Fokuserad Acceptance and Commitment Therapy (FACT) vid depression och ångestsyndrom
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:
- Population: Vuxna personer diagnostiserade med depression (inklusive egentlig depression, dystymi eller bipolärt syndrom) eller ångestsyndrom, såsom generaliserat ångestsyndrom, social fobi, paniksyndrom, posttraumatiskt stressyndrom (PTSD), tvångssyndrom och specifik fobi.
- Intervention: Fokuserad Acceptance and Commitment Therapy (FACT), även kallad brief ACT.
- Control: Traditionell KBT, ACT eller annan aktiv behandling.
- Outcome: Symtomförändring, livskvalitet och funktionsförmåga.
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
- 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.
- 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.
- 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
| / = 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-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
| 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
Bilaga 3 Exkluderade artiklar/ Appendix 3 Excluded publications
| 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 |
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