scholarly journals Acceptance and Commitment Therapy for Patients with a First Psychotic Episode

10.17816/cp97 ◽  
2021 ◽  
Author(s):  
Maria Dmitrievna Polyakova ◽  
Marta Vladimirovna Sozinova ◽  
Nikita Vladimirovich Chernov ◽  
Tatiana Valentinovna Moiseeva ◽  
Maria Alexandrovna Belyakova
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Psychosocial Functioning ◽  
Psychotic Disorders ◽  
Health Clinic ◽  
Psychotic Episode ◽  
Present Moment ◽  
Early Diagnostics ◽  
First Psychotic Episode ◽  
Commitment Therapy ◽  
Acceptance And Commitment

ABSTRACT The search for the most effective methods of therapy for mental disorders is a priority for modern psychiatry. An approach to the early diagnostics and rehabilitation of patients experiencing a psychotic episode for the first time is proposed in the present article. The proposed approach is based on the combination of drug therapy and, acceptance and commitmenttherapy (ACT) characterized by the development of the patient's psychological flexibility, rather than controlling the disease symptoms. The article describes the main processes of the ACT model: acceptance, cognitive defusion, contact with the present moment, understanding of the inner world, awareness of significant values and the regulation of purposeful behaviour for the implementation of these values. Recommendations for different stages of treatment were also developed by specialists of the First Psychotic Episode Clinic at the Mental-health clinic No.1 named after N.A. Alexeev. The psychological rehabilitation of patients with the use of ACT in the case of psychotic disorders with both negative and productive symptoms was elaborated. The application of acceptance and commitment therapy in the early diagnostics and treatment of patients with a first psychotic episode results in fewer readmissions and improved psychosocial functioning in both inpatient and outpatient care.

scholarly journals Safety and Efficacy of Acceptance and Commitment Therapy (ACT) in Schizophrenia Spectrum and Other Psychotic Disorders: Protocol for a Systematic Review and Meta-Analysis

2018 ◽  
Vol 1 (4) ◽  
pp. 38 ◽  
Author(s):  
Richard Gray ◽  
Stav Hillel ◽  
Ellie Brown ◽  
Amal Al Ghareeb
Keyword(s):  
Systematic Review ◽  
Acceptance And Commitment Therapy ◽  
Psychotic Disorders ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Safety And Efficacy ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Schizophrenia Spectrum

Acceptance and commitment therapy (ACT) has been reported to be effective in the treatment of some psychiatric disorders. It remains uncertain, however, whether ACT is safe and effective in treating schizophrenia spectrum and other psychotic disorders (e.g., psychosis). This protocol describes the methodology for a systematic review and meta-analysis of the safety and efficacy of ACT in the treatment of psychosis. The review will be guided by the standards set by the Cochrane Collaboration. We will search the Allied and Complementary Medicine Database (AMED), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials (CENTRAL), Excerpta Medica database (EMBASE), EMCARE, Education Resources Information Center (ERIC), MEDLINE, and PsycINFO databases for randomized controlled trials, whose arms are ACT and any comparator, as well as ClinicalTrials.gov, Australian New Zealand Clinical Trials Registry (ANZCTR), and Current Controlled Trials (ISRCTN), for unpublished and ongoing trials. The primary outcome will be any standard (or surrogate) measure of psychotic pathology. The meta-analysis will summarize short-term and long-term effects and different control conditions with or without treatment as usual or comparative to other interventions. In cases where heterogeneity is detected (via χ2 and I2), we will adopt the random effects model for computation.

