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Published in: Child and Adolescent Psychiatry and Mental Health 1/2017

Open Access 01-12-2017 | Research Article

Acceptance and commitment therapy universal prevention program for adolescents: a feasibility study

Authors: Rowan Burckhardt, Vijaya Manicavasagar, Philip J. Batterham, Dusan Hadzi-Pavlovic, Fiona Shand

Published in: Child and Adolescent Psychiatry and Mental Health | Issue 1/2017

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Abstract

Background

There is a need to prevent anxiety and depression in young people and mindfulness contains important emotion regulation strategies. Acceptance and commitment therapy (ACT), a mindfulness-based therapy, has yet to be evaluated as a prevention program, but has demonstrated an ability to reduce symptoms of anxiety and depression in adult and adolescent populations. This study examines the feasibility of using an ACT-based prevention program in a sample of year 10 (aged 14–16 years) high school students from Sydney, Australia.

Methods

Participants were allocated to either their usual classes or to the ACT-based intervention. Participants were followed for a period of 5 months post-intervention and completed the Flourishing Scale, Depression Anxiety Stress Scale, and a program evaluation questionnaire. Analyses were completed using intention-to-treat mixed models for repeated measures.

Results

The results indicated that the intervention was acceptable to students and feasible to administer in a school setting. There were no statistically significant differences between the conditions, likely due to the small sample size (N = 48). However, between-group effect sizes demonstrated small to large differences for baseline to post-intervention mean scores and medium to large differences for baseline to follow-up mean scores, all favouring the ACT-based condition.

Conclusion

The results suggest that an ACT-based school program has potential as a universal prevention program and merits further investigation in a larger trial.
Trial registration Australian New Zealand Clinical Trials Registry. Trial ID: ACTRN12616001383459. Registered 06/10/2016. Retrospectively registered.
Literature
1.
go back to reference Australian Bureau of Statistics. National survey of mental health and wellbeing: summary of results. Canberra: Bureau of Statistics; 2008 (Cat 2326.0). Australian Bureau of Statistics. National survey of mental health and wellbeing: summary of results. Canberra: Bureau of Statistics; 2008 (Cat 2326.0).
2.
go back to reference Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:593–602.CrossRefPubMed Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:593–602.CrossRefPubMed
3.
go back to reference Glied S, Pine DS. Consequences and correlates of adolescent depression. Arch Pediatr Adolesc Med. 2002;156:1009–14.CrossRefPubMed Glied S, Pine DS. Consequences and correlates of adolescent depression. Arch Pediatr Adolesc Med. 2002;156:1009–14.CrossRefPubMed
5.
go back to reference Schofield DJ, Shrestha RN, Percival R, Passey ME, Callander EJ, Kelly SJ. The personal and national costs of mental health conditions: impacts on income, taxes, government support payments due to lost labour force participation. BMC Psychiatry. 2011;11:72.CrossRefPubMedPubMedCentral Schofield DJ, Shrestha RN, Percival R, Passey ME, Callander EJ, Kelly SJ. The personal and national costs of mental health conditions: impacts on income, taxes, government support payments due to lost labour force participation. BMC Psychiatry. 2011;11:72.CrossRefPubMedPubMedCentral
6.
go back to reference O’Connell ME, Boat T, Warner KE. Preventing mental, emotional, and behavioral disorders among young people: progress and possibilities. Washington, D.C: The National Academies Press; 2009. O’Connell ME, Boat T, Warner KE. Preventing mental, emotional, and behavioral disorders among young people: progress and possibilities. Washington, D.C: The National Academies Press; 2009.
8.
go back to reference Merry SN, Hetrick SE, Cox GR, Brudevold-Iversen T, Bir JJ, McDowell H. Psychological and educational interventions for preventing depression in children and adolescents. Cochrane Database Syst Rev. 2011;(12):CD003380. doi:10.1002/14651858.CD003380.pub3. Merry SN, Hetrick SE, Cox GR, Brudevold-Iversen T, Bir JJ, McDowell H. Psychological and educational interventions for preventing depression in children and adolescents. Cochrane Database Syst Rev. 2011;(12):CD003380. doi:10.​1002/​14651858.​CD003380.​pub3.
9.
go back to reference Neil AL, Christensen H. Australian school-based prevention and early intervention programs for anxiety and depression: a systematic review. Syst Rev. 2007;186:305–8. Neil AL, Christensen H. Australian school-based prevention and early intervention programs for anxiety and depression: a systematic review. Syst Rev. 2007;186:305–8.
10.
go back to reference Stice E, Shaw H, Bohon C, Marti CN, Rohde P. A meta-analytic review of depression prevention programs for children and adolescents: factors that predict magnitude of intervention effects. J Consult Clin Psychol. 2009;77:486–503.CrossRefPubMedPubMedCentral Stice E, Shaw H, Bohon C, Marti CN, Rohde P. A meta-analytic review of depression prevention programs for children and adolescents: factors that predict magnitude of intervention effects. J Consult Clin Psychol. 2009;77:486–503.CrossRefPubMedPubMedCentral
11.
go back to reference Stockings EA, Degenhardt L, Dobbins T, Lee YY, Erskine HE, Whiteford HA, Patton G. Preventing depression and anxiety in young people: a review of the joint efficacy of universal, selective and indicated prevention. Psychol Med. 2016;46:11–26.CrossRefPubMed Stockings EA, Degenhardt L, Dobbins T, Lee YY, Erskine HE, Whiteford HA, Patton G. Preventing depression and anxiety in young people: a review of the joint efficacy of universal, selective and indicated prevention. Psychol Med. 2016;46:11–26.CrossRefPubMed
12.
go back to reference Kabat-Zinn J. Full catastrophe living: Using the wisdom of your mind to face stress, pain and illness. New York: Dell; 1990. Kabat-Zinn J. Full catastrophe living: Using the wisdom of your mind to face stress, pain and illness. New York: Dell; 1990.
13.
