接纳承诺疗法在焦虑障碍治疗中的应用
Application of Acceptance and Commitment Therapy in the Treatment of Anxiety Disorder
DOI: 10.12677/AP.2022.1210411, PDF,   
作者: 王 淼：武汉大学发展与教育心理学研究所，湖北 武汉；肖劲松：武汉大学中南医院，湖北 武汉
关键词: 接纳承诺疗法；焦虑障碍；应用；Acceptance and Commitment Therapy； Anxiety Disorder； Application
摘要: 焦虑障碍是当今快节奏和高压力社会下常见的心理疾病之一，我国的患病率已达4.98%。ACT是一种新兴的认知行为疗法，能改善患者的心理灵活性。本文首先概述了接纳承诺疗法(ACT)的理论依据和病理模型，分析了焦虑障碍的特征与常见治疗方法的局限。其次，探讨了ACT在焦虑障碍中的应用、优势和治疗效应，以期帮助焦虑障碍患者缓解焦虑情绪，提高心理健康水平，为治疗焦虑障碍提供新的思路。最后，本文提出了当前研究的不足以及未来研究的展望。
Abstract: Anxiety disorder is one of the common psychological diseases in today’s fast-paced and high-pressure society, and the prevalence of anxiety disorder in China has reached 4.98%. ACT is an emerging cognitive behavioral therapy that improves psychological flexibility in patients. This paper first summarizes the theoretical basis and pathological model of acceptance commitment therapy (ACT), analyzes the characteristics of anxiety disorders and the limitations of common treatment methods. Secondly, the application, advantages and therapeutic effects of ACT in anxiety disorders were discussed, in order to help patients with anxiety disorders relieve their anxiety, improve their mental health, and provide new ideas for the treatment of anxiety disorders. Finally, the shortcomings of current research and the prospect of future research are pointed out.
文章引用：王淼, 肖劲松 (2022). 接纳承诺疗法在焦虑障碍治疗中的应用. 心理学进展, 12(10), 3382-3388. https://doi.org/10.12677/AP.2022.1210411

参考文献

[1] 曾祥龙, 刘翔平, 于是(2011). 接纳与承诺疗法的理论背景、实证研究与未来发展. 心理科学进展, 19(7), 1020-1026.
[2] 陈盈, 胡茂荣, 何厚建等(2017). 接纳承诺疗法在青少年心理健康促进中的应用与展望. 医学与哲学, 38(20), 70-73.
[3] 陈卓, 祝卓宏(2019). 接纳承诺疗法在抑郁症治疗中的应用综述. 中国心理卫生杂志, 33(9), 679-683.
[4] 胡央儿(2014). 认知行为治疗38例焦虑症患者的临床分析. 现代实用医学, 26(12), 1487-1488.
[5] 迈克尔•弗斯特(2016). DSM-5鉴别诊断手册(张小梅, 张道龙, 译, pp. 223-267). 北京大学出版社.
[6] 王敬, 何厚健, 胡茂荣(2016). 接纳与承诺疗法的功能性语境主义解读. 医学与哲学, 37(15), 43-45.
[7] 武琦, 张晓娟(2017). 接纳与承诺疗法联合抗焦虑药物治疗广泛性焦虑症的临床研究. 卫生职业教育, 35(18), 140-142.
[8] 许熙虎, 崔云龙, 曹静, 祝卓宏(2018). 大学生经验性回避、认知融合及正念与焦虑抑郁关系. 中国公共卫生, 34(5), 741-744.
[9] 张慧, 黄剑波(2017). 焦虑、恐惧与这个时代的日常生活. 西南民族大学学报(人文社科版), 38(9), 6-12.
[10] 张婍, 王淑娟, 祝卓宏(2012). 接纳与承诺疗法的心理病理模型和治疗模式. 中国心理卫生杂志, 26(5), 377-381.
