Acceptance and Commitment Therapy for the Management of Suicidal Patients: A Randomized Controlled Trial.

Abstract:

BACKGROUND:The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies to improve suicide prevention. METHODS:We conducted a randomized controlled trial comparing a 7-week acceptance and commitment therapy (ACT) versus relaxation group, as adjunct to treatment as usual for adult outpatients suffering from a current suicidal behavior disorder. The primary outcome was the rate of change in the Columbia Suicide Severity Rating Scale suicidal ideation subscore (adding severity and intensity subscores). Secondary outcomes were the rates of change for depressive symptomatology, psychological pain, anxiety, hopelessness, anger, quality of life, and therapeutic processes. Assessments were performed in the 2 weeks preceding the beginning of the treatment (pretreatment assessment), and within 1 week (posttherapy assessment) and 3 months (follow-up assessment) after therapy completion. RESULTS:Forty adults were included and randomized. The rate of change in ACT for suicidal ideation at the posttherapy assessment was higher than in the relaxation group (β [SE] = -1.88 [0.34] vs. -0.79 [0.37], respectively; p = 0.03). ACT effectiveness remained stable at the 3-month follow-up. We found a similar pattern of change for depressive symptomatology and anxiety, psychological pain, hopelessness, anger, and quality of life. Therapeutic processes improved more in the ACT group than in the relaxation group. Treatment adherence was high in the ACT group, all participants reported satisfaction with the program. CONCLUSIONS:Through its effectiveness in reducing suicidal ideation and improving the clinical dimensions associated with suicidal risk in patients suffering from a suicidal behavior disorder, ACT could be developed as an adjunctive strategy in programs for suicide prevention.

journal_name

Psychother Psychosom

authors

Ducasse D,Jaussent I,Arpon-Brand V,Vienot M,Laglaoui C,Béziat S,Calati R,Carrière I,Guillaume S,Courtet P,Olié E

doi

10.1159/000488715

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

211-222

issue

4

eissn

0033-3190

issn

1423-0348

pii

000488715

journal_volume

87

pub_type

杂志文章,随机对照试验
  • Long-Term Effectiveness of Cognitive Behavioral Therapy in Routine Outpatient Care: A 5- to 20-Year Follow-Up Study.

    abstract:OBJECTIVE:Long-term follow-ups several years after receiving cognitive behavioral therapy (CBT) are scarce and most of the existing literature describes follow-up data of randomized-controlled trials. Thus, very little is known about the long-term effects of CBT in routine care. METHODS:We investigated psychological f...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000500188

    authors: von Brachel R,Hirschfeld G,Berner A,Willutzki U,Teismann T,Cwik JC,Velten J,Schulte D,Margraf J

    更新日期:2019-01-01 00:00:00

  • Effects of interventions involving the family in the treatment of adult patients with chronic physical diseases: a meta-analysis.

    abstract:BACKGROUND:Families can have considerable influence on the health of a patient with a chronic physical disease, and attempts have been made to optimise treatment by involving family members. This meta-analysis aimed to systematically assess the effects of family-oriented interventions on adults with chronic physical di...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,meta分析

    doi:10.1159/000286958

    authors: Hartmann M,Bäzner E,Wild B,Eisler I,Herzog W

    更新日期:2010-01-01 00:00:00

  • Life events and alopecia areata.

    abstract::48 patients with alopecia areata, 30 with common baldness, 30 with fungal infections underwent the Paykel's Interview for recent life events. In the 6 months preceding onset, alopecic patients reported 123 events (mean = 2.56), patients with common baldness 22 events (mean = 0.73), patients with fungal infections 15 (...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287786

    authors: Perini GI,Veller Fornasa C,Cipriani R,Bettin A,Zecchino F,Peserico A

    更新日期:1984-01-01 00:00:00

  • Social support and the persistence of complaints in chronic fatigue syndrome.

    abstract:BACKGROUND:Several studies suggested that the surroundings of chronic fatigue syndrome (CFS) patients are of importance in the persistence of complaints. Contrary to what was expected, participation in support groups has not led to clinical improvement. The purpose of the present study was to describe social support in...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1159/000076455

    authors: Prins JB,Bos E,Huibers MJ,Servaes P,van der Werf SP,van der Meer JW,Bleijenberg G

