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Acceptance and commitment therapy

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https://www.readbyqxmd.com/read/29327085/acceptance-and-commitment-therapy-for-symptom-interference-in-metastatic-breast-cancer-patients-a-pilot-randomized-trial
#1
Catherine E Mosher, Ekin Secinti, Ruohong Li, Adam T Hirsh, Jonathan Bricker, Kathy D Miller, Bryan Schneider, Anna Maria Storniolo, Lida Mina, Erin V Newton, Victoria L Champion, Shelley A Johns
PURPOSE: Breast cancer is the leading cause of cancer mortality in women worldwide. With medical advances, metastatic breast cancer (MBC) patients often live for years with many symptoms that interfere with activities. However, there is a paucity of efficacious interventions to address symptom-related suffering and functional interference. Thus, this study examined the feasibility and preliminary efficacy of telephone-based acceptance and commitment therapy (ACT) for symptom interference with functioning in MBC patients...
January 12, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29320375/psychological-flexibility-mediates-the-effect-of-an-online-based-acceptance-and-commitment-therapy-for-chronic-pain-an-investigation-of-change-processes
#2
Jiaxi Lin, Laura-Isabelle Klatt, Lance M McCracken, Harald Baumeister
One way to improve treatment effects of chronic pain is to identify and improve control over mechanisms of therapeutic change. One treatment approach that includes a specific proposed mechanism is acceptance and commitment therapy (ACT) with its focus on increasing psychological flexibility (PF). The aim of the present study was to examine the role of PF as a mechanism of change in ACT. This is based on mediation analyses of data from a previously reported randomized controlled trial, evaluating the effectiveness of an ACT-based online intervention for chronic pain (ACTonPain)...
December 15, 2017: Pain
https://www.readbyqxmd.com/read/29318421/strengthened-general-self-efficacy-with-multidisciplinary-vocational-rehabilitation-in-women-on-long-term-sick-leave-a-randomised-controlled-trial
#3
Åsa Andersén, Kjerstin Larsson, Per Lytsy, Erik Berglund, Per Kristiansson, Ingrid Anderzén
Purpose To investigate the effects of two vocational rehabilitation interventions on self-efficacy, for women on long-term sick leave ≥ 1 year due to chronic pain and/or mental illness. Methods This study uses data from a randomised controlled trial consisting of two phases and comprising 401 women on long-term sick leave. They were allocated to either (1) a multidisciplinary team assessment and multimodal intervention (TEAM), (2) acceptance and commitment therapy (ACT), or (3) control group. Data were collected through repeated measurements from self-reported questionnaires before intervention, 6 and 12 months later and registry data...
January 9, 2018: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/29287664/a-sequential-multiple-assignment-randomized-trial-for-cocaine-cessation-and-relapse-prevention-tailoring-treatment-to-the-individual
#4
Joy M Schmitz, Angela L Stotts, Anka Vujanovic, Michael Weaver, Jin Yoon, Jessica Vincent, Charles Green
Drug addiction is a chronic, devastating, but treatable disorder. A core principle of drug addiction treatment states that no single treatment is appropriate for everyone (NIDA, 2012); treatments need to adjust based on patient characteristics and response in order to be maximally effective. For cocaine use disorders (CUD), specifically, the most potent intervention currently available for initiating abstinence is behavior therapy using contingency management (CM) procedures, with early cessation being a robust predictor of future abstinence...
December 26, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29284992/determining-the-effectiveness-of-acceptance-and-commitment-therapy-act-on-life-expectancy-and-anxiety-among-bereaved-patients
#5
Tayebeh Malmir, Hedayat Jafari, Zahra Ramezanalzadeh, Jabbar Heydari
Introduction: Acceptance and commitment therapy tries to increase one's psychological acceptance regarding subjective experiences (thoughts, feelings, etc.,) and in turn, decrease ineffective control actions. Aim: The current study was conducted with the aim to investigate the effect of acceptance and commitment therapy (ACT) on the amount of life expectancy and anxiety among bereaved patients. Material and Methods: This research was a quasi-experimental study with pretest-post-test control group design...
