Acceptance and commitment therapy;
ACT;
Anxiety;
Depression;
Psychological flexibility;
RANDOMIZED CONTROLLED-TRIAL;
COGNITIVE-BEHAVIORAL THERAPY;
OBSESSIVE-COMPULSIVE DISORDER;
WEB-BASED ACCEPTANCE;
SOCIAL ANXIETY;
CLINICAL-TRIAL;
EXPERIENTIAL AVOIDANCE;
COMORBID DEPRESSION;
APPLIED RELAXATION;
HEALTH ANXIETY;
D O I:
10.1016/j.psc.2017.08.009
中图分类号:
R749 [精神病学];
学科分类号:
100205 ;
摘要:
Acceptance and commitment therapy (ACT) is a modern form of cognitive behavioral therapy based on a distinct philosophy and the basic science of cognition. This article reviews the core features of ACT's theoretic model of psychopathology and treatment and its therapeutic approach. It provides a systematic review of randomized controlled trials (RCTs) evaluating ACT for depression and anxiety disorders. Summarizing 36 RCTs, ACT appears to be more efficacious than waitlist conditions and treatment as-usual, with largely equivalent effects relative to traditional cognitive behavioral therapy. Evidence indicates that ACT treatment outcomes are mediated through increases in psychological flexibility, its theorized process of change.