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ACT for adolescents: Impact of a pilot group intervention on psychological wellbeing

Published online by Cambridge University Press:  07 April 2020

Kylie J. Smith ,
Lisa N. Oxman  and
Louise Hayes
Kylie J. Smith*
Affiliation:
Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
Lisa N. Oxman
Affiliation:
School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia
Louise Hayes
Affiliation:
Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia
*
*Corresponding author. Email: [email protected]
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Abstract

Acceptance and commitment therapy (ACT) has substantial support in adult populations but less among adolescents. To date, very little research has evaluated whether it can be delivered in a highly accessible school context. This study examined a 6-hour, weekly ACT-informed school-based group intervention for adolescent girls, focusing on anxiety, depression and building psychological flexibility. Participants (N = 10) who completed the intervention experienced significantly lowered levels of anxiety and increased psychological flexibility, with postintervention scores for all variables trending in the expected directions. Findings provide preliminary support for the efficacy of the intervention and encourages further evaluation of ACT delivered in schools.

Keywords

acceptance and commitment therapyACTdepressionanxietyadolescents
Type
Practitioner Paper
Information
Journal of Psychologists and Counsellors in Schools , Volume 30 , Issue 2 , December 2020 , pp. 248 - 254
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Copyright
© The Author(s) 2020. Published by Cambridge University Press

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References

A-Tjak, J.G.L., Davis, M.L., Morina, N., Powers, M.B., Smits, J.A.J., & Emmelkamp, P.M.G. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychomatics, 84, 30–36.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
Australian Psychological Society (APS). (2018). Evidence-based psychological interventions in the treatment of mental disorders: A review of the literature (4th ed.). Melbourne, Australia: Author.Google Scholar
Beck, J.S., Beck, A.T., & Jolly, J.B. (2005). Beck Youth Inventories (2nd ed.) Bloomington. MN: Pearson.Google Scholar
Brockman, R., Ciarrochi, J., Parker, P., & Kashdan, T. (2016). Emotion regulation strategies in daily life: mindfulness, cognitive reappraisal and emotion suppression. Cognitive Behavior Therapy, 46, 91–113.CrossRefGoogle ScholarPubMed
Burckhardt, R., Manicavasagar, V., Batterham, P.J., Hadzi-Pavlovic, D., & Shand, F. (2017). Acceptance and commitment therapy universal prevention program for adolescents: A feasibility study. Child and Adolescent Psychiatry and Mental Health, 11, 27.CrossRefGoogle ScholarPubMed
Ciarrochi, J., & Bailey, A. (2008). A CBT-practitioner’s guide to ACT: How to bridge the gap between cognitive behavioral therapy and acceptance and commitment therapy. Oakland, CA: New Harbinger Publications.Google Scholar
Ciarrochi, J., Deane, F., Wilson, C., & Rickwood, D. (2002). Adolescents who need help the most are the least likely to seek it: the relationship between low emotional competence and low intention to seek help. British Journal of Guidance and Counselling, 30, 173–188 CrossRefGoogle Scholar
Ciarrochi, J.V., Hayes, L., & Bailey, A. (2012). Get out of your mind and into your life for teens: A guide to living an extraordinary life. Oakland, CA: New Harbinger Publications.Google Scholar
Cohen, J. (1977). Statistical power analysis for the behavioural sciences (revised ed.). New York, NY: Academic Press.Google Scholar
Coyne, L.W., McHugh, L., & Martinez, E.R. (2011). Acceptance and Commitment Therapy (ACT): Advances with children, adolescents & families. Child & Adolescent Psychiatric Clinic of North America, 20, 379–399.CrossRefGoogle ScholarPubMed
Guerreiro, D.F., Cruz, D., Frasquilho, D., Santos, J.C., Figueira, M.L., & Sampaio, D. (2013). Association between deliberate self-harm and coping in adolescents: A critical review of the last 10 years’ literature. Archives of Suicide Research, 17, 91–105.10.1080/13811118.2013.776439CrossRefGoogle ScholarPubMed
Greco, L.A., Lambert, W., & Baer, R.A. (2008). Psychological inflexibility in childhood and adolescence: Development and evaluation of the avoidance and fusion questionnaire for youth. Psychological Assessment, 20, 93–102.CrossRefGoogle ScholarPubMed
Harris, R. (2019). ACT made simple (2nd ed). Oakland, CA: New Harbinger.Google Scholar
Hayes, L., Bach, P., & Boyd, C.P. (2010). Psychological treatment for adolescent depression: Perspectives on the past, present and future. Behaviour Change, 27, 1–18.CrossRefGoogle Scholar
Hayes, L., Boyd, C.P., & Sewell, J. (2011). Acceptance and commitment therapy for the treatment of adolescent depression: a pilot study in a psychiatric outpatient setting. Mindfulness, 2, 86–94.CrossRefGoogle Scholar
Lindsay, J., & Ciarrochi, J. (2009). Substance abusers report being more alexithymic than others but do not show emotional processing deficits on a performance measure of alexithymia. Addiction Research & Theory, 17, 315–321.CrossRefGoogle Scholar
Livheim, F., Hayes, L., Ghaderi, A., Magnusdottir, T., Hogfeldt, A., Rowse, J., Turner, S., Hayes, S., & Tengstrom, A. (2014). The effectiveness of acceptance and commitment therapy for adolescent mental health: Swedish and Australian pilot. Journal of Child & Family Studies, 24, 1016–1030.CrossRefGoogle Scholar
Merikangas, K.R., He, J.-P., Burstein, M., Swanson, S.A., Avenevoli, S., Cui, L., … Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989.CrossRefGoogle Scholar
Murrell, A.R., & Scherbarth, A.J. (2006). State of the research & literature address: ACT with children, adolescents & parents. International Journal of Behavioural Consultation & Therapy, 2, 531–543.CrossRefGoogle Scholar
Swain, J., Hancock, K., Dixon, A., Koo, S., & Bowman, J. (2013). Acceptance and commitment therapy for anxious children and adolescents: Study protocol for a randomized controlled trial. Trials, 14, 1–12.CrossRefGoogle ScholarPubMed
Weisz, J.R., McCarty, C.A., & Valeri, S.M. (2006). Effects of psychotherapy for depression in children and adolescents: A meta-analysis. Psychological Bulletin, 132, 132–149.CrossRefGoogle ScholarPubMed
Wolf, F.M. (1986). Meta-analysis: Quantitative methods for research synthesis. Beverley Hills, CA: Sage.CrossRefGoogle Scholar