Acceptance and Mindfulness - Based Interventions

نویسندگان

  • Robert D. Zettle
  • Suzanne R. Gird
چکیده

Acceptance and mindfulness-based interventions are part of the most recent generation of cognitive-behavioral therapies (Hayes, 2004). Among these approaches, acceptance and commitment therapy (ACT) and mindfulness-based cognitive (MBCT) therapy enjoy the greatest empirical support in the treatment and prevention of depression. Despite some similarities in their development as alternatives to traditional cognitive therapy and shared use of mindfulness practices, ACT and MBCT nonetheless differ from each other on philosophical, methodological, and strategic dimensions. The outcome literature is more extensive for MBCT than ACT, whereas empirical support for putative therapeutic processes specific to each appears to be somewhat stronger for ACT. Increasingly both approaches have been extended into clinical areas previously occupied by the other, with ACT being used for prevention of depression among those at risk for it and MBCT for treatment of acute depressive symptoms. These developments have made it possible to indirectly compare their relative therapeutic impact and suggest shared versus unique mechanisms of action. Randomized clinical trials in which ACT and MBCT are directly evaluated on common outcome and process variables are recommended to more fully explicate these comparisons.

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تاریخ انتشار 2014