Aravind Arya, Agarwal Manju, Malhotra Shahzadi, Ayyub Sayma
Amity University Uttar Pradesh, Palakkad, Kerala, India.
IHBAS, New Delhi, Delhi, India.
Ann Neurosci. 2024 Dec 18:09727531241300741. doi: 10.1177/09727531241300741.
Mental health disorders rank among the most common psychiatric conditions, with lifetime prevalence rates that have a significant effect on the global population. Although CBT is still the most generally recommended psychosocial intervention for mental health problems, a significant number of patients do not fully react to therapy, which results in persistent symptoms. Acceptance and Commitment Therapy (ACT) has gained worldwide attention as a promising intervention with a growing body of empirical support across a variety of mental health conditions.
A systematic review was conducted to evaluate ACT's impact on mental health. Comprehensive searches of Scopus, PubMed, Google Scholar, and Shodganga, along with reference and citation checks, yielded 15 studies meeting the inclusion criteria. Four independent reviewers assessed the studies for eligibility, methodological rigor, and data extraction. The findings revealed that ACT consistently reduces symptom severity, improves emotional regulation, enhances life satisfaction, and increases psychological flexibility. However, common methodological limitations include small sample sizes, lack of long-term follow-ups, and limited control group comparisons.
ACT demonstrates significant promise as a trans-diagnostic intervention adaptable to various mental health issues. Despite its evident benefits in symptom reduction and psychological well-being, further research addressing methodological constraints is crucial to optimize its clinical applications and establish its long-term efficacy.
心理健康障碍是最常见的精神疾病之一，其终生患病率对全球人口有重大影响。尽管认知行为疗法（CBT）仍是针对心理健康问题最普遍推荐的心理社会干预方法，但仍有相当数量的患者对治疗没有完全反应，导致症状持续存在。接纳与承诺疗法（ACT）作为一种有前景的干预方法已受到全球关注，并且在各种心理健康状况下都有越来越多的实证支持。
进行了一项系统综述以评估ACT对心理健康的影响。对Scopus、PubMed、谷歌学术和Shodganga进行全面检索，并进行参考文献和引用检查，得到15项符合纳入标准的研究。四名独立评审员评估了这些研究的合格性、方法严谨性和数据提取情况。研究结果显示，ACT持续降低症状严重程度，改善情绪调节，提高生活满意度，并增强心理灵活性。然而，常见的方法学局限性包括样本量小、缺乏长期随访以及对照组比较有限。
ACT作为一种适用于各种心理健康问题的跨诊断干预方法显示出巨大潜力。尽管它在减轻症状和心理健康方面有明显益处，但解决方法学限制的进一步研究对于优化其临床应用和确定其长期疗效至关重要。
