Acceptance and commitment therapy in the treatment of anxiety disorders in relation to classical cognitive-behavioural therapy

Physical activity is positively related to various indices of quality of life and is found to reduce symptoms in individuals with chronic pain. This manuscript presents findings from a post hoc analysis investigating whether treatment-related improvements from psychological treatment for chronic pain are mediated by changes in physical activity (PA). Secondary analyses sought to determine predictor variables of PA in patients with chronic pain and to determine the relationship between objective and self-report measurements of PA. The effect of psychological treatment on physical activity was assessed using accelerometers in a sample of participants with chronic pain in a randomised controlled trial comparing 8 weeks of acceptance and commitment therapy (ACT) to cognitive behavioural therapy (CBT). Participants wore actigraph accelerometers for 7 consecutive days at baseline, post-treatment, and at 6-month follow-up. Hierarchical linear modelling analyses found that the variance in physical activity was not significantly predicted by time (b = 104.67, p = .92) or treatment modality (b = −1659.34, p = .57). Women had greater increases in physical activity than did men (b = 6804.08, p = .02). Current ‘gold standard’ psychological treatments for chronic pain were not found to significantly increase physical activity, an important outcome to target in the treatment of physical and mental health. These results suggest that tailored interventions with greater emphasis on exercise may complement psychological treatment for chronic pain. In particular, gender-tailored interventions may capitalise on physical activity differences found between men and women.

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From traditional cognitive–behavioural therapy to acceptance and commitment therapy for chronic pain: a mixed-methods study of staff experiences of change

British Journal of Pain ◽

10.1177/2049463713498865 ◽

2013 ◽

Vol 8 (3) ◽

pp. 98-106 ◽

Cited By ~ 9

Author(s):

Estelle Barker ◽

Lance M McCracken

Keyword(s):

Chronic Pain ◽

Mixed Methods ◽

Cognitive Behavioural Therapy ◽

Acceptance And Commitment Therapy ◽

Behavioural Therapy ◽

Mixed Methods Study ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

Cognitive Behavioural ◽

Staff Experiences

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Cognitive behavioural therapy in multiple sclerosis: A randomized controlled pilot study of acceptance and commitment therapy

Journal of Rehabilitation Medicine ◽

10.2340/16501977-0898 ◽

2012 ◽

Vol 44 (1) ◽

pp. 87-90 ◽

Cited By ~ 43

Author(s):

L Nordin ◽

I Rorsman

Keyword(s):

Multiple Sclerosis ◽

Pilot Study ◽

Cognitive Behavioural Therapy ◽

Acceptance And Commitment Therapy ◽

Behavioural Therapy ◽

Randomized Controlled ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

Cognitive Behavioural

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The practice of mindfulness: from Buddhism to secular mainstream in a post-secular society

Scripta Instituti Donneriani Aboensis ◽

10.30674/scripta.67408 ◽

2012 ◽

Vol 24 ◽

pp. 48-61 ◽

Cited By ~ 2

Author(s):

Liselotte Frisk

Keyword(s):

Cognitive Behavioural Therapy ◽

Acceptance And Commitment Therapy ◽

Personal Development ◽

Religious Practice ◽

Behavioural Therapy ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

Cognitive Behavioural ◽

Western Psychology ◽

Secular Society

The article focuses on the practice of mindfulness, which has migrated from being part of a religion, Buddhism, to being an integral part of Western psychology. Mindfulness is especially used in cognitive behavioural therapy, but also in, e.g., dialectical behavioural therapy (DBT) and acceptance and commitment therapy (ACT). In Sweden several doctors, psychologists and psychiatrists use and recommend mindfulness for therapeutic purposes. Mindfulness is used today in many segments of mainstream medical and therapeutic care. Mindfulness is also used outside the mainstream medical and therapeutic sector, in the area of personal development or spirituality, as well as in more traditional Buddhist groups and innovative Buddhist groups such as vipassana groups. This paper investigates the migration of mindfulness from a religious to a secular sphere, and discusses whether mindfulness is a religious practice or not.

