Acceptance and Commitment Therapy (ACT) for Adolescents: Outcomes of a Large-Sample, School-Based, Cluster-Randomized Controlled Trial

作者: Katleen Van der Gucht , James W. Griffith , Romina Hellemans , Maarten Bockstaele , Francis Pascal-Claes

DOI: 10.1007/S12671-016-0612-Y

关键词:

摘要: The purpose of this study was to examine the efficacy an abbreviated, classroom-based, teacher-taught Acceptance and Commitment Therapy (ACT) program as intervention improve mental health in adolescents. In a group-randomized controlled trial, students (N = 586, age 14–21) were nested within 34 classes, which turn 14 schools. Individual classes randomly assigned either four-session ACT or usual-curriculum control condition. Students assessed using questionnaires at pre- post-treatment, 12-month follow-up. Questionnaires quality life, internalizing externalizing problems, thought attention psychological inflexibility. Hierarchical linear modeling showed no significant improvements on any outcome measures compared with group. No substantive effect sizes for across time observed. These findings failed support format that used current study, all students. We had large sample many variables, but find statistically effects sizes. delivered by teachers opposed professionals, so it is possible professionally trained therapists are needed be efficacious.

参考文章(49)
Kelly G. Wilson, Steven C. Hayes, Kirk D. Strosahl, Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change ,(1999)
Philip S Wang, Matthias Angermeyer, Guilherme Borges, Ronny Bruffaerts, Wai Tat Chiu, Giovanni De Girolamo, John Fayyad, Oye Gureje, Josep Maria Haro, Yueqin Huang, Ronald C Kessler, Viviane Kovess, Daphna Levinson, Yoshibumi Nakane, Mark A Oakley Brown, Johan H Ormel, José Posada-Villa, Sergio Aguilar-Gaxiola, Jordi Alonso, Sing Lee, Steven Heeringa, Beth-Ellen Pennell, Somnath Chatterji, T Bedirhan Uestuen, None, Delay and failure in treatment seeking after first onset of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World Psychiatry. ,vol. 6, pp. 177- 185 ,(2007)
Kannan Kallapiran, Siew Koo, Richard Kirubakaran, Karen Hancock, Review: Effectiveness of mindfulness in improving mental health symptoms of children and adolescents: a meta-analysis Child and Adolescent Mental Health. ,vol. 20, pp. 182- 194 ,(2015) , 10.1111/CAMH.12113
Thomas Hacker, Paul Stone, Angus MacBeth, Acceptance and commitment therapy - Do we know enough? Cumulative and sequential meta-analyses of randomized controlled trials. Journal of Affective Disorders. ,vol. 190, pp. 551- 565 ,(2016) , 10.1016/J.JAD.2015.10.053
EA Stockings, Louisa Degenhardt, Timothy Dobbins, Yong Yi Lee, HE Erskine, HA Whiteford, George Patton, None, Preventing depression and anxiety in young people: a review of the joint efficacy of universal, selective and indicated prevention Psychological Medicine. ,vol. 46, pp. 11- 26 ,(2016) , 10.1017/S0033291715001725
Amanda E. Halliburton, Lee D. Cooper, Applications and adaptations of Acceptance and Commitment Therapy (ACT) for adolescents Journal of contextual behavioral science. ,vol. 4, pp. 1- 11 ,(2015) , 10.1016/J.JCBS.2015.01.002
Jo Robinson, Georgina Cox, Aisling Malone, Michelle Williamson, Gabriel Baldwin, Karen Fletcher, Matt O’Brien, A systematic review of school-based interventions aimed at preventing, treating, and responding to suicide- related behavior in young people Crisis-the Journal of Crisis Intervention and Suicide Prevention. ,vol. 34, pp. 164- 182 ,(2013) , 10.1027/0227-5910/A000168