Cognitive-behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for XXXX family caregivers with significant depressive symptoms: Results of a randomized clinical trial.

@entity303 @entity1 @entity148
OBJECTIVE: The differential efficacy of acceptance and commitment therapy (ACT) and cognitive-behavioral therapy (CBT) for @entity303 family caregivers' is analyzed through a randomized controlled trial. METHOD: @entity1 were 135 caregivers with high depressive symptomatology who were randomly allocated to the intervention conditions or a control group (CG). Pre-, postintervention, and follow-up measurements assessed depressive symptomatology, @entity148 , leisure, dysfunctional thoughts, and experiential avoidance. RESULTS: Depression: Significant effects of interventions compared with CG were found for CBT (p < .001, d = 0.98, number needed to treat [NNT] = 3.61) and ACT (p < .001, d = 1.17, NNT = 3.53) at postintervention, but were maintained only at follow-up for CBT (p = .02, d = 0.74, NNT = 9.71). Clinically significant change was observed in 26.7% @entity1 in CBT, 24.2% in ACT, and 0% in CG. At follow-up, 10.53% in CBT and 4% in ACT were recovered (0% CG). @entity148 : At postintervention, ACT @entity1 showed lower @entity148 than CBT @entity1 (p < .05, d = 0.50) and CG @entity1 (p < .01, d = 0.79, NNT = 3.86), with no effects at follow-up. At postintervention, 23.33% in CBT, 36.36% in ACT, and 6.45% in CG showed clinically significant change. At follow-up, 26.32% in CBT, 36% in ACT, and 13.64% in CG were recovered. Significant changes at postintervention were found in leisure and dysfunctional thoughts in both ACT and CBT, with changes in experiential avoidance only for ACT. CONCLUSION: Similar results were obtained for ACT and CBT. ACT seems to be a viable and effective treatment for @entity303 caregivers.
