{"id":"https://openalex.org/W10885396","doi":null,"title":"Acceptance and commitment therapy (ACT) process and outcome: a systematic evaluation of ACT for treatment resistant patients","display_name":"Acceptance and commitment therapy (ACT) process and outcome: a systematic evaluation of ACT for treatment resistant patients","publication_year":2008,"publication_date":"2008-11-01","ids":{"openalex":"https://openalex.org/W10885396","mag":"10885396"},"language":"en","primary_location":{"id":"pmh:oai:eprints.soton.ac.uk:66160","doi":null,"is_oa":true,"landing_page_url":"https://eprints.soton.ac.uk/66160/1/Jesica_Kingston_2009_Thesis.pdf","pdf_url":"https://eprints.soton.ac.uk/66160/1/Jesica_Kingston_2009_Thesis.pdf","source":{"id":"https://openalex.org/S4306401019","display_name":"ePrints Soton (University of Southampton)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I43439940","host_organization_name":"University of Southampton","host_organization_lineage":["https://openalex.org/I43439940"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://eprints.soton.ac.uk/66160/1/Jesica_Kingston_2009_Thesis.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5076725054","display_name":"Jessica L. Kingston","orcid":"https://orcid.org/0000-0002-1142-8083","observed_orcids":["https://orcid.org/0000-0002-1142-8083"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Jessica Kingston","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-1142-8083","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5076725054"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10853","display_name":"Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10214","display_name":"Psychotherapy Techniques and Applications","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acceptance-and-commitment-therapy","display_name":"acceptance and commitment therapy","score":0.9739999771118164},{"id":"https://openalex.org/keywords/treatment-resistant-patients","display_name":"treatment-resistant patients","score":0.7409999966621399},{"id":"https://openalex.org/keywords/experiential-avoidance","display_name":"experiential avoidance","score":0.9789999723434448},{"id":"https://openalex.org/keywords/maladaptive-behavior","display_name":"maladaptive behavior","score":0.8769999742507935},{"id":"https://openalex.org/keywords/childhood-trauma","display_name":"childhood trauma","score":0.9990000128746033},{"id":"https://openalex.org/keywords/cognitive-behavioral-therapy","display_name":"cognitive behavioral therapy","score":0.5740000009536743},{"id":"https://openalex.org/keywords/psychological-distress","display_name":"psychological distress","score":0.7900000214576721},{"id":"https://openalex.org/keywords/relapse","display_name":"relapse","score":0.6809999942779541},{"id":"https://openalex.org/keywords/personality-disorders","display_name":"personality disorders","score":0.5009999871253967},{"id":"https://openalex.org/keywords/substance-abuse","display_name":"substance abuse","score":0.8230000138282776},{"id":"https://openalex.org/keywords/self-harm","display_name":"self-harm","score":0.8159999847412109}],"concepts":[{"id":"https://openalex.org/C2779984560","wikidata":"https://www.wikidata.org/wiki/Q774453","display_name":"Experiential avoidance","level":3,"score":0.8302883505821228},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6753653287887573},{"id":"https://openalex.org/C55759595","wikidata":"https://www.wikidata.org/wiki/Q424533","display_name":"Acceptance and commitment therapy","level":3,"score":0.6312600374221802},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5411099791526794},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.5066302418708801},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.4724048972129822},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.4363473653793335},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.4181450605392456},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.3568376898765564},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.25348708033561707},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.24762925505638123},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.1604103446006775}],"mesh":[],"locations_count":4,"locations":[{"id":"pmh:oai:eprints.soton.ac.uk:66160","doi":null,"is_oa":true,"landing_page_url":"https://eprints.soton.ac.uk/66160/1/Jesica_Kingston_2009_Thesis.pdf","pdf_url":"https://eprints.soton.ac.uk/66160/1/Jesica_Kingston_2009_Thesis.pdf","source":{"id":"https://openalex.org/S4306401019","display_name":"ePrints Soton (University of Southampton)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I43439940","host_organization_name":"University of Southampton","host_organization_lineage":["https://openalex.org/I43439940"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis"},{"id":"pmh:oai:uilis.unsyiah.ac.id:34039","doi":null,"is_oa":true,"landing_page_url":"http://uilis.unsyiah.ac.id/opentheses/items/show/34039","pdf_url":"http://uilis.unsyiah.ac.id/opentheses/items/show/34039","source":{"id":"https://openalex.org/S4377196378","display_name":"UPT. Syiah Kuala University Library (Syiah Kuala University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I187494767","host_organization_name":"Universitas Syiah