December 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/29238651/management-of-treatment-resistant-panic-disorder
#6
REVIEW
Giampaolo Perna, Daniela Caldirola
Purpose of Review: Purpose of Review Management of treatment-resistant (TR) panic disorder (PD) is an unresolved issue. In this paper, we provide a brief summary of previous findings, an updated (2015-2017) systematic review of pharmacological/non-pharmacological studies, and our personal perspective on this topic. Recent Findings: Recent Findings We found a very limited number of recent findings. Quetiapine extended-release augmentation has not been found to be beneficial, in comparison to placebo, in non-responders to previously recommended pharmacotherapy...
2017: Current Treatment Options in Psychiatry
https://www.readbyqxmd.com/read/29237208/-acceptance-and-commitment-therapy-in-the-treatment-of-chronic-disease
#7
Katharina Kuba, Gregor Weißflog
Acceptance and Commitment Therapy (ACT) is an intervention representing a transdiagnostic and contextual approach that assumes that psychological suffering is caused by experiential avoidance. The primary intention of ACT is not to eliminate symptoms and to treat mental disorders. Instead, ACT aims to increase psychological flexibility, i. e. to broaden the repertoire of cognitions and behaviors when facing inner and outer aversive events or experiences. Psychological flexibility can be enhanced by working with the 6 core components of the ACT model...
December 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29236623/group-based-acceptance-and-commitment-therapy-act-for-older-veterans-findings-from-a-quality-improvement-project
#8
M Lindsey Jacobs, Katherine Luci, Lauren Hagemann
OBJECTIVES: The purpose of this project was to develop, implement, and evaluate a 12-session Acceptance and Commitment Therapy (ACT) for Older Veterans group protocol. METHODS: The Plan-Do-Study-Act (PDSA) quality improvement model was the foundational process for this project. Veterans age 55 years and older participated in an ACT for Older Veterans group in an outpatient geropsychology clinic at a Veterans Affairs Medical Center. Study methods included analysis of participant feedback gathered in a focus group, process measures (i...
October 27, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29235186/improving-quit-rates-of-web-delivered-interventions-for-smoking-cessation-full-scale-randomized-trial-of-webquit-org-versus-smokefree-gov
#9
Jonathan B Bricker, Kristin E Mull, Jennifer B McClure, Noreen L Watson, Jaimee L Heffner
BACKGROUND AND AIMS: Millions of people worldwide use websites to help them quit smoking, but effectiveness trials have an average 34% follow-up data retention rate and an average 9% quit rate. We compared the quit rates of a website using a new behavioral approach called Acceptance and Commitment Therapy (ACT; WebQuit.org) with the current standard of the National Cancer Institute's (NCI) Smokefree.gov website. DESIGN: A two-arm stratified double-blind individually randomized trial (n = 1319 for WebQuit; n = 1318 for Smokefree...
December 13, 2017: Addiction
https://www.readbyqxmd.com/read/29230381/exploring-process-variables-through-which-acceptance-based-behavioral-interventions-may-improve-weight-loss-maintenance
#10
J Lillis, J G Thomas, H M Niemeier, R R Wing
Objective: A previously published randomized trial with individuals reporting high internal disinhibition showed significant differences in post-treatment weight change favoring Acceptance-Based Behavioral Intervention (ABBI) when compared to standard behavioral treatment (SBT). This paper examines process variables that might contribute to the observed differences in weight change. Methods: Participants were 162 adults with overweight or obesity (mean BMI 37.6) randomly assigned to ABBI or SBT...
October 2017: Journal of Contextual Behavioral Science
https://www.readbyqxmd.com/read/29215566/multi-family-pediatric-pain-group-therapy-capturing-acceptance-and-cultivating-change
#11
Samantha E Huestis, Grace Kao, Ashley Dunn, Austin T Hilliard, Isabel A Yoon, Brenda Golianu, Rashmi P Bhandari
Behavioral health interventions for pediatric chronic pain include cognitive-behavioral (CBT), acceptance and commitment (ACT), and family-based therapies, though literature regarding multi-family therapy (MFT) is sparse. This investigation examined the utility and outcomes of the Courage to Act with Pain: Teens Identifying Values, Acceptance, and Treatment Effects (CAPTIVATE) program, which included all three modalities (CBT, ACT, MFT) for youth with chronic pain and their parents. Program utility, engagement, and satisfaction were evaluated via quantitative and qualitative feedback...
