Cognitive Behavioral Therapy, Mindfulness-Based Cognitive Therapy and Acceptance Commitment Therapy for Anxiety Disorders: Integrating Traditional with Digital Treatment Approaches

Apolinário-Hagen, Jennifer; Drüge, Marie; Fritsche, Lara

doi:10.1007/978-981-32-9705-0_17

Cited by 46 publications

(26 citation statements)

References 219 publications

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“…Given that research into the longer-term mental health impacts of prior pandemics show lingering elevated trauma, anxiety, and depressive symptoms (e.g., after the SARS quarantine; Hawryluck et al, 2004 ; Taylor, 2019 ), it is anticipated that when this pandemic abates, mental health services will face significant demands. The evidence emerging from the burgeoning literature on psychological flexibility (see reviews Coto-Lesmes et al, 2019 ; Apolinário-Hagen et al, 2020 ; Bai et al, 2020 ) provides strong support for the use of ACT-based interventions to promote psychological flexibility and mental health during the COVID-19 pandemic ( Gloster et al, 2017 ; Polizzi et al, 2020 ; Presti et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Health Anxiety and Mental Health Outcome During COVID-19 Lockdown in Italy: The Mediating and Moderating Roles of Psychological Flexibility

et al. 2020

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The COVID-19 emergency has severely affected the Italian population. During a pandemic, those with high health anxiety are at risk of adverse mental health outcomes, including peritraumatic distress and mood disturbance. No prior research has explored the role of psychological flexibility in protecting people at high risk of poorer mental health impacts due to health anxiety during a pandemic. Psychological flexibility is the cornerstone of psychological health and resiliency. According to acceptance and commitment therapy (ACT), it involves behaving consistently with one’s chosen values even in the presence of emotional and mental discomfort. This study examined the mediating and moderating roles of psychological flexibility in the link between trait health anxiety and three mental health outcomes: COVID-19 peritraumatic distress, anxiety, and depression. We hypothesized that higher psychological flexibility would decrease the negative impacts of trait health anxiety on mental health outcomes. During the mandatory national lockdown ( M = 35.70 days, SD = 8.41), 944 Italian adults (75.5% female, M = 38.86 years, SD = 13.20) completed an online survey consisting of standardized measures of psychological flexibility, trait health anxiety, COVID-19 distress, anxiety, and depression. Results indicated that psychological flexibility did not moderate the link between trait health anxiety and mental health outcomes. Rather, greater psychological flexibility mediated decreases in the adverse effects of trait health anxiety on COVID-19 distress, anxiety, and depression. In particular, two psychological flexibility processes, observing unhelpful thoughts rather than taking them literally (defusion) and values-based action (committed action), mediated decreases in the negative effects of trait health anxiety on all mental health outcomes. In contrast, the psychological flexibility process acceptance, which involves openness to inner discomfort, mediated increases in negative mental health outcomes. Overall, the combination of these processes mitigated the detrimental impacts of trait health anxiety on mental health during the emergency mandatory COVID-19 nationwide lockdown. Consistent with the ACT conceptualization of psychological flexibility, findings suggest embracing (rather than avoiding) inner discomfort and observing associated unhelpful thoughts, while also engaging in values-based action, increases resilience during adversity. Evidenced-based large-scale online public health interventions that target psychological flexibility in those experiencing health anxiety in the context of a pandemic are urgently needed. Many empirically-based ACT interventions are suited for this purpose.

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Section: Discussionmentioning

confidence: 99%

Health Anxiety and Mental Health Outcome During COVID-19 Lockdown in Italy: The Mediating and Moderating Roles of Psychological Flexibility

et al. 2020

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“…The treatment principle of CBT attaches importance to the correction of internal cognition and emphasizes the importance of structural interviews. During the treatment process, patients should be taught to identify, debate, reshape their thinking and beliefs, and use different techniques to help patients change their cognition, behaviors and emotions; In addition, if the patients themselves can recognize and change irrational beliefs and achieve self-control after the treatment, the patients' power is enhanced (21).…”

Section: Discussionmentioning

confidence: 99%

A meta-analysis of clinical efficacy and quality of life of cognitive-behavioral therapy in acute coronary syndrome patients with anxiety and depression

Yu¹,

Ma²,

Lei³

et al. 2020

Ann Palliat Med

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Background: Our study aims to evaluate the clinical efficacy and quality of life of cognitive-behavioral therapy (CBT) for patients who have acute coronary syndrome (ACS) with anxiety and depression.Methods: The databases of PubMed, Cochrane, and Web of science, as well as China journal full-text database, Wanfang database, and Weipu database, were systematically searched from the establishment of the database to February 29, 2020. The total effective rate of qualitative data was evaluated with a relative risk (RR) and 95% confidence interval (CI), and the quantitative data was evaluated with a standard mean difference (SMD) and 95% CI. Randomized controlled clinical trials of CBT for ACS were included. The RevMan5.3 and R3.5.1 software was used to analyze.Results: A total of 11 papers, including 1,259 patients, were included, including 639 patients in the CBT group and 620 in the control group. One article reported the total effective rate after three months of treatment with an RR of 1.48 (95% CI: 1.07, 2.06). A total of 3 articles reported the incidence of cardiovascular adverse events using the fixed effects model (I 2 =41%), and the incidence of cardiovascular adverse events in the CBT group was 0.39 times lower than that in the control group (95% CI: 0.2, 0.77). A total of 11 articles reported the score of depression using the random effects model (I 2 =93%), and the score of depression in the CBT group was significantly lower than that in the control group, with an SMD of −0.99 (95% CI: −1.44, −0.54). The score of anxiety was reported in 8 pieces of literature, and the randomized effect model estimated that the score of anxiety in the CBT group was significantly lower than that in the control group, with an SMD of −1.47 (95% CI: −1.98, −0.96). There was significant heterogeneity in the quality of life score, but it was not found that the quality of life score in the CBT group was significantly higher than that in the control group.Conclusions: After CBT intervention, ACS patients with anxiety and depression can significantly reduce the incidence of cardiovascular adverse events and significantly reduce scores of depression and anxiety, but they have not been found to have an advantage in improving quality of life.

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“… 12 For example, there is evidence to support the use of CBT in managing mood conditions and psychologic distress. 17 , 18 , 19 NPs can consider facilitating the recovery process and prevent future relapses, particularly among individuals experiencing pandemic-related trauma.…”

Section: Clinical Features Of Lockdown Anxietymentioning

confidence: 99%

Cognitive Behavioural Therapy: A Strategy to Address Pandemic-Induced Anxiety

Surmai¹,

Duff²

2022

The Journal for Nurse Practitioners

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Cognitive Behavioral Therapy, Mindfulness-Based Cognitive Therapy and Acceptance Commitment Therapy for Anxiety Disorders: Integrating Traditional with Digital Treatment Approaches

Cited by 46 publications

References 219 publications

Health Anxiety and Mental Health Outcome During COVID-19 Lockdown in Italy: The Mediating and Moderating Roles of Psychological Flexibility

Health Anxiety and Mental Health Outcome During COVID-19 Lockdown in Italy: The Mediating and Moderating Roles of Psychological Flexibility

A meta-analysis of clinical efficacy and quality of life of cognitive-behavioral therapy in acute coronary syndrome patients with anxiety and depression

Cognitive Behavioural Therapy: A Strategy to Address Pandemic-Induced Anxiety

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