The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.
Using Brief Cognitive Restructuring and Cognitive Defusion Techniques to Cope With Negative Thoughts
Open accessAbstract
Negative thoughts, experienced by 80% to 99% of the non-clinical population, have been linked to the development of psychopathology. The current study aimed to compare a cognitive restructuring and cognitive defusion technique for coping with a personally relevant negative thought. Over a 5-day period, participants used either a restructuring, defusion, or control strategy to manage a negative thought. Pre- and post-intervention participants reported (a) believability of the thought, (b) discomfort associated with the thought, (c) negativity associated with the thought, and (d) willingness to experience the thought. Daily online questionnaires assessing the total frequency of negative thought intrusions and their level of willingness to experience the negative thought were also used. Also, 10 positive and negative self-statements were rated on the same scales, and self-report measures of mood and psychological flexibility were completed. Findings indicated that defusion lowered believability, increased comfort and willingness to have the target thought, and increased positive affect significantly more than the control and cognitive restructuring. Within groups, cognitive restructuring also made significant gains in target thought discomfort, negativity, and “willingness to have” in the same direction as defusion but the no-instruction control did not. Negative thought frequency was reduced in the defusion group, maintained in the restructuring group, and increased in the no-instruction control group. Similar trends emerged from the secondary outcome measures, that is, the effects of the strategies on the positive and negative self-statements. The current findings support the efficacy of using defusion as a strategy for managing negative thoughts.
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“Some studies have found defusion to be significantly more effective for managing negative thoughts as well as for reducing acting on food cravings (Larsson et al., 2015; Moffitt et al., 2012).”
From Effects of Cognitive Restructuring and Defusion for Coping with Difficult Thoughts in a Predominantly White Female College Student Sample (2022) · cites this paper as Larsson et al., 2015
In the citing paper
“however even one process alone has been shown to improve depression (Larsson, Hooper, Osborne, Bennett, & McHugh, 2016).”
From A randomised controlled trial of brief web-based acceptance and commitment Therapy on the general mental health, depression, anxiety and stress of college Students (2022) · cites this paper as Larsson, Hooper, Osborne, Bennett, & McHugh, 2016
In the citing paper
“This resulted in large reductions in the believability of, and distress associated with, self-critical thoughts (d = 0.87–1.35).”
From Decentering as a core component in the psychological treatment and prevention of youth anxiety and depression: a narrative review and insight report (2021) · cites this paper as [102]
In the citing paper
“while core techniques such as cognitive defusion can be highly effective for some individuals [19,21,27]”
From A Virtual Reality–Based Cognitive Defusion Application for Youth Depression and Anxiety: Mixed Methods Experimental Study. (2025) · cites this paper as [19]
In the citing paper
“cognitive defusion, a core technique within ACT [19-21], aims to help individuals separate themselves or “defuse” from distressing thoughts and emotions, often using experiential and conceptual techniques such as metaphors and visualization.”
From A Virtual Reality–Based Cognitive Defusion Application for Youth Depression and Anxiety: Mixed Methods Experimental Study. (2025) · cites this paper as [19]
In the citing paper
“Cognitive defusion and related third-wave CBT techniques typically encourage individuals to sit with uncomfortable thoughts and view them as separate to the self [19-21].”
From A Virtual Reality–Based Cognitive Defusion Application for Youth Depression and Anxiety: Mixed Methods Experimental Study. (2025) · cites this paper as [19]
Citations
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,603
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2022) · doi:10.1176/appi.books.9780890425787 · Cited by 23,476
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587
(1999) · Cited by 5,934
What's wrong with Bonferroni adjustments
Perneger, T. V. (1998) · BMJ · doi:10.1136/bmj.316.7139.1236 · Cited by 5,900
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.03.007 · Cited by 3,950 · cited 5×
“The AAQ-II has been demonstrated to have good construct validity (Bond et al., 2011).”
InfluentialCognitive Therapy in Depression
Kovács, M. (1980) · Journal of the American Academy of Psychoanalysis · doi:10.1521/jaap.1.1980.8.1.127 · Cited by 3,422 · cited 5×
“Within CBT, techniques designed to address negative or faulty thinking are referred to as cognitive restructuring (e.g. Beck, 1979; Beck & Beck, 2011).”
InfluentialThe empirical status of cognitive-behavioral therapy: A review of meta-analyses
Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.07.003 · Cited by 3,215
Crawford, J. R., & Henry, J. D. (2004) · British Journal of Clinical Psychology · doi:10.1348/0144665031752934 · Cited by 2,957 · cited 4×
“This is the point to the “willingness” scale used in the present study and not used by Deacon et al. (2011). Defusion involves creating a context where thoughts are seen as just thoughts, not to be reacted to as if literally true (Hayes et al.”
InfluentialMeasuring experiential avoidance: A preliminary test of a working model
Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., Polusny, M. A., Dykstra, T. A., Batten, S. V., Bergan, J., et al. (2004) · The Psychological Record · doi:10.1007/bf03395492 · Cited by 2,140
Research works printed but not linked: 4
- Beck A. T., 1979, Cognitive therapy for depression
- Beck A. T., 1996, Beck depression inventory manual
- Ruiz F. J., 2010, International Journal of Psychology and Psychological Therapy, 10, 125
- 10.1037/0022-3514.53.1.5 · DOI · Paper page
Cited by
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Chang, M., Zhao, X., Zeng, Z., Wang, H., He, Z., & Hu, Y. (2025) · Current Psychology · doi:10.1007/s12144-025-08290-0
Fiedler, R., Geber, J., & Kellmann, M. (2025) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2024-0018
Büyüköksüz, E., & Erözkan, A. (2025) · International Journal of Cognitive Behavioral Therapy · doi:10.1007/s41811-025-00267-y
“Rather than challenging the content of negative thoughts directly, ACT teaches individuals to change their relationship to these thoughts through processes such as acceptance, mindfulness, and cognitive defu-sion (Emirza & Bilgili, 2024; Larsson et al., 2015).”
