The Effects of Acceptance and Commitment Therapy (ACT) Intervention on Inflammation and Stress Biomarkers: a Randomized Controlled Trial.

BACKGROUND: Psychological processes can be manifested in physiological health. We investigated whether acceptance and commitment therapy (ACT), targeted on psychological flexibility (PF), influences inflammation and stress biomarkers among working-age adults with psychological distress and overweight/obesity. METHOD: Participants were randomized into three parallel groups: (1) ACT-based face-to-face (n = 65; six group sessions led by a psychologist), (2) ACT-based mobile (n = 73; one group session and mobile app), and (3) control (n = 66; only the measurements). Systemic inflammation and stress markers were analyzed at baseline, at 10 weeks after the baseline (post-intervention), and at 36 weeks after the baseline (follow-up). General PF and weight-related PF were measured with questionnaires (Acceptance and Action Questionnaire, Acceptance and Action Questionnaire for Weight-Related Difficulties). RESULTS: A group × time interaction (p = .012) was detected in the high-sensitivity C-reactive protein (hsCRP) level but not in other inflammation and stress biomarkers. hsCRP decreased significantly in the face-to-face group from week 0 to week 36, and at week 36, hsCRP was lower among the participants in the face-to-face group than in the mobile group (p = .035, post hoc test). Age and sex were stronger predictors of biomarker levels at follow-up than the post-intervention PF. CONCLUSION: The results suggest that ACT delivered in group sessions may exert beneficial effects on low-grade systemic inflammation. More research is needed on how to best apply psychological interventions for the health of both mind and body among people with overweight/obesity and psychological distress. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01738256, Registered 17 August, 2012.

Nonlinear transfer of elements from soil to plants: impact on radioecological modeling.

In radioecology, transfer of radionuclides from soil to plants is typically described by a concentration ratio (CR), which assumes linearity of transfer with soil concentration. Nonlinear uptake is evidenced in many studies, but it is unclear how it should be taken into account in radioecological modeling. In this study, a conventional CR-based linear model, a nonlinear model derived from observed uptake into plants, and a new simple model based on the observation that nonlinear uptake leads to a practically constant concentration in plant tissues are compared. The three models were used to predict transfer of (234)U, (59)Ni and (210)Pb into spruce needles. The predictions of the nonlinear and the new model were essentially similar. In contrast, plant radionuclide concentration was underestimated by the linear model when the total element concentration in soil was relatively low, but within the range commonly observed in nature. It is concluded that the linear modeling could easily be replaced by a new approach that more realistically reflects the true processes involved in the uptake of elements into plants. The new modeling approach does not increase the complexity of modeling in comparison with CR-based linear models, and data needed for model parameters (element concentrations) are widely available.