go back to reference Gross JJ. The emerging field of emotion regulation: an integrative review. Rev Gen Psychol. 1998;2:271–99.CrossRef Gross JJ. The emerging field of emotion regulation: an integrative review. Rev Gen Psychol. 1998;2:271–99.CrossRef
14.
go back to reference Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev. 2010;30:217–37.CrossRefPubMed Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev. 2010;30:217–37.CrossRefPubMed
15.
go back to reference Mennin DS, Fresco DM. Emotion regulation as a framework for understanding and treating anxiety pathology. In: Krink AM, Sloan DM, editors. Emotion regulation in psychopathology. New York: Guildford Press; 2009. Mennin DS, Fresco DM. Emotion regulation as a framework for understanding and treating anxiety pathology. In: Krink AM, Sloan DM, editors. Emotion regulation in psychopathology. New York: Guildford Press; 2009.
16.
go back to reference Schäfer JO, Naumann E, Holmes EA, Tuschen-Caffier B, Samson AC. Emotion regulation strategies in depressive and anxiety symptoms in youth: a meta-analytic review. J Youth Adolesc. 2017;46:261–76.CrossRefPubMed Schäfer JO, Naumann E, Holmes EA, Tuschen-Caffier B, Samson AC. Emotion regulation strategies in depressive and anxiety symptoms in youth: a meta-analytic review. J Youth Adolesc. 2017;46:261–76.CrossRefPubMed
17.
go back to reference Sheppes G, Suri G, Gross JJ. Emotion regulation and psychopathology. Annu Rev Clin Psychol. 2015;11:379–405.CrossRefPubMed Sheppes G, Suri G, Gross JJ. Emotion regulation and psychopathology. Annu Rev Clin Psychol. 2015;11:379–405.CrossRefPubMed
18.
go back to reference Luken M, Sammons A. Systematic review of mindfulness practice for reducing job burnout. Am J Occup Ther. 2016;70:1–10.CrossRef Luken M, Sammons A. Systematic review of mindfulness practice for reducing job burnout. Am J Occup Ther. 2016;70:1–10.CrossRef
19.
go back to reference Burton A, Burgess C, Dean S, Koutsopoulou GZ, Hugh-Jones S. How effective are mindfulness-based interventions for reducing stress among healthcare professionals? A systematic review and meta-analysis. Stress Health. 2017;33:3–13.CrossRefPubMed Burton A, Burgess C, Dean S, Koutsopoulou GZ, Hugh-Jones S. How effective are mindfulness-based interventions for reducing stress among healthcare professionals? A systematic review and meta-analysis. Stress Health. 2017;33:3–13.CrossRefPubMed
20.
go back to reference Strauss C, Cavanagh K, Oliver A, Pettman D. Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomised controlled trials. PLoS ONE. 2014;9:e96110.CrossRefPubMedPubMedCentral Strauss C, Cavanagh K, Oliver A, Pettman D. Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomised controlled trials. PLoS ONE. 2014;9:e96110.CrossRefPubMedPubMedCentral
21.
go back to reference Vollestad J, Nielsen MB, Nielsen GH. Mindfulness- and acceptance-based interventions for anxiety disorders: a systematic review and meta-analysis. Br J Clin Psychol. 2012;51:239–60.CrossRefPubMed Vollestad J, Nielsen MB, Nielsen GH. Mindfulness- and acceptance-based interventions for anxiety disorders: a systematic review and meta-analysis. Br J Clin Psychol. 2012;51:239–60.CrossRefPubMed
22.
go back to reference 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;78:169–83.CrossRefPubMedPubMedCentral 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;78:169–83.CrossRefPubMedPubMedCentral
23.
go back to reference Khoury B, Lecomte T, Fortin G, Masse M, Therien P, Bouchard V, Chapleau M-A, Paquin K, Hofmann SG. Mindfulness-based therapy: a comprehensive meta-analysis. Clin Psychol Rev. 2013;33:763–71.CrossRefPubMed Khoury B, Lecomte T, Fortin G, Masse M, Therien P, Bouchard V, Chapleau M-A, Paquin K, Hofmann SG. Mindfulness-based therapy: a comprehensive meta-analysis. Clin Psychol Rev. 2013;33:763–71.CrossRefPubMed
24.
go back to reference Fjorback LO, Arendt M, Ombøl 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;124:102–19.CrossRefPubMed Fjorback LO, Arendt M, Ombøl 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;124:102–19.CrossRefPubMed
25.
go back to reference Klainin-Yobas P, Cho MA, Creedy D. Efficacy of mindfulness-based interventions on depressive symptoms among people with mental disorders: a meta-analysis. Int J Nurs Stud. 2012;49:109–21.CrossRefPubMed Klainin-Yobas P, Cho MA, Creedy D. Efficacy of mindfulness-based interventions on depressive symptoms among people with mental disorders: a meta-analysis. Int J Nurs Stud. 2012;49:109–21.CrossRefPubMed
26.
