Acceptance and commitment therapy reduces perceived ostracism in suicidal patients
Abstract Introduction Ostracism increases the risk of depression and suicidal behaviors. Mindfulness training, which is at the core of third-wave behavioral therapies such as acceptance and commitment therapy (ACT), might reduce social distress and inhibit negative affect. Methods This randomized co...
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BMC
2025-02-01
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| Series: | Annals of General Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12991-024-00541-x |
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| author | Emilie Olié Manon Malestroit Véronique Brand-Arpon Philippe Courtet Deborah Ducasse |
| author_facet | Emilie Olié Manon Malestroit Véronique Brand-Arpon Philippe Courtet Deborah Ducasse |
| author_sort | Emilie Olié |
| collection | DOAJ |
| description | Abstract Introduction Ostracism increases the risk of depression and suicidal behaviors. Mindfulness training, which is at the core of third-wave behavioral therapies such as acceptance and commitment therapy (ACT), might reduce social distress and inhibit negative affect. Methods This randomized controlled trial included 32 patients with a history of suicide attempt in the past year who followed seven weekly sessions of ACT or progressive relaxation therapy (PRT). To assess and compare the effects of ACT and PRT on social distress, patients performed a validated paradigm of social exclusion (the Cyberball Game) followed by completion of the Need Threat Scale (NTS) at inclusion (baseline) and within two weeks after the intervention ended (posttherapy). Results The included patients were mainly women (N = 28; 87.5%), and their mean age was 40 years (SD: 12 years). Twenty-six patients (81%) experienced current depression. The postintervention NTS score was greater (lower social distress) in the ACT group than in the PRT group (group × time interaction; β = 0.47, p < 0.05), even after controlling for depressive symptoms (β = 0.27, p < 0.05). The NTS score change (between baseline and posttherapy) was correlated with changes in dispositional mindfulness (r = 0.46, p = 0.03), cognitive fusion (r = − 0.61, p < 10–3) and acceptance (r = 0.57, p < 10–2). Conclusion ACT decreased social pain independently of its effect on depression. Reduced social pain was correlated with improved therapeutic processes and decreased suicidal ideation, highlighting the therapeutic potential of ACT for managing ostracism and suicide risk. |
| format | Article |
| id | doaj-art-5b1f8add1bd8417ba9d9bf4adc5efa79 |
| institution | Kabale University |
| issn | 1744-859X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
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| series | Annals of General Psychiatry |
| spelling | doaj-art-5b1f8add1bd8417ba9d9bf4adc5efa792025-02-09T12:48:54ZengBMCAnnals of General Psychiatry1744-859X2025-02-012411810.1186/s12991-024-00541-xAcceptance and commitment therapy reduces perceived ostracism in suicidal patientsEmilie Olié0Manon Malestroit1Véronique Brand-Arpon2Philippe Courtet3Deborah Ducasse4IGF, Univ. Montpellier, CNRS, INSERMIGF, Univ. Montpellier, CNRS, INSERMCenter for Mood and Emotional Disorder Therapies, La Colombière HospitalIGF, Univ. Montpellier, CNRS, INSERMIGF, Univ. Montpellier, CNRS, INSERMAbstract Introduction Ostracism increases the risk of depression and suicidal behaviors. Mindfulness training, which is at the core of third-wave behavioral therapies such as acceptance and commitment therapy (ACT), might reduce social distress and inhibit negative affect. Methods This randomized controlled trial included 32 patients with a history of suicide attempt in the past year who followed seven weekly sessions of ACT or progressive relaxation therapy (PRT). To assess and compare the effects of ACT and PRT on social distress, patients performed a validated paradigm of social exclusion (the Cyberball Game) followed by completion of the Need Threat Scale (NTS) at inclusion (baseline) and within two weeks after the intervention ended (posttherapy). Results The included patients were mainly women (N = 28; 87.5%), and their mean age was 40 years (SD: 12 years). Twenty-six patients (81%) experienced current depression. The postintervention NTS score was greater (lower social distress) in the ACT group than in the PRT group (group × time interaction; β = 0.47, p < 0.05), even after controlling for depressive symptoms (β = 0.27, p < 0.05). The NTS score change (between baseline and posttherapy) was correlated with changes in dispositional mindfulness (r = 0.46, p = 0.03), cognitive fusion (r = − 0.61, p < 10–3) and acceptance (r = 0.57, p < 10–2). Conclusion ACT decreased social pain independently of its effect on depression. Reduced social pain was correlated with improved therapeutic processes and decreased suicidal ideation, highlighting the therapeutic potential of ACT for managing ostracism and suicide risk.https://doi.org/10.1186/s12991-024-00541-xSuicidal behaviorAcceptance and commitment therapyOstracismCyberball game |
| spellingShingle | Emilie Olié Manon Malestroit Véronique Brand-Arpon Philippe Courtet Deborah Ducasse Acceptance and commitment therapy reduces perceived ostracism in suicidal patients Annals of General Psychiatry Suicidal behavior Acceptance and commitment therapy Ostracism Cyberball game |
| title | Acceptance and commitment therapy reduces perceived ostracism in suicidal patients |
| title_full | Acceptance and commitment therapy reduces perceived ostracism in suicidal patients |
| title_fullStr | Acceptance and commitment therapy reduces perceived ostracism in suicidal patients |
| title_full_unstemmed | Acceptance and commitment therapy reduces perceived ostracism in suicidal patients |
| title_short | Acceptance and commitment therapy reduces perceived ostracism in suicidal patients |
| title_sort | acceptance and commitment therapy reduces perceived ostracism in suicidal patients |
| topic | Suicidal behavior Acceptance and commitment therapy Ostracism Cyberball game |
| url | https://doi.org/10.1186/s12991-024-00541-x |
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