Developmental trajectories of experiential avoidance and depressive symptoms and association to health behaviors among adolescents during brief guided online acceptance and commitment therapy

Abstract While many children and adolescents experience psychological problems with up to 20 percent estimated to develop a mental health problem, only few receive treatment. Online interventions can help respond to the need of support among young people without requiring considerable resources. However, relatively few studies have examined the efficacy of online interventions for youth and more research is needed to understand individual differences in benefiting from these interventions. The current study sought to examine different developmental trajectories of experiential avoidance and depressive symptoms and their association to health behaviors measured at baseline during a brief gui…

The role of psychological inflexibility in adolescent satisfaction with the educational track and school dropout intentions

This study aimed to obtain novel understanding of the associations between psychological inflexibility and adolescents' engagement with upper secondary studies. The participants were 885 Finnish adolescents (mean age 15.74 at the outset) whose psychological inflexibility was measured with the short form of the Acceptance and Fusion Questionnaire for Youth (AFQ-Y8) in the fall of the final (ninth) grade of basic education. School engagement was measured as satisfaction with the educational track and as school dropout intentions, and they were measured twice in the first study year after the transition to upper secondary education. The results showed that high psychological inflexibility in t…

Modeling the early paths of phonological awareness and factors suopporting its development in children with and without familiar risk of dyslexia

The development of phonological awareness (PA) before school age was modeled in association with the development of vocabulary and letter knowledge, home literacy environment (HLE), children's reading interest, and beginning reading skill in children with and without familial risk of dyslexia. A total of 186 children were followed from birth to the age of 6.5 years. Of these children, about half had a familial background of reading difficulties (the at-risk group), and the other half came from families without such background (the control group). The data from several measures and assessment time points were analyzed within an SEM framework, and a latent analysis of growth curves was employ…

Does mindfulness-, acceptance-, and value-based intervention alleviate burnout? : A person-centered approach

This study investigated individual differences in changes in burnout symptoms during a brief mindfulness-, acceptance-, and value-based intervention. It also studied whether the changes in burnout were simultaneous with the changes in mindfulness skills. The role of practices and learning experiences in these changes were investigated. The participants were employees of various occupations (n = 105, 80% women, Mage = 48 years). Latent profile analysis was used to investigate the associations between burnout and mindfulness skills during the intervention and a 4-month follow-up period. Six distinct profiles were found that differed in levels and changes of both burnout and mindfulness skills…

In the shadow of COVID-19: A randomized controlled online ACT trial promoting adolescent psychological flexibility and self-compassion.

Background Although some adolescents managed to cope well with the challenges brought on by the COVID-19 pandemic, the well-being of many was adversely affected due to school closures, distance education, restrictions on gathering with friends, and limited access to mental health services. Many adolescents reported increased anxiety and depression as well as decreased psychological wellbeing due to the pandemic. Consequently, there is a need for psychological support that exceeds the strained resources available to schools to support young people during times of crisis and societal pressure. Objective The present study aimed to explore the effects of an online-delivered ACT intervention to …

Effectiveness of a web-based acceptance and commitment therapy program for adolescent career preparation : A randomized controlled trial

Acceptance and commitment therapy (ACT) programs have rarely been used as tools for promoting adolescents' career preparation. This randomized controlled trial examined the possibility to promote the career preparation of Finnish ninth-grade adolescents (n = 249, 49% females) with a web-based five-week ACT-based online intervention program. Participants were randomly assigned to three conditions, of which two groups received an iACT including support via SMS (iACTface: iACT+two face-to-face sessions; only iACT: iACT with no face-to-face sessions) and the third (control) group received no treatment. The results showed that career-related insecurity decreased as a result of the intervention i…

Support Systems for Poor Readers: Empirical Data From Six EU Member States

International audience; This study surveyed and compared support systems for poor readers in six member states of the European Union (EU). The goal was to identify features of effective support systems. A large-scale questionnaire survey was conducted among mainstream teachers (n = 4,210) and remedial teachers (n = 2,395). Results indicate that the six support systems differed substantially, with effective support systems showing high performance on all variables measured. More specifically, effective support systems were characterized by (a) high levels of both teacher and student support and (b) frequent interactions between teachers and remedial teachers as well as between remedial teach…

