Experiential avoidance in depression, anxiety, obsessive-compulsive related, and posttraumatic stress disorders: A comprehensive systematic review and meta-analysis (Pages 65-78)
Journal of Contextual Behavioral Science (JCBS)
Volume 24, April 2022, Pages 65-78
Authors
Mehdi Akbari, Mohammad Seydavi, Zahra S. Hosseini, Jennifer Krafft, Michael E. Levin
Abstract
OCD and Related Disorders SIG
OCD and Related Disorders Special Interest Group
Affiliated 2021
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Mindfulness-and acceptance-based programmes for obsessive-compulsive disorder: A systematic review and meta-analysis
Mindfulness- and acceptance-based programmes (MABPs) in the treatment of obsessive-compulsive disorder (OCD) are increasingly gaining research interest, yet a comprehensive systematic review and meta-analysis is missing. To fill this gap, we analysed 46 trials involving 2,221 patients. Two independent reviewers screened records, extracted data, assessed risk of bias, and rated overall quality of evidence. MABPs were associated with large reductions in OCD-severity in between-group analysis in randomised controlled trials (k=33; g=-.87; CI=-1.13,-.60) and within-group pre-post analysis in all MABPs (k=49; g=-1.72; CI=-2.00,-1.44).
Physiological, behavioral, and self-report outcomes of acceptance- and regulation-based exposure for intrusive thoughts
Leading theories regarding the mechanisms of exposure for OCD focus on Pavlovian fear reduction more than operant processes.
Effectiveness of Acceptance and Commitment Therapy in Reduction of severity symptoms of patients with Obsessive Compulsive Disorder
In this study, the research experience with experimental group and control group pretest and post-test and follow-up were used the population included all patients with OCD in Shiraz city. Sample was selected (90 patients based on Sample Table Cohen, 1986, quoted by Sarmad al, 1379), among the patients who were diagnosed with OCD. Sampling method based on stratified random sampling was used among the target population, i.e., patients referred to the clinic for counseling and psychological services for the city selected. After cloning, participants were randomized to experimental and control groups were included.
Petersen & Schneider. 2024
Pediatric obsessive compulsive disorder (OCD) is a significantly impairing disorder. Given the impact of pediatric OCD, it is important to consider how to best adapt treatments for OCD, particularly for more severe youth that may not respond to traditional outpatient formats. Understanding how to implement such treatments via telehealth can improve access to care and reduce treatment burden on families. The current study therefore evaluates preliminary feasibility, acceptability, and effectiveness of delivering a pilot intensive, group-based telehealth treatment combining acceptance-based skills with exposure and response prevention (ERP) for pediatric OCD.
Dumans Laurito, Pereira Loureiro, Dias, Faro, Torres, Moreira-de-Oliveira, dos Santos-Ribeiroa, Menezes, Fontenelle, Davis & Twohig. 2022
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.
Ojalehto, Hellberg, Butcher, Buchholz, Timpano, & Abramowitz. 2021.
It is well established that the transition to new parenthood is associated with the onset or worsening of obsessive-compulsive symptoms (OCS); however, less is known regarding specific risk factors associated with the development of postpartum OCS. The present prospective study examined experiential avoidance and interpretations of intrusive thoughts as predictors of the development of postpartum OCS in first-time mothers and fathers. Participants were 64 expecting parents (33 mothers and 31 partners—all fathers) who were followed from the 2nd or 3rd trimester of pregnancy into the postpartum. All completed measures of postpartum OCS, experiential avoidance, and interpretations of intrusive thoughts.
AAQ-OC (Obsessions and Compulsions)
The AAQ for Obsessions and Compulsions (AAQ-OC) is a 13-item self-report measure of experiential avoidance in response to unwanted intrusive thoughts.
The original paper describing its psychometric properties is published here:
A Functional Contextual Approach to the Treatment of Obsessive Compulsive and Related Disorders
Presented at ACBS World Conference 13, Berlin, Germany, 2015