Acceptance and commitment therapy as guided self-help for psychological distress and positive mental health: a randomized controlled trial

Fledderus, Martine; Bohlmeijer, Ernst Thomas; Pieterse, Marcel E.; Schreurs, Karlein Maria Gertrudis

doi:10.1017/s0033291711001206

Cited by 163 publications

(189 citation statements)

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“…Ethical approval was obtained from the host university ethics committee and participants received an information sheet and gave their consent before taking part Participants A power calculation using G*Power (Faul, Erdfelder, Lang & Buchner, 2007) with p=.05 and power set at 80% showed that 68 participants would be needed to detect comparable effect sizes to those reported in a similar study of ACT bibliotherapy in a nonclinical sample (Fledderus et al, 2011). Eighty student participants were recruited to allow for up to 15% attrition.…”

Section: Designmentioning

confidence: 99%

“…However, while there is evidence that self-help cognitive behavioural therapy (CBT-SH) is effective for depression (Gregory, Canning, Lee & Wise, 2004) and anxiety disorders (Lewis, Pearce & Bisson, 2012), little is known about the effectiveness of MBCT-SH. Although research into MBCT-SH is in its infancy, there is emerging evidence that self-help books based on Acceptance and Commitment Therapy (ACT), an approach which includes mindfulness principles, can improve anxiety and depression in community (Fledderus, Bohlmeijer, Pieterse & Schreurs, 2011) and student (Muto, Hayes & Jeffcoat, 2011) populations. Similarly, a recent meta-analysis of self-help interventions that included mindfulness and/or acceptance components found they led to significantly lower symptoms of anxiety and depressive in comparison to control conditions (Cavanagh, Strauss, Forder & Jones, 2014).…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of self-help mindfulness-based cognitive therapy in a student sample: A randomised controlled trial

Taylor¹,

Strauss²,

Cavanagh³

et al. 2014

Behaviour Research and Therapy

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Objective: Mindfulness-based cognitive therapy (MBCT) involves approximately twenty hours of therapist contact time and is not universally available. MBCT self-help (MBCT-SH) may widen access but little is known about its effectiveness. This paper presents a randomised controlled trial (RCT) of MBCT-SH for students.Method: Eighty students were randomly assigned to an eight-week MBCT-SH condition or a wait-list control.Results: ANOVAs showed significant group by time interactions in favour of MBCT-SH on measures of depression, anxiety, stress, satisfaction with life, mindfulness and selfcompassion. Post-intervention between-group effect sizes ranged from Cohen's d=0.22 to 1.07. Engagement with MBCT-SH was high: participants engaged in mindfulness practice a median of two to three times a week and 85% read at least half the intervention book. Only 5% of participants dropped out.Conclusions: This is the first published RCT of MBCT-SH and benefits were found relative to a control group. MBCT-SH has the potential to be a low-cost, readily available and highly acceptable intervention. Future research should include an active control condition and explore whether findings extend to clinical populations.

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Section: Designmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effectiveness of self-help mindfulness-based cognitive therapy in a student sample: A randomised controlled trial

Taylor¹,

Strauss²,

Cavanagh³

et al. 2014

Behaviour Research and Therapy

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“…El origen de los participantes fue EEUU en 17 estudios con sus seguimientos (Clarke et al, 1995(Clarke et al, , 2001Garber et al, 2009;Gillham et al, 2006;Le et al, 2011;Lynch et al, 1997;Mossey et al, 1996;Muñoz et al, 2007;Puskar et al, 2003;Seligman et al, 1999Seligman et al, , 2007Stice et al, 2006Stice et al, , 2008Stice et al, , 2010Van Voorhees et al, 2008Young et al, 2006Young et al, , 2010Zlotnick et al, 2001); Holanda en siete estudios (Allart-van Dam et al, 2003Dozeman et al, 2012;Korte et al, 2012;Fledderus et al, 2012;Van´t Veer-Tazelaar et al, 2009Westerhof et al, 2010;Willemse et al, 2004); Australia en cuatro estudios (Roberts et al, 2003(Roberts et al, , 2004Sheffield et al, 2006; Spence et al, 2003;Stamp et al, 1995); España en tres estudios (González et al, 2006;Vázquez et al, 2012Vázquez et al, , 2013; Canadá en dos estudios (Dobson et al, 2010;Konnert et al, 2009); China en un estudio (Liu et al, 2009); México en un estudio (Lara et al, 2010); e Islandia en un estudio (Arnarson y Craighead, 2009 (Allart-van Dam et al, 2003…”

