Early sudden gains in an acceptance and values-based intervention: Effects on treatment outcome for depression and psychological flexibility
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Participant 1 experienced a sudden gain in depression scores after session two.
“It seems likely, also looking at his graph, that participant 1 experienced a sudden gain in depression scores after session two.”
From Acceptance and commitment therapy for individuals with depressive and anxiety symptoms following acquired brain injury: A non-concurrent multiple baseline design across four cases. (2023) · cites this paper as Keinonen et al. (2018)
A study by Keinonen et al. (2018) found that 25% of patients can experience a sudden gain after the first two sessions of an ACT intervention.
“A study by Keinonen et al. (2018) found that 25% of patients can experience a sudden gain (an abrupt reduction in symptom severity after which they stabilize) after the first two sessions of an ACT intervention.”
From Acceptance and commitment therapy for individuals with depressive and anxiety symptoms following acquired brain injury: A non-concurrent multiple baseline design across four cases. (2023) · cites this paper as Keinonen et al. (2018)
Cites
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.03.007 · Cited by 3,950 · see citing works
Sudden gains and critical sessions in cognitive-behavioral therapy for depression.
Tang, T. Z., & DeRubeis, R. J. (1999) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.67.6.894 · Cited by 684 · see citing works
The valued living questionnaire: defining and measuring valued action within a behavioral framework
Wilson, K. G., Sandoz, E. K., Kitchens, J., & Roberts, M. (2010) · The Psychological Record · doi:10.1007/bf03395706 · Cited by 518 · see citing works
Twohig, M. P., Hayes, S. C., & Masuda, A. (2006) · Behavior Therapy · doi:10.1016/j.beth.2005.02.001 · Cited by 290 · see citing works
Principles and Practice of Behavioral Assessment
Haynes, S. N., & O’Brien, W. H. (2000) · Applied Clinical Psychology · doi:10.1007/978-0-306-47469-9 · Cited by 272 · see citing works
Sudden gains during psychological treatments of anxiety and depression: A meta-analysis
Aderka, I. M., Nickerson, A., Bøe, H. J., & Hofmann, S. G. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0026455 · Cited by 240 · see citing works
Zettle, R. D., Rains, J. C., & Hayes, S. C. (2011) · Behavior Modification · doi:10.1177/0145445511398344 · Cited by 177 · see citing works
Assessing treatment integrity in acceptance and commitment therapy: strategies and suggestions
Plumb, J. C., & Vilardaga, R. (2010) · International Journal of Behavioral Consultation and Therapy · doi:10.1037/h0100912 · Cited by 75 · see citing works
Sudden gains in internet-based cognitive behaviour therapy for severe health anxiety
Hedman, E., Lekander, M., Ljótsson, B., Lindefors, N., Rück, C., Hofmann, S. G., Andersson, E., Andersson, G., & Schulz, S. M. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.12.007 · Cited by 32 · see citing works
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Rauwenhoff, J. C. C., Bol, Y., Peeters, F., van den Hout, A. J. H. C., Geusgens, C. A. V., & van Heugten, C. M. (2023) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2022.2053169 · Cited by 30 · see citing works
“A study by Keinonen et al. (2018) found that 25% of patients can experience a sudden gain (an abrupt reduction in symptom severity after which they stabilize) after the first two sessions of an ACT intervention.”
Background
- Authors
- Keinonen, K., Kyllönen, H., Astikainen, P., & Lappalainen, R.
- Affiliations
- University of Jyväskylä (FI)
- Corresponding author
- Keinonen, Katariina
- Venue
- Journal of Contextual Behavioral Science
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 10
- Pages
- 24-30
- ISSN
- 2212-1447 (ISSN-L)
- OpenAlex
- W2883813341
- Cited by
- 16
- References
- 9
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 8 · 2020: 2 · 2019: 1
- FWCI
- 3.23
- Type
- journal article
- Language
- en
- Open access
- green
- urn.fi
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Journal of Contextual Behavioral Science (publishedVersion)
- Jyväskylä University Digital Archive (University of Jyväskylä) (submittedVersion, cc-by-nc-nd)
- Funders
- Academy of Finland (140126 to Raimo Lappalainen)
- 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
- depression, psychological flexibility, novice therapists, treatment outcomes, reliable change index, hope, therapeutic process
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