The Clinical Applications of Acceptance and Commitment Therapy With Clients Who Stutter

2013 ◽  
Vol 23 (2) ◽  
pp. 54-69 ◽  
Author(s):  
Palasik Scott ◽  
Hannan Jaime
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Relational Frame Theory ◽  
Behavioral Therapy ◽  
Present Moment ◽  
Individual Values ◽  
Fluency Disorders ◽  
The Core ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Mindfulness Practices

The field of fluency disorders has used Cognitive Behavioral Therapy (CBT) techniques to help clients who stutter manage their thoughts about stuttering by engaging in cognitive restructuring activities. In the late ‘90s, a new form of cognitive therapy called Acceptance and Commitment Therapy (ACT) emerged, stemming from classic CBT and Relational Frame Theory (RFT). Though there is only one documented study in which ACT is used with clients who stutter, there is tremendous clinical potential to assist clients who stutter of all ages using the six core principles of ACT (contact with the present moment, acceptance, thought defusion, self as a context, defining values, and committed actions). The core principles encourage clients who stutter to live a values‐based life by assisting them in defusing adverse thoughts related to stuttering and choosing committed action behaviors and goals in accordance with their individual values through mindfulness practices. Participating in activities related to the core principles of ACT can help clients who stutter to become more psychologically flexible when managing their perceptions related to stuttering. Using ACT can further lead clients toward acceptance of all thoughts while learning to observe themselves in the present moment and make values‐based choices for future behaviors.

scholarly journals The Present Moment and Giving Oneself as a Gift

2014 ◽  
Vol 19 (1-2) ◽  
pp. 229-241
Author(s):  
Enrico Molinari ◽  
Chiara Spatola ◽  
Emanuele Cappella ◽  
Gianluca Castelnuovo
Keyword(s):  
Cognitive Therapy ◽  
Present Article ◽  
Acceptance And Commitment Therapy ◽  
Life Experience ◽  
Present Moment ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Rapid Sequence ◽  
Perspective Drawing ◽  
Spiritual Perspective

Abstract The contemporary individual is immersed in a reality characterized by a rapid sequence of stimuli and actions and he is often unable to fully live the present moment. Several authors in the field of psychology have discussed on the individual’s ability to live his own experience in the present moment, each highlighting some peculiar aspects and potential of this concept within their models. The major aim of the present article is to discuss these different psychological perspectives moving from more traditional models such ad Gestalt psychotherapy and Psychoanalysis to contemporary approaches such as Mindfulness-based Cognitive therapy (Kabat-Zinn) and Acceptance and Commitment Therapy (Hayes), and to highlight some points of convergence between such approaches and Chiara Lubich’s thought. In fact Lubich investigated the concept of the present moment from a spiritual perspective, drawing on the life experience inspired by the charisma of unity.

Respiratory sinus arrhythmia predicts perceived therapy process of a group-based acceptance and commitment therapy intervention

2021 ◽  
Vol 85 (1) ◽  
pp. 9-22
Author(s):  
William H. O'Brien ◽  
Paul Goetz ◽  
Aaron T. O'Brien ◽  
Heather McCarren ◽  
Eileen Delaney
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Work Stress ◽  
Present Moment ◽  
Therapy Process ◽  
Sinus Arrhythmia ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Community Residents ◽  
Therapy Intervention ◽  
Task Focus

Engagement in psychotherapy is partially contingent on present-moment focus, mindfulness, and emotion regulation skills. These skills can be linked to parasympathetic functioning with theoretical explanations provided by polyvagal and neurovisceral integration theories. The specific aims of this project were to evaluate relationships between a measure of parasympathetic functioning (respiratory sinus arrythmia [RSA]) and measures of client reports of engagement in an experiential and emotionally evocative group-based intervention. Twenty-one community residents received group-based acceptance and commitment therapy (ACT) for work stress. RSA was measured 1 week before the intervention. Client ratings of relationship support, task focus, and hindering experiences were assessed after each session. Results indicated that clients perceived the ACT intervention to be supportive, task-focused, and without significant therapy-hindering experiences. Higher levels of RSA were significantly associated with higher levels of relationship support. These results support predictions derived from the polyvagal and neurovisceral integration theories.

