scholarly journals Comparison of the effectiveness of schema therapy and acceptance and commitment therapy on perception of disease and worry in patients with illness anxiety disorder

2020 ◽  
Vol 22 (3) ◽  
pp. 58-67
Author(s):  
Oldouz Mokhtarinejad ◽  
Bahram Mirzaian ◽  
Ramezan Hassanzadeh ◽  
◽  
◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Acceptance And Commitment Therapy ◽  
Schema Therapy ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Illness Anxiety Disorder ◽  
Illness Anxiety ◽  
Perception Of Disease

scholarly journals Effectiveness of Schema Therapy and Acceptance and Commitment Therapy in Components of Cognitive Emotion Regulation among Patients with Anxiety Disorder

2020 ◽  
pp. 225-230
Keyword(s):  
Emotion Regulation ◽  
Anxiety Disorder ◽  
Acceptance And Commitment Therapy ◽  
Analysis Of Covariance ◽  
Measurement Tool ◽  
Schema Therapy ◽  
Cognitive Emotion Regulation ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference

Introduction: Health anxiety is a broad cognitive disorder that is formed as a misconception about the symptoms and physical changes resulting from a personchr('39')s beliefs about illness or health. Objectives: This study aimed to compare the efficacy of schema therapy and acceptance and commitment therapy (ACT) in cognitive emotion regulation components in patients with an anxiety disorder. Materials and Methods: This quasi-experimental study was carried out with a three-group pretest-posttest design. The study population included individuals referring to Bavar and Bamdad counseling centers located in Sari, Iran, in 2019. A sample size of 45 participants was selected using nonrandom sampling (i.e., targeted and voluntary sampling). The measurement tool used was Emotional Cognitive Regulation Questionnaire (Garnefsky and Craig; 2006). Multivariate analysis of covariance and univariate analysis of covariance was used to analyze the data by SPSS software (version 22). Results: The obtained results of the present study showed that schema therapy and ACT were effective in cognitive emotion regulation in patients with an anxiety disorder (P<0.001). The ACT was more effective than schema therapy in the reduction of blaming others (P<0.0001) and focus on catastrophe (P<0.010) and increase of positive refocus (P<0.012). There was no significant difference in other emotional regulation components between the groups (P>0.05). Conclusions: Considering the role of beliefs and thoughts in the anxiety disorder, it is suggested that therapists consider schema therapy and ACT in psychological interventions, including cognitive emotion regulation, for this group of patients.

Mindfulness-Based Acceptance and Commitment Therapy

2022 ◽  
pp. 68-88
Author(s):  
Sindhu B. S.
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Workplace Stress ◽  
Third Wave ◽  
Obsessive Compulsive ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
The World ◽  
Behavioural Therapies ◽  
Illness Anxiety ◽  
Clinical Conditions

Acceptance and Commitment Therapy (ACT) is one of the latest mindfulness-based behavior therapies shown to have compelling evidence and efficacy with a wide range of clinical conditions. ACT is so hard to categorize that it is often described as an amalgamation of existential, humanistic, cognitive-behavioural therapy. ACT is often referred as process-based CBT and is one of the ‘third-wave' of behavioural therapies. It is currently the fastest growing evidence-based therapy in the world, with currently at least 304 Randomized Control Trials (RCTs) being recorded all over the world. It has proven effective in different cultural contexts with a diverse set of clinical conditions, from depression, Obsessive-compulsive disorder, chronic pain, grief, loss and terminal illness, anxiety, and workplace stress.

scholarly journals Optimising the acceptability and feasibility of acceptance and commitment therapy for treatment-resistant generalised anxiety disorder in older adults

2019 ◽  
Vol 48 (5) ◽  
pp. 741-750
Author(s):  
Vanessa Lawrence ◽  
Kate Kimona ◽  
Robert J Howard ◽  
Marc A Serfaty ◽  
Julie Loebach Wetherell ◽  
...  
Keyword(s):  
Older Adults ◽  
Anxiety Disorder ◽  
Acceptance And Commitment Therapy ◽  
Generalised Anxiety Disorder ◽  
Treatment Resistant ◽  
Cognitive Changes ◽  
Commitment Therapy ◽  
Age Related ◽  
Acceptance And Commitment ◽  
Increased Risk

