Trastornos de ansiedad desde una perspectiva de la Terapia de Aceptación y Compromiso: Un estudio de reflexión

Autores/as

  • Nicolás Parra Bolaños Asociación Educar para el Desarrollo Humano, Laboratorio de Neurociencias y Educación, Buenos Aires, Argentina
  • Breno Omar Picardo Consultorio Clínico Privado, Arequipa, Perú
  • Luis Alfonso Velásquez CEMPED, Medellín, Colombia.
  • William Alonso Londoño Universidad de Antioquia, Medellín, Antioquia.

DOI:

https://doi.org/10.47185/27113760.v2n2.70

Palabras clave:

Terapia de Aceptación y Compromiso, Reflexión, Clínica, Psicología, Ansiedad

Resumen

La Terapia de Aceptación y Compromiso (ACT), es reconocida desde hace más de tres décadas como una de las más relevantes terapias basadas en la evidencia, por lo que ocupa un lugar privilegiado dentro de las llamadas terapias de tercera generación o tercera ola. El propósito de este articulo, más que hacer un meta-análisis estadístico o hacer un estudio clínico, es hacer un ejercicio de carácter reflexivo, puesto que los alcances de la Terapia de Aceptación y Compromiso se han extendido no solo a los ámbitos clínicos, experimentales y psicoterapéuticos, sino que han tenido un profundo impacto en la literatura cientifica de las terapias conductuales, cognitivas y contextualistas. El abordaje de los trastornos de ansiedad desde la Terapia de Aceptación y Compromiso ha demostrado una sólida y muy fuerte calidad en los datos obtenidos, por lo que es de las terapias con mayor efectividad para tratar la ansiedad, exhibiéndose como uno de los más eficaces tratamientos para toda la amplia gama de problemáticas que rodean a la ansiedad y trastornos asociados.

Citas

Apolinário-Hagen, J., Drüge, M., & Fritsche, L. (2020). Cognitive Behavioral Therapy, Mindful ness-Based Cognitive Therapy and Acceptance Commitment Therapy for Anxiety Disorders: Integrating Traditional with Digital Treatment Approaches. Advances in experimental medicine and biology, 1191, 291–329. https://doi.or g/10.1007/978-981-32-9705-0_17

Arch, J. J., & Mitchell, J. L. (2016). An Acceptance and Commitment Therapy (ACT) group intervention for cancer survivors experiencing anxiety at re-entry. Psycho-oncology, 25(5), 610–615. https://doi.org/10.1002/pon.3890

A-Tjak, J., Morina, N., Boendermaker, W. J., Topper, M., & Emmelkamp, P. (2020). Explicit and impli cit attachment and the outcomes of acceptance and commitment therapy and cognitive beha vioral therapy for depression. BMC psychiatry, 20(1), 155. https://doi.or g/10.1186/s12888-020-02547-7

Bluett, E. J., Homan, K. J., Morrison, K. L., Levin, M. E., & Twohig, M. P. (2014). Acceptance and com mitment therapy for anxiety and OCD spectrum disorders: an empirical review. Journal of anxiety disorders, 28(6), 612–624. https://doi.or g/10.1016/j.janxdis.2014.06.008

Chong, Y. Y., Mak, Y. W., Leung, S. P., Lam, S. Y., & Loke, A. Y. (2019). Acceptance and Commitment Therapy for Parental Management of Childhood Asthma: An RCT. Pediatrics, 143(2), e20181723. https://doi.org/10.1542/peds.2018-1723

Clarke, L. K., Osborne, M. S., & Baranoff, J. A. (2020). Examining a Group Acceptance and Commit ment Therapy Intervention for Music Perfor mance Anxiety in Student Vocalists. Frontiers in psychology, 11, 1127. https://doi.org/10.3389/- fpsyg.2020.01127

Coto-Lesmes, R., Fernández-Rodríguez, C., & Gonzá lez-Fernández, S. (2020). Acceptance and Com mitment Therapy in group format for anxiety and depression. A systematic review. Journal of affective disorders, 263, 107–120. https://- doi.org/10.1016/j.jad.2019.11.154

Davoudi, M., Omidi, A., Sehat, M., & Sepehrmanesh, Z. (2017). The Effects of Acceptance and Com mitment Therapy on Man Smokers' Comorbid Depression and Anxiety Symptoms and Smoking Cessation: A Randomized Controlled Trial. Addiction & health, 9(3), 129–138.

