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Acceptance and Commitment: Implications for Prevention Science
Open accessAbstract
Recent research in behavior analysis and clinical psychology points to the importance of language processes having to do with the control of negative cognition and emotion and the commitment to valued action. Efforts to control unwanted thoughts and feelings, also referred to as experiential avoidance (EA), appear to be associated with a diverse array of psychological and behavioral difficulties. Recent research shows that interventions that reduce EA and help people to identify and commit to the pursuit of valued directions are beneficial for ameliorating diverse problems in living. These developments have the potential to improve the efficacy of many preventive interventions. This paper reviews the basic findings in these areas and points to some ways in which these developments could enhance the impact of preventive interventions.
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“and studies of CBT demonstrate improvement in depression, anxiety, and negative affect,65,72”
From Are smoking cessation treatments associated with suicidality risk? An overview (2016) · cites this paper as [65]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“On the other hand, what is considered as a key factor in social anxiety disorder (Biglan, Hayes, & Pistorello, 2008) and leads to the continuation or persistence and intensification of the disorder is lack of psychological flexibility”
From Effectiveness of Acceptance and Commitment Therapy on Interpersonal Problemsand Psychological Flexibility in Female High School Students With Social Anxiety Disorder (2015) · cites this paper as Biglan, Hayes, & Pistorello, 2008
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In the citing paper
“More so than for its effectiveness, we included ACT in this study as ACT is explicitly aligned with many elements of both mental health dimensions.”
From Both positive mental health and psychopathology should be monitored in psychotherapy: Confirmation for the dual-factor model in acceptance and commitment therapy (2017) · cites this paper as Biglan, Hayes, & Pistorello, 2008
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“A powerful possible target for a transdiagnostic prevention approach is psychological flexibility,17–19”
From Feasibility of a Prototype Web-Based Acceptance and Commitment Therapy Prevention Program for College Students. (2014) · cites this paper as [17]
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“The unique and ultimate goal of ACT is to promote one’s psychological flexibility as a critical process of human adaptation and well-being [20].”
From Acceptance and Commitment Therapy for Destructive Experiential Avoidance (ACT-DEA): A Feasibility Study (2022) · cites this paper as [20]
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“there is an extensive literature base demonstrating that this adaptive skill set is broadly beneficial to individual health and functioning [50] (including anxiety, depression, physical health outcomes, satisfaction with life, and work performance [47,72,103]).”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [103]
The cited source says what the claim attributes to it.
In the citing paper
“It was also demonstrated that flexibility ameliorates the negative consequences of stressors on mental health [76,77].”
The cited source says what the claim attributes to it.
In the citing paper
“It can also be considered central to human adaptation, well-being, and life satisfaction [76,77].”
The cited source says what the claim attributes to it.
In the citing paper
“We believe that EA is a negative reinforcement process [49].”
The cited source says what the claim attributes to it.
In the citing paper
“These studies also showed that the improvements in treatment groups were explained (mediated) by a common mechanism of action, reduced emotional and cognitive avoidance.16”
From Acceptance and commitment therapy (ACT) for adult type 1 diabetes management: Study protocol for a randomised controlled trial (2018) · cites this paper as [16]
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“Correlational and experimental evidence indicates that experiential avoidance, as the converse of acceptance, contributes to the development and maintenance of different psychological and behavioral problems [32].”
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“A diathesis-stress model of experiential avoidance has been proposed, suggesting that experiential avoidance makes people vulnerable to stressors, in that individuals who typically try to avoid internal distressing experiences may continue this approach when faced with stressful life events (Biglan, Hayes, & Pistorello, 2008).”
From Psychological Flexibility in Caregivers of Children With Congenital Craniofacial Conditions in the United Kingdom. (2026) · cites this paper as Biglan, Hayes, & Pistorello, 2008
The cited source says what the claim attributes to it.
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“In particular, there is increasing interest in the theory and practice of acceptance and commitment therapy (ACT; Hayes, Strosahl, & Wilson, 1999), not only as a treatment for a range of psychological and behavioural problems, but also for promoting workplace mental health (Biglan, Hayes, & Pistorello, 2008; Bond & Bunce, 2000; Hayes, Bissett et al., 2004).”
From A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training (2010) · cites this paper as Biglan, Hayes, & Pistorello, 2008
In the citing paper
“Second, these results are consistent with the view that the processes designed to promote psychological flexibility will apply across a wide range of psychological and behavioural difficulties (Biglan, Hayes, & Pistorello, 2008; Hayes et al., 2006).”
