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The empirical status of acceptance and commitment therapy: A review of meta-analyses (Pages 181-192)

Journal of Contextual Behavioral Science (JCBS)

Volume 18, October 2020, Pages 181-192

Authors

Andrew T. Gloster, Noemi Walder, Michael E. Levin, Michael P. Twohig, Maria Karekla

Abstract

The efficacy of Acceptance and Commitment Therapy (ACT) has been evaluated in many randomized controlled trials investigating a broad range of target conditions. This paper reviews the meta-analytic evidence on ACT. The 20 included meta-analyses reported 100 controlled effect sizes across n = 12,477 participants. Controlled effect sizes were grouped by target conditions and comparison group. Results showed that ACT is efficacious for all conditions examined, including anxiety, depression, substance use, pain, and transdiagnostic groups. Results also showed that ACT was generally superior to inactive controls (e.g. waitlist, placebo), treatment as usual, and most active intervention conditions (excluding CBT). Weaknesses and areas for future development are discussed.

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