Section: Resultados Descripción De Los Estudiosunclassified

“…Mood 89 (Liu et al, 2009); un estudio empleó terapia de apoyo y expresión (Stamp et al, 1995); dos estudios utilizaron un programa de terapia de revisión de vida 910 (Korte et al, 2012;Westerhof et al, 2010) (Van Voorhees et al, 2008; un estudio empleó terapia de aceptación y compromiso (Fledderus et al, 2012); un estudio empleó una aproximación escalonada con observación, programación de actividades, revisión de vida y consulta con el médico general (Dozeman et al, 2012); mientras que otros ocho estudios no son tan concretos y simplemente especifican que se fundamentan en componentes cognitivo-conductuales (Garber et al, 2009;Sheffield et al, 2006;Seligman et al, 1999Seligman et al, , 2007Stice et al, 2006Stice et al, , 2008Stice et al, , 2010, técnicas cognitivo-conductuales junto con potenciación de recursos personales y apoyo social (González et al, 2006); o cognitivo-conductuales y evolutivos (Arnarson y Craighead, 2009.…”

Section: Resultados Descripción De Los Estudiosunclassified

La eficacia de la prevención indicada de la depresión: una revisión

et al. 2014

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Resumen: En este trabajo se revisó la investigación acerca de la eficacia de las intervenciones psicológicas y psicoeducativas de prevención de la depresión en sujetos con síntomas depresivos, pero que no reunían los criterios para un episodio depresivo mayor actual (prevención indicada). Se seleccionaron 42 ensayos que evaluaron 36 programas de prevención encontrados en las bases de datos Medline, PsycINFO, ERIC, EMBASE, y en el registro de ensayos del Grupo Cochrane de Depresión, Ansiedad y Neurosis, en español e inglés, entre los años 1990 y 2013. La mayoría de los programas de prevención indicada analizados obtuvieron resultados positivos en la reducción de la sintomatología depresiva. Sin embargo, en general obtuvieron tamaños del efecto pequeños, y muchos de ellos no tuvieron efectos sobre la incidencia de depresión. Además, muchos de estos trabajos presentaban limitaciones metodológicas. Los datos señalados apoyan la necesidad de desarrollar intervenciones preventivas que sigan un modelo de prevención indicada, y que comprueben su eficacia a través de ensayos controlados aleatorios con las garantías metodológicas adecuadas. Palabras clave: Prevención indicada; prevención secundaria; síntomas depresivos; depresión; terapia cognitivo conductual. Title:The efficacy of indicated prevention of depression: A review. Abstract: This paper reviewed the research on the effectiveness of psychological and psychoeducational interventions to prevent depression in subjects with symptoms of depression, but that did not meet criteria for a current major depressive episode (indicated prevention). Forty-two randomized controlled trials, evaluating thirty-six preventive programs identified through the Medline, PsycINFO, ERIC and EMBASE databases and the Cochrane Collaboration of Depression, Anxiety and Neurosis Group Controlled Trials Register, in Spanish and English, between 1990 and 2013, were selected. Most indicated prevention programs showed positive effects on depressive symptoms. However, they have been found to produce small effect sizes, and many of them had no effect on the incidence of depressive disorders. In addition, many of these studies had methodological weaknesses. Current findings support the need to develop preventive interventions following one model of indicated prevention, and assessing their efficacy through randomized controlled trials with adequate methodological quality. Key words: Indicated prevention; secondary prevention; depressive symptoms; depression; cognitive behavior therapy. IntroducciónLa depresión es uno de los trastornos mentales más frecuentes, afectando a 340 millones de personas en el mundo (Organización Mundial de la Salud, 2004). En lo que a España se refiere, la prevalencia a los 12 meses en población adulta general oscila entre 1.300.000 y 1.500.000 personas, esto es, aproximadamente el 4% de los mayores de 18 años de nuestro país (Gabilondo et al., 2010). Es la cuarta patología más importante en la estimación de carga de enfermedad a nivel mundial, la tercera en Europa y, tenie...

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“…Instead, it emphasizes learning new ways to accommodate difficult thoughts and feelings -primarily through mindfulness approaches -without letting them dominate, while guiding people to take proactive steps towards living in a way that is consistent with their values. ACT has been shown to be useful for a range of mental health issues 10 and has been used successfully in a guided self-help format 11 .…”

mentioning

confidence: 99%

Self‐Help Plus (SH+): a new WHO stress management package

Epping‐Jordan¹,

Harris²,

Brown

et al. 2016

World Psychiatry

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Acceptance and commitment therapy as guided self-help for psychological distress and positive mental health: a randomized controlled trial

Abstract: The ACT-based self-help programme with minimal email support is effective for people with mild to moderate depressive symptomatology.

Cited by 163 publications

References 44 publications

The effectiveness of self-help mindfulness-based cognitive therapy in a student sample: A randomised controlled trial

The effectiveness of self-help mindfulness-based cognitive therapy in a student sample: A randomised controlled trial

La eficacia de la prevención indicada de la depresión: una revisión

Self‐Help Plus (SH+): a new WHO stress management package

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