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 : the journal of the American Society for Experimental NeuroTherapeutics, 14(3), 546–553. https://doi.org/10.1007/s13311-017-0521-3

Dober, M., Mikocka-Walus, A., Evans, S., Beswick, L., Emerson, C., & Olive, L. (2021). Perspectives on an Acceptance and Commitment Therapy (ACT) based program for patients with inflammatory bowel disease and comorbid anxiety and/or depressive symptoms. Psychotherapy research : journal of the Society for Psychotherapy Research, 31(5), 668–681. https://doi.org/10.1080/10503307.2020.1813915

Eilenberg, T., Fink, P., Jensen, J. S., Rief, W., & Fros- tholm, L. (2016). Acceptance and commitment group therapy (ACT-G) for health anxiety: a randomized controlled trial. Psychological medi- cine, 46(1), 103–115. https://doi.org/10.1017/S0033291715001579

Eilenberg, T., Hoffmann, D., Jensen, J. S., & Fros- tholm, L. (2017). Intervening variables in group-based acceptance & commitment therapy for severe health anxiety. Behaviour research and therapy, 92, 24–31. https://doi.or- g/10.1016/j.brat.2017.01.009

Fernández-Rodríguez, C., González-Fernández, S., Coto-Lesmes, R., & Pedrosa, I. (2021). Behavioral Activation and Acceptance and Commitment Therapy in the Treatment of Anxiety and Depres- sion in Cancer Survivors: A Randomized Clinical Trial. Behavior modification, 45(5), 822–859. https://doi.org/10.1177/0145445520916441

González-Fernández, S., Fernández-Rodríguez, C., Paz-Caballero, M. D., & Pérez-Álvarez, M. (2018). Treating anxiety and depression of cancer survi- vors: Behavioral activation versus acceptance and commitment therapy. Psicothema, 30(1), 14–20. https://doi.org/10.7334/psicothema2017.396

Hancock, K. M., Swain, J., Hainsworth, C. J., Dixon, A. L., Koo, S., & Munro, K. (2018). Acceptance and Commitment Therapy versus Cognitive Behavior Therapy for Children With Anxiety: Outcomes of a Randomized Controlled Trial. Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Ado lescent Psychology, American Psychological Association, Division 53, 47(2), 296–311. https://doi.org/10.1080/15374416.2015.1110822

Hasheminasab, M., Babapour Kheiroddin, J., Mah mood Aliloo, M., & Fakhari, A. (2015). Acceptan ce and Commitment Therapy (ACT) For Generali zed Anxiety Disorder. Iranian journal of public health, 44(5), 718–719.

Herbert, M. S., Malaktaris, A. L., Dochat, C., Thomas, M. L., Wetherell, J. L., & Afari, N. (2019). Accep tance and Commitment Therapy for Chronic Pain: Does Post-traumatic Stress Disorder Influence Treatment Outcomes?. Pain medicine (Malden, Mass.), 20(9), 1728–1736. https://- doi.org/10.1093/pm/pny272

Heydari, M., Masafi, S., Jafari, M., Saadat, S. H., & Shahyad, S. (2018). Effectiveness of Acceptance and Commitment Therapy on Anxiety and Depression of Razi Psychiatric Center Staff. Open access Macedonian journal of medical sciences, 6(2), 410–415. https://doi.org/10.3889/oam jms.2018.064

Hoffmann, D., Rask, C. U., Hedman-Lagerlöf, E., Jensen, J. S., & Frostholm, L. (2021). Efficacy of internet-delivered acceptance and commitment therapy for severe health anxiety: results from a randomized, controlled trial. Psychological medi cine, 51(15), 2685–2695. https://doi.or g/10.1017/S0033291720001312

Hoffmann, D., Rask, C. U., Hedman-Lagerlöf, E., Ljóts son, B., & Frostholm, L. (2018). Development and Feasibility Testing of Internet-Delivered Acceptance and Commitment Therapy for Severe Health Anxiety: Pilot Study. JMIR mental health, 5(2), e28. https://doi.org/10.2196/men tal.9198

Hughes, L. S., Clark, J., Colclough, J. A., Dale, E., & McMillan, D. (2017). Acceptance and Commit ment Therapy (ACT) for Chronic Pain: A Systematic Review and Meta-Analyses. The Clinical jour nal of pain, 33(6), 552–568. https://doi.or g/10.1097/AJP.0000000000000425

Kelson, J., Rollin, A., Ridout, B., & Campbell, A. (2019). Internet-Delivered Acceptance and Com- mitment Therapy for Anxiety Treatment: Systematic Review. Journal of medical Internet research, 21(1), e12530. https://doi.org/10.2196/12530

