SBU:s upplysningstjänst
Publikation nr: ut202221
Publicerad: 15 december 2022
Nedladdad: 25 april 2025
Fokuserad Acceptance and Commitment Therapy (FACT) vid depression och ångestsyndrom

Observera att det är möjligt att ladda ner hela eller delar av en publikation. Denna pdf/utskrift behöver därför inte vara komplett. Hela publikationen och den senaste versionen hittar ni på www.sbu.se/ut202221

Fokuserad Acceptance and Commitment Therapy (FACT) vid depression och ångestsyndrom

Publicerad: 15 december 2022

Fråga och sammanfattning

Fråga

Vilken sammanställd forskning finns om behandlingseffekter av Fokuserad Acceptance and Commitment Therapy vid depression och ångestsyndrom?

Frågeställare: Enhetschef vid psykiatrimottagning i Västra Götalandsregionen.

Sammanfattning

SBU:s upplysningstjänst har efter litteratursökning inte identifierat någon relevant systematisk översikt som undersökt effekten av Fokuserad Acceptance and Commitment Therapy (FACT) jämfört med traditionell kognitiv beteendeterapi (KBT), ACT eller annan aktiv terapibehandling.

Bakgrund

Depression och ångest ses idag som folksjukdomar som kan drabba människor i alla åldrar. Uppskattningsvis kommer var tredje kvinna och var fjärde man i Sverige någon gång i livet att utveckla en depression, och ångestsyndrom förekommer hos ungefär var fjärde person i hela befolkningen [1]. Ångestsyndrom omfattar flera diagnoser, bland annat generaliserat ångestsyndrom, paniksyndrom och specifika fobier. Vid de flesta former av lindrig och medelsvår depression eller ångestsyndrom rekommenderas psykologisk behandling, i första hand KBT [1].

ACT är en vidareutveckling av KBT, en så kallad tredje vågens KBT, som används vid både somatiska sjukdomar, såsom kronisk smärta, och flera olika psykiatriska tillstånd, däribland depression och ångestsyndrom. Fokuserad ACT (FACT) är en terapimetod som baseras på ACT men med ett mindre omfattande program. Medan en ACT-behandling ofta består av mellan 8 och 20 sessioner, består FACT vanligtvis av mellan en och fem sessioner. Metoderna baseras på samma centrala processer, acceptans och medveten närvaro (mindfulness), vilka är kopplade till det övergripande målet psykologisk flexibilitet. Psykologisk flexibilitet handlar bland annat om att vara i kontakt med nuet och att välja beteenden som leder till värdefulla mål i livet för individen [2]. Behandlingarna ges framför allt av legitimerade yrkesgrupper såsom psykologer, psykoterapeuter och läkare.

Psykisk ohälsa är en vanlig orsak till besök inom primärvården [3]. För att möta behovet av psykologisk behandling finns ett intresse av att veta om FACT, som är ett mindre omfattande program än ACT, skulle kunna utgöra en alternativ metod för primärvården.

Avgränsningar

Upplysningstjänsten har gjort sökningar (Bilaga 1) i databaserna Medline (Ovid), Scopus och PsycInfo (EBSCO). Vi har även sökt publikationer på webbsidor för HTA-organisationer.

Upplysningstjänsten har tillsammans med frågeställaren formulerat frågan enligt följande PICO1:

1. PICO är en förkortning för patient/population/problem, intervention/index test, comparison/control (jämförelseintervention) och outcome (utfallsmått).

Litteratursökningen har begränsats till systematiska översikter.

För att vi skulle inkludera en artikel i svaret krävde vi att den var publicerad på engelska eller ett av de skandinaviska språken och att den hade genomgått en peer review.

Resultat från sökningen

Upplysningstjänstens litteratursökning genererade totalt 764 artikelsammanfattningar (abstrakt) efter dubblettkontroll. Ett flödesschema för urvalsprocessen visas i Bilaga 2. Två utredare på SBU läste alla artikelsammanfattningar och bedömde att 59 översikter kunde vara relevanta för frågan. Dessa artiklar lästes i fulltext av två utredare och de artiklar som inte var relevanta för frågan exkluderades. Exkluderade artiklar finns listade i Bilaga 3.

