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Acceptance AND commitment AND Therapy

Marc Serfaty, Megan Armstrong, Victoria Vickerstaff, Sarah Davis, Anna Gola, Philip McNamee, Rumana Z Omar, Michael King, Adrian Tookman, Louise Jones, Joseph T S Low
OBJECTIVE: To understand the feasibility of recruiting people with advanced cancer into a randomised controlled trial of Acceptance and Commitment therapy (ACT) vs a standardised Talking Control (TC) and delivering ACT to this population; to explore the acceptability of outcome measures and generate normative data. METHODS: This was a feasibility two-arm randomised controlled trial. Participants were attendees with advanced cancer at one of three hospice-based day- therapy units in London, UK, who demonstrated low scores on the Functional Assessment of Cancer Therapies - General (FACT-G)...
December 4, 2018: Psycho-oncology
Rui Duarte, Annette Lloyd, Eleanor Kotas, Lazaros Andronis, Ross White
OBJECTIVES: Acceptance and mindfulness-based interventions (A/MBIs) are recommended for people with mental health conditions. Although there is a growing evidence base supporting the effectiveness of different A/MBIs for mental health conditions, the economic case for these interventions has not been fully explored. The aim of this systematic review was to identify and appraise all available economic evidence of A/MBIs for the management of mental health conditions. METHODS: Eight electronic bibliographic databases (MEDLINE, MEDLINE In-Process & Other Non-Indexed Citations, EMBASE, Web of Science, NHS Economic Evaluation Database (EED), Database of Abstracts of Reviews of Effects (DARE), Health Technology Assessment (HTA) database, and EconLit) were searched for relevant economic evaluations published from each database's inception date until November 2017...
November 29, 2018: British Journal of Clinical Psychology
Susanne Amsberg, Ingrid Wijk, Fredrik Livheim, Eva Toft, Unn-Britt Johansson, Therese Anderbro
INTRODUCTION: Integrating diabetes self-management into daily life involves a range of complex challenges for affected individuals. Environmental, social, behavioural and emotional psychological factors influence the lives of those with diabetes. The aim of this study is to evaluate the impact of a stress management group intervention based on acceptance and commitment therapy (ACT) among adults living with poorly controlled type 1 diabetes. METHODS AND ANALYSIS: This study will use a randomised controlled trial design evaluating treatment as usual (TAU) and ACT versus TAU...
November 28, 2018: BMJ Open
Hanna Wersebe, Roselind Lieb, Andrea H Meyer, Patrizia Hofer, Andrew T Gloster
Background/Objective: Prolonged stress can overwhelm coping resources, leading people to seek mental health care. Acceptance and commitment therapy (ACT) is an intervention that enhances well-being and reduces distress, assumedly by means of increasing psychological flexibility (PF). We examined the association between a total increase in PF during an intervention and decreases in stress and increases in well-being during and after the intervention. Method: The intervention was a randomized controlled trial of an ACT-based self-help intervention...
January 2018: International Journal of Clinical and Health Psychology: IJCHP
Roberto Cattivelli, Gianluca Castelnuovo, Alessandro Musetti, Giorgia Varallo, Chiara A M Spatola, Francesco Vailati Riboni, Anna Guerrini Usubini, Fabio Tosolin, Gian Mauro Manzoni, Paolo Capodaglio, Alessandro Rossi, Giada Pietrabissa, Enrico Molinari
BACKGROUND: Obesity and the state of being overweight are increasing steadily and becoming a global epidemic. Recent research reports 64% of the adult population as overweight in Europe and the USA. The social and economic impacts are increasing, and most of the rehabilitation programs, while effective in the short term, do not produce long-lasting results. An explanatory model from a behavioral perspective can describe the phenomena with the lack of sources of reinforcement related to healthful habits in a daily life context...
November 29, 2018: Trials
Chris Fradkin
No abstract text is available yet for this article.
November 23, 2018: Journal of Youth and Adolescence
Brona Wynne, Louise McHugh, Wei Gao, Denise Keegan, Kathryn Byrne, Catherine Rowan, Karen Hartery, Clemens Kirschbaum, Glen Doherty, Garret Cullen, Barbara Dooley, Hugh E Mulcahy
BACKGROUND & AIMS: Patients with Crohn's disease or ulcerative colitis patients have relatively high levels of stress and psychological dysfunction. Acceptance and commitment therapy (ACT) is a psychological intervention that comprises acceptance and mindfulness procedures along with commitment and behavior change strategies to increase psychological flexibility and reduce stress. We performed a randomized controlled trial to investigate the effect of ACT on stress in subjects with inflammatory bowel diseases (IBD)...
