Contextual therapies for the intervention of anxiety and depression in adults

Keywords: Anxiety, depression, contextual therapies, third generation therapies, adults

Abstract

According to the World Health Organization there are about 264,000,000 cases of anxiety disorders. In Latin America, depression is the second most common mental disorder, and in its most severe form, it can lead to suicide. In addition, adulthood is a stage where significant events occur, as well as the search for autonomy. Although the efficacy of different psychological treatments in adults with anxiety disorders and depression has been demonstrated, there is a growing interest in the available evidence of the components and techniques of third generation therapies in this population. Therefore, a narrative review of interventions based on contextual therapies (Acceptance and Commitment Therapy, Mindfulness, Behavioral Activation, Dialectical Behavioral Therapy, Functional Analytic Therapy) was carried out to know their effectiveness in the treatment of anxiety and depression in adults

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References

2º diagnóstico operativo de salud mental y adicciones. México: Secretaría de Salud; 2022. Available from: https://www.gob.mx/cms/uploads/attachment/file/730678/SAP-DxSMA-Informe-2022-rev07jun2022.pdf

Instituto Nacional de Estadística, Geografía e Historia. Resultados de la Primera Encuesta Nacional de Bienestar Autorreportado [Internet]. Instituto Nacional de Estadistica, Geografia e Historia; Ciudad de México, México: 2021. [cited 2024 March 07]. Available from: https://www.inegi.org.mx/programas/enbiare/2021/

Leach LS, Butterworth P. Depression and anxiety in early adulthood: consequences for finding a partner, and relationship support and conflict. Epidemiol. Psychiatr. Sci. 2020;29:e141.

Cummings CM, Caporino NE, Kendall PC. Comorbidity of anxiety and depression in children and adolescents: 20 years after. Psychol. Bull. 2014;140(3):816–45.

Berenzon S, Lara MA, Robles R, Medina-Mora ME. Depresión: estado del conocimiento y la necesidad de políticas públicas y planes de acción en México. Salud publica Méx. 2013;55(1):74-80.

Cuijpers P, Karyotaki E, Weitz E, Andersson G, Hollon SD, van Straten A. The effects of psychotherapies for major depression in adults on remission, recovery and improvement: a meta-analysis. J. Affect. Disord. 2014;159:118-26.

Stewart RE, Chambless DL. Cognitive-behavioral therapy for adult anxiety disorders in clinical practice: A meta-analysis of effectiveness studies. J. Consult. Clin. Psychol. 2009;77(4):595-606.

Cuijpers P, Berking M, Andersson G, Quigley L, Kleiboer A, Dobson KS. A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. Can. J. Psychiatry 2013;58(7):376-85.

Springer KS, Levy HC, Tolin DF. Remission in CBT for adult anxiety disorders: A meta-analysis. Clin. Psychol. Rev. 2018;61:1–8.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington Dc: American Psychiatric Publishing; 2013.

World Health Organization. International Classification of Diseases for Mortality and Morbidity Statistics (11th Revisión). Geneva: WHO; 2018.

Hirschfeld RMA, Williams JBW, Spitzer RL, Calabrese JR, Flynn L, Keck PE, et al. Development and Validation of a Screening Instrument for Bipolar Spectrum Disorder: The Mood Disorder Questionnaire. Am. J. Psychiatry 2000;157(11):1873–5.

Álvarez MP. La terapia de conducta de tercera generación. EduPsykhe 2006;5(2):159–72.

Vallejo-Slocker L, Vallejo MA. Sobre la desensibilización sistemática. una técnica superada o renombrada. Acción psicol. 2016;13(2):157-68.

Díaz MI, Ruiz AM, Villalobos A. Manual de técnicas y terapias cognitivo conductuales. Bilbao: Desclée de Brouwer;2017.

Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behav. Ther. 2004;35(4):639–65.

Tai S, Turkington D. The evolution of cognitive behavior therapy for schizophrenia: current practice and recent developments. Schizophr. Bull. 2009;35(5):865–73.

Coutiño AM. Terapias cognitivo-conductuales de tercera generación (TTG): la atención plena / mindfulness. Rev. int. psicol. 2012;12(1):1–18.

Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav. Res. Ther. 2006;44(1):1-25.

Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press; 1993.

Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression. New York: Guilford Press; 1979.

Butler AC, Chapman JE, Forman EM, Beck AT. The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Clin. Psychol. Rev. 2006;26(1):17-31.

Acevedo Martinez EJ, Flores Sosa ME. Cognitive Behavioral Therapy in Mexico. In: Terjesen MD, Doyle KA, editors. Cognitive Behavioral Therapy in a Global Context. Cham: Springer International Publishing; 2022: 343-355.

Hayes SC, Wilson KG, Gifford EV, Follette VM, Strosahl K. Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. J. Consult. Clin. Psychol. 1996;64(6):1152-68.

