Video Experimental Relacionado
Updated: Sep 9, 2025
04:29
Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression
Published on: January 7, 2019
28.8K
La eficacia de la terapia de aceptación y compromiso (ACT) para la depresión: una revisión sistemática y un
Qinghuan Kong1, Shoumeng Yan1, Kexin Huang1
1School of Nursing, Jilin University, Changchun 130012, China.
Psychiatry research
|August 30, 2025
Resumen
La terapia de aceptación y compromiso (ACT) reduce significativamente los síntomas de depresión y ansiedad en las personas con depresión. El ACT basado en grupos demostró una eficacia superior en comparación con las sesiones individuales, ofreciendo una estrategia de intervención prometedora.
Área de la Ciencia:
- Psicología
- La salud mental
- Investigación clínica
Sus antecedentes:
- La depresión es un gran problema de salud mental mundial relacionado con el aumento de las tasas de suicidio.
- La investigación existente carece de evidencia sintética sobre la terapia de aceptación y compromiso (ACT) para la depresión.
- Se requirió una revisión sistemática y un metanálisis para evaluar la eficacia de ACT en la depresión.
Objetivo del estudio:
- Revisar y metaanalizar sistemáticamente los ensayos clínicos aleatorizados (ECA) para la depresión.
- Evaluar el impacto de ACT en los síntomas depresivos, los síntomas de ansiedad y la flexibilidad psicológica.
- Para comparar la eficacia del grupo frente al ACT individual para la depresión.
Principales métodos:
- Se realizó una búsqueda sistemática de la literatura en diez bases de datos.
- Se incluyeron en el metanálisis diez ensayos clínicos aleatorizados (ECA) que cumplían con los criterios de inclusión.
- Los tamaños de efecto se calcularon utilizando diferencias medias estandarizadas (DME) con intervalos de confianza del 95%.
Principales resultados:
- ACT redujo significativamente los síntomas depresivos (SMD=- 0.69) y los síntomas de ansiedad (SMD=- 0.64) en personas con depresión.
- ACT demostró un efecto positivo significativo en la flexibilidad psicológica (SMD=0,35).
- El ACT de grupo mostró una mayor eficacia en la mejora de los síntomas depresivos en comparación con los controles, superando al ACT individual.
Conclusiones:
- ACT es una intervención eficaz para reducir los síntomas depresivos y de ansiedad en personas con depresión.
- El ACT basado en grupos parece ser más beneficioso que el ACT individual para controlar los síntomas depresivos.
- Se recomiendan otros ECA a gran escala y de alta calidad para reforzar estos hallazgos y orientar la práctica clínica.
Videos de Conceptos Relacionados
01:25Cognitive Therapy
262
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
262
01:24Rational Emotive Behavior Therapy
110
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
110
01:30Electroconvulsive Therapy
182
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
182
01:18Depression: Overview
331
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
331
01:25Elements Crucial for Effective Psychotherapy
112
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
112
01:23Antidepressant Drugs: MAOIs and Other Agents
340
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
340