From A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training (2010) · cites this paper as Biglan, Hayes, & Pistorello, 2008
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Citations
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Measuring experiential avoidance: A preliminary test of a working model
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“Self as context A behavior-analytic analysis of verbal behavior and the self (e.g., Hayes et al. 2001) points to three aspects of the self.”
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“The EA construct may also shed light on resilience (e.g., Luthar 1991; Luthar et al. 1993; Masten et al. 1990, 1999).”
Acceptance of chronic pain: component analysis and a revised assessment method
McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004) · Pain · doi:10.1016/j.pain.2003.10.012 · Cited by 1,101 · cited 3×
“Due to biological stressors like physical pain or injury (McCracken et al. 2004), temperamental factors like high emotional responsiveness (Sloan 2004), or psychosocial stressors like the violence faced by inner-city youth (Dempsey 2002; Dempsey et al. 2000), people seem to learn EA as a coping…”
Vulnerability and Resilience: A Study of High-Risk Adolescents
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“Various studies (e.g., Kashdan et al. 2006) have found exactly that.”
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Preventing conduct problems in Head Start children: Strengthening parenting competencies.
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Self-citationResilience to loss and chronic grief: A prospective study from preloss to 18-months postloss
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“Indeed, some measures of psychological resilience contain measures of psychological acceptance (e.g., Schumacher et al. 2005), and, in prospective studies of adjustment to death and loss, acceptance is a predictor of resilience (Bonanno et al. 2002).”
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“The Horowitz and Garber (2006) meta-analysis of depression prevention among studies of children and adolescents reported small but significant effects for selective interventions (mean effect size=0.30) and indicated interventions (mean effect size=0.23).”
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Self-citationThe Role of Acceptance and Job Control in Mental Health, Job Satisfaction, and Work Performance
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“ACT has already been shown to reduce stress and burnout among drug abuse counselors (Hayes et al. 2004a) and call center employees (Bond and Bunce 2000, 2003), so it should be evaluated for teachers.”
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“For example, in one randomized trial, Gregg et al. (2007) added 3 hours of ACT training to patient education received at a public health clinic by poor and mostly minority patients with Type II diabetes (N=81).”
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InfluentialVulnerability and Resilience: A Study of High-Risk Adolescents
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“As noted above, a recent paper by Greco et al. (2008) reported that an adolescent version of the AAQ, the Avoidance and Fusion Questionnaire, was correlated with a variety of measures of adolescent psychological and behavioral functioning.”
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“Gifford et al. (2004) randomized 67 smokers either to Nicotine Replacement Therapy or to seven individual and seven group sessions of ACT.”
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“A randomized laboratory experiment with 60 panic disorder patients (Levitt et al. 2004) evaluated whether reducing EA would affect the tendency to panic.”
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EQUIVALENCE CLASS FORMATION IN LANGUAGE‐ABLE AND LANGUAGE‐DISABLED CHILDREN
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Stress and Burnout in Rural and Urban Secondary School Teachers
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“Teachers in schools with high levels of misbehavior and other stressful conditions experience more stress and burnout (Abel and Sewell 2001).”
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Working in Special Education: Factors that Enhance Special Educators' Intent to Stay
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The Impact of Acceptance Versus Control Rationales on Pain Tolerance
Hayes, S. C., Bissett, R. T., Korn, Z., Zettle, R. D., Rosenfarb, I. S., Cooper, L. D., & Grundt, A. M. (1999) · The Psychological Record · doi:10.1007/bf03395305 · Cited by 388 · cited 3×
“Hayes et al. (1999a) argue that, contrary to traditional nosological thinking, the ubiquity of human psychological suffering occurs because normal and essential human verbal abilities contain within them tendencies toward cognitive fusion, experiential avoidance, and psychological inflexibility.”
Self-citationUsing acceptance and commitment training in the support of parents of children diagnosed with autism
Blackledge, J. T., & Hayes, S. C. (2006) · Child & Family Behavior Therapy · doi:10.1300/j019v28n01_01 · Cited by 383 · cited 1×
“Blackledge and Hayes (2006) examined the impact of ACT on parents of autistic children in a within-subject design.”
