A brief Acceptance and Commitment Therapy intervention for depression: A randomized controlled trial with 3-year follow-up for the intervention group

被引:21
作者
Kyllonen, Heidi Maria [1 ]
Muotka, Joona [1 ]
Puolakanaho, Anne [1 ]
Astikainen, Piia [1 ]
Keinonen, Katariina [1 ]
Lappalainen, Raimo [1 ]
机构
[1] Univ Jyvaskyla, Dept Psychol, PL 35, Jyvaskyla 40014, Finland
基金
芬兰科学院;
关键词
Brief interventions; Acceptance and Commitment Therapy; Novice therapists; Effectiveness; Depression; COGNITIVE-BEHAVIORAL THERAPY; PSYCHOMETRIC PROPERTIES; ADULT DEPRESSION; BECK DEPRESSION; METAANALYSIS; EFFICACY; INVENTORY; ANXIETY;
D O I
10.1016/j.jcbs.2018.08.009
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: This study examined the outcomes of a brief Acceptance and Commitment Therapy (ACT) intervention for depression delivered by novice therapists. Method: Participants (N = 115) were randomized either to the brief (six sessions) ACT or to a waitlist control condition (WLC). Outcomes were assessed with diagnoses of depressive episodes (ICD-10) and questionnaires. Results: After the 6-week intervention, diagnostic remission rates were 60% in the ACT and 22% in the control group. Further, 70% of the ACT participants were classified as either recovered or improved. The post-measurement between-group effect size for depression symptoms was large and favored the ACT group (BDI-II, d = 1.25). At the 3-year follow-up, the within-group effect sizes were encouraging (d = 1.11-1.77). Conclusions: A 6-h ACT intervention delivered by novice therapists can lead to improvement in approximately 60-70% of depressed clients.
引用
收藏
页码:55 / 63
页数:9
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