Acceptance and commitment therapy (ACT)i

Achtergrond, assessment en applicatie
01/06/2018
Frenk Peeters, Tim Batink
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De Psycholoog 2018-6 Cover
Issue 6

Samenvatting

Acceptance and commitment therapy: background, assessment and application T. Batink & F. Peeters

Acceptance and Commitment Therapy (ACT) is a new form of behavioral therapy that can be used transdiagnostically. In this review article, the background of ACT will be described, the therapy itself will be described briefly as well as the current evidence base. An updated overview of the instruments that can be used for assessing the various ACT-processes will be provided. Finally, the application of the various ACT processes in the daily life of the client through a mHealth tool (ACT-DL) will be discussed.

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  • Samenvatting
  • Drie generaties gedragstherapie
  • Acceptance and commitment therapy
    • Achtergrond
    • Wat is ACT?
    • Wetenschappelijke evidentie
  • Assessment van de ACT-processen
  • Applicatie van de ACT-processen
  • Referenties
  • Literatuurlijst
  • Over de auteur
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Acceptance and Commitment Therapy (ACT) is een nieuwe vorm van gedragstherapie die transdiagnostisch inzetbaar is. In dit overzichtsartikel staan Tim Batink en Frenk Peeters stil bij de achtergrond van ACT. Zij beschrijven de therapie kort alsook de evidence base. Aansluitend geven zij een actueel overzicht van instrumenten die kunnen worden ingezet voor het meten van verschillende ACT-processen. Ten slotte is er aandacht voor de applicatie van de verschillende ACT-processen in het dagelijks leven van de cliënt middels een mHealth tool (ACT-DL).

Drie generaties gedragstherapie

Het vakgebied van de klinische psychologie, het aandachtsgebied binnen de psychologie dat zich bezighoudt met de bevordering van de geestelijke gezondheid met behulp van psychologische behandelingen, is continu in ontwikkeling. Een van de recente ontwikkelingen op het gebied van psychotherapie, is de opkomst van de zogenaamde derde generatie gedragstherapie. Dat is een nieuwe stroming binnen de gedragstherapie (Kohlenberg et al., 2002, Hayes, 2004a; Hayes, 2004b)2944, waarbij gedragsverandering minder in het teken van klachtreductie, en meer in het teken staat van het zich op een andere manier verhouden tot negatieve interne ervaringen (cognities, affect en sensaties). Om deze ontwikkeling goed te kunnen positioneren, zal er eerst worden stilgestaan bij de historische context; de eerste en tweede generatie gedragstherapie die hieraan voorafgingen.

De basis van de gedragstherapie, de eerste generatie gedragstherapie, bestaat uit de klassieke conditionering en de operante conditionering. De klassieke conditionering vindt zijn oorsprong in het fysiologische onderzoek van Pavlov (Pavlov, 1902)[literature

