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The effect and mechanism of acceptance and commitment therapy for young adults’ appearance-based rejection sensitivity and social comparison based on appearances: A randomized controlled trial
Zhao, Wen1,2,4; Liu, Xiangping1,4; Deng, Yanhe3; Wu, Anise M.S.5,6
2025
Source PublicationJournal of Contextual Behavioral Science
ISSN2212-1447
Volume35
AbstractThis study tested the effect and mechanism of acceptance and commitment therapy (ACT) on young adults’ appearance-based rejection sensitivity (ARS) and social comparison based on appearance (SCBA). A sample of 190 university students (Mage = 18.35, SD = 0.78; 56.62% female) was randomly assigned to either the ACT group (n = 94) or an active control group (n = 96), which focused on interpersonal discussions about experiences of appearance-based rejection. Participants completed six weekly group interventions, as well as three surveys: a baseline assessment before the intervention (T1), a post-test immediately after the intervention (T2), and a 3-month follow-up (T3). Clinically significant decreases in ARS and SCBA were observed in the ACT group from baseline to both the post-test and follow-up. Comparisons at each phase indicated that the ACT group outperformed the control group in reducing ARS and SCBA, as well as in improving psychological inflexibility and cognitive fusion. Furthermore, the parallel mediation models supported the mediating roles of psychological inflexibility and cognitive fusion between the ACTintervention and ARS /SCBA. These findings suggest that ACT is effective in reducing ARS and SCBA by improving psychological inflexibility and cognitive fusion. Future research should further explore the effects and mechanisms of ACT on ARS and its related constructs using diversified samples and multiple long-term follow-ups.
KeywordAcceptance and commitment therapy Appearance-based rejection sensitivity Cognitive fusion Psychological flexibility Social comparisons based on appearances
DOI10.1016/j.jcbs.2024.100848
URLView the original
Language英語English
Scopus ID2-s2.0-85211018941
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Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Affiliation1.Faculty of Psychology, Beijing Normal University, Beijing, 100875, China
2.Department of Applied Psychology, Faculty of Law, Southwest University of Science and Technology, Mianyang, 621010, China
3.School of Psychology, Capital Normal University, Beijing, No. 23 Baiduizijia, Haidian District, 100048, China
4.Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Beijing, 100875, China
5.Department of Psychology, Faculty of Social Sciences, University of Macau, Macao, China
6.Centre for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, Macao, China
Recommended Citation
GB/T 7714
Zhao, Wen,Liu, Xiangping,Deng, Yanhe,et al. The effect and mechanism of acceptance and commitment therapy for young adults’ appearance-based rejection sensitivity and social comparison based on appearances: A randomized controlled trial[J]. Journal of Contextual Behavioral Science, 2025, 35.
APA Zhao, Wen., Liu, Xiangping., Deng, Yanhe., & Wu, Anise M.S. (2025). The effect and mechanism of acceptance and commitment therapy for young adults’ appearance-based rejection sensitivity and social comparison based on appearances: A randomized controlled trial. Journal of Contextual Behavioral Science, 35.
MLA Zhao, Wen,et al."The effect and mechanism of acceptance and commitment therapy for young adults’ appearance-based rejection sensitivity and social comparison based on appearances: A randomized controlled trial".Journal of Contextual Behavioral Science 35(2025).
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