Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders.

Arch, Joanna J.; Eifert, Georg H.; Davies, Carolyn D.; Vilardaga, Jennifer C. Plumb; Rose, Raphael D.; Craske, Michelle G.

doi:10.1037/a0028310

Cited by 348 publications

(227 citation statements)

References 66 publications

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“…This would be in line with recent results from trials with patients suffering from anxiety disorders, showing that acceptance is a significant mediator of change in CBT (e.g. Arch et al, 2012). Relatedly, the ERS finding suggests a great improvement in ability to emotionally regulate as a key mediator of improvement (Hinton et al, 2009).…”

Section: Discussionsupporting

confidence: 89%

Transdiagnostic culturally adapted CBT with Farsi-speaking refugees: a pilot study

Kananian

Ayoughi

Farugie

et al. 2017

European Journal of Psychotraumatology

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Background: Approximately half of all asylum seekers suffer from trauma-related disorders requiring treatment, among them Posttraumatic Stress Disorder (PTSD), depression, anxiety, and somatic symptoms. There is a lack of easily accessible, low-threshold treatments taking the cultural background into account. Culturally Adapted CBT (CA CBT) is a well evaluated, transdiagnostic group intervention for refugees, using psychoeducation, meditation, and Yoga-like exercises. Objective: An uncontrolled pilot study with male Farsi-speaking refugees from Afghanistan and Iran was conducted to investigate feasibility with this ethnic group; a group for which no previous CBT trials have been reported. Method: The participants were nine Farsi-speaking, male refugees with M.I.N.I./DSM-IV diagnoses comprising PTSD, major depressive disorder, and anxiety disorders. Treatment components were adapted to the specific cultural framework of perception of symptoms, causes, ideas of healing, and local therapeutic processes. Before and after 12 weeks of treatment, the primary outcome was assessed using the General Health Questionnaire (GHQ-28). Secondary outcome measures were the Posttraumatic Checklist, Patient Health Questionnaire, Somatic Symptom Scale, World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), Affective Style Questionnaire (ASQ), and Emotion Regulation Scale (ERS). Results: Seven participants completed treatment. In the completer analysis, improvements were found on almost all questionnaires. Large effect sizes were seen for the GHQ-28 (d = 2.0), WHOQOL-BREF scales (d = 1.0–2.3), ASQ tolerating subscale (d = 2.2), and ERS (d = 1.7). With respect to feasibility, cultural adaptation seemed to be a crucial means to promote effectiveness. Conclusion: CA CBT may reduce general psychopathological distress and improve quality of life. Improvement in emotion regulation strategies may mediate treatment effects. More support should be provided to enhance coping with the uncertainty of asylum status and stressful housing conditions. CA CBT appears to be a promising transdiagnostic treatment, serving as an initial low-threshold therapy in a stepped care approach.

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Section: Discussionsupporting

confidence: 89%

Transdiagnostic culturally adapted CBT with Farsi-speaking refugees: a pilot study

Kananian

Ayoughi

Farugie

et al. 2017

European Journal of Psychotraumatology

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“…Several studies have compared the effectiveness of mindfulness and ACT to CBT for the treatment of SAD. Results indicate that mindfulness and acceptance-based therapies are equally effective as CBT in reducing social anxiety in both individual (Kocovski, Fleming, Hawley, Huta, & Antony, 2013) and group contexts (Arch et al, 2012).…”

Section: Mindfulness and Acceptance-based Therapiesmentioning

confidence: 92%

Shyness: Subtypes, Psychosocial Correlates, and Treatment Interventions

Jones¹,

Schulkin²

2014

PSYCH

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Decades of research on the study of introversion and extraversion have allowed researchers to distinguish among individual differences on each of these dimensions. Research indicates that shyness, a rather common personality trait, is a construct that is related, but not identical, to introversion. Once regarded as a unitary construct, modern day personality theorists propose that shyness is based on a number of orthogonal dimensions. Empirical evidence suggests that distinct subtypes of shyness develop as a result of differences in social approach and social avoidance behaviors. Temperamental shyness is a risk factor for behavioral and affective problems, as well as more severe psychological problems. This article focuses on the phenomenon of shyness by reviewing its subtypes, psychosocial correlates, and efficacious treatment interventions.

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“…This was not in accordance with the large number of studies conducted on the efficacy of ACT for treating anxiety (15)(16)(17). In most studies, it was emphasized that ACT is associated with changes in the habits as well as improvements in levels of anxiety for patients, which was maintained in a follow up.…”

Section: Discussionmentioning

confidence: 57%

The Effectiveness of Acceptance-Commitment Therapy on Anxiety and Depression among Patients on Methadone Treatment: A Pilot Study

Saedy

Kooshki

Firouzabadi

et al. 2015

Iran J Psychiatry Behav Sci

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Background: Substance dependence disorder is a psychiatric disorders with different factors that influence its nature, severity, outcome, and treatment options. Objectives: This study evaluates the effectiveness of Acceptance-Commitment Therapy (ACT) to decrease anxiety and depression in patients with opioid dependencies who are undergoing methadone maintenance treatment (MMT). Materials and Methods:The present study was done in Mashhad from 2011-2012. Twenty-eight patients (18-50 yr) with opioid dependency who were on MMT were selected using purposive sampling and were divided equally between case and control groups. The case group received 8 sessions of individual psychotherapy with ACT. The level of depression and anxiety of these patients were measured using the Beck Depression Inventory-II and Beck Anxiety Inventory before the initiation of ACT as a pretest, 2 weeks after the termination of ACT as the posttest, and 3-months after the termination as a follow-up. The collected data was analyzed with SPSS (ver. 20) using χ2, paired t-test, ANOVA, and MANOVA. Results: The pretest-posttest-follow up of anxiety showed no significant differences between the two groups (P = 0.05); however, the case group had lower depression scores in the posttest and follow-up than the control group (P = 0.04). Evaluating the results of the case group revealed that depression significantly decreased in the posttest group when compared to the pretest (P = 0.01) and there were no significant decreases in the follow up compared to the pretest (P = 0.34). Conclusion: Short-term ACT for opioid dependent patients on MMT are not associated with a significant decrease in the level of anxiety; however, it is associated with a significant decrease in the level of depression. Nonetheless, this reduction was not maintained long term.

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Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders.

Cited by 348 publications

References 66 publications

Transdiagnostic culturally adapted CBT with Farsi-speaking refugees: a pilot study

Transdiagnostic culturally adapted CBT with Farsi-speaking refugees: a pilot study

Shyness: Subtypes, Psychosocial Correlates, and Treatment Interventions

The Effectiveness of Acceptance-Commitment Therapy on Anxiety and Depression among Patients on Methadone Treatment: A Pilot Study

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