A feasibility study of acceptance and commitment therapy for emotional dysfunction following psychosis

White, R.G. , Gumley, A. , McTaggart, J., Rattrie, L., McConville, D., Cleare, S. and Mitchell, G. (2011) A feasibility study of acceptance and commitment therapy for emotional dysfunction following psychosis. Behaviour Research and Therapy, 49(12), pp. 901-907. (doi:10.1016/j.brat.2011.09.003)

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Abstract

The experience of psychosis can lead to depression, anxiety and fear. Acceptance and Commitment Therapy (ACT) facilitates individuals to accept difficult mental experiences and behave in ways that are consistent with personally held values. This study was a single (rater) blind pilot randomised controlled trial of ACT for emotional dysfunction following psychosis. Twenty-seven participants with psychosis were randomised to either: ten sessions of ACT plus treatment as usual (TAU) or TAU alone. The Hospital Anxiety and Depression Scale, Positive and Negative Syndrome Scale, Acceptance and Action Questionnaire, Kentucky Inventory of Mindfulness Skills and Working Alliance Inventory were used. Individuals were assessed at baseline and 3 months post-baseline. The individuals randomised to receive ACT found the intervention acceptable. A significantly greater proportion of the ACT group changed from being depressed at time of entry into the study to not being depressed at follow-up. The ACT group showed a significantly greater increase in mindfulness skills and reduction in negative symptoms. Results indicated that individuals randomised to ACT had significantly fewer crisis contacts over the study. Changes in mindfulness skills correlated positively with changes in depression. ACT appears to offer promise in reducing negative symptoms, depression and crisis contacts in psychosis.

Item Type:Articles
Additional Information:This is the author’s version of a work that was accepted for publication in Behaviour Research and Therapy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Behaviour Research and Therapy, doi: 10.1016/j.brat.2011.09.003
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McConville, Miss Deirdre and White, Dr Ross and Gumley, Professor Andrew and McTaggart, Miss Jacqueline and Cleare, Miss Seonaid and Rattrie, Miss Lucy
Authors: White, R.G., Gumley, A., McTaggart, J., Rattrie, L., McConville, D., Cleare, S., and Mitchell, G.
Subjects:R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Behaviour Research and Therapy
Publisher:Elsevier
ISSN:0005-7967
ISSN (Online):1873-622X
Published Online:16 September 2011
Copyright Holders:Copyright © 2011 Elsevier
First Published:First published in Behaviour Research and Therapy 49(12):901-907
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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