Focused Acceptance and Commitment Therapy (FACT) for depression and anxiety disorder

Mental illness, such as depression and anxiety disorder, is a global public health issue. For mild and moderate conditions, psychological treatment, primarily traditional Cognitive Behavioural Therapy (CBT) is recommended. Acceptance and Commitment Therapy (ACT) is a development of CBT where the patient works with acceptance and mindfulness. The method has been used for several psychiatric disorders, such as depression and anxiety disorder, and is available as a less extensive form of therapy called Focused ACT (FACT).

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SBU Enquiry Service

Consists of structured literature searches to highlight studies that can address questions received by the SBU Enquiry Service from Swedish healthcare or social service providers. We assess the risk of bias in systematic reviews and when needed also quality and transferability of results in health economic studies. Relevant references are compiled by an SBU staff member, in consultation with an external expert when needed.

Published: Report no: ut202221 Registration no: SBU 2022/334

Question

What systematic reviews are there on Focused ACT (FACT) for depression and anxiety disorder?

Identified literature

No relevant systematic review was identified.

Literature search

Medline via OvidSP 15 September 2022

 

Title: Focused acceptance and commitment therapy
/ = Term from the MeSH controlled vocabulary; .sh = Term from the MeSH controlled vocabulary; exp= Term from MeSH including terms found below this term in the MeSH hierarchy;.ti,ab = Title or abstract; .tw = Title or abstract; .kf = Keywords; .kw = Keywords, exact;.bt = Book title. NLM Bookshelf.; .pt = Publication type;.ja = Journal abbreviation;.af = All fields; adjn= Adjacent. Proximity operator retrieving adjacent words, adj3 retrieves records with search terms within two terms from each other.;* or $ = Truncation “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Population:
1. exp depressive disorder/ 119,143
2. exp Bipolar disorder/ 44,147
3. exp Anxiety disorders/ 87,756
4. Stress Disorders, Post-Traumatic/ 39,388
5. (depress* or depressive or depressed or bipolar or dysthymi* or anxiety or phobi* or agoraphobi* or claustrophobi* or panic or distress or posttrauma* or post-trauma* or ptsd or ocd or "obsessive compulsive").ti,ab,kf. 902,457
6. 1 or 2 or 3 or 4 or 5 958,511
Intervention:
7. exp Cognitive Behavioral Therapy/ 34,834
8. (cognitive behavio?r* or CBT or "acceptance and commitment" or mindfulness).tw,kf,bt. 48,496
9. 7 or 8 60,628
10. "acceptance and commitment therapy".ti,ab,kf,bt. 1,506
11. (((focused or brief or short) adj (intervention* or protocol* or treat* or ACT or "acceptance and commitment" or CBT or therap* or "cognitive behavio?r*")) and therap*).ti,ab,kf,bt. 5,022
12. (brief adj2 "cognitive behavio?r*").tw,kf,bt. 419
13. ((primary care or integrated or consult*) adj behavioral health).tw,kf,bt. 457
14. ((Brief or short*) adj3 (intervent* or therap* or treat*)).tw,kf,bt. 57,965
15. 10 or 11 or 12 or 13 or 14 62,308
16. 9 and 15 4,727
Study types: systematic reviews and meta-analysis
17. (Systematic Review or Meta-Analysis).pt. or Cochrane Database Syst Rev.ja. or ((systematic adj3 review) or "meta analys*" or metaanalys*).ti,ab. 406,768
Combined sets:
18. 6 and 16 2,932
19. 17 and 18 302
Final result
20. 19 302

Scopus via scopus.com 15 September 2022

Title: Focused acceptance and commitment therapy
TITLE-ABS-KEY = Title, abstract or keywords (including indexed keywords and author keywords); ALL = All fields; W/n= Within. Proximity operator retrieving terms withinnwords from each other; PRE/n= Precedes by. Proximity operator, the first term in the search must precede the second by n; words; LIMIT-TO (X) = Includes only results of specified type, e.g., publication type or time rangeDOCTYPE = Publication type;“re” = review; “le” = letter; “ed” = editorial; “ch” = book chapter;“cp” = conference proceedings;* = Truncation;“ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Population:
1. TITLE-ABS-KEY ( depress* OR depressive OR depressed OR bipolar OR dysthymi* OR anxiety OR phobi* OR agoraphobi* OR claustrophobi* OR panic OR distress OR posttrauma* OR post-trauma* OR ptsd OR ocd OR "obsessive compulsive" ) 1,762,565
Intervention:
2. TITLE-ABS-KEY ( "cognitive behavior*" OR "cognitive behaviour*" OR cbt OR "acceptance and commitment" OR mindfulness ) 90,533
3. TITLE-ABS-KEY ( "acceptance and commitment therapy" ) 3,327
4. TITLE-ABS-KEY ( ( ( focused OR brief OR short ) W/1 ( intervention* OR protocol* OR treat* OR act OR "acceptance and commitment" OR cbt OR therap* OR "cognitive behavior*" OR "cognitive behaviour*" ) ) AND therap* ) 44,635
5. TITLE-ABS-KEY ( brief W/2 ( "cognitive behavior*" OR "cognitive behaviour*" ) ) 687
6. TITLE-ABS-KEY(("primary care" OR integrated OR consult* ) W/1 "behavioral health" ) 909
7. #3 OR #4 OR #5 OR #6 48,648
8. TITLE-ABS-KEY((Brief OR short* ) W/3 (intervent* OR therap* OR treat* )) 110,215
9. #7 OR #8 125,584
10. #2 AND #9 8,944
Study types: systematic reviews and meta-analysis / randomized controlled trials
11. TITLE-ABS-KEY ( ( systematic W/2 review ) OR "meta analy*" OR metaanaly* ) AND (EXCLUDE (DOCTYPE, “le”) OR EXCLUDE (DOCTYPE, “ed”) OR EXCLUDE (DOCTYPE, “ch”) OR EXCLUDE (DOCTYPE, “cp”) 571,050
Combined sets:
12. #1 AND #10 5,522
13. #12 AND #11 688
Final result
14. #13 688