    更新日期:2004-05-01 00:00:00

  • Attachment representation and cortisol response to the adult attachment interview in idiopathic spasmodic torticollis.

    abstract:OBJECTIVE:The study investigates individual differences in the mental representation of attachment and their impact on the cortisol response to psychosocial stress in idiopathic spasmodic torticollis (IST). It was hypothesized (a) that in IST insecure attachment is more prevalent than in a non-clinical control group an...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000012384

    authors: Scheidt CE,Waller E,Malchow H,Ehlert U,Becker-Stoll F,Schulte-Mönting J,Lücking CH

    更新日期:2000-05-01 00:00:00

  • Circadian blood pressure patterns and life stress.

    abstract:BACKGROUND:Scarce data are available on the influence of psychological aspects on 24-hour ambulatory blood pressure patterns either in normotensive or hypertensive subjects. This study was designed to evaluate the relationship between psychological profile and changes in daytime/nighttime blood pressure rhythm. METHOD...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000065996

    authors: Fallo F,Barzon L,Rabbia F,Navarrini C,Conterno A,Veglio F,Cazzaro M,Fava GA,Sonino N

    更新日期:2002-11-01 00:00:00

  • Psychosomatic medicine: some past and current concepts.

    abstract::Recognition of the body-mind dilemma goes back to antiquity. Growth in medical knowledge has produced an ever increasing emphasis on physiological deviations and somatic pathology--which too often is not accompanied by sufficient attention to the total patients. Psychosomatics is now the term often used by those who b...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 历史文章,杂志文章

    doi:10.1159/000287311

    authors: Dorfman W

    更新日期:1979-01-01 00:00:00

  • Assessment of patients by DSM-III-R and DSM-IV in a Japanese psychosomatic clinic.

    abstract:BACKGROUND:The aim of this study was to investigate the clinical features of psychosomatic disorders in Japan. METHODS:A total of 1,432 outpatients (515 males and 917 females; 9-95 years of age, mean age 36) attending a psychosomatic clinic for the first time were assessed by the DSM-III-R or DSM-IV semistructured int...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000012258

    authors: Nakao M,Nomura S,Yamanaka G,Kumano H,Kuboki T

    更新日期:1998-01-01 00:00:00

  • Cognitive dysfunctions in bipolar disorder: evidence of neuropsychological disturbances.

    abstract::Although cognitive dysfunctions in psychosis have classically been associated with schizophrenia, there is clinical evidence that some bipolar patients show cognitive disturbances either during acute phases or in remission periods. The authors critically review the data on cognitive impairment in bipolar disorder. The...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000012361

    authors: Martínez-Arán A,Vieta E,Colom F,Reinares M,Benabarre A,Gastó C,Salamero M

    更新日期:2000-01-01 00:00:00

  • Empirical journey into the measurement of symbolic function as a dimension of alexithymia.

    abstract::This paper traces the author's empirical research journey into the measurement of symbolic function as a dimension of alexithymia. The archetypal test with 9 elements (AT9) is proposed as a tool to discrimnate between forms and degrees of disorganization in symbolic behavior of alexithymic subjects. The results seem t...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287895

    authors: Demers-Desrosiers LA

    更新日期:1985-01-01 00:00:00

  • Psychosocial functioning in consultation-liaison psychiatry patients: influence of psychosomatic syndromes, psychopathology and somatization.

    abstract:BACKGROUND:This study investigated whether the Diagnostic Criteria for Psychosomatic Research (DCPR) were able to predict psychosocial functioning in addition to psychiatric diagnoses and somatization in consultation-liaison psychiatry (CLP) patients. METHOD:A consecutive sample of 208 CLP patients were recruited and ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000235739

    authors: Porcelli P,Bellomo A,Quartesan R,Altamura M,Iuso S,Ciannameo I,Piselli M,Elisei S

    更新日期:2009-01-01 00:00:00

  • Cognitive-behavioural therapy for bulimia nervosa and binge eating disorder. A review.