Arch JJ, Craske MG. First-line treatment: a critical appraisal of cognitive behavioral therapy developments and alternatives. Psychiatr. Clin. North Am. 2009;32(3):525-47.

Gu J, Strauss C, Bond R, Cavanagh K. How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clin. Psychol. Rev. 2015;37:1–12.

Vallejo M. Mindfulness o atención plena: de la meditación y la relajación a la terapia. En: Labrador F, editor. Técnicas de modificación de conducta. Madrid: Pirámide; 2014: 225-242.

Kabat-Zinn J, Hanh TN. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York: Bantam Dell; 2009.

Segal Z, Williams M, Teasdale J, Kabat-Zin J. Mindfulness-Based Cognitive Therapy for Depression. 2nd ed. New York: The Guilford Press; 2018.

Hayes SC, Strosahl KD, Wilson KG. Acceptance and Commitment Therapy: The Process and Practice of Mindful Change. 2nd ed. New York: Guilford Press; 2016.

Hoge EA, Bui E, Marques L, Metcalf CA, Morris LK, Robinaugh DJ, et al. Randomized Controlled Trial of Mindfulness Meditation for Generalized Anxiety Disorder. J. Clin. Psychiatry 2013;74(8):786–92.

Hofmann SG, Sawyer AT, Witt AA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. J. Consult. Clin. Psychol. 2010;78(2):169–83.

Fjorback LO, Arendt M, Ørnbøl E, Fink P, Walach H. Mindfulness-based stress reduction and mindfulness-based cognitive therapy - a systematic review of randomized controlled trials. Acta Psychiatr. Scand. 2011;124(2):102–19

Song Y, Lindquist R. Effects of mindfulness-based stress reduction on depression, anxiety, stress and mindfulness in Korean nursing students. Nurse Educ. Today 2015;35(1):86-90.

Creswell JD, Pacilio LE, Lindsay EK, Brown KW. Brief mindfulness meditation training alters psychological and neuroendocrine responses to social evaluative stress. Psychoneuroendocrinology 2014;44(1):1–12.

Eisendrath SJ, Gillung E, Delucchi KL, Segal ZV, Nelson JC, McInnes LA, et al. A Randomized Controlled Trial of Mindfulness-Based Cognitive Therapy for Treatment-Resistant Depression. Psychother. Psychosom. 2016;85(2):99–110.

Lineman MM. Manual de tratamiento de los trastornos de personalidad límite. Barcelona: Paidós; 2003.

Linehan MM. DBT Skills Training Manual. 2nd ed. New York: The Guilford Press; 2014.

Afshari B, Jafarian Dehkordi F, Asgharnejad Farid AA, Aramfar B, Balagabri Z, Mohebi M, et al. Study of the effects of cognitive behavioral therapy versus dialectical behavior therapy on executive function and reduction of symptoms in generalized anxiety disorder. Trends Psychiatry Psychother. 2022;44:e20200156.

Afshari B, Hasani J. Study of dialectical behavior therapy versus cognitive behavior therapy on emotion regulation and mindfulness in patients with generalized anxiety disorder. J. Contemp. Psychother. 2020;50:305-12.

Elices M, Soler J, Feliu-Soler A, Carmona C, Tiana T, Pascual JC, et al. Combining emotion regulation and mindfulness skills for preventing depression relapse: a randomized-controlled study. Borderline Personal. Disord. Emot. Dysregul. 2017;4:13.

Neacsiu AD, Eberle JW, Kramer R, Wiesmann T, Linehan MM. Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: a pilot randomized controlled trial. Behav. Res. Ther. 2014;59:40–51.

Hayes SC, Strosahl KD, Wilson KG. Terapia de aceptación y compromiso. 2nd ed. Bilbao: Desclée De Brouwer; 2014.

Twohig MP, Levin ME. Acceptance and Commitment Therapy as a Treatment for Anxiety and Depression. A Review. Psychiatr. Clin North Am. 2017;40(4):751–70.

Perez-Rivero PF, Uribe-Rodríguez AF. Terapia de aceptación y compromiso en un caso de trastorno mixto de ansiedad y depresión en una paciente con cáncer. Psicooncología 2016;13(1):101-111.

Ferreira MG, Mariano LI, Rezende JV de, Caramelli P, Kishita N. Effects of group Acceptance and Commitment Therapy (ACT) on anxiety and depressive symptoms in adults: A meta-analysis. J. Affect. Disord. 2022;309:297–308.

Ong CW, Lee EB, Twohig MP. A meta-analysis of dropout rates in acceptance and commitment therapy. Behav. Res. Ther. 2018;104:14–33.

Hernández Gómez A. Intervención desde la Terapia de Aceptación y Compromiso y la Activación Conductual en un caso de ansiedad social. Rev. de psicol. y cienc. del comport. de la Unidad Académica de Cienc. Juríd. y Sociales 2019;10(2):156–71.

