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Sexual Addiction & Compulsivity
The Journal of Treatment & Prevention
Volume 24, 2017 - Issue 4
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Articles

Experiential Avoidance as a Mediator of the Relationship between Dispositional Mindfulness and Compulsive Sexual Behaviors among Men in Residential Substance Use Treatment

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Pages 257-269 | Received 27 Apr 2017, Accepted 05 Aug 2017, Published online: 29 Dec 2017

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, D.C: Author.
  • Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). The alcohol use disorders identification test: Guideline for use in primary care (2nd ed.). Geneva: World Health Organization.
  • Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. doi: 10.1093/clipsy.bpg015
  • Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: The Kentucky inventory of mindfulness skills. Assessment, 11, 191–206.
  • Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.
  • Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., … Williams, J. M. G. (2008). Construct validity of the Five Facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. https://doi.org/10.1177/1073191107313003
  • Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., & Carmody, J., … Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. doi: 10.1093/clipsy.bph077
  • Bond, F. W., & Bunce, D. (2000). Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of Occupational Health Psychology, 5, 156–163.
  • Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., … 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, 676–688.
  • Brem, M. J., Shorey, R. C., Anderson, S., & Stuart, G. L. (in press-a). Depression, anxiety, and compulsive sexual behaviour among men in residential treatment for substance use disorders: The role of experiential avoidance. Journal of Clinical Psychology and Psychotherapy. doi: 10.1002/cpp.2085
  • Brem, M. J., Shorey, R. C., Anderson, S., & Stuart, G. L. (in press-b). Dispositional mindfulness, shame, and compulsive sexual behaviors among men in residential treatment for substance use disorders. Mindfulness. Accessed online ahead of print at https://doi.org/10.1007/s12671-017-0723-0
  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.
  • Carnes, P. (1989). Contrary to love. Minneapolis, MN: CompCare Publishers.
  • Carnes, P. (1991). Don't call it love. New York, NY: Bantam Books.
  • Carnes, P. (2001). Out of the shadows: Understanding sexual addiction. Center City, MN: Hazelden Publishing.
  • Carnes, P., Green, B., & Carnes, S. (2010). The same yet different: Refocusing the Sexual Addiction Screening Test (SAST) to reflect orientation and gender, sexual addiction and compulsivity. The Journal of Treatment and Prevention, 17(1), 7–30.
  • Chiesa, A., & Serretti, A. (2014). Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Substance Use and Misuse, 49(5), 492–512.
  • Coffey, K. A., Hartman, M., & Fredrickson, B. L. (2010). Deconstructing mindfulness and constructing mental health: Understanding mindfulness and its mechanisms of action. Mindfulness, 1, 234–253.
  • Coleman, E., Miner, M., Ohlerking, F., & Raymond, N. (2001). Compulsive Sexual Behavior Inventory: A preliminary study of reliability and validity. Journal of Sex and Marital Therapy, 27, 325–332.
  • Dakwar, E., Mariani, J. P., & Levin, F. R. (2011). Mindfulness impairments in individuals seeking treatment for substance use disorders. The American Journal of Drug and Alcohol Abuse, 37(3), 165–169.
  • Deneke, E., Knepper, C., Green, B. A., & Carnes, P. J. (2015). Comparative study of three levels of care in a substance use disorder inpatient facility on risk for sexual addiction. Sexual Addiction and Compulsivity, 22(2), 109–125.
  • Flaxman, P. E., & Bond, F. W. (2010). A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training. Behaviour Research and Therapy, 48(8), 816–820.
  • Garcia, F. D., & Thibaut, F. (2010). Sexual addictions. The American Journal of Drug and Alcohol Abuse, 36(5), 254–260. https://doi.org/10.3109/00952990.2010.503823
  • Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Antonuccio, D. O., Piasecki, M. M., Rasmussen-Hall, M. L., & Palm, K. M. (2004). Acceptance-based treatment for smoking cessation. Behavior Therapy, 35, 689–705.
  • Gratz, K. L., Bornovalova, M. A., Delany-Brumsey, A., Nick, B., & Lejuez, C. W. (2007). A laboratory-based study of the relationship between childhood abuse and experiential avoidance among inner-city substance users: The role of emotional nonacceptance. Behavior Therapy, 38(3), 256–268.
  • Hall, P. (2011). A biopsychosocial view of sex addiction. Sexual and Relationship Therapy, 26(3), 217–228.