    abstract::Cognitive-behavioural therapy (CBT) programmes for bulimia nervosa (BN) have been considerably refined during the last 2 decades, and such a treatment is now extensively used. The present paper describes the treatment rationale and structure, and reviews the available evidence on its efficacy. Compared to any other ps...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000012410

    authors: Ricca V,Mannucci E,Zucchi T,Rotella CM,Faravelli C

    更新日期:2000-11-01 00:00:00

  • Short psychotherapeutic interventions (four sessions).

    abstract::This paper points out: (1) The fundamental importance, during the patient's first visit, of a shift of the objective involvement on the therapist's person, when a significant real object fails. (2) An initial interpretation, based on understanding this mechanism, is mutational in that it transfers the mourning for rel...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288131

    authors: Gillieron E

    更新日期:1989-01-01 00:00:00

  • Subjective and objective assessments of medical comorbidity in chronic depression.

    abstract:BACKGROUND:While the extent of medical comorbidity in depressive illness is widely recognised, there have been few studies where objective and subjective assessment of comorbidity in chronic depression have been made. The aim of this study was to determine the extent and nature of medical comorbidity, in terms of both ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000289144

    authors: Schrader GD

    更新日期:1997-01-01 00:00:00

  • Body awareness and personality.

    abstract::The relation between personality characteristics and body awareness, defined as the attention paid to different body zones and measured by means of the Fisher Body Focus Questionnaire, is examined in two ways in groups of medical and dental students: (1) Our results replicate fairly well the relation, reported by Fish...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287385

    authors: Vinck J

    更新日期:1979-01-01 00:00:00

  • Increase of medical hospital length of stay by depression in stroke and amputation patients: a pilot study.

    abstract::Past studies have found that medical patients with the diagnosis of depression (comorbidity) have longer hospital lengths of stay (LOS) than those without the diagnosis of depression. This suggested that scores on a depression scale would be positively correlated with LOS. On a rehabilitation ward, 14 stroke and 17 am...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288575

    authors: Schubert DS,Burns R,Paras W,Sioson E

    更新日期:1992-01-01 00:00:00

  • Interpersonal psychotherapy for somatizing patients.

    abstract::The interpersonal model is important for understanding somatizing behavior. According to this model, somatizing behavior is a form of interpersonal communication driven by insecure attachment. Interpersonal psychotherapy (IPT) is a time-limited, manual-based treatment designed to relieve symptoms and improve interpers...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000092891

    authors: Stuart S,Noyes R Jr

    更新日期:2006-01-01 00:00:00

  • Self-management training for children with chronic bronchial asthma.

    abstract::We have described examples of behaviors that occur antecedent to, concurrent with, or as a consequence of childhood asthma. Ways these patterns can be altered have also been described. Three points should be emphasized: first, social learning techniques can contribute to a child acquiring self-monitoring and self-mana...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000287396

    authors: Creer TL,Burns KL

    更新日期:1979-01-01 00:00:00

  • The validity of Eysenck's neuroticism dimension within the Minnesota Multiphasic Personality Inventory in patients with duodenal ulcer. The Hvidovre Ulcer Project Group.

    abstract::A psychometric analysis on patients with duodenal ulcer using latent structure coefficients (Loevinger and Mokken) showed that the MMPI subscales of depression, psychasthenia, hypochondriasis, hysteria, schizophrenia and social introversion all could be considered as indicators of Eysenck's dimension of neuroticism. B...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288919

    authors: Jess P,Bech P

    更新日期:1994-01-01 00:00:00

  • Factor analysis of the Toronto Alexithymia Scale: elucidation of a polythetic construct.

    abstract::The Toronto Alexithymia Scale (TAS) offers a reliable method to measure alexithymia, a personality construct describing individuals endorsing the inability to identify and report emotions, processing a minimal fantasy life, utilizing an analytic cognitive style, and tending to somatize. Utilizing four cohorts of both ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288608

    authors: Mann LS,Wise TN,Shay L

    更新日期:1992-01-01 00:00:00

  • Denial in heart transplant candidates.

    abstract::The concept of denial is important for the psychosomatic understanding of cardiovascular disease and treatment. This study evaluated denial using several psychometric assessment scales in patients referred for psychiatric evaluations prior to heart transplantation. Surviving patients who had a mean survival of more th...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288421

    authors: Young LD,Schweiger J,Beitzinger J,McManus R,Bloedel C,Koob J

    更新日期:1991-01-01 00:00:00

  • Role of the therapist in biofeedback training.