Upplysningstjänsten fann inte någon systematisk översikt som undersökt FACT jämfört med traditionell KBT eller någon annan terapimetod. Då Upplysningstjänsten inte fann någon systematisk översikt som var relevant för denna fråga redovisas därför inga resultat eller slutsatser i Upplysningstjänstens svar.

Projektgrupp

Detta svar är sammanställt av Stina Cornell Kärnekull (utredare), Idha Kurtsdotter (utredare), Sara Fundell (projektadministratör), Irene Edebert (produktsamordnare), Per Lytsy (intern sakkunnig), samt Pernilla Östlund (avdelningschef) vid SBU.

Referenser

  1. Socialstyrelsen. Nationella riktlinjer för vård vid depression och ångestsyndrom Stöd för styrning och ledning. Stockholm: Socialstyrelsen; 2021. Nationella riktlinjer. [accessed Oct 24 2022]. Available from: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/nationella-riktlinjer/2021-4-7339.pdf.
  2. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44(1):1-25. Available from: https://doi.org/10.1016/j.brat.2005.06.006.
  3. SOU 2021:6. God och nära vård. Rätt stöd till psykisk hälsa. Betänkande av utredningen Samordnad utveckling för god och nära vård. Statens offentliga utredningar. Stockholm. [accessed Oct 24 2022]. Available from: https://data.riksdagen.se/fil/3B4C119B-7B6B-447E-951B-80710B6A4E19.

Bilaga 1 Sökdokumentation

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 termsItems 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

Bilaga 2 Flödesschema för urval av artiklar

Av 59 artiklar granskade i fulltext, exkluderades samtliga 59. Resultat = 0 relevanta studier

