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Acceptance and Commitment Therapy and Psychological Flexibility: A Review Study

Year 2022, , 92 - 101, 31.12.2022
https://doi.org/10.34137/jilses.1109608

Abstract

The aim of this study is to systematically analyze the researches on Acceptance and Commitment Therapy and psychological flexibility in Turkey. For this; by using the keywords, inclusion and exclusion criteria determined by the researchers, total of 53 researches, which including 16 full-text articles, 21 master's, 11 doctoral dissertations and 5 specialty in medicine accessed from National Thesis Center, Google Scholar, ULAKBİM, Dergipark. According to the findings obtained, it is seen that the studies mainly consist of thesis and relational studies, and the samples consist of adults and individuals without any clinical diagnosis. These studies which was examining Acceptance and Commitment Therapy and psychological flexibility, the most discussed notions were awareness, depression, anxiety, substance use/addiction, schema, and psychological well-being. . According to the findings, psychological flexibility was negatively related to anxiety, search for meaning, avoidance of emotions, denial, rumination, burnout, test anxiety, intolerance of uncertainty, alexithymia, Covid-19 anxiety; while positively related to the existence of meaning in life is the perception of competence, marital adjustment, job satisfaction, psychological well-being, authenticity, life satisfaction, and sleep quality. In addition, relational researches were highlighted of studies on the notion of psychological flexibility, and experimental studies were highlighted of studies on Acceptance and Commitment Therapy. Results indicate, Acceptance and Commitment Therapy was a therapeutic and psychological flexibility wass a protective factor for mental health.

