Akzeptanz- und Commitmenttherapie bei chronischen körperlichen Erkrankungen
Abstract
Acceptance and Commitment Therapy (ACT) is an intervention representing a transdiagnostic and contextual approach that assumes that psychological suffering is caused by experiential avoidance. The primary intention of ACT is not to eliminate symptoms and to treat mental disorders. Instead, ACT aims to increase psychological flexibility, i. e. to broaden the repertoire of cognitions and behaviors when facing inner and outer aversive events or experiences. Psychological flexibility can be enhanced by working with the 6 core components of the ACT model. Experience-focused methods like metaphors and exercises for acceptance play a crucial role in the therapeutic work. In short, with ACT patients can learn: ▪ that rigid and inflexible attempts to fight aversive experience are problematic ▪ a mindful experience of inner and outer experience ▪ to differentiate between unchangeable and changeable events (acceptance) ▪ to identify values or respectively life goals and to behave in a way that is consistent with them (commitment)The therapeutic focus of ACT is to create a balance between acceptance and behavioral change consistent with chosen values. Chronic diseases are often associated with aversive inner and outer experiences. A growing number of studies support the efficacy of ACT. There is evidence that ACT can increase psychological flexibility and potentially also lead to better self-management within the context of chronic somatic diseases.
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ACT aims to help patients recognize internal and external triggers and equip them with useful thoughts and behaviors.
“In other words, the goal is to give patients the knowledge to recognize internal and external triggering events or experiences (e.g. pain) and equipping them with appropriate and useful thoughts and behaviors (Kuba and Weißflog, 2017).”
From Self-management strategies to consider to combat endometriosis symptoms during the COVID-19 pandemic (2020) · cites this paper as Kuba and Weißflog, 2017
Acceptance promotes mental health by reducing the impact of negative stimuli on well-being and by remaining committed to pursuing personal goals.
“acceptance promotes mental health by reducing the impact of negative stimuli on well-being and by remaining committed to pursuing personal goals (Dindo et al., 2017, Hayes et al., 1999; Kuba & Weißflog, 2017).”
From The relationship between acceptance, fatigue, and subjective cognitive impairment in hematologic cancer survivors (2019) · cites this paper as Kuba & Weißflog, 2017
Cites
Acceptance and commitment therapy: model, processes and outcomes
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“1, linke Seite), indem 6 Prozesse miteinander interagieren und zu psychischer Inflexibilität führen [11].”
BackgroundInfluentialGregg, J. A., Callaghan, G. M., Hayes, S. C., & Glenn-Lawson, J. L. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.2.336 · Cited by 695 · cited 2× · see citing works
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“, dass die Untersuchung des Modus, wie ACT-Interventionen in alltäglichen klinischen Settings implementiert werden können, in Zukunft stärker in den Fokus der Forschung genommen werden sollten [32].”
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“Da die ACT sich nicht auf ein Problemfeld beschränkt, sondern transdiagnostisch wirkt, eignet sich diese Interventionsform hier besonders gut [17].”
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“[28] Feros DL, Lane L, Ciarrochi J et al.”
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“Das Ziel von ACT bei chronischen Krankheiten ist somit, das primäre Leid zu akzeptieren und gleichzeitig das sekundäre Leid zu reduzieren, in anderen Worten werden die Krankheit und die daraus resultierenden Einschränkungen akzeptiert, sodass im weiteren Verlauf deren Kontrolle und Einfluss auf das eigene Leben verrin…”
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“Ein Drittel aller Krebspatienten weist manifeste psychische Störungen auf [19].”
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“Eine aktuelle Studie mit 129 Krebspatienten belegt, dass eine verbesserte psychische Flexibilität mit einer besseren Anpassung an eine Krebserkrankung assoziiert ist [31].”
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“[13] Meibert P, Michalak J, Heidenreich T.”
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Leonardi, M., Horne, A. W., Vincent, K., Sinclair, J., Sherman, K. A., Ciccia, D., Condous, G., Johnson, N. P., & Armour, M. (2020) · Human Reproduction Open · doi:10.1093/hropen/hoaa028 · Cited by 83 · see citing works
“pain) and equipping them with appropriate and useful thoughts and behaviors (Kuba and Weißflog, 2017).”
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Self-citationImplementierung einer Verhaltensmedizinisch Orientierten Rehabilitation in der Kardiologie
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Akzeptanz- und Commitment-Therapie (ACT) in der Psychoonkologie
Sauer, C., & Weißflog, G. (2022) · Der Onkologe · doi:10.1007/s00761-022-01127-6 · Cited by 4 · see citing works
Self-citation
- Authors
- Kuba, K., & Weißflog, G.
- Corresponding author
- Weißflog, Gregor
- Venue
- PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie
- Publisher
- Georg Thieme Verlag KG
- Published
- 2017-12
- Volume
- 67
- Issue
- 12
- Pages
- 525-536
- ISSN
- 0937-2032 (ISSN-L)
- 1439-1058
- OpenAlex
- W2774120445
- Cited by
- 23
- References
- 15
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 7 · 2021: 5 · 2020: 5 · 2019: 1
- FWCI
- 2.04
- Type
- journal article
- Language
- de
- Open access
- closed
- Locations
- PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- acceptance and commitment therapy, chronic physical illness, psychological flexibility, experiential avoidance, acceptance, self-management, mindfulness, transdiagnostic approach, psychosomatic care
- MeSH terms
- Chronic Disease, Humans, Chronic Pain, Acceptance and Commitment Therapy
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