Wilson KG, Luciano Soriano MC. Terapia de aceptación y compromiso (ACT). Un tratamiento conductual orientado a valores. Madrid: Pirámide; 2002.

Beck AT, Steer RA, Brown GK. Manual del BDI-II. Inventario de Depresión de Beck-II (Adaptación española: Sanz J, Vázquez C). Madrid: Pearson; 2011.

Guillén-Riquelme A, Buela-Casal G. Actualización psicométrica y funcionamiento diferencial de los ítems en el State Trait Anxiety Inventory (STAI). Psicothema 2011;23(3):510-15.

Gambrill ED, Richey CA. An assertion inventory for use in assessment and research. Behav. Ther. 1975;6(4):550-61.

Carrasco I, Clemente M, Llavona L. Análisis del inventario de aserción de Gambrill y Richey. Estud. Psicol. 1989;37:63-74.

Scott W, Hann KEJ, McCracken LM. A Comprehensive Examination of Changes in Psychological Flexibility Following Acceptance and Commitment Therapy for Chronic Pain. J. Contemp. Psychother. 2016;46:139-48.

Jacobson NS, Dobson KS, Truax PA, Addis ME, Koerner K, Gollan JK, et al. A component analysis of cognitive–behavioral treatment for depression. J. Consult. Clin. Psychol. 1996;64(2):295-304.

Martell CR, Addis ME, Jacobson NS. Depression in context: strategies for guided action. New York: W.W. Norton & Company; 2001.

Martell CR, Dimidjian S, Herman-Dunn R. Behavioral activation for depression: a clinician’s guide. New York: Guilford Press; 2010.

Álvarez MP. La activación conductual y la desmedicalización de la depresión. Pap. Psicol. 2007;28(2):97–110.

Jacobson NS, Martell CR, Dimidjian S. Behavioral Activation Treatment for Depression: Returning to Contextual Roots. Clin. Psychol. 2001;8(3):255–70.

Cuijpers P. Four decades of outcome research on psychotherapies for adult depression: An overview of a series of meta-analyses. Can. Psychol. 2017;58(1):7–19.

Dimidjian S, Barrera Jr M, Martell C, Muñoz RF, Lewinsohn PM. The origins and current Status of behavioral activation treatments for depression. Annu. Rev. Clin. Psychol. 2011;7:1–38.

Berg H, Akeman E, McDermott TJ, Cosgrove KT, Kirlic N, Clausen A, et al. A randomized clinical trial of behavioral activation and exposure-based therapy for adults with generalized anxiety disorder. J. Mood Anxiety Disord. 2023;1:100004.

Coto-Lesmes R, Fernández-Rodríguez C, González-Fernández S. Activación Conductual en formato grupal para ansiedad y depresión. Una revisión sistemática. Ter. Psicol. 2020;38(1):63–84.

Ciharova M, Furukawa TA, Efthimiou O, Karyotaki E, Miguel C, Noma H, et al. Cognitive restructuring, behavioral activation and cognitive-behavioral therapy in the treatment of adult depression: A network meta-analysis. J. Consult. Clin. Psychol. 2021;89(6):563–74.

Huguet A, Miller A, Kisely S, Rao S, Saadat N, McGrath PJ. A systematic review and meta-analysis on the efficacy of Internet-delivered behavioral activation. J. Affect. Disord. 2018:235;27–38.

Kohlenberg RJ, Tsai M. Functional Analytic Psychotherapy. Nueva York: Springer; 1991.

Tsai M, Kohlenberg RJ, Kanter JW, Kohlenberg B, Follette WC, Callaghan GM. A Guide to Functional Analytic Psychotherapy: Awareness, Courage, Love, and Behaviorism. Nueva York: Springer; 2009.

López Bermúdez MÁ, García RF, Calvillo M. An application of functional analytic psychotherapy in a case of anxiety panic disorder without agoraphobia. Int. J. Behav. Consult. Ther. 2010;6(4):356–72.

Balam AGH. Intervención contextual en un caso de problemas emocionales tras ruptura de pareja. Rev. Casos Clín. Salud Mental 2020;8(1):37-53.

López-Bermúdez MÁ, Ferro-García R, Calvillo-Mazarro M, Valero-Aguayo L. Importance of the Therapeutic Relationship: Efficacy of Functional Analytic Psychotherapy with Different Problems. Clin. Sal. 2021;32(3):103-9.

Vandenberghe L, Rego Leite UD. Functional Analytic Group Therapy (FAGT) for Depression: a Pilot Study. Psychol. Rec. 2018;68:231–8.

Published
2024-05-13
How to Cite
Butrón Islas, T. (2024). Contextual therapies for the intervention of anxiety and depression in adults. Mexican Journal of Medical Research ICSA, 12(24), 78-88. Retrieved from https://repository.uaeh.edu.mx/revistas/index.php/MJMR/article/view/12426