Journal of Contextual Behavioral Science (JCBS)
Volume 24, April 2022, Pages 134-140
Authors
Luana Dumans Laurito, Carla Pereira Loureiro, Rafaela Venâncio Dias, Livi Faro, Bianca Torres, Maria Eduarda Moreira-de-Oliveira, Samara dos Santos-Ribeiro, Gabriela B.de Menezes, Leonardo F. Fontenelle, Carter H. Davis, Michael P.Twohig
Abstract
Previous research indicates that a combination of Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD). However, there are no studies to date of ACT for OCD in Latin American populations. Because socio-cultural context influences OCD symptomatology, it is worth adapting and testing ACT for OCD in such cultures. Three patients seeking treatment for OCD at a public health center in Rio De Janeiro, Brazil were treated with 16 sessions of ACT and ERP. All participants showed decreased OCD scores from baseline to post-treatment that remained lower at follow-up, suggesting that a version of ACT for OCD adapted for a Brazilian cultural context was effective. The intervention also had positive effects on depression, quality of life, and psychological flexibility. This paper focuses on the adaptations that reflect the unique needs of Brazilian culture, as well as how to integrate ACT within existing systems of care. This study shows the effectiveness of this approach in Brazil and offers promise for future cultural adaptations of ACT in other Latin American contexts.