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Acceptance AND commitment AND Therapy

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
Emma O'Donoghue, Abigail Clark, Matthew Richardson, John Hodsoll, Sunil Nandha, Eric Morris, Fergus Kane, Deirdre O'Keeffe, Lucy Butler, Suzanne Jolley
BACKGROUND: Bipolar disorder is a chronic and disabling psychiatric condition, characterised by recurrent episodes of mania, hypomania and depression. It places a heavy burden on sufferers and families, with high societal and healthcare costs. Many service users with a diagnosis of bipolar disorder also experience prominent psychotic symptoms, with differential diagnoses of schizoaffective disorder, and relapses characterised by repeated manic psychotic episodes and grandiosity. Such presentations require specific adaptations to standard bipolar disorder interventions in order to address their psychosis, alongside mood regulation, with a particular emphasis on impulsivity, irritability, disinhibition and elation...
August 13, 2018: Trials
Muhammad Hassan Majeed, Ali Ahsan Ali, Donna M Sudak
Background Long-term use of opioids to treat chronic pain incurs serious risks for the individual-including misuse, abuse, addiction, overdose and death-as well as creating economic, social, and cultural impacts on society as a whole. Chronic pain and substance use disorders are often co-morbid with other medical problems and at the present time, primary care clinicians serve most of this population. Primary care clinicians would benefit from having alternatives to opioids to employ in treating such patients...
August 9, 2018: International Journal of Psychiatry in Medicine
Nicholas J Hulbert-Williams, Lisa Beatty, Haryana M Dhillon
PURPOSE OF REVIEW: Psychological distress and mental health comorbidity are common in cancer. Various therapeutic frameworks have been used for interventions to improve psychological wellbeing and quality of life in cancer patients with mixed results. This article reviews contributions to that literature published since January 2017. RECENT FINDINGS: The majority of new psychological intervention research in cancer has used cognitive behavioural therapy (CBT) or mindfulness-based interventions...
September 2018: Current Opinion in Supportive and Palliative Care
Igor da Rosa Finger, Breno Irigoyen de Freitas, Margareth da Silva Oliveira
PURPOSE: To identify the psychological inflexibility (PI) processes (experiential avoidance, cognitive fusion, poor contact with the present moment, unclear personal values and lack of commitment to action) associated with body mass index (BMI), depression, anxiety and stress symptoms and binge eating in overweight and obese people by drawing on the acceptance and commitment therapy (ACT) framework. METHODS: A cross-sectional study of 243 people with a BMI of at least 25 and aged from 18 to 60 years old...
July 17, 2018: Eating and Weight Disorders: EWD
Naoko Kishita, Laura Hammond, Celina M Dietrich, Eneida Mioshi
ABSTRACTObjective:The aim of this study was to update the literature on interventions for carers of people with dementia published between 2006 and 2016 and evaluate the efficacy of psychoeducational programs and psychotherapeutic interventions on key mental health outcomes (depression, anxiety, burden, and quality of life). METHODS: A meta-analysis was carried out of randomized controlled trials of carer interventions using MEDLINE, PsycINFO, Scopus, and Cochrane Central Register of Controlled Trials...
July 18, 2018: International Psychogeriatrics
Erin Martz, Margaret A Chesney, Hanoch Livneh, Chennettee Jelleberg, Bret Fuller, James A Henry
Background: Tinnitus (ie, ear or head noises not caused by external sounds) is common among the general population and is the most prevalent service-connected disability in the United States' Department of Veterans Affairs system. While numerous clinical interventions have been created to systematically address the range of issues caused by tinnitus, only a few tinnitus interventions have focused on both teaching and assessing coping strategies. The present pilot study involved a randomized clinical trial comparing 3 brief group interventions to a usual-care (UC) group (ie, a wait-list control group): the first intervention based on acceptance and commitment therapy (ACT), a second based on cognitive-behavioral therapy (CBT), and a third based on coping effectiveness training (CET)...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
Alicia Spidel, Isabelle Daigneault, David Kealy, Tania Lecomte
BACKGROUND: Although Acceptance and Commitment Therapy (ACT) may be effective for individuals with psychosis and a history of childhood trauma, little is known about predictors of treatment response among such patients. AIMS: The current study examined: (1) whether severity of trauma predicted treatment response, and (2) profiles of patients with regard to their responses to treatment. METHOD: Fifty participants with psychosis and childhood trauma history were recruited and randomized to take part in either eight sessions of group-based ACT, or to be on a waiting list for the ACT group (i...
July 17, 2018: Behavioural and Cognitive Psychotherapy
Sarah Majumdar, Reg Morris
OBJECTIVES: To date, the efficacy of acceptance and commitment therapy (ACT) for stroke survivors has not been established. The aim of this study was to evaluate the efficacy of group-based ACT for stroke survivors in comparison with treatment as usual (TAU) controls. METHODS: Fifty-three participants were randomly assigned either to group-based ACT (ACTivate Your Life after Stroke) or to a TAU control group (60% male; mean age: 63 years). The ACT intervention consisted of four weekly 2-hr didactic group sessions...
