The effectiveness of acceptance and commitment therapy on posttraumatic cognitions and psychological inflexibility among students with trauma exposure

Molavi, Parviz; Pourabdol, Saeed; Azarkolah, Anita

doi:10.4103/atr.atr_100_19

Cited by 6 publications

(2 citation statements)

References 37 publications

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“…Within this step, 35 publications got excluded. In 25 cases only participants older than 18 years were included or the intervention targeted the parents instead of the children [24‒48]. Further seven studies were excluded because they did not assess stress [49‒55].…”

Section: Resultsmentioning

confidence: 99%

Interventions Based on Acceptance and Commitment Therapy for Stress Reduction in Children and Adolescents: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Binder,

Mehl,

Resch

et al. 2023

Psychopathology

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Introduction: Recently, acceptance- and commitment therapy (ACT) gained increasing interest. Studies show good efficacy in the treatment of patients presenting with several psychologic and somatic complaints. The present systematic review and meta-analysis addresses effectiveness of ACT-based interventions to reduce stress in children, adolescents, and young adults compared to control conditions. Methods: The meta-analysis was pre-registered at PROSPERO (CRD42019117440). Randomized controlled trials (RCTs) and quasi-randomized controlled trials (qRCT) in German or English language comparing the effects of ACT-based interventions to control conditions (e.g., treatment as usual, waitlist control) on stress-related outcome measures in youth were considered for inclusion. The target population was subjects 0–18 years of age. The databases PubMed, PsychInfo, Cochrane Database, CINAHL, and Web of Science were searched systematically up to July 2023. A random effect meta-analysis and a risk of bias assessment according to the procedure outlined in the Cochrane Handbook of Systematic Reviews were conducted. Results: The search resulted in 187 studies, of which eight studies with 976 participants were finally subjected to meta-analysis. Studies implemented ACT both in school-based group settings and in single settings and both as a universal and indicated prevention. Analyses yielded a significant main effect (Hedges' g = −0.20; 95% confidence interval [−0.36; −0.05]), indicating that interventions based on ACT resulted in greater reduction of stress compared to control conditions. Conclusion: ACT appears effective at reducing stress in youth. Further research is needed due to methodological shortcomings of existing studies. Small sample sizes, heterogenous studies, methodological shortcomings, and evidence of publication bias limit the conclusions that can be drawn from this meta-analysis.

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Section: Resultsmentioning

confidence: 99%

Interventions Based on Acceptance and Commitment Therapy for Stress Reduction in Children and Adolescents: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Binder,

Mehl,

Resch

et al. 2023

Psychopathology

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“…ACT treatment outcomes are said to be mediated through increases in psychological flexibility (Bean et al, 2017), which in turn are positively associated with adaptive functioning (Howell & Demuynck, 2021). This may be particularly relevant in the example of PTS where improved psychological flexibility is consistently shown to mitigate trauma symptoms (Boykin et al, 2020;Dutra & Sadeh, 2018;Flanagan & Troup, 2022;Molavi et al, 2020;Richardson & Jost, 2019). Additionally, experiential avoidance, as targeted by both the practice of engagement with the present moment in ACT and nonattachment, has been found to be the most strongly related element of ACT processes to post-traumatic stress disorder (PTSD) symptom severity (Grau et al, 2020).…”

Section: Acceptance and Commitment Therapy And Nonattachmentmentioning

confidence: 99%

Toward Greater Clarity in Defining and Understanding Nonattachment

Tremblay,

Van Gordon,

Elander

2024

Mindfulness

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Nonattachment is a key positive element of several psychotherapeutic approaches, including mindfulness-based interventions. However, it has been defined in the academic literature largely as a construct of negation, whereby one should not become attached to objects, people, or experiences. This approach may foster resistance to nonattachment in general through confusion associated with what it means along with uncertainty in how to practise it as there are currently no evidence-based courses or clear guidelines. Furthermore, there is currently no empirical exploration of interventions that are specifically nonattachment-based in terms of their value in applied settings.The purpose of this paper is to propose an affirmative, action-based definition of nonattachment in order to improve understanding and implementation. A further objective is to provide examples of exercises within existing therapeutic modalities through which nonattachment may already be cultivated and to use the example of post-traumatic stress (PTS) as a focus area to discuss the potential value and implications of using nonattachment in a clinical context. Four psychotherapeutic approaches currently applying nonattachment-based concepts including Acceptance and Commitment Therapy, Dialectical Behavioural Therapy, Compassion-Focussed Therapy, and Mindfulness are critically assessed for ways in which they cultivate nonattachment, using symptoms of PTS as an example.Based on existing therapeutic and contemplative practices that embody nonattachment principles, as an affirmative definition we propose that nonattachment involves the intentional practices of acceptance, letting go, deep presence, opening to a universally interconnected self-schema, and perceptual distancing from stimuli and response. An affirmative understanding of what nonattachment is, along with a targeted approach to its cultivation, may facilitate a clearer pathway toward the predictive and intervention outcome value of nonattachment in applied settings.

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2022

La Santé Mentale Des Étudiants

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The effectiveness of acceptance and commitment therapy on posttraumatic cognitions and psychological inflexibility among students with trauma exposure

Cited by 6 publications

References 37 publications

Interventions Based on Acceptance and Commitment Therapy for Stress Reduction in Children and Adolescents: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Interventions Based on Acceptance and Commitment Therapy for Stress Reduction in Children and Adolescents: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Toward Greater Clarity in Defining and Understanding Nonattachment

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