go back to reference Zgierska A, Rabago D, Chawla N, Kushner K, Koehler R, Marlatt A. Mindfulness meditation for substance use disorders: a systematic review. Subst Abus. 2009;30:266–94.CrossRefPubMedPubMedCentral Zgierska A, Rabago D, Chawla N, Kushner K, Koehler R, Marlatt A. Mindfulness meditation for substance use disorders: a systematic review. Subst Abus. 2009;30:266–94.CrossRefPubMedPubMedCentral
27.
go back to reference Bohlmeijer E, Prenger R, Taal E, Cuijpers P. The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. J Psychosom Res. 2010;68:539–44.CrossRefPubMed Bohlmeijer E, Prenger R, Taal E, Cuijpers P. The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. J Psychosom Res. 2010;68:539–44.CrossRefPubMed
28.
go back to reference Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Altern Complement. 2009;15:593–600.CrossRef Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Altern Complement. 2009;15:593–600.CrossRef
29.
go back to reference Silk JS, Siegel GJ, Whalen DJ, Ostapenko LJ, Ladoucer CD, Dahl RE. Pubertal changes in emotion processing: pupillary, behavioral, and subjective evidence during emotional work identification. Dev Psychopathol. 2009;21:7–26.CrossRefPubMedPubMedCentral Silk JS, Siegel GJ, Whalen DJ, Ostapenko LJ, Ladoucer CD, Dahl RE. Pubertal changes in emotion processing: pupillary, behavioral, and subjective evidence during emotional work identification. Dev Psychopathol. 2009;21:7–26.CrossRefPubMedPubMedCentral
30.
go back to reference Thomas KM, Drevets WC, Whalen PJ, Eccard CH, Dahl RE, Ryan ND. Amygdala response to facial expressions in children and adults. Biol Psychiatry. 2001;49:309–16.CrossRefPubMed Thomas KM, Drevets WC, Whalen PJ, Eccard CH, Dahl RE, Ryan ND. Amygdala response to facial expressions in children and adults. Biol Psychiatry. 2001;49:309–16.CrossRefPubMed
31.
go back to reference Quevedo K, Benning SD, Gunnar MR, Dahl RE. The onset of puberty: effects on the psychophysiology of defensive and appetitive motivation. Dev Psychopathol. 2009;21:27–45.CrossRefPubMedPubMedCentral Quevedo K, Benning SD, Gunnar MR, Dahl RE. The onset of puberty: effects on the psychophysiology of defensive and appetitive motivation. Dev Psychopathol. 2009;21:27–45.CrossRefPubMedPubMedCentral
32.
go back to reference Hare TA, Tottenham N, Galvan A, Voss HU, Glover GH, Casey BJ. Biological substrates of emotional reactivity and regulation in adolescence during an emotional go-nogo task. Bio Psychiatry. 2008;63:927–34.CrossRef Hare TA, Tottenham N, Galvan A, Voss HU, Glover GH, Casey BJ. Biological substrates of emotional reactivity and regulation in adolescence during an emotional go-nogo task. Bio Psychiatry. 2008;63:927–34.CrossRef
33.
go back to reference Johnson SB, Blum RW, Giedd JN. Adolescent maturity and the brain: the promise and pitfalls of neuroscience research in adolescent health policy. J Adolesc Health. 2010;45:216–21.CrossRef Johnson SB, Blum RW, Giedd JN. Adolescent maturity and the brain: the promise and pitfalls of neuroscience research in adolescent health policy. J Adolesc Health. 2010;45:216–21.CrossRef
34.
go back to reference Kallapiran K, Koo S, Kirubakaran R, Hancock K. Effectiveness of mindfulness in improving mental health symptoms of children and adolescents: a meta-analysis. Child Adolesc Ment Health. 2015;20:182–94.CrossRef Kallapiran K, Koo S, Kirubakaran R, Hancock K. Effectiveness of mindfulness in improving mental health symptoms of children and adolescents: a meta-analysis. Child Adolesc Ment Health. 2015;20:182–94.CrossRef
35.
go back to reference Roemer L, Williston SK, Rollins LG. Mindfulness and emotion regulation. 2015;3:52–7. Roemer L, Williston SK, Rollins LG. Mindfulness and emotion regulation. 2015;3:52–7.
36.
go back to reference Metzler CW, Biglan A, Noell J, Ary DV, Ochs L. A randomized controlled trial of a behavioral intervention to reduce high-risk sexual behaviour among adolescents in STD clinics. Behav Ther. 2000;31:27–54.CrossRef Metzler CW, Biglan A, Noell J, Ary DV, Ochs L. A randomized controlled trial of a behavioral intervention to reduce high-risk sexual behaviour among adolescents in STD clinics. Behav Ther. 2000;31:27–54.CrossRef
37.
go back to reference Hayes L, Boyd CP, Sewell J. Acceptance and commitment therapy for the treatment of adolescent depression: a pilot study in a psychiatric outpatient setting. Mindfulness. 2011;2:86–94.CrossRef Hayes L, Boyd CP, Sewell J. Acceptance and commitment therapy for the treatment of adolescent depression: a pilot study in a psychiatric outpatient setting. Mindfulness. 2011;2:86–94.CrossRef
