852
Views
0
CrossRef citations to date
0
Altmetric
Review Article

Effects of acceptance and commitment therapy on depressive symptoms, anxiety, pain intensity, quality of life, acceptance, and functional impairment in individuals with neurological disorders: a systematic review and meta-analysis

ORCID Icon, ORCID Icon & ORCID Icon
Pages 210-231 | Received 16 Aug 2022, Accepted 20 Dec 2022, Published online: 09 Mar 2023

References

  • Aaby, A., Ravn, S. L., Kasch, H., & Andersen, T. E. (2020). The associations of acceptance with quality of life and mental health following spinal cord injury: A systematic review. Spinal Cord, 58(2), 130–148. https://doi.org/10.1038/s41393-019-0379-9
  • Bai, Z., Luo, S., Zhang, L., Wu, S., & Chi, I. (2020). Acceptance and Commitment Therapy (ACT) to reduce depression: A systematic review and meta-analysis. Journal of Affective Disorders, 260, 728–737. https://doi.org/10.1016/j.jad.2019.09.040
  • Beck, A. T., Rush, A., Shaw, B., & Emery, G. (1979). Cognitive therapy of depression. The Guilford Press.
  • Bendelin, N., Björkdahl, P., Risell, M., Nelson, K. Z., Gerdle, B., Andersson, G., & Buhrman, M. (2020). Patients’ experiences of internet-based acceptance and commitment therapy for chronic pain: A qualitative study. BMC Musculoskeletal Disorders, 21(1), 212. https://doi.org/10.1186/s12891-020-03198-1
  • Boeschoten, R. E., Braamse, A. M. J., Beekman, A. T. F., Cuijpers, P., van Oppen, P., Dekker, J., & Uitdehaag, B. M. J. (2017). Prevalence of depression and anxiety in multiple sclerosis: A systematic review and meta-analysis. Journal of The Neurological Sciences, 372, 331–341. https://doi.org/10.1016/j.jns.2016.11.067
  • Borsook, D. (2012). Neurological diseases and pain. Brain, 135(Pt 2), 320–344. https://doi.org/10.1093/brain/awr271
  • Davoodi, M., Shameli, L., & Hadianfard, H. (2019). The effectiveness of acceptance and commitment therapy on chronic fatigue syndrome and pain perception in people with multiple sclerosis. Iranian Journal of Psychiatry and Clinical Psychology, 25(3), 250–264. https://doi.org/10.32598/ijpcp.25.3.250
  • Davoudi, M., Taheri, A. A., Foroughi, A. A., Ahmadi, S. M., & Heshmati, K. (2020). Effectiveness of acceptance and commitment therapy (ACT) on depression and sleep quality in painful diabetic neuropathy: A randomized clinical trial. Journal of Diabetes & Metabolic Disorders, 19(2), 1081–1088. https://doi.org/10.1007/s40200-020-00609-x
  • Dewhurst, E., Novakova, B., & Reuber, M. (2015). A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy. Epilepsy & Behavior, 46, 234–241. https://doi.org/10.1016/j.yebeh.2015.01.010
  • Dindo, L., Johnson, A. L., Lang, B., Rodrigues, M., Martin, L., & Jorge, R. (2020). Development and evaluation of an 1-day acceptance and commitment therapy workshop for veterans with comorbid chronic pain, TBI, and psychological distress: Outcomes from a pilot study. Contemporary Clinical Trials, 90, 105954. https://doi.org/10.1016/j.cct.2020.105954
  • Dindo, L. N., Recover, A., Calarge, C. A., Zimmerman, B. M., Weinrib, A., Marchman, J. N., & Turvey, C. (2020). One-day acceptance and commitment therapy compared to support for depressed migraine patients: A randomized clinical trial. Neurotherapeutics, 17(2), 743–753. https://doi.org/10.1007/s13311-019-00818-0
  • Dindo, L., Van Liew, J. R., & Arch, J. J. (2017). Acceptance and commitment therapy: A transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics, 14(3), 546–553. https://doi.org/10.1007/s13311-017-0521-3