References

  • Albal, E. (2019). Madde bağımlılarında şema ve psikolojik esneklik yaklaşımlarının madde bağımlılığı şiddetine etkisi (Yayımlanmamış doktora tezi). İstanbul Üniversitesi, İstanbul.
  • Atkins, P. W. and Parker, S. K. (2012). Understanding individual compassion in organizations: The role of appraisals and psychological flexibility. Academy of Management Review, 37(4), 524-546. http://dx.doi.org/10.5465/amr.2010.0490
  • Bilgen, İ. (2021). Terapide psikolojik esneklik. İstanbul: Epsilon Yayınevi.
  • Blackledge, J. T., & Hayes, S. C. (2006). Using acceptance and commitment training in the support of parents of children diagnosed with autism. Child & Family Behavior Therapy, 28(1), 1-18. doi:10.1300/J019v28n01_01
  • Bond, F. W. and Flaxman, P. E. (2006). The ability of psychological flexibility and job control to predict learning, job performance, and mental health. Journal of Organizational Behavior Management, 26(1-2), 113-130. doi.org/10.1300/J075v26n01_05
  • Bond, F. W., Flaxman, P.E. and Bunce, D. (2008). The influence of psychological flexibility on work redesign: Mediated moderation of a work reorganization intervention. Journal of Applied Psychology, 93, 645-654.
  • Bowen, G. A. (2009). Document analysis as a qualitative research method. Qualitative Research Journal, 9(2), 27-40.
  • Donahue, J. J., Santanello, A., Marsiglio, M. C., & Van Male, L. M. (2017). Acceptance and commitment therapy for anger dysregulation with military veterans: A pilot study. Journal of Contemporary Psychotherapy, 47(4), 233-241. doi 10.1007/s10879-017-9361-z
  • Dubler, B. A. (2018). Psychological flexibility as a key mechanism in Acceptance and Commitment Therapy: Shifts in flexibility as mediators of treatment effects (Doctoral dissertation). University of Rochester, USA.
  • Eifert, G. H., & Forsyth, J. P. (2011). The application of acceptance and commitment therapy to problem anger. Cognitive and Behavioral Practice, 18(2), 241-250. https://doi.org/10.1016/j.cbpra.2010.04.004
  • Fischer, T. D., Smout, M. F., & Delfabbro, P. H. (2016). The relationship between psychological flexibility, early maladaptive schemas, perceived parenting and psychopathology. Journal of contextual behavioral science, 5(3), 169-177. https://doi.org/10.1016/j.jcbs.2016.06.002
  • Fonseca, S., Trindade, I. A., Mendes, A. L. and Ferreira, C. (2019). The buffer role of psychological flexibility against the impact of major life events on depression symptoms. Clinical Psychologist, 24, 82–90. doi: 10.1111/cp.12194
  • Hayes, S. C. (2004). Acceptance and Commitment Therapy, Relational Frame Theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35, 639-665. doi: 10.1016/S0005-7894(04)80013-3.
  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A. and 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. and Wilson, K. G. (2011). Acceptance and Commitment Therapy: The process and practice of mindful change. Guilford Press, USA. Kashdan, T. B. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865-878. doi: 10.1016/j.cpr.2010.03.001
  • Leahy, R. L., Tirch, D. D. and Melwani, P. S. (2012). Processes underlying depression: Risk aversion, emotional schemas, and psychological flexibility. International Journal of Cognitive Therapy, 5(4), 362-379.
  • Leeming, E. M. and Hayes, S. C. (2016). Parents are people too: The importance of parental psychological flexibility. Clinical Psychology Science and Practice, 23, 158-160. doi:10.1111/cpsp.12147
  • Masuda, A., Le, J. and Cohen, L. L. (2014). The role of disordered-eating cognitions and psychological flexibility on distress in Asian American and European American college females in the United States. International Journal for the Advancement of Counselling, 36(1), 30-42. doi: 10.1007/s10447-013-9188-6
  • McCracken, L.M. & Morley, S.J. (2014) The psychological flexibility model: A basis for integration and progress in psychological approaches to chronic pain management. Journal of Pain, 15(3), 221- 234. http://dx.doi.org/10.1016/j.jpain.2013.10.014
  • Morton, J., Snowdon, S., Gopold, M. and Guymer, E. (2012). Acceptance and Commitment Therapy group treatment for symptoms of borderline personality disorder: A public sector pilot study. Cognitive and Behavioral Practice, 19(4), 527-544.
  • Öcel, H. (2017). Meme kanseri tanısı almış çalışan kadınlarda damgalanma ve bilinçli farkındalık ile psikolojik iyi oluş arasındaki ilişkiler: psikolojik esnekliğin düzenleyici rolü. Türk Psikoloji Dergisi, 32(80), 116-37.
  • Önen, C. İ. (2021). Yaygın anksiyete semptomlarının yordanmasında üstbiliş, bilinçli farkındalık ve psikolojik esnekliğin rolü (Yayımlanmamış yüksek lisans tezi). İstanbul Kent Üniversitesi, İstanbul.
  • Polat, H. (2020). Adli psikiyatri hastalarında kabul ve kararlılık terapisi temelli öfke yönetimi eğitiminin öfke ruminasyonları ve dürtüsellik düzeylerine etkisi (Yayımlanmamış doktora tezi). Atatürk Üniversitesi, Erzurum.
  • Richardson, C. M. and Jost, S. A. (2019). Psychological flexibility as a mediator of the association between early life trauma and psychological symptoms. Personality and Individual Differences, 141, 101-106. https://doi.org/10.1016/j.paid.2018.12.029
  • Rolffs, J. L., Rogge, R. D. and Wilson, K. G. (2018). Disentangling components of flexibility via the hexaflex model: Development and validation of the Multidimensional Psychological Flexibility Inventory (MPFI). Assessment, 25(4), 458-482.
  • Singh, R. S. and O'Brien, W. H. (2019). The impact of work stress on sexual minority employees: Could psychological flexibility be a helpful solution? Stress and Health, 36(1), 59-74. doi: 10.1002/smi.2913
  • Trindade, I. A., Mendes, A. L. and Ferreira, N. B. (2019). The moderating effect of psychological flexibility on the link between learned helplessness and depression symptomatology: A preliminary study. Journal of Contextual Behavioral Science, 15, 68-72. doi.org/10.1016/j.jcbs.2019.12.001
  • Tümlü, C. (2021). Kabul ve Kararlılık Terapisi’ne dayalı psiko-eğitim programının otizm spektrum bozukluğu olan çocuk (3-6 yaş) anneleri ve babalarının psikolojik uyumlarına etkisi (Yayımlanmamış doktora tezi). Anadolu Üniversitesi, Eskişehir.
  • Twohig, M. P., Whittal, M. L., Cox, J. M. and Gunter, R. (2010). An initial investigation into the processes of change in ACT, CT, and ERP for OCD. International Journal of Behavioral Consultation and Therapy, 6(1), 67-83. http://dx.doi.org/10.1037/h0100898
  • Uygur, S. S. (2018). Üniversite öğrencilerinin psikolojik esneklik düzeylerinin yordanmasında duygusal şemaların rolü: Buca Eğitim Fakültesi örneği. Journal of Academic Social Science Studies, 70, 135-151. http://dx.doi.org/10.9761/JASSS7641
  • Wicksell, R. K., Olsson, G. L., & Hayes, S. C. (2010). Psychological flexibility as a mediator of improvement in Acceptance and Commitment Therapy for patients with chronic pain following whiplash. European Journal of Pain, 14(10), 1059.e1–1059.e11. doi: 10.1016/j.ejpain.2010.05.001
  • Yorulmaz, E. (2019). Alkol ve sigara kullanımında erken dönem uyumsuz şemaların, ebeveynlik stillerinin ve psikolojik esnekliğin rolü (Yayımlanmamış yüksek lisans tezi). Ege Üniversitesi, İzmir.

