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Acta Psychologica Sinica    2019, Vol. 51 Issue (6) : 662-676     DOI: 10.3724/SP.J.1041.2019.00662
Reports of Empirical Studies |
Mechanisms of the Acceptance and Commitment Therapy: A meta-analytic structural equation model
REN Zhihong1,ZHAO Chunxiao1,BIAN Cheng2,ZHU Wenzhen3,JIANG Guangrong1,ZHU Zhuohong4()
1 Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education; School of Psychology, Central China Normal University; Key Laboratory of Human Development and Mental Health of Hubei Province, Wuhan 430079, China
2 State Key Laboratory of Cognitive Neuroscience and Learning, IDG/McGovern Institution for Brain Research, Beijing Normal University, Beijing, 100875, China
3 University of North Texas, Texas, 76203, United State
4 Institute of Psychology, Chinese Academy of Sciences; The Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
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Abstract  

Following the Behavioral Therapy and the Cognitive-Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT) is considered as one of the third wave of behavioral therapies. ACT is based on the relational frame theory, and its therapeutic model includes 6 components (i.e., acceptance, cognitive defusion, self-as-context, committed action, contact with the present moment, values) and psychological flexibility. What is the empirical evidence for these hypothesized components or mechanisms? In recent years, integrating meta-analysis and structural equation modeling, the meta-analytic structural equation model (MASEM) has made it possible to systematically examine the mechanisms of psychotherapy. Compared to the traditional single randomized controlled trial (RCT) studies, the MASEM combines multiple samples to increase statistical power and obtain more robust model estimates. The current study utilized two-stage structural equation modeling (TSSEM) to examine three aspects of the mechanisms of ACT, including: (1) the mediational effects of psychological flexibility and the 6 components, (2) the unique mechanisms of ACT compared to CBT, and (3) the generalizability of these mechanisms to internet-based ACT interventions.

Studies were identified by searching Web of science, PsycARTICLES, PsycINFO, Pubmed, Elsevier, EBSCO, Wiley Online Library from the first available date until November, 2017. We used the search term Acceptance and Commitment Therapy combined with acceptance, cognitive defusion, self-as-context, committed action, contact with the present moment, values, or psychological flexibility. Selection criteria included: (1) adult sample (age > 18), (2) RCT or quasi-experimental design, which measured pre-post change with ACT interventions, (3) quantitative measures of psychological outcomes (clinical or non-clinical) before and after treatment, and (4) quantitative measures of mediational variables at pre and post treatment. Excluding criteria were (1) not having a control group, (2) mixed intervention studies, which integrated ACT with other interventions, or included the Acceptance component but not the complete ACT model, or used CBT with the Acceptance component, and (3) medication treatment as the control group. The metaSEM package in R was used for the TSSEM analysis to examine the mechanisms of ACT.

The literature search resulted in 50 studies, involving issues such as pain disorder, personality disorder, depression, anxiety, substance abuse, and work-related burnout among healthy populations. Most studies examined psychological flexibility (k = 39), followed by contact with the present moment (k = 14), acceptance (k = 6), cognitive defusion (k = 9), and values (k = 5), whereas the studies of self-as-context (k = 1) and committed action (k = 1) were excluded from further MASEM analysis due to a low number of publications. Results indicated that (1) the mediational effects of psychological flexibility, acceptance, contact with the present moment, and values were significant, while the effects of cognitive defusion were not significant, (2) the mechanisms of ACT are evident in internet-based interventions, suggesting the generalizability of these mechanisms, and (3) compared to the traditional CBT, the hypothesized mechanisms of ACT have their unique advantages.

Implications for future studies: (1) measure all 6 core mechanisms as comprehensively as possible; (2) focus more on the increase of wellbeing as opposed to improvement of symptoms; (3) use RCT based multiple measurements combined with the experience sampling method; and (4) apply more advanced statistical methods in addition to the traditional mediation statistics.

