The DOI matches its DataCite record; 36 of the 36 references it cites were found in a registry or an index.
Effectiveness of Acceptance and Commitment Therapy as a Treatment for Posttraumatic Stress Disorder and Moral Injury
Abstract
Posttraumatic stress disorder (PTSD) is a common condition among military personal and veterans. Despite strong empirical support for first line treatments for PTSD, many veterans do not complete or respond to treatment. Research suggests that experiential avoidance is a contributing factor to both treatment dropout and minimal treatment gains. Acceptance and commitment therapy (ACT) is an empirically supported cognitive behavioral intervention that aims to decrease experiential avoidance while increasing psychological flexibility. Research has shown ACT to be a promising intervention for the treatment of PTSD; however, its effectiveness in veterans with PTSD is limited. In conjunction with Utah State University (USU) and the Salt Lake City Veterans Affairs Medical Center, Ellen Bluett, a USU doctoral psychology student and staff psychologist at the VA conducted a study to examine a next-step treatment for veterans with PTSD. The main purpose of this study was to examine the effectiveness of an 8- week closed group design ACT intervention for veterans with PTSD and subclinical PTSD who had previously completed a first line intervention for PTSD. Thirty-three veterans enrolled in the intervention, which focused on vitality (e.g., increasing valued living and decreasing experiential avoidance) rather than symptom reduction. Symptom and process of change measures including PTSD symptoms, valued living, and quality of life were measured at pretreatment, posttreatment, and again at 1-month follow-up. Findings from this study showed that 64.7% of veterans showed a favorable response to treatment as measured by a 5-point change in PTSD symptoms. Additionally, outcomes of interest including PTSD symptoms, valued living, depression, wellbeing, and moral injury by transgressions improved from pretreatment to posttreatment. Of note, a majority of treatment gains were not maintained at follow-up. Overall, results provide preliminary support for ACT as a second-line intervention for veteran PTSD.
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“Previous research states that ACT is effective among several populations who suffer from various mental health disorders (Abbasi et al., 2015;Azadeh, Zahrani, and Besharat, 2016;Bluett, 2017, p. 2014Molavi, Mikaeili, Rahimi, & Mehri,;Vakili & Gharraee, 2014).”
From Acceptance and commitment group therapy among Saudi Muslim females with mental health disorders (2021) · cites this paper as Bluett, 2017
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Cites
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587
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
Moral injury and moral repair in war veterans: A preliminary model and intervention strategy
Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.07.003 · Cited by 2,738
Cognitive processing therapy for sexual assault victims.
Resick, P. A., & Schnicke, M. K. (1992) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.60.5.748 · Cited by 1,490
Monitoring Depression Treatment Outcomes With the Patient Health Questionnaire-9
L??we, B., Un??tzer, J., Callahan, C. M., Perkins, A. J., & Kroenke, K. (2004) · Medical Care · doi:10.1097/00005650-200412000-00006 · Cited by 1,354
Resick, P. A., Nishith, P., Weaver, T. L., Astin, M. C., & Feuer, C. A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.4.867 · Cited by 1,294
Wampold, B. E., Mondin, G. W., Moody, M., Stich, F., Benson, K., & Ahn, H.-N. (1997) · Psychological Bulletin · doi:10.1037/0033-2909.122.3.203 · Cited by 1,091
A modern learning theory perspective on the etiology of panic disorder.
Bouton, M. E., Mineka, S., & Barlow, D. H. (2001) · Psychological Review · doi:10.1037/0033-295x.108.1.4 · Cited by 1,017
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A meta-analytic review of prolonged exposure for posttraumatic stress disorder
Powers, M. B., Halpern, J. M., Ferenschak, M. P., Gillihan, S. J., & Foa, E. B. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.04.007 · Cited by 1,005
Cited by
Moral injury, chaplaincy and mental health provider approaches to treatment: A scoping review
Jones, K. A., Freijah, I., Carey, L., Carleton, R. N., Devenish-Meares, P., Dell, L., Rodrigues, S., Madden, K., Johnson, L., Hosseiny, F., et al. (2022) · Journal of Religion and Health · doi:10.1007/s10943-022-01534-4 · Cited by 39
Acceptance and commitment group therapy among Saudi Muslim females with mental health disorders
Bahattab, M., & AlHadi, A. N. (2021) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.01.005 · Cited by 25
Metadata
- Authors
- Bluett, E. J.
- Venue
- Utah State University
- Publisher
- Utah State University
- Published
- 2017
- References
- 36
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