Mindfulness-, hyväksyntä- ja arvopohjaisen (MIHA) ohjelman vaikuttavuus työuupumusoireiden lievittäjänä : tutkimusyhteenveto Muupu-hankkeesta

Työuupumuksen lievittämiseksi on alettu maailmalla käyttää mindfulness-, hyväksyntä- ja arvopohjaisia (MIHA) -menetelmiä. Muupu-tutkimuksen tarkoituksena oli selvittää, voidaanko uudenlaisella, kahdeksanviikkoisella MIHA- ohjelmalla lievittää työuupumusoireita tehokkaasti. Ohjelma toteutettiin ryhmä- ja verkkointervention yhdistelmänä. Muupu-tutkimuksessa selvitettiin sekä ohjelman vaikuttavuutta että sen vaikutusmekanismeja. 218 tutkittavaa satunnaistettiin kahteen ryhmään: MIHA-interventioryhmään ja tavanomaista tukea (TAV) saavien ryhmään. Tutkimuksessa hyödynnettiin myös pilottiryhmän (n = 24) ja heidän vastinpariensa (n = 24) kyselyvastauksia. Noin 80 % tutkittavista oli naisia, ja yli…

Does a Mindfulness-, Acceptance-, and Value-Based Intervention for Burnout Have Long-Term Effects on Different Levels of Subjective Well-Being?

This study investigated whether beneficial intervention effects on burnout and mindfulness skills diffuse and facilitate the long-term development of different levels of subjective well-being: experiential (perceived stress), eudaimonic (psychological and social well-being), and evaluative (life satisfaction). Participants were Finnish employees with notable burnout (n = 105, 80% women). The study utilized individual profiles of burnout and mindfulness skills identified in a previous study (Kinnunen, Puolakanaho, Tolvanen, Mäkikangas, & Lappalainen, 2019). The profiles were based on levels and changes in burnout and mindfulness skills during an 8-week intervention and 4-month follow-up. In …

The Roles of Adherence and Usage Activity in Adolescents' Intervention Gains During Brief Guided Online Acceptance and Commitment Therapy.

OBJECTIVEThis study investigated the roles of adherence and usage activity in adolescents’ (n = 161) gains during a 5-week web intervention program based on acceptance and commitment therapy (ACT).METHODProgram adherence was calculated as adherence percentage in relation to intended usage, whereas completion percentage, usage time, and usage weeks were used as indicators for usage activity. Subjective well-being was measured by self-reported life satisfaction and stress before and after the intervention.RESULTSFirst, regression analysis results showed that higher adherence predicted an increase in life satisfaction during intervention. Second, three subgroups of adolescents were identified …

Temperament and symptoms of stress and depression among adolescents: The mediating role of psychological flexibility

Abstract Background Early appearing temperamental differences and the psychological flexibility skills of individuals are proposed factors influencing stress and depression among adolescents. We test the theoretical assumption that temperament may form a basis for facing the outer world, while the development of psychological flexibility being another such basis and a mediator in well-being outcomes. Methods Using data on 740 adolescents (Mage = 15.7 years, 57% female) assessed at the beginning and end of the final grade of basic education, structural equation modeling (SEM) with mediation analysis was conducted to examine the associations between the key temperament dimensions, changes in …

Modeling the Early Paths of Phonological Awareness and Factors Supporting its Development in Children With and Without Familial Risk of Dyslexia

The development of phonological awareness (PA) before school age was modeled in association with the development of vocabulary and letter knowledge, home literacy environment (HLE), children's reading interest, and beginning reading skill in children with and without familial risk of dyslexia. A total of 186 children were followed from birth to the age of 6.5 years. Of these children, about half had a familial background of reading difficulties (the at-risk group), and the other half came from families without such background (the control group). The data from several measures and assessment time points were analyzed within an SEM framework, and a latent analysis of growth curves was employ…

Reducing Stress and Enhancing Academic Buoyancy among Adolescents Using a Brief Web-based Program Based on Acceptance and Commitment Therapy : A Randomized Controlled Trial

Acceptance and commitment therapy programs have rarely been used as preventive tools for alleviating stress and enhancing coping skills among adolescents. This randomized controlled trial examined the efficacy of a novel Finnish web- and mobile-delivered five-week intervention program called Youth COMPASS among a general sample of ninth-grade adolescents (n= 249, 49% females). The intervention group showed a small but significant decrease in overall stress (between-group Cohen’s d = 0.22) and an increase in academic buoyancy (d= 0.27). Academic skills did not influence the intervention gains, but the intervention gains were largest among high-stressed participants. The results suggest that …

