University of Montreal, Quebec, Canada.
Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Psychol Psychother. 2018 Jun;91(2):248-261. doi: 10.1111/papt.12159. Epub 2017 Oct 4.
Acceptance and Commitment Therapy (ACT) has shown effectiveness for individuals with psychosis and individuals with a history of childhood trauma, but has not been investigated with people with psychosis who also have a history of childhood trauma. This study aims at determining the efficacy of a mindfulness-based ACT with this clientele in diminishing psychiatric symptoms, trauma-related symptoms, as well as in improving treatment adherence.
Fifty participants meeting our inclusion criteria were recruited and randomized to take part in either 10 sessions of ACT group, or Treatment as Usual (TAU).
Using RCT it was found that symptom severity, for both overall symptoms (BPRS) and anxiety (GAD), decreased over the course of the treatment, and participants' ability to regulate their emotional reactions (i.e., accept them) increased. The study also found that treatment engagement increased with regards to help-seeking for those in the ACT group, compared with the TAU controls.
Acceptance and Commitment Therapy offered in a group appears a promising treatment for those with psychosis and history of trauma.
To understand the benefits of ACT with those who suffer from psychosis and a history of trauma. To further the understanding of the effectiveness of ACT.
接受与承诺疗法（ACT）已被证明对精神病患者和有童年创伤史的个体有效，但尚未在同时患有精神病和童年创伤史的人群中进行研究。本研究旨在确定基于正念的 ACT 对这一人群在减轻精神症状、创伤相关症状以及提高治疗依从性方面的疗效。
招募了 50 名符合纳入标准的参与者，并将他们随机分配到接受 10 次 ACT 组或常规治疗（TAU）组。
通过 RCT 发现，治疗过程中，参与者的总体症状（BPRS）和焦虑（GAD）严重程度均有所下降，他们调节情绪反应（即接受情绪）的能力有所提高。研究还发现，与 TAU 对照组相比，ACT 组的求助意愿有所增加，表明治疗参与度提高。
小组形式的接受与承诺疗法为有精神病和创伤史的患者提供了一种有前途的治疗方法。
了解 ACT 对患有精神病和创伤史的患者的益处。进一步了解 ACT 的有效性。
