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Acceptance commitment therapy

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https://www.readbyqxmd.com/read/29154558/pilot-evaluation-of-a-resilience-training-program-for-people-with-multiple-sclerosis
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
https://www.readbyqxmd.com/read/29063782/effects-of-hiv-stigma-reduction-interventions-in-diasporic-communities-insights-from-the-champ-study
#9
Alan Tai-Wai Li, Kenneth Po-Lun Fung, Eleanor Maticka-Tyndale, Josephine Pui-Hing Wong
Racialized diasporic communities in Canada experience disproportionate burden of HIV infection. Their increased vulnerabilities are associated with interlocking challenges, including barriers in accessing resources, migration and settlement stress, and systemic exclusion. Further, people living with HIV (PLHIV) in these diasporic communities face stigma and discrimination in both mainstream Canadian society as well as their own ethno-racial communities. HIV stigma negatively impacts all aspects of HIV care, from testing to disclosure to treatment and ongoing care...
October 24, 2017: AIDS Care
https://www.readbyqxmd.com/read/28990543/reasons-for-treatment-non-response-a-controlled-study-of-patients-views-in-pain-rehabilitation
#10
A D Vittersø, E Keogh, J Gauntlett-Gilbert
BACKGROUND: Understanding successful and unsuccessful behavioural treatment for pain is essential. AIMS: We carried out a retrospective survey of 130 people who had undergone pain rehabilitation based on acceptance and commitment therapy, aiming to identify factors associated with non-response. METHOD: The sample was selected using the reliable change index to define 'responders' and 'non-responders' to key outcome measures. We surveyed a range of treatment-related, systemic, practical and personal factors that may have affected their treatment, and then compared 'non-responders' with 'responders', controlling for factors that might not be causal or specific to non-response...
October 9, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28982217/yoga-for-epilepsy
#11
REVIEW
Mariangela Panebianco, Kalpana Sridharan, Sridharan Ramaratnam
BACKGROUND: This is an updated version of the original Cochrane Review published in the Cochrane Library, Issue 5, 2015.Yoga may induce relaxation and stress reduction, and influence the electroencephalogram and the autonomic nervous system, thereby controlling seizures. Yoga would be an attractive therapeutic option for epilepsy if proved effective. OBJECTIVES: To assess whether people with epilepsy treated with yoga:(a) have a greater probability of becoming seizure free;(b) have a significant reduction in the frequency or duration of seizures, or both; and(c) have a better quality of life...
October 5, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28976056/acceptance-and-commitment-therapy-for-psychosis-and-trauma-improvement-in-psychiatric-symptoms-emotion-regulation-and-treatment-compliance-following-a-brief-group-intervention
#12
Alicia Spidel, Tania Lecomte, David Kealy, Isabelle Daigneault
OBJECTIVES: Acceptance and Commitment Therapy (ACT) has shown effectiveness for individuals with psychosis and individuals with a history of childhood trauma, but has not been investigated with people with psychosis who also have a history of childhood trauma. This study aims at determining the efficacy of a mindfulness-based ACT with this clientele in diminishing psychiatric symptoms, trauma-related symptoms, as well as in improving treatment adherence. DESIGN AND METHODS: Fifty participants meeting our inclusion criteria were recruited and randomized to take part in either 10 sessions of ACT group, or Treatment as Usual (TAU)...
October 4, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/28972687/understandings-of-psychological-difficulties-in-people-with-the-huntington-s-disease-gene-and-their-expectations-of-psychological-therapy
#13
Rachael Theed, Fiona J R Eccles, Jane Simpson
OBJECTIVES: This study sought to investigate how people who had tested positive for the Huntington's disease (HD) gene mutation understood and experienced psychological distress and their expectations of psychological therapy. DESIGN: A qualitative methodology was adopted involving semi-structured interviews and interpretative phenomenological analysis (IPA). METHOD: A total of nine participants (five women and four men) who had opted to engage in psychological therapy were recruited and interviewed prior to the start of this particular psychological therapeutic intervention...
October 3, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/28966910/a-pilot-study-of-an-acceptance-based-behavioral-treatment-for-binge-eating-disorder
#14
Adrienne S Juarascio, Stephanie M Manasse, Hallie M Espel, Leah M Schumacher, Stephanie Kerrigan, Evan M Forman
While existing treatments produce remission in a relatively large percentage of individuals with binge eating disorder (BED), room for improvement remains. Interventions designed to increase emotion regulation skills and clarify one's chosen values may be well-suited to address factors known to maintain BED. The current study examined the preliminary efficacy of a group-based treatment, Acceptance-based Behavioral Therapy (ABBT), in a small open trial (n=19), as well as the relationship between changes in hypothesized mechanisms of action and outcomes...
January 2017: Journal of Contextual Behavioral Science
https://www.readbyqxmd.com/read/28965476/psychoneuroendocrine-evaluation-of-an-acceptance-and-commitment-based-stress-management-training
#15
Andrew T Gloster, Jens Klotsche, Tatiana Aggeler, Noemi Geisser, Gregory Juillerat, Nicole Schmidlin, Sophie Müller-Siemens, Jens Gaab
BACKGROUND AND OBJECTIVES: Acceptance and Commitment Therapy (ACT), a behavioral therapy that targets psychological flexibility (PF), has been shown to be efficacious across a wide range of problems, including chronic work-related stress and perceived stress. ACT's effect on the multiple levels of the acute stress response (i.e., subjective and biological) is less well understood. The aim of the current study was to test whether ACT, by working toward PF, would reduce both the endocrine and subjective evaluations of participants' acute stress response...