December 7, 2017: Children
https://www.readbyqxmd.com/read/29167034/body-awareness-training-in-the-treatment-of-wearing-off-related-anxiety-in-patients-with-parkinson-s-disease-results-from-a-pilot-randomized-controlled-trial
#12
Ires Ghielen, Erwin E H van Wegen, Sonja Rutten, Cees J T de Goede, Marieke Houniet-de Gier, Emma H Collette, Ingrid A L Burgers-Bots, Jos W R Twisk, Gert Kwakkel, Kees Vermunt, Bep van Vliet, Henk W Berendse, Odile A van den Heuvel
BACKGROUND: In Parkinson's disease (PD) patients, fluctuations in symptoms commonly occur after many years of dopamine replacement therapy. The so-called wearing-off phenomenon exists of both motor and non-motor symptoms, such as rigidity and anxiety. Current treatment options are limited and an integrated approach is needed to address the complex interactions between motor and non-motor symptoms. Since wearing-off is eventually inevitable, treatment needs to focus on coping, acceptance and self-efficacy...
December 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/29154558/pilot-evaluation-of-a-resilience-training-program-for-people-with-multiple-sclerosis
#13
Kenneth I Pakenham, Matthew Mawdsley, Felicity L Brown, Nicola W Burton
OBJECTIVE: To evaluate the feasibility and psychosocial outcomes of an Acceptance and Commitment Therapy (ACT)-based group resilience training program for people with multiple sclerosis (PwMS). Research Method/Design: The study used a pre-post group intervention design with 3-month follow-up. The intervention consisted of 8 group sessions of 2.5 hours each with 7 weekly sessions plus a booster Session 5 weeks later. Thirty-seven PwMS completed questionnaires. Primary psychosocial outcomes were resilience, quality of life (QoL), and distress...
November 20, 2017: Rehabilitation Psychology
https://www.readbyqxmd.com/read/29123661/the-psychology-of-chronic-post-surgical-pain-new-frontiers-in-risk-factor-identification-prevention-and-management
#14
Aliza Z Weinrib, Muhammad A Azam, Kathryn A Birnie, Lindsay C Burns, Hance Clarke, Joel Katz
In an era of considerable advances in anaesthesiology and pain medicine, chronic pain after major surgery continues to be problematic. This article briefly reviews the known psychological risk and protective factors associated with the development of chronic postsurgical pain (CPSP). We begin with a definition of CPSP and then explain what we mean by a risk/protective factor. Next, we summarize known psychological risk and protective factors for CPSP. Psychological interventions that target risk factors and may impact postsurgical pain are reviewed, including the acceptance and commitment therapy (ACT)-based approach to CPSP prevention and management we use in the Transitional Pain Service (TPS) at the Toronto General Hospital...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123464/pattern-separation-a-potential-marker-of-impaired-hippocampal-adult-neurogenesis-in-major-depressive-disorder
#15
Kellen Gandy, Sohye Kim, Carla Sharp, Lilian Dindo, Mirjana Maletic-Savatic, Chadi Calarge
Adult neurogenesis involves the generation of new neurons, particularly in the dentate gyrus of the hippocampus. Decreased hippocampal neurogenesis has been implicated in both animal models of depression and in patients with major depressive disorder (MDD), despite some inconsistency in the literature. Here, we build upon current models to generate a new testable hypothesis, linking impaired neurogenesis to downstream psychological outcomes commonly observed in MDD. We contend that disruption in adult neurogenesis impairs pattern separation, a hippocampus-dependent function requiring the careful discrimination and storage of highly similar, but not identical, sensory inputs...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29122652/how-can-we-best-reduce-pain-catastrophizing-in-adults-with-chronic-non-cancer-pain-a-systematic-review-and-meta-analysis
#16
REVIEW
Robert Schütze, Clare Rees, Anne Smith, Helen Slater, Jared M Campbell, Peter O'Sullivan
Pain catastrophizing (PC), defined as an exaggerated negative cognitive-affective orientation toward pain, is one of the strongest psychological predictors of pain outcomes. While regularly included as a process variable in clinical trials, there have been no comprehensive reviews of how it can be modified. Using a registered protocol (PROSPERO 2016 CRD42016042761), we searched MEDLINE, PsychINFO, EMBASE, CINAHL, and CENTRAL up to November 2016 for all randomized controlled trials measuring PC in adults with chronic non-cancer pain...
