Acceptance and Commitment Therapy delivered in a dyad after a severe traumatic brain injury : A feasibility study

Journal article

Whiting, Diane L., Deane, Frank P., Simpson, Grahame K., Ciarrochi, Joseph and McLeod, Hamish J.. (2018). Acceptance and Commitment Therapy delivered in a dyad after a severe traumatic brain injury : A feasibility study. Clinical Psychologist. 22, pp. 230-240. https://doi.org/10.1111/cp.12118

Publication dates
Authors	Whiting, Diane L., Deane, Frank P., Simpson, Grahame K., Ciarrochi, Joseph and McLeod, Hamish J.
Abstract	Objective There is a high prevalence of complex psychological distress after a traumatic brain injury but limited evidence of effective interventions. We examined the feasibility of Acceptance and Commitment Therapy after a severe traumatic brain injury using the criteria, investigating a therapeutic effect, and reviewing the acceptability of measures, treatment protocol, and delivery method (in a dyad of two clients and a therapist). Method Two male outpatients with severe traumatic brain injury and associated psychological distress jointly engaged in a seven session treatment program based on Acceptance and Commitment Therapy principles. Pre‐ and post‐treatment measures of mood, psychological flexibility, and participation were taken in addition to weekly measures. Results The intervention showed a therapeutic effect with one participant, and appeared to be acceptable for both participants with regard to program content, measures, and delivery mode by in a dyad. One participant showed both significant clinical and reliable change across several outcome measures including measures of mood and psychological flexibility. The second participant did not show a reduction in psychological inflexibility, but did show a significant drop in negative affect. Significant changes pre‐ to post‐treatment for measures of participation were not indicated. Qualitatively, both participants engaged in committed action set in accordance with their values. Conclusions This study suggests that Acceptance and Commitment Therapy may be feasible to be delivered in a dyad with individuals who have a severe traumatic brain injury. A further test of its potential efficacy in a phase II clinical trial is recommended.
Keywords	Acceptance and Commitment Therapy; feasibility; psychological flexibility; traumatic brain injury
Year	2018
Journal	Clinical Psychologist
Journal citation	22, pp. 230-240
Publisher	Taylor & Francis
ISSN	1328-4207
Digital Object Identifier (DOI)	https://doi.org/10.1111/cp.12118
Scopus EID	2-s2.0-85014657060
Open access	Published as green open access
Page range	230-240
Research Group	Institute for Positive Psychology and Education
Author's accepted manuscript	AM_Whiting_2018_Acceptance_and_Commitment_Therapy_delivered_in.pdf License CC BY-NC-ND 4.0 File Access Level Open
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	10 Nov 2020
Publication process dates
Accepted	23 Jan 2017

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Marshall, Sarah, Parker, Philip D., Heaven, Patrick and Ciarrochi, Joseph. (2014). Is Self-Esteem a Cause or Consequence of Social Support? : A 4-Year Longitudinal Study. Child Development. 85(3), pp. 1275 - 1291. https://doi.org/10.1111/cdev.12176

Juxtaposing math self-efficacy and self-concept as predictors of long-term achievement outcomes

Parker, Philip David, Marsh, Herbert W., Ciarrochi, Joseph, Marshall, Sarah and Abduljabbar, Adel Salah. (2014). Juxtaposing math self-efficacy and self-concept as predictors of long-term achievement outcomes. Educational Psychology. 34(1), pp. 29-48. https://doi.org/10.1080/01443410.2013.797339

Agreeableness, conscientiousness, and psychoticism : Distinctive influences of three personality dimensions in adolescence

Heaven, Patrick C. L., Ciarrochi, Joseph, Leeson, Peter and Barkus, Emma. (2013). Agreeableness, conscientiousness, and psychoticism : Distinctive influences of three personality dimensions in adolescence. British Journal of Psychology. 104(4), pp. 481 - 494. https://doi.org/10.1111/bjop.12002

A preliminary exploration of the working alliance and real relationship in two coaching approaches with mental health workers

Sun, Belinda, Deane, Frank, Crowe, Trevor, Andresen, Retta, Oades, Lindsay and Ciarrochi, Joseph. (2013). A preliminary exploration of the working alliance and real relationship in two coaching approaches with mental health workers. International Coaching Psychology Review.

The psychological impact of anal cancer screening on HIV-infected men

Landstra, Jodie M. B., Ciarrochi, Joseph, Deane, Frank Patrick, Botes, Leon P. and Hillman, Richard J.. (2013). The psychological impact of anal cancer screening on HIV-infected men. Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 33(3), pp. 614-620. https://doi.org/10.1002/pon.3040

The longitudinal relationships between adolescent religious values and personality

Huuskes, Lee, Ciarrochi, Joseph and Heaven, Patrick. (2013). The longitudinal relationships between adolescent religious values and personality. Journal of Research in Personality. https://doi.org/10.1016/j.jrp.2013.04.010

improving implementation of evidence-based practice in mental health service delivery : Protocol for a cluster randomised quasi-experimental investigation of staff-focused values interventions

Williams, Virginia, Oades, L, Deane, F, Crowe, T, Ciarrochi, Joseph and Andresen, R. (2013). improving implementation of evidence-based practice in mental health service delivery : Protocol for a cluster randomised quasi-experimental investigation of staff-focused values interventions. Implementation Science. https://doi.org/10.1186/1748-5908-8-75

Identifying and describing feelings and psychological flexibility predict mental health in men with HiV

Landstra, Jodie M. B., Ciarrochi, Joseph, Deane, Frank P. and Hillman, Richard J.. (2013). Identifying and describing feelings and psychological flexibility predict mental health in men with HiV. British Journal of Health Psychology. 18(4), pp. 844 - 857. https://doi.org/10.1111/bjhp.12026

A Comparison of Two Coaching Approaches to Enhance implementation of a Recovery-Oriented Service Model

Deane, Frank, Andresen, Retta, Crowe, Trevor, Oades, Lindsay, Ciarrochi, Joseph and Williams, Virginia. (2013). A Comparison of Two Coaