A Pilot Randomized Controlled Trial (RCT) of online Acceptance and Commitment Therapy (ACT) versus Compassion Focused Therapy (CFT) for chronic illness

Clin Psychol Psychother. 2021 Jul 16. doi: 10.1002/cpp.2643. Online ahead of print.ABSTRACTLiterature suggests that Acceptance and Commitment Therapy (ACT) is effective in improving well-being and in reducing psychopathological symptoms commonly experienced by people with chronic illness (CI). Compassion Focused Therapy (CFT) reduces psychological distress, especially in individuals with high levels of shame and self-criticism, but few studies have explored CFT in CI. Additionally, studies almost exclusively compared ACT and CFT with inactive controls (wait-list; treatment as usual). Also, there is an interest in developing cost-effective mental health solutions, such as low intensity online psychological interventions. This Randomized Controlled Trial (RCT) aimed to assess the acceptability and compare the efficacy of 4-sessions online ACT (n = 25) and CFT (n = 24) interventions in a sample of people with CI. Results showed both interventions were acceptable, with attrition rates at post-intervention comparable to those found in similar studies (around 50%). Intention To Treat analyses showed that participants presented significantly less illness-related shame, less uncompassionate self-responding, and more valued living after the intervention, although no difference was found between conditions. Results were sustained at 3-months and 6-months follow-up. Results did not find statistical differences between conditions through Reliable Change Index (RCI). Correlation between d...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Authors: Source Type: research