Twohig Michael P, Levin Michael E
Department of Psychology, Utah State University, 2810 Old Main, Logan, UT 84322, USA.
Department of Psychology, Utah State University, 2810 Old Main, Logan, UT 84322, USA.
Psychiatr Clin North Am. 2017 Dec;40(4):751-770. doi: 10.1016/j.psc.2017.08.009.
Acceptance and commitment therapy (ACT) is a modern form of cognitive behavioral therapy based on a distinct philosophy and basic science of cognition. This article reviews the core features of ACT's theoretic model of psychopathology and treatment and its therapeutic approach. It provides a systematic review of randomized controlled trials (RCTs) evaluating ACT for depression and anxiety disorders. Summarizing 36 RCTs, ACT appears to be more efficacious than waitlist conditions and treatment-as-usual, with largely equivalent effects relative to traditional cognitive behavioral therapy. Evidence indicates that ACT treatment outcomes are mediated through increases in psychological flexibility, its theorized process of change.
接纳与承诺疗法（ACT）是一种基于独特认知哲学和基础科学的现代认知行为疗法形式。本文回顾了ACT心理病理学理论模型和治疗方法的核心特征及其治疗方法。它对评估ACT治疗抑郁症和焦虑症的随机对照试验（RCT）进行了系统综述。总结36项RCT后发现，ACT似乎比等待名单条件和常规治疗更有效，相对于传统认知行为疗法，其效果大致相当。有证据表明，ACT的治疗结果是通过心理灵活性的提高来介导的，心理灵活性是其理论上的改变过程。