Feasibility and Preliminary Effects of Implementing Acceptance and Commitment Therapy for Inpatients With Psychotic-Spectrum Disorders in a Clinical Psychiatric Intensive Care Setting

2020 ◽  
Vol 34 (1) ◽  
pp. 80-96
Author(s):  
Brandon A. Gaudiano ◽  
Stacy Ellenberg ◽  
Barbara Ostrove ◽  
Jennifer Johnson ◽  
Kim T. Mueser ◽  
...  
Keyword(s):  
Intensive Care ◽  
Acceptance And Commitment Therapy ◽  
Care Setting ◽  
Psychotic Disorders ◽  
Hospital Setting ◽  
Intensive Care Setting ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Spectrum Disorders

The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for implementation in a typical hospital setting to prepare for a larger clinical trial. The sample consisted of 26 inpatients diagnosed with psychotic-spectrum disorders. Using an open trial design, patients received individual and group ACT-IN sessions during their stay. We assessed the feasibility/acceptability of ACT-IN and preliminary changes on patient outcomes at baseline, discharge, and 4-month follow-up. We successfully recruited and retained participants as planned. Patients reported satisfaction with treatment, and routine hospital staff showed adoption and fidelity to the intervention. Relative to baseline, patients demonstrated significant improvements in symptoms and functioning across the 4-month follow-up. The current study shows that ACT-IN may be feasible and acceptable for inpatients with psychotic disorders in a psychiatric intensive care setting and should be tested in a future effectiveness-implementation trial.

scholarly journals Evaluating the Open and Engaged Components of Acceptance and Commitment Therapy in an Online Self-Guided Website: Results from a Pilot Trial

2019 ◽  
pp. 014544551987866 ◽  
Author(s):  
Julie M. Petersen ◽  
Jennifer Krafft ◽  
Michael P. Twohig ◽  
Michael E. Levin
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Psychosocial Functioning ◽  
Pilot Trial ◽  
Post Treatment ◽  
Optimal Outcomes ◽  
Online Platforms ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
High Satisfaction

Online acceptance and commitment therapy (ACT) is promising for treating a range of psychological problems. Component research can further clarify which components are needed for optimal outcomes in what contexts. Online platforms provide a highly controlled format for such research. In this pilot trial, 55 adults were randomized to: ACT-Open (i.e., acceptance, defusion components), ACT-Engaged (i.e., values, committed action), or ACT-Combined (i.e., acceptance, defusion, values, committed action). Each condition was 12 sessions over 6 weeks, with assessments at baseline, post-treatment, and 4-week follow-up. ACT-Open, ACT-Engaged, and ACT-Combined all significantly improved from pre- to post-treatment on mental health, psychosocial functioning, and components of psychological flexibility. Compared to ACT-Combined, ACT-Open improved less on psychosocial functioning at post-treatment, and ACT-Engaged worsened on functioning at follow-up. The platform was acceptable with high satisfaction ratings. Results support the feasibility of conducting online ACT component research, which will be tested in a fully powered non-inferiority trial.

The Active Therapeutic Processes of Acceptance and Commitment Therapy for Persistent Symptoms of Psychosis: Clients’ Perspectives

2013 ◽  
Vol 42 (4) ◽  
pp. 402-420 ◽  
Author(s):  
Tory Bacon ◽  
John Farhall ◽  
Ellie Fossey
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Psychotic Disorders ◽  
Structured Interviews ◽  
Specific Therapy ◽  
Intended Meaning ◽  
Persistent Symptoms ◽  
Client Group ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Therapeutic Processes

Background: There is limited research on the applicability and effectiveness of Acceptance and Commitment Therapy (ACT) for people experiencing psychotic disorders. Clinical trials suggest ACT may be efficacious in reducing distress and rehospitalization rates in psychosis. Mindfulness and reduced literal believability of thought content have been associated with reduced distress for this population. Aims: To better understand ACT for psychosis, this study investigated clients’ perspectives of the hypothesized active therapeutic processes of ACT. Method: Semi‑structured interviews, conducted with nine adults diagnosed with schizophrenia or schizoaffective disorder and persistent positive symptoms, were analysed thematically. Results: Four themes emerged: Usefulness of therapy; Changes attributed to ACT; Understanding of therapy; and Non-specific therapy factors. All participants found therapy useful and recommended ACT. Mindfulness, defusion, acceptance and values work were described as the most useful therapy components and contributing to positive changes. Self-rated frequency of symptoms did not change; however a reduction in the intensity and distress associated with symptoms was reported. Non-specific therapy factors were deemed useful by participants but not directly related to outcome. Conclusions: These findings are consistent with the theoretically defined underlying active processes of ACT and are relevant for this population. The findings also indicate important clinical implications for ACT for this client group: greater attention to the client connecting metaphors and concepts to the intended meaning may be valuable; caution should be used with some mindfulness and defusion techniques for intense experiences; and values work may be particularly useful for this population.

