接纳承诺疗法（ACT）在中国的发展：文献计量学分析
Acceptance and Commitment Therapy (ACT) Development in China: A Bibliometric Analysis
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- Keywords: Acceptance and Commitment Therapy; Relational Frame Theory; Contextual behavioral science; China; Bibliometric analysis接纳承诺疗法; 关系框架理论; 语境行为科学; 中国; 文献计量
- Abstract: Objective: This review aims to describe the development of Acceptance and Commitment Therapy (ACT) in China, summarize standard psychometrics in Chinese for this field, characterize participants and primary intervention targets in ACT randomized controlled trials (RCTs), and provide a reference for understanding and advancing ACT research in China. Methods: Literature published up to December 31, 2023, was retrieved from databases including Web of Science, PsycINFO, PubMed, CNKI, VIP and Wan Fang Data, as well as from the Contextual Behavioral Science Association website and the Institute of Psychology, Chinese Academy of Sciences website. Literature management was done using EndNote 21, and data statistics and visualization were performed using Excel and Python. Results: A total of 711 articles were included, distributed across 295 journals. The top ten authors of Chinese literature exhibited significant differences in the number of publications, with the top author publishing 41 articles, accounting for 25.76% of the total Chinese publications. The top ten authors in English literature had similar publication volumes, with their total publications accounting for 70.00% of the total English publications. Intervention research accounted for the highest proportion (47.12%); The collaboration rate of literature was 3.65, with a co-authorship rate of 84.25%. The highest impact factor for the journals included in the study was 11 (JAMA Network Open). Conclusion: This review presents the first systematic summary of Chinese articles related to ACT. Publications on ACT in China have shown an overall increasing trend, with a wide distribution across journals. Summarizing the application areas of ACT (physical and mental health and quality of life) helps to promote the application, research, and development of ACT in China.目的：回顾接纳承诺疗法（Acceptance and Commitment Therapy，ACT）在中国的发展历程，梳理该领域的中文版标准化测量工具，分析ACT随机对照试验的被试特征及主要干预目标，为深入了解ACT在中国的研究现状及促进其未来发展提供参考依据。方法：本研究通过系统检索Web of Science、PsycINFO、PubMed、知网、维普、万方数据库，语境行为科学协会网站以及中国科学院心理研究所机构知识库，涵盖自数据库最早收录日期至2023年12月31日的所有相关文献。使用EndNote 21进行文献管理，并通过Excel和Python进行数据统计与可视化呈现。结果：共纳入中英文文献711篇；文献分布于295种期刊。中文文献发表量排名前十作者差异较大（排名首位作者发表41篇），累计发表量占中文总量的25.76%；英文文献前十作者发表量相近，累计发表量占英文总量的70.00%。干预类研究占比最高（47.12%）；文献合作度为3.65，合著率为84.25%；纳入研究的最高期刊影响因子为11（JAMA Network Open）。结论：本研究首次系统梳理中国ACT研究领域文献，结果显示整体研究数量呈现递增趋势，发表期刊范围广泛，所总结的ACT应用领域（身心健康及生活质量）有助于促进ACT在中国的应用、研究和发展。
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基于关系框架理论的临床实践新路径：基于过程的行为疗法（PBBT）
A New Path in Clinical Practice Based on Relational Frame Theory: Process-Based Behavior Therapy (PBBT)
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- Keywords: Process-based behavior therapy; Relational frame theory; Arbitrary applicable relational responses; Hyper-dimensional multi-level framework基于过程的行为疗法; 关系框架理论; 任意适用关系反应; 超维多层次框架
- Abstract: With the development of the concept of Process-Based Therapy (PBT), Process-Based Behavior Therapy (PBBT) has emerged as a concrete intervention method. Rooted in the latest developments of Relational Frame Theory (RFT), PBBT provides a comprehensive and clear perspective for clinical intervention and case conceptualization by analyzing an individual’s psychological processes across multiple levels and dimensions. The therapy divides self-relating into three layers: the Manifest Layer, the Character Layer, and the Essence Layer, while also analyzing the S+ (strengthening) and S- (avoidance) functions at each level. This offers a multi-dimensional approach to clinical interventions. This article details the theoretical basis, key concepts, and essential components of PBBT, compares it with other therapeutic approaches, and highlights its unique features. Additionally, through a clinical case study, the application of PBBT in treating social anxiety disorder is illustrated. By analyzing self-relating patterns and functional responses, PBBT helps patients effectively reduce anxiety symptoms, improve social skills, and enhance overall quality of life.随着基于过程的治疗（Process-Based Therapy，PBT）概念的发展，基于过程的行为疗法（Process-Based Behavior Therapy，PBBT）应运而生。PBBT基于关系框架理论（RFT）的最新发展成果，通过剖析个体的自我关联模式和功能反应，帮助揭示心理困扰的深层次原因。该疗法将自我关联划分为表现层、特质层和本质层，并分析各层次上个体的S+功能（正向功能）和S-功能（负向功能），提供了一个多维度的临床干预视角。本文详细介绍了PBBT的理论依据、核心概念及其关键构成要素，并通过与其他疗法的对比，阐明了其独特性。同时，结合临床实际案例，展示了PBBT在社交焦虑症治疗中的应用，通过分析自我关联模式和功能反应，帮助患者有效减轻焦虑症状，改善社交能力和生活质量。近年来，临床心理学领域正经历着从传统综合征方法向基于过程的方法转变，这一变革反映了对心理痛苦深层机制的探索，旨在提供更精准、个性化的治疗方案。传统的综合征方法基于症状群体进行精神障碍诊断，如抑郁症、焦虑症等，治疗方案也依据症状共性进行制定。然而，该方法忽视了个体心理过程的独特性，难以满足个性化治疗需求。基于过程的方法则聚焦于心理事件背后的基本心理过程，认为这些过程是心理痛苦的核心，提供了更为个性化的治疗策略。
