Can mindfulness and acceptance be learnt by self-help?: A systematic review and meta-analysis of mindfulness and acceptance-based self-help interventions

被引:260
作者
Cavanagh, Kate [1 ,3 ]
Strauss, Clara [2 ,3 ]
Forder, Lewis [1 ]
Jones, Fergal [2 ,3 ,4 ]
机构
[1] Univ Sussex, Sch Psychol, Falmer BN1 9QH, E Sussex, England
[2] Sussex Partnership NHS Fdn Trust, Hove BN3 7HZ, England
[3] Sussex Mindfulness Ctr, Res & Dev Directorate, Hove BN3 7HZ, England
[4] Canterbury Christ Church Univ, Dept Psychol Polit & Sociol, Canterbury, Kent, England
关键词
Self-help; Mindfulness; Acceptance; RANDOMIZED CONTROLLED-TRIAL; COMMITMENT THERAPY; COGNITIVE THERAPY; ANXIETY DISORDERS; CHRONIC PAIN; EXPERIENTIAL AVOIDANCE; BEHAVIOR-THERAPY; STRESS REDUCTION; META-REGRESSION; MENTAL-HEALTH;
D O I
10.1016/j.cpr.2014.01.001
中图分类号
B849 [应用心理学];
学科分类号
040203 [应用心理学];
摘要
There is growing evidence that mindfulness and acceptance-based interventions have positive consequences for psychological and physical health. The most well-established of these interventions typically involve relatively large resource commitments, in terms of both the provider and participant. A number of recent studies have begun to explore whether the benefits of such interventions can be generalised to less intensive methods. Methods include pure and guided self-help utilising resources such as books and workbooks, computer programmes and applications and audio-visual materials. This paper presents a systematic review and meta-analysis of studies that have evaluated the effectiveness and acceptability of low-intensity interventions including mindfulness and acceptance-based components. Fifteen RCTs (7 ACT-based, 4 mindfulness-based and 4 multi-component interventions including elements of mindfulness and/or acceptance) were identified and reviewed. Interventions that included mindfulness and/or acceptance-based components produced significant benefits in comparison to control conditions on measures of mindfulness/acceptance, depression and anxiety with small to medium effect sizes. Engagement with the self-help interventions varied but on average two-thirds of participants completed post-intervention measures. Emerging research into low-intensity mindfulness and acceptance-based interventions is hopeful. Recommendations fOr research and practice are presented. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:118 / 129
页数:12
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