  • Hall, P. (2014). Sex addiction– An extraordinarily contentious problem. Sexual and Relationship Therapy, 29(1), 68–75. doi: 10.1080/14681994.2013.861898
  • Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. Retrieved from http://www.afhayes.com/public/process2012.pdf
  • Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11(3), 255–262. doi: 10.1093/clipsy.bph080
  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and Commitment Therapy: The process and practice of mindful change. New York, NY: The Guilford Press.
  • Hayes, S. C., Wilson, K. W., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Emotional avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.
  • Kabat-Zinn, J. (1990). Full catastrophe living: The program of the Stress Reduction Clinic at the University of Massachusetts Medical Center. New York, NY: Delta.
  • Kafka, M. P. (2010). Hypersexual disorder: A proposed diagnosis for DSM-V. Archives of Sexual Behavior, 39, 377–400.
  • Keng, S., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041–1056.
  • Kraus, S. W., Voon, V., & Potenza, M. N. (2016). Should compulsive sexual behavior be considered an addiction? Addiction, 111, 2097–2106.
  • Kumar, S., Feldman, G., & Hayes, A. (2008). Changes in mindfulness and emotion regulation in an exposure-based cognitive therapy for depression. Cognitive Therapy Research, 32, 734–744.
  • Levin, M. E., Lillis, J., & Hayes, S. C. (2012). When is online pornography viewing problematic among college males? Examining the moderating role of experiential avoidance. Sexual Addiction and Compulsivity, 19, 168–180.
  • Levin, M. E., MacLane, C., Daflos, S., Pistorello, J., Hayes, S. C., Seeley, J., & Biglan, A. (2014). Examining psychological inflexibility as a transdiagnostic process across psychological disorders. Journal of Contextual Behavioral Science, 3, 155–163.
  • Luoma, J. B., Kohlenberg, B. S., Hayes, S. C., & Fletcher, L. (2012). Slow and steady wins the race: A randomized clinical trial of acceptance and commitment therapy targeting shame in substance use disorders. Journal of Consulting and Clinical Psychology, 80, 43–53.
  • Phillips, B., Hajela, R., & Hilton, D. L. (2015). Sex addiction as a disease: Evidence for assessment, diagnosis, and response to critics. Sexual Addiction and Compulsivity, 22(2), 167–192. https://doi.org/10.1080/10720162.2015.1036184
  • Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments and Computers, 36, 717–731.
  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.
  • Reid, R. C. (2010). Differentiating emotions in a sample of men in treatment for hypersexual behavior. Journal of Social Work Practice in the Addictions, 10(2), 197–213. https://doi.org/10.1080/15332561003769369
  • Reid, R. C., Bramen, J. E., Anderson, A., & Cohen, M. S. (2014). Mindfulness, emotion dysregulation, impulsivity, and stress proneness among hypersexual patients. Journal of Clinical Psychology, 70(4), 313–321.
  • Reid, R. C., Harper, J. M., & Anderson, E. H. (2009). Coping strategies used by hypersexual patients to defend against the painful effects of shame. Clinical Psychology & Psychotherapy, 16, 125–138.
  • Riley, B. (2014). Experiential avoidance mediates the association between thought suppression and mindfulness with problem gambling. Journal of Gambling Studies, 30(1), 613–171.
  • Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with Harmful Alcohol Consumption–II. Addiction, 88, 791–804.
  • Schneider, J. P., & Irons, R. R. (2001). Assessment and treatment of addictive sexual disorders: Relevance for chemical dependency relapse. Substance Use & Misuse, 36(13), 1795–1820. https://doi.org/10.1081/JA-100108428
  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York, NY: Guilford Press.
  • Shorey, R. C., Elmquist, J., Gawrysiak, M. J., Anderson, S., & Stuart, G. L. (2016). The relationship between mindfulness and compulsive sexual behavior in a sample of men in treatment for substance use disorders. Mindfulness, 7, 866–873.
  • Stavro, K., Rizkallah, E., Dinh-Williams, L., Chiasson, J. P., & Potvin, S. (2013). Hypersexuality among a substance use disorder population. Sexual Addiction & Compulsivity, 20(3), 210–216.
  • Stuart, G. L., Moore, T. M., Kahler, C. W., & Ramsey, S. E. (2003a). Substance abuse and relationship violence among men court-referred to batterers' intervention programs. Substance Abuse, 24(2), 107–122.
  • Stuart, G. L., Moore, T. M., Ramsey, S. E., & Kahler, C. W. (2003b). Relationship aggression and substance use among women court-referred to domestic violence intervention programs. Addictive Behaviors, 28(9), 1603–1610.
  • Wetterneck, C. T., Burgess, A. J., Short, M. B., Smith, A. H., & Cervantes, M. E. (2012). The role of sexual compulsivity, impulsivity, and experiential avoidance in internet pornography use. The Psychological Record, 62, 3–18.

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