September 30, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28960667/developments-on-committed-action-validity-of-the-caq-8-and-analysis-of-committed-action-s-role-in-depressive-symptomatology-in-breast-cancer-patients-and-healthy-individuals
#16
Inês A Trindade, Joana Marta-Simões, Cláudia Ferreira, José Pinto-Gouveia
Committed action, a process of acceptance and commitment therapy's psychological flexibility model, is considered an understudied construct that currently can only be measured by one instrument, the Committed Action Questionnaire (CAQ-8). This study aims at analysing the psychometric properties of the CAQ-8 in healthy individuals and breast cancer patients. This study also aims to explore the specific meditational role of committed action in the well-established relationship between experiential avoidance and depression symptoms...
September 27, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28956942/randomized-controlled-trial-of-acceptance-and-commitment-therapy-and-a-workplace-intervention-for-sickness-absence-due-to-mental-disorders
#17
Anna Finnes, Ata Ghaderi, JoAnne Dahl, Anna Nager, Pia Enebrink
Mental disorders contribute to high rates of sickness absence (SA) and impaired work functioning. The aim of the present study was to evaluate the efficacy of 3 interventions targeting SA of workers. Participants (n = 352; 78.4% females) of working age with current employment, and SA due to depression, anxiety disorders, or exhaustion disorder, were recruited to the study and randomized to (a) acceptance and commitment therapy (ACT), (b) a workplace dialogue intervention (WDI), (c) a combination of ACT and WDI, or (d) treatment as usual (TAU)...
September 28, 2017: Journal of Occupational Health Psychology
https://www.readbyqxmd.com/read/28953070/cost-effectiveness-of-acceptance-and-commitment-therapy-and-a-workplace-intervention-for-employees-on-sickness-absence-due-to-mental-disorders
#18
Anna Finnes, Pia Enebrink, Filipa Sampaio, Kimmo Sorjonen, JoAnne Dahl, Ata Ghaderi, Anna Nager, Inna Feldman
OBJECTIVE: The aim of this study was to evaluate cost-effectiveness of Acceptance and Commitment Therapy (ACT) and workplace dialogue intervention (WDI), both as stand-alone interventions and in combination, compared with treatment as usual (TAU), for employees on sickness absence with mental disorders. METHODS: Employees (n = 352, 78.4% females) on sickness absence were randomized to one of four groups. Cost-utility analyses were conducted from a health care perspective and a limited societal perspective...
September 25, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28895787/internet-based-acceptance-and-commitment-therapy-for-psychological-distress-experienced-by-people-with-hearing-problems-a-pilot-randomized-controlled-trial
#19
Peter Molander, Hugo Hesser, Sandra Weineland, Kajsa Bergwall, Sonia Buck, Johan Jäder Malmlöf, Henning Lantz, Thomas Lunner, Gerhard Andersson
Psychological distress is common among people with hearing problems, but treatments that specifically target this aspect have been almost non-existent. In this pilot randomized controlled trial, an eight-week long Internet-based treatment, informed by Acceptance and Commitment Therapy, was administered to explore the feasibility and efficacy of such a treatment. Included participants were randomized to either treatment (n = 31) or wait-list control (n = 30) condition. All participants were measured prior to randomization and immediately after treatment ended using standardized self-report instruments measuring hearing-related emotional and social adjustment (Hearing Handicap Inventory for the Elderly - S, HHIE-S), quality of life (Quality of Life Inventory, QOLI), and symptoms of depression and anxiety (Patient health Questionnaire, PHQ-9 and Generalized Anxiety Disorder scale, GAD-7)...
September 12, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28880892/beyond-hiv-serodiscordance-partnership-communication-dynamics-that-affect-engagement-in-safer-conception-care
#20
Lynn T Matthews, Bridget F Burns, Francis Bajunirwe, Jerome Kabakyenga, Mwebesa Bwana, Courtney Ng, Jasmine Kastner, Annet Kembabazi, Naomi Sanyu, Adrine Kusasira, Jessica E Haberer, David R Bangsberg, Angela Kaida
INTRODUCTION: We explored acceptability and feasibility of safer conception methods among HIV-affected couples in Uganda. METHODS: We recruited HIV-positive men and women on antiretroviral therapy (ART) ('index') from the Uganda Antiretroviral Rural Treatment Outcomes cohort who reported an HIV-negative or unknown-serostatus partner ('partner'), HIV-serostatus disclosure to partner, and personal or partner desire for a child within two years. We conducted in-depth interviews with 40 individuals from 20 couples, using a narrative approach with tailored images to assess acceptability of five safer conception strategies: ART for the infected partner, pre-exposure prophylaxis (PrEP) for the uninfected partner, condomless sex timed to peak fertility, manual insemination, and male circumcision...
2017: PloS One
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