A Brief Behavioral Intervention Targeting Mental Health Risk Factors for Vascular Disease: A Pilot Study

Dindo, Lilian; Marchman, James N.; Gindes, Holly; Fiedorowicz, Jess G.

doi:10.1159/000371495

Cited by 20 publications

(13 citation statements)

References 9 publications

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“…Areas that have been extensively explored are cardiovascular [120,161,162,163,164,165], gastrointestinal [166], pulmonary [167], neurological disorders [168], chronic pain [169,170], diabetes [171,172], HIV/AIDS [173,174], and cancer [175,176,177]. These interventions may improve lifestyle and self-management, coping, quality of life, distress (especially depression and anxiety), course of physical illness, treatment adherence, and reduction in utilization of medical services [157,158,159,160,161,162,163,164,165,166,167,168,169,170,171,172,173,174,175,176,177]. Dealing with the psychological distress of family caregivers is another important area of action [178].…”

Section: Integration Of Psychological Care Into Medical Treatmentmentioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

230

316

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Psychosomatic research has advanced over the past decades in dealing with complex biopsychosocial phenomena and may provide new effective modalities of patient care. Among psychosocial variables affecting individual vulnerability, course, and outcome of any medical disease, the role of chronic stress (allostatic load/overload) has emerged as a crucial factor. Assessment strategies include the Diagnostic Criteria for Psychosomatic Research. They are presented here in an updated version based on insights derived from studies carried out so far and encompass allostatic overload, type A behavior, alexithymia, the spectrum of maladaptive illness behavior, demoralization, irritable mood, and somatic symptoms secondary to a psychiatric disorder. Macroanalysis is a helpful tool for identifying the relationships between biological and psychosocial variables and the individual targets for medical intervention. The personalized and holistic approach to the patient includes integration of medical and psychological therapies in all phases of illness. In this respect, the development of a new psychotherapeutic modality, Well-Being Therapy, seems to be promising. The growth of subspecialties, such as psychooncology and psychodermatology, drives towards the multidisciplinary organization of health care to overcome artificial boundaries. There have been major transformations in health care needs in the past decades. From psychosomatic medicine, a land of innovative hypotheses and trends, many indications for changes in the current practice of medicine are now at hand. The aim of this critical review is to outline current and potential clinical applications of psychosomatic methods.

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Section: Integration Of Psychological Care Into Medical Treatmentmentioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

230

316

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“…In a RCT for a group of distressed patients at risk for vascular disease, a 1-day ACT intervention led to significant improvements in depression and anxiety. Furthermore, improvements in psychological flexibility mediated the benefits of the ACT intervention on depression and anxiety [75]. The impact of changes in individual ACT processes has also been well-studied in ACT trials for chronic pain.…”

Section: Core Therapeutic Processes Targeted In Act: Experiential Avomentioning

confidence: 99%

Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions

2017

Self Cite

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Psychological interventions have a long history of successful treatment of patients suffering from mental health and certain medical conditions. At the same time, psychotherapy research has revealed key areas of growth for optimizing patient care. These include identifying novel treatment delivery methods that increase treatment adherence, developing new strategies to more effectively address the ever-growing population of patients with comorbid conditions, and elucidating the mechanisms by which effective treatments work in order to further refine their design. Acceptance and commitment therapy (ACT) is an empirically supported psychotherapy that offers promise for patients suffering from a wide range of mental and physical conditions, while addressing these gaps and challenges in the field. ACT rests on the fundamental premise that pain, grief, disappointment, illness, and anxiety are inevitable features of human life, with the therapeutic goal of helping individuals productively adapt to these types of challenges by developing greater psychological flexibility rather than engaging in counterproductive attempts to eliminate or suppress undesirable experiences. This is achieved through committed pursuit of valued life areas and directions, even in the face of the natural desire to escape or avoid painful and troubling experiences, emotions, and thoughts. ACT is transdiagnostic (applies to more than one condition), process-focused, and flexibly delivered. In a relatively short period of time, ACT has been effectively implemented across a broad range of therapeutic settings, including mental health, primary care, and specialty medical clinics. ACT has also been delivered in a variety of formats, including 1-day group workshops, online and smartphone applications, and telehealth. Focus on how best to package and deliver treatment to meet the unique needs of different patient populations helps to ensure treatment adherence and has fostered successful application of ACT for patients in everyday clinical settings.

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“…In a 1-day intervention, Dindo et al randomly assigned patients with cardiovascular risk factors (e.g., hypertension, dyslipidemia, diabetes, etc.) and clinically significant anxiety or depression to 1-day (6 hour) ACT plus Illness Management (ACT-IM; n= 26) or to TAU (TAU; n= 14) [35]. Participants receiving ACT were encouraged to think about their health as a means to other valued areas of life.…”

Section: Brief Act Workhopsmentioning

confidence: 99%

One-day acceptance and commitment training workshops in medical populations

Dindo

2015

Current Opinion in Psychology

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Chronic medical illnesses often require a high level of self-management, which can be challenging, particularly over extended periods. The challenge is accentuated by comorbid depression or anxiety, which interfere with motivation and drive. Acceptance and Commitment Therapy is an empirically based behavioral intervention aimed at helping individuals develop greater psychological flexibility in the face of life’s challenges. It provides a unified model of behavior change and has shown promise in treating depression and anxiety, as well as chronic medical conditions. Importantly, Acceptance and Commitment Therapy has been effectively implemented in various formats, including 1-day group workshops, well-suited for dissemination into medical settings. The purpose of this review is to provide an overview of studies of 1-day group workshops in medical populations and suggest future directions for further development of this promising area.

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A Brief Behavioral Intervention Targeting Mental Health Risk Factors for Vascular Disease: A Pilot Study

Cited by 20 publications

References 9 publications

Current Psychosomatic Practice

Current Psychosomatic Practice

Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions

One-day acceptance and commitment training workshops in medical populations

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