10.4236/psych.2011.24060

Field, T. (2017). Romantic breakup distress, betrayal and heartbreak: A review. International Journal of Behavioral Research & Psychology, 5(2), 217-225. http://dx.doi.org/10.19070/2332-3000-1700038

Field, T., Diego, M., Peláez, M., Deeds, O., & Delgado, J. (2009). Breakup distress in university students. Adolescence, 44, 705-727.

Gillanders, D. T., Bolderston, H., Bond, F. W., Dempster, M., Flaxman, P. E., Campbell, L., Kerr, S., Tansey, L., Noel, P., Ferenbach, C., Masley, S., Roach, L., Lloyd, J., May, L., Clarke, S., & Remington, B. (2014). The development and initial validation of the Cognitive Fusion Questionnaire. Behavior Therapy, 45, 83-101.

Harvey, M. T., May, M. E., & Kennedy, C. H. (2004). Nonconcurrent multiple baseline designs and the evaluation of educational systems. Journal of Behavioral Education, 13, 267–276. https://doi.org/10.1023/B:JOBE.0000044735.51022.5d

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

Hedges, L. G., Pustejovsky, J. E., & Shadish, W. R. (2013). A standardized mean difference effect size for multiple baseline designs across individuals. Research Synthesis Methods, 4(4), 324-341. https://doi.org/10.1002/jrsm.1086

Heikkinen, M., Aro, H., & Lönnqvist, J. (1993). Life events and social support in suicide. Suicide and Life‐Threatening Behavior, 23(4), 343-358. https://doi.org/10.1111/j.1943-278X.1993.tb00204.x

Lane, J. D., & Gast, D. L. (2014). Visual analysis in single-case experimental design studies: Brief review and guidelines. Neuropsychological Rehabilitation, 24(3-4), 445-463. https://doi.org/10.1080/09602011.2013.815636

Lepore, S. J., & Greenberg, M. A. (2002). Mending broken hearts: Effects of expressive writing on mood, cognitive processing, social adjustment and health following a relationship breakup. Psychology and Health, 17(2), 547-560. https://doi.org/10.1080/08870440290025768

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343. https://doi.org/10.1016/0005-7967(94)00075-U

Luhmann, M., Hofmann, W., Eid, M., & Lucas, R. (2012). Subjective well-being and adaptation to life events: A meta-analysis. Journal of Personality and Social Psychology, 102, 592-615. https://doi.org/10.1037%2Fa0025948

Muñiz, J., Elosua, P., & Hambleton, R. K. (2013). International Test Commission Guidelines for test translation and adaptation. Psicothema, 25, 151-157. https://doi.org/10.7334/psicothema2013.24

Murdock, K., Fagundes, C., & Lovejoy, M. (2014). Loss and the organization of affect. Journal of Loss and Trauma, 19(3), 213-228. https://doi.org/10.1080/15325024.2013.790724

Palacio-González, A., Clark, D., & O’Sullivan, L. (2016). Cognitive processing in the aftermath of relationship dissolution: Associations with concurrent and prospective distress and posttraumatic growth. Stress & Health, 33(5), 540-548. https://doi.org/10.1002/smi.2738

Parker, R. I., & Vannest, K. J. (2012). Bottom-up analysis of single-case research designs. Journal of Behavioral Education, 21, 254–265. https://doi.org/10.1007/s10864-012-9153-1

Parker, R. I., Vannest, K. J., Davis, J. L., & Sauber, S. B. (2011). Combining nonoverlap and trend for single-case research: Tau-U. Behavior Therapy, 42(2), 284-299. https://doi.org/10.1016/j.beth.2010.08.006

Perilloux, C., & Buss, D. (2008). Breaking up romantic relationships: Costs experienced and coping strategies deployed. Evolutionary Psychology, 6(1), 164-181. https://doi.org/10.1177%2F147470490800600119

Ruiz, F. J., Flórez, C. L., García-Martín, M. B., Monroy-Cifuentes, A., Barreto-Montero, K., García-Beltrán, D. M., Riaño-Hernández, D., Sierra, M. A., Suárez-Falcón, J. C., Cardona-Betancourt, V., & Gil-Luciano, B. (2018). A multiple-baseline evaluation of a brief acceptance and commitment therapy protocol focused on repetitive negative thinking for moderate emotional disorders. Journal of Contextual Behavioral Science, 9, 1–14. https://doi.org/10.1016/j.jcbs.2018.04.004

Ruiz, F. J., García-Beltrán, D. M., Monroy-Cifuentes, A., & Suárez-Falcón, J. C. (2019). Single-case experimental design evaluation of RNT-focused acceptance and commitment therapy in GAD with couple-related worry. International Journal of Psychology Therapy, 19(3), 261–276.

Ruiz, F. J., García-Martín, M. B., Suárez-Falcón, J. C., & Odriozola-González, P. (2017). The hierarchical factor structure of the Spanish version of Depression Anxiety and Stress Scale -21. International Journal of Psychology & Psychological Therapy, 17, 97–105.