38.
go back to reference Livheim F, Hayes L, Ghaderi A, Magnusdottir T, Högfeldt A, Rowse J, Turner S, Hayes SC, Tengström. The effectiveness of acceptance and commitment therapy for adolescent mental health: Swedish and Australian pilot outcomes. J Child Fam Stud. 2015;24:1016–30.CrossRef Livheim F, Hayes L, Ghaderi A, Magnusdottir T, Högfeldt A, Rowse J, Turner S, Hayes SC, Tengström. The effectiveness of acceptance and commitment therapy for adolescent mental health: Swedish and Australian pilot outcomes. J Child Fam Stud. 2015;24:1016–30.CrossRef
39.
go back to reference Ciarrochi J, Hayes L, Bailey A. Get out of your mind and into your life for teens: a guide to living an extraordinary life. Oakland: Harbinger Publications; 2012. Ciarrochi J, Hayes L, Bailey A. Get out of your mind and into your life for teens: a guide to living an extraordinary life. Oakland: Harbinger Publications; 2012.
40.
go back to reference Muños RF, Cuijpers P, Smit F, Barrera AZ, Leykin Y. Preventing of major depression. Annu Rev Clin Psychol. 2010;6:181–212.CrossRef Muños RF, Cuijpers P, Smit F, Barrera AZ, Leykin Y. Preventing of major depression. Annu Rev Clin Psychol. 2010;6:181–212.CrossRef
41.
go back to reference Calear AL, Christensen H, Mackinnon A, Griffiths KM, O’Kearney R. The YouthMood Project: a cluster randomized controlled trial of an online cognitive behavioral program with adolescents. J Consult Clin Psychol. 2009;77:1021–32.CrossRefPubMed Calear AL, Christensen H, Mackinnon A, Griffiths KM, O’Kearney R. The YouthMood Project: a cluster randomized controlled trial of an online cognitive behavioral program with adolescents. J Consult Clin Psychol. 2009;77:1021–32.CrossRefPubMed
44.
go back to reference Hayes SC, Strosahl K, Wilson KG. Acceptance and commitment therapy: the process and practice of mindful change. 2nd ed. New York: Guilford Press; 2012. Hayes SC, Strosahl K, Wilson KG. Acceptance and commitment therapy: the process and practice of mindful change. 2nd ed. New York: Guilford Press; 2012.
45.
go back to reference Nelson-Gray RO, Keane SP, Hurst RM, Mitchell JT, Warburton JB, Chok JT, Cobb AR. A modified DBT skills training program for oppositional defiant adolescents: promising preliminary findings. Behav Res Ther. 2006;44:1811–20.CrossRefPubMed Nelson-Gray RO, Keane SP, Hurst RM, Mitchell JT, Warburton JB, Chok JT, Cobb AR. A modified DBT skills training program for oppositional defiant adolescents: promising preliminary findings. Behav Res Ther. 2006;44:1811–20.CrossRefPubMed
46.
go back to reference Levin ME, Haeger JA, Pierce BG, Twohig MP. Web-based acceptance and commitment therapy for mental health problems in college students: a randomized controlled trial. Behav Modif. 2016;41(1):141–62.CrossRef Levin ME, Haeger JA, Pierce BG, Twohig MP. Web-based acceptance and commitment therapy for mental health problems in college students: a randomized controlled trial. Behav Modif. 2016;41(1):141–62.CrossRef
47.
go back to reference Patrick J, Dyck M, Bramston P. Depression anxiety stress scale: is it valid for children and adolescents? J Clin Psychol. 2010;66:996–1007.PubMed Patrick J, Dyck M, Bramston P. Depression anxiety stress scale: is it valid for children and adolescents? J Clin Psychol. 2010;66:996–1007.PubMed
48.
go back to reference Szabó M. The short version of the depression anxiety stress scales (DASS-21): factor structure in a young adolescent sample. J Adolesc. 2010;33:1–8.CrossRefPubMed Szabó M. The short version of the depression anxiety stress scales (DASS-21): factor structure in a young adolescent sample. J Adolesc. 2010;33:1–8.CrossRefPubMed
49.
go back to reference Tully PJ, Zajac IT, Venning AJ. The structure of anxiety and depression in a normative sample of younger and older Australian adolescents. J Abnorm Child Psychol. 2009;37:717–26.CrossRefPubMed Tully PJ, Zajac IT, Venning AJ. The structure of anxiety and depression in a normative sample of younger and older Australian adolescents. J Abnorm Child Psychol. 2009;37:717–26.CrossRefPubMed
50.
