The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial

The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial
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DOI:
10.1037//0022-006x.70.5.1129
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发表时间:
2002-10-01
影响因子:
5.9
通讯作者:
Hayes, SC
Hayes, SC
中科院分区:
心理学1区
文献类型:
--
作者:
Bach, P;Hayes, SC

文献摘要

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本研究探讨了一个简短的版本的接受为基础的治疗(接受和承诺疗法:ACT),教导患者接受不可避免的私人事件的影响;识别和专注于针对有价值的目标的行动;并化解从奇怪的认知,只是注意到的想法,而不是把它们当作是真的或假的。80名精神病症状阳性的住院患者被随机分配到常规治疗组(TAU)或4个ACT加TAU组。在4个月的随访期内,ACT参与者表现出明显更高的症状报告率和更低的症状可信度,再住院率是TAU参与者的一半。除了否认症状的妄想症参与者外,所有参与者亚组的结果基本相同。
The present study examined the impact of a brief version of an acceptance-based treatment (acceptance and commitment therapy: ACT) that teaches patients to accept unavoidable private events; to identify and focus on actions directed toward valued goals; and to defuse from odd cognition, just noticing thoughts rather than treating them as either true or false. Eighty inpatient participants with positive psychotic symptoms were randomly assigned to treatment as usual (TAU) or to 4 sessions of ACT plus TAU. ACT participants showed significantly higher symptom reporting and lower symptom believability and a rate of rehospitalization half that of TAU participants over a 4-month follow-up period. The same basic pattern of results was seen with all participant subgroups except delusional participants who denied symptoms.