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Acceptance and commitment therapy

Kenneth Fung, Johanna Lake, Lee Steel, Kelly Bryce, Yona Lunsky
Few studies have examined interventions or therapeutic processes that may help parents of children with Autism Spectrum Disorder (ASD) manage their stress. This study examines the impact of a brief Acceptance and Commitment Therapy (ACT) group intervention, led by parents, among a cohort of 33 mothers of children with ASD. Changes in ACT process measures (psychological flexibility, cognitive fusion, values) were evaluated at pre, post, and 3 months following the intervention. Mothers reported significant improvement post-intervention in psychological flexibility, cognitive fusion, and value-consistent activities in multiple life domains, including parenting, relationships, and self-care...
March 15, 2018: Journal of Autism and Developmental Disorders
Gitanjali Narayanan, Shaima Naaz
Recent research points to a shift from categorical diagnoses to a dimensional understanding of psychopathology and mental health disorders. In parallel, there has been a rise in newer psychosocial treatment modalities, which are inherently transdiagnostic. Transdiagnostic approaches are those that identify core vulnerabilities and apply universal principles to therapeutic treatment. As treatment of substance use disorders (SUD) must invariably accommodate such vulnerabilities, clinicians are finding such interventions useful...
February 2018: Indian Journal of Psychiatry
Marlysa B Sullivan, Matt Erb, Laura Schmalzl, Steffany Moonaz, Jessica Noggle Taylor, Stephen W Porges
Yoga therapy is a newly emerging, self-regulating complementary and integrative healthcare (CIH) practice. It is growing in its professionalization, recognition and utilization with a demonstrated commitment to setting practice standards, educational and accreditation standards, and promoting research to support its efficacy for various populations and conditions. However, heterogeneity of practice, poor reporting standards, and lack of a broadly accepted understanding of the neurophysiological mechanisms involved in yoga therapy limits the structuring of testable hypotheses and clinical applications...
2018: Frontiers in Human Neuroscience
Mostafa Heydari, Saideh Masafi, Mehdi Jafari, Seyed Hassan Saadat, Shima Shahyad
AIM: Considering the key role of human resources as the main operator of organisations, the present research aimed to determine the effectiveness of acceptance and commitment therapy for anxiety and depression of Razi Psychiatric Center staff. MATERIALS AND METHODS: This research follows a quasi-experimental type with pre-test, post-test plans, and control group. Accordingly, 30 people were selected through volunteered sampling among Razi Psychiatric Center staff...
February 15, 2018: Open Access Macedonian Journal of Medical Sciences
Christopher J Udell, Julie L Ruddy, Philip M Procento
Introduction: US Navy recruits who have injuries preventing them from participating in intense physical conditioning are pulled out of boot camp training and receive treatment that includes daily physical therapy, pain medications, and psychoeducational groups. Graduation from boot camp for these recruits requires not only recovering from their injuries but also passing a required Physical Fitness Assessment consisting of a timed 1.5-mile run, curl-ups, and push-ups. About 50-60% of these recruits will eventually be separated out and sent home...
March 6, 2018: Military Medicine
Kate Bramwell, Thomas Richardson
Acceptance and commitment therapy (ACT) has been found to be effective for various mental health disorders but the processes through which it affects change remain unclear. Much process research in the area is on physical rather than mental health, and focuses on the broad concept of psychological flexibility with little research on specific mechanisms identified in theory such as fusion and values. This study explored whether there was a relationship between two of the main ACT processes (cognitive defusion and values) and levels of depression and distress...
2018: Journal of Contemporary Psychotherapy
Anne Lovise Nordstoga, Paul Jarle Mork, Marius Steiro Fimland
Background: Various occupational inpatient rehabilitation programs are established in Norway. This study aimed to assess change in cardiorespiratory fitness, pain, anxiety, depression, and quality of life in persons on long-term sick leave due to musculoskeletal-, mental or unspecific disorders after participation in multicomponent inpatient occupational rehabilitation. Methods: Twenty-five women and five men (mean age 45.2 years, SD 6.7, range 30-57) volunteered to participate in the study...