Literatuurlijst

  1. A-Tjak, J. (Ed.). (2015). Acceptance & Commitment Therapy: Theorie en praktijk (Tweede, herziene druk). Houten: Bohn Stafleu van Loghum.
  2. A-Tjak, J.G., Davis, M.L., Morina, N., Powers, M.B., Smits, J.A., & Emmelkamp P.M. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84, 30-36.
  3. Ahtinen, A., Mattila, E., Välkkynen, P., Kaipainen, K., Vanhala, T. et al. (2013). Mobile mental wellness training for stress management: feasibility and design implications based on a one-month field study. JMIR Mhealth Uhealth, 1(2), e11.
  4. Barta, W.D., Tennen, H. & Litt, M.D. (2012). Measurement reactivity in diary research. In M.R. Mehl & T.S. Conner (Eds). Handbook of research methods for studying daily life (pp. 108–123). New York: The Guilford Press.
  5. Batink, T., Bakker, J., Vaessen, T., Kasanova, Z., Collip, D. et al. (2016). Acceptance and Commitment Therapy in Daily Life Training: A Feasibility Study of an mHealth Intervention. JMIR Mhealth Uhealth, 4(3), e103.
  6. Batink, T., Jansen, G. & De Mey, H.R.A. (2012). De Flexibiliteits Index Test (FIT-60): Een beknopte beschrijving.ÅGZ-Psychologie, 5,18-21.
  7. Batink, T., Jansen, G. & Peeters, F.P.M.L. (2015). Nieuwe generatie gedragstherapie, nieuwe generatie meetinstrumenten. Een overzicht van beschikbare meetinstrumenten. Tijdschrift voor Psychiatrie, 57, 739-748.
  8. Beck, A.T. (1967). Depression: Causes and Treatment. Philidelphia: University of Pennsylvania Press.
  9. Blackledge, J.T. (2003). An introduction to Relational Frame Theory: Basics and applications. The Behavior Analyst Today, 3, 421-433.
  10. Bohlmeijer, E.T., Ten Klooster, P.M., Fledderus, M., Veehof, M.M. & Baer, R. (2012). Psychometric properties of the Five Facet Mindfulness Questionnaire in depressed adults and development of a short form. Assessment, 18, 308-320.
  11. Bond F.W., Hayes, S.C., Baer, R.A., Carpenter, K.C., Guenole, N. et al. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire – II: A revised measure of psychological flexibility and acceptance. Behavior Therapy, 42, 676-88.
  12. Borkovec, T.D., Newman, M.G., Pincus, A.L. & Lytle, R. (2002). A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems. Journal of Consulting and Clinical Psychology, 70, 288-298.
  13. Bricker, J.B., Mull, K.E., Kientz, J.A., Vilardaga, R., Mercer, L.D. et al. (2014). Randomized, controlled pilot trial of a smartphone app for smoking cessation using acceptance and commitment therapy. Drug and Alcohol Dependence,143, 87-94.
  14. Butler, A. C., Chapman, J.E., Forman, E. M. & Beck, A.T. (2006). The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Clinical psychology review, 26, 17-31.
  15. Cheng, C., Brown, R.C., Cohen, L.L., Venugopalan, J., Stokes, T.H. & Wang, M.D. (2013). iACT: an interactive mHealth monitoring system to enhance psychotherapy for adolescents with sickle cell disease.
  16. Conf Proc IEEE Eng Med Biol Soc, 2013, 2279–2282. doi:10.1109/EMBC.2013.6609992
  17. Ciarrochi, J. & Blich, L. (2011). Acceptance and Commitment Therapy. Measures Package:ÅProcess measures of potential relevance to ACT. Unpublished manuscript, School of Psychology, University of Wollongong, Wollongong, Australia.
  18. David, D. & Hofmann, S.G. (2013). Another error of Descartes? Implications for the “third wave” cognitive-behavioural therapy. Journal of Cognitive and Behavioural Psychotherapies, 13, 111-121.
  19. Dimidjian, S., Arch, J.J., Schneider, R.L., Desormeau, P., Felder, J.N. & Segal, Z.V. (2016). Considering Meta-Analysis, Meaning, and Metaphor: A Systematic Review and Critical Examination of “Third Wave” Cognitive and Behavioral Therapies. Behavior Therapy, 47, 886-905.
  20. Dobson, K.S. & Khatri, N. (2000). Cognitive therapy: Looking backward, looking forward. Journal of Clinical Psychology, 56, 907–923.
  21. Ellis, A. (1957). Rational psychotherapy and individual psychology. Journal of Individual Psychology, 13, 38–44.
  22. Foa, E.B. (2010). Cognitive behavioral therapy of obsessive-compulsive disorder. Dialogues in Clinical Neuroscience, 12, 199-207.
  23. Foody, M., Barnes-Holmes, Y., Barnes-Holmes, D., Torneke, N., Luciano, C. et al. (2014). RFT for clinical use: The example of metaphor.ÅJournal of Contextual Behavioral Science, 3, 305-313.
  24. Gillanders, D.T., Bolderston, H., Bond, F.W., Dempster, M., Flaxman, P.E. et al. (2014). The development and initial validation of The Cognitive Fusion Questionnaire. Behavior Therapy, 45, 83-101.
