scholarly journals Distance form of acceptance and commitment therapy for chronic insomnia minimization

2021 ◽  
Vol 7 (3) ◽  
pp. 52-64
Author(s):  
A.I. Melekhin ◽  
◽  
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Pain Syndrome ◽  
Chronic Insomnia ◽  
Symptoms Of Depression ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Psychological Examination ◽  
Hypnotic Drugs ◽  
Diagnosis Criteria

Introduction. For the last year chronic insomnia is one of the most widespread sleeping disorders among the population in general. About 30-54% of population report about symptoms of insomnia and about 27% of them comply with diagnosis criteria of chronic insomnia. The aim of this article is to introduce Russian specialists to specificity of application of acceptance and commitment therapy in the treatment of chronic insomnia. Results. In this article for the first time, we show the limitations of distance forms of the ‘first’ and the ‘second’ wave cognitive behavioral therapy in the treatment of chronic insomnia. The aims, therapeutic targets, forms of holding acceptance and commitment therapy for chronic insomnia (ACT-I) are described in this paper. Transdiagnostic approach for support of patients with chronic insomnia is detailed on the example of integrative distance protocol of acceptance and commitment therapy with CBT-I by M. Chapoutot and L. Peter-Derex. This approach increases adherence to treatment, provides good remission and reduces the risks of uncontrolled using of hypnotic drugs, decreases insomnia symptoms and improves the quality of patient’s life. There is presented the innovated form of distance psychological examination of patients suffering from chronic insomnia and the accent is made on the features of somatic and cognitive hyperexcitation, mental flexibility and ability to suppress chronic disadaptive thoughts. We demonstrated specificity, efficiency and limitations of acceptance and commitment distance therapy existing in foreign practice and aimed for minimization of chronic insomnia in the structure of depression and chronic pain syndrome by P. Lappalainen et al. Conclusions. Current distance protocols of acceptance and commitment therapy for treatment of chronic insomnia in the structure of depression and pain syndrome demonstrate efficiency in increasing in sleep quality and duration, and also in decreasing of dysfunctional beliefs and attitudes related to sleep. Furthermore, therapy decreases symptoms of depression and significantly influences on thoughts suppression.

scholarly journals Acceptance and Commitment Therapy in Obsessive–Compulsive Disorder: A Case Study

2021 ◽  
pp. 025371762199673
Author(s):  
Joel Philip ◽  
Vinu Cherian
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Third Wave ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Change Acceptance ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Recent years have witnessed an increased interest in the use of “third-wave” psychotherapies in treating psychiatric disorders. These newer therapies are fundamentally different from the existing techniques such as cognitive behavioral therapy in terms of their guiding principles and processes of change. Acceptance and commitment therapy (ACT) is the most prominent among these “third wave” psychotherapies. However, there have not been any reports from India, thus far, that have studied the use of ACT in treating obsessive–compulsive disorder (OCD). We describe a case of OCD that was successfully treated with eight sessions of ACT, with the results being maintained over a one-month follow-up period. Postintervention tests revealed a significant decrease in obsessive–compulsive symptoms and an associated increase in psychological flexibility. This case study highlights the possible utility of ACT as a therapeutic intervention in OCD, especially when combined with pharmacotherapy.

scholarly journals MECHANISM OF ACTION: AGE DIFFERENCES IN RESPONSE TO ACCEPTANCE AND COMMITMENT THERAPY FOR CHRONIC PAIN

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S809-S809
Author(s):  
Julie L Wetherell ◽  
Matthew Herbert ◽  
Niloofar Afari
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Pain Interference ◽  
Younger Adults ◽  
Pain Acceptance ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Abstract A recent randomized comparison of Acceptance and Commitment Therapy (ACT) vs. Cognitive-Behavioral Therapy for chronic pain found a clear age interaction effect, such that older adults benefitted more from ACT. In a subsequent study comparing ACT delivered in person to ACT delivered via telehealth to a sample of veterans (N=128, mean age 51.9, SD 13.3, range 25-89), we found no significant age by modality interactions, suggesting that older veterans responded as well as younger people did to telehealth delivery. Consistent with our previous findings, we found a trend for older adults to experience greater reduction in pain interference (p = .051) and significantly greater reduction in pain severity (p = .001) than younger adults following ACT. In younger veterans, change in pain acceptance from baseline to posttreatment was related to change in pain interference from baseline to 6-month follow-up (r = -.38), but change in pain interference from baseline to posttreatment was not related to change in pain acceptance from baseline to follow-up (r = .14), suggesting that, consistent with the ACT model, increased pain acceptance at posttreatment was related to reduced pain interference at follow-up. By contrast, in older veterans, both correlations were significant and of comparable magnitude (rs = -.43 and -.46, respectively), providing no support for the idea that change in pain acceptance drove change in pain interference. Overall, our findings suggest that ACT may work better in older adults with chronic pain than in younger adults, but via a different mechanism.

scholarly journals Internet-Delivered Acceptance and Commitment Therapy for Anxiety Treatment: Systematic Review (Preprint)