Burnout-related ill-being at work : Associations between mindfulness and acceptance skills, worksite factors, and experienced well-being in life

The aim of this paper was to investigate the associations between mindfulness and acceptance (MAA) skills and burnout-related ill-being at work (ILLB) after eliminating the impact of worksite (WS) and general well-being in life (WELLB) factors. The results were derived from data on employees (n = 168) of varying professional backgrounds, who experienced relatively high levels of burnout. Analyses were conducted using structural equation modelling (SEM) and the Cholesky decomposition method, since these allow for the investigation of multiple measures and multiple factors in relation to one another. In relation to ill-being at work, the analyses revealed a general MAA factor as well as a spe…

Newborn brain event-related potentials revealing atypical processing of sound frequency and the subsequent association with later literacy skills in children with familial dyslexia

The role played by an auditory-processing deficit in dyslexia has been debated for several decades. In a longitudinal study using brain event-related potentials (ERPs) we investigated 1) whether dyslexic children with familial risk background would show atypical pitch processing from birth and 2) how these newborn ERPs later relate to these same children's pre-reading cognitive skills and literacy outcomes. Auditory ERPs were measured at birth for tones varying in pitch and presented in an oddball paradigm (1100 Hz, 12%, and 1000 Hz, 88%). The brain responses of the typically reading control group children (TRC group, N=25) showed clear differentiation between the frequencies, while those o…

Early prediction of reading : phonological awareness and related language and cognitive skills in children with a familial risk for dyslexia

PsL Anne Puolakanaho selvitti väitöstutkimuksessaan, miten leikki-ikäisten 3 - 5-vuotiaiden lasten kielelliset ja kognitiiviset taidot ovat yhteydessä lukemisen virheettömyyteen ja sujuvuuteen kouluiässä. Puolakanaho tutki myös, missä määrin dysleksiaa eli sitkeää lukemisvaikeutta voidaan ennakoida lapsikohtaisesti, yksilöllisten riskitekijöiden perusteella jo huomattavasti ennen esikouluikää. Aiemmin lukutaitoa ennustavaa tutkimusta on tehty vanhemmilla lapsilla ja lähinnä kirjoitusjärjestelmältään epäsäännöllisessä englannin kielessä. - Myös kirjoitusjärjestelmältään säännönmukaisessa suomen kielessä leikki-ikäisten fonologis-kielelliset taidot kuten kyky tunnistaa puheesta tavuja ja äänt…

A psychological flexibility -based intervention for burnout : A randomized controlled trial

A novel eight-week program based on Acceptance and Commitment Therapy (ACT) principles was created to alleviate burnout-related ill-being and to enhance well-being. This randomized controlled trial investigated the effectiveness of the program and explored whether changes in psychological flexibility mediated the results of the intervention. The program consisted of structured weekly face-to-face group meetings and daily practices provided via a website. Employees from varying professional backgrounds with burnout (mean age = 47 years, 79% female), who all received usual treatment, 1 were randomized into control (TAU, n = 80, receiving no other support) and ACT + TAU intervention (n = 88, r…

A brief Acceptance and Commitment Therapy intervention for depression : A randomized controlled trial with 3-year follow-up for the intervention group

Abstract Objective This study examined the outcomes of a brief Acceptance and Commitment Therapy (ACT) intervention for depression delivered by novice therapists. Method Participants (N = 115) were randomized either to the brief (six sessions) ACT or to a waitlist control condition (WLC). Outcomes were assessed with diagnoses of depressive episodes (ICD-10) and questionnaires. Results After the 6-week intervention, diagnostic remission rates were 60% in the ACT and 22% in the control group. Further, 70% of the ACT participants were classified as either recovered or improved. The post-measurement between-group effect size for depression symptoms was large and favored the ACT group (BDI-II, d…

Nuorten KOMPASSI näyttää tietä, kun stressi käy liian kovaksi

Assessment of 3,5-year old's emerging phonological awareness in a computer-animation context

Very early phonological and language skills: estimating individual risk of reading disability

Background: Analyses from the JyvaskylaLongitudinal Study of Dyslexia project show that the key childhood predictors (phonological awareness, short-term memory, rapid naming, expressive vocabu- lary, pseudoword repetition, and letter naming) of dyslexia differentiate the group with reading disability (n ¼ 46) and the group without reading problems (n ¼ 152) at the end of the 2nd grade. These measures were employed at the ages of 3.5, 4.5 and 5.5 years and information regarding the familial risk of dyslexia was used to find the most sensitive indices of an individual child's risk for reading disabil- ity. Methods: Age-specific and across-age logistic regression models were constructed to pro…

Developmental pathways of children with and without familial risk for dyslexia during the first years of life.

