The Applicability of Acceptance and Commitment Therapy for Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis

Background: Acceptance and commitment therapy (ACT), a third-generation cognitive behavioral therapy (CBT), has proved its efficacy amidst various mental disorders. A growing body of studies has shown that ACT can improve obsessive-compulsive disorder (OCD) severity in recent years. To assess the ef...

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Main Authors: Tamini Soondrum, Xiang Wang, Feng Gao, Qian Liu, Jie Fan, Xiongzhao Zhu
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/5/656
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author Tamini Soondrum
Xiang Wang
Feng Gao
Qian Liu
Jie Fan
Xiongzhao Zhu
author_facet Tamini Soondrum
Xiang Wang
Feng Gao
Qian Liu
Jie Fan
Xiongzhao Zhu
author_sort Tamini Soondrum
collection DOAJ
description Background: Acceptance and commitment therapy (ACT), a third-generation cognitive behavioral therapy (CBT), has proved its efficacy amidst various mental disorders. A growing body of studies has shown that ACT can improve obsessive-compulsive disorder (OCD) severity in recent years. To assess the effect of ACT on OCD, we carried out a systematic review and meta-analysis to provide a basis for therapists to use different psychological dimensions of ACT for OCD. Methods: PubMed, the Cochrane Library, EMBASE, EBSCO Host, and literature references were searched until May 2021. Randomized controlled trials (RCTs) and other study designs assessing the effect of ACT among adults suffering from OCD were examined. Results: Fourteen studies, including 413 participants, published between 2010 and 2021 were identified. ACT made statistically significant progress in the Yale–Brown Obsessive–Compulsive Scale (YBOCS) compared with control conditions. Conclusion: After reviewing all the ACT studies, we acknowledge the plausibility of ACT in treating OCD and improving its symptoms for the clinical population. ACT can also be an adjunct therapy for other well-established treatments. It also favors targeting psychological inflexibility. Further well-controlled and high-quality RCTs are required for a better conclusion in further studies.
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spelling doaj.art-23cf04b44770461aad6affa7956d59812023-11-23T10:18:33ZengMDPI AGBrain Sciences2076-34252022-05-0112565610.3390/brainsci12050656The Applicability of Acceptance and Commitment Therapy for Obsessive-Compulsive Disorder: A Systematic Review and Meta-AnalysisTamini Soondrum0Xiang Wang1Feng Gao2Qian Liu3Jie Fan4Xiongzhao Zhu5Medical Psychological Center, The Second Xiangya Hospital of Central South University, Renmin Middle Road 139#, Furong District, Changsha 410011, ChinaMedical Psychological Center, The Second Xiangya Hospital of Central South University, Renmin Middle Road 139#, Furong District, Changsha 410011, ChinaMedical Psychological Center, The Second Xiangya Hospital of Central South University, Renmin Middle Road 139#, Furong District, Changsha 410011, ChinaMedical Psychological Center, The Second Xiangya Hospital of Central South University, Renmin Middle Road 139#, Furong District, Changsha 410011, ChinaMedical Psychological Center, The Second Xiangya Hospital of Central South University, Renmin Middle Road 139#, Furong District, Changsha 410011, ChinaMedical Psychological Center, The Second Xiangya Hospital of Central South University, Renmin Middle Road 139#, Furong District, Changsha 410011, ChinaBackground: Acceptance and commitment therapy (ACT), a third-generation cognitive behavioral therapy (CBT), has proved its efficacy amidst various mental disorders. A growing body of studies has shown that ACT can improve obsessive-compulsive disorder (OCD) severity in recent years. To assess the effect of ACT on OCD, we carried out a systematic review and meta-analysis to provide a basis for therapists to use different psychological dimensions of ACT for OCD. Methods: PubMed, the Cochrane Library, EMBASE, EBSCO Host, and literature references were searched until May 2021. Randomized controlled trials (RCTs) and other study designs assessing the effect of ACT among adults suffering from OCD were examined. Results: Fourteen studies, including 413 participants, published between 2010 and 2021 were identified. ACT made statistically significant progress in the Yale–Brown Obsessive–Compulsive Scale (YBOCS) compared with control conditions. Conclusion: After reviewing all the ACT studies, we acknowledge the plausibility of ACT in treating OCD and improving its symptoms for the clinical population. ACT can also be an adjunct therapy for other well-established treatments. It also favors targeting psychological inflexibility. Further well-controlled and high-quality RCTs are required for a better conclusion in further studies.https://www.mdpi.com/2076-3425/12/5/656obsessive–compulsive disorderacceptance and commitment therapypsychological inflexibilitymeta-analysissystematic review
spellingShingle Tamini Soondrum
Xiang Wang
Feng Gao
Qian Liu
Jie Fan
Xiongzhao Zhu
The Applicability of Acceptance and Commitment Therapy for Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis
Brain Sciences
obsessive–compulsive disorder
acceptance and commitment therapy
psychological inflexibility
meta-analysis
systematic review
title The Applicability of Acceptance and Commitment Therapy for Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis
title_full The Applicability of Acceptance and Commitment Therapy for Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis
title_fullStr The Applicability of Acceptance and Commitment Therapy for Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis
title_full_unstemmed The Applicability of Acceptance and Commitment Therapy for Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis
title_short The Applicability of Acceptance and Commitment Therapy for Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis
title_sort applicability of acceptance and commitment therapy for obsessive compulsive disorder a systematic review and meta analysis
topic obsessive–compulsive disorder
acceptance and commitment therapy
psychological inflexibility
meta-analysis
systematic review
url https://www.mdpi.com/2076-3425/12/5/656
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