Keywords acceptance and commitment therapy      meta-analytic structural equation model      mechanism      mediational study      cognitive-behavior therapy     
ZTFLH:  R395  
Corresponding Authors: Zhuohong ZHU     E-mail: zhuzh@psych.ac.cn
Issue Date: 25 April 2019
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Zhihong REN
Chunxiao ZHAO
Cheng BIAN
Wenzhen ZHU
Guangrong JIANG
Zhuohong ZHU
Cite this article:   
Zhihong REN,Chunxiao ZHAO,Cheng BIAN, et al. Mechanisms of the Acceptance and Commitment Therapy: A meta-analytic structural equation model[J]. Acta Psychologica Sinica, 2019, 51(6): 662-676.
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http://journal.psych.ac.cn/xlxb/EN/10.3724/SP.J.1041.2019.00662     OR     http://journal.psych.ac.cn/xlxb/EN/Y2019/V51/I6/662
  
  
  
  
[1] Aderka I. M., Nickerson A., Bøe H. J., & Hofmann S. G . ( 2012). Sudden gains during psychological treatments of anxiety and depression: A meta-analysis. Journal of Consulting and Clinical Psychology, 80( 1), 93-101.
pmid: 22122290 url: http://doi.apa.org/getdoi.cfm?doi=10.1037/a0026455
[2] Alonso-Fernández M., López-López A., Losada A., González J. L., & Wetherell J. L . ( 2013). Acceptance and commitment therapy and selective optimization with compensation for institutionalized older people with chronic pain: A pilot study. Pain Medicine, 17( 2), 264-277.
pmid: 26304771 url: http://www.ncbi.nlm.nih.gov/pubmed/26304771
[3] Alsubaie M., Abbott R., Dunn B., Dickens C., Keil T. F., Henley W., & Kuyken W . ( 2017). Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and/or psychological conditions: A systematic review. Clinical Psychology Review, 55, 74-91.
url: https://linkinghub.elsevier.com/retrieve/pii/S0272735816302963
[4] Arch J. J., Eifert G. H., Davies C., Vilardaga J. C. P., Rose R. D., & Craske M. G . ( 2012). Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 80( 5), 750-765.
pmid: 22563639 url: http://doi.apa.org/getdoi.cfm?doi=10.1037/a0028310
[5] Assaz D. A., Roche B., Kanter J. W., & Oshiro, C. K. B .( 2018). Cognitive defusion in acceptance and commitment therapy: What are the basic processes of change. The Psychological Record, 68( 4), 405-418.
[6] A-Tjak J. G. L., Davis M. L., Morina N., Powers M. B., Smits J. A. J .,& Emmelkamp, P. M. G. ( 2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84( 1), 30-36.
pmid: 25547522 url: https://www.karger.com/Article/FullText/365764
[7] Avdagic E., Morrissey S. A., & Boschen M. J . ( 2014). A randomised controlled trial of acceptance and commitment therapy and cognitive-behaviour therapy for generalised anxiety disorder. Behaviour Change, 31( 2), 110-130.
url: https://www.cambridge.org/core/product/identifier/S0813483914000059/type/journal_article
[8] Baron R. M., & Kenny D. A . ( 1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51( 6), 1173-1182.
url: http://doi.apa.org/getdoi.cfm?doi=10.1037/0022-3514.51.6.1173
[9] Beck A. T . ( 1993). Cognitive therapy: Past, present, and future. Journal of Consulting and Clinical Psychology, 61( 2), 194-198.
pmid: 8473571 url: http://doi.apa.org/getdoi.cfm?doi=10.1037/0022-006X.61.2.194
[10] Black J. J., & Chung T. , ( 2014). Mechanisms of change in adolescent substance use treatment: How does treatment work?. Substance Abuse, 35( 4), 344-351.