  25. Gird, S.R., Zettle, R.D., Webster, B.K. & Hardage-Bundy, A. (2012, July). Developing a Quantitative Measure of Self-as-Context: Preliminary Findings. In R. D. Zettle (Chair), Sizing up Selfing: Efforts to Assess Selfas- Context. Symposium conducted at the ACBS World Conference X, Washington.
  26. Hacker, T., Stone, P. & MacBeth, A. (2016). Acceptance and commitment therapy – Do we know enough? Cumulative and sequential metaanalyses of randomized controlled trials. Journal of Affective Disorders, 190, 551 – 565.
  27. Harris, R. (2009).ACT Made Simple: An Easy-To-Read Primer on Acceptance and Commitment Therapy.Oakland: New Harbinger.
  28. Hayes, S.C. (1993). Analytic goals and the varieties of scientific contextualism. In S.C. Hayes, L.J. Hayes, H.W. Reese & T.R. Sarbin (Eds.), Varieties of scientific contextualism (pp. 11-27). Reno: Context Press.
  29. Hayes, S.C. (2004a). Acceptance and Commitment Therapy, Relational Frame Theory, and the third wave of behavior therapy.ÅBehavior Therapy, 35, 639-665. Hayes, S.C. (2004b). Acceptance and Commitment Therapy and the new behavior therapies: Mindfulness, acceptance and relationship. In S.C. Hayes, V.M. Follette & M. Linehan (Eds.),ÅMindfulness and acceptance: Expanding the cognitive behavioral tradition(pp. 1-29). New York: Guilford.
  30. Hayes, S.C. (October 2017). ACT Randomized Controlled Trails. Retrieved from https://contextualscience.org/ACT_Randomized_Controlled_Trials
  31. Hayes, S.C., Barnes-Holmes, D. & Wilson, K.G. (2012). Contextual Behavioral Science: Creating a science more adequate to the challenge of the human condition. Journal of Contextual Behavioral Science,1, 1-16.
  32. Hayes, S.C., Luoma, J., Bond, F., Masuda, A. & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, processes, and outcomes. Behaviour Research and Therapy, 44, 1-25.
  33. Hayes, S.C, Strosahl, K.D. & Wilson, K.G. (2012). Acceptance and commitment therapy: The process and practice of mindful change¤(2nd edition). New York: The Guilford Press.
  34. Hayes, S.C., Strosahl, K.D. & Wilson, K.G. (1999). Acceptance and Commitment Therapy: An experiential approach to behavior change. New York: Guilford Press.
  35. Heron, K.E. & Smyth, J.M. (2010). Ecological Momentary Interventions: Incorporating mobile technology into psychosocial and health behavior treatments. British Journal of Health Psychology, 15, 1-39.
  36. Hofmann,S.G.,Asnaani, A.,Vonk, I.J.,Sawyer, A.T.& Fang, A. (2012). The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognitive Therapy and Research, 36, 427-440.
  37. Hooper, N. & Larsson, A. (2015). The Research Journey of Acceptance and Commitment Therapy (ACT). London: Palgrave Macmillan.
  38. Jacobs, N., Beckers, J. & Raes, F. (2009). Evaluatie van ACT in de praktijk: geschikte procesmaten. Psychopraxis, 1, 152–156.
  39. Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K. et al. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64, 295–304.
  40. Jansen, G. & Batink, T. (2014). Time to ACT! Het basisboek voor professionals. Zaltbommel: Uitgeverij Thema.
  41. Kahl, K.G., Winter, L. & Schweiger, U. (2012). The third wave of cognitive behavioural therapies: what is new and what is effective? Current Opinion in Psychiatry, 6, 522-528.
  42. Kahl, K.G., Winter, L., Schweiger, U. & Sipos, V. (2011). The third wave of cognitive-behavioural psychotherapies: concepts and e’ cacy [in German]. Fortschritte der Neurologie-Psychiatrie, 79, 330–339.
  43. Keijsers, G.P.J., van Minnen, A. & Hoogduin, K. (Reds.). (2011). Protocollaire behandelingen voor volwassenen met psychische klachten (1 & 2). Amsterdam: Boom Uitgevers.
  44. Kohlenberg, R.J., Bolling, M.Y., Kanter, J.W. & Parker, C.R. (2002). Clinical behavior analysis: Where it went wrong, how it was made good again, and why its future is so bright. The Behavior Analyst Today 3, 248–253.
  45. Lappalainen, P., Granlund, A., Siltanen, S., Ahonen, S., Vitikainen, M. et al. (2014). ACT Internet-based vs face-to-face? A randomized controlled trial of two ways to deliver acceptance and commitment therapy for depressive symptoms: an 18-month follow-up. Behaviour Research and Therapy, 61, 43-54.
  46. Longmore, R.J. & Worrell, M. (2007). Do we need to challenge thoughts in cognitive behavior therapy? Clinical Psychology Review, 27, 173–187.
