scholarly journals The role of psychological inflexibility and self-compassion in acceptance and commitment therapy for clinical perfectionism

2019 ◽  
Vol 13 ◽  
pp. 7-16 ◽  
Author(s):  
Clarissa W. Ong ◽  
Jennifer L. Barney ◽  
Tyson S. Barrett ◽  
Eric B. Lee ◽  
Michael E. Levin ◽  
...  
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Psychological Inflexibility ◽  
Self Compassion ◽  
Commitment Therapy ◽  
Acceptance And Commitment

scholarly journals The emerging role of acceptance and commitment therapy as a way to treat trauma and stressor related disorders

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S290-S290
Author(s):  
Gisela Simões ◽  
Rita Silva
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Psychological Trauma ◽  
Stress Factors ◽  
Future Research ◽  
Clinical Effects ◽  
Addictive Disorders ◽  
Commitment Therapy ◽  
Mesh Terms ◽  
Acceptance And Commitment

AimsThe aim of this work is to gather and evaluate scientific evidence about the clinical effects of Acceptance and Commitment Therapy (ACT) in the treatment of patients with trauma-related Post-Traumatic Stress Disorder (PTSD).MethodA literature search was conducted on PubMed platform, starting from the following MeSH terms: “Acceptance and Commitment Therapy”, “Trauma and Stressor Related Disorders”, “Psychological Trauma”. Studies obtained were analysed, corresponding to investigations based on an adult population with trauma and stressor related disorders.ResultThe search provided 13 results, of which 12 met the defined criteria. Different types of studies with variable samples were considered, including randomised clinical trials, longitudinal observational studies, narrative reviews and an analysis of case reports.Globally, ACT has been showing a crescent role in the treatment of individuals with trauma histories by enhancing positive outcomes and by being associated with greater psychological flexibility. It is increasingly considered to be well-suited to the treatment of trauma by targeting avoidance, coping strategies with emotional disengagement and persistent dissociation, aspects associated with greater PTSD symptom severity and related psychopathology.Furthermore, research suggests that acceptance-based treatments are helpful in promoting emotional, behavioural, and neural changes in psychological disorders characterised by disgust, shame and guilt that commonly co-occur with PTSD.Among the various exposure factors, we found a growing production of recent literature in which ACT has been applied in the context of oncology life-threatening settings, demonstrating significant improvements in symptoms and quality of life, as well as reductions in emotional disturbances, physical pain and traumatic responses.However, little is known about implementation and results of ACT in situations of trauma and psychiatric comorbidities. Data suggest that, when applied to individuals with psychosis and history of trauma, there is an improvement in overall severity and anxiety symptoms, emotion regulation strategies and a greater sense of engagement in care; nevertheless, reduction of specific trauma symptoms remains controversial. More mention is made about the growth of literature evaluating the application of ACT as a conjunctial therapeutic method for trauma and simultaneous addictive disorders.ConclusionOverall, despite limited published research currently available, some evidence starts to support ACT's promising role as an effective psychotherapeutic approach to trauma and stressor related disorders. Its application in situations where organic diseases represent stress factors has been growing. Future research should focus on clarifying the role of ACT in psychiatric comorbidity scenarios, allowing this psychotherapy to help individuals find a meaningful and valuable life beyond trauma.

Acceptance and commitment therapy and anxiety disorders: Clinical case

2017 ◽  
Vol 41 (S1) ◽  
pp. S410-S410
Author(s):  
R. Guijarro ◽  
M. Cerviño ◽  
P. Castrillo
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Single Case ◽  
Human Condition ◽  
Diagnostic And Statistical Manual ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Flexible Working ◽  
Before And After ◽  
Competing Interest

Acceptance and commitment therapy (ACT) is a third-generation therapy that relates to human suffering as an inherent part of life in the human condition. Concerning personal values, ACT is focused on the acceptance of suffering, by doing away with the avoidance of things that cause us discomfort.The goal of the therapy is to make a person's reactions to suffering more flexible, working with the role of the symptoms rather than with the eliminating the symptoms themselves.This paper shows how the application of this therapy to a person with generalized anxiety disorder helps to reduce symptoms such as uncontrollable worrying, lack of concentration and muscular tension that these patients often suffer. The modification of symptoms has been measured by a single case study, where the symptoms are assessed by questionnaires before and after the treatment's application. Diagnosis was made according to the Diagnostic and Statistical Manual of Mental Disorders’ (DSM-IV) criteria.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Self-compassion in Acceptance and Commitment Therapy for chronic pain: a pilot study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Sérgio A. Carvalho ◽  
David Gillanders ◽  
Teresa Forte ◽  
Inês A. Trindade ◽  
José Pinto-Gouveia ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Acceptance And Commitment Therapy ◽  
Self Report ◽  
Group Program ◽  
Post Intervention ◽  
Change Analysis ◽  
Self Compassion ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Change

Abstract Objectives Evidence shows that Acceptance and Commitment Therapy (ACT) is an empirically supported psychological approach for chronic pain (CP) management. Although self-compassion is not explicitly a target of ACT, it seems to be one mechanism of change in ACT for CP. However, research is lacking on the benefits of including explicit self-compassionate exercises in ACT for CP. The current study pilot tested a Compassionate ACT 8-session group program (COMP.ACT; n=9), as well as an ACT-only 8-session group program (ACT; n=7), in a sample of women with CP. Methods The current study follows a quasi-experimental design, and conducts Reliable and Significant Change analyses comparing pre- to post-intervention scores of self-report measures. Results No differences were found between conditions at baseline, nor between completers and drop-outs. Although preliminary, results showed COMP.ACT led to greater clinical improvements in depression and anxiety, while ACT led to greater improvements in stress and uncompassionate self-responding. Reliable and Significant Change analysis showed that some participants improved significantly (in psychopathological symptoms, valued living and uncompassionate self-responding) in both conditions, while the majority did not change significantly. Conclusions More research is needed to conclude whether explicit self-compassion exercises are useful in ACT for CP. Limitations and implications are further discussed.