PSYCINFO via EBSCO 15 September 2022

Title: Focused acceptance and commitment therapy
TI = Title;AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); DE = Exact keyword; TX = All text; MR = Methodology; Nn = Near. Proximity operator retrieving terms within n words from each other;* = Truncation;“ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Population:
1. DE "Anxiety Disorders" OR DE "Castration Anxiety" OR DE "Generalized Anxiety Disorder" OR DE "Obsessive Compulsive Disorder" OR DE "Panic Attack" OR DE "Panic Disorder" OR DE "Phobias" OR DE "Separation Anxiety Disorder" OR DE "Trichotillomania" 62,616
2. DE "Major Depression" OR DE "Anaclitic Depression" OR DE "Dysthymic Disorder" OR DE "Endogenous Depression" OR DE "Late Life Depression" OR DE "Postpartum Depression" OR DE "Reactive Depression" OR DE "Recurrent Depression" OR DE "Treatment Resistant Depression" 151,160
3. MM "Bipolar I Disorder" 720
4. MM "Bipolar II Disorder" 428
5. DE "Posttraumatic Stress Disorder" OR DE "Complex PTSD" OR DE "DESNOS" 38,067
6. TI(depress* or depressive or depressed or bipolar or dysthymi* or anxiety or phobi* or agoraphobi* or claustrophobi* or panic or distress or posttrauma* or post-trauma* or ptsd or ocd or "obsessive compulsive") OR AB(depress* or depressive or depressed or bipolar or dysthymi* or anxiety or phobi* or agoraphobi* or claustrophobi* or panic or distress or posttrauma* or post-trauma* or ptsd or ocd or "obsessive compulsive") OR SU(depress* or depressive or depressed or bipolar or dysthymi* or anxiety or phobi* or agoraphobi* or claustrophobi* or panic or distress or posttrauma* or post-trauma* or ptsd or ocd or "obsessive compulsive") 643,899
7. S1 OR S2 OR S3 OR S4 OR S5 OR S6 644,371
Intervention:
8. DE "Cognitive Behavior Therapy" OR DE "Acceptance and Commitment Therapy" OR DE "Cognitive Processing Therapy" OR DE "Prolonged Exposure Therapy" 25,459
9. TI(cognitive behavio?r* or CBT or "acceptance and commitment" or mindfulness) OR AB(cognitive behavio?r* or CBT or "acceptance and commitment" or mindfulness) OR SU (cognitive behavio?r* or CBT or "acceptance and commitment" or mindfulness) 46,352
10. S8 OR S9 55,156
11. TI("acceptance and commitment therapy") OR AB("acceptance and commitment therapy") OR SU("acceptance and commitment therapy") 3,091
12. TI((focused or brief or short) W0 (intervention* or protocol* or treat* or ACT or "acceptance and commitment" or CBT or therap* or "cognitive behavio?r*")) and therap*) OR AB((focused or brief or short) W0 (intervention* or protocol* or treat* or ACT or "acceptance and commitment" or CBT or therap* or "cognitive behavio?r*")) and therap*) OR SU((focused or brief or short) W0 (intervention* or protocol* or treat* or ACT or "acceptance and commitment" or CBT or therap* or "cognitive behavio?r*")) and therap*) 8,615
13. TI(brief W1 "cognitive behavio?r*") OR AB(brief W1 "cognitive behavio?r*") OR SU(brief W1 "cognitive behavio?r*") 119
14. TI((primary care or integrated or consult*) W0 behavioral health) OR AB((primary care or integrated or consult*) W0 behavioral health) OR SU((primary care or integrated or consult*) W0 behavioral health) 607
15. TI((Brief or short*) W2 (intervent* or therap* or treat*)) OR AB((Brief or short*) W2 (intervent* or therap* or treat*)) OR SU((Brief or short*) W2 (intervent* or therap* or treat*)) 17,961
16. S11 OR S12 OR S13 OR S14 OR S15 25,729
17. S10 AND S16 5,634
Study types: systematic reviews and meta-analysis
18. ((SU"Systematic Review" OR SU "Meta Analysis") OR TI((systematic N2 review) OR "meta analy*" OR metaanaly*) OR AB((systematic N2 review) OR "meta analy*" OR metaanaly*)) 79,678
Combined sets:
19. S7 AND S17 3,074
20. S18 AND S19 214
Final result
21. 20 214
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