2018 ◽  
Author(s):  
Joshua Kelson ◽  
Audrey Rollin ◽  
Brad Ridout ◽  
Andrew Campbell
Keyword(s):  
Systematic Review ◽  
Anxiety Disorder ◽  
Acceptance And Commitment Therapy ◽  
Treatment Satisfaction ◽  
Behavioral Therapy ◽  
Anxiety Symptoms ◽  
General Anxiety ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
The Impact

BACKGROUND Anxiety conditions are debilitating and prevalent throughout the world. Acceptance and Commitment Therapy (ACT) is an effective, acceptance-based behavioral therapy for anxiety. However, there are treatment barriers (eg, financial, geographical, and attitudinal), which prevent people from accessing it. To overcome these barriers, internet-delivered ACT (iACT) interventions have been developed in recent years. These interventions use websites to deliver ACT information and skill training exercises on the Web, either as pure self-help or with therapist guidance. OBJECTIVE This systematic review aimed to examine the therapeutic impact of iACT on all anxiety conditions. METHODS The EMBASE, MEDLINE, ProQuest Central, PsycINFO, Scopus, and Web of Science databases were searched up to September 2018. The titles and abstracts of remaining records after deduplication were screened by 2 authors with a total of 36 full-text articles being retained for closer inspection next to eligibility criteria. Empirical studies of all designs, population types, and comparator groups were included if they appraised the impact of iACT treatment on any standardized measure of anxiety. Included studies were appraised on methodological quality and had their data extracted into a standardized coding sheet. Findings were then tabulated, and a narrative synthesis was performed because of the heterogeneity found between studies. RESULTS A total of 20 studies met inclusion criteria. There were 11 randomized controlled trials (RCTs) and 9 uncontrolled pilot studies. Participants across all studies were adults. The anxiety conditions treated were as follows: generalized anxiety disorder (GAD), social anxiety disorder (SAD), illness anxiety disorder (IAD), and general anxiety symptoms, with or without comorbid physical and mental health problems. A total of 18 studies reported significant anxiety reduction after iACT treatment. This was observed in studies that delivered iACT with (n=13) or without (n=5) therapist guidance. The average attrition rate across all included studies during the active iACT treatment phase was 19.19%. In the 13 studies that assessed treatment satisfaction, participants on average rated their iACT experience with above average to high treatment satisfaction. CONCLUSIONS These findings indicate that iACT can be an efficacious and acceptable treatment for adults with GAD and general anxiety symptoms. More RCT studies are needed to corroborate these early iACT findings using empirical treatments in active control groups (eg, internet-delivered cognitive behavioral therapy). This would potentially validate the promising results found for SAD and IAD as well as address the full spectrum of anxiety disorders.

scholarly journals Short Report: Evaluation of Acceptance and Commitment Therapy Training for Psychologists Working with People with Multiple Sclerosis

2018 ◽  
Vol 20 (1) ◽  
pp. 44-48 ◽  
Author(s):  
Kenneth I. Pakenham ◽  
Theresa Scott ◽  
Michele Messmer Uccelli
Keyword(s):  
Multiple Sclerosis ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Well Being ◽  
Short Report ◽  
Beneficial Effects ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Almost All

Abstract Background: Acceptance and commitment therapy (ACT) is the most widely used and researched recent variant of cognitive behavioral therapy and has been shown to increase quality of life in people with chronic illnesses, including multiple sclerosis (MS). However, few MS health practitioners are trained in ACT. This study evaluated a 2-day ACT training workshop for Italian psychologists working with people with MS. Methods: Data were collected via online questionnaires from 34 psychologists before the workshop, after the workshop, and at 6-month follow-up. Two sets of variables were measured at each assessment: primary outcomes (well-being, negative affect, positive affect, and job satisfaction) and ACT processes (values, mindfulness, psychological flexibility, and cognitive defusion). A separate online workshop evaluation questionnaire and an ACT knowledge examination were administered after the workshop. Results: Most participants (94%) acknowledged the potential beneficial effects of the workshop on their work. Almost all participants reported their intention to apply ACT clinically. More than 90% of participants indicated that the workshop was efficacious. All participants scored higher than 75% on the examination. Mindfulness increased from after the workshop to follow-up; however, there were no statistically significant changes in other variables. Correlations suggested beneficial associations between the ACT processes and the primary outcomes. Conclusions: Results suggest that ACT training is personally and professionally helpful for psychologists in the MS field.

Acceptance and Commitment Therapy for Obsessive-Compulsive and Related Disorders

2021 ◽  
pp. 352-369
Author(s):  
Jennifer Krafft ◽  
Julie M. Petersen ◽  
Michael P. Twohig
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Assessment Instruments ◽  
Case Conceptualization ◽  
Scholarly Work ◽  
Obsessive Compulsive ◽  
Cross Sectional ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
The Impact

Acceptance and commitment therapy (ACT) is a cognitive-behavioral therapy that developed out of behavior analysis with the goal of addressing the impact of language and cognition on human behavior. Theoretical, experimental, cross-sectional, and intervention studies on ACT for obsessive-compulsive and related disorders (OCRDs), as well as the development of assessment instruments to measure related constructs, have been conducted. This chapter provides an update on this scholarly work and basic guidance on how ACT can be used in the treatment of OCRDs. The chapter begins with a review of the basics of ACT, as well as the research supporting its use with OCRDs. The rest of the chapter covers the assessment, case conceptualization, and implementation of ACT.

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