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September 10, 2026Cognitive Therapy and ResearchOpen Access

Exploring Sequencing Effects of Cognitive Techniques: An Experimental Investigation of Cognitive Restructuring and Detached Mindfulness

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Authors

IRIda Grøn RoepstorffEPE. PoulsenJAJoanna J. Arch

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Overview

Experimental study demonstrates superior worry reduction when cognitive restructuring precedes detached mindfulness in adults, suggesting intervention order alters therapeutic efficacy.

Key Points

  • To investigate whether the sequence in which cognitive restructuring and detached mindfulness are administered alters their therapeutic efficacy in reducing state anxiety and worry.
  • Conducted two experiments in a community sample (N=188) subjected to either a speech challenge (Experiment A) or a worry manipulation (Experiment B).
  • Introduced participants to cognitive restructuring (CR) and detached mindfulness (DM) in a counterbalanced order across conditions.
  • Assessed primary outcomes of state anxiety and worry using multilevel models to measure standalone and sequencing effects.
  • Delivered individually as initial techniques, cognitive restructuring and detached mindfulness produced similar reductions across both outcome measures.
  • A statistically significant sequencing effect emerged in Experiment B when delivered second (t(93.0) = 2.0, p = .048, d = 0.42), indicating that CR followed by DM produced greater worry reduction than DM followed by CR.
  • Sequencing effects could not be evaluated in Experiment A due to the absence of a manipulation effect during the second speech task.

Cite This Study

Roepstorff et al. (2026) studied this question.

synapsesocial.com/papers/6aa27b0c58559d80afc741a0https://doi.org/10.1007/s10608-026-10777-4
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