Lanza Patricia Villagrá, García Paula Fernández, Lamelas Filomena Rodríguez, González-Menéndez Ana
University of Oviedo.
J Clin Psychol. 2014 Jul;70(7):644-57. doi: 10.1002/jclp.22060. Epub 2014 Jan 21.
This randomized controlled study compared acceptance and commitment therapy (ACT), cognitive-behavioral therapy (CBT), and a control group.
The participants were 50 incarcerated women diagnosed with current substance use disorder. Two psychologists carried out pre- and posttreatment assessment and a 6-month follow-up assessment using the following instruments: Anxiety Sensitivity Index, Addiction Severity Index-6, Mini International Neuropsychiatric Interview, and Acceptance and Action Questionnaire.
The study shows that the women who received treatment benefited differentially from the interventions. At posttreatment, CBT was more effective than ACT in reducing anxiety sensitivity; however, at follow-up, ACT was more effective than CBT in reducing drug use (43.8 vs. 26.7%, respectively) and improving mental health (26.4% vs. 19.4%, respectively).
ACT may be an alternative to CBT for treatment of drug abuse and associated mental disorders. In fact, at long-term, ACT may be more appropriate than CBT for incarcerated women who present serious problems.
本随机对照研究比较了接纳与承诺疗法（ACT）、认知行为疗法（CBT）以及一个对照组。
参与者为50名被诊断患有当前物质使用障碍的被监禁女性。两名心理学家使用以下工具进行治疗前和治疗后评估以及6个月的随访评估：焦虑敏感性指数、成瘾严重程度指数-6、迷你国际神经精神病学访谈以及接纳与行动问卷。
研究表明，接受治疗的女性从干预措施中获得了不同程度的益处。在治疗后，认知行为疗法在降低焦虑敏感性方面比接纳与承诺疗法更有效；然而，在随访时，接纳与承诺疗法在减少药物使用（分别为43.8%和26.7%）和改善心理健康（分别为26.4%和19.4%）方面比认知行为疗法更有效。
接纳与承诺疗法可能是治疗药物滥用及相关精神障碍的认知行为疗法的替代方法。事实上，从长期来看，接纳与承诺疗法可能比认知行为疗法更适合存在严重问题的被监禁女性。