  • Ghielen, I., van Wegen, E. E. H., Rutten, S., de Goede, C. J. T., Houniet de Gier, M., Collette, E. H., Burgers-Bots, I. A. L., Twisk, J. W. R., Kwakkel, G., Vermunt, K., van Vliet, B., Berendse, H. W., & van den Heuvel, O. A. (2017). Body awareness training in the treatment of wearing-off related anxiety in patients with Parkinson’s disease: Results from a pilot randomized controlled trial. Journal of Psychosomatic Research, 103, 1–8. https://doi.org/10.1016/j.jpsychores.2017.09.008
  • Giovannetti, A. M., Quintas, R., Tramacere, I., Giordano, A., Confalonieri, P., Uccelli, M. M., Solari, A., & Pakenham, K. I. (2020). A resilience group training program for people with multiple sclerosis: Results of a pilot single-blind randomized controlled trial and nested qualitative study. PLOS One, 15(4), e0231380. https://doi.org/10.1371/journal.pone.0231380
  • Han, A. (2021). Mindfulness- and acceptance-based interventions for symptom reduction in individuals with multiple sclerosis: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 102(10), 2022–2031.e2024. https://doi.org/10.1016/j.apmr.2021.03.011
  • Han, A. (2022). Effects of mindfulness- and acceptance-based interventions on quality of life, coping, cognition, and mindfulness of people with multiple sclerosis: A systematic review and meta-analysis. Psychology, Health & Medicine, 27(7), 1514–1531. https://doi.org/10.1080/13548506.2021.1894345
  • Han, A., Yuen, H. K., & Jenkins, J. (2021). Acceptance and commitment therapy for family caregivers: A systematic review and meta-analysis. Journal of Health Psychology, 26(1), 82–102. https://doi.org/10.1177/1359105320941217
  • Han, A., Yuen, H. K., Lee, H. Y., & Zhou, X. (2020). Effects of acceptance and commitment therapy on process measures of family caregivers: A systematic review and meta-analysis. Journal of Contextual Behavioral Science, 18, 201–213. https://doi.org/10.1016/j.jcbs.2020.10.004
  • Han, A., Yuen, H. K., & Wilroy, J. D. (2022). Exploring associations of psychological inflexibility with depressive symptoms, anxiety, and stress in individuals living with a spinal cord injury: A cross-sectional study. Rehabilitation Psychology, 67(2), 170–178. https://doi.org/10.1037/rep0000444
  • Harris, R. (2006). Embracing your demons: An overview of acceptance and commitment therapy. Psychotherapy in Australia, 12, 2–8. https://www.sjsu.edu/people/jennifer.gregg/courses/c4/s1/act_article_russ.pdf
  • Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy, 44(2), 180–198. https://doi.org/10.1016/j.beth.2009.08.002
  • Hayes, S. C., Pistorello, J., & Levin, M. E. (2012). Acceptance and commitment therapy as a unified model of behavior change. The Counseling Psychologist, 40(7), 976–1002. https://doi.org/10.1177/0011000012460836
  • Hearn, J. H. & Finlay, K. A. (2018). Internet-delivered mindfulness for people with depression and chronic pain following spinal cord injury: A randomized, controlled feasibility trial. Spinal Cord, 56(8), 750–761. https://doi.org/10.1038/s41393-018-0090-2
  • Higgins, J. P. T. & Green, S. (2011). Cochrane handbook for systematic reviews of interventions Version 5.1.0. The Cochrane Collaboration. https://training.cochrane.org/handbook
  • Impellizzeri, F. M. & Bizzini, M. (2012). Systematic review and meta-analysis: A primer. International Journal of Sports Physical Therapy, 7(5), 493–503. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3474302/pdf/ijspt-07-493.pdf
  • Jensen, K. B., Kosek, E., Wicksell, R., Kemani, M., Olsson, G., Merle, J. V., Kadetoff, D., Ingvar, M., Jensen, K. B., Kosek, E., Wicksell, R., Kemani, M., Olsson, G., Merle, J. V., Kadetoff, D., & Ingvar, M. (2012). Cognitive behavioral therapy increases pain-evoked activation of the prefrontal cortex in patients with fibromyalgia. Pain, 153(7), 1495–1503. https://doi.org/10.1016/j.pain.2012.04.010
  • Kabat-Zinn, J. (1994). Wherever you go there you are: Mindfulness meditation in everyday life. Hyperion.
