Treating inpatients with comorbid depression and alcohol use disorders: A comparison of acceptance and commitment therapy versus treatment as usual
Petersen, Connie L. ; Zettle, Robert D.
Petersen, Connie L.
Zettle, Robert D.
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2009
Type
Article
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Keywords
Acceptance and commitment therapy,Alcohol abuse,Comorbid disorders,Depression,Experiential avoidance,Human adults,Substance use
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Citation
Petersen, C.L., Zettle, R.D. Treating Inpatients With Comorbid Depression and Alcohol Use Disorders: A Comparison of Acceptance and Commitment Therapy Versus Treatment as Usual. Psychol Rec 59, 521–536 (2009). https://doi.org/10.1007/BF03395679
Abstract
Inpatients involuntarily committed to a chemical dependency unit and exhibiting a co-occurring depressive disorder received either individual sessions of acceptance and commitment therapy (ACT) or treatment as usual (TAU) within the context of an ongoing 12-step program. Results indicated significant, but equivalent, reductions in levels of depression for both treatment conditions. However, participants randomly assigned to receive ACT (n = 12) required a shorter treatment phase and smaller dose of individual therapy to meet criteria for discharge compared to their TAU counterparts (n = 12). As expected, an analysis of the therapeutic process suggested that a differential reduction in levels of experiential avoidance associated with ACT may have contributed to its apparent relatively greater therapeutic impact. Limitations of the study, as well as its possible implications for the treatment of comorbid depression and alcohol use disorders in particular, and of co-occurring presenting clinical problems in general, are discussed.
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This is an open access article under the CC BY license.
Publisher
Springer Nature
Journal
Psychological Record
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ISSN
00332933