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Introduction to acceptance and commitment therapy

Advances in Psychiatric Treatment ◽

10.1192/apt.bp.107.005256 ◽

2011 ◽

Vol 17 (4) ◽

pp. 309-316 ◽

Cited By ~ 7

Author(s):

Mark Webster

Keyword(s):

Acceptance And Commitment Therapy ◽

Behavioural Change ◽

Behavioural Therapy ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

Cognitive Behavioural ◽

Wide Range ◽

Core Components ◽

Clinical Conditions ◽

Behavioural Repertoire

SummaryAcceptance and commitment therapy (ACT) is a descendant of cognitive-behavioural therapy (CBT). The model draws techniques from a wide variety of sources and unites them within a philosophical and scientific framework to create a principle-driven therapy. Psychopathology is understood as a narrowing behavioural repertoire that develops over time through maladaptive strategies to cope with unwanted private events. The six core components of the therapy remain consistent across a wide range of clinical conditions. The approach combines processes of acceptance and mindfulness with those of commitment and behavioural change to produce increased psychological flexibility and an expanded behavioural repertoire. Since its introduction in 1999 an increasing number of trials show promising results for a wide range of conditions.

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The Role of Acceptance and Commitment Therapy in Cardiovascular and Diabetes Healthcare: A Scoping Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18158126 ◽

2021 ◽

Vol 18 (15) ◽

pp. 8126

Author(s):

Amineh Rashidi ◽

Lisa Whitehead ◽

Lisa Newson ◽

Felicity Astin ◽

Paramjit Gill ◽

...

Keyword(s):

Acceptance And Commitment Therapy ◽

Scoping Review ◽

Behavioural Therapy ◽

Post Intervention ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

Cognitive Behavioural ◽

Scoping Reviews ◽

Patient Reported ◽

Randomised Controlled

Acceptance and commitment therapy (ACT) is an adapted form of cognitive behavioural therapy. ACT focuses on how thinking affects behaviour and promotes psychological flexibility. The prevalence of psychological distress among people living with cardiovascular disease (CVD) and/or type 2 diabetes mellitus (T2DM) is high, and ACT may offer an alternative treatment approach. This scoping review explored the use of ACT as an intervention to support adults living with CVD and/or T2DM. A systematic search of the literature resulted in the inclusion of 15 studies. Studies were reviewed using the Joanna Briggs Institute approach to conducting scoping reviews. Most studies (n = 13) related to people living with T2DM, and most (n = 10) used a pre-post design, four studies were randomised controlled trials, and one was a qualitative study. Eight studies reported an improvement in the outcome(s) assessed post-intervention, suggesting that ACT was an acceptable and valid intervention to support people living with CVD or T2DM. However, studies were underpowered and only limited studies involved people living with CVD. ACT was assessed as a valuable approach to improve a range of patient-reported outcomes for those living with CVD or T2DM, and further research involving robust study designs and larger cohorts are warranted.

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Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees: description and evaluation

Torture Journal ◽

10.7146/torture.v25i1.109506 ◽

2018 ◽

Vol 25 (1) ◽

pp. 16

Author(s):

Cæcilie Buhmann ◽

Ida Andersen ◽

Erik Lykke Mortensen ◽

Jasmina Ryberg ◽

Merete Nordentoft ◽

...