Comparing Cognitive, Metacognitive, and Acceptance and Commitment Therapy Models of Depression: a Longitudinal Study Survey

2015 ◽  
Vol 18 ◽  
Author(s):  
Francisco J. Ruiz ◽  
Paula Odriozola-González
Keyword(s):  
Depressive Symptoms ◽  
Acceptance And Commitment Therapy ◽  
Online Survey ◽  
Attitude Scale ◽  
Psychological Inflexibility ◽  
Commitment Therapy ◽  
Negative Beliefs ◽  
Acceptance And Commitment ◽  
Metacognitive Beliefs ◽  
Acceptance And Action Questionnaire

AbstractThis study analyzed the interrelationships between key constructs of cognitive therapy (CT; depressogenic schemas), metacognitive therapy (MCT; dysfunctional metacognitive beliefs), and acceptance and commitment therapy (ACT; psychological inflexibility) in the prediction of depressive symptoms. With a lapse of nine months, 106 nonclinical participants responded twice to an anonymous online survey containing the following questionnaires: the Depression subscale of the Depression Anxiety and Stress Scales (DASS), the Dysfunctional Attitude Scale Revised (DAS-R), the Positive beliefs, Negative beliefs and Need to control subscales of the Metacognitions Questionnaire-30 (MCQ-30), and the Acceptance and Action Questionnaire – II (AAQ-II). Results showed that when controlling for baseline levels of depressive symptoms and demographic variables, psychological inflexibility longitudinally mediated the effect of depressogenic schemas (path ab = .023, SE = .010; 95% BC CI [.008, .048]) and dysfunctional metacognitive beliefs on depressive symptoms (positive metacognitive beliefs: path ab = .052, SE = .031; 95% BC CI [.005, .134]; negative metacognitive beliefs: path ab = .087, SE = .049; 95% BC CI [.016, .214]; need to control: path ab = .087, SE = .051; 95% BC CI [.013, .220]). Results are discussed emphasizing the role of psychological inflexibility in the CT and MCT models of depression.

What Is Acceptance and Commitment Therapy (ACT)?

ACT in Steps ◽  
2020 ◽  
pp. 1-18
Author(s):  
Michael P. Twohig ◽  
Michael E. Levin ◽  
Clarissa W. Ong
Keyword(s):  
Empirical Evidence ◽  
Acceptance And Commitment Therapy ◽  
Cognitive Behavioral ◽  
Psychological Inflexibility ◽  
Commitment Therapy ◽  
Scientific Philosophy ◽  
Acceptance And Commitment ◽  
Behavioral Therapies ◽  
Cognitive Behavioral Therapies ◽  
Broad Overview

This chapter provides a broad overview of acceptance and commitment therapy (ACT), including empirical evidence for its effectiveness, how it fits with other cognitive-behavioral therapies, and defining features of ACT. The chapter also explains the theory and scientific philosophy underlying ACT so that readers have a framework to which to refer as they learn how to implement ACT in practice. In addition, the chapter describes the model of psychological inflexibility that underpins assessment and intervention in ACT. This chapter also gives readers an introduction to terms associated with ACT and what they mean.

scholarly journals Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Karen Hansen Kallesøe ◽  
Andreas Schröder ◽  
Rikard K. Wicksell ◽  
Tua Preuss ◽  
Jens Søndergaard Jensen ◽  
...  
Keyword(s):  
Pilot Study ◽  
Physical Health ◽  
Acceptance And Commitment Therapy ◽  
Secondary Outcome ◽  
Functional Somatic Syndromes ◽  
Psychological Inflexibility ◽  
Information Meeting ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Close Relatives

Abstract Background Recurrent and impairing functional somatic syndromes (FSS) are common in adolescents. Despite a high need for care, empirically supported treatments are lacking for youth. The aim of this uncontrolled pilot study was to assess feasibility and treatment potential of a new intervention with group-based Acceptance and Commitment Therapy (ACT) in a generic treatment approach for adolescents with multiple FSS. Methods Twenty-one patients received ‘ACT for Health in Adolescents’ (AHEAD) (30 h), specifically developed for adolescents (aged 15–19 years) with moderate to severe FSS. Close relatives attended an information meeting to facilitate support of the patients throughout treatment. Treatment satisfaction was evaluated by means of self-report and relatives’ impressions. Self-reported physical health at 3 months follow-up (FU) after end of treatment was the primary outcome whereas secondary outcomes included symptom burden, limitation due to symptoms, illness worry, emotional distress and physical and emotional symptoms. Treatment targets were assessed by measures on illness behaviour, illness perception and psychological inflexibility. Results Nineteen patients (90.5%) completed the treatment with a high overall attendance rate of 93%. All would recommend the treatment to a friend with similar problems. Close relatives rated it valuable to participate in an information meeting. Patients’ physical health improved significantly from assessment to FU with a clinically relevant mean change of 8.9 points (95% CI [5.4; 12.4]; SRM 0.91 [0.26;1.57]). Improvement was also seen on all secondary outcome measures, from assessment to FU. Maladaptive illness behaviours and perceptions as well as psychological inflexibility showed a significant decline from assessment to FU. Conclusion AHEAD was feasible and potentially efficacious and warrants testing in a larger clinical trial. Trial registration Clinical Trials gov NCT04464447, registration date July 9th, 2020. Retrospectively registered.

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