go back to reference Burckhardt RB, Manicavasagar V, Batterham PJ, Hadzi-Pavlovic D. A randomized controlled trial of strong minds: a school-based mental health program combining acceptance and commitment therapy and positive psychology. J Sch Psychol. 2016;57:41–52.CrossRefPubMed Burckhardt RB, Manicavasagar V, Batterham PJ, Hadzi-Pavlovic D. A randomized controlled trial of strong minds: a school-based mental health program combining acceptance and commitment therapy and positive psychology. J Sch Psychol. 2016;57:41–52.CrossRefPubMed
51.
go back to reference Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. 2nd ed. Sydney: Psychology Foundation; 1995. Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. 2nd ed. Sydney: Psychology Foundation; 1995.
52.
go back to reference Diener E, Wirtz D, Tov W, Kim-Prieto C, Choi DW, Oishi S, Biswas-Diener R. New well-being measure: short scales to assess flourishing and positive and negative feelings. Soc Indic Res. 2010;97:143–56.CrossRef Diener E, Wirtz D, Tov W, Kim-Prieto C, Choi DW, Oishi S, Biswas-Diener R. New well-being measure: short scales to assess flourishing and positive and negative feelings. Soc Indic Res. 2010;97:143–56.CrossRef
53.
go back to reference Hone L, Jarden A, Schofield G. Psychometric properties of the Flourishing Scale in a New Zealand sample. Soc Indic Res. 2014;119:1031–45.CrossRef Hone L, Jarden A, Schofield G. Psychometric properties of the Flourishing Scale in a New Zealand sample. Soc Indic Res. 2014;119:1031–45.CrossRef
54.
go back to reference Verbeke G, Molenberghs G. Linear mixed models for longitudinal data. New York: Springer; 2000. Verbeke G, Molenberghs G. Linear mixed models for longitudinal data. New York: Springer; 2000.
55.
go back to reference Kenward MG, Roger JH. Small sample inference for fixed effects from restricted maximum likelihood. Biometrics. 1997;53:983–97.CrossRefPubMed Kenward MG, Roger JH. Small sample inference for fixed effects from restricted maximum likelihood. Biometrics. 1997;53:983–97.CrossRefPubMed
56.
go back to reference Morris SB. Estimating effect sizes from pretest-posttest-control group designs. Organ Res Meth. 2008;11:364–86.CrossRef Morris SB. Estimating effect sizes from pretest-posttest-control group designs. Organ Res Meth. 2008;11:364–86.CrossRef
57.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Earlbaum Associates; 1988. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Earlbaum Associates; 1988.
58.
go back to reference Behar E, DiMarco ID, Hekler EB, Mohlman J, Staples AM. Current theoretical models of generalized anxiety disorder (GAD): conceptual review and treatment implications. J Anxiety Disord. 2009;23:1011–23.CrossRefPubMed Behar E, DiMarco ID, Hekler EB, Mohlman J, Staples AM. Current theoretical models of generalized anxiety disorder (GAD): conceptual review and treatment implications. J Anxiety Disord. 2009;23:1011–23.CrossRefPubMed
59.
go back to reference Stice E, Shaw H. Eating disorder prevention programs: a meta-analytic review. Psychol Bull. 2004;130:206–27.CrossRefPubMed Stice E, Shaw H. Eating disorder prevention programs: a meta-analytic review. Psychol Bull. 2004;130:206–27.CrossRefPubMed
60.
go back to reference Forman EM, Chapman JE, Herbert JD, Goetter EM, Yuen EK, Moitra E. Using session-by-session measurement to compare mechanisms of action for acceptance and commitment therapy and cognitive therapy. Behav Ther. 2012;43:341–54.CrossRefPubMed Forman EM, Chapman JE, Herbert JD, Goetter EM, Yuen EK, Moitra E. Using session-by-session measurement to compare mechanisms of action for acceptance and commitment therapy and cognitive therapy. Behav Ther. 2012;43:341–54.CrossRefPubMed
61.
go back to reference Sawyer MG, Pfeiffer S, Spence SH, Bond L, Graetz B, Kay D, et al. School-based prevention of depression: a randomised controlled study of the beyond blue schools research initiative. J Child Psychol Psychiatry. 2010;51:199–209.CrossRefPubMed Sawyer MG, Pfeiffer S, Spence SH, Bond L, Graetz B, Kay D, et al. School-based prevention of depression: a randomised controlled study of the beyond blue schools research initiative. J Child Psychol Psychiatry. 2010;51:199–209.CrossRefPubMed
Metadata
Title
Acceptance and commitment therapy universal prevention program for adolescents: a feasibility study
Authors
Rowan Burckhardt
Vijaya Manicavasagar
Philip J. Batterham
Dusan Hadzi-Pavlovic
Fiona Shand
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Child and Adolescent Psychiatry and Mental Health / Issue 1/2017
Electronic ISSN: 1753-2000
DOI
https://doi.org/10.1186/s13034-017-0164-5

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