November 16, 2018: Gastroenterology
Grant Jones, Nancy Keuthen, Erica Greenberg
Recommendations are provided for the assessment and treatment of trichotillomania (hair pulling disorder, or HPD) and excoriation disorder (skin picking disorder, or SPD), two body-focused repetitive behavior (BFRB) disorders, based on their severity, comorbidities, and behavioral style. Habit reversal training (HRT) and stimulus control are first-line behavioral treatments that can be used in cases of all severity levels and may be particularly helpful when pulling or picking is performed with lowered awareness/intention...
November 2018: Clinics in Dermatology
Roger Vilardaga, Javier Rizo, Richard K Ries, Julie A Kientz, Douglas M Ziedonis, Kayla Hernandez, Francis J McClernon
Despite public health efforts, individuals with serious mental illness (SMI) still have very high rates of tobacco smoking. Innovative approaches to reach this population are needed. These series of case studies aimed to descriptively evaluate the usability, user experience (UX), and user engagement (UE) of Learn to Quit (LTQ), an acceptance and commitment therapy smoking cessation app designed for people with SMI, and to compare it with an app designed for the general population, NCI (National Cancer Institute) QuitGuide (QG)...
November 16, 2018: Translational Behavioral Medicine
P Courtet, E Olié
BACKGROUND: Intolerable pain is often reported in suicide notes. Moreover, the frequency of life events preceding a suicidal act is high, especially interpersonal difficulties. Such adversity is the source of psychological or social pain. METHODS: We propose a narrative review to discuss the role of pain in the suicidal process while having a focus on social ties. RESULTS: Using Ecological Momentary Assessment in suicide attempters it has been shown that being alone increased suicidal ideation while being with close others significantly reduced this risk...
November 11, 2018: L'Encéphale
Hanna Vuorimaa, Leena Leppänen, Hannu Kautiainen, Marja Mikkelsson, Maiju Hietanen, Heli Vilen, Heini Pohjankoski
Background and aims A targeted pain program may prevent the progression and subsequent occurrence of chronic pain in adolescents. This study tested the effectiveness of a new acceptance and commitment therapy -based pain management intervention, using physical and psychological functions as the outcomes. The objective was also to determine whether Pediatric Pain Screening Tool risk profiles function as outcome moderator in the current sample. A valid screening tool would enable the program development. Methods Thirty-two consecutive adolescent patients (13-17 years old) with idiopathic recurrent musculoskeletal pain completed the study...
November 9, 2018: Scandinavian Journal of Pain
Kevin E Vowles, Gail Sowden, Jayne Hickman, Julie Ashworth
A key issue in chronic pain treatment concerns changes necessary for reduced pain-related distress and disability. Acceptance and Commitment Therapy (ACT), a behavior change approach, theorizes several important treatment processes. Increased engagement in valued activities appears highly relevant as previous work has indicated it is related to current and future functioning and to treatment outcomes. This study sought to examine change trajectory in valued activity over the course of an interdisciplinary program of ACT and its relation to outcomes at treatment conclusion and three-month follow-up (N = 242)...
October 27, 2018: Behaviour Research and Therapy
Madalina Saracutu, Darren J Edwards, Helen Davies, Jaynie Rance
INTRODUCTION: Persistent pain affects a large percentage of the UK population and its burden has wide ramifications that affect physical, psychological, socioeconomic and occupational status. Pain has a significant impact on people's well-being and quality of life. Some of the most common comorbidities found in this population are depression and anxiety and also maladaptive behaviours such as fear avoidance and catastrophising. METHODS AND ANALYSIS: This is a protocol for a study assessing the feasibility and acceptability of a novel Acceptance and Commitment Therapy (ACT)-based intervention for people from Southwest Wales who live with persistent pain...