[11] Atjak, J. G., Davis, M. L., Morina, N. et al. (2015). A Meta-Analysis of the Efficacy of Acceptance and Commitment Therapy for Clinically Relevant Mental and Physical Health Problems. Psychotherapy and Psychosomatics, 84, 30-36.[CrossRef] [PubMed]
[12] Bandelow, B. (2020). Current and Novel Psychopharmacological Drugs for Anxiety Disorders. Advances in Experimental Medicine and Biology, 1191, 347-365.[CrossRef] [PubMed]
[13] Brown, K. W., & Ryan, R. M. (2003). The Benefits of Being Present: Mindfulness and Its Role in Psychological Well-Being. Journal of Personality and Social Psychology, 84, 822-848.[CrossRef] [PubMed]
[14] Craske Michelle, G., Niles Andrea, N. et al. (2014). Randomized Controlled Trial of Cognitive Behavioral Therapy and Acceptance and Commitment Therapy for Social Phobia: Outcomes and Moderators. Journal of Consulting and Clinical Psychology, 82, 1034-1048.[CrossRef] [PubMed]
[15] Cullinan, C. C., & Gaynor, S. T. (2014). Treatment of Agoraphobia in a Pregnant Woman: A Combination of Exposure and Acceptance and Commitment Therapy. Clinical Case Studies, 14, 98-114.[CrossRef] 
[16] Gloster, A. T., Sonntag, R., Hoyer, J. et al. (2015). Treating Treatment-Resistant Patients with Panic Disorder and Agoraphobia Using Psycho-Therapy: A Randomized Controlled Switching Trial. Psychotherapy and Psychosomatics, 84, 100-109.[CrossRef] [PubMed]
[17] Hadiyan, N. M., & Kazemi, M. (2018). Effectiveness of Acceptance and Commitment Therapy (ACT) on Generalized Anxiety Disorder in Children with Type 1 Diabetes. Journal of Gorgan University of Medical Sciences, 25, 185-198.[CrossRef] 
[18] Harris, R. (2016). ACT, 就这么简单! 接纳承诺疗法简明实操手册(祝卓宏, 张婍, 曹慧, 等, 译, 11th ed., pp. 269-290). 机械工业出版社.
[19] Hayes, S. C., Pistorello, J., & Levin, M. E. (2012). Acceptance and Commitment Therapy as a Unified Model of Behavior Change. Counseling Psychologist, 40, 976-1002.[CrossRef] 
[20] Hayes, S. C., Luoma, J. B., Bond, F. W. et al. (2006). Acceptance and Commitment Therapy: Model, Processes and Outcomes. Behaviour Research and Therapy, 44, 1-25.[CrossRef] [PubMed]
[21] Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change (pp. 1-8). Guilford Press.
[22] Hayes, S. C., & Strosahl, K. D. (2004). A Practical Guide to Acceptance and Commitment Therapy (pp. 396-399). Springer US.[CrossRef] 
[23] Hayes, S. C. (2005). Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies. Behavior Therapy, 35, 639-665.[CrossRef] 
[24] Lipsker, C. W., & Morén, K. (2015). Comparing Acceptance & Commitment Therapy and traditional CBT for Social Anxiety Disorder. Uppsala University.
[25] Mclean, C., & Follette, V. M. (2016). Acceptance and Commitment Therapy as a Nonpathologizing Intervention Approach for Survivors of Trauma. Journal of Trauma & Dissociation, 17, 138-150.[CrossRef] [PubMed]
[26] Meuret, A. E., Twohig, M. P., Rosenfield, D. et al. (2012). Brief Acceptance and Commitment Therapy and Exposure for Panic Disorder: A Pilot Study. Cognitive and Behavioral Practice, 19, 606-618.[CrossRef] 
[27] Sturmey, P., & Hersen, M. (2012). Handbook of Evidence-Based Practice in Clinical Psychology (pp. 243-256). John Wiley & Sons.[CrossRef] 
[28] Su, H., Jiang, K. D., & Xu, Y. F. (2010). 5-Serotonin and Norepinephrine Reuptake Inhibitor Is First Line Drug for Anxiety Disorder. Chinese Journal of New Drugs and Clinical Remedies, 29, 264-269.
[29] Twohig, M. P., & Levin, M. E. (2017). Acceptance and Commitment Therapy as a Treatment for Anxiety and Depression: A Review. Psychiatric Clinics of North America, 40, 751-770.[CrossRef] [PubMed]
[30] Villatte, M., Vilatte, J., & Hayse, S. C. (2015). Mastering the Clinical Conversation: Language as Intervention (pp. 1-5). Guilford Publications.
[31] Witlox, M., Kraaij, V. et al. (2022). Cost-Effectiveness and Cost-Utility of an Acceptance and Commitment Therapy Intervention vs. a Cognitive Behavioral Therapy Intervention for Older Adults with Anxiety Symptoms: A Randomized Controlled Trial. PLOS ONE, 17, e0262220.[CrossRef] [PubMed]
[32] World Health Organization (2017). Depression and Other Common Mental Disorders: Global Health Estimates. World Health Organization.
[33] Zhang, H. Y., & Li, Y. Z. (2005). Tandospirone, an Emerging Drugs for the Treatment of General Anxiety Disorders. Clinical Medicine Journal, 3, 53-57.