Acceptance and Commitment Therapy as a Treatment for Anxiety and Depression: A Review

被引:182
作者
Twohig, Michael P. [1 ]
Levin, Michael E. [1 ]
机构
[1] Utah State Univ, Dept Psychol, 2810 Old Main, Logan, UT 84322 USA
关键词
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.
引用
收藏
页码:751 / +
页数:21
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