TY - JOUR
T1 - Acceptance and Commitment Therapy for obsessive compulsive disorder in a Brazilian context
T2 - Treatment of three cases
AU - Laurito, Luana Dumans
AU - Loureiro, Carla Pereira
AU - Dias, Rafaela Venâncio
AU - Faro, Livi
AU - Torres, Bianca
AU - Moreira-de-Oliveira, Maria Eduarda
AU - Santos-Ribeiro, Samara dos
AU - de Menezes, Gabriela B.
AU - Fontenelle, Leonardo F.
AU - Davis, Carter H.
AU - Twohig, Michael P.
N1 - Funding Information:
Leonardo F. Fontenelle is funded by the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq - Grant number 302526/2018–8 ), Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ - Grant number CNE E−26/203.052/2017 ); the D’Or Institute of Research and Education (No grant number available); Luana Dumans Laurito, Carla Pereira Loureiro, Rafaela Venâncio Dias, Maria Eduarda Moreira-de-Oliveira, Samara dos Santos-Ribeiro are supported by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) with no grant number available - Brazil.
Funding Information:
Leonardo F. Fontenelle is funded by the Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq - Grant number 302526/2018?8), Funda??o Carlos Chagas Filho de Amparo ? Pesquisa do Estado do Rio de Janeiro (FAPERJ - Grant number CNE E?26/203.052/2017); the D'Or Institute of Research and Education (No grant number available); Luana Dumans Laurito, Carla Pereira Loureiro, Rafaela Ven?ncio Dias, Maria Eduarda Moreira-de-Oliveira, Samara dos Santos-Ribeiro are supported by Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) with no grant number available - Brazil.
Publisher Copyright:
© 2022 Association for Contextual Behavioral Science
PY - 2022/4
Y1 - 2022/4
N2 - Previous research indicates that a combination of Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD). However, there are no studies to date of ACT for OCD in Latin American populations. Because socio-cultural context influences OCD symptomatology, it is worth adapting and testing ACT for OCD in such cultures. Three patients seeking treatment for OCD at a public health center in Rio De Janeiro, Brazil were treated with 16 sessions of ACT and ERP. All participants showed decreased OCD scores from baseline to post-treatment that remained lower at follow-up, suggesting that a version of ACT for OCD adapted for a Brazilian cultural context was effective. The intervention also had positive effects on depression, quality of life, and psychological flexibility. This paper focuses on the adaptations that reflect the unique needs of Brazilian culture, as well as how to integrate ACT within existing systems of care. This study shows the effectiveness of this approach in Brazil and offers promise for future cultural adaptations of ACT in other Latin American contexts.
AB - Previous research indicates that a combination of Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD). However, there are no studies to date of ACT for OCD in Latin American populations. Because socio-cultural context influences OCD symptomatology, it is worth adapting and testing ACT for OCD in such cultures. Three patients seeking treatment for OCD at a public health center in Rio De Janeiro, Brazil were treated with 16 sessions of ACT and ERP. All participants showed decreased OCD scores from baseline to post-treatment that remained lower at follow-up, suggesting that a version of ACT for OCD adapted for a Brazilian cultural context was effective. The intervention also had positive effects on depression, quality of life, and psychological flexibility. This paper focuses on the adaptations that reflect the unique needs of Brazilian culture, as well as how to integrate ACT within existing systems of care. This study shows the effectiveness of this approach in Brazil and offers promise for future cultural adaptations of ACT in other Latin American contexts.
KW - Acceptance and commitment therapy
KW - Brazil
KW - Cultural adaptations
KW - Latin America
KW - Obsessive-compulsive disorder
UR - http://www.scopus.com/inward/record.url?scp=85129227142&partnerID=8YFLogxK
U2 - 10.1016/j.jcbs.2022.04.002
DO - 10.1016/j.jcbs.2022.04.002
M3 - Article
AN - SCOPUS:85129227142
SN - 2212-1447
VL - 24
SP - 134
EP - 140
JO - Journal of Contextual Behavioral Science
JF - Journal of Contextual Behavioral Science
ER -
