Department of Research, Arkin, Centre for Mental Health Care, Amsterdam, The Netherlands.
Department of Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Early Interv Psychiatry. 2024 Feb;18(2):122-131. doi: 10.1111/eip.13442. Epub 2023 May 22.
The aim of this qualitative study is to explore patients' perspectives on Acceptance and Commitment Therapy for early stages of psychosis. Therefore, we interviewed participants of the INTERACT study, that quantitatively investigated Acceptance and Commitment Therapy in Daily Life (ACT-DL) in combination with treatment as usual, for early stages of psychosis, comparing it to treatment as usual.
Within 6 months after finishing ACT-DL, we conducted semi-structured, individual interviews with 19 participants. All interviews were audio-recorded and transcribed. Thematic analysis was used for coding and analysis.
Two overarching themes were formed: 'the meaning of ACT' and 'what to improve'. Considering the first, participants generally understood and connected with the meaning of ACT, noticing more awareness and acceptance of their thoughts and feelings, and living more in line with their personal values. The second theme included comments on the protocol not being personal or psychosis specific enough and some elements of ACT being too difficult to understand when having active psychotic symptoms.
This study suggests that ACT is an acceptable and promising new form of treatment for early stages of psychosis, and it provides relevant information to further develop ACT for this group.
本定性研究旨在探讨患者对接受与承诺疗法治疗早期精神分裂症的看法。因此，我们对 INTERACT 研究的参与者进行了访谈，该研究在早期精神分裂症阶段对接受与承诺疗法在日常生活中的应用（ACT-DL）进行了定量研究，将其与常规治疗进行了比较。
在完成 ACT-DL 后的 6 个月内，我们对 19 名参与者进行了半结构化的个体访谈。所有访谈均进行了录音和转录。采用主题分析方法进行编码和分析。
形成了两个总体主题：“ACT 的意义”和“需要改进的地方”。考虑到第一个主题，参与者普遍理解并认同 ACT 的意义，注意到对自己的想法和感受有更多的认识和接受，并更能按照自己的个人价值观生活。第二个主题包括对方案不够个性化或针对精神病不够具体的评论，以及在出现活跃的精神病症状时，ACT 的某些元素理解起来过于困难。
本研究表明，ACT 是一种可接受且有前途的早期精神分裂症治疗新形式，并为进一步为该群体开发 ACT 提供了相关信息。
