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Acceptance AND commitment AND Therapy

Jake Linardon, John Gleeson, Keong Yap, Kylie Murphy, Leah Brennan
Third-wave behavioural interventions are increasingly popular for treating and preventing mental health conditions. Recently, researchers have begun testing whether these interventions can effectively targeting eating disorder risk factors (disordered eating, body image concerns). This meta-analysis examined whether third-wave behavioural interventions (acceptance and commitment therapy; dialectical behaviour therapy; mindfulness-based interventions; compassion-focused therapy) show potential for being effective eating disorder prevention programs, by testing their effects on eating disorder risk factors in samples without an eating disorder...
October 11, 2018: Cognitive Behaviour Therapy
Daniel Vethe, Håvard Kallestad, Henrik B Jacobsen, Nils Inge Landrø, Petter C Borchgrevink, Tore C Stiles
Background: The current treatments of choice for patients with chronic fatigue are moderately effective. One way to advance treatments is identifying process variables associated with good treatment outcomes. There is little knowledge regarding a possible association between insomnia and long-term outcomes in the treatment of chronic fatigue. Aims: Testing whether (1) improvement in insomnia is associated with improvement in levels of fatigue at 1-year follow-up, and (2) if such a relationship remains when controlling for improvement in levels of anxiety and depression, and pain in patients with chronic fatigue...
2018: Frontiers in Psychology
Michael R Rose, Sam Norton, Chiara Vari, Victoria Edwards, Lance McCracken, Christopher D Graham, Aleksandar Radunovic, Trudie Chalder
INTRODUCTION: In adults, muscle disease (MD) is often a chronic long-term condition with no definitive cure. It causes wasting and weakness of the muscles resulting in a progressive decline in mobility, alongside other symptoms, and is typically associated with reduced quality of life (QoL). Previous research suggests that a psychological intervention, and in particular Acceptance and Commitment Therapy (ACT), may help improve QoL in MD. ACT is a newer type of cognitive behavioural treatment that aims to improve QoL by virtue of improvement in a process called psychological flexibility...
October 3, 2018: BMJ Open
U Wide, J Hagman, H Werner, M Hakeberg
BACKGROUND: Dental caries is a major public health issue affecting a large proportion of the general population. The disease is associated with behavioural factors and is thus preventable to a high degree. Individuals may need assistance to be able to change their oral health behaviour. There is a lack of such interventions for adults affected by severe caries. The aim of the study was to evaluate the effect of Acceptance and Commitment Therapy (ACT), a form of cognitive behavioural therapy, on oral health behaviour in young adults with poor oral health...
October 3, 2018: BMC Oral Health
Daniel Stockton, Stephen Kellett, Raul Berrios, Fuschia Sirois, Nicolas Wilkinson, Georgina Miles
BACKGROUND: Mediation studies test the mechanisms by which interventions produce clinical outcomes. Consistent positive mediation results have previously been evidenced (Hayes et al., 2006) for the putative processes that compromise the psychological flexibility model of acceptance and commitment therapy (ACT). AIMS: The present review aimed to update and extend the ACT mediation evidence base by reviewing mediation studies published since the review of Hayes et al...
October 4, 2018: Behavioural and Cognitive Psychotherapy
Charlotte Russell, Averil Fountain
OBJECTIVE: The National Institute of Clinical Excellence (NICE) (2004) guidance recommends a tiered approach to psychological care within cancer care. This includes the provision of Clinical Psychologists to support other professionals to deliver high-quality psychological care at levels 1 and 2 and to provide direct input to patients experiencing high levels of distress at level 4. However, little is known about the role of Clinical Psychology within UK Hospices currently. A survey of Clinical Psychologists working in this area was undertaken to address this gap in knowledge...
October 3, 2018: BMJ Supportive & Palliative Care
Francisco Gil, Clara Fraguell, Llúcia Benito, Anna Casellas-Grau, Joaquin T Limonero
OBJECTIVE: The main objective of this study is to establish emotional benefits of promoting and maintaining meaning in palliative care patients in the final weeks of life and to assess the benefits of including the compassion and self-compassion constructs in the Meaning-Centered Psychotherapy Model (MCP). METHOD: Fifty-one cancer inpatients were randomly assigned to one of the three brief interventions for cancer patients in the end of life: the MCP-palliative care version, the MCP-compassionate palliative care (MCP-CPC), or standard counseling...