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“启-承-转-合”ACT单次咨询模型及实践案例报告
The “Qi-Cheng-Zhuan-He” Single-Session Therapy Model and Practice Case Report
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- Keywords: Single-Session Therapy; “Qi-Cheng-Zhuan-He” Single-Session Therapy Model; Acceptance Commitment Therapy单次咨询; “启-承-转-合”单次咨询模型; 接纳承诺疗法
- Abstract: The “Qi-Cheng-Zhuan-He” Single-Session Therapy Model is a recent development in the adaptation of Acceptance and Commitment Therapy (ACT) to the Chinese context, with clinical research confirming its significant efficacy in single-session therapy. Improving the effectiveness of single-session therapy through this model is of great importance for clinical practice in psychological counseling. This paper introduces the concept and significance of the single-session therapy model, explains the theoretical background and developmental process of the “Qi-Cheng-Zhuan-He” model in detail, and presents specific application cases. The aim is to advance the development of the “Qi-Cheng-Zhuan-He” model and promote its practical application in clinical interventions.“启-承-转-合”单次咨询模型是接纳承诺疗法（Acceptance and Commitment Therapy，ACT）中国化的最新发展成果，已有临床研究证明其在单次咨询中的显著疗效。应用这个模型有效提升单次咨询的效果，对于心理咨询的临床实践具有重要的意义。本文首先介绍了单次咨询模型的概念和意义，之后详细阐述了“启-承-转-合”单次咨询模型的理论背景、发展过程，并且展示了具体的应用案例，旨在促进“启-承-转-合”单次咨询模型的发展，推广其在临床干预中的实际应用。
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一例应用接纳承诺疗法（ACT）单次咨询模式的焦虑抑郁案例报告
A Case Report for Anxiety and Depression Using Single-session Acceptance and Commitment Therapy (ACT)
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- Keywords: Single-session Acceptance and Commitment Therapy; Anxiety and depression; Case report接纳承诺疗法单次咨询模式; 焦虑抑郁; 案例报告
- Abstract: This case adopts the model of single-session acceptance and commitment therapy named “Qi Cheng Zhuan He” in Chinese, to provide psychological counseling for client who was facing major practical problems and was in a state of anxiety and depression and can only came once. The satisfaction and harvest level of the client was high, and his mentality became more positive and flexible. Under the background that most of the mainstream methods of psychotherapy and counseling come from the West, the presentation of the single-session counseling process of this case is of great significance in exploring more efficient psychological counseling methods and technologies that are more suitable for Chinese local culture and Chinese people.本案例运用接纳承诺疗法单次咨询模式——“启承转合”模型，针对因面临重大现实问题而陷入焦虑抑郁状态且只能进行一次咨询的来访者开展心理咨询服务。咨询结束后，该来访者的满意度和收获程度较高，其心态也变得更加积极、灵活。在心理治疗与咨询的主流方法大多源于西方的背景下，对本案例单次咨询过程加以呈现，有利于探索更适应中国本土文化、适合中国人群、更高效的心理咨询方法与技术。
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基于过程的治疗——循证治疗的颠覆还是革新？
Process-Based Terapy—A Disruption or Innovation in Evidence-Based Terapy?
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- Keywords: Process-based therapy; Evidence-based treatment; Psychological intervention; Change process基于过程的治疗; 循证治疗; 心理干预; 治疗过程研究
- Abstract: Evidence-based therapy has a wide application and effectiveness in clinical interventions, and many clinical studies have enriched the empirical basis of treatment. However, as research progressed and its drawbacks became apparent, evidence-based therapy began to explore new directions in an effort to break the developmental barrier. Process-based therapy was born. Process-based therapy is not a denial of evidence-based therapy, but the latest development of evidence-based treatment to meet the challenges, free from the limitations of intervention effectiveness research and traditional intervention process research. This paper introduces the development of evidence-based therapy and the dilemmas it has faced at different times, after which it describes the concepts, characteristics, and corresponding models of process-based therapy. Further research on the validity and localization of this theory in the Chinese cultural context can be conducted in the future.循证治疗在临床干预中具有广泛的应用和有效性，许多临床研究丰富了治疗的实证依据。但随着研究的进展，其局限性也逐渐显现，于是循证治疗开始探索新的发展方向，力求打破发展瓶颈。基于过程的治疗应运而生，基于过程的治疗不是对循证治疗的否定，而是循证治疗应对挑战的最新发展，摆脱了干预效果研究、生理过程研究和传统过程研究对治疗的限制。本文介绍了循证心理治疗的发展过程及不同时期面临的困境，阐述基于过程的治疗的概念、特点及相应的模型，提出未来可以对这一理论在中国语境下的有效性及本土化进行进一步研究。
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