A systematic review and meta-analysis of self-guided online acceptance and commitment therapy as a transdiagnostic self-help intervention.

IF 4.3 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive Behaviour Therapy Pub Date : 2023-05-01 DOI:10.1080/16506073.2023.2178498

Korena S Klimczak, Guadalupe G San Miguel, Miriam N Mukasa, Michael P Twohig, Michael E Levin

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引用次数: 6

Abstract

Online Acceptance and Commitment Therapy (ACT) interventions use websites and smartphone apps to deliver ACT exercises and skills. The present meta-analysis provides a comprehensive review of online ACT self-help interventions, characterizing the programs that have been studied (e.g. platform, length, content) and analyzing their efficacy. A transdiagnostic approach was taken, including studies that addressed a range of targeted problems and populations. Multi-level meta-analyses were used to nest multiple measures of a single construct within their respective studies. A total of 53 randomized controlled trials were included (n = 10,730). Online ACT produced significantly greater outcomes than waitlist controls at post-treatment for anxiety, depression, quality of life, psychological flexibility, and all assessed outcomes (i.e. omnibus effect), which were generally maintained at follow-up. However, only psychological flexibility and all assessed outcomes at post-treatment were found to be significantly greater for online ACT when compared to active controls, with no significant follow-up effects. Overall, these results further clarify that ACT can be effectively delivered in an online format to target a wide range of mental health concerns, although it is less clear if and when online ACT is more efficacious than other online interventions.

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自我引导的在线接受和承诺治疗作为一种跨诊断自助干预的系统回顾和荟萃分析。

在线接受和承诺治疗(ACT)干预使用网站和智能手机应用程序来提供ACT练习和技能。本荟萃分析提供了在线ACT自助干预的全面回顾，描述了已研究的项目(例如平台，长度，内容)并分析了其有效性。采取了一种跨诊断方法，包括针对一系列目标问题和人群的研究。在各自的研究中，采用多层次元分析来嵌套单一结构的多个测量。共纳入53项随机对照试验(n = 10,730)。在治疗后焦虑、抑郁、生活质量、心理灵活性和所有评估结果(即综合效应)方面，在线ACT产生的结果显著高于等候名单对照组，这些结果通常在随访中保持不变。然而，与主动对照组相比，在线ACT治疗后只有心理灵活性和所有评估结果显着提高，没有显著的随访效果。总体而言，这些结果进一步澄清，ACT可以有效地以在线形式提供，以针对广泛的心理健康问题，尽管在线ACT是否以及何时比其他在线干预措施更有效尚不清楚。

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

Cognitive Behaviour Therapy PSYCHOLOGY, CLINICAL-

CiteScore

9.20

自引率

0.00%

发文量

期刊介绍： Cognitive Behaviour Therapy is a peer reviewed, multidisciplinary journal devoted to the application of behavioural and cognitive sciences to clinical psychology and psychotherapy. The journal publishes state-of-the-art scientific articles within: - clinical and health psychology - psychopathology - behavioural medicine - assessment - treatment - theoretical issues pertinent to behavioural, cognitive and combined cognitive behavioural therapies With the number of high quality contributions increasing, the journal has been able to maintain a rapid publication schedule, providing readers with the latest research in the field.