The Effects of Acceptance and Commitment Therapy (ACT) Intervention on Inflammation and Stress Biomarkers [Elektronisk resurs] a Randomized Controlled Trial
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Jarvela-Reijonen, Elina (författare)
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Puttonen, Sampsa (författare)
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Karhunen, Leila (författare)
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Sairanen, Essi (författare)
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Laitinen, Jaana (författare)
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Kolehmainen, Mikko (författare)
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Pihlajamaki, Jussi (författare)
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Kujala, Urho M. (författare)
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Korpela, Riitta (författare)
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Ermes, Miikka (författare)
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Lappalainen, Raimo (författare)
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Kolehmainen, Marjukka (författare)
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Karlstads universitet Fakulteten för humaniora och samhällsvetenskap (from 2013) (utgivare)
- Publicerad: 2020
- Engelska.
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Ingår i: International Journal of Behavioral Medicine. - 1070-5503. ; 27:5, 539-555
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- Relaterad länk:
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http://www.kau.se/ (Värdpublikation)
Sammanfattning
Ämnesord
Stäng
- Background Psychological processes can be manifested in physiological health. We investigated whether acceptance and commitment therapy (ACT), targeted on psychological flexibility (PF), influences inflammation and stress biomarkers among working-age adults with psychological distress and overweight/obesity. Method Participants were randomized into three parallel groups: (1) ACT-based face-to-face (n = 65; six group sessions led by a psychologist), (2) ACT-based mobile (n = 73; one group session and mobile app), and (3) control (n = 66; only the measurements). Systemic inflammation and stress markers were analyzed at baseline, at 10 weeks after the baseline (post-intervention), and at 36 weeks after the baseline (follow-up). General PF and weight-related PF were measured with questionnaires (Acceptance and Action Questionnaire, Acceptance and Action Questionnaire for Weight-Related Difficulties). Results A group x time interaction (p = .012) was detected in the high-sensitivity C-reactive protein (hsCRP) level but not in other inflammation and stress biomarkers. hsCRP decreased significantly in the face-to-face group from week 0 to week 36, and at week 36, hsCRP was lower among the participants in the face-to-face group than in the mobile group (p = .035, post hoc test). Age and sex were stronger predictors of biomarker levels at follow-up than the post-intervention PF. Conclusion The results suggest that ACT delivered in group sessions may exert beneficial effects on low-grade systemic inflammation. More research is needed on how to best apply psychological interventions for the health of both mind and body among people with overweight/obesity and psychological distress.
Ämnesord
- Social Sciences (hsv)
- Psychology (hsv)
- Samhällsvetenskap (hsv)
- Psykologi (hsv)
- Psykologi (kau)
- Psychology (kau)
Genre
- government publication (marcgt)
Indexterm och SAB-rubrik
- Psychological flexibility
- ACT
- Mindfulness
- Obesity
- Low-grade inflammation
- Stress
Inställningar
Hjälp
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International Journal of Behavioral Medicine