Effects of acceptance and commitment therapy on trauma-related symptoms: A systematic review and meta-analysis.

IF 2.7 2区心理学 Q2 PSYCHIATRY

Psychological trauma : theory, research, practice and policy Pub Date : 2024-10-07 DOI:10.1037/tra0001785

Meaghan K Rowe-Johnson, Bridgette Browning, Brittany Scott

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引用次数: 0

Abstract

Objective: Acceptance and commitment therapy (ACT) is a third-wave cognitive behavioral therapy that has shown promise as an effective treatment for reducing trauma-related symptoms. Although there have been systematic reviews on the clinical effectiveness of ACT for posttraumatic stress disorder, there are no known meta-analyses published on the impact of ACT in adult populations with trauma-related symptoms. Hence, the purpose of this meta-analysis and systematic review was to update the literature and assess the effectiveness of ACT interventions for decreasing trauma-related distress in adults who have developed trauma symptoms following exposure to one or more traumatic events.

Method: A systematic review of the literature was completed, and between-groups random effects meta-analysis was conducted assessing trauma symptom reduction at the initial posttest. Subgroup analyses were also performed to assess differences between groups based on research design, type of trauma, and comparator group.

Results: A meta-analysis of 11 studies revealed a moderate and statistically significant overall effect of ACT on symptom reduction at immediate posttest (Hedges' g = -.423, 95% CI [-.605, -.240]; I² = 25.75%), indicating that on average, those who received ACT interventions reported fewer trauma symptoms postintervention than those in various comparison groups.

Conclusions: Ultimately, this research provides additional evidence supporting the effectiveness of ACT interventions for clients reporting trauma-related concerns. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

查看原文本刊更多论文

接受与承诺疗法对创伤相关症状的影响：系统回顾与荟萃分析。

目的：接纳与承诺疗法（ACT）是一种第三波认知行为疗法，已被证明是减少创伤相关症状的有效治疗方法。虽然已有系统性综述介绍了接纳与承诺疗法对创伤后应激障碍的临床疗效，但目前还没有关于接纳与承诺疗法对有创伤相关症状的成年人群的影响的荟萃分析。因此，本荟萃分析和系统性综述的目的是更新文献，评估 ACT 干预疗法对减少因遭受一次或多次创伤事件而出现创伤症状的成年人的创伤相关痛苦的有效性：方法：对文献进行了系统性回顾，并进行了组间随机效应荟萃分析，以评估首次后测时创伤症状的减轻情况。此外，还进行了分组分析，以评估基于研究设计、创伤类型和比较组的组间差异：对 11 项研究进行的荟萃分析表明，ACT 对即时后测症状减轻的总体影响适中且具有统计学意义（Hedges' g = -.423, 95% CI [-.605, -.240]；I² = 25.75%），这表明平均而言，接受 ACT 干预的人在干预后报告的创伤症状少于各对比组的人：最终，这项研究提供了更多证据，支持对报告创伤相关问题的客户进行 ACT 干预的有效性。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychological trauma : theory, research, practice and policy Multiple-

CiteScore

11.20

自引率

3.20%

发文量

427

期刊介绍： Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence