The effects of acceptance and commitment therapy in psychosis treatment: A systematic review of randomized controlled trials

How Counseling Based on Acceptance and Commitment Therapy and Supported with Motivational Interviewing Affects Levels of Functional Recovery in Patients Diagnosed with Schizophrenia: A Quasi-Experimental Study

“…Group counseling, which is one of the psycho-social approaches for IDSs, may be structured as a group activity. Group counseling based on various approaches of therapy may ensure shorter periods of hospitalization, reduce relapse and increase IDS insight and functionality (Orfanos & Priebe, 2017; Yıldız, 2020).…”

“…Although both therapies advocate different treatment philosophies and models, they actually achieved significant results in some areas that will constitute the content of functional recovery in IDSs. For example, MI contributes to functional recovery by providing treatment motivation and cognitive rehabilitation mostly in IDSs (Ertem & Duman, 2019; Fiszdon et al, 2016), while ACT seems to contribute to functional recovery by decreasing the rate of hallucination-related distress, anxiety, depression and hospitalization (Ridenour et al, 2019; Yıldız, 2020). For this reason, there may be psycho-social approaches that produce pragmatic results in supporting functional recovery by acting jointly with ACT and MI.…”

“…In a recent meta-analysis which examined the effects of third generation therapies including ACT in treatment of psychotic group disorders, current therapies were reported to provide significant improvements in patient functionality (Louise et al, 2018). According to the results of a recent systematic review on the effects of the ACT model in individuals with psychotic disorders, ACT was found to be a transdiagnostic approach with pragmatic outcomes in psychotic disorders such as schizophrenia (Yıldız, 2020).…”

“…This helps improve client motivation, compromise and understanding for therapy, and it becomes possible to resolve confusion (Miller & Rollnick, 2012). In therapies such as ACT, clients may often resist the tasks or mindfulness exercises required for effective therapy (Yıldız, 2020). In the MI process, the client’s complaints are listed together with these resistors and may be handled by identifying the automatic thoughts that come to mind during these complaints and understanding the resilience of the client at a common point (Miller & Rollnick, 2012).…”

“…Therefore, MI and ACT are highly likely to complement each other. Moreover, both therapeutic approaches conform to the philosophy of psychiatric nursing with their focus on therapeutic communication, based on the idea that each individual is valuable, has the potential for change, and there is meaning in all behavior (Fiszdon et al, 2016; Harris, 2019; Hayes et al, 2011; Miller & Rollnick, 2012; Yıldız, 2020). Therefore, both therapies may be administered by psychiatric nurses to overcome lack of motivation, which is one of the major obstacles in treatment of IDSs.…”