Acceptance, Mindfulness, Values, and Psychosis: Applying Acceptance and Commitment Therapy (Act) to the Chronically Mentally Ill

Bach, Patricia; Gaudiano, Brandon A.; Pankey, Julieann; Herbert, James D.; Hayes, Steven C.

doi:10.1016/b978-012088519-0/50006-x

Cited by 29 publications

(19 citation statements)

References 36 publications

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“…However, we recommend caution when using formal, intensive meditation techniques with acutely ill psychotic patients as some case reports suggest that intensive meditation may exacerbate psychosis (Sethi & Bhargava, 2003). ACT employs a number of nonmeditation-based exercises that foster mindfulness using alternative techniques (Bach et al, 2006). …”

Section: Discussionmentioning

confidence: 99%

An Open Trial of a New Acceptance-Based Behavioral Treatment for Major Depression With Psychotic Features

et al. 2012

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Research suggests that cognitive and behavioral therapies produce significant benefits over medications alone in the treatment of severe, nonpsychotic major depression or primary psychotic disorders such as schizophrenia. However, previous research has not demonstrated the efficacy of psychotherapy for major depression with psychotic features. In this initial treatment development study, we conducted an open trial of a new behavioral intervention that combines elements of Behavioral Activation and Acceptance and Commitment Therapy for depression and psychosis. Fourteen patients with major depressive disorder with psychotic features were provided with up to six months of Acceptance-based Depression and Psychosis Therapy (ADAPT) in combination with pharmacotherapy. Patients reported a high degree of treatment credibility and acceptability. Results showed that patients achieved clinically significant and sustained improvements through post-treatment follow-up in depressive and psychotic symptoms, as well as psychosocial functioning. In addition, the processes targeted by the intervention (e.g., acceptance, mindfulness, values) improved significantly over the course of treatment, and changes in processes were correlated with changes in symptoms. Results suggest that ADAPT combined with pharmacotherapy is a promising treatment approach for psychotic depression that should be tested in a future randomized trial.

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Section: Discussionmentioning

confidence: 99%

An Open Trial of a New Acceptance-Based Behavioral Treatment for Major Depression With Psychotic Features

et al. 2012

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“…Bach et al, 2013;P. Bach et al, 2011;Bach et al, 2006). 증상이 심한 기분장애 환자에게 수용전념치료를 시행한 뒤 증상의 호전이 보인 것이 보고되었으며 (Gaudiano, 2004) …”

Section: 자료수집unclassified

An Integrative Review of Acceptance and Commitment Therapy (ACT) for Mental Health Problem

Choi

Kim

2017

Korean J Str Res

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The purpose of this study was to provide an integrative review of ACT for mental health problems to identify content of program and discuss methodological strategy of intervention according to target population. According to Whittmore and Knaf's integrative review method, this research was conducted in five stages: clarification of research problems, literature search, and quality evaluation of data, data analysis, and data description. The key words in English and Korean were used to search through seven electronic databases. 21 studies were finally included in this integrative review. ACT was used as an intervention for anxiety, depression, posttraumatic stress disorder and eating disorders and was effective in social avoidance, anxiety sensitivity, depression, dysfunctional belief and negative thinking. It was also used as an intervention for the maladjustment in adolescence to improve self-esteem and reduce behavioral problem. The six core processes of ACT are useful for people with chronic mental illness who have an ineffective avoidance strategy that avoids their symptoms and does not accept the illness. We give a suggestion that researchers develop and apply appropriate ACT for mentally ill person in hospitals.

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“…In a small randomized trial, Bach and Hayes (2002) provided a few sessions of ACT to inpatients with psychosis. Patients were encouraged to accept unavoidable events, to acknowledge but let go of psychotic symptoms without treating them as either true or false, and to identify and work toward goals that were consistent with their broader life values (for a more detailed description, see Bach, Gaudiano, Pankey, Herbert, & Hayes, 2006). The ACT group showed a 50% reduction in rehospitalization rates by 4-month follow-up compared to the group receiving treatment as usual only.…”

Section: Some Unresolved Issuesmentioning

confidence: 99%

“…First, there is much heterogeneity among the various CBT protocols used in published clinical trials. The specific elements and techniques often have included a wide range of CBT techniques, as well as some more novel strategies specifically for treating psychosis (Gaudiano, 2006). Although most researchers in this area highlight the cognitive techniques contained in the protocols, it is not clear how important they are to outcomes (Gaudiano, 2005).…”

Section: Some Unresolved Issuesmentioning

confidence: 99%

“…Second, this reliable degree of change should be large enough to place individuals outside the range of the dysfunctional population, and preferably, within the range of the normal one. Recently, I examined the clinical significance of symptomatic improvement in published trials of CBT for schizophrenia (Gaudiano, 2006). Based on analyses of group means from 12 controlled trials in this area, 42% of CBT conditions compared to only 25% of comparison conditions (treatment as usual only and/or with the addition of non-CBT therapy) showed reliable change by post-treatment or follow-up.…”

Section: The Cognitive-behavioral Treatment Of Schizophreniamentioning

confidence: 99%

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Post-trauma: Is evidence-based practice a fantasy?

Dillenburger¹,

Akhonzada²,

Fargas³

2006

International Journal of Behavioral Consultation and Therapy

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Trauma, bereavement, and loss are universal human experiences. Much has been written about the process that the bereaved go through following the loss of a loved one. Recent events such as 9/11, earthquakes in Turkey, genocides in Rwanda, community conflict in Northern Ireland, and the Asian Tsunami Disaster have drawn unprecedented public attention to the subject of traumatic bereavement. Increasingly, it is recognised that while most people are able to cope with loss generally by eventually restructuring their lives, those bereaved in traumatic circumstance often find it extremely difficult. As a consequence, a plethora of interventions have emerged, however, to-date, little is know about their actual effectiveness in helping the bereaved. With the emphasis of health and welfare professions on evidence-based practice (EBP) greater than ever and a raising awareness of accountability as key element of ethical practice, the call for EBP in traumatic bereavement is compelling. Using examples from work carried out in Northern Ireland, we look at the backdrop of the issues involved, describe some of the most commonly used therapeutic interventions, and explore the possibility of evidence-based practice.

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Acceptance, Mindfulness, Values, and Psychosis: Applying Acceptance and Commitment Therapy (Act) to the Chronically Mentally Ill

Cited by 29 publications

References 36 publications

An Open Trial of a New Acceptance-Based Behavioral Treatment for Major Depression With Psychotic Features

An Open Trial of a New Acceptance-Based Behavioral Treatment for Major Depression With Psychotic Features

An Integrative Review of Acceptance and Commitment Therapy (ACT) for Mental Health Problem

Post-trauma: Is evidence-based practice a fantasy?

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