The Use of Acceptance and Commitment Therapy in Substance Use Disorders: A Review of Literature
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BACKGROUND: Acceptance and commitment therapy (ACT) is a form of behavioral therapy that teaches people to learn to accept rather than avoid challenging situations in their lives. ACT has shown to be an intervention with great success in the reduction of various mental disorders and substance use disorders (SUDs). The core of ACT when used in SUD treatment is guiding people to accept the urges and symptoms associated with substance misuse (acceptance) and use psychological flexibility and value-based interventions to reduce those urges and the symptoms (commitment). The purpose of this study is to review the existing literature to examine the evidence on the use of ACT in the management of SUD. METHODS: A thorough search of four databases (CINAHL, PubMed.gov, PsycINFO and PsycNET) from 2011 to 2020 was conducted using search terms like ACT, ACT and SUD, ACT, and substance misuse. The articles retrieved were critically appraised using the Critically Appraised Topic (CAT) Checklist. RESULTS: Most of the studies showed that ACT was effective in the management of SUD showing significant evidence of a reduction in substance use or total discontinuation with subsequent abstinence. CONCLUSIONS: The literature review concluded that success has been achieved using ACT either as monotherapy or in combination with other therapy in the treatment of individuals with SUD.
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Two reviews have confirmed the effectiveness of ACT in the treatment of substance use disorders (alcohol, tobacco, opioids, and metamphetamins).
“Two reviews have confirmed the effectiveness of ACT in the treatment of substance use disorders (alcohol, tobacco, opioids, and metamphetamins) [132,133].”
From Cognitive behavioral therapy and acceptance and commitment therapy for the discontinuation of long-term benzodiazepine use in insomnia and anxiety disorders (2021) · cites this paper as [132]
The Discussion section reports reductions in alcohol use, smoking, and methamphetamine use, and the Conclusions describe ACT as promising for substance use disorders. But the Discussion reports no statistically significant advantage over regular counseling in the methadone study, and the review notes substantial study limitations. It therefore does not confirm effectiveness across all four substances as claimed. (LLM, conf=0.88)
Experimental — accuracy not yet measuredAcceptance and Commitment Therapy has demonstrated efficacy in the treatment of alcohol use disorder.
“an approach with demonstrated efficacy in the treatment of AUD [83, 84].”
The use of ACT for treatment of substance use disorder has reported some successes.
“Potentially, the use of ACT for treatment of SUD has reported some successes [58].”
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Acceptance and Commitment Therapy for problematic chemsex : A pilot feasibility study
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Bisenio, W., & Hocson, S. M. G. (2026) · Psychology and Education A Multidisciplinary Journal · doi:10.70838/pemj.550806
Belay, G. M., Lam, K. K. W., Liu, Q., Mao, T., Mak, Y. W., & Ho, K. Y. (2026) · Journal of Medical Internet Research · doi:10.2196/83896
Mukasa, M. N., Donahue, M. L., Levin, M. E., Rodríguez, M. M. D., Kasujja, R., Damulira, C., & Vance, J. (2026) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2026.101017
Social Anxiety and Cannabis-Related Problems: The Role of Psychological Inflexibility
Jo, D., Qiu, L., Zvolensky, M. J., & Buckner, J. D. (2026) · Substance Use & Misuse · doi:10.1080/10826084.2026.2711947
Taşkıran, A., & Eş, A. (2026) · European Journal of Education and Counselling · doi:10.35365/ejec.26.2.06
Park, K., Na, E., Jeong, H., Shim, D., Jeong, Y., Lee, E., Kim, Y. J., Kim, J.-S., Suh, E., & Lee, H. K. (2026) · Substance Use & Misuse · doi:10.1080/10826084.2026.2720783
- Authors
- Osaji, J., Ojimba, C., & Ahmed, S.
- Affiliations
- Texas Tech University (US)
- Interfaith Medical Center (US)
- Rutland Regional Medical Center (US)
- Corresponding author
- Ojimba, Chiedozie
- Venue
- Journal of Clinical Medicine Research
- Publisher
- Elmer Press, Inc.
- Published
- 2020
- Volume
- 12
- Issue
- 10
- Pages
- 629-633
- ISSN
- 1918-3003 (ISSN-L)
- 1918-3011
- PMC
- PMC7524566
- OpenAlex
- W3088404198
- Cited by
- 74
- References
- 26
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 15 · 2023: 18 · 2022: 10 · 2021: 3 · 2020: 1
- FWCI
- 0.63
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Journal of Clinical Medicine Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- acceptance and commitment therapy, substance use disorders, psychological flexibility, substance use abstinence, addiction treatment, behavior therapy, treatment effectiveness
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