October 1, 2018: Palliative & Supportive Care
Zach Walsh, Michelle S Thiessen
This narrative review examines evidence related to the potential for third wave behaviour therapies to serve as adjuncts to psychedelic-assisted therapy. It identifies shared theoretical foundations for both approaches, and notes enhanced mindfulness, decentering, emotion regulation, and distress tolerance as common mechanisms of action. It also identifies potential targets for which both approaches have demonstrated therapeutic potential, including problematic substance use, self-directed and other-directed violence, and mood disorders...
September 25, 2018: International Review of Psychiatry
Maartje Witlox, Vivivan Kraaij, Nadia Garnefski, Margot W M de Waal, Filip Smit, Erik Hoencamp, Jacobijn Gussekloo, Ernst T Bohlmeijer, Philip Spinhoven
BACKGROUND: Anxiety is among the most prevalent and disabling mental health problems in older adults. Few older adults with mild to moderately severe anxiety symptoms receive adequate interventions, putting them at risk for developing anxiety disorders, depression, and various somatic problems. Effective, low-threshold interventions should be developed. Blended care, in which a web-based intervention is combined with a limited amount of face-to-face contacts with a mental healthcare counselor at the general practice, is a promising option...
September 17, 2018: Trials
Brad A Mac Neil, Chloe C Hudson
We examined patient experiences and satisfaction with acceptance and commitment therapy (ACT) delivered in a novel weekly open-group therapy format immediately following psychiatric intake assessment into a hospital-based outpatient adult eating disorders program. Participants were 68 adults with a Diagnostic and Statistical Manual of Mental Disorders, 5th edition diagnosis of an eating disorder who reported their experiences and satisfaction with the ACT group. Participants reported that they were somewhat satisfied to very satisfied with the open ACT group and that the treatment content was helpful...
September 2018: Journal of Patient Experience
Nina Dittmer, Ulrich Voderholzer, Mareike von der Mühlen, Michael Marwitz, Markus Fumi, Claudia Mönch, Katharina Alexandridis, Ulrich Cuntz, Corinna Jacobi, Sandra Schlegl
Background: Patients with eating disorders (ED) often suffer from compulsive exercise behavior, which is associated with lower short-term response to treatment and poorer long-term outcome. Evidence-based interventions specifically targeting compulsive exercise behavior have been scarce so far. We developed a manualized group therapeutic approach integrating cognitive-behavioral therapy, exercise therapy and exposure with response management to promote healthy exercise behavior. Our objective was to examine the feasibility and acceptance of this new approach as add-on to regular inpatient treatment in a pilot study...
2018: Journal of Eating Disorders
Danielle Tracey, Tonia Gray, Son Truong, Kumara Ward
With high rates of psychological distress reported amongst children internationally, the development and evaluation of new program initiatives is critical in order to meet the challenge of this burgeoning issue. Both acceptance and commitment therapy and adventure therapy are emerging as popular strategies to elevate psychological wellbeing. This small-scale program evaluation focuses on nine upper primary school-aged children enrolled in a specialist school in Australia for children with challenging behavior and/or emotional needs...
2018: Frontiers in Psychology
Helen R Gilpin, Daniel R Stahl, Lance M McCracken
BACKGROUND: Psychological treatments are known to be effective for chronic pain, but little is understood about which patients are most likely to benefit from which ones. METHODS: The study reported here included 609 people who attended a residential, interdisciplinary, pain management programme based on Acceptance and Commitment Therapy between January 2012 and August 2014. A flexible and theoretically guided approach to model building based on fractional polynomials was used to identify potential predictors of outcome in domains of emotional, physical, and social functioning, and pain intensity...
September 3, 2018: European Journal of Pain: EJP
Katherine S Young, Richard T LeBeau, Andrea N Niles, Kean J Hsu, Lisa J Burklund, Bita Mesri, Darby Saxbe, Matthew D Lieberman, Michelle G Craske
BACKGROUND: Although psychological treatments for social anxiety disorder (SAD) can be highly effective, many individuals do not respond to treatment. Identifying factors associated with improved outcomes can facilitate individualized treatment choices. We investigated whether patterns of neural connectivity predicted treatment responses and whether treatment type, cognitive behavioral therapy (CBT) or acceptance and commitment therapy (ACT), moderated this effect. METHODS: Participants with SAD (n = 34) underwent fMRI prior to treatment and completed implicit and explicit emotion regulation tasks...
