Emergency intervention on online format based on act used in a case of Adapative Disorder
DOI:
https://doi.org/10.5944/ap.18.1.29043Keywords:
Online intervention, ACT, Covid-19, Emergency, Adapative disorderAgencies:
Servicio de Psicología Aplicada UNEDAbstract
This article aims to present the clinical approach of a patient of the Psychological Service of the Faculty of Psychology of the UNED who was treated during the Covid-19 Health Emergency situation. This is a case study N = 1 of a 22-year-old man whose symptoms are associated to an adjustment disorder with mixed anxiety and depression. After evaluating the case by means of an unstructured interview and self-reports, a brief, protocolized intervention was carried out through an online modality. The therapeutic approach was the Acceptance and Commitment Therapy (ACT), which included different strategies aimed at allowing F. to discriminate his problematic behavior pattern, accept aversive private events and take actions with personal meaning. Results showed an increase in adaptive behaviors in the areas that F. considered valuable, and a decrease in anxiety and depressive symptoms. In the final section, limitations and future recommedations are are discussed
Downloads
References
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. DSM-5. (5ª ed.). Autor. https://doi.org/10.1176/appi.books.9780890425596
Barnes-Holmes, D., Cochrane, A., Barnes-Holmes, Y., Stewart, I. y McHugh, L. (2004). Psychological Acceptance: Experimental Analysis and Theoretical interpretations. International Journal of Psychology and Psychological Therapy, 4, 517–531.
Gil Luciano B., Ruiz, F.J., Valdivia, S. y Suárez Falcón, J. C. (2016). Promoting Psychological Flexibility on Tolerance Tasks: Framing Behavior through Deictic/Hierarchical Relations and Specifying Augmental Functions. The Psychological Record, 67, 1–9. https://doi.org/10.1007/s40732-016-0200-5
Hayes, S. C., Barnes-Holmes, D. y Roche, B. (2001). Relational Frame Theory: A Post-Skinnerian Account of Human Language and Cognition (2ª ed). Plenum Press.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M. y Strosahl, K. (1996). Emotional Avoidance and Behavioral disorders: A Functional Dimensional Approach to Diagnosis and Treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168. https://doi.org/10.1037/0022-006X.64.6.1152
Hayes, S. C., Strosahl, K. D. y Wilson, K. G. (2012). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change (2ª ed.). Guilford Press.
Ministerio de Sanidad. (2020). Enfermedad por coronavirus, COVID-19. Centro de Coordinación de Alertas y Emergencias Sanitarias [Informe Técnico]. Recuperado de https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov/documentos/ITCoronavirus.pdf
Orsillo, S. M. y Batten, S. V. (2005). Acceptance and Commitment Therapy in the Treatment of Posttraumatic Stress Disorder. Behavior Modification, 29(1), 95–129. https://doi.org/10.1177/0145445504270876
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. https://doi.org/10.1016/j.brat.2014.07.018
Ramírez-Ortiz J., Castro-Quintero D., Lerma-Córdoba C., Yela-Ceballos F. y Escobar-Córdoba F. (2020). Mental Health Consequences of the COVID-19 Pandemic Associated with Social Isolation. Colombian Journal of Anesthesiology, 48(4), Artículo 930. https://doi.org/10.5554/22562087.e930
Real decreto 463/2020, de 14 de marzo, para por el que se declara el estado de alarma para la gestión de la situación de crisis sanitaria ocasionada por el COVID-19. Boletín oficial del Estado, 67, de 14 de marzo de 2020, 25390 a 25400. https://www.boe.es/eli/es/rd/2020/03/14/463
Roemer, L. y Orsillo, S. M. (2007). An Open Trial of an Acceptance-Based Behavior Therapy for Generalized Anxiety Disorder. Behavior Therapy, 38(1), 72–85. https://doi.org/10.1016/j.beth.2006.04.004
Ruiz, F. J., Flórez, C. L., García-Martín, M. B., Monroy-Cifuentes, A., Barreto Montero, K., García-Beltrán, D. M., Riaño-Hernández, D., Sierra, M. A., Suárez-Falcón, J. C., Cardona-Betancourt, V. y Gil-Luciano, B. (2018). A Multiple-baseline Evaluation of a Brief Acceptance and Commitment Therapy Protocol Focused on Repetitive Negative Thinking for Moderate Emotional Disorders. Journal of Contextual Behavioral Science, 9,1–14. https://doi.org/10.1016/j.jcbs.2018.04.004
Törneke, N., Luciano, C., Barnes-Holmes, Y. y Bond, F. (2015). Relational Frame Theory and three core strategies in understanding and treating human suffering. En R. D. Zettle, S. C. Hayes, D. Barnes Holmes y A. Biglan (Eds.), The Wiley Handbook of Contextual Behavioral Science (pp. 254–272). Wiley-Blackwell.
Valdivia, S. y Luciano, M. C. (2006). Una revisión de la alteración de las propiedades reforzantes de los eventos en humanos [Alteration of the Consequential Properties of the Events in Humans: A Review.]. International Journal of Psychology and Psychological Therapy, 6, 425–444.
Wilson, K., G. y Luciano, C. (2002). Terapia de Aceptación y Compromiso: un tratamiento conductual orientado a los valores (1ª ed.). Pirámide.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