  • Khalifeh-Soltani, F. A. S. & Borhani, M. (2019). The effectiveness of acceptance and commitment therapy on pain severity, perceived stress, and aggression in patients with multiple sclerosis in Isfahan, Iran. International Journal of Body, Mind and Culture, 6(1), 35–41. https://doi.org/10.22122/ijbmc.v6i1.148
  • Khazraee, H., Omidi, A., Kakhki, R. D., Zanjani, Z., & Sehat, M. (2018). Effectiveness of acceptance and commitment therapy in cognitive emotion regulation strategies, headache-related disability, and headache intensity in patients with chronic daily headache. Iranian Red Crescent Medical Journal, 20(S1), Article e57151. https://doi.org/10.5812/ircmj.57151
  • Kim, S., Whibley, D., Williams, D. A., & Kratz, A. L. (2020). Pain acceptance in people with chronic pain and spinal cord injury: Daily fluctuation and impacts on physical and psychosocial functioning. The Journal of Pain, 21(3–4), 455–466. https://doi.org/10.1016/j.jpain.2019.08.014
  • Kioskli, K., Winkley, K., & McCracken, L. M. (2019). Might psychological flexibility processes and Acceptance and Commitment Therapy (ACT) apply in adults with painful diabetic neuropathy? A cross-sectional survey. Journal of Contextual Behavioral Science, 13, 66–73. https://doi.org/10.1016/j.jcbs.2019.07.002
  • Kirchberger, I., Biering-Sørensen, F., Charlifue, S., Baumberger, M., Campbell, R., Kovindha, A., Ring, H., Sinnott, A., Scheuringer, M., & Stucki, G. (2010). Identification of the most common problems in functioning of individuals with spinal cord injury using the international classification of functioning, disability and health. Spinal Cord, 48(3), 221–229. https://doi.org/10.1038/sc.2009.116
  • Kishita, N., Contreras, M. L., West, J., & Mioshi, E. (2020). Exploring the impact of carer stressors and psychological inflexibility on depression and anxiety in family carers of people with dementia. Journal of Contextual Behavioral Science, 17, 119–125. https://doi.org/10.1016/j.jcbs.2020.07.005
  • Large, R., Samuel, V., & Morris, R. (2020). A changed reality: Experience of an acceptance and commitment therapy (ACT) group after stroke. Neuropsychological Rehabilitation, 30(8), 1477–1496. https://doi.org/10.1080/09602011.2019.1589531
  • Lim, S.-W., Shiue, Y.-L., Ho, C.-H., Yu, S.-C., Kao, P.-H., Wang, J.-J., & Kuo, J.-R. (2017). Anxiety and depression in patients with traumatic spinal cord injury: A nationwide population-based cohort study. PLOS One, 12(1), 14. https://doi.org/10.1371/journal.pone.0169623
  • Luciano, J. V., Guallar, J. A., Aguado, J., López-Del-Hoyo, Y., Olivan, B., Magallón, R., Alda, M., Serrano-Blanco, A., Gili, M., & Garcia-Campayo, J. (2014). Effectiveness of group acceptance and commitment therapy for fibromyalgia: A 6-month randomized controlled trial (EFFIGACT study). Pain, 155(4), 693–702. https://doi.org/10.1016/j.pain.2013.12.029
  • Lundgren, T., Dahl, J., Melin, L., & Kies, B. (2006). Evaluation of acceptance and commitment therapy for drug refractory epilepsy: A randomized controlled trial in South Africa - a pilot study. Epilepsia, 47(12), 2173–2179. https://doi.org/10.1111/j.1528-1167.2006.00892.x
  • Lundgren, T., Dahl, J., Yardi, N., & Melin, L. (2008). Acceptance and commitment therapy and yoga for drug-refractory epilepsy: A randomized controlled trial. Epilepsy & Behavior, 13(1), 102–108. https://doi.org/10.1016/j.yebeh.2008.02.009