Comparisons of the developmental pathways of the first 5 years of life for children with (N = 107) and without (N = 93) familial risk for dyslexia observed in the Jyvaskyla Longitudinal study of Dyslexia are reviewed. The earliest differences between groups were found at the ages of a few days and at 6 months in brain event-related potential responses to speech sounds and in head-turn responses (at 6 months), conditioned to reflect categorical perception of speech stimuli. The development of vocalization and motor behavior, based on parental report of the time of reaching significant milestones, or the growth of vocabulary (using the MacArthur Communicative Development Inventories) failed t…

Adolescents’ Stress and Depressive symptoms and Their Associations with Psychological Flexibility before Educational Transition

Introduction: Relatively little is known about individual differences in adolescent psychological flexibility and its associations with symptoms of stress and depression. This study examined different profiles of adolescent stress and depressive symptoms and their associations with developing psychological flexibility before the critical educational transition. Methods: The data were derived from a general sample of 740 Finnish ninth-grade adolescents (Mage = 15.7 years, 57% female) who were assessed twice during the final grade of their basic education. The data were analyzed using growth mixture modeling. Results: Four profiles of stress and depressive symptoms were identified during a sc…

Improvements in Mindfulness Facets Mediate the Alleviation of Burnout Dimensions

Abstract Objectives While interventions using mindfulness have been effective in treating burnout, the mechanisms of change need more research. This study investigated which of five mindfulness facets (observing, describing, acting with awareness, non-judging, and non-reacting) mediated the intervention effects on three burnout dimensions (exhaustion, cynicism, and reduced professional efficacy) during an 8-week mindfulness-, acceptance-, and value-based (MAV) intervention and a 10-month follow-up. Methods The participants were a heterogeneous sample of employees suffering from burnout (n = 202, 80% women, mean age = 47.5 years). Latent change score modeling was conducted for each combinati…

Usage activity, perceived usefulness, and satisfaction in a web-based acceptance and commitment therapy program among Finnish ninth-grade adolescents.

Understanding adolescent usage activity and experiences in web-based psychological intervention programs helps in developing universal programs that can be adopted for promotion of adolescent well-being and prevention of mental health problems. This study examined the usage activity, perceived usefulness (i.e., learning of mindfulness, acceptance and value-related skills), and program satisfaction of 157 Finnish ninth-grade adolescents, who participated in a school-based five-week universal acceptance and commitment therapy web intervention called Youth Compass. Individual and growth environment-related antecedents were measured before the five-week intervention, adolescents' usage activity…

Developmental links of very early phonological and language skills to second grade reading outcomes: strong to accuracy but only minor to fluency.

The authors examined second grade reading accuracy and fluency and their associations via letter knowledge to phonological and language predictors assessed at 3.5, 4.5, and 5.5 years in children in the Jyväskylä Longitudinal Study of Dyslexia. Structural equation modeling showed that a developmentally highly stable factor (early phonological and language processing [EPLP]) behind key dyslexia predictors (i.e., phonological awareness, short-term memory, rapid naming, vocabulary, and pseudoword repetition) could already be identified at 3.5 years. EPLP was significantly associated with reading and spelling accuracy and by age with letter knowledge. However, EPLP had only a minor link with re…

Infant brain responses associated with reading-related skills before school and at school age

Summary Introduction In Jyvaskyla Longitudinal Study of Dyslexia, we have investigated neurocognitive processes related to phonology and other risk factors of later reading problems. Here we review studies in which we have investigated whether dyslexic children with familial risk background would show atypical auditory/speech processing at birth, at six months and later before school and at school age as measured by brain event-related potentials (ERPs), and how infant ERPs are related to later pre-reading cognitive skills and literacy outcome. Patients and methods One half of the children came from families with at least one dyslexic parent (the at-risk group), while the other half belonge…

