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针对心理和生理疾病的接纳与承诺疗法:社会工作者的系统评价

Acceptance and commitment therapy for psychological and physiological illnesses: a systematic review for social workers.

作者信息

Montgomery Katherine L, Kim Johnny S, Franklin Cynthia

机构信息

School of Social Work, University of Texas at Austin, 78712, USA.

出版信息

Health Soc Work. 2011 Aug;36(3):169-81. doi: 10.1093/hsw/36.3.169.

Abstract

Social workers provide services to a variety of clients and are challenged with finding interventions that meet the multifaceted needs of diverse populations. Acceptance and commitment therapy (ACT) is becoming an increasingly popular therapy that offers flexibility and effectiveness in treating challenging cases. The purpose of this review is to provide social work researchers and practitioners with an explanation of the clinical application of ACT. The article provides a systematic review of the existing efficacy of ACT with various health illnesses. The authors gathered articles from multiple databases that investigated ACT as an intervention with psychological and physiological health illnesses and calculated corresponding effect sizes. Effect sizes indicated that ACT is a promising intervention for those with anxiety disorders, depression, psychosis, trichotillomania, epilepsy, chronic skin picking, and diabetes. The research on ACT and its promising applications to help clients with various health illnesses provide social workers with promising alternatives for approaching challenging illnesses. Although the empirical base continues to show promise for ACT, additional research using larger sample sizes and more rigorous designs is needed before more definitive claims can be made about the effectiveness of ACT.

摘要

社会工作者为各类客户提供服务,并面临着寻找能够满足不同人群多方面需求的干预措施的挑战。接纳与承诺疗法(ACT)正成为一种越来越受欢迎的疗法,它在治疗具有挑战性的病例方面具有灵活性和有效性。本综述的目的是向社会工作研究者和从业者解释ACT的临床应用。本文对ACT在各种健康疾病方面的现有疗效进行了系统综述。作者从多个数据库收集了研究ACT作为心理和生理健康疾病干预措施的文章,并计算了相应的效应量。效应量表明,ACT对患有焦虑症、抑郁症、精神病、拔毛癖、癫痫、慢性皮肤搔抓症和糖尿病的人是一种有前景的干预措施。关于ACT及其帮助患有各种健康疾病的客户的有前景应用的研究,为社会工作者处理具有挑战性的疾病提供了有前景的替代方法。尽管实证依据继续表明ACT有前景,但在能够就ACT的有效性做出更明确的断言之前,还需要使用更大样本量和更严格设计的额外研究。

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