Kabul ve Kararlılık Terapisi ve Psikolojik Esneklik ile İlgili Araştırmaların İncelenmesi

Year 2022, , 92 - 101, 31.12.2022
https://doi.org/10.34137/jilses.1109608

Abstract

Bu çalışma ile Kabul ve Kararlılık Terapisi ve psikolojik esneklik ile ilgili Türkiye’de yapılan araştırmaların sistematik analizi hedeflenmiştir. Bu amaçla araştırmacılar tarafından belirlenen anahtar sözcükler, dahil etme ve hariç tutma kriterleri kullanılarak Ulusal Tez Merkezi, Google Scholar, ULAKBİM, Dergipark veri tabanlarından ulaşılan 16 tam metin makale, 21 yüksek lisans, 11 doktora ve 5 tıpta uzmanlık tezi olmak üzere toplam 53 araştırma analize tabi tutulmuştur. Elde edilen bulgulara göre incelenen araştırmaların ağırlıklı olarak tezlerden ve ilişkisel çalışmalardan, örneklemlerin ise yetişkinler ve herhangi bir klinik tanısı bulunmayan bireylerden oluştuğu görülmektedir Kabul ve Kararlılık Terapisi ve psikolojik esneklik ile ilişkisi incelenen araştırmalar içerisinde en fazla ele alınan kavramlar; farkındalık, depresyon, anksiyete, madde kullanımı/bağımlılığı, şema, psikolojik iyi oluş olarak belirlenmiştir. Bulgulara göre psikolojik esneklik; anksiyete, anlam arayışı, duygulardan kaçınma, inkâr, ruminasyon, tükenmişlik, sınav kaygısı, belirsizliğe tahammülsüzlük, aleksitimi, Covid-19 kaygısı ile negatif; yaşam anlamının varlığı, yeterlik algısı, evlilik uyumu, mesleki doyum, psikolojik iyi oluş, otantiklik, yaşam doyumu, uyku kalitesi ile pozitif ilişkilidir. Ayrıca psikolojik esneklik kavramıyla ilgili çalışmalarda ilişkisel, Kabul ve Kararlılık Terapisi ile ilgili çalışmalarda ise deneysel araştırmalar ön planda yer almaktadır. Bulgular doğrultusunda Kabul ve Kararlılık Terapisinin sağaltıcı ve psikolojik esnekliğin ruh sağlığı için koruyucu bir faktör olduğu belirlenmiştir.