  • Majumdar, S. & Morris, R. (2019). Brief group-based acceptance and commitment therapy for stroke survivors. British Journal of Clinical Psychology, 58(1), 70–90. https://doi.org/10.1111/bjc.12198
  • McDonald, S. D., Mickens, M. N., Goldberg-Looney, L. D., Mutchler, B. J., Ellwood, M. S., & Castillo, T. A. (2018). Mental disorder prevalence among U.S. Department of Veterans Affairs outpatients with spinal cord injuries. The Journal of Spinal Cord Medicine, 41(6), 691–702. https://doi.org/10.1080/10790268.2017.1293868
  • Merck Manual. (n.d.). Brain, spinal cord, and nerve disorders. https://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders
  • Mioduszewski, O., MacLean, H., Poulin, P. A., Smith, A. M., & Walker, L. A. S. (2018). Trait mindfulness and wellness in multiple sclerosis. Canadian Journal of Neurological Sciences, 45(5), 580–582. https://doi.org/10.1017/cjn.2018.51
  • Mojtabaie, M. & Khoshcheshm, Z. S. (2014). Psychological problems, biology, psychotherapy: Effectiveness of acceptance and commitment therapy (ACT) on reducing symptoms of depression among multiple sclerosis patients (MS). Advances in Environmental Biology, 8(17), 870–876. http://www.aensiweb.net/AENSIWEB/aeb/aeb/September%202014/870-876.pdf
  • Mo’tamedi, H., Rezaiemaram, P., & Tavallaie, A. (2012). The effectiveness of a group-based acceptance and commitment additive therapy on rehabilitation of female outpatients with chronic headache: Preliminary findings reducing 3 dimensions of headache impact. Headache: The Journal of Head and Face Pain, 52(7), 1106–1119. https://doi.org/10.1111/j.1526-4610.2012.02192.x
  • Nordin, L. & Rorsman, I. (2012). Cognitive behavioural therapy in multiple sclerosis: A randomized controlled pilot study of acceptance and commitment therapy. Journal of Rehabilitation Medicine, 44(1), 87–90. https://doi.org/10.2340/16501977-0898
  • Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S. … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
  • Pagnini, F., Cavalera, C., Rovaris, M., Mendozzi, L., Molinari, E., Phillips, D., & Langer, E. (2019). Longitudinal associations between mindfulness and well-being in people with multiple sclerosis. International Journal of Clinical and Health Psychology, 19(1), 22–30. https://doi.org/10.1016/j.ijchp.2018.11.003
  • Pakenham, K. & Fleming, M. (2011). Relations between acceptance of multiple sclerosis and positive and negative adjustments. Psychology & Health, 26(10), 1292–1309. https://doi.org/10.1080/08870446.2010.517838
  • Prisnie, J. C., Sajobi, T. T., Wang, M., Patten, S. B., Fiest, K. M., Bulloch, A. G. M., Pringsheim, T., Wiebe, S., & Jette, N. (2018). Effects of depression and anxiety on quality of life in five common neurological disorders. General Hospital Psychiatry, 52, 58–63. https://doi.org/10.1016/j.genhosppsych.2018.03.009
  • Proctor, B. J., Moghaddam, N. G., Evangelou, N., & Das Nair, R. (2018). Telephone-supported acceptance and commitment bibliotherapy for people with multiple sclerosis and psychological distress: A pilot randomised controlled trial. Journal of Contextual Behavioral Science, 9, 103–109. https://doi.org/10.1016/j.jcbs.2018.07.006
  • Rosińczuk, J. & Kołtuniuk, A. (2017). The influence of depression, level of functioning in everyday life, and illness acceptance on quality of life in patients with Parkinson’s disease: A preliminary study. Neuropsychiatric Disease and Treatment, 13, 881–887. https://doi.org/10.2147/ndt.S132757
