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Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy in the Treatment of Substance Use Disorder With Incarcerated Women
Author(s) -
Lanza Patricia Villagrá,
García Paula Fernández,
Lamelas Filomena Rodríguez,
GonzálezMenéndez Ana
Publication year - 2014
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22060
Subject(s) - psychology , cognitive behavioral therapy , acceptance and commitment therapy , anxiety , substance abuse , clinical psychology , addiction , cognitive therapy , psychiatry , anxiety sensitivity , psychological intervention , mental health , randomized controlled trial , relapse prevention , cognition , intervention (counseling) , medicine , surgery
Objectives This randomized controlled study compared acceptance and commitment therapy (ACT), cognitive‐behavioral therapy (CBT), and a control group. Method The participants were 50 incarcerated women diagnosed with current substance use disorder. Two psychologists carried out pre‐ and posttreatment assessment and a 6‐month follow‐up assessment using the following instruments: Anxiety Sensitivity Index, Addiction Severity Index‐6, Mini International Neuropsychiatric Interview, and Acceptance and Action Questionnaire. Results The study shows that the women who received treatment benefited differentially from the interventions. At posttreatment, CBT was more effective than ACT in reducing anxiety sensitivity; however, at follow‐up, ACT was more effective than CBT in reducing drug use (43.8 vs. 26.7%, respectively) and improving mental health (26.4% vs. 19.4%, respectively). Conclusion ACT may be an alternative to CBT for treatment of drug abuse and associated mental disorders. In fact, at long‐term, ACT may be more appropriate than CBT for incarcerated women who present serious problems.