References

  • Albal, E. (2019). Madde bağımlılarında şema ve psikolojik esneklik yaklaşımlarının madde bağımlılığı şiddetine etkisi (Yayımlanmamış doktora tezi). İstanbul Üniversitesi, İstanbul.
  • Atkins, P. W. and Parker, S. K. (2012). Understanding individual compassion in organizations: The role of appraisals and psychological flexibility. Academy of Management Review, 37(4), 524-546. http://dx.doi.org/10.5465/amr.2010.0490
  • Bilgen, İ. (2021). Terapide psikolojik esneklik. İstanbul: Epsilon Yayınevi.
  • Blackledge, J. T., & Hayes, S. C. (2006). Using acceptance and commitment training in the support of parents of children diagnosed with autism. Child & Family Behavior Therapy, 28(1), 1-18. doi:10.1300/J019v28n01_01
  • Bond, F. W. and Flaxman, P. E. (2006). The ability of psychological flexibility and job control to predict learning, job performance, and mental health. Journal of Organizational Behavior Management, 26(1-2), 113-130. doi.org/10.1300/J075v26n01_05
  • Bond, F. W., Flaxman, P.E. and Bunce, D. (2008). The influence of psychological flexibility on work redesign: Mediated moderation of a work reorganization intervention. Journal of Applied Psychology, 93, 645-654.
  • Bowen, G. A. (2009). Document analysis as a qualitative research method. Qualitative Research Journal, 9(2), 27-40.
  • Donahue, J. J., Santanello, A., Marsiglio, M. C., & Van Male, L. M. (2017). Acceptance and commitment therapy for anger dysregulation with military veterans: A pilot study. Journal of Contemporary Psychotherapy, 47(4), 233-241. doi 10.1007/s10879-017-9361-z
  • Dubler, B. A. (2018). Psychological flexibility as a key mechanism in Acceptance and Commitment Therapy: Shifts in flexibility as mediators of treatment effects (Doctoral dissertation). University of Rochester, USA.
  • Eifert, G. H., & Forsyth, J. P. (2011). The application of acceptance and commitment therapy to problem anger. Cognitive and Behavioral Practice, 18(2), 241-250. https://doi.org/10.1016/j.cbpra.2010.04.004
  • Fischer, T. D., Smout, M. F., & Delfabbro, P. H. (2016). The relationship between psychological flexibility, early maladaptive schemas, perceived parenting and psychopathology. Journal of contextual behavioral science, 5(3), 169-177. https://doi.org/10.1016/j.jcbs.2016.06.002
  • Fonseca, S., Trindade, I. A., Mendes, A. L. and Ferreira, C. (2019). The buffer role of psychological flexibility against the impact of major life events on depression symptoms. Clinical Psychologist, 24, 82–90. doi: 10.1111/cp.12194
  • Hayes, S. C. (2004). Acceptance and Commitment Therapy, Relational Frame Theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35, 639-665. doi: 10.1016/S0005-7894(04)80013-3.
  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A. and 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. and Wilson, K. G. (2011). Acceptance and Commitment Therapy: The process and practice of mindful change. Guilford Press, USA. Kashdan, T. B. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865-878. doi: 10.1016/j.cpr.2010.03.001
  • Leahy, R. L., Tirch, D. D. and Melwani, P. S. (2012). Processes underlying depression: Risk aversion, emotional schemas, and psychological flexibility. International Journal of Cognitive Therapy, 5(4), 362-379.
  • Leeming, E. M. and Hayes, S. C. (2016). Parents are people too: The importance of parental psychological flexibility. Clinical Psychology Science and Practice, 23, 158-160. doi:10.1111/cpsp.12147
  • Masuda, A., Le, J. and Cohen, L. L. (2014). The role of disordered-eating cognitions and psychological flexibility on distress in Asian American and European American college females in the United States. International Journal for the Advancement of Counselling, 36(1), 30-42. doi: 10.1007/s10447-013-9188-6