Digitaalisen Nuorten Kompassi plus -hyvinvointiohjelman soveltuvuus lukiolaisille

Psyykkinen hyvinvointi on kulmakivi, johon nuoren oppiminen nojaa; hyvinvointi vaikuttaa merkittävättä tavalla nuoren opintosuoriutumiseen ja työelämävalmiuksien omaksumiseen. Tämä on tiedostettu nykyisessä lainsäädännössä, joka velvoittaa oppilaitoksia vahvistamaan opiskelijoiden hyvinvointia. Tarvitaan tutkittuja, vaikuttavia, helposti saatavilla olevia menetelmiä, jotta voidaan laaja-alaisesti tukea nuorten hyvinvointia erilaisista ammatillisista viitekehyksistä käsin. Jyväskylän yliopiston psykologian laitoksella on kehitetty tähän haasteeseen vastaava Nuorten Kompassi plus -hyvinvointiohjelma, joka perustuu hyväksyntä- ja tietoisuustaitojen harjoitteluun sekä arvotyöskentelyyn. Se toim…

A guided online ACT intervention may increase psychological well-being and support school engagement in adolescents

Objective The aim of the present study was to investigate the extent to which initial levels and changes in ninth-grade adolescents' (n = 243) psychological well-being were associated with their school engagement after the transition to upper secondary education. In addition, we investigated whether a brief guided online acceptance and commitment therapy (ACT) intervention program delivered during ninth grade was associated with adolescents’ subsequent school engagement through changes in their psychological well-being. Method Latent growth modeling (LGM) was used to examine the levels of and changes in well-being during ninth grade. Next, school engagement (measured by school satisfaction …

Embedding Preschool Assessment Methods into Digital Learning Games to Predict Early Reading Skills

The aim of this pilot study was to explore the predictive accuracy of computer-based assessment tasks (embedded within the GraphoLearn digital learning game platform) in identifying slow and normal readers. The results were compared to those obtained from the traditional paper-and-pencil tasks currently used to assess school readiness in Finland. The data were derived from a cohort of preschool-age children (mean age 6.7 years, N = 57) from a town in central Finland. A year later, at the end of first grade, participants were categorized as either slow (n = 11) or normal readers (n = 46) based on their reading scores. Logistic regression analyses indicated that computer tasks were as efficie…

Effectiveness of a web-based acceptance and commitment therapy program for adolescent career preparation: A randomized controlled trial

Abstract Acceptance and commitment therapy (ACT) programs have rarely been used as tools for promoting adolescents' career preparation. This randomized controlled trial examined the possibility to promote the career preparation of Finnish ninth-grade adolescents (n = 249, 49% females) with a web-based five-week ACT-based online intervention program. Participants were randomly assigned to three conditions, of which two groups received an iACT including support via SMS (iACTface: iACT+two face-to-face sessions; only iACT: iACT with no face-to-face sessions) and the third (control) group received no treatment. The results showed that career-related insecurity decreased as a result of the inter…

Assessment of Three-and-a-Half-Year-Old Children's Emerging Phonological Awareness in a Computer Animation Context

Four computer-animated tasks were created to analyze the underlying structure of emerging phonological awareness at 3.5 years of age and to explore the factors that influence children's ( N = 91) performance on the tasks. Our findings indicated that already at this young age, children are able to master tasks demanding identification, blending, and continuation of phonological units when the tasks are presented in a motivating assessment context. In line with earlier research, children showed higher mastery in dealing with words and syllables than in dealing with phonemes. Targets in the initial position of a word were easier for children to identify than those in the final position. Our an…

The Youth Compass -the effectiveness of an online acceptance and commitment therapy program to promote adolescent mental health: A randomized controlled trial

Abstract Purpose Mental health problems affect 10-20% of adolescents worldwide. Prevention and early interventions for promoting adolescent mental health are therefore warranted. The aim of this randomized controlled trial was to examine the effects of a 5-week web-intervention (Youth COMPASS) based on the principles of Acceptance and Commitment Therapy on adolescents’ depressive symptoms, life satisfaction and psychological flexibility. Methods The sample comprised 243 adolescents at the age of 15-16 years (51%females) from 15 lower secondary schools. Participants were randomly assigned to three groups of which two groups received an ACT-based online-intervention including support via What…