November 6, 2017: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29090593/development-of-a-storytelling-video-self-help-intervention-based-on-acceptance-and-commitment-therapy-for-major-depression-open-trial-results
#17
Brandon A Gaudiano, Carter H Davis, Ivan W Miller, Lisa A Uebelacker
This study involved the initial development and testing of a video self-help intervention called LifeStories, which features real patients describing their use of coping strategies for depression based on Acceptance and Commitment Therapy. We conducted a baseline-controlled open trial (AB design) of 11 individuals diagnosed with major depressive disorder. Participants reported high levels of satisfaction and transportation (i.e., engagement) after watching LifeStories. No significant changes were observed during the 4-week baseline period in terms of interviewer-rated depression severity (primary outcome), but a significant and large effect size improvement was observed at Week 8 postintervention...
October 1, 2017: Behavior Modification
https://www.readbyqxmd.com/read/29089145/the-empirical-status-of-the-third-wave-behaviour-therapies-for-the-treatment-of-eating-disorders-a-systematic-review
#18
REVIEW
Jake Linardon, Christopher G Fairburn, Ellen E Fitzsimmons-Craft, Denise E Wilfley, Leah Brennan
Although third-wave behaviour therapies are being increasingly used for the treatment of eating disorders, their efficacy is largely unknown. This systematic review and meta-analysis aimed to examine the empirical status of these therapies. Twenty-seven studies met full inclusion criteria. Only 13 randomized controlled trials (RCT) were identified, most on binge eating disorder (BED). Pooled within- (pre-post change) and between-groups effect sizes were calculated for the meta-analysis. Large pre-post symptom improvements were observed for all third-wave treatments, including dialectical behaviour therapy (DBT), schema therapy (ST), acceptance and commitment therapy (ACT), mindfulness-based interventions (MBI), and compassion-focused therapy (CFT)...
December 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/29082858/an-internet-based-intervention-for-chronic-pain
#19
Jiaxi Lin, Sarah Paganini, Lasse Sander, Marianne Lüking, David Daniel Ebert, Monica Buhrman, Gerhard Andersson, Harald Baumeister
BACKGROUND: Persons with chronic pain can be treated effectively with acceptance and commitment therapy (ACT). In this trial, we examined the effectiveness of guided and unguided ACT-based online treatment (ACTonPain) for chronic pain patients. METHODS: 302 individuals were randomly assigned to ACTonPain with or without guidance (n = 100/101) or to a waiting-list control group (n=101). The primary outcome was pain interference as measured by the Multidimensional Pain Inventory...
October 13, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29080598/acceptance-and-commitment-therapy-as-a-treatment-for-anxiety-and-depression-a-review
#20
REVIEW
Michael P Twohig, Michael E Levin
Acceptance and commitment therapy (ACT) is a modern form of cognitive behavioral therapy based on a distinct philosophy and basic science of cognition. This article reviews the core features of ACT's theoretic model of psychopathology and treatment and its therapeutic approach. It provides a systematic review of randomized controlled trials (RCTs) evaluating ACT for depression and anxiety disorders. Summarizing 36 RCTs, ACT appears to be more efficacious than waitlist conditions and treatment-as-usual, with largely equivalent effects relative to traditional cognitive behavioral therapy...
December 2017: Psychiatric Clinics of North America
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