  • McCracken, L.M. & Morley, S.J. (2014) The psychological flexibility model: A basis for integration and progress in psychological approaches to chronic pain management. Journal of Pain, 15(3), 221- 234. http://dx.doi.org/10.1016/j.jpain.2013.10.014
  • Morton, J., Snowdon, S., Gopold, M. and Guymer, E. (2012). Acceptance and Commitment Therapy group treatment for symptoms of borderline personality disorder: A public sector pilot study. Cognitive and Behavioral Practice, 19(4), 527-544.
  • Öcel, H. (2017). Meme kanseri tanısı almış çalışan kadınlarda damgalanma ve bilinçli farkındalık ile psikolojik iyi oluş arasındaki ilişkiler: psikolojik esnekliğin düzenleyici rolü. Türk Psikoloji Dergisi, 32(80), 116-37.
  • Önen, C. İ. (2021). Yaygın anksiyete semptomlarının yordanmasında üstbiliş, bilinçli farkındalık ve psikolojik esnekliğin rolü (Yayımlanmamış yüksek lisans tezi). İstanbul Kent Üniversitesi, İstanbul.
  • Polat, H. (2020). Adli psikiyatri hastalarında kabul ve kararlılık terapisi temelli öfke yönetimi eğitiminin öfke ruminasyonları ve dürtüsellik düzeylerine etkisi (Yayımlanmamış doktora tezi). Atatürk Üniversitesi, Erzurum.
  • Richardson, C. M. and Jost, S. A. (2019). Psychological flexibility as a mediator of the association between early life trauma and psychological symptoms. Personality and Individual Differences, 141, 101-106. https://doi.org/10.1016/j.paid.2018.12.029
  • Rolffs, J. L., Rogge, R. D. and Wilson, K. G. (2018). Disentangling components of flexibility via the hexaflex model: Development and validation of the Multidimensional Psychological Flexibility Inventory (MPFI). Assessment, 25(4), 458-482.
  • Singh, R. S. and O'Brien, W. H. (2019). The impact of work stress on sexual minority employees: Could psychological flexibility be a helpful solution? Stress and Health, 36(1), 59-74. doi: 10.1002/smi.2913
  • Trindade, I. A., Mendes, A. L. and Ferreira, N. B. (2019). The moderating effect of psychological flexibility on the link between learned helplessness and depression symptomatology: A preliminary study. Journal of Contextual Behavioral Science, 15, 68-72. doi.org/10.1016/j.jcbs.2019.12.001
  • Tümlü, C. (2021). Kabul ve Kararlılık Terapisi’ne dayalı psiko-eğitim programının otizm spektrum bozukluğu olan çocuk (3-6 yaş) anneleri ve babalarının psikolojik uyumlarına etkisi (Yayımlanmamış doktora tezi). Anadolu Üniversitesi, Eskişehir.
  • Twohig, M. P., Whittal, M. L., Cox, J. M. and Gunter, R. (2010). An initial investigation into the processes of change in ACT, CT, and ERP for OCD. International Journal of Behavioral Consultation and Therapy, 6(1), 67-83. http://dx.doi.org/10.1037/h0100898
  • Uygur, S. S. (2018). Üniversite öğrencilerinin psikolojik esneklik düzeylerinin yordanmasında duygusal şemaların rolü: Buca Eğitim Fakültesi örneği. Journal of Academic Social Science Studies, 70, 135-151. http://dx.doi.org/10.9761/JASSS7641
  • Wicksell, R. K., Olsson, G. L., & Hayes, S. C. (2010). Psychological flexibility as a mediator of improvement in Acceptance and Commitment Therapy for patients with chronic pain following whiplash. European Journal of Pain, 14(10), 1059.e1–1059.e11. doi: 10.1016/j.ejpain.2010.05.001
  • Yorulmaz, E. (2019). Alkol ve sigara kullanımında erken dönem uyumsuz şemaların, ebeveynlik stillerinin ve psikolojik esnekliğin rolü (Yayımlanmamış yüksek lisans tezi). Ege Üniversitesi, İzmir.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Studies on Education
Journal Section Articles
Authors

Gizem Ulubay 0000-0001-7562-8482

Mehmet Güven 0000-0002-0134-7562

Publication Date December 31, 2022
Submission Date April 26, 2022
Acceptance Date December 26, 2022
Published in Issue Year 2022

Cite

APA Ulubay, G., & Güven, M. (2022). Kabul ve Kararlılık Terapisi ve Psikolojik Esneklik ile İlgili Araştırmaların İncelenmesi. The Journal of International Lingual Social and Educational Sciences, 8(2), 92-101. https://doi.org/10.34137/jilses.1109608
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