pmid: 4257904 url: http://www.tandfonline.com/doi/abs/10.1080/08897077.2014.925029
[11] Bluett E. J., Homan K. J., Morrison K. L., Levin M. E., & Twohig M. P . ( 2014). Acceptance and commitment therapy for anxiety and OCD spectrum disorders: An empirical review. Journal of Anxiety Disorders, 28( 6), 612-624.
pmid: 25041735 url: https://linkinghub.elsevier.com/retrieve/pii/S0887618514000917
[12] Bond F. W., Hayes S. C., Baer R. A., Carpenter K. M., Guenole N., Orcutt H. K., … Zettle R. D . ( 2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42( 4), 676-688.
pmid: 22035996 url: https://linkinghub.elsevier.com/retrieve/pii/S0005789411000888
[13] Cheung M. L., & Chan W. , ( 2005). Meta-analytic structural equation modeling: A two stage approach. Psychological Methods, 10( 1), 40-64.
pmid: 15810868 url: http://doi.apa.org/getdoi.cfm?doi=10.1037/1082-989X.10.1.40
[14] Cheung M. W. L . ( 2014). Fixed- and random-effects meta-analytic structural equation modeling: Examples and analyses in R. Behavior Research Methods, 46( 1), 29-40.
pmid: 23807765 url: http://link.springer.com/10.3758/s13428-013-0361-y
[15] Cheung M. W. L . ( 2015). Meta-Analysis: A structural equation modeling approach. Chichester, West Sussex, UK: John Wiley & Sons.
[16] Clarke S., Kingston J., James K., Bolderston H., & Remington B . ( 2014). Acceptance and commitment therapy group for treatment-resistant participants: A randomized controlled trial. Journal of Contextual Behavioral Science, 3( 3), 179-188.
url: https://linkinghub.elsevier.com/retrieve/pii/S2212144714000295
[17] Clarke S., Taylor G., Lancaster J., & Remington B . ( 2015). Acceptance and commitment therapy-based self-management versus psychoeducation training for staff caring for clients with a personality disorder: A randomized controlled trial. Journal of Personality Disorders, 29( 2), 163-176.
pmid: 24963830 url: http://guilfordjournals.com/doi/10.1521/pedi_2014_28_149
[18] Cohen J. Jr . ( 1988): Statistical power analysis for the behavioral sciences.(2nd Edition.). Hillsdale, NJ: Erlbaum.
[19] Dimidjian S., Arch J. J., Schneider R. L., Desormeau P., Felder J. N., & Segal Z. V . ( 2016). Considering meta-analysis, meaning, and metaphor: A systematic review and critical examination of “Third Wave” cognitive and behavioral therapies. Behavior Therapy, 47( 6), 886-905.
pmid: 27993339 url: https://linkinghub.elsevier.com/retrieve/pii/S000578941630048X
[20] Eilenberg T., Hoffmann D., Jensen J. S., & Frostholm L . ( 2017). Intervening variables in group-based acceptance & commitment therapy for severe health anxiety. Behaviour Research and Therapy, 92, 24-31.
url: https://linkinghub.elsevier.com/retrieve/pii/S0005796717300165
[21] Eustis E. H., Hayes-Skelton S. A., Roemer L., & Orsillo S. M . ( 2016). Reductions in experiential avoidance as a mediator of change in symptom outcome and quality of life in acceptance-based behavior therapy and applied relaxation for generalized anxiety disorder. Behaviour Research and Therapy, 87, 188-195.
pmid: 27718414 url: https://linkinghub.elsevier.com/retrieve/pii/S0005796716301693
[22] Faul F., Erdfelder E., Lang A. G., & Buchner A . ( 2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39( 2), 175-191.
url: http://www.springerlink.com/index/10.3758/BF03193146
[23] Forman E. M., Chapman J. E., Herbert J. D., Goetter E. M., Yuen E. K., & Moitra E . ( 2012). Using session-by-session measurement to compare mechanisms of action for acceptance and commitment therapy and cognitive therapy. Behavior Therapy, 43( 2), 341-354.
