Cited by 136Mindfulness and Compassion InterventionsPsychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 62 of the 67 references it cites were found in a registry or an index; 7 of the 34 sources its claims cite were checked for support.

Acceptance and Commitment Therapy modules: Differential impact on treatment processes and outcomes

Open access
Villatte, Jennifer L., Vilardaga, Roger, Villatte, Matthieu, Plumb Vilardaga, Jennifer C., Atkins, David C., Hayes, Steven C.·2016·Behaviour Research and Therapy

Abstract

A modular, transdiagnostic approach to treatment design and implementation may increase the public health impact of evidence-based psychosocial interventions. Such an approach relies on algorithms for selecting and implementing treatment components intended to have a specific therapeutic effect, yet there is little evidence for how components function independent of their treatment packages when employed in clinical service settings. This study aimed to demonstrate the specificity of treatment effects for two components of Acceptance and Commitment Therapy (ACT), a promising candidate for modularization. A randomized, nonconcurrent, multiple-baseline across participants design was used to examine component effects on treatment processes and outcomes in 15 adults seeking mental health treatment. The ACT OPEN module targeted acceptance and cognitive defusion; the ACT ENGAGED module targeted values-based activation and persistence. According to Tau-U analyses, both modules produced significant improvements in psychiatric symptoms, quality of life, and targeted therapeutic processes. ACT ENGAGED demonstrated greater improvements in quality of life and values-based activation. ACT OPEN showed greater improvements in symptom severity, acceptance, and defusion. Both modules improved awareness and non-reactivity, which were mutually targeted, though using distinct intervention procedures. Both interventions demonstrated high treatment acceptability, completion, and patient satisfaction. Treatment effects were maintained at 3-month follow up. ACT components should be considered for inclusion in a modular approach to implementing evidence-based psychosocial interventions for adults. © 2015 Elsevier Ltd.

Overview

Integrity signals

Registry

Crossref · 10.1016/j.brat.2015.12.001

Cites

62 of 62 references verified0 citation errors · 0 not checkable

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49 Own result · 25 Own method · 15 No full text of the sources · 13 Own interpretation · 3 Supported · 2 Supported so far · 2 Partly supported · 2 No basis given · 1 Not checked yet · accuracy not yet measured

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  • It may state two separate claims as one. 33
  • Probably not a substantial claim. 28
  • The quote only partly states this claim. 1
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  • The paper relies on this without support.

    There is little evidence for how treatment components function independent of their treatment packages when employed in clinical service settings.

    “yet there is little evidence for how components function independent of their treatment packages when employed in clinical service settings.”
  • The paper relies on this without support.

    Modular treatments are efficient to train, inherently flexible, and easy to update as new intervention data emerges.

    “Modular treatments are efficient to train, inherently flexible, and easy to update as new intervention data emerges.”
  • The paper relies on this without support.

    The modular approach capitalizes on therapists’ tendency to be integrative when adapting efficacious treatments to real-world practice demands.

    “The modular approach capitalizes on therapists’ tendency to be integrative when adapting efficacious treatments to real-world practice demands.”
  • The paper relies on this without support.

    An effective personalized treatment relies on an understanding of patient characteristics that influence intervention processes and outcomes.

    “An effective personalized treatment relies on an understanding of patient characteristics that influence intervention processes and outcomes.”
  • The paper relies on this without support.

    Nonreactive awareness of one’s self and environment is a central feature of the psychological flexibility model and a common core element in all ACT interventions.

    “Nonreactive awareness of one’s self and environment is a central feature of the psychological flexibility model and a common core element in all ACT interventions.”
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  • Consistentt(13) = 1.73reported p = .11 · recomputed p = .107

    “t(13) = 1.73, p = .11”

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Metadata

Authors
Villatte, J. L., Vilardaga, R., Villatte, M., Plumb Vilardaga, J. C., Atkins, D. C., & Hayes, S. C.
Affiliations
  • University of Washington (US)
  • University of Nevada, Reno (US)
Corresponding author
Villatte, Jennifer L.
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2016-02
Volume
77
Pages
52-61
ISSN
0005-7967 (ISSN-L)
OpenAlex
W2194064755
Cited by
136
References
67
Citations by year
2026: 4 · 2025: 19 · 2024: 15 · 2023: 16 · 2022: 14 · 2021: 19 · 2020: 18 · 2019: 13 · 2018: 7 · 2017: 9 · 2016: 2
FWCI
7.44
Type
journal article
Language
en
Open access
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (F31MH096341)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
acceptance and commitment therapy, transdiagnostic treatment, treatment components, cognitive defusion, acceptance, persistence, psychiatric symptoms, quality of life, treatment process, treatment acceptability, patient satisfaction, maintenance of treatment effects
MeSH terms
Adult, Awareness, Mental Disorders, Female, Humans, Male, Middle Aged, Psychotherapy, Quality of Life, Severity of Illness Index, Treatment Outcome, Patient Satisfaction, Mindfulness, Acceptance and Commitment Therapy

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