Bilaga 3 Exkluderade artiklar/ Appendix 3 Excluded publications

Artiklar som exkluderats efter fulltextläsning/ Publications excluded after full text reading
  Orsak/reason
Ambresin G, De Roten Y, Despl,  JN. Psycho­thérapie de la dépression en médecine de premier recours. Swiss Arch Neurol Psychiatry Psychother. 2016;167(05):147-54. Available from: https://doi.org/10.4414/sanp.2016.00393. Fel språk
Arnold T, Haubrick KK, Klasko-Foster LB, Rogers BG, Barnett A, Ramirez- Sanchez NA, et al. Acceptance and Commitment Therapy informed behavioral health interventions delivered by non-mental health professionals: A systematic review. J Contextual Behav Sci 2022;24:185-96. Available from: https://doi.org/10.1016/j.jcbs.2022.05.005. Fel intervention
Bai Z, Luo S, Zhang L, Wu S, Chi I. Acceptance and Commitment Therapy (ACT) to reduce depression: A systematic review and meta-analysis. J Affect Disord. 2020;260:728-37. Available from: https://doi.org/10.1016/j.jad.2019.09.040. Fel intervention
Barrett K, Chang YP. Behavioral Interventions Targeting Chronic Pain, Depression, and Substance Use Disorder in Primary Care. J Nurs Scholarsh. 2016;48(4):345-53. Available from: https://doi.org/10.1111/jnu.12213. Fel intervention
Benfer N, Spitzer EG, Bardeen JR. Efficacy of third wave cognitive behavioral therapies in the treatment of posttraumatic stress: A meta-analytic study. J Anxiety Disord. 2021;78:102360. Available from: https://doi.org/10.1016/j.janxdis.2021.102360. Kontroll saknas för brief ACT
Calzolari L, Fioravanti G. Acceptance and commitment therapy e terapia cognitivo-comportamentale a confronto: Una revisione della letteratura = A comparison between Acceptance and Commitment Therapy and Cognitive Behavioural Therapy: A review of literature. Psicoterapia Cognitiva e Comportamentale. 2016;22(1). Fel språk
Cape J, Whittington C, Buszewicz M, Wallace P, Underwood L. Brief psychological therapies for anxiety and depression in primary care: meta-analysis and meta-regression. BMC Med. 2010;8:38. Available from: https://doi.org/10.1186/1741-7015-8-38. Fel intervention
Cavanagh K, Strauss C, Forder L, Jones F. Can mindfulness and acceptance be learnt by self-help?: a systematic review and meta-analysis of mindfulness and acceptance-based self-help interventions. Clin Psychol Rev. 2014;34(2):118-29. Available from: https://doi.org/10.1016/j.cpr.2014.01.001. Fel intervention
Chua JYX, Shorey S. The Effect of Mindfulness-Based and Acceptance Commitment Therapy-Based Interventions to Improve the Mental Well-Being Among Parents of Children with Developmental Disabilities: A Systematic Review and Meta-Analysis. J Autism Dev Disord. 2022;52(6):2770-83. Available from: https://doi.org/10.1007/s10803-021-04893-1. Fel intervention
Churchill R, Moore TH, Furukawa TA, Caldwell DM, Davies P, Jones H, et al. 'Third wave' cognitive and behavioural therapies versus treatment as usual for depression. Cochrane Database Syst Rev. 2013(10):CD008705. Available from: https://doi.org/10.1002/14651858.CD008705.pub2. Fel intervention
Collins RN, Kishita N. The Effectiveness of Mindfulness- and Acceptance-Based Interventions for Informal Caregivers of People With Dementia: A Meta-Analysis. Gerontologist. 2019;59(4):e363-e79. Available from: https://doi.org/10.1093/geront/gny024. Fel intervention
Cuijpers P, Karyotaki E, de Wit L, Ebert DD. The effects of fifteen evidence-supported therapies for adult depression: A meta-analytic review. Psychother Res. 2020;30(3):279-93. Available from: https://doi.org/10.1080/10503307.2019.1649732. Fel intervention
Da Paz NS, Wallander JL. Interventions that target improvements in mental health for parents of children with autism spectrum disorders: A narrative review. Clin Psychol Rev. 2017;51:1-14. Available from: https://doi.org/10.1016/j.cpr.2016.10.006. Fel intervention
Davis SP, Bolin LP, Crane PB, Crandell J. Non-pharmacological Interventions for Anxiety and Depression in Adults With Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis. Front Psychol. 2020;11:538741. Available from: https://doi.org/10.3389/fpsyg.2020.538741. Fel intervention