KOÇAK, G. N., & İŞCEN, M. D. (2026) · SAGE Open · doi:10.1177/21582440251410625
“As a coping strategy, CR is a therapeutic skill that helps individuals reconstruct their cognition of the situation and subsequent behaviors and emotions in a more positive direction (Larsson et al., 2016).”
Hearing what we would like to hear: The prima facie view of indirect self‐talk
Rivadulla-Duró, A. (2026) · Mind & Language · doi:10.1111/mila.70020
Oppo, A., Pasquini, L., Misitano, A., Savoia, A., & Presti, G. (2026) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2026.100999
Enhancing Public Response to Meteorological Disaster Warnings: A Perspective from the IDEA Model
Chen, A., Liu, J., Zhu, Z. G., & Hu, J. (2026) · International Journal of Disaster Risk Science · doi:10.1007/s13753-026-00724-y
Honawon, N. P., Okuneye, R. O., A, L. O., & Oyewumi, I. A. (2026) · Journal of the Nigeria Association of Sports Science and Medicine · doi:10.66986/jnassm.2026.1901.40-j
From Alliance to Nexus: Rethinking Digital Therapeutic Relationships
Cadena, D. B., Walther, J. U., & Brünahl, C. A. (2026) · JMIR Mental Health · doi:10.2196/89378 · Cited by 1
“Whether through cognitive restructuring in CBT [35], interpretation in psychodynamic therapy [36], or experiential confrontation in other modalities [37-39], clinicians question clients’ beliefs and maladaptive behaviors in a measured manner.”
Hill, S., Caffyn, K., & Scott, S. (2026) · Clinical Case Reports · doi:10.1002/ccr3.73293
“To disrupt these cycles, cognitive defusion (adapted for standard CBT; [30]) was introduced between sessions 7–10 and practiced in various out- of-session situations throughout the remainder of treatment.”
Mustafa, Q. M., Othman, A., & Yaacob, N. M. (2026) · Malaysian Journal of Medicine and Health Sciences · doi:10.47836/mjmhs.22.s2.5
Krishnan, S., Cobb, I. D., Harsh, J. A., Mejia, M., & Corwin, L. A. (2026) · Science Education · doi:10.1002/sce.70097
Rehman, M. M. U., Sabri, T., & Asad, S. (2026) · Journal of Professional & Applied Psychology · doi:10.52053/jpap.v7i2.516
“In the ACT model, the thoughts are not tested for truthfulness, but are defused as passing mental events (Assaz et al., 2018; Larsson et al., 2015).”
Li, Z., Zheng, Z., Zhang, S., Yue, X., Zhang, Z., Zhu, J., & Hu, B. (2026) · Information Processing & Management · doi:10.1016/j.ipm.2026.105230
Akiyoshi, T., Sumioka, H., Kumazaki, H., Nakanishi, J., Kato, H., & Shiomi, M. (2026) · ACM Transactions on Human-Robot Interaction · doi:10.1145/3857348
“Through this process, patients are expected to deepen their understanding of their thought patterns and improve their stress-coping skills [17 – 19].”
Metadata
- Authors
- Larsson, A., Hooper, N., Osborne, L. A., Bennett, P., & McHugh, L.
- Affiliations
- Karolinska Institutet (SE)
- University of the West of England (GB)
- Abertawe Bro Morgannwg University Health Board, UK
- Swansea University (GB)
- University College Dublin (IE)
- Corresponding author
- Larsson, Andreas
- Venue
- Behavior Modification
- Publisher
- SAGE Publications
- Published
- 2015-12-18
- Volume
- 40
- Issue
- 3
- Pages
- 452-482
- ISSN
- 0145-4455 (ISSN-L)
- 1552-4167
- OpenAlex
- W2240594527
- Cited by
- 120
- References
- 47
- Citations by year
- 2026: 15 · 2025: 30 · 2024: 16 · 2023: 9 · 2022: 8 · 2021: 13 · 2020: 9 · 2019: 7 · 2018: 10 · 2017: 1 · 2016: 2
- FWCI
- 5.37
- Type
- journal article
- Language
- en
- Open access
- green
- eprints.uwe.ac.uk
- Locations
- Behavior Modification (publishedVersion)
- PubMed (publishedVersion)
- UWE Research Repository (UWE Bristol) (submittedVersion, cc-by)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Funders
- Health and Care Research Wales (SCS/09/08)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive restructuring, cognitive defusion, negative thinking, coping strategies, psychological flexibility, self-statements, positive affect, acceptance and commitment therapy
- MeSH terms
- Pessimism, Adaptation, Psychological, Adult, Aged, Mental Disorders, Cognition, Emotions, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Surveys and Questionnaires, Self Concept, Thinking, Cognitive Behavioral Therapy
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