Ruiz, F. J., Luciano, C., Flórez, C. L., Suárez-Falcón, J. C., & Cardona-Betancourt, V. (2020a). A multiple-baseline evaluation of acceptance and commitment therapy focused on repetitive negative thinking for comorbid generalized anxiety disorder and depression. Frontiers in Psychology, 11, 356. https://doi.org/10.3389/fpsyg.2020.00356

Ruiz, F. J., Riaño-Hernández, D., Suárez-Falcón, J. C., & Luciano, C. (2016a). Effect of a one-session ACT protocol in disrupting repetitive negative thinking: A randomized multiple-baseline design. International Journal of Psychology & Psychological Therapy, 16(3), 213–233.

Ruiz, F. J., Peña-Vargas, A., Ramírez, E. S., Suárez-Falcón, J. C., García-Martín, M. B., García-Beltrán, D. M., Henao, Á. M., Monroy-Cifuentes, A., &Sánchez, P. D. (2020b). Efficacy of a two-session repetitive negative thinking-focused acceptance and commitment therapy (ACT) protocol for depression and generalized anxiety disorder: A randomized waitlist control trial. Psychotherapy, 57(3), 444-456. https://doi.org/10.1037/pst0000273

Ruiz, F. J., Suárez-Falcón, J. C., Cárdenas-Sierra, S., Durán, Y., Guerrero, K., & Riaño-Hernández, D. (2016b). Psychometric properties of the Acceptance and Action Questionnaire–II in Colombia. The Psychological Record, 66, 429–437. https://doi.org/10.1007/s40732-016-0183-2

Ruiz, F. J., Suárez-Falcón, J. C., Riano-Hernández, D., & Gillanders, D. (2017). Psychometric properties of the Cognitive Fusion Questionnaire in Colombia. Revista Latinoamericana de Psicología, 49(1), 80-87.

https://doi.org/10.1016/j.rlp.2016.09.006

Ruiz, F. J., Suárez‐Falcón, J. C., Segura‐Vargas, M. A., & Gil‐Luciano, B. (2022). Psychometric properties of the Spanish version of the Valuing Questionnaire in Colombian clinical and nonclinical samples. Journal of Clinical Psychology, 78(2), 233–248. https://doi.org/10.1002/jclp.23212

Salazar, D. M., Ruiz, F. J., Ramírez, E. S., & Cardona-Betancourt, V. (2020). Acceptance and commitment therapy focused on repetitive negative thinking for child depression: A randomized multiple-baseline evaluation. The Psychological Record, 70, 373-386. https://doi.org/10.1007/s40732-019-00362-5

Sánchez-Aragón, R., & Martínez-Cruz, R. (2014). Causas y caracterización de las etapas del duelo romántico [Causes and characterization of the stages of romantic mourning]. Acta de Investigación Psicológica, 4, 1329-1343.

Sbarra, D. A., Boals, A., Mason, A. E., Larson, G. M., & Mehl, M. R. (2013). Expressive writing can impede emotional recovery following marital separation. Clinical Psychological Science, 1, 120-134.

Sbarra, D. A., & Emery, R. E. (2005). The emotional sequelae of nonmarital relationship dissolution: Analysis of change and intraindividual variability over time. Personal Relationship, 12(2), 213-232. https://doi.org/10.1111/j.1350-4126.2005.00112.x

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59 (Suppl. 20), 22-33.

Smout, M., Davies, M., Burns, N., & Christie, A. (2014). Development of the Valuing Questionnaire (VQ). Journal of Contextual Behavioral Science, 3(3), 164-172. https://doi.org/10.1016/j.jcbs.2014.06.001

Tavares, L. P., & Aassve, A. (2013). Psychological distress of marital and cohabitation breakups. Social science research, 42(6), 1599-1611. https://doi.org/10.1016/j.ssresearch.2013.07.008

Williams, S. L., & Frieze, I. H. (2005). Courtship behaviors, relationship violence, and breakup persistence in college men and women. Psychology of Women Quarterly, 29(3), 248-257. https://doi.org/10.1111%2Fj.1471-6402.2005.00219.x

Wittouck, C., Van Autreve, S., De Jaegere, E., Portzky, G., & van Heeringen, K. (2011). The prevention and treatment of complicated grief: A meta-analysis. Clinical Psychology Review, 31(1), 69-78. https://doi.org/10.1016/j.cpr.2010.09.005

Publicado

2022-07-01

Cómo citar

Medina-Reina, D. P., & Ruiz, F. J. (2022). Terapia de aceptación y compromiso centrada en el pensamiento negativo repetitivo para el duelo por ruptura complicada: Una evaluación aleatoria de líneas de base múltiples. Revista De Psicoterapia, 33(122), 67–83. https://doi.org/10.33898/rdp.v33i122.1149