Evidence map›Paper›PMID 42267157›Full record

ArticleFrontiers in psychiatry2026

Beyond surface acting: a mixed-methods investigation of an ACT-based intervention for promoting psychological flexibility and regulatory shift in hotel frontline emotional labor.

Minnicha Yarosake, Juthamas Haenjohn, Warakorn Supwirapakorn

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Minnicha YarosakeBrain, Mind and Learning Program, Department of Research and Applied Psychology, Faculty of Education, Burapha University, Chonburi, Thailand.
Juthamas HaenjohnDepartment of Research and Applied Psychology, Faculty of Education, Burapha University, Chonburi, Thailand.
Warakorn SupwirapakornDepartment of Research and Applied Psychology, Faculty of Education, Burapha University, Chonburi, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Frontline hotel employees in Thailand's Eastern Economic Corridor (EEC) routinely suppress authentic emotions to meet organizational display rules-a process known as surface acting-associated with burnout, emotional exhaustion, and diminished well-being. Acceptance and Commitment Therapy (ACT), adapted within a collectivist, Buddhist-informed cultural framework, offers a theoretically grounded pathway for facilitating regulatory shift from surface to deep acting through enhanced psychological flexibility and emotional acceptance. Empirical evidence for ACT-based interventions specifically targeting emotional labor in hospitality contexts remains limited. Methods: A sequential mixed-methods design was employed across two phases. Phase 1 involved semi-structured interviews with 24 frontline hotel employees to explore emotional labor experiences and inform intervention development. Phase 2 evaluated the ACT-EL intervention-the MINNICHA Model, an 8-session culturally adapted ACT program integrating compassion-based approaches-using a quasi-experimental pre-post design with a non-equivalent control group (n = 30 per condition). Outcomes included the Emotional Labor Scale (ELS), Acceptance and Action Questionnaire-II (AAQ-II), Self-Compassion Scale (SCS), and an Emotional Go/No-Go task. Between-group differences were assessed via MANCOVA controlling for baseline scores. Results: Phase 1 identified four themes: pervasive emotional dissonance and regulatory burden (83% routinely suppressing authentic emotions), culturally amplified display rule demands rooted in Kreng Jai, occupational dignity threats precipitating regulatory collapse, and a critical training gap in which behavioral skills were taught without psychological regulatory resources. Phase 2 showed significant post-intervention improvements in the experimental group across all outcomes. Between-group effects included greater deep acting (d = 0.741), lower surface acting (d = -0.562), improved psychological flexibility (d = 0.810), faster emotional response efficiency (d = -1.607), and higher self-compassion (d = 0.778). The control group showed no significant within-group changes (all p >.05). MANCOVA confirmed significant multivariate between-group differences (Wilks' Λ = .42, p <.001, partial η² = .58). Conclusions: The ACT-EL program produced large, significant improvements across cognitive, affective, and behavioral outcomes. Emotional acceptance is proposed as a central mechanism facilitating regulatory shift from surface to deep acting. Buddhist-aligned cultural adaptation with ACT's core processes offers a replicable model for diverse service workforce contexts. Future randomized trials with active controls, long-term follow-up, and mediation analyses are needed.

Indexed as

acceptance and commitment therapydeep actingemotional acceptanceemotional laborfrontline hotel employeesmixed-methodspsychological flexibilitysurface acting

Identifiers

PMID42267157
PMCPMC13243413

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.