January 1, 2019: Journal of Affective Disorders
Lene Aasdahl, Kristine Pape, Ottar Vasseljen, Roar Johnsen, Marius Steiro Fimland
Objectives To assess changes in participants' expectations about length of sick leave during Acceptance and Commitment Therapy (ACT)-based occupational rehabilitation, and whether the change in expectations was associated with future work participation. Methods Cohort study with 9 months follow-up including sick listed workers who took part in one of two randomized controlled trials. The change in expectations about length of sick leave were assessed using a test of marginal homogeneity. Furthermore, linear and logistic regression evaluated associations between changes in expectations and sustainable return to work (RTW) and work participation days...
August 27, 2018: Journal of Occupational Rehabilitation
Reza Givehki, Hamid Afshar, Farzad Goli, Carl Eduard Scheidt, Abdollah Omidi, Mohammadreza Davoudi
Objective: The aim of this research was to examine the effectiveness of the acceptance and commitment therapy (ACT) for body image flexibility and body awareness in these patients. Methods: A randomized clinical trial was conducted at Kashan University of Medical Sciences clinics in Kashan, Iran, from December 1, 2017 to March 30, 2018. A sample of 75 patients with psychosomatic disorders was selected by convenience sampling. The selected patients were randomly divided into three 25-member groups...
July 2018: Electronic Physician
Michael E Levin, Cynthia Navarro, Rick A Cruz, Jack Haeger
Mobile apps are promising for teaching how to practice psychological skills in high-risk and in vivo momentary situations, but there has been minimal research on the immediate effects of app-based skill coaching on mental health in-the-moment. This study analyzed the mobile app data in a non-clinical sample of 39 adults participating in a larger randomized controlled trial, with participants randomized to an acceptance and commitment therapy (ACT) mobile app that tailors skill coaching based on in-the-moment variables (n = 17) or an app that provides randomly selected skill coaching (n = 22)...
August 17, 2018: Cognitive Behaviour Therapy
Eric B Lee, Kendra J Homan, Kate L Morrison, Clarissa W Ong, Michael E Levin, Michael P Twohig
The purpose of this study was to examine acceptance and commitment therapy (ACT) as a standalone treatment for trichotillomania in a randomized controlled trial of adults and adolescents. Participants consisted of a community sample of treatment seeking adults and adolescents with trichotillomania. Of the eligible 39 participants randomized into treatment and waitlist groups, 25 completed treatment and were included in the final analysis. Treatment consisted of a 10-session ACT protocol. Multiple mixed models repeated measures analyses were utilized to evaluate changes in trichotillomania symptom severity, daily number of hairs pulled and urges experienced, and experiential avoidance from pretreatment to posttreatment...
August 17, 2018: Behavior Modification
Sigmund Ø Gismervik, Marius S Fimland, Egil A Fors, Roar Johnsen, Marit B Rise
AIMS: The aim of this study was to examine whether and how intended processes of behavioural change were reflected in participants' experiences after an inpatient occupational rehabilitation programme. The programme was transdiagnostic, lasted 3½ weeks and was based on the acceptance and commitment therapy model. METHODS: Twenty-two participants (17 women and 5 men) took part in five qualitative focus group interviews after the programme. Analysis was data-driven, categorising participants' experiences using an initial explorative phenomenological approach...
August 16, 2018: Disability and Rehabilitation
Karen Walseth Hara, Johan Håkon Bjørngaard, Henrik Børsting Jacobsen, Petter C Borchgrevink, Roar Johnsen, Tore C Stiles, Søren Brage, Astrid Woodhouse
BACKGROUND: Group-based transdiagnostic occupational rehabilitation programs including participants with mental and somatic disorders have emerged in clinical practice. Knowledge is sparse on subsequent participation in competitive work. This study aimed to investigate trajectories for (re)entry to work for predefined subgroups in a diagnostically heterogeneous sample of sick-listed participants after completing occupational rehabilitation. METHODS: A cohort of 212 participants aged 18-69 on long-term sick leave (> 8 weeks) with chronic pain, chronic fatigue and/or common mental disorders was followed for one year after completing a 3½-week rehabilitation intervention based on Acceptance and Commitment Therapy...
August 15, 2018: BMC Public Health
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