  • Sander, A. M., Clark, A. N., Arciniegas, D. B., Tran, K., Leon-Novelo, L., Ngan, E., Bogaards, J., Sherer, M., & Walser, R. (2020). A randomized controlled trial of acceptance and commitment therapy for psychological distress among persons with traumatic brain injury. Neuropsychological Rehabilitation, 31(7), 1–25. https://doi.org/10.1080/09602011.2020.1762670
  • Scott, W., Guildford, B. J., Badenoch, J., Driscoll, E., Chilcot, J., Norton, S., Kemp, H. I., Lee, M. J., Lwanga, J., Boffito, M., Moyle, G., Post, F. A., Campbell, L., Josh, J., Cift, P., A, C. D. C. W., Rice, A. S., & McCracken, L. M. (2021). Feasibility randomized-controlled trial of online acceptance and commitment therapy for painful peripheral neuropathy in people living with HIV: The OPEN study. European Journal of Pain, 25(7), 1493–1507. https://doi.org/10.1002/ejp.1762
  • Senders, A., Borgatti, A., Hanes, D., & Shinto, L. (2018). Association between pain and mindfulness in multiple sclerosis: A cross-sectional survey. International Journal of MS Care, 20(1), 28–34. https://doi.org/10.7224/1537-2073.2016-076
  • Simister, H. D., Tkachuk, G. A., Shay, B. L., Vincent, N., Pear, J. J., & Skrabek, R. Q. (2018). Randomized controlled trial of online acceptance and commitment therapy for fibromyalgia. The Journal of Pain, 19(7), 741–753. https://doi.org/10.1016/j.jpain.2018.02.004
  • Taheri, A. A., Foroughi, A. A., Mohammadian, Y., Ahmadi, S. M., Heshmati, K., Hezarkhani, L. A., & Parvizifard, A. A. (2020). The effectiveness of acceptance and commitment therapy on pain acceptance and pain perception in patients with painful diabetic neuropathy: A randomized controlled trial. Diabetes Therapy, 11(8), 1695–1708. https://doi.org/10.1007/s13300-020-00851-9
  • Văcăraș, V., Văcăraș, V., Nistor, C., Văcăraș, D., Opre, A. N., Blaga, P., & Mureșanu, D. F. (2020). The influence of depression and anxiety on neurological disability in multiple sclerosis patients. Behavioural Neurology, 2020, 6738645. https://doi.org/10.1155/2020/6738645
  • Vasiliou, V. S., Karademas, E. C., Christou, Y., Papacostas, S., & Karekla, M. (2020). Acceptance and commitment therapy for primary headache sufferers: A randomized controlled trial of efficacy. The Journal of Pain, 22(2), 143–160. https://doi.org/10.1016/j.jpain.2020.06.006
  • Waffenschmidt, S., Knelangen, M., Sieben, W., Bühn, S., & Pieper, D. (2019). Single screening versus conventional double screening for study selection in systematic reviews: A methodological systematic review. BMC Medical Research Methodology, 19(1), 132. https://doi.org/10.1186/s12874-019-0782-0
  • Whiting, D., Deane, F., McLeod, H., Ciarrochi, J., & Simpson, G. (2020). Can acceptance and commitment therapy facilitate psychological adjustment after a severe traumatic brain injury? A pilot randomized controlled trial. Neuropsychological Rehabilitation, 30(7), 1348–1371. https://doi.org/10.1080/09602011.2019.1583582
  • Wicksell, R. K., Kemani, M., Jensen, K., Kosek, E., Kadetoff, D., Sorjonen, K., Ingvar, M., & Olsson, G. L. (2013). Acceptance and commitment therapy for fibromyalgia: A randomized controlled trial. European Journal of Pain, 17(4), 599–611. https://doi.org/10.1002/j.1532-2149.2012.00224.x

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.