MindFlex/ACT: Competências psicológicas pelo olhar da Terapia de Aceitação e Compromisso – Estudo exploratório
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Uma vasta gama de estudos tem mostrado que a promoção da flexibilidade psicológica tem um impacto significativo e positivo na saúde mental, uma vez que promove competências relevantes para lidar e gerir os desafios: ajuda o indivíduo a focar-se no momento presente, tornando-se mais resistente a experiências interiores prejudiciais e sendo mais capaz de identificar, nomear e gerir experiências negativas e promover e usufruir de experiências positivas. A Terapia de Aceitação e Compromisso (ACT), inserida na terceira vaga das Terapias Cognitivo-Comportamentais, constitui-se como um modelo que visa usar e promover a flexibilidade psicológica. O presente estudo pretende organizar e explorar uma nova escala de avaliação das competências psicológicas relacionadas com a flexibilidade psicológica, que denominamos de “MindFlex/ACT” e que foi concebida a partir de diversas escalas já usadas e validadas. Participaram neste estudo 1174 indivíduos, dos quais 78,4% (N=916) são do género feminino, com uma idade média de 38,45 anos (DP=14,00), compreendidos entre os 18 e os 75 anos. O estudo preliminar da Escala do Instrumento MindFlex/ACT mostrou uma boa consistência interna para todos as dimensões. Mostrou também interessantes resultados ao longo da vida, e na sua relação com outros indicadores de saúde psicológica e comportamentos de saúde associados ao estilo de vida, sugerindo o seu interesse para a prática clínica e educativa, no âmbito da saúde psicológica, estando neste momento em curso a sua redução para estudos epidemiológicos à população.
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Afari, N., Herbert, M. S., Godfrey, K. M., Cuneo, J. G., Salamat, J. S., Mostoufi, S., ... & Wetherell, J. L. (2019). Acceptance and commitment therapy as an adjunct to the MOVE! programme: a randomized controlled trial. Obesity science & practice, 5(5), 397-407.
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.
Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulation in acceptance and commitment therapy. Journal of clinical psychology, 57(2), 243-255.
Bohlmeijer, E. T., Fledderus, M., Rokx, T. A. J. J., & Pieterse, M. E. (2011). Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology: Evaluation in a randomized controlled trial. Behaviour research and therapy, 49(1), 62-67.
Bond, F. W., & Bunce, D. (2000). Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of occupational health psychology, 5(1), 156.
Bond, F., Hayes, S., Baer, R., Carpenter, K., Guenole, N., Orcutt, H., Waltz, T., & Zettle, R. (2011). Preliminary psychometric properties of the acceptance and action questionnaireII: A revised measure of psychological flexibility and experiential avoidance. Behavior Therapy, 42, 676-688. https://doi.org/10.1016/j.beth.2011.03.007
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindful- ness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822-848.
Castronovo, V., Galbiati, A., Sforza, M., Poletti, M., Giarolli, L., Kuo, T., ... & Ferini-Strambi, L. (2018). Long-term clinical effect of group cognitive behavioral therapy for insomnia: a case series study. Sleep medicine, 47, 54-59.
Dahl, J., Wilson, K. G., & Nilsson, A. (2004). Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial. Behavior therapy, 35(4), 785-801.
Dempster, M., Bolderston, H., Gillanders, D., & Bond, F. (2009). The development of a measure of cognitive fusion: the CFQ. World-Conference III of the Association for Behavioral and Contextual Science, Enschede. Netherlands.
Gamez, W., Chmielewski, M., Kotov, R., Ruggero, C., & Watson, D. (2011). Development of a measure of experiential avoidance: the multidimensional experiential avoidance questionnaire. Psychological Assessment, 23, 692-713. https://doi.org/10.1037/a0023242
Gaspar, T., Matos, M. G., Guedes, F. B., Cerqueira, A., Noronha, C., & Raimundo, M. (In prep). MindFlex/ACT: A new proposal to assess flexibility.