July 12, 2018: British Journal of Clinical Psychology
Saeed Vaghee, Masoud Kashani Lotfabadi, Azam Salarhaji, Nastaran Vaghei, Bibi Maryam Hashemi
Objective: Empathy is an important and valuable tool in therapeutic communication. Improvement barriers of empathy in psychiatric nursing education are associated with challenges, such as stress due to negative attitudes toward psychiatric disorders. The current study aimed at comparing the effects of contact-based education and commitment and acceptance-based training on empathy toward mental illnesses among nursing students. Method : In this clinical trial, 111 nursing students were selected using cluster and quota sampling methods in Mashhad, Iran...
April 2018: Iranian Journal of Psychiatry
Nicole Scherf, Edward Spruit, Stephan Köhler, Golo Kronenberg
Behavioral therapy has greatly evolved and branched out in different directions since its inception. Three stages in the development of modern behavioral psychotherapies can be discerned: behaviorism, the cognitive revolution, and, most recently, the so-called third wave behavioral therapies. Characteristic of third-wave therapies is the great heterogeneity in treatment strategies. To gain a deeper understanding of several third-wave approaches, we here outline relational frame theory (RFT) as an important theoretical foundation...
July 11, 2018: Fortschritte der Neurologie-Psychiatrie
Joel Gagnon, Frédérick Dionne, Guillaume Raymond, Simon Grégoire
OBJECTIVE: This pilot study pursued two aims. The first was to investigate the feasibility and acceptability of a Web-based ACT intervention to reduce academic procrastination among university students. The second aim was to test the effectiveness of the intervention on procrastination and committed actions. PARTICIPANTS: The sample was comprised of Canadian university students (n = 36) that participated in the intervention between September 2016 and April 2017...
July 6, 2018: Journal of American College Health: J of ACH
A Ahmed, L Steed, E Burden-Teh, R Shah, S Sanyal, S Tour, S Dowey, M Whitton, J M Batchelor, A P Bewley
BACKGROUND: Psychological interventions are recommended as part of routine management of vitiligo. However the development and effectiveness of such interventions has been rarely addressed. This study aims to identify key components for a psychological intervention for people with vitiligo. This is the first time perspectives of people with vitiligo and healthcare professionals (HCPs) have been directly explored to inform intervention content and delivery. OBJECTIVES: To identify: 1...
July 4, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
Andréa Aparecida Gonçalves Nes, Sandra van Dulmen, Espen Andreas Brembo, Hilde Eide
BACKGROUND: Web-based interventions are becoming an alternative of treatment aimed to support behavioral changes and several advantages over traditional treatments are reported. New ways of delivering an intervention may result in new challenges regarding monitoring of treatment fidelity (TF) which is essential to ensure internal and external validity. Despite the importance of the theme, only a few studies in this field are reported. OBJECTIVE: To examine TF of a mobile phone delivered intervention based on Acceptance and Commitment Therapy (ACT) with electronic diaries and written situational feedback for persons with diabetes mellitus type 2, the recommendations from the Behavior Change Consortium (BCC) established by The National Institutes of Health (NHI) were applied...
July 3, 2018: JMIR MHealth and UHealth
Michael P Twohig, Jonathan S Abramowitz, Brooke M Smith, Laura E Fabricant, Ryan J Jacoby, Kate L Morrison, Ellen J Bluett, Lillian Reuman, Shannon M Blakey, Thomas Ledermann
The objective of this study was to test whether treatment acceptability, exposure engagement, and completion rates could be increased by integrating acceptance and commitment therapy (ACT) with traditional exposure and response prevention (ERP). 58 adults (68% female) diagnosed with obsessive-compulsive disorder (OCD; M age = 27, 80% white) engaged in a multisite randomized controlled trial of 16 individual twice-weekly sessions of either ERP or ACT + ERP. Assessors unaware of treatment condition administered assessments of OCD, depression, psychological flexibility, and obsessional beliefs at pretreatment, posttreatment, and six-month follow-up...
September 2018: Behaviour Research and Therapy
Shelley Viskovich, Kenneth I Pakenham
OBJECTIVE: This study evaluated a 4-week web-based acceptance and commitment therapy (ACT) mental health promotion program called YOLO (You Only Live Once) for university students. METHOD: A total of 130 participants were randomized to one of three intervention groups investigating varied program delivery methods. Primary outcomes assessed: depression, anxiety, stress, well-being, self-compassion, alcohol use, and life satisfaction. ACT processes assessed: acceptance, cognitive fusion, education values, valued living, and mindfulness...
July 1, 2018: Journal of Clinical Psychology
Katherine Ramos, S Nicole Hastings, Hayden B Bosworth, Jessica J Fulton
BACKGROUND: Psychosocial interventions for palliative care populations, individuals with life-limiting illness, improve distress; however, less is known about these interventions among military Veterans. OBJECTIVES: This quality improvement project evaluated a palliative psychology group intervention to reduce depression, anxiety, and stress among Veterans with advanced life-limiting illness. METHODS: Veterans receiving palliative care at a mid-Atlantic VA healthcare system were referred by a mental health provider...
June 29, 2018: Journal of Palliative Medicine
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