Keyword(s):

Acceptance And Commitment Therapy ◽

Behavioral Therapy ◽

Behavioural Therapy ◽

Cognitive Behavioral ◽

Psychotherapeutic Treatment ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

Cognitive Behavioural ◽

Co Morbidity ◽

Before And After

Introduction: Cognitive behavioural therapy (CBT) with trauma focus is the most evidence supported psychotherapeutic treatment of PTSD, but few CBT treatments for traumatized refugees have been described in detail. Purpose: To describe and evaluate a manualized cognitive behavioral therapy for traumatized refugees incorporating exposure therapy, mindfulness and acceptance, and commitment therapy. Material and methods: 85 patients received six months’ treatment at a Copenhagen Trauma Clinic for Refugees and completed self-ratings before and after treatment. The treatment administered to each patient was monitored in detail. The changes in mental state and the treatment components associated with change in state were analyzed statistically. Results: Despite the low level of functioning and high co-morbidity of patients, 42% received highly structured CBT, which was positively associated with all treatment outcomes. The more methods used and the more time each method was used, the better the outcome. The majority of patients were able to make homework assignments and this was associated with better treatment outcome. Correlation analysis showed no association between severity of symptoms at baseline and the observed change. Conclusion: The study suggests that CBT treatment incorporating mindfulness and acceptance and commitment therapy is promising for traumatized refugees and punctures the myth that this group of patients are unable to participate fully in structured CBT. However, treatment methods must be adapted to the special needs of refugees and trauma exposure should be further investigated.

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Face-to-face versus Video Teleconference Group Cognitive Behavioural Therapy for Anxiety and Related Disorders: A Preliminary Comparison: Thérapie cognitivo-comportementale de groupe en personne contre par vidéo téléconférence pour l’anxiété et les troubles connexes: une comparaison préliminaire

The Canadian Journal of Psychiatry ◽

10.1177/07067437211027319 ◽

2021 ◽

pp. 070674372110273

Author(s):

Irena Milosevic ◽

Duncan H. Cameron ◽

Melissa Milanovic ◽

Randi E. McCabe ◽

Karen Rowa

Keyword(s):

Anxiety Disorder ◽

Anxiety Disorders ◽

Cognitive Behavioural Therapy ◽

Behavioural Therapy ◽

Symptom Improvement ◽

Face To Face ◽

Compulsive Disorder ◽

Cognitive Behavioural ◽

Group Cbt ◽

Delivery Formats

Objective: Telehealth is being increasingly incorporated into the delivery of mental health care and has received widespread attention during the COVID-19 pandemic for its ability to facilitate care during physical distancing restrictions. Videoconferencing is a common telehealth modality for delivering psychotherapy and has demonstrated similar outcomes to those of face-to-face therapy. Cognitive behavioural therapy (CBT) is the most common psychotherapy evaluated across various telehealth modalities; however, studies on CBT delivered via videoconference, particularly in a group therapy format, are lacking. Further, little research exists on videoconference group CBT for anxiety disorders. Accordingly, the present study compared the outcomes of group CBT for anxiety and related disorders delivered via videoconference versus face-to-face. Method: Using a non-randomized design, data on attendance, dropout, clinical outcomes, and functional impairment were collected from 413 adult outpatients of a tertiary care anxiety disorders clinic who attended a CBT group for panic disorder/agoraphobia, social anxiety disorder, generalized anxiety disorder (GAD), or obsessive-compulsive disorder delivered either face-to-face (pre-COVID-19 pandemic) or via videoconference (since the onset of COVID-19 pandemic). Outcomes were assessed using well-validated self-report measures. Data were collected pre-treatment, across 12 weekly sessions, and post-treatment. Intent-to-treat analyses were applied to symptom outcome measures. Results: Face-to-face CBT conferred only a slight benefit over videoconference CBT for symptom outcomes across all groups, but when assessed individually, only the GAD group showed greater symptom improvement in the face-to-face format. Effect sizes for significant differences between the delivery formats were small. Participants in videoconference groups tended to have slightly higher attendance rates in some instances, whereas functional improvement and treatment dropout were comparable across the delivery formats. Conclusions: Results provide preliminary evidence that videoconference group CBT for anxiety and related disorders may be a promising and effective alternative to face-to-face CBT. Additional research is needed to establish equivalence between these delivery formats.

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