Dochat C, Wooldridge JS, Herbert MS, Lee MW, Afari N. Single-Session Acceptance and Commitment Therapy (ACT) Interventions for Patients with Chronic Health Conditions: A Systematic Review and Meta-Analysis. J Contextual Behav Sci. 2021;20:52-69. Available from: https://doi.org/10.1016/j.jcbs.2021.03.003. Fel population
Dolan N, Grealish A, Tuohy T, Bright AM. Are Mindfulness-Based Interventions as Effective as Cognitive Behavioral Therapy in Reducing Symptoms of Complicated Perinatal Grief? A Systematic Review. J Midwifery Womens Health. 2022;67(2):209-25. Available from: https://doi.org/10.1111/jmwh.13335. Fel intervention
Ferreira MG, Mariano LI, Rezende JV, Caramelli P, Kishita N. Effects of group Acceptance and Commitment Therapy (ACT) on anxiety and depressive symptoms in adults: A meta-analysis. J Affect Disord. 2022;309:297-308. Available from: https://doi.org/10.1016/j.jad.2022.04.134. Fel intervention
Fiest KM, Walker JR, Bernstein CN, Graff LA, Zarychanski R, Abou-Setta AM, et al. Systematic review and meta-analysis of interventions for depression and anxiety in persons with multiple sclerosis. Mult Scler Relat Disord. 2016;5:12-26. Available from: https://doi.org/10.1016/j.msard.2015.10.004. Fel intervention
French K, Golijani-Moghaddam N, Schröder T. What is the evidence for the efficacy of self-help acceptance and commitment therapy? A systematic review and meta-analysis. J Contextual Behav Sci. 2017;6(4):360-74. Available from: https://doi.org/10.1016/j.jcbs.2017.08.002. Fel intervention
Gloster AT, Walder N, Levin ME, Twohig MP, Karekla M. The empirical status of acceptance and commitment therapy: A review of meta-analyses. J Contextual Behav Sci. 2020;18:181-92. Available from: https://doi.org/10.1016/j.jcbs.2020.09.009. Fel publikationstyp
Hacker T, Stone P, MacBeth A. Acceptance and commitment therapy - Do we know enough? Cumulative and sequential meta-analyses of randomized controlled trials. J Affect Disord. 2016;190:551-65. Available from: https://doi.org/10.1016/j.jad.2015.10.053. Fel intervention
Haller H, Breilmann P, Schroter M, Dobos G, Cramer H. A systematic review and meta-analysis of acceptance- and mindfulness-based interventions for DSM-5 anxiety disorders. Sci Rep. 2021;11(1):20385. Available from: https://doi.org/10.1038/s41598-021-99882-w. Fel intervention
Haugmark T, Hagen KB, Smedslund G, Zangi HA. Mindfulness- and acceptance-based interventions for patients with fibromyalgia - A systematic review and meta-analyses. PLoS One. 2019;14(9):e0221897. Available from: https://doi.org/10.1371/journal.pone.0221897. Fel intervention
Hoifodt RS, Strom C, Kolstrup N, Eisemann M, Waterloo K. Effectiveness of cognitive behavioural therapy in primary health care: a review. Fam Pract. 2011;28(5):489-504. Available from: https://doi.org/10.1093/fampra/cmr017. Fel intervention
Holvast F, Massoudi B, Oude Voshaar RC, Verhaak PFM. Non-pharmacological treatment for depressed older patients in primary care: A systematic review and meta-analysis. PLoS One. 2017;12(9):e0184666. Available from: https://doi.org/10.1371/journal.pone.0184666. Fel intervention
Hunot V, Moore TH, Caldwell DM, Furukawa TA, Davies P, Jones H, et al. 'Third wave' cognitive and behavioural therapies versus other psychological therapies for depression. Cochrane Database Syst Rev. 2013(10):CD008704. Available from: https://doi.org/10.1002/14651858.CD008704.pub2. Fel intervention
Kishita N, Takei Y, Stewart I. A meta-analysis of third wave mindfulness-based cognitive behavioral therapies for older people. Int J Geriatr Psychiatry. 2017;32(12):1352-61. Available from: https://doi.org/10.1002/gps.4621. Fel intervention
Li H, Wong CL, Jin X, Chen J, Chong YY, Bai Y. Effects of Acceptance and Commitment Therapy on health-related outcomes for patients with advanced cancer: A systematic review. Int J Nurs Stud. 2021;115:103876. Available from: https://doi.org/10.1016/j.ijnurstu.2021.103876. Fel intervention