pmid: 22440070 url: https://linkinghub.elsevier.com/retrieve/pii/S0005789411001122
[24] Forman E. M., Herbert J. D., Moitra E., Yeomans P. D., & Geller P. A . ( 2007). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior Modification, 31( 6), 772-799.
pmid: 17932235 url: http://journals.sagepub.com/doi/10.1177/0145445507302202
[25] Francis A. W., Dawson D. L., & Golijani-Moghaddam N . ( 2016). The development and validation of the comprehensive assessment of acceptance and commitment therapy processes (CompACT). Journal of Contextual Behavioral Science, 5( 3), 134-145.
url: https://linkinghub.elsevier.com/retrieve/pii/S2212144716300229
[26] Grimm K. J., Ram N. ,& Estabrook, R.( 2017). Growth modeling: Structural equation and multilevel modeling approaches. New York, NY: The Guilford Press Structural equation and multilevel modeling approaches.
[27] Gu J., Strauss C., Bond R., & Cavanagh K . ( 2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1-12.
url: https://linkinghub.elsevier.com/retrieve/pii/S0272735815000197
[28] Gumley A., White R., Briggs A., Ford I., Barry S., Stewart C., … McLeod H . ( 2017). A parallel group randomised open blinded evaluation of acceptance and commitment therapy for depression after psychosis: Pilot trial outcomes (ADAPT). Schizophrenia Research, 183, 143-150.
url: https://linkinghub.elsevier.com/retrieve/pii/S0920996416305199
[29] Hacker T., Stone P., & MacBeth A . ( 2016). Acceptance and commitment therapy-Do we know enough? Cumulative and sequential meta-analyses of randomized controlled trials. Journal of Affective Disorders, 190, 551-565.
url: https://linkinghub.elsevier.com/retrieve/pii/S0165032715303657
[30] Hancock K., & Swain J. , ( 2016). Long term follow up in children with anxiety disorders treated with acceptance and commitment therapy or cognitive behavioral therapy: Outcomes and predictors. Journal of Child and Adolescent Behavior, 4( 5), 317-329.
[31] Hancock K. M., Swain J., Hainsworth C. J., Dixon A. L., Koo S., & Munro K . ( 2016). 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, 47( 2), 296-311.
pmid: 26998803 url: http://europepmc.org/abstract/MED/26998803
[32] Hayes S. C. ( 2004).Acceptance and commitment therapy and the new behavior therapies: Mindfulness, acceptance, and relationship. New York, NY: The Guilford Press.
url: http://psycnet.apa.org/psycinfo/2005-02461-001
[33] Hayes S. C., Luoma J. B., Bond F. W., Masuda A., & Lillis J . ( 2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44( 1), 1-25.
pmid: 16300724 url: https://linkinghub.elsevier.com/retrieve/pii/S0005796705002147
[34] Hayes S. C., Villatte M., Levin M., & Hildebrandt M . ( 2011). Open, aware, and active: Contextual approaches as an emerging trend in the behavioral and cognitive therapies. Annual Review of Clinical Psychology, 7, 141-168.
pmid: 21219193 url: http://www.annualreviews.org/doi/10.1146/annurev-clinpsy-032210-104449
[35] Hektner J. M., Schmidt J. A., & Csikszentmihalyi M . ( 2007). Experience sampling method: Measuring the quality of everyday life. Thousand Oaks, CA: Sage.