2018: Annals of Occupational and Environmental Medicine
Kenneth I Pakenham, Theresa Scott, Michele Messmer Uccelli
Background: Acceptance and commitment therapy (ACT) is the most widely used and researched recent variant of cognitive behavioral therapy and has been shown to increase quality of life in people with chronic illnesses, including multiple sclerosis (MS). However, few MS health practitioners are trained in ACT. This study evaluated a 2-day ACT training workshop for Italian psychologists working with people with MS. Methods: Data were collected via online questionnaires from 34 psychologists before the workshop, after the workshop, and at 6-month follow-up...
January 2018: International Journal of MS Care
Mojtaba Talaei-Khoei, Neal Chen, David Ring, Ana-Maria Vranceanu
OBJECTIVE: Satisfaction with life buffers the effect of stress on health, but its role in the mechanism through which pain may impact engagement in activities of daily living is not known. We tested whether satisfaction with life protects against engaging in pain catastrophizing and through this explains individual differences in the extent to which pain interferes with activities of daily living. METHOD: One-hundred and 42 patients with upper extremity musculoskeletal illness participated in this cross-sectional study and completed the PROMIS pain intensity, PROMIS pain interference, pain catastrophizing scale (PCS), satisfaction with life scale (SWLS), and demographic variables...
March 2018: Journal of Consulting and Clinical Psychology
Matthew Scott Herbert, Niloofar Afari, J B Robinson, Andrew Listvinsky, Mark W Bondi, Julie Loebach Wetherell
Neuropsychological (NP) performance has been associated with psychosocial treatment outcomes in non-pain conditions, but has never been investigated in chronic pain. We performed a secondary analysis on the association of baseline NP performance with treatment outcomes among veterans with chronic pain (N = 117) undergoing an 8-week Acceptance and Commitment Therapy (ACT) intervention. Participants completed measures of pain interference, pain severity, quality of life, activity levels, depression, and pain-related anxiety at baseline, mid-treatment, and post-treatment...
February 26, 2018: Journal of Pain: Official Journal of the American Pain Society
Elina Järvelä-Reijonen, Leila Karhunen, Essi Sairanen, Joona Muotka, Sanni Lindroos, Jaana Laitinen, Sampsa Puttonen, Katri Peuhkuri, Maarit Hallikainen, Jussi Pihlajamäki, Riitta Korpela, Miikka Ermes, Raimo Lappalainen, Marjukka Kolehmainen
BACKGROUND: Internal motivation and good psychological capabilities are important factors in successful eating-related behavior change. Thus, we investigated whether general acceptance and commitment therapy (ACT) affects reported eating behavior and diet quality and whether baseline perceived stress moderates the intervention effects. METHODS: Secondary analysis of unblinded randomized controlled trial in three Finnish cities. Working-aged adults with psychological distress and overweight or obesity in three parallel groups: (1) ACT-based Face-to-face (n = 70; six group sessions led by a psychologist), (2) ACT-based Mobile (n = 78; one group session and mobile app), and (3) Control (n = 71; only the measurements)...
February 27, 2018: International Journal of Behavioral Nutrition and Physical Activity
Heather D Simister, Gregg A Tkachuk, Barbara L Shay, Norah Vincent, Joseph J Pear, Ryan Q Skrabek
In this study, 67 participants (95% female) with fibromyalgia (FM) were randomly assigned to an online acceptance and commitment therapy (online ACT) + treatment as usual (TAU) protocol or a TAU control condition. Online ACT + TAU participants were asked to complete seven modules over an 8-week period. Assessments were completed at pre-treatment, post-treatment, and three-month follow-up periods and included measures of FM impact (primary outcome), depression, pain, sleep, 6-minute walk, sit-to-stand, pain acceptance (primary process variable), mindfulness, cognitive fusion, valued living, kinesiophobia, and pain catastrophizing...
February 23, 2018: Journal of Pain: Official Journal of the American Pain Society
Clarissa W Ong, Eric B Lee, Michael P Twohig
Many psychotherapies, including cognitive behavioral therapy and acceptance and commitment therapy (ACT), have been found to be effective interventions for a range of psychological and behavioral health concerns. Another aspect of treatment utility to consider is dropout, as interventions only work if clients are engaged in them. To date, no research has used meta-analytic methods to examine dropout in ACT. Thus, the objectives of the present meta-analysis were to (1) determine the aggregate dropout rate for ACT in randomized controlled trials, (2) compare dropout rates in ACT to those in other psychotherapies, and (3) identify potential moderators of dropout in ACT...