Li Z, Li Y, Guo L, Li M, Yang K. Effectiveness of acceptance and commitment therapy for mental illness in cancer patients: A systematic review and meta-analysis of randomised controlled trials. Int J Clin Pract. 2021;75(6):e13982. Available from: https://doi.org/10.1111/ijcp.13982. Fel intervention
Marino F, Failla C, Carrozza C, Ciminata M, Chila P, Minutoli R, et al. Mindfulness-Based Interventions for Physical and Psychological Wellbeing in Cardiovascular Diseases: A Systematic Review and Meta-Analysis. Brain Sci. 2021;11(6). Available from: https://doi.org/10.3390/brainsci11060727. Fel intervention
Mathew A, Doorenbos AZ, Jang MK, Hershberger PE. Acceptance and commitment therapy in adult cancer survivors: a systematic review and conceptual model. J Cancer Surviv. 2021;15(3):427-51. Available from: https://doi.org/10.1007/s11764-020-00938-z. Fel intervention
McNaughton JL. Brief interventions for depression in primary care: a systematic review. Can Fam Physician. 2009;55(8):789-96. Fel intervention
Norton AR, Abbott MJ, Norberg MM, Hunt C. A systematic review of mindfulness and acceptance-based treatments for social anxiety disorder. J Clin Psychol. 2015;71(4):283-301. Available from: https://doi.org/10.1002/jclp.22144. Fel intervention
Pei JH, Ma T, Nan RL, Chen HX, Zhang YB, Gou L, et al. Mindfulness-Based Cognitive Therapy for Treating Chronic Pain A Systematic Review and Meta-analysis. Psychol Health Med. 2021;26(3):333-46. Available from: https://doi.org/10.1080/13548506.2020.1849746. Fel intervention
Philip J, Cherian V. Acceptance and commitment therapy in the treatment of Obsessive-Compulsive Disorder: A systematic review. J Obsessive Compuls Relat Disord. 2021;28. Available from: https://doi.org/10.1016/j.jocrd.2020.100603. Fel intervention
Phimphasone-Brady P, Palmer B, Vela A, Johnson RL, Harnke B, Hoffecker L, et al. Psychosocial interventions for women with polycystic ovary syndrome: a systematic review of randomized controlled trials. F&S Reviews. 2022;3(1):42-56. Available from: https://doi.org/10.1016/j.xfnr.2021.11.004. Fel intervention
Pompoli A, Furukawa TA, Imai H, Tajika A, Efthimiou O, Salanti G. Psychological therapies for panic disorder with or without agoraphobia in adults: a network meta-analysis. Cochrane Database Syst Rev. 2016;4:CD011004. Available from: https://doi.org/10.1002/14651858.CD011004.pub2. Fel intervention
Remmerswaal KCP, Lans L, Seldenrijk A, Hoogendoorn AW, van Balkom AJLM, Batelaan NM. Effectiveness and feasibility of intensive versus regular cognitive behaviour therapy in patients with anxiety and obsessive-compulsive disorders: A meta-analysis. J Affec Disord Rep. 2021;6. Available from: https://doi.org/10.1016/j.jadr.2021.100267. Fel intervention
Reskati MH, Mirzaian B, Hosseini SH. A systematic review and meta-analysis of acceptance and commitment therapy on mental health and quality of life of women with breast cancer. Journal of Mazandaran University of Medical Sciences. 2018;28(167). Fel språk
Roper A, Pacas Fronza G, Dobkin RD, Beaudreau SA, Mitchell LK, Pachana NA, et al. A Systematic Review of Psychotherapy Approaches for Anxiety in Parkinson's Disease. Clin Gerontol. 2022:1-27. Available from: https://doi.org/10.1080/07317115.2022.2074814. Fel intervention
Ruiz FJ. Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis of current empirical evidence. Rev Int Psicol Ter Psicol. 2012;12(3). Fel intervention
Salari N, Rezaie L, Khazaie H, Bokaee S, Ghasemi H, Mohammadi M, et al. The effect of acceptance and commitment therapy on anxiety and depression in patients with cancer: A systematic review. Curr Psychol. 2021. Available from: https://doi.org/10.1007/s12144-021-01934-x. Fel intervention
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Seshadri A, Orth SS, Adaji A, Singh B, Clark MM, Frye MA, et al. Mindfulness-Based Cognitive Therapy, Acceptance and Commitment Therapy, and Positive Psychotherapy for Major Depression. Am J Psychother. 2021;74(1):4-12. Available from: https://doi.org/10.1176/appi.psychotherapy.20200006. Fel intervention
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Bilaga 4 Snabbstar – Mall för bedömning av risk för bias

Bilaga 4 Snabbstar – Mall för bedömning av risk för bias (PDF)