Tayyebi Gooya, Alwan Nathera Hussin, Hamed Ameera Fares, Shallal Alhan Abdulhasan, Abdulrazzaq Thaiba, Khayayi Reyhane
Faculty of Mazandaran University of Medical Sciences, Mazandaran, Iran.
Department of Nursing, Al-Zahrawi University College, Karbala, Iraq.
Iran J Psychiatry. 2024 Jul;19(3):337-343. doi: 10.18502/ijps.v19i3.15809.
Acceptance and Commitment Therapy (ACT) is an evidence-based psychological intervention that has gained increasing attention in recent years. While extensively studied for its effectiveness in adult populations, there has been growing interest in exploring the application of ACT in children and adolescents psychotherapy. This umbrella review aims to provide an overview of the current literature on the use and efficacy of ACT in children and adolescents, as well as to highlight potential considerations and future directions for research. A comprehensive search was done in scientific databases, including Scopus, PubMed, and Web of Sciences, using keywords related to ACT, children, adolescents, and psychotherapy. Relevant articles were included, with a focus on systematic reviews and meta-analysis. Our findings indicate consistent effectiveness for ACT and related interventions across various delivery formats, including in-person, group, and internet-based approaches, in reducing symptoms of internalizing and externalizing problems, as well as improving overall quality of life among children and adolescents. However, two articles comparing ACT with traditional cognitive behavioral therapy did not demonstrate superiority. Additionally, when comparing internet-based and in-person delivery modes, the included studies did not show significant differences between the two types. ACT shows promise as an effective therapeutic approach in children and adolescents psychotherapy. However, more research is warranted to establish its specific techniques and adaptations for different age groups and presenting problems. Additionally, future research should explore the feasibility and effectiveness of delivering ACT in varied settings.
接纳与承诺疗法（ACT）是一种循证心理干预方法，近年来受到越来越多的关注。虽然该疗法在成年人群中的有效性已得到广泛研究，但人们对探索其在儿童和青少年心理治疗中的应用兴趣也与日俱增。本综述旨在概述当前关于ACT在儿童和青少年中的使用及疗效的文献，并强调潜在的考虑因素和未来的研究方向。我们在包括Scopus、PubMed和科学网在内的科学数据库中进行了全面检索，使用了与ACT、儿童、青少年和心理治疗相关的关键词。纳入了相关文章，重点是系统评价和荟萃分析。我们的研究结果表明，ACT及相关干预措施在各种实施形式中，包括面对面、团体和基于互联网的方法，在减轻内化和外化问题症状以及改善儿童和青少年的整体生活质量方面具有一致的有效性。然而，两篇比较ACT与传统认知行为疗法的文章并未显示出ACT的优越性。此外，在比较基于互联网和面对面的实施模式时，纳入的研究并未显示出两者之间存在显著差异。ACT在儿童和青少年心理治疗中显示出作为一种有效治疗方法的前景。然而，需要更多的研究来确定其针对不同年龄组和呈现问题的具体技术和调整方法。此外，未来的研究应该探索在不同环境中实施ACT的可行性和有效性。