  47. Loo Gee, B., Griffiths K.M. & Gulliver, A. (2016). Effectiveness of mobile technologies delivering Ecological Momentary Interventions for stress and anxiety: a systematic review. Journal of the American Medical Informatics Association, 23, 221-229.
  48. Ly, K.H., Asplund, K. & Andersson, G. (2014). Stress management for middle managers via an acceptance and commitment-based smartphone application: A randomized controlled trial. Internet Interventions, 1(3), 95-101.
  49. Ly, K.H., Dahl, J., Carlbring, P. & Andersson, G. (2012). Development and initial evaluation of a smartphone application based on acceptance and commitment therapy. SpringerPlus, 1,11.
  50. Öst, L. (2008). Efficacy of the third wave of behavioral therapies: A systematic review and meta-analysis. Behaviour Research and Therapy, 46, 296-321.
  51. Öst, L.G. (2014). The efficacy of Acceptance and Commitment Therapy: an updated systematic review and meta-analysis.ÅBehaviour Research and Therapy, 61, 105-121.
  52. Pavlov, I.P. (1897/1902). The work of the digestive glands. London: Griffin.
  53. Pepper, S.C. (1942). World hypotheses: A study in evidence. Berkeley: University of California Press.
  54. Polk, K.L. & Schoendorff, B. (Eds.; 2014). The ACT Matrix: A New Approach to Building Psychological Flexibility Across Settings and Populations. Oakland: New Harbinger Publications.
  55. Powers, M.B., Vörding, M. & Emmelkamp, P.M.G. (2009). Acceptance and commitment therapy: A meta-analytic review.ÅPsychotherapy and Psychosomatics, 8, 73-80.
  56. Raes, F. (2015). De derde generatie CGT: een vloek of een zegen? Tijdschrift voor gedragstherapie, 1, 61-69. Research-Supported Treatments – Society of Clinical Psychology, APA Division 12. https://www.div12.org/psychological-treatments/
  57. Ruiz, F.J. (2010). A review of Acceptance and Commitment Therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10, 125-162.
  58. Ruiz, F.J. (2012). Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis of current empirical evidence. International Journal of Psychology and Psychological Therapy, 12, 333-358.
  59. Runyan, J. D. & Steinke, E.G. (2015). Virtues, ecological momentary assessment/intervention and smartphone technology. Frontiers in Psychology, 6, 481.
  60. SAMSHA’s National Registry of Evidence-based Programs and Practices. http://www.samhsa.gov/nrepp
  61. Skinner, B.F. (1945). The operational analysis of psychological terms. Psychological Review, 52, 270-277.
  62. Skinner, B.F. (1948).ÅSuperstition’ in the pigeon. Journal of Experimental Psychology, 38, 168-172.
  63. Smout, M.F., Hayes, L., Atkins, P.W.B., Klausen, J. & Duguid, J.E. (2012). The empirically supported status of acceptance and commitment therapy: An update. Clinical Psychologist, 16,97-109.
  64. Stoner, S.A., Arenella, P.B. & Hendershot, C.S. (2015). Randomized controlled trial of a mobile phone intervention for improving adherence to naltrexone for alcohol use disorders. PLoS One, 10(4), e0124613.
  65. Telford, C., McCarthy-Jones, S., Corcoran, R. & Rowse, G. (2012). Experience sampling methodology studies of depression: the state of the art. Psychological medicine, 42, 1119-1129.
  66. Ten Broeke, E., Korrelboom, K. & Verbraak, M. (Eds.). (2009). Praktijkboek Geïntegreerde Cognitieve Gedragstherapie. Protocollaire behandelingen op maat. Bussum: Uitgeverij Coutinho.
  67. Thorndike, E.L. (1898). Animal intelligence: An experimental study of the associative processes in animals. Psychological Monographs: General and Applied,2, i-109.
  68. Trompetter, H.R., ten Klooster, P.M., Schreurs, K.M.G., Fledderus, M., Westerhof, G.J. & Bohlmeijer, E.T. (2013). Measuring values and committed action with the Engaged Living Scale (ELS): Psychometric evaluation in a nonclinical and chronic pain sample. Psychological Assessment, 25, 1235-1246.
  69. Van Os, J. (2014). De DSM-5 voorbij! Persoonlijke diagnostiek in een nieuwe ggz. Leusden: Diagnosis Uitgevers.
  70. Watson, J.B. & Rayner, R. (1920). Conditioned emotional reactions. Journal of Experimental Psychology, 3, 1-14.
  71. Wilson, K.G. & Murrell, A.R. (2004). Values work in acceptance and commitment therapy: Setting a course for behavioral treatment. In S.C. Hayes, V.M. Follette & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitivebehavioral tradition (pp. 120-151). New York: Guilford Press.
  72. Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Palo Alto: Stanford University.