Self-citationHayes, S. C., Bissett, R. T., Roget, N. A., Padilla, M., Kohlenberg, B. S., L.Fisher, G., Masuda, A., Pistorello, J., Rye, A. K., Berry, K., et al. (2004) · Behavior Therapy · doi:10.1016/s0005-7894(04)80022-4 · Cited by 377
Self-citationMaterialism and Diminished Well–Being: Experiential Avoidance as a Mediating Mechanism
Kashdan, T. B., & Breen, W. E. (2007) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2007.26.5.521 · Cited by 366
DBT, FAP, and ACT: How empirically oriented are the new behavior therapy technologies?
Hayes, S. C., Masuda, A., Bissett, R., Luoma, J., & Guerrero, L. F. (2004) · Behavior Therapy · doi:10.1016/s0005-7894(04)80003-0 · Cited by 342
Self-citationCognitive–behavioral treatment for depression: Relapse prevention.
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“Second, recent component analysis studies comparing behavioral activation (in which people are encouraged to become more active, but do not receive cognitive intervention) with fullblown cognitive-behavior therapy have shown that behavioral activation is as effective (Gortner et al. 1998; Jacobson and Christensen 1996…”
Mindful parenting decreases aggression, noncompliance, and self-injury in children with autism
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Fisher, B. C., Wahler, R. G., Mcaleavey, K., Singh, J., & Sabaawi, M. (2006) · Journal of Emotional and Behavioral Disorders · doi:10.1177/10634266060140030401 · Cited by 337 · cited 1×
“A small series of case studies provided some evidence that mindfulness training with parents led to reductions in child aggression, non compliance, and self-injury (Singh et al. 2006).”
Luthar, S. S., Doernberger, C. H., & Zigler, E. (1993) · Development and Psychopathology · doi:10.1017/s0954579400006246 · Cited by 336 · cited 1×
“The EA construct may also shed light on resilience (e.g., Luthar 1991; Luthar et al. 1993; Masten et al. 1990, 1999).”
Mullner, R. M. (2009) · Sage eBooks · doi:10.4135/9781412971942.n154 · Cited by 332
Dysfunctional control by client verbal behavior: The context of reason-giving
Zettle, R. D., & Hayes, S. C. (1986) · The Analysis of Verbal Behavior · doi:10.1007/bf03392813 · Cited by 326 · cited 2×
“2007; Zettle and Rains 1989) or greater (Lappalainen et al. 2007; Zettle and Hayes 1986) impact on depression as compared to traditional cognitive-behavioral treatment.”
Self-citationDistress tolerance and early smoking lapse
Brown, R. A., Lejuez, C. W., Kahler, C. W., Strong, D. R., & Zvolensky, M. J. (2005) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.05.003 · Cited by 322 · cited 1×
“2006), distress tolerance (Brown et al. 2005), learned industriousness (Eisenberger 1992), emotionally focused coping (Carver et al.”
The prevention of depression and anxiety.
Seligman, M. E. P., Schulman, P., DeRubeis, R. J., & Hollon, S. D. (1999) · Prevention & Treatment · doi:10.1037/1522-3736.2.1.28a · Cited by 317
(1989) · doi:10.1007/978-1-4757-0447-1 · Cited by 316 · cited 1×
“Verbally regulated behavior tends to be less flexible, less modifiable by experience, and at times less effective than behavior shaped by experience (see Hayes 1989, for a book-length review).”
Self-citationGillham, J. E., Hamilton, J. D., Freres, D. R., Patton, K., & Gallop, R. (2006) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-005-9014-7 · Cited by 312 · cited 1×
“One of the most common approaches to the prevention of depression involves cognitive behavior therapy in which people learn to modify depressogenic thoughts (Clarke et al. 1995, 2001; Gillham et al. 2006; Muñoz et al. 1995; Seligman et al. 1999).”
Marx, B. P., & Sloan, D. M. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.04.004 · Cited by 310 · cited 2×
“…findings have been shown for the relationship between adult trauma and childhood sexual abuse (Marx and Sloan 2002; Rosenthal et al. 2005), combat violence (Plumb et al. 2004), interpersonal violence (Orcutt et al. 2005), and several others forms of stress (Marx and Sloan 2005; Plumb et al. 2004).”
Increasing the validity of self-reports of behavior in a smoking in children investigation.
