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A pilot randomized controlled trial of online acceptance and commitment therapy versus compassion-focused therapy for chronic illness
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- Carvalho, S. A. (author)
- Universidade Lusófona de Humanidades e Tecnologias, Escola de Psicologia e Ciências da Vida, HEI–Lab, Lisboa, Portugal; Universidade de Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Coimbra, Portugal
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- Skvarc, D. (author)
- School of Psychology, Deakin University, Geelong, Victoria, Australia
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- Barbosa, R. (author)
- Unidade de Psico-Oncologia, Núcleo Regional do Centro da Liga Portuguesa Contra o Cancro (Portuguese League Against Cancer), Coimbra, Portugal
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- (creator_code:org_t)
- 2021-08-05
- 2022
- English.
- In: Clinical Psychology & Psychotherapy. - : Wiley. - 1063-3995 .- 1099-0879. ; 29:2, s. 524-541
- Journal article (peer-reviewed)
Abstract
Subject headings
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- Literature suggests that acceptance and commitment therapy (ACT) is effective in improving well-being and in reducing psychopathological symptoms commonly experienced by people with chronic illness (CI). Compassion-focused therapy (CFT) reduces psychological distress, especially in individuals with high levels of shame and self-criticism, but few studies have explored CFT in CI. Additionally, studies almost exclusively compared ACT and CFT with inactive controls (wait-list; treatment as usual). Also, there is an interest in developing cost-effective mental health solutions, such as low-intensity online psychological interventions. This randomized controlled trial (RCT) aimed to assess the acceptability and compare the efficacy of four-session online ACT (n = 25) and CFT (n = 24) interventions in a sample of people with CI. Results showed both interventions were acceptable, with attrition rates at post-intervention comparable to those found in similar studies (around 50%). Intention-to-treat analyses showed that participants presented significantly less illness-related shame, less uncompassionate self-responding and more valued living after the intervention, although no difference was found between conditions. Results were sustained at 3- and 6-month follow-up. Results did not find statistical differences between conditions through reliable change index (RCI). Correlation between demographics and RCI showed that, at post-intervention, younger participants presented more behavioural awareness, men presented more valued action, and participants with CI for shorter periods presented less uncompassionate self-responding and less anxiety. Results suggest that low-intensity (four sessions) online ACT and CFT are cost-effective approaches to promote mental health of individuals with CI. Results and limitations are thoroughly discussed.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- acceptance and commitment therapy
- chronic illness
- compassion focused
- therapy
- low intensity
- online intervention
- randomized controlled trial
- quality-of-life
- chronic pain
- self-criticism
- psychological
- flexibility
- depressive symptoms
- sickness behavior
- hospital anxiety
- health behaviors
- mental-health
- validation
- Psychology
- acceptance and commitment therapy
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Carvalho, S. A.
- Skvarc, D.
- Barbosa, R.
- Tavares, T.
- Santos, D.
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- SOCIAL SCIENCES
- SOCIAL SCIENCES
- and Psychology
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- SOCIAL SCIENCES
- SOCIAL SCIENCES
- and Psychology
- and Applied Psycholo ...
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- University of Gothenburg
- Örebro University
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