scholarly journals Acceptance and Commitment Therapy and Motivational Interviewing in the Treatment of Alcohol Use Disorder in a College Woman: A Case Study

2018 ◽  
Vol 18 (1) ◽  
pp. 36-53
Author(s):  
Anandi C. Ehman ◽  
Alan M. Gross
Keyword(s):  
Alcohol Abuse ◽  
Motivational Interviewing ◽  
Acceptance And Commitment Therapy ◽  
Present Moment ◽  
Drinking Habits ◽  
Clinical Case Study ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Potential Benefits

Alcohol abuse is common among college students. Acceptance and commitment therapy (ACT) is widely supported as a treatment of alcohol abuse. However, little research has examined how ACT may be paired with other techniques traditionally applied to treat substance abuse, such as motivational interviewing (MI). This clinical case study describes the use of ACT and MI to facilitate treatment of a 20-year-old woman who was referred for treatment for alcohol abuse. The client remained in treatment in spite of her initial self-reported belief that treatment was unnecessary. At follow-up, the client reported increased present moment awareness, particularly of her drinking habits, and demonstrated the ability to behave in ways consistent with her values. At the completion of treatment, the client reported fewer episodes of alcohol consumption and less severe drinking. Implications of these findings are discussed, with an emphasis on the potential benefits of pairing MI techniques with ACT.

scholarly journals Clinical Effects of an ACT-Group Training in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

2019 ◽  
Vol 29 (4) ◽  
pp. 1070-1080 ◽  
Author(s):  
Laura Vanzin ◽  
Valentina Mauri ◽  
Angela Valli ◽  
Marco Pozzi ◽  
Giovambattista Presti ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Acceptance And Commitment Therapy ◽  
Attention Deficit ◽  
Rating Scale ◽  
Present Moment ◽  
Global Index ◽  
Hyperactivity Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Dsm Iv

Abstract Objective The aim of the present study is evaluate the effectiveness of an Acceptance and Commitment Therapy (ACT)-based training protocol, in adjunct to token economy and previous parent training, in a sample of children with Attention-Deficit/Hyperactivity Disorder (ADHD). By promoting the reduction of immediate responses to thoughts and feelings, we aimed to reduce the impulsive behaviour of children and to improve their self-regulation. Methods The protocol was centred on awareness of the present moment, defusion and acceptance of feelings and emotions. Behavioural (Conners’ Parent Rating Scale -Revised: Long version, CPRS-R:L) and severity measures (Clinical Global Impression -Severity, CGI-S) were assessed before and after treatment in a clinical sample of 31 children aged 8–13 years. Results At the end of the ACT protocol, children showed significant improvement in global functioning and behavioural symptoms. There were significant improvements in the CPRS subscales Cognitive Problems (p = 0.005), Hyperactivity (p = 0.006), Perfectionism (p = 0.017), ADHD Index (p = 0.023), Global Index: Restless–Impulsive (p = 0.023), Global Index: Total (p = 0.036), DSM IV Inattentive (p = 0.029), DSM IV Hyperactive–Impulsive (p = 0.016), and DSM IV Total (p = 0.003). When controlling for the confounding effect of pharmacological therapy, comorbidities and socio-economic status, treatment maintained a significant effect on the CPRS subscales Perfectionism (partial η2 = 0.31, p < 0.01), Global Index: Restless–Impulsive (partial η2 = 0.29, p < 0.01), Global Index: Total (partial η2 = 0.31, p < 0.01), DSM IV Hyperactive–Impulsive (partial η2 = 0.20, p = 0.02). Symptom severity as rated by CGI-S scores decreased in 74.2% of the children. Conclusions This preliminary work on an Acceptance and Commitment Therapy-based child training in children affected by ADHD resulted in significant improvements, measured by a rating scale specific for ADHD.

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