Evans, R. I., Hansen, W. B., & Mittelmark, M. B. (1977) · Journal of Applied Psychology · doi:10.1037/0021-9010.62.4.521 · Cited by 304
Schiff, A. A. (1978) · The British Journal of Psychiatry · doi:10.1192/s0007125000003640 · Cited by 301
Treatment for chronic depression using Cognitive Behavioral Analysis System of Psychotherapy (CBASP)
McCullough, J. P. (2003) · Journal of Clinical Psychology · doi:10.1002/jclp.10176 · Cited by 288
Hayes, S. C., Wilson, K. G., Gifford, E. V., Bissett, R., Piasecki, M., Batten, S. V., Byrd, M., & Gregg, J. (2004) · Behavior Therapy · doi:10.1016/s0005-7894(04)80014-5 · Cited by 283 · cited 6×
“A number of randomized trials have already shown the benefit of ACT in the workplace (Bond and Bunce 2000; Hayes et al. 2004a).”
InfluentialSelf-citationBuddhist philosophy and the treatment of addictive behavior
Marlatt, G. A. (2002) · Cognitive and Behavioral Practice · doi:10.1016/s1077-7229(02)80039-6 · Cited by 264 · cited 1×
“…Analytic Psychotherapy (Kohlenberg and Tsai 1991), Integrative Behavioral Couples Therapy (Jacobson and Christensen 1996), and Mindfulness-based Cognitive Therapy (Segal et al. 2002), among several others (e.g., Marlatt 2002; Martell et al. 2001; McCullough 2000; Roemer and Borkovec 1994).”
(2005) · Cited by 262
Longitudinal Study of the Development of Derived Relations in an Infant
Lipkens, R., Hayes, S. C., & Hayes, L. J. (1993) · Journal of Experimental Child Psychology · doi:10.1006/jecp.1993.1032 · Cited by 254 · cited 2×
“relational responding is a fundamental and learned feature of language (e.g., Barnes-Holmes et al. 2004; Berens and Hayes 2007; Devany et al. 1986; Lipkens et al. 1993).”
Self-citationHistory of behavior modification : experimental foundations of contemporary research
Kazdin, A. E. (1978) · Andalas University Repository (Andalas University) · Cited by 251
Dymond, S., & Barnes, D. (1995) · Journal of the Experimental Analysis of Behavior · doi:10.1901/jeab.1995.64-163 · Cited by 249 · cited 1×
“…a wide variety of cognitive processes involves relational responding (Hayden et al. 2005) and, most importantly, relational responding transforms the functions of stimuli and alters other behavioral processes, such as operant conditioning or classical conditioning (e.g., Dymond and Barnes 1995).”
Managing Adolescent Behavior A Multiyear, Multischool Study
Gottfredson, D. C., Gottfredson, G. D., & Hybl, L. G. (1993) · American Educational Research Journal · doi:10.3102/00028312030001179 · Cited by 219 · cited 2×
“Teasing and harassment , which escalate in middle school (Gottfredson et al. 1993), likely increase adolescent worries about social acceptance.”
Comparison between an acceptance-based and a cognitive- control-based protocol for coping with pain
Gutiérrez, O., Luciano, C., Rodríguez, M., & Fink, B. C. (2004) · Behavior Therapy · doi:10.1016/s0005-7894(04)80019-4 · Cited by 217 · cited 1×
“A third study (Gutiérrez et al. 2004) found acceptance methods particularly worthwhile when pain was severe.”
Prevention of depression with primary care patients: A randomized controlled trial
Muñoz, R. F., Ying, Y., Bernal, G., Pérez‐Stable, E. J., Sorensen, J. L., Hargreaves, W. A., Miranda, J. M., & Miller, L. S. (1995) · American Journal of Community Psychology · doi:10.1007/bf02506936 · Cited by 216 · cited 1×
“One of the most common approaches to the prevention of depression involves cognitive behavior therapy in which people learn to modify depressogenic thoughts (Clarke et al. 1995, 2001; Gillham et al. 2006; Muñoz et al. 1995; Seligman et al. 1999).”
Lundgren, T., Dahl, J., Melin, L., & Kies, B. (2006) · Epilepsia · doi:10.1111/j.1528-1167.2006.00892.x · Cited by 211 · cited 1×
“Lundgren et al. (2006) conducted a small randomized trial (N=27) comparing ACT to an attention placebo for poor, institutionalized South African epileptics who were receiving medical care for their seizures.”
Dempsey, M. T. (2002) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.72.1.102 · Cited by 207 · cited 2×
“…biological stressors like physical pain or injury (McCracken et al. 2004), temperamental factors like high emotional responsiveness (Sloan 2004), or psychosocial stressors like the violence faced by inner-city youth (Dempsey 2002; Dempsey et al. 2000), people seem to learn EA as a coping mechanism.”