Gaspar, T., Guedes, F. B., Cerqueira, A., Matos, M. G., & Equipa Aventura Social. (2022). A saúde dos adolescentes portugueses em contexto de pandemia - Dados nacionais do estudo HBSC 2022 (ebook). https://aventurasocial.com/dt_portfolios/a-saude-dos-adolescentes-portugueses-em-contexto-de-pandemia-dados-nacionais-2022/
Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Antonuccio, D. O., Piasecki, M. M., RasmussenHall, M. L., & Palm, K. M. (2004). Acceptance Theory-Based Treatment for Smoking Cessation: An Initial Trial of Acceptance and Commitment Therapy. Behavior Therapy, 35, 689-706.
Graham, C., Gouick, J., Ferreira, N, & Gillanders, D. (2016). The influence of psychological flexibility on life satisfaction and mood in muscle disorders. Rehabilitation Psychology, 61, 210-217. https://doi.org/10.1037/rep0000092
Harris, R. (2006). Embracing your demons: An overview of acceptance and commitment therapy. Psychotherapy in Australia, 12(4), 70-6.
Hayes, S. (2019). A Liberated Mind: The essential guide to ACT. Random House.
Hayes, S. C., & Pierson, H. (2005). Acceptance and commitment therapy. Encyclopedia of cognitive behavior therapy, 1-4.
Hayes, S. C., & Strosahl, K. D. (Eds.). (2005). A practical guide to acceptance and commitment therapy. Springer Science + Business Media.
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.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy (Vol. 6). Guilford press.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). Guilford Press.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.
Jacobsen, H. B., Kallestad, H., Landrø, N. I., Borchgrevink, P. C., & Stiles, T. C. (2017). Processes in acceptance and commitment therapy and the rehabilitation of chronic fatigue. Scandinavian journal of psychology, 58(3), 211-220.
Kashdan, T., & Kane, J. (2011). Posttraumatic distress and the presence of posttraumatic growth and meaning in life: Experiential avoidance as a moderator. Personality and Individual Differences, 50, 84-89. https://doi.org/10.1016/j.paid.2010.08.028
Khazaie, H., & Zakiei, A. (2019). Efficacy of acceptance and commitment therapy on emotional dysregulation and sleep quality in patients with chronic insomnia. Journal of Mazandaran University of Medical Sciences, 29(178), 52-63.
Krafft, J., Potts, S., Schoendorff, B., & Levin, M. E. (2019). A randomized controlled trial of multiple versions of an acceptance and commitment therapy matrix app for well-being. Behavior Modification, 43(2), 246-272.
Lappalainen, P., Langrial, S., Oinas-Kukkonen, H., Muotka, J., & Lappalainen, R. (2019). ACT for sleep-internet-delivered self-help ACT for sub-clinical and clinical insomnia: A randomized controlled trial. Journal of Contextual Behavioral Science, 12, 119-127.
Larsson, A., Hartley, S., & McHugh, L. (2022). A randomised controlled trial of brief web-based acceptance and commitment Therapy on the general mental health, depression, anxiety and stress of college Students. Journal of Contextual Behavioral Science, 24, 10-17.
Lee, E. B., An, W., Levin, M. E., & Twohig, M. P. (2015). An initial meta-analysis of Acceptance and Commitment Therapy for treating substance use disorders. Drug and alcohol dependence, 155, 1-7.
Levin, M.E., Lillis, J., Seeley, J., Hayes, S.C., Pistorello, J. & Biglan, A. (2012). Exploring the relationship between experiential avoidance, alcohol use disorders and alcohol-related problems among first-year college students. The Journal of American College Health, 60(6), 443-448.
Levin, M.E., MacLane, C., Daflos, S., Pistorello, J., Hayes, S.C., Seeley, J. & Biglan, A. (2014). Examining psychological inflexibility as a transdiagnostic process across psychological disorders. Journal of Contextual Behavioral Science, 3, 155-163.
Lucas, J. J., & Moore, K. A. (2020). Psychological flexibility: positive implications for mental health and life satisfaction. Health promotion international, 35(2), 312-320. https://doi.org/10.1093/heapro/daz036
Mahoney, C. T., Segal, D. L., & Coolidge, F. L. (2015). Anxiety sensitivity, experiential avoidance, and mindfulness among younger and older adults: Age differences in risk factors for anxiety symptoms. The International Journal of Aging and Human Development, 81(4), 217-240.