Abstract Background generalised anxiety disorder (GAD) is common in later life with a prevalence of 3–12%. Many only partially respond to cognitive behavioural therapy or pharmacotherapy and can be classified as treatment resistant. These patients experience poor quality of life, and are at increased risk of comorbid depression, falls and loneliness. Acceptance and commitment therapy (ACT) is an emerging therapy, which may be particularly suited to this population, but has not been tailored to their needs. Objectives to optimise the acceptability and feasibility of ACT for older adults with treatment-resistant GAD. Design a person-based approach to ground the adapted ACT intervention in the perspectives and lives of those who will use it. Methods first, we conducted qualitative interviews with 15 older adults with GAD and 36 healthcare professionals to develop guiding principles to inform the intervention. Second, we consulted service users and clinical experts and interviewed the same 15 older adults using ‘think aloud’ techniques to enhance its acceptability and feasibility. Results in Stage 1, older adults’ concerns and needs were categorised in four themes: ‘Expert in one’s own condition’, ‘Deep seated coping strategies’, ‘Expert in therapy’ and ‘Support with implementation’. In Stage 2, implications for therapy were identified that included an early focus on values and ACT as a collaborative partnership, examining beliefs around ‘self as worrier’ and the role of avoidance, validating and accommodating individuals’ knowledge and experience and compensating for age-related cognitive changes. Discussion Our systematic approach combined rigour and transparency to develop a therapeutic intervention tailored to the specific needs of older adults with treatment-resistant GAD.

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 A Randomised Controlled Trial of Acceptance and Commitment Therapy and Cognitive-Behaviour Therapy for Generalised Anxiety Disorder

2014 ◽  
Vol 31 (2) ◽  
pp. 110-130 ◽  
Author(s):  
Elbina Avdagic ◽  
Shirley A. Morrissey ◽  
Mark J. Boschen
Keyword(s):  
Anxiety Disorder ◽  
Acceptance And Commitment Therapy ◽  
Treatment Completion ◽  
Generalised Anxiety Disorder ◽  
Reliable Change ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Treatment Gains ◽  
Post Assessment

The study examined the relative efficacy of group acceptance and commitment therapy (ACT) for generalised anxiety disorder (GAD) compared to group cognitive-behavioural therapy (CBT). Fifty-one individuals with GAD were randomly allocated to a 6-week intervention, either ACT or CBT. Participants were assessed at pre-treatment, post-treatment, and 3-month follow-up on symptom measures, quality of life, and process measures. Data from 38 participants (19 in each group) were available at post-assessment, indicating significant improvements on all measures for both treatment conditions. Treatment gains were maintained at follow-up, with significant further improvements in anxiety, depression and stress symptoms for both groups. While no between-group differences were found at treatment completion, a significant interaction indicating steeper reduction in worrying symptoms (d = .79) from pre- to post-assessment was found for the ACT group compared to the CBT group. Furthermore, in relation to worrying, at treatment completion 78.9% of participants in the ACT group achieved reliable change compared to 47.4% of participants in the CBT group. However, both groups showed equivalent reliable change rates of 60% at the follow-up assessment. The results suggest that group ACT was as efficacious as group CBT. While participants in the ACT group maintained treatment gains at follow-up, participants in the CBT group continued to improve between post-assessment and follow-up.

Treatment of Three Anxiety Disorder Cases With Acceptance and Commitment Therapy in a Private Practice

2011 ◽  
Vol 25 (3) ◽  
pp. 203-217 ◽  
Author(s):  
R. Trent Codd ◽  
Michael P. Twohig ◽  
Jesse M. Crosby ◽  
Angela Enno
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Acceptance And Commitment Therapy ◽  
Private Practice ◽  
Behavioral Therapy ◽  
Treatment Protocol ◽  
Case Series ◽  
Regulatory Function ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Acceptance and commitment therapy (ACT) for anxiety disorders is a type of cognitive behavioral therapy that focuses on decreasing the behavior regulatory function of anxiety and related cognitions, and has a strong focus on behavior change that is consistent with client values. In this case series, 3 consecutive referrals seeking treatment for anxiety disorders at a private practice were treated with 9–13 sessions of ACT. In-session exposure therapy was not included to determine the effects of ACT without the compounding effects of already proven treatment procedures. The treatment procedure was identical across disorders to test the use of a unified treatment protocol for anxiety disorders: panic disorder with agoraphobia, comorbid social phobia and generalized anxiety disorder, and posttraumatic stress disorder. All participants showed clinical improvement in their specific anxiety disorders as rated on multiple standardized assessments after treatment, with gains maintained at follow-up (8 months or more). Time series assessments, taken throughout treatment, of anxiety and avoidance behaviors showed large decreases in avoidance but not in anxiety, suggesting ACT was effective by changing the way participants responded to anxiety rather than anxiety itself.

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