[36] Higgins J. P. T., & Thompson S. G . ( 2002). Quantifying heterogeneity in a meta-analysis. Statistics in Medicine, 21( 11), 1539-1558.
url: http://doi.wiley.com/10.1002/%28ISSN%291097-0258
[37] Hofmann S. G., & Asmundson G. J. G . ( 2008). Acceptance and mindfulness-based therapy: New wave or old hat? Clinical Psychology Review, 28( 1), 1-16.
pmid: 17904260 url: https://linkinghub.elsevier.com/retrieve/pii/S0272735807001584
[38] Johnston M., Foster M., Shennan J., Starkey N. J., & Johnson A . ( 2010). The effectiveness of an acceptance and commitment therapy self-help intervention for chronic pain. Clinical Journal of Pain, 26( 5), 393-402.
pmid: 20473046 url: https://insights.ovid.com/crossref?an=00002508-201006000-00006
[39] Juarascio A., Shaw J., Forman E., Timko C. A., Herbert J., Butryn M., … Lowe M . ( 2013). Acceptance and commitment therapy as a novel treatment for eating disorders: An initial test of efficacy and mediation. Behavior Modification, 37( 4), 459-489.
url: http://journals.sagepub.com/doi/10.1177/0145445513478633
[40] Kazdin A. E . ( 2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3( 1), 1-27.
url: http://www.annualreviews.org/doi/10.1146/annurev.clinpsy.3.022806.091432
[41] Kemani M. K., Hesser H., Olsson G. L., Lekander M., & Wicksell R. K . ( 2016). Processes of change in acceptance and commitment therapy and applied relaxation for long-standing pain. European Journal of Pain, 20( 4), 521-531.
pmid: 26684472 url: http://doi.wiley.com/10.1002/ejp.754
[42] Keyes C. L. M., Shmotkin D., & Ryff C. D . ( 2002). Optimizing well-being: The empirical encounter of two traditions. Journal of Personality and Social Psychology, 82( 6), 1007-1022.
pmid: 12051575 url: http://doi.apa.org/getdoi.cfm?doi=10.1037/0022-3514.82.6.1007
[43] Lang A. J., Schnurr P. P., Jain S., He F., Walser R. D., Bolton E., .. Strauss J . ( 2017). Randomized controlled trial of acceptance and commitment therapy for distress and Impairment in OEF/OIF/OND veterans. Psychological Trauma: Theory, Research, Practice, and Policy, 9( S1), 74-84.
url: http://doi.apa.org/getdoi.cfm?doi=10.1037/tra0000127
[44] Lappalainen P., Langrial S., Oinas-Kukkonen H., Tolvanen A., & Lappalainen R . ( 2015). Web-based acceptance and commitment therapy for depressive symptoms with minimal support: A randomized controlled trial. Behavior Modification, 39( 6), 805-834.
url: http://journals.sagepub.com/doi/10.1177/0145445515598142
[45] Larsson A., Hooper N., Osborne L. A., Bennett P., & McHugh L . ( 2016). Using brief cognitive restructuring and cognitive defusion techniques to cope with negative thoughts. Behavior Modification, 40( 3), 452-482.
pmid: 26685210 url: http://journals.sagepub.com/doi/10.1177/0145445515621488
[46] Lemmens L. H. J. M., Müller, V. N. L. S., Arntz A & Huibers, M. J. H. .,( 2016). Mechanisms of change in psychotherapy for depression: An empirical update and evaluation of research aimed at identifying psychological mediators. Clinical Psychology Review, 50, 95-107.
pmid: 27770716 url: https://linkinghub.elsevier.com/retrieve/pii/S0272735815300064
[47] Levin M. E., Haeger J., Pierce B., & Cruz R. A . ( 2017a). Evaluating an adjunctive mobile app to enhance psychological flexibility in acceptance and commitment therapy. Behavior Modification, 41( 6), 846-867.
pmid: 28689449 url: http://journals.sagepub.com/doi/10.1177/0145445517719661
[48] Levin M. E., Haeger J. A., Pierce B. G., & Twohig M. P . ( 2017b). Web-based acceptance and commitment therapy for mental health problems in college students: A randomized controlled trial. Behavior Modification, 41( 1), 141-162.
url: http://journals.sagepub.com/doi/10.1177/0145445516659645
[49] Levin M. E., Hayes S. C., Pistorello J., & Seeley J. R . ( 2016). Web-based self-help for preventing mental health problems in universities: Comparing acceptance and commitment training to mental health education. Journal of Clinical Psychology, 72( 3), 207-225.
