White, R.G. , Gumley, A.I. , McTaggart, J., Rattrie, L., McConville, D., Cleare, S. , McLeod, H.J. and Mitchell, G. (2015) Acceptance and Commitment Therapy for depression following psychosis: an examination of clinically significant change. Journal of Contextual Behavioral Science, 4(3), pp. 203-209. (doi: 10.1016/j.jcbs.2015.06.004)
|
Text
110687.pdf - Accepted Version 1MB |
Abstract
Depression following psychosis is common and can impact negatively on individuals’ quality of life. This study conducted post-hoc analyses on 14 participants with psychosis from a larger randomised controlled trial who presented with clinically important levels of depression at baseline. Eight of the participants received Acceptance and Commitment Therapy (ACT), whilst the remaining six individuals received treatment as usual (TAU). The focus was on investigating clinically significant change in outcome measures between baseline and 3-months post-baseline in the participants. Participants completed measures assessing depression and anxiety (HADS), psychosis symptoms (PANSS) and psychological inflexibility (AAQ-II) between baseline and at 3-month post-baseline assessments. Odds ratio analysis indicated that participants receiving ACT, compared to TAU, were 15 times more likely to achieve clinically significant decreases in depression scores (Fisher's Exact Test, p=0.05). Differences between the ACT and TAU groups in clinically significant changes in anxiety, psychological inflexibility, positive symptoms, negative symptoms and general level of psychopathology were not statistically significant. The study provides tentative support for the use of ACT to treat depression emerging in the context of psychosis.
Item Type: | Articles |
---|---|
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | White, Dr Ross and Cleare, Dr Seonaid and McConville, Miss Deirdre and Gumley, Professor Andrew and McLeod, Professor Hamish and McTaggart, Miss Jacqueline and Rattrie, Miss Lucy |
Authors: | White, R.G., Gumley, A.I., McTaggart, J., Rattrie, L., McConville, D., Cleare, S., McLeod, H.J., and Mitchell, G. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing |
Journal Name: | Journal of Contextual Behavioral Science |
Publisher: | Elsevier Inc. |
ISSN: | 2212-1447 |
ISSN (Online): | 2212-1455 |
Copyright Holders: | Copyright © 2015 Association for Contextual Behavioral Science |
First Published: | First published in Journal of Contextual Behavioral Science 4(3):203-209 |
Publisher Policy: | Reproduced in accordance with the copyright policy of the publisher. |
University Staff: Request a correction | Enlighten Editors: Update this record