Acceptance and commitment therapy with Huntington's disease: A narrative review and case report of a caregiver-assisted intervention.

IF 2.1 Q3 NEUROSCIENCES
Journal of Huntington's disease Pub Date : 2025-02-01 Epub Date: 2025-01-28 DOI:10.1177/18796397251315162
Simone H Schriger, Chelsi N Nurse, C Virginia O'Hayer
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Abstract

Acceptance and commitment therapy (ACT) is an experiential, action-oriented talk therapy that emphasizes acceptance of painful inner experience through increased psychological flexibility. In this narrative review and case report, we first review the extant literature on applications of ACT to patients with a variety of mental and physical health challenges, including neurodegenerative disorders, and their caregivers. We then discuss applications of ACT to Huntington's disease (HD). We provide a case report of a 52-year-old man living with HD who, accompanied by his caregiver, received a virtually-delivered 6-session ACT intervention. We measured the patient's self-reported symptoms of depression (PHQ-9) and anxiety (GAD-7) as well as his health-related quality of life (HDQoL) and level of cognitive fusion (i.e., being attached to his thoughts; CFQ-13) at baseline and following the intervention. At follow-up, the patient had a clinically significant reduction in depressive symptoms (from moderate to mild symptomatology) and cognitive fusion. Further, the patient had improvements in quality of life across the domains of physical functioning, mood, and worries. The promising outcomes of this case, as well as extant literature on the effectiveness of ACT in supporting individuals with similar neurodegenerative disorders, suggests that ACT may hold promise as a scalable and impactful intervention for individuals living with HD and their caregivers. We conclude with a call for further study of ACT with this population to build a more robust evidence base that can be used to benefit individuals living with HD and their caregivers.

接受和承诺治疗与亨廷顿舞蹈病:叙述回顾和病例报告的护理人员辅助干预。
接受与承诺疗法(ACT)是一种体验性的、以行动为导向的谈话疗法,强调通过增加心理灵活性来接受痛苦的内心体验。在这篇叙述性回顾和病例报告中,我们首先回顾了ACT在各种精神和身体健康挑战(包括神经退行性疾病)患者及其护理人员中的应用的现有文献。然后讨论ACT在亨廷顿舞蹈病(HD)中的应用。我们提供了一个52岁患有HD的男性病例报告,他在照顾者的陪同下接受了虚拟交付的6次ACT干预。我们测量了患者自我报告的抑郁症状(PHQ-9)和焦虑症状(GAD-7),以及与健康相关的生活质量(HDQoL)和认知融合水平(即依附于他的思想;CFQ-13)在基线和干预后。在随访中,患者的抑郁症状(从中度症状到轻度症状)和认知融合有临床显著的减轻。此外,患者在身体功能、情绪和担忧方面的生活质量都有所改善。本病例令人鼓舞的结果,以及现有文献关于ACT在支持患有类似神经退行性疾病的个体方面的有效性,表明ACT可能有望成为HD患者及其护理人员可扩展和有效的干预措施。最后,我们呼吁在这一人群中进一步研究ACT,以建立更有力的证据基础,使HD患者及其护理人员受益。
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
CiteScore
4.80
自引率
9.70%
发文量
60
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