    abstract::The therapist in biofeedback training plays the role of a teacher or coach. This role, derived from learning theory and practiced in the classroom and playing field, imposes special constraints upon the psychotherapeutic situation. The therapist must be capable of physiological manipulation in self before attempting t...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287297

    authors: Amar PB

    更新日期:1978-01-01 00:00:00

  • Psychotherapy for the spouses of lung cancer patients: assessment of an intervention.

    abstract::This study was a randomized prospective clinical trial to test the effect of a professionally provided program of social support counselling on newly diagnosed lung cancer patients and their families. Over the 6 months of the intervention there was no differential change by experimental status for either the patients ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000287871

    authors: Goldberg RJ,Wool MS

    更新日期:1985-01-01 00:00:00

  • Psychosomatics for all--past, present and future.

    abstract::It used to be fashionable to begin consideration of psychosomatics about philosophy of mind and body. Nowadays it is a topic about health and practical care of patients--principally about the psychological aspects of any illness. Pathogenesis is becoming understood with some risk factors clearly identifiable. The high...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000288009

    authors: Aitken C

    更新日期:1987-01-01 00:00:00

  • Affective expression in organic and functional gastrointestinal disease.

    abstract::Verbal affective expression and psychometric variables were studied in a group of 5 duodenal ulcer and 6 irritable bowel patients. The aim was to assess the relevance of the alexithymia contruct to the distinction between both groups. Irritable bowel patients exhibited higher scores on Zung's depressiveness scale. Ale...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287839

    authors: Heerlein A,De la Parra G,Aronsohn S,Lolas F

    更新日期:1984-01-01 00:00:00

  • Multidisciplinary teams in consultation-liaison psychiatry: the Yale model.

    abstract::The consultation-liaison service at Yale features integrated teams of psychiatrists, social workers, and clinical nurse specialists working together in both consultation and outpatient settings. The model is based on the tenets that (1) comprehensive evaluation of patients is essential for effective treatment; (2) rol...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288036

    authors: Leigh H

    更新日期:1987-01-01 00:00:00

  • Internet-based psychodynamic versus cognitive behavioral guided self-help for generalized anxiety disorder: a randomized controlled trial.

    abstract:BACKGROUND:Guided Internet-based cognitive behavior therapy (ICBT) has been tested in many trials and found to be effective in the treatment of anxiety and mood disorders. Generalized anxiety disorder (GAD) has also been treated with ICBT, but there are no controlled trials on guided Internet-based psychodynamic treatm...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000339371

    authors: Andersson G,Paxling B,Roch-Norlund P,Östman G,Norgren A,Almlöv J,Georén L,Breitholtz E,Dahlin M,Cuijpers P,Carlbring P,Silverberg F

    更新日期:2012-01-01 00:00:00

  • Relations between pain, anxiety, mood and muscle tension in chronic pain patients. A correlation study.

    abstract::The relationship between psychological variables, particularly depressed mood and anxiety, and pain has received a good deal of attention. In this study, 16 chronic pain patients rated their mood, anxiety level, pain, muscle tension, and reclining time daily over a period of about 6 weeks. Correlations were calculated...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287864

    authors: Linton SJ,Götestam KG

    更新日期:1985-01-01 00:00:00

  • Short-term psychotherapy and hypnosis.

    abstract::Phobic patients have been shown to be, on average, more hypnotizable than others. The essence of the phobic experience is not unlike that of the event of hypnosis, and the phobic experience might be a spontaneously occurring panic-filled trance-like or dissociative experience. This dissociation is viewed as a maladapt...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287509

    authors: Frankel FH

    更新日期:1981-01-01 00:00:00

  • The unifying concept of illness behavior.

    abstract::The concept of illness behavior was introduced to indicate the ways in which given symptoms may be perceived, evaluated and acted upon at an individual level. Illness behavior may vary greatly according to illness-related, patient-related and doctor-related variables and their complex interactions. In the past decades...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000343508

    authors: Sirri L,Fava GA,Sonino N

    更新日期:2013-01-01 00:00:00