The common sense model of self-regulation and acceptance and commitment therapy: integrating strategies to guide interventions for chronic illness
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Most health behaviour intervention efforts are adapted from the typical psychological treatment experience and may not take into serious consideration theories specifically developed to describe the process of adaptation to illness. This paper presents a proposal for the combination of a theory about the experience of and adaptation to illness, that is, the Common Sense Model of Self-Regulation (CSM), and an efficient psychological theory and therapy, Acceptance and Commitment Therapy (ACT). Past combinations of CSM with cognitive or cognitive-behavioural interventions have focussed almost only on specific aspects of this model (mostly, illness representations and action plans) and left out other, equally important for a fruitful adaptation to illness, recommendations of the model (e.g., regarding the system coherence). Therefore, the development of the proposed combination is to try to match a broad array of the CSM aspects with the principles, intervention techniques and methods employed by ACT, in order to produce a 'double-pillared' intervention strategy that may prove especially effective for promoting patients' adaptation to a chronic condition and enhancing their well-being and health.
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There is extensive evidence that CBT, ACT, and Autogenic Training improve sleep, pain, fatigue, headache, immune function, heart rate variability, and distress in other long-term conditions.
“There is extensive evidence in support of CBT, Acceptance and Commitment Therapy (ACT) and Autogenic Training for improving sleep, pain, fatigue, headache, immune function, heart rate variability and distress in other long-term conditions”
From Self-reported symptom burden in postural orthostatic tachycardia syndrome (POTS): A narrative review of observational and interventional studies (2023) · cites this paper as Karekla et al., 2019
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Konstantinou, P., Ioannou, M., Melanthiou, D., Georgiou, K., Almas, I., Gloster, A. T., Kassianos, A. P., & Karekla, M. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.08.004 · Cited by 53 · see citing works
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- Authors
- Karekla, M., Karademas, E. C., & Gloster, A. T.
- Affiliations
- University of Cyprus (CY)
- University of Crete (GR)
- University of Basel (CH)
- Corresponding author
- Karekla, Maria
- Venue
- Health Psychology Review
- Publisher
- Informa UK Limited
- Published
- 2018-02-15
- Volume
- 13
- Issue
- 4
- Pages
- 490-503
- ISSN
- 1743-7199 (ISSN-L)
- 1743-7202
- OpenAlex
- W2790731996
- Cited by
- 56
- References
- 31
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 8 · 2023: 6 · 2022: 9 · 2021: 10 · 2020: 6 · 2019: 1 · 2018: 1
- FWCI
- 5.28
- Type
- journal article
- Language
- en
- Open access
- green
- edoc.unibas.ch
- Licence
- other-oa
- Locations
- Health Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- edoc (University of Basel) (acceptedVersion, other-oa)
- edoc (University of Basel)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Keywords
- Common-Sense Model of Self-Regulation, acceptance and commitment therapy, chronic disease, adaptation to illness, illness representations, action plan, system coherence, health behavior interventions, psychological intervention, well-being
- MeSH terms
- Self-Control, Adaptation, Psychological, Chronic Disease, Humans, Models, Psychological, Acceptance and Commitment Therapy
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