Forsyth, J. P., Parker, J. D., & Finlay, C. G. (2003) · Addictive Behaviors · doi:10.1016/s0306-4603(02)00216-2 · Cited by 206 · cited 1×
“Forsyth et al. (2003) found that EA was related to addiction severity in a sample of substance-abusing veterans.”
Emotion regulation in action: emotional reactivity in experiential avoidance
Sloan, D. M. (2003) · Behaviour Research and Therapy · doi:10.1016/j.brat.2003.08.006 · Cited by 201 · cited 2×
“Due to biological stressors like physical pain or injury (McCracken et al. 2004), temperamental factors like high emotional responsiveness (Sloan 2004), or psychosocial stressors like the violence faced by inner-city youth (Dempsey 2002; Dempsey et al. 2000), people seem to learn EA as a coping…”
Helping Adolescents at Risk: Prevention of Multiple Problem Behaviors
Biglan, A., Brennan, P. A., Foster, S., Hd, H., Cunningham, P. B., Derzon, J. H., Embry, D. D., Fishbein, D. H., Flay, B. R., Goeders, N., et al. (2003) · Cited by 198
Self-citationMarcks, B. A., & Woods, D. W. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.03.005 · Cited by 198
A preliminary test of the role of experiential avoidance in post-event functioning
Plumb, J. C., Orsillo, S. M., & Luterek, J. A. (2004) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2004.04.011 · Cited by 196 · cited 4×
“2005), and several others forms of stress (Marx and Sloan 2005; Plumb et al. 2004).”
InfluentialEffects of suppressing thoughts about emotional material.
Roemer, L., & Borkovec, T. D. (1994) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.103.3.467 · Cited by 196
Psychological acceptance and quality of life in the elderly
Butler, J., & Ciarrochi, J. (2007) · Quality of Life Research · doi:10.1007/s11136-006-9149-1 · Cited by 192 · cited 1×
“Among the elderly, psychological acceptance is associated with greater resilience and quality of life (Butler and Ciarrochi 2007).”
The role of emotion in the psychological functioning of adult survivors of childhood sexual abuse
Marx, B. P., & Sloan, D. M. (2002) · Behavior Therapy · doi:10.1016/s0005-7894(02)80017-x · Cited by 184 · cited 2×
“Similar findings have been shown for the relationship between adult trauma and childhood sexual abuse (Marx and Sloan 2002; Rosenthal et al. 2005), combat violence (Plumb et al. 2004), interpersonal violence (Orcutt et al. 2005), and several others forms of stress (Marx and Sloan 2005; Plumb et al.…”
Arbitrarily applicable comparative relations: Experimental evidence for a relational operant
Berens, N. M., & Hayes, S. C. (2007) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.2007.7-06 · Cited by 172 · cited 2×
“relational responding is a fundamental and learned feature of language (e.g., Barnes-Holmes et al. 2004; Berens and Hayes 2007; Devany et al. 1986; Lipkens et al. 1993).”
Self-citationTransformation of the discriminative and eliciting functions of generalized relational stimuli
Dougher, M. J., Hamilton, D. A., Fink, B. C., & Harrington, J. (2007) · Journal of the Experimental Analysis of Behavior · doi:10.1901/jeab.2007.45-05 · Cited by 170
Biglan, A. (1995) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1995.28-479 · Cited by 165 · cited 1×
“For example, our society makes extensive use of punishment in order to deal with undesirable social behavior (Biglan 1995).”
Self-citationWicksell, R. K., Melin, L., & Olsson, G. L. (2007) · European Journal of Pain · doi:10.1016/j.ejpain.2006.02.012 · Cited by 165 · cited 1×
“Wicksell et al. (2007) reported substantial improvements for 14 adolescents with chronic pain (effect sizes ranging from 0.47 to 1.53).”
InfluentialLappalainen, R., Lehtonen, T., Skarp, E., Taubert, E., Ojanen, M., & Hayes, S. C. (2007) · Behavior Modification · doi:10.1177/0145445506298436 · Cited by 162 · cited 1×
“In 20 years of literature spanning over 70 empirical studies, RFT researchers have shown that relational responding is a fundamental and learned feature of language (e.g., Barnes-Holmes et al. 2004; Berens and Hayes 2007; Devany et al. 1986; Lipkens et al. 1993).”
Self-citationHelping Adolescents At Risk. Prevention of Multiple Problem Behaviors
Holmila, M. J. (2005) · Addiction · doi:10.1111/j.1360-0443.2005.01048.x · Cited by 161 · cited 2×
“Perhaps the most important pathway to adolescent problem behavior is through deviant peer influences (Biglan et al. 2004).”
