Centre for Emotional Health, Department of Psychology, Macquarie University, Australia.
Neuropsychol Rehabil. 2011 Apr;21(2):250-76. doi: 10.1080/09602011.2010.540920. Epub 2011 Jan 17.
Behaviour therapies have a well-established, useful tradition in psychological treatments and have undergone several major revisions. Acceptance and Commitment Therapy (ACT) and mindfulness-based approaches are considered a third wave of behavioural therapies. Emerging evidence for ACT has demonstrated that this paradigm has promising effectiveness in improving functionality and well-being in a variety of populations that have psychological disturbances and/or medical problems. In this review we first evaluate traditional cognitive behavioural therapy (CBT) interventions used to manage psychological problems in distressed individuals who have sustained an acquired brain injury (ABI). We provide an overview of the ACT paradigm and the existent evidence base for this intervention. A rationale is outlined for why ACT-based interventions may have potential utility in assisting distressed individuals who have sustained a mild to moderate ABI to move forward with their lives. We also review emerging evidence that lends preliminary support to the implementation of acceptance and mindfulness-based interventions in the rehabilitation of ABI patient groups. On the basis of existent literature, we recommend that it is an opportune time for forthcoming research to rigorously test the efficacy of ACT-based interventions in facilitating ABI patient groups to re-engage in living a valued and meaningful life, in spite of their neurocognitive and physical limitations. The promising utility of testing the efficacy of the ACT paradigm in the context of multimodal rehabilitation programmes for ABI populations is also addressed.
行为疗法在心理治疗中有成熟且有用的传统，并经历了几次重大修订。接受与承诺疗法（ACT）和正念为基础的方法被认为是行为疗法的第三波浪潮。ACT 的新证据表明，这种模式在改善各种有心理障碍和/或医学问题的人群的功能和幸福感方面具有很有前景的效果。在这篇综述中，我们首先评估了传统的认知行为疗法（CBT）干预措施，用于管理遭受获得性脑损伤（ABI）的痛苦个体的心理问题。我们概述了 ACT 范式和这种干预措施的现有证据基础。概述了为什么基于 ACT 的干预措施可能对帮助遭受轻度至中度 ABI 的痛苦个体继续他们的生活具有潜在的效用。我们还回顾了一些新的证据，这些证据初步支持在 ABI 患者群体的康复中实施接受和正念为基础的干预措施。根据现有文献，我们建议现在是进行前瞻性研究的合适时机，以严格测试基于 ACT 的干预措施在促进 ABI 患者群体重新参与有价值和有意义的生活方面的疗效，尽管他们存在神经认知和身体限制。还讨论了在针对 ABI 人群的多模式康复计划的背景下测试 ACT 范式疗效的有希望的效用。