Kuala","host_organization_lineage":["https://openalex.org/I187494767"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis"},{"id":"pmh:hdl:10068/953867","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10068/953867","pdf_url":null,"source":{"id":"https://openalex.org/S4377196900","display_name":"OpenGrey (Institut de l'Information Scientifique et Technique)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1295345811","host_organization_name":"Institut de l'Information Scientifique et Technique","host_organization_lineage":["https://openalex.org/I1295345811"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"U - Thesis"},{"id":"mag:10885396","doi":null,"is_oa":false,"landing_page_url":"http://europepmc.org/theses/ETH/494705","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:eprints.soton.ac.uk:66160","doi":null,"is_oa":true,"landing_page_url":"https://eprints.soton.ac.uk/66160/1/Jesica_Kingston_2009_Thesis.pdf","pdf_url":"https://eprints.soton.ac.uk/66160/1/Jesica_Kingston_2009_Thesis.pdf","source":{"id":"https://openalex.org/S4306401019","display_name":"ePrints Soton (University of Southampton)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I43439940","host_organization_name":"University of Southampton","host_organization_lineage":["https://openalex.org/I43439940"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W10885396.pdf","grobid_xml":"https://content.openalex.org/works/W10885396.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2015430903","https://openalex.org/W2091456051","https://openalex.org/W1745615018","https://openalex.org/W577715086","https://openalex.org/W1931467522","https://openalex.org/W1741833658","https://openalex.org/W2165956931","https://openalex.org/W2783918581","https://openalex.org/W3193136961","https://openalex.org/W4311853492"],"abstract_inverted_index":{"Although":[0],"traditional":[1],"Cognitive":[2],"Behaviour":[3],"Therapy":[4,54],"(CBT)":[5],"has":[6],"achieved":[7,268],"many":[8],"clinical":[9,103,128],"successes,":[10],"approximately":[11],"30-50%":[12],"of":[13,20,25,43,130,152,183,216,298],"patients":[14,28,217],"are":[15],"resistant":[16,27,113,222,302],"to":[17,84,122,193,257],"this":[18,69,116,153],"form":[19],"treatment.":[21],"This":[22],"trans-diagnostic":[23],"group":[24,70,282],"treatment":[26,61,112,260,289,301],"typically":[29],"have":[30],"chronic,":[31],"co-morbid,":[32],"and/or":[33],"personality":[34],"disordered":[35],"symptoms":[36,68,219],"and":[37,52,81,96,127,134,187,200,246],"often":[38],"engage":[39,194],"in":[40,195,238,285],"a":[41,57,74,82,145,172,214,231,251,258],"range":[42],"maladaptive":[44,142,164,196],"behaviours":[45,143],"(e.g.,":[46],"substance":[47],"abuse,":[48],"deliberate":[49],"self-harm).":[50],"Acceptance":[51],"Commitment":[53],"(ACT)":[55],"is":[56],"relatively":[58],"modern":[59],"psychological":[60,239],"which":[62],"proposes":[63],"that":[64,106,140,159,176,266],"the":[65,124,137,169,181,191,207,280,296],"formally":[66],"dissimilar":[67],"present":[71],"result":[72],"from":[73,86,102],"common":[75,146],"cause;":[76],"namely,":[77],"excessive":[78],"entanglement":[79],"with,":[80],"need":[83],"escape":[85],"or":[87,224],"avoid,":[88],"unwanted":[89],"private":[90],"events":[91],"such":[92],"as":[93,261],"thoughts,":[94],"feelings,":[95],"memories":[97],"(experiential":[98],"avoidance).":[99],"Preliminary":[100],"evidence":[101],"trials":[104],"suggest":[105],"ACT":[107,212,256,267,281,299],"may":[108],"prove":[109],"efficacious":[110],"with":[111,241],"patients.":[114,303],"In":[115,150],"thesis,":[117],"four":[118],"studies":[119],"were":[120],"designed":[121],"examine":[123],"theoretical":[125],"underpinnings":[126],"utility":[129],"ACT.":[131],"Studies":[132,198],"1":[133],"2":[135],"tested":[136],"ACT-derived":[138],"prediction":[139],"diverse":[141],"serve":[144],"experiential":[147,160,177,286],"avoidance":[148,161,178,287],"function.":[149],"support":[151,295],"hypothesis,":[154],"structural":[155],"equation":[156],"modelling":[157],"showed":[158,175,265],"predicted":[162,290],"significant":[163,236],"behaviour":[165],"covariance.":[166],"Moreover,":[167],"using":[168],"same":[170],"method,":[171],"cross-sectional":[173],"design":[174],"partially":[179],"mediated":[180],"effect":[182],"Negative":[184],"Affect":[185],"Intensity":[186],"Childhood":[188],"Trauma":[189],"on":[190],"tendency":[192],"behaviours.":[197],"3":[199],"4":[201],"extended":[202],"these":[203],"theoretically-based":[204],"investigations":[205],"into":[206],"applied":[208],"domain,":[209],"pilot":[210],"testing":[211],"for":[213,279,300],"sample":[215],"whose":[218],"had":[220],"been":[221],"to,":[223],"relapsed":[225],"following,":[226],"standard":[227],"care.":[228],"Study":[229,249],"3,":[230],"pre-post":[232],"uncontrolled":[233],"trial,":[234],"revealed":[235],"reductions":[237,284],"distress":[240],"gains":[242],"maintained":[243],"at":[244],"6":[245],"12-month":[247],"follow-up.":[248],"4,":[250],"randomised":[252],"control":[253],"trial":[254],"comparing":[255],"CBT":[259],"usual":[262],"(CBT-TAU)":[263],"condition,":[264],"more":[269],"enduring":[270],"effects":[271],"than":[272],"CBT-TAU.":[273],"Furthermore,":[274],"exploratory":[275],"analyses":[276],"suggested":[277],"that,":[278],"alone,":[283],"during":[288],"follow-up":[291],"outcomes.":[292],"These":[293],"findings":[294],"use":[297]},"counts_by_year":[{"year":2017,"cited_by_count":1}],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2016-06-24T00:00:00"}