Orcutt, H. K., Pickett, S. M., & Pope, E. B. (2005) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2005.24.7.1003 · Cited by 161 · cited 2×
“2004), interpersonal violence (Orcutt et al. 2005), and several others forms of stress (Marx and Sloan 2005; Plumb et al.”
Bond, F. W., & Donaldso-feilder, E. J. (2004) · British Journal of Guidance & Counselling · doi:10.1080/08069880410001692210 · Cited by 152
Tull, M. T., Jakupcak, M., Paulson, A., & Gratz, K. L. (2007) · Anxiety Stress & Coping · doi:10.1080/10615800701379249 · Cited by 152
Irvine, A. B., Biglan, A., Smolkowski, K., Metzler, C. W., & Ary, D. V. (1999) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.67.6.811 · Cited by 150
Self-citationStudying the effectiveness of psychotherapy. How well can clinical trials do the job?
Jacobson, N., & Christensen, A. (1996) · American Psychologist · doi:10.1037/0003-066x.51.10.1031 · Cited by 143 · cited 3×
“Examples of this work include Dialectical Behavior Therapy (Linehan 1993), Functional Analytic Psychotherapy (Kohlenberg and Tsai 1991), Integrative Behavioral Couples Therapy (Jacobson and Christensen 1996), and Mindfulness-based Cognitive Therapy (Segal et al. 2002), among several others (e.g., Marlatt 2002; Martell…”
Rosenthal, M. Z., Hall, M. L. R., Palm, K. M., Batten, S. V., & Follette, V. M. (2005) · Journal of Child Sexual Abuse · doi:10.1300/j070v14n04_02 · Cited by 128 · cited 2×
“Similar findings have been shown for the relationship between adult trauma and childhood sexual abuse (Marx and Sloan 2002; Rosenthal et al. 2005), combat violence (Plumb et al. 2004), interpersonal violence (Orcutt et al. 2005), and several others forms of stress (Marx and Sloan 2005; Plumb et al.…”
“Approach” and “avoidance” coping and PTSD symptoms in innercity youth
Dempsey, M. T., Overstreet, S., & Moely, B. E. (2000) · Current Psychology · doi:10.1007/s12144-000-1002-z · Cited by 124 · cited 1×
“…biological stressors like physical pain or injury (McCracken et al. 2004), temperamental factors like high emotional responsiveness (Sloan 2004), or psychosocial stressors like the violence faced by inner-city youth (Dempsey 2002; Dempsey et al. 2000), people seem to learn EA as a coping mechanism.”
Replication of a Problem Behavior Model with American Indian, Hispanic, and Caucasian Youth
Barrera, M., Biglan, A., Ary, D. V., & Li, F. (2001) · The Journal of Early Adolescence · doi:10.1177/0272431601021002001 · Cited by 121 · cited 1×
“However, most interventions could have a greater impact (e.g., Barrera et al. 2001, 2002 ).”
Self-citationBarrera, M., Biglan, A., Taylor, T. Κ., Gunn, B., Smolkowski, K., Black, C., Ary, D. V., & Fowler, R. C. (2002) · Prevention Science · doi:10.1023/a:1015443932331 · Cited by 110 · cited 1×
“However, most interventions could have a greater impact (e.g., Barrera et al. 2001, 2002 ).”
Self-citationRelationships Between Peer Harassment and Adolescent Problem Behaviors
Rusby, J. C., Forrester, K. K., Biglan, A., & Metzler, C. W. (2005) · The Journal of Early Adolescence · doi:10.1177/0272431605279837 · Cited by 94 · cited 1×
“Social rejection, including teasing and harassment, heightens susceptibility to peer influence (Patterson et al. 1992; Rusby et al. 2005).”
Self-citationHandbook of Brief Cognitive Behaviour Therapy
(2001) · International Journal of Health Care Quality Assurance · doi:10.1108/ijhcqa.2001.06214dae.012 · Cited by 90 · cited 2×
“…workplace stress management (Bond and Bunce 2000), 90 workers at a media group (45 of each gender) were randomly assigned to an ACT protocol (n=30; Bond and Hayes 2002), a behavior-oriented Innovation Promotion Program (IPP) to encourage them to identify and change stressful events at work…”
Clinical Manual for Assessment and Treatment of Suicidal Patients
SUDAK, H. S. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.9.1770 · Cited by 89
Psychological Distress in a Sample of Teachers
Schonfeld, I. S. (1990) · The Journal of Psychology · doi:10.1080/00223980.1990.10543227 · Cited by 85 · cited 1×
“Compared with the general population, teachers are at higher risk for psychological distress and low job satisfaction (Schonfeld 1990).”