Matos, M. G. (2024). A arte de saber escolher. Pactor.
Matos, M. G. (2020a). É Mesmo Importante?. Ordem dos Psicólogos Portugueses.
Matos, M.G. (2020b) MindFlex/ ACT: Protocolo de avaliação da Flexibilidade Psicológica e suas componentes, a partir da tradução e adaptação de Monestés, J. L., & Villatte, M. (2011). e Hayes, S. C., & Strosahl, K. D. (Eds.). (2005). (documento interno)
Matos, M. G., & Equipa Aventura Social. (2018). A saúde dos adolescentes portugueses após a recessão. Relatório do estudo Health Behaviour in School Aged Children (HBSC) em 2018 (ebook). https://aventurasocial.com/dt_portfolios/a-saude-dos-adolescentes-portugueses-em-tempos-de-recessao-2018/
Matos, M.G.; Santos, T.; Reis, M. (2017) BePositive Project: Positive Youth Development (PYD) in Adolescents; Lambert Publications
Monestés, J. L., & Villatte, M. (2011). La thérapie d'acceptation et d'engagement. Elsevier Masson.
Petkus, A. J., & Wetherell, J. L. (2013). Acceptance and commitment therapy with older adults: Rationale and considerations. Cognitive and behavioral practice, 20(1), 47-56.
Ruiz, F. J. (2010). A review of acceptance and commitment therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10, 125–162.
Salari, N., Khazaie, H., Hosseinian-Far, A., Khaledi-Paveh, B., Ghasemi, H., Mohammadi, M., & Shohaimi, S. (2020). The effect of acceptance and commitment therapy on insomnia and sleep quality: A systematic review. BMC neurology, 20, 1-18.
Segal, D. L., Hook, J. N., & Coolidge, F. L. (2001). Personality dysfunction, coping styles, and clinical symptoms in younger and older adults. Journal of Clinical Geropsychology, 7, 201–212.
Shalcross, A. Troy, A., Boland, M., & Mauss, I. (2010). Let it be: accepting negative emotional experiences predicts decreased negative affect and depressive symptoms. Behavior Research and Therapy, 48, 921-929. https://doi.org/10.1016/j.brat.2010.05.025
Stockton, D., Kellett, S., Berrios, R., Sirois, F., Wilkinson, N., & Miles, G. (2019). Identifying the underlying mechanisms of change during acceptance and commitment therapy (ACT): A systematic review of contemporary mediation studies. Behavioural and cognitive psychotherapy, 47(3), 332-362.
Sweeney, J. E. (2016). Experiential Avoidance, Depression, and Satisfaction with Life: The Moderational Role of Regulatory Emotional Self-Efficacy.
Twohig, M. P., Hayes, S. C., & Masuda, A. (2006). Increasing willingness to experience obsessions: Acceptance and commitment therapy as a treatment for obsessive-compulsive disorder. Behavior therapy, 37(1), 3-13.
Wilson, K. G., Sandoz, E. K., Kitchens, J., & Roberts, M. E. (2010). The Valued Living Questionnaire: defining and measuring valued action within a behavioral framework. The Psychological Record, 60, 000-24.
Woolf-King, S. E., Sheinfil, A. Z., Babowich, J. D., Siedle-Khan, B., Loitsch, A., & Maisto, S. A. (2019). Acceptance and commitment therapy (ACT) for HIV-infected hazardous drinkers: a qualitative study of acceptability. Alcoholism treatment quarterly, 37(3), 342-358.
Xiong, A., Lai, X., Wu, S., Yuan, X., Tang, J., Chen, J., ... & Hu, M. (2021). Relationship between cognitive fusion, experiential avoidance, and obsessive–compulsive symptoms in patients with obsessive–compulsive disorder. Frontiers in Psychology, 12, 655154.
Zettle, R. D., & Raines, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, 438-445.
Derechos de autor 2024 Fábio Botelho Guedes, Margarida Gaspar de Matos,, Ana Cerqueira, Tania Gaspar, Marta Raimundo, Cátia Branquinho, Catarina Noronha

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