pmid: 26784010 url: http://doi.wiley.com/10.1002/jclp.2016.72.issue-3
[50] Levin M. E., Pistorello J., Seeley J. R., & Hayes S. C . ( 2014). Feasibility of a prototype web-based acceptance and commitment therapy prevention program for college students. Journal of American College Health, 62( 1), 20-30.
pmid: 24313693 url: http://www.tandfonline.com/doi/abs/10.1080/07448481.2013.843533
[51] Lipsey M. W., & Wilson, D. B . ( 2001). Practical meta-analysis. Applied social research methods series. Thousand Oaks, CA: Sage.
[52] Lloyd J., Bond F. W., & Flaxman P. E . ( 2013). The value of psychological flexibility: Examining psychological mechanisms underpinning a cognitive behavioural therapy intervention for burnout. Work and Stress, 27( 2), 181-199.
url: http://www.tandfonline.com/doi/abs/10.1080/02678373.2013.782157
[53] Longwell B. T., & Truax P. , ( 2005). The differential effects of weekly, monthly, and bimonthly administrations of the beck depression inventory-II: Psychometric properties and clinical implications. Behavior Therapy, 36( 3), 265-275.
url: https://linkinghub.elsevier.com/retrieve/pii/S0005789405800759
[54] Luciano J. V., Guallar J. A., Aguado J., Lopez-del-Hoyo Y., Olivan B., Magallon R., … Garcia-Campayo J . ( 2014). Effectiveness of group acceptance and commitment therapy for fibromyalgia: A 6-month randomized controlled trial (EFFIGACT study). Pain, 155( 4), 693-702.
pmid: 24378880 url: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00006396-201404000-00009
[55] MacKinnon D. P., Fairchild A. J., & Fritz M. S . ( 2007). Mediation analysis. Annual Review of Psychology, 58( 1), 593-614.
url: http://www.annualreviews.org/doi/10.1146/annurev.psych.58.110405.085542
[56] Millstein D. J., Orsillo S. M., Hayes-Skelton S. A., & Roemer L . ( 2015). Interpersonal problems, mindfulness, and therapy outcome in an acceptance-based behavior therapy for generalized anxiety disorder. Cognitive Behaviour Therapy, 44( 6), 491-501.
pmid: 26228536 url: http://www.tandfonline.com/doi/full/10.1080/16506073.2015.1060255
[57] Montazemi A. R., & Qahri-Saremi H. ,( 2015). Factors affecting adoption of online banking: A meta-analytic structural equation modeling study. Information and Management, 52( 2), 210-226.
url: https://linkinghub.elsevier.com/retrieve/pii/S0378720614001360
[58] Morris S. B . ( 2008). Estimating effect sizes from pretest-posttest-control group designs. Organizational Research Methods, 11( 2), 364-386.
url: http://journals.sagepub.com/doi/10.1177/1094428106291059
[59] Öst L. G . ( 2008). Efficacy of the third wave of behavioral therapies: A systematic review and meta-analysis. Behaviour Research and Therapy, 46( 3), 296-321
pmid: 18258216 url: https://linkinghub.elsevier.com/retrieve/pii/S000579670700246X
[60] Öst L. G . ( 2014). The efficacy of acceptance and commitment therapy: An updated systematic review and meta-analysis. Behaviour Research and Therapy, 61, 105-121.
pmid: 25193001 url: https://linkinghub.elsevier.com/retrieve/pii/S0005796714001211
[61] Orwin R. G . ( 1994). Evaluating coding decisions. In H. Cooper., & L. V. Hedges (Eds.), The handbook of research synthesis(pp. 139-162). New York, NY, US: Russel Sage Foundation.