Metzler, C. W., Biglan, A., Noell, J., Ary, D. V., & Ochs, L. (2000) · Behavior Therapy · doi:10.1016/s0005-7894(00)80003-9 · Cited by 79 · cited 1×
“Metzler et al. (2000) reported a randomized trial that employed ACT as part of a program that reduced high-risk sexual behavior in adolescents.”
Self-citationTreatment for chronic depression: cognitive behavioral analysis system of psychotherapy (CBASP)
Wiersma, J., van Schaik, A., Blom, M. B. J., Bakker, L., van Oppen, P., & Beekman, A. T. F. (2000) · Choice Reviews Online · doi:10.5860/choice.37-5963 · Cited by 75
Handbook of Brief Cognitive Behaviour Therapy
(2002) · doi:10.1002/9780470713020 · Cited by 72
Crisis intervention with children and families
Bonnefil, M. C. (1980) · New Directions for Mental Health Services · doi:10.1002/yd.23319800605 · Cited by 62
Zeitschrift für klinische Psychologie, Psychiatrie und Psychotherapie
Görres-Gesellschaft (1996) · Verlag Ferdinand Schöningh eBooks · Cited by 60
Clinical Manual for Assessment and Treatment of Suicidal Patients
Chiles, J. A., & Strosahl, K. D. (2004) · Medical Entomology and Zoology · Cited by 58
Barnes‐Holmes, Y., Barnes‐Holmes, D., & Smeets, P. M. (2004) · Maynooth University ePrints and eTheses Archive (Maynooth University) · Cited by 53
Maternal adjustment following preterm birth: Contributions of experiential avoidance
Greco, L. A., Heffner, M., Poe, S., Ritchie, S., Polak, M., & Lynch, S. K. (2005) · Behavior Therapy · doi:10.1016/s0005-7894(05)80066-8 · Cited by 51 · cited 1×
“Greco et al. (2005) found that, among mothers experiencing the distress of preterm birth, EA mediated the relationship between their stress and their subsequent adjustment.”
Project Towards No Tobacco Use: implementation, process and post-test knowledge evaluation
Sussman, S. Y., Dent, C. W., Stacy, A. W., Hodgson, C. S., Burton, D., & Flay, B. R. (1993) · Health Education Research · doi:10.1093/her/8.1.109 · Cited by 50 · cited 2×
“Current classroom-based approaches to preventing tobacco and other substance use train students in social skills for resisting peer influences (e.g., Botvin et al. 1990; Sussman et al. 1993).”
Bond, F. W., & Hayes, S. C. (2002) · Handbook of Brief Cognitive Behaviour Therapy · doi:10.1002/9780470713020.ch7 · Cited by 49
Self-citationACT with Children, Adolescents, and Their Parents
Murrell, A. R., Coyne, L. W., & Wilson, K. G. (2004) · A Practical Guide to Acceptance and Commitment Therapy · doi:10.1007/978-0-387-23369-7_10 · Cited by 45 · cited 2×
“…assistance in helping children to label their emotional reactions accurately, accept them, articulate valued ways of behaving, and support action in keeping with values, even in the face of negative emotions, it could improve the outcomes of parenting skills training programs (Murrell et al. 2005).”
Selection by Consequences: One Unifying Principle for a Transdisciplinary Science of Prevention
Biglan, A. (2003) · Prevention Science · doi:10.1023/a:1026064014562 · Cited by 45 · cited 1×
“, Kazdin 1978) are now used in most empirically supported preventive interventions (Biglan 2003).”
Self-citationThe medical care system and prevention: the need for a new paradigm.
Tm, V., Hollis, J. F., Lichtenstein, E. H., Vj, S., Glasgow, R., & Whitlock, E. P. (1998) · PubMed · Cited by 44
Seeman, T. E. (1991) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(91)90116-6 · Cited by 37
Andrews, D., Soberman, L. H., & Dishion, T. J. (1995) · Education and Treatment of Children · Cited by 34
Testing Social Cognitive Models of Mental Illness Stigma: The Prairie State Stigma Studies
Corrigan, P. W. (2002) · Psychiatric Rehabilitation Skills · doi:10.1080/10973430208408434 · Cited by 34 · cited 1×
“Burnout is common among drug and alcohol abuse counselors, which may be due to a tendency to experience and then seek to suppress negative attitudes about clients (Corrigan 2002).”
