Most psychotherapeutic approaches have been developed for problems that have an “irrational” or “pathological” foundation. These approaches often fit poorly with psychological distress that stems from cognitions that are based in reality and may need to be accepted rather than changed. Acceptance and Commitment Therapy (ACT) is currently being applied to a number of conditions, but may be particularly useful in situations where cognitive change is not warranted. This study examined ACT with an older male of Māori descent experiencing high levels of health anxiety resulting from prior nuclear testing exposure while in the military. Results of self-report measures administered at baseline, during treatment, post-treatment, and at 6-week follow-up indicated clinically significant reductions in health anxiety, experiential avoidance, and overall distress. This case study has implications for the utility of ACT with individuals who are distressed about the real possibility that their health has been negatively affected by toxic exposure.
Andrew, D., & Dulin, P. (2007). The relationship between self-reported health and mental health problems among older adults in New Zealand: Experiential avoidance as a moderator. Aging and Mental Health, 11, 596-603.
2.
Baum, A., Gatchel, R.J., & Schaeffer, M.A. (1983). Emotional, behavioral, and physiological effects of chronic stress at Three Mile Island. Journal of Consulting and Clinical Psychology, 51, 565-572.
3.
Bennett, S.T., Flett, R.A., & Babbage, D.R. (2008). The adaptation of cognitive behavioural therapy for adult Māori clients with depression: A pilot study. In M. Levy, L. W. Nikora , N. Te Awekotuku, B. Masters-Awatere, M. Rua, & W. Waitoki (Eds.), Claiming spaces: Proceedings of the 2007 National Māori and Pacific Psychologies Symposium (pp. 83-91). Hamilton, New Zealand: Māori and Psychology Research Unit, University of Waikato.
4.
Bertell, R. (1985). No immediate danger: Prognosis for a radioactive earth. Retrieved April 29, 2004, from http://ratical.org/radiation/NRBE/NRadBioEffects.html
5.
Collins, D.L., & Bandeira de Carvalho, A. (1993). Chronic stress from the Goiania 137 Cs radiation accident. Behavioral Medicine, 18, 149-157.
6.
Crawford, J.R., & Henry, J.D. (2004). Positive and Negative Affect Schedule (PANAS): Construct validity, measurement properties and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 43, 245-265.
7.
Dulin, P., & Pachana, N. (2005). Older adult mood functioning: Developmental changes and factors associated with positive and negative outcomes. In A. V. Clark (Ed.), Mood state and health (pp. 175-193). New York: Nova Biomedical.
8.
Durie, M. (2001). Mauri Ora: The dynamics of Māori health . Auckland, New Zealand: Oxford .
9.
Eifert, G.H., & Forsyth, J.P. (2005). Acceptance and Commitment Therapy for anxiety disorders: A practitioner's treatment guide to using mindfulness, acceptance, and values-based behavior change strategies. Oakland, CA : New Harbinger.
10.
Havenaar, J.M., Savelkoul, T.J.F., van den Bout, J., Bootsma, P.A., & van den Brink, W. (1999). Consequences of the Chernobyl disaster: Illness or illness behavior?Gedrag & Gezondheid , 27, 84-90.
11.
Hayes, S.C. (2005). Acceptance and commitment therapy (ACT) contacts, resources, and readings: Fall 2005 ACT handout. Retrieved June 13, 2006, from http://www.actmindfully.com.au/upimages/act_pack.pdf
12.
Hayes, S.C., Follette, V.M., & Linehan, M.M. (2004). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford.
13.
Hayes, S.C., Luoma, J.B., Bond, F.W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behavior Research and Therapy, 44, 1-25.
14.
Hayes, S.C., Strosahl, K., & Wilson, K.G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.
15.
Hayes, S.C., Strosahl, K.D., Wilson, K.G., Bissett, R.T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: A preliminary test of a working model. Psychological Record, 54, 553-578.
16.
Heckhausen, J. (1997). Developmental regulation across adulthood: Primary and secondary control of age-related challenges. Developmental Psychology, 33, 176-187.
17.
Jacobsen, N.S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.
18.
Lifton, R.J. (1967). Death in life: Survivors of Hiroshima. New York: Random House.
19.
Lovibond, S.H., & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney, Australia: Psychology Foundation Monograph.
20.
Lucock, M.P., & Morley, S. (1996). The Health Anxiety Questionnaire. British Journal of Health Psychology, 1, 137-150.
21.
Miller, L. (1993). Toxic torts: Clinical, neuropsychological, and forensic aspects of chemical and electrical injuries. Journal of Cognitive Rehabilitation, 11, 6-18.
22.
Montesinos, F., Hernandez, B., & Luciano, M.C. (2001). Application of acceptance and commitment therapy in cancer patients. Analisis y Modificacion de Conducta, 27, 503-523.
23.
Montesinos, F., & Luciano, M.C. (2005). Treatment of relapse fear in breast cancer patients through an ACT-based protocol. In F. Montesinos , Significados del cancer y procedimientos clinicos para promover la aceptacion (Meanings of cancer and clinical procedures for promoting acceptance). Unpublished doctoral dissertation, University of Almeria, Spain.
24.
Páez, M., Luciano, M.C., & Gutiérrez, O. (2007). Psychological treatment to cope with breast cancer: A comparative study between strategies of acceptance and cognitive control . Psicooncologia, 4, 75-95.
25.
Podd, J.V., Blakey, J., Jourdain, R.L., & Rowland, R.E. (2005). New Zealand nuclear test veterans' study: A pilot project [psychological impact]. Unpublished manuscript, Massey University, Palmerston North, New Zealand.
26.
Upton, A.C. (1998). Ionizing radiation. In R. B. Wallace & B. N. Doebbeling (Eds.), Public health and preventive medicine (14th ed., pp. 619-626). Stamford, CT: Appleton & Lange.
27.
Vyner, H.M. (1988). Invisible trauma: The psychosocial effects of the invisible environmental contaminants. Lexington, MA : Lexington Books.
28.
Walker, J.R., & Furer, P. (2006). Health anxiety: Hypochondriasis and somatization . In A. Carr & M. McNulty (Eds.), The handbook of adult clinical psychology: An evidence-based practice approach (pp. 593-626). London: Routledge.
29.
Watson, D., Clark, L.A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063-1070.
