P Anusuya S, S Gayatridevi
Women Studies, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore, IND.
Psychiatry, Mary Lott Lyles Hospital, Madanapalle, IND.
Cureus. 2025 Jan 20;17(1):e77705. doi: 10.7759/cureus.77705. eCollection 2025 Jan.
Acceptance and commitment therapy (ACT) is an innovative psychological intervention emphasizing psychological flexibility and values-driven actions to enhance overall well-being. Unlike traditional cognitive-behavioral therapies (CBT), which often focus on altering maladaptive thoughts and behaviors, ACT encourages the acceptance of negative thoughts and emotions while fostering a commitment to personal values. This review explores ACT's effectiveness in promoting psychological well-being (PWB) by encompassing emotional, psychological, and social dimensions. Key aspects of PWB include emotional regulation, life satisfaction, and the reduction of experiential avoidance. The theoretical foundations of ACT are based on relational frame theory (RFT), which addresses cognitive fusion and experiential avoidance as central contributors to psychological distress. Extensive research, including meta-analyses and randomized controlled trials (RCTs), supports ACT's efficacy in treating various psychological issues and improving PWB. Despite strong empirical support, several gaps remain, including the need for more longitudinal studies, the exploration of cultural adaptability, and research on specific populations. Recommendations for future research include examining the long-term effects of ACT, its application across diverse cultural contexts, and its efficacy among underrepresented groups. This review underscores ACT's potential as a versatile therapeutic approach, providing valuable insights for mental health professionals and researchers.
接纳与承诺疗法（ACT）是一种创新的心理干预方法，强调心理灵活性和以价值观为导向的行动，以提高整体幸福感。与传统的认知行为疗法（CBT）不同，后者通常侧重于改变适应不良的思维和行为，ACT鼓励接纳消极思想和情绪，同时培养对个人价值观的承诺。本综述通过涵盖情感、心理和社会维度，探讨了ACT在促进心理健康（PWB）方面的有效性。PWB的关键方面包括情绪调节、生活满意度和减少经验性回避。ACT的理论基础基于关系框架理论（RFT），该理论将认知融合和经验性回避视为心理困扰的核心因素。包括荟萃分析和随机对照试验（RCT）在内的大量研究支持了ACT在治疗各种心理问题和改善PWB方面的疗效。尽管有强有力的实证支持，但仍存在一些差距，包括需要更多的纵向研究、探索文化适应性以及对特定人群的研究。对未来研究的建议包括研究ACT的长期效果、其在不同文化背景中的应用以及在代表性不足群体中的疗效。本综述强调了ACT作为一种通用治疗方法的潜力，为心理健康专业人员和研究人员提供了有价值的见解。
