Acceptance and commitment therapy for inpatients with psychosis (the REACH study): protocol for treatment development and pilot testing
Open accessAbstract
Patients with schizophrenia-spectrum disorders frequently require treatment at inpatient hospitals during periods of acute illness for crisis management and stabilization. Acceptance and Commitment Therapy (ACT), a "third wave" cognitive-behavioral intervention that employs innovative mindfulness-based strategies, has shown initial efficacy in randomized controlled trials for improving acute and post-discharge outcomes in patients with psychosis when studied in acute-care psychiatric hospitals in the U.S. However, the intervention has not been widely adopted in its current form because of its use of an individual-only format and delivery by doctoral-level research therapists with extensive prior experience using ACT. The aim of the Researching the Effectiveness of Acceptance-based Coping during Hospitalization (REACH) Study is to adapt a promising acute-care psychosocial treatment for inpatients with psychosis, and to pilot test its effectiveness in a routine inpatient setting. More specifically, we describe our plans to: (a) further develop and refine the treatment and training protocols, (b) conduct an open trial and make further modifications based on the experience gained, and
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Additional research has demonstrated the vital role that cognitive defusion plays in enhancing mindfulness in schizophrenia clients.
“Furthermore, additional research has demonstrated the vital role that cognitive defusion plays in enhancing mindfulness in schizophrenia clients (48–50).”
From Effect of applying nursing-based cognitive defusion techniques on mindful awareness, cognitive fusion, and believability of delusions among clients with schizophrenia: a randomized control trial (2024) · cites this paper as [49]
The ACT-IN Protocol (section 2.6; page unavailable) teaches inpatients with psychosis mindfulness strategies alongside cognitive defusion. It does not demonstrate that defusion enhances mindfulness or establish that defusion plays a vital role in doing so. (LLM, conf=0.83)
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References 98 · Cited by 22
Research works printed but not linked: 3
- [48]First M. Spitzer R. Gibbon M. Williams J. Structured Clinical Interview for DSM-IV, Research Version, Patient Edition. (SCID-I/P) Biometrics Research, New York State Psychiatric Institute New York, NY, USA 2002
- [79]Pollard S. Measuring Treatment Fidelity in Acceptance and Commitment Therapy for Psychosis Unpublished Master of Clinical Psychology Thesis School of Psychological Science, La Trobe University Melbourne Australia 2010
- [80]McGrath K.B. Forman E.M. Ddel Mar Cabiya M. Hoffman K.L. Marques K. Moritra E. Zabell J.A. Development and validation of the Drexel University ACT/CBT Therapist Adherence Rating Scale Proceedings of the Annual Meeting of the Association for Behavior and Cognitive Therapies Washington, DC, USA November 2005
- Authors
- Gaudiano, B., Davis, C., Epstein-Lubow, G., Johnson, J., Mueser, K., & Miller, I.
- Affiliations
- Brown University (US)
- Butler Hospital (US)
- Michigan State University (US)
- Boston University (US)
- Corresponding author
- Gaudiano, Brandon
- Venue
- Healthcare
- Publisher
- MDPI AG
- Published
- 2017-05-05
- Volume
- 5
- Issue
- 2
- Pages
- 23
- ISSN
- 2227-9032 (ISSN-L)
- PMC
- PMC5492026
- OpenAlex
- W2611409273
- Cited by
- 22
- References
- 98
- Citations by year
- 2024: 4 · 2023: 5 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 3
- FWCI
- 3.04
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Healthcare (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- NIH (R34MH097987)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- acceptance and commitment therapy, psychosis, schizophrenia spectrum disorders, psychiatric inpatient care, acute hospitalization, treatment adaptation, therapist training, mindfulness-based interventions, third-wave cognitive behavioral therapy, REACH study
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