Smolkowski, K., Biglan, A., Barrera, M., Taylor, T. Κ., Black, C., & Blair, J. (2005) · Prevention Science · doi:10.1007/s11121-005-3410-7 · Cited by 31
Self-citationPreventing Adolescent Cigarette Smoking
Botvin, G. J., & Tortu, S. (1991) · Journal of Applied School Psychology · doi:10.1300/j008v06n01_03 · Cited by 18
Treatment for chronic depression: cognitive behavioral analysis system of psychotherapy (CBASP)
Assalian, P. (2001) · Journal of Psychiatry and Neuroscience · Cited by 13
CONVERSATIONAL SKILLS INSTRUCTION FOR COMMUNICATION APPREHENSION AND AVOIDANCE
Glaser, S. R., Biglan, A., & Dow, M. G. T. (1983) · Communication Research · doi:10.1177/009365083010004008 · Cited by 5
Self-citationGroup cognitive and contextual therapies in treatment of depression
Zettle, R. D., & Rains, J. C. (1989) · Journal of Clinical Psychology · doi:10.1002/1097-4679(198905)45:3
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- Dahl, J., Wilson, K. G., Luciano, C., & Hayes, S. D. (2005). Acceptance and commitment therapy and chronic pain. Reno, NV: Context.
- Jakobsson, C., & Wellin, J. (2006). ACT Stress i skolan: En tvåårsuppföljning av interventionsbehandlingen. Unpublished doctoral dissertation, University of Uppsala, Sweden.
- Livheim, F. (2004). Acceptance and commitment therapy i skolan - att hantera stress: En randomiserad, kontrollerad studie. Unpublished doctoral dissertation, University of Uppsala, Sweden.
- Luoma, J., Hayes, S. C., & Walser, R. (2007). Learning ACT. An acceptance and commitment therapy skills-training manual for therapists. Oakland: New Harbinger.
- Patterson, G. R., Reid, J. B., & Dishion, T. J. (1992). Antisocial boys: A social interactional approach (vol. 4). Eugene, OR: Castalia.
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Cited by
Sorted by citations
(2009) · Cited by 2,013
The critical role of nurturing environments for promoting human well-being.
Biglan, A., Flay, B. R., Embry, D. D., & Sandler, I. N. (2012) · American Psychologist · doi:10.1037/a0026796 · Cited by 399
Self-citationMaterialism and Diminished Well–Being: Experiential Avoidance as a Mediating Mechanism
Kashdan, T. B., & Breen, W. E. (2007) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2007.26.5.521 · Cited by 366
Evidence-based Kernels: Fundamental Units of Behavioral Influence
Embry, D. D., & Biglan, A. (2008) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-008-0036-x · Cited by 396
Self-citationBohlmeijer, E. T., Fledderus, M., Rokx, T. A. J. J., & Pieterse, M. E. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.10.003 · Cited by 232
Metadata
- Authors
- Biglan, A., Hayes, S. C., & Pistorello, J.
- Affiliations
- Oregon Research Institute (US)
- University of Nevada, Reno (US)
- Corresponding author
- Biglan, Anthony
- Venue
- Prevention Science
- Published
- 2008-08-09
- Volume
- 9
- Issue
- 3
- Pages
- 139-152
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- PMC
- PMC2727477
- OpenAlex
- W2090211322
- Semantic Scholar
- 083b59b6411c8db418bb66ff1bda2cb60f66af6b
- Cited by
- 240
- References
- 143
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 19 · 2023: 23 · 2022: 16 · 2021: 18 · 2020: 18 · 2019: 11 · 2018: 17 · 2017: 6 · 2016: 12 · 2015: 18 · 2014: 15 · 2013: 12 · 2012: 13
- FWCI
- 10.41
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Public Health Service (PA018760)
- National Institute of Mental Health (MH074968, R21MH074968)
- National Institute on Drug Abuse (P30DA018760, R01DA017868, DA018760, DA017868)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- acceptance and commitment therapy, experiential avoidance, prevention interventions, valued action, negative thinking, emotion regulation, intrusive thoughts
- MeSH terms
- Adaptation, Psychological, Avoidance Learning, Behavior, Behavior Therapy, Humans, Models, Psychological, Preventive Medicine, Psychology, Social, Behavioral Research
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