November 1, 2018: BMJ Open
Valerie Hruschak, Gerald Cochran, Ajay D Wasan
OBJECTIVE: Opioid misuse in the context of chronic noncancer pain (CNCP) is a multifaceted and complex issue. As opioid misuse and corresponding rates of addiction and overdose deaths exceed epidemic proportions, there is an urgent need for research in this area. The objective of this review is to evaluate the literature addressing psychosocial interventions targeting CNCP and prescription opioid misuse. DESIGN: A systematic search of PubMed, MEDLINE, PsychINFO, ClinicalTrials...
September 2018: Journal of Opioid Management
Erik Berglund, Ingrid Anderzén, Åsa Andersén, Lars Carlsson, Catharina Gustavsson, Thorne Wallman, Per Lytsy
BACKGROUND: People on long-term sick leave often have a long-lasting process back to work, where the individuals may be in multiple and recurrent states; i.e., receiving different social security benefits or working, and over time they may shift between these states. The purpose of this study was to evaluate the effects of two vocational rehabilitation programs, compared to a control, on return-to-work (RTW) or increased employability in patients on long-term sick leave due to mental illness and/or chronic pain...
October 31, 2018: International Journal of Environmental Research and Public Health
Catrin Griffiths, Heidi Williamson, Fabio Zucchelli, Nicole Paraskeva, Tim Moss
Body image dissatisfaction (BID) and weight self-stigma are prevalent and associated with physical and psychological ill-health. Acceptance and Commitment Therapy (ACT) is increasingly employed for both, yet little is known about its effectiveness. Searches of 12 databases identified six studies using online, face-to-face or self-help ACT interventions for BID or weight self-stigma, of varying duration and intensity. Their effectiveness and quality were evaluated. Two reported improved BID, three improved weight self-stigma, and one reported no impact on weight self-stigma...
2018: Journal of Contemporary Psychotherapy
Dana Paliliunas, Jordan Belisle, Mark R Dixon
Graduate students experience high levels of demand in their degree programs, which often results in difficulty maintaining their academic performance and managing their distress. The present study examined the effectiveness of a 6-week values clarification and committed action training program derived from acceptance and commitment therapy (ACT) to increase academic performance and psychological flexibility of graduate students in a behavior analysis and therapy program by comparing a Values intervention group to a Study Tips active treatment control group on measures of academic performance, psychological flexibility, values-driven behavior, and stress...
September 28, 2018: Behavior Analysis in Practice
Megan Wingfield, Ben Gurney-Smith
Dyadic developmental psychotherapy (DDP) is an attachment-focused therapy frequently used with adoptive and foster families. While the evidence base for DDP is building, national guidance has called for further trials and qualitative evidence. This study aimed to understand the experience of adoptive parents who have completed DDP therapy. Semi-structured interviews with 12 adoptive parents were analysed using interpretative phenomenological analysis. Four superordinate themes were identified: (1) increased understanding, (2) 'It's a different method of parenting generally', (3) the DDP journey and (4) 'It's a shared kind of experience you go through and come out together'...
October 25, 2018: Clinical Child Psychology and Psychiatry
Ruth Barrett-Naylor, David M Gresswell, David L Dawson
This study utilized a nonconcurrent case-series design to examine the effectiveness and acceptability of a guided self-help Acceptance and Commitment Therapy (ACT) intervention for people with psychogenic nonepileptic seizures. A key aim of the study was to investigate the relationship between psychological flexibility (a key process within ACT), psychological health, quality of life, and seizure frequency. Six participants completed the study, with reliable and clinically significant changes in psychological flexibility, quality of life, and psychological health observed in the majority of participants...
November 2018: Epilepsy & Behavior: E&B
Jaimee L Heffner, Kristin E Mull, Noreen L Watson, Jennifer B McClure, Jonathan B Bricker
BACKGROUND: The extent to which smokers with bipolar disorder (BD) differ from other smokers on cessation-related characteristics and outcomes is unknown and could improve knowledge of treatment needs for this group. These analyses compared smokers with BD versus smokers with other affective disorders (ADs; anxiety and unipolar depression) and smokers with no mental health conditions (MHCs). METHOD: Participants (n = 2570) were a subsample of those enrolled in a smoking cessation trial comparing two web-delivered intervention approaches: acceptance and commitment therapy (ACT) and cognitive behavioral therapy...
December 1, 2018: Drug and Alcohol Dependence
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