Majumdar, S., & Morris, R. (2019). Brief group-based acceptance and commitment therapy for stroke survivors. The British journal of clinical psycholo- gy, 58(1), 70–90. https://doi.org/10.1111/b- jc.12198

Malmir, T., Jafari, H., Ramezanalzadeh, Z., & Heydari, J. (2017). Determining the Effectiveness of Acceptance and Commitment Therapy (ACT) on Life Expectancy and Anxiety Among Bereaved Patients. Materia socio-medica, 29(4), 242–246. https://doi.org/10.5455/msm.2017.29.242-246

Pankowski, S., Adler, M., Andersson, G., Lindefors, N., & Svanborg, C. (2017). Group acceptance and commitment therapy (ACT) for bipolar disorder and co-existing anxiety an open pilot study. Cognitive behaviour therapy, 46(2), 114–128. https://doi.org/10.1080/16506073.2016.1231218

Pohar, R., & Argáez, C. (2017). Acceptance and Com- mitment Therapy for Post-Traumatic Stress Disorder, Anxiety, and Depression: A Review of Clinical Effectiveness. Canadian Agency for Drugs and Technologies in Health.

Rauwenhoff, J., Peeters, F., Bol, Y., & Van Heugten, C. (2019). The BrainACT study: acceptance and commitment therapy for depressive and anxiety symptoms following acquired brain injury: study protocol for a randomized controlled trial. Trials, 20(1), 773. https://doi.org/10.1186/s13063-019-3952-9

Ruiz, F. J., Luciano, C., Flórez, C. L., Suárez-Falcón, J. C., & Cardona-Betancourt, V. (2020). A Multiple-Baseline Evaluation of Acceptance and Commitment Therapy Focused on Repetitive Negative Thinking for Comorbid Generalized Anxiety Disorder and Depression. Frontiers in psychology, 11, 356. https://doi.org/10.3389/- fpsyg.2020.00356

Ruiz, F. J., Peña-Vargas, A., Ramírez, E. S., Suárez-Fal cón, J. C., García-Martin, M. B., García-Beltrán, D. M., Henao, Á. M., Monroy-Cifuentes, A., & Sánchez, P. D. (2020). Efficacy of a two-session repetitive negative thinking-focused acceptance and commitment therapy (ACT) protocol for depression and generalized anxiety disorder: A randomized waitlist control trial. Psychotherapy (Chicago, Ill.), 57(3), 444–456. https://doi.org/10.1037/pst0000273

Sewart, A. R., Niles, A. N., Burklund, L. J., Saxbe, D. E., Lieberman, M. D., & Craske, M. G. (2019). Exami ning Positive and Negative Affect as Outcomes and Moderators of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy for Social Anxiety Disorder. Behavior therapy, 50(6), 1112–1124. https://doi.org/10.1016/j.be th.2019.07.001

Smith, B. M., Smith, G. S., & Dymond, S. (2020). Relapse of anxiety-related fear and avoidance: Conceptual analysis of treatment with acceptan ce and commitment therapy. Journal of the experimental analysis of behavior, 113(1), 87–104. https://doi.org/10.1002/jeab.573

Toghiani, Z., Ghasemi, F., & Samouei, R. (2019). The effectiveness of acceptance and commitment group therapy on social anxiety in female dormi tory residents in Isfahan university of medical sciences. Journal of education and health promotion, 8, 41. https://doi.org/10.4103/je hp.jehp_111_18

Twohig, M. P., & Levin, M. E. (2017). Acceptance and Commitment Therapy as a Treatment for Anxiety and Depression: A Review. The Psychiatric clinics of North America, 40(4), 751–770. https://doi.org/10.1016/j.psc.2017.08.009

Witlox, M., Kraaij, V., Garnefski, N., de Waal, M., Smit, F., Hoencamp, E., Gussekloo, J., Bohlmeijer, E. T., & Spinhoven, P. (2018). An Internet-based Acceptance and Commitment Therapy intervention for older adults with anxiety complaints: study protocol for a cluster randomized contro lled trial. Trials, 19(1), 502. https://doi.or g/10.1186/s13063-018-2731-3

Descargas

Publicado

2022-02-28

Cómo citar

Parra Bolaños, N., Picardo, B. O., Velásquez, L. A., & Londoño, W. A. (2022). Trastornos de ansiedad desde una perspectiva de la Terapia de Aceptación y Compromiso: Un estudio de reflexión. Revista Innovación Digital Y Desarrollo Sostenible - IDS, 2(2), 112 - 121. https://doi.org/10.47185/27113760.v2n2.70

Número

Sección

Reflexiones científicas