February 16, 2018: Behaviour Research and Therapy
Alida M Gertz
No abstract text is available yet for this article.
February 2018: Family Medicine
C Huddleston, L Martin, K Woods, L Dindo
Introduction: Migraine, a chronic neurological disorder characterized by episodic severe headache pain and functional impairment, affects approximately 12% of the general US population. Veterans returning from Iraq or Afghanistan have two to four times the incidence of migraine of the general population. Veterans with migraines are more than twice as likely to have comorbid psychiatric conditions as veterans without migraines, with depression and post-traumatic stress disorder being most prevalent...
February 6, 2018: Military Medicine
Kathryn E Kanzler, Patricia J Robinson, Donald D McGeary, Jim Mintz, Jennifer Sharpe Potter, Mariana Muñante, Eliot J Lopez, Donald M Dougherty, Willie J Hale, Dawn I Velligan
Most of the 100 million Americans with persistent pain are treated in primary care clinics, but evidence-based psychosocial approaches targeting pain-related disability are not usually provided in these settings. This manuscript describes the rationale and methods for a protocol to pilot test the feasibility and effectiveness of Acceptance and Commitment Therapy (ACT), an evidence-based psychological treatment for persistent pain, delivered by a Behavioral Health Consultant in primary care. Eligible patients are identified through electronic health record registries and invited to participate via secure messaging, letters and a follow-up phone call...
January 27, 2018: Contemporary Clinical Trials
Albert Feliu-Soler, Ausiàs Cebolla, Lance M McCracken, Francesco D'Amico, Martin Knapp, Alba López-Montoyo, Javier García-Campayo, Joaquim Soler, Rosa M Baños, Adrián Pérez-Aranda, Laura Andrés-Rodriguez, María Rubio-Valera, Juan V Luciano
The term third-wave cognitive behavioral therapy (CBT) encompasses new forms of CBT that both extend and innovate within CBT. Most third-wave therapies have been subject to randomized controlled trials (RCTs) focused on clinical effectiveness; however, the number and quality of economic evaluations in these RCTs has been unknown and may be few. Evidence about efficiency of these therapies may help support decisions on efficient allocation of resources in health policies. The main aim of this study was to systematically review the economic impact of third-wave therapies in the treatment of patients with physical or mental conditions...
January 2018: Behavior Therapy
Judith L Nicholls, Muhammad A Azam, Lindsay C Burns, Marina Englesakis, Ainsley M Sutherland, Aliza Z Weinrib, Joel Katz, Hance Clarke
Background: Inadequately managed pain is a risk factor for chronic postsurgical pain (CPSP), a growing public health challenge. Multidisciplinary pain-management programs with psychological approaches, including cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness-based psychotherapy, have shown efficacy as treatments for chronic pain, and show promise as timely interventions in the pre/perioperative periods for the management of PSP. We reviewed the literature to identify randomized controlled trials evaluating the efficacy of these psychotherapy approaches on pain-related surgical outcomes...
2018: Patient related Outcome Measures
Marit B Rise, Martin Skagseth, Nina E Klevanger, Lene Aasdahl, Petter Borchgrevink, Chris Jensen, Hanne Tenggren, Vidar Halsteinli, Trym N Jacobsen, Svein B Løland, Roar Johnsen, Marius S Fimland
BACKGROUND: Recent research has suggested that interventions at the workplace might be the most potent ingredient in return to work interventions, but few studies have investigated the different effects of workplace interventions as part of occupational rehabilitation programs. The comprehensive design described in this article includes effect (on return to work and health outcomes), and health economic evaluations of a workplace intervention added to a multicomponent rehabilitation program...
February 5, 2018: BMC Public Health
Maria Karekla, Evangelos C Karademas, Andrew T Gloster
Most health behavior intervention efforts are adapted from the typical psychological treatment experience and may not take into serious consideration theories specifically developed to describe the process of adaptation to illness. This paper presents a proposal for the combination of a theory about the experience of and adaptation to illness, that is the Common Sense Model of Self-Regulation (CSM), and an efficient psychological theory and therapy, Acceptance and Commitment Therapy (ACT). Past combinations of CSM with cognitive or cognitive-behavioral interventions have focused almost only on specific aspects of this model (mostly, illness representations and action plans) and left out other, equally important for a fruitful adaptation to illness, recommendations of the model (e...
February 5, 2018: Health Psychology Review
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