[62] Powers M. B Vörding, M. B. Z. V. S., & Emmelkamp, P. M. G. ., (2009). Acceptance and commitment therapy: A meta-analytic review. Psychotherapy and Psychosomatics, 78( 2), 73-80.
url: https://www.karger.com/Article/FullText/190790
[63] Preacher K. J., & Hayes A. F . ( 2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40( 3), 879-891.
url: http://www.springerlink.com/index/10.3758/BRM.40.3.879
[64] Ren Z. H., Li X. Y., Zhao, L. B, Yu, X. L., Li Z. H Lai, L. Z, .. Jiang, G. R. ., (2016). Effectiveness and mechanism of internet-based self-help intervention for depression: The Chinese version of MoodGYM. Acta Psychologica Sinica, 48( 7), 818-832.
url: http://d.wanfangdata.com.cn/Periodical/xlxb201607006
[64] [ 任志洪, 李献云, 赵陵波, 余香莲, 李政汉, 赖丽足 … 江光荣. , (2016). 抑郁症网络化自助干预的效果及作用机制——以汉化MoodGYM为例. 心理学报, 48( 7), 818-832.]
url: http://d.wanfangdata.com.cn/Periodical/xlxb201607006
[65] Rost A. D., Wilson K., Buchanan E., Hildebrandt M. J., & Mutch D . ( 2012). Improving psychological adjustment among late-stage ovarian cancer patient: Examining the role of avoidance in treatment. Cognitive and Behavioral Practice, 19( 4), 508-517.
url: https://linkinghub.elsevier.com/retrieve/pii/S1077722912000132
[66] Rothstein H., Sutton A. J., & Borenstein M . ( 2005). Publication bias in meta-analysis: Prevention, assessment and adjustments. Chichester, West Sussex, UK: John Wiley & Sons.
[67] Ruiz F. J . ( 2012). Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis of current empirical evidence. International Journal of Psychology and Psychological Therapy, 12( 3), 333-357.
url: http://psycnet.apa.org/record/2012-27684-002
[68] Schmidt F. L., & Hunter J. E ., ( 2015). Methods of meta-analysis: Correcting error and bias in research findings (3rd ed.). Los Angeles, CA: Sage.
[69] Stafford-Brown J., & Pakenham K. I . ( 2012). The effectiveness of an act informed intervention for managing stress and improving therapist qualities in clinical psychology trainees. Journal of Clinical Psychology, 68( 6), 592-513.
url: http://doi.wiley.com/10.1002/jclp.2012.68.issue-6
[70] Swain J., Hancock K., Hainsworth C., & Bowman J . ( 2015). Mechanisms of change: Exploratory outcomes from a randomised controlled trial of acceptance and commitment therapy for anxious adolescents. Journal of Contextual Behavioral Science, 4( 1), 56-67.
url: https://linkinghub.elsevier.com/retrieve/pii/S221214471400074X
[71] Takahashi M., Muto T., Tada M., & Sugiyama M . ( 2002). Acceptance rationale and increasing pain tolerance: Acceptance-based and Fear-based practice. Japanese Journal of Behavior Therapy and Experimental Psychiatry, 28, 35-46.
[72] Trompetter H. R., Bohlmeijer E. T., Veehof M. M & Schreurs, K. M. G. .,(2015). Internet-based guided self-help intervention for chronic pain based on acceptance and commitment therapy: A randomized controlled trial. Journal of Behavioral Medicine, 38( 1), 66-80.
url: http://link.springer.com/10.1007/s10865-014-9579-0
[73] Villatte J. L., Vilardaga R., Villatte M., Plumb Vilardaga J. C., Atkins D. C., & Hayes S. C . ( 2016). Acceptance and commitment therapy modules: Differential impact on treatment processes and outcomes. Behaviour Research and Therapy, 77, 52-61.
url: https://linkinghub.elsevier.com/retrieve/pii/S0005796715300668
[74] Viswesvaran C., & Ones D. S . ( 1995). Theory testing: Combining psychometric meta‐analysis and structural equations modeling. Personnel Psychology, 48( 4), 865-885.
url: http://doi.wiley.com/10.1111/peps.1995.48.issue-4
[75] Wampold B. E . ( 2013). The great psychotherapy debate: Models, methods, and findings. New York, NY: Routledge.
[76] Wampold B. E., & Imel Z. E . ( 2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). New York, NY: Routledge.
[77] Waters C. S., Frude N., Flaxman P. E., & Boyd J . ( 2018). Acceptance and commitment therapy (ACT) for clinically distressed health care workers: Waitlist-controlled evaluation of an ACT workshop in a routine practice setting. British Journal of Clinical Psychology, 57( 1), 82-98.
url: http://doi.wiley.com/10.1111/bjc.2018.57.issue-1
[78] Westin V. Z., Schulin M., Hesser H., Karlsson M., Noe R. Z., Olofsson U., … Andersson G . ( 2011). Acceptance and commitment therapy versus tinnitus retraining therapy in the treatment of tinnitus: A randomised controlled trial. Behaviour Research and Therapy, 49( 11), 737-747.
url: https://linkinghub.elsevier.com/retrieve/pii/S000579671100163X
[79] Wetherell J. L., Afari N., Rutledge T., Sorrell J. T., Stoddard J. A., Petkus A. J., … Atkinson J. H . ( 2011). A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain, 152( 9), 2098-2107.
url: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00006396-201109000-00024
[80] White R., Gumley A., McTaggart J., Rattrie L., McConville D., Cleare S., & Mitchell G . ( 2011). A feasibility study of acceptance and commitment therapy for emotional dysfunction following psychosis. Behaviour Research and Therapy, 49( 12), 901-907.
url: https://linkinghub.elsevier.com/retrieve/pii/S0005796711001914
[81] Wicksell R. K., Ahlqvist J., Bring A., Melin L., & Olsson G. L . ( 2008). Can exposure and acceptance strategies improve functioning and life satisfaction in people with chronic pain and whiplash-associated disorders (WAD)? A randomized controlled trial. Cognitive Behaviour Therapy, 37( 3), 169-182.
url: http://www.tandfonline.com/doi/abs/10.1080/16506070802078970
[82] Wicksell R. K., Kemani M., Jensen K., Kosek E., Kadetoff D., Sorjonen K., … Olsson G. L . ( 2013). Acceptance and commitment therapy for fibromyalgia: A randomized controlled trial. European Journal of Pain, 17( 4), 599-611.
url: http://doi.wiley.com/10.1002/ejp.2013.17.issue-4
[83] Yadavaia J. E., Hayes S. C., & Vilardaga R . ( 2014). Using acceptance and commitment therapy to increase self-compassion: A randomized controlled trial. Journal of Contextual Behavioral Science, 3( 4), 248-257.
url: https://linkinghub.elsevier.com/retrieve/pii/S2212144714000763
[84] Zarling A., Lawrence E., & Marchman J . ( 2015). A randomized controlled trial of acceptance and commitment therapy for aggressive behavior. Journal of Consulting and Clinical Psychology, 83( 1), 199-212.
url: http://doi.apa.org/getdoi.cfm?doi=10.1037/a0037946
[85] Zeng X. L., Liu X. P., & Yu S . ( 2011). The theoretical background, empirical study and future development of the acceptance and commitment therapy. Advances in Psychological Science, 19( 7), 1020-1026.
[85] [ 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.]
[86] Zettle R. D., Rains J. C., & Hayes S. C . ( 2011). Processes of change in acceptance and commitment therapy and cognitive therapy for depression: A mediation reanalysis of Zettle and Rains. Behavior Modification, 35( 3), 265-283.
url: http://journals.sagepub.com/doi/10.1177/0145445511398344
[87] Zhang Q., Wang S. J., & Zhu Z. H . ( 2012). Acceptance and commitment therapy (ACT): Psychopathological model and processes of change. Chinese Mental Health Journal, 26( 5), 377-381.
[87] [ 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.]
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