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[Acceptance and commitment therapy].

D Ducasse1, G Fond2

  • 1Université Montpellier 1, 34000 Montpellier, France; Institut national de la santé et de la recherche médicale (Inserm), U1061, 34093 Montpellier, France; Département d'urgence et post-urgence psychiatrique, hôpital Lapeyronie, 371, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France.

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|November 23, 2013
PubMed
Summary
This summary is machine-generated.

Acceptance and Commitment Therapy (ACT) improves psychological flexibility to help patients accept difficult experiences and commit to value-driven actions. This systematic review confirms ACT

Keywords:
ACTConceptsEffectivenessEfficacitéExperiential avoidanceFlexibilité psychologiquePsychological flexibilityReviewRevueÉvitement expérientiel

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Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • Acceptance and Commitment Therapy (ACT) is a third-generation cognitive-behavioral therapy.
  • ACT aims to enhance psychological flexibility, enabling individuals to accept internal experiences and engage in committed actions aligned with their values.

Purpose of the Study:

  • To outline the fundamental concepts of ACT.
  • To conduct a systematic literature review on the effectiveness of ACT.

Main Methods:

  • Core ACT concepts were synthesized from key literature.
  • A systematic literature review was performed adhering to PRISMA criteria.
  • Searches included "acceptance and commitment therapy" AND "randomized controlled trial" in MEDLINE, Cochrane, and Web of Science databases.

Main Results:

  • Psychological flexibility is cultivated through six core ACT processes: cognitive defusion, acceptance, present moment awareness, values, committed action, and self-as-context.
  • ACT demonstrates efficacy across diverse psychiatric conditions (e.g., depression, anxiety, PTSD, eating disorders) and medical areas (e.g., chronic pain, smoking cessation, diabetes management).
  • Meta-analyses show significant effect sizes for ACT, with average Cohen's d of 0.66 post-treatment and 0.65 at follow-up, indicating robust outcomes compared to various control conditions.

Conclusions:

  • Reduced psychological flexibility is linked to distress in psychiatric and chronic health conditions.
  • Further research is warranted to fully explore the therapeutic potential of ACT.