A Review of Acceptance and Commitment Therapy for Adolescents: Developmental and Contextual Considerations

Petersen, Julie M.; Ona, Patricia Zurita; Twohig, Michael P.

doi:10.1016/j.cbpra.2022.08.002

Cited by 8 publications

(1 citation statement)

References 74 publications

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“…It focuses on stimulating processes relevant to growth and development. Face-to-face ACT has been shown an effective treatment method for anxiety disorders in adults and youths (Fang & Ding, 2020 ; Gloster et al ., 2020 ; Petersen et al ., 2022 ). ACT delivered through the internet (iACT) shows promising results for adults with generalized anxiety disorders, social anxiety disorders, and health-related anxiety, although it needs to be further evaluated for other anxiety-related disorders and compared to active control groups (Kelson et al ., 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of and processes related to internet-delivered acceptance and commitment therapy for adolescents with anxiety disorders: a randomized controlled trial

Nissling,

Weineland,

Vernmark

et al. 2023

RES PSYCHOTHER-PSYCH

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Early access to evidence-based help is crucial for adolescents with anxiety disorders. Internet-delivered acceptance and commitment therapy (iACT) may offer adolescents increased access to care and more flexibility in engaging with treatment when and how they prefer. Process-based therapies, such as ACT, focus on theoretically derived and empirically tested key mechanisms in treatment that enable change. This study aimed to investigate the effectiveness of iACT for adolescents with anxiety disorders. The study also assessed the relationship between psychological flexibility and treatment outcomes and the relationship between participating adolescents’ and therapists’ perceived alliance and treatment outcomes. This was a randomized controlled trial comparing a 10-week intervention group with a wait-list control group. The 52 participants, aged 15 to 19, were recruited from all over Sweden. The treatment was effective in increasing quality of life and psychological flexibility, with moderate between-group effect sizes based on observed values. Changes in psychological flexibility was associated with changes in anxiety symptoms. The results further showed a statistically significant between-group difference in post-treatment diagnoses. No significant time per group interaction was found for anxiety symptoms, as both groups improved. Working alliance was rated as high by both participating adolescents and therapists but showed no significant relationship with treatment outcomes. Participants found the treatment an acceptable intervention. This study shows promising results for iACT in treating adolescents with anxiety disorders. The results suggest the model of psychological flexibility as an important process of change in treatment outcomes. Future research should validate these findings in larger samples and clinical contexts.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of and processes related to internet-delivered acceptance and commitment therapy for adolescents with anxiety disorders: a randomized controlled trial

Nissling,

Weineland,

Vernmark

et al. 2023

RES PSYCHOTHER-PSYCH

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Multicultural Findings and Considerations from Brief Interventions

Saleemi,

Zare,

Williams

et al. 2024

CBT: Science Into Practice

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Acceptance and Commitment Therapy for Adolescent Anxiety

Petersen,

Pimentel

2024

Curr Treat Options Psych

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Purpose of review Adolescent anxiety is a pressing and debilitating mental health concern. The gold standard treatment, traditional cognitive behavior therapy (CBT), often does not benefit all youth. Therefore, the present review discusses the available research on a nascent form of modern CBT, acceptance and commitment therapy (ACT), for anxiety in adolescents. There is a particular emphasis placed on the evidence base for DNAV, a developmentally adapted form of ACT where each letter of the acronym represents an ACT component: the Discoverer, Noticer, Advisor, and Values. Recent findings Across a range of studies, adolescents receiving ACT or DNAV reported improvements in anxiety, along with other relevant symptoms. Additionally, in the handful of comparisons to traditional CBT, ACT has resulted in similar outcomes. Summary The current state of research suggests that ACT and DNAV are promising interventions for youth anxiety worthy of further exploration. Future research should focus on understanding which components of ACT might be most beneficial for which youth, along with increasing sample diversity and utilizing more controlled formats.

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A Review of Acceptance and Commitment Therapy for Adolescents: Developmental and Contextual Considerations

Cited by 8 publications

References 74 publications

Effectiveness of and processes related to internet-delivered acceptance and commitment therapy for adolescents with anxiety disorders: a randomized controlled trial

Effectiveness of and processes related to internet-delivered acceptance and commitment therapy for adolescents with anxiety disorders: a randomized controlled trial

Multicultural Findings and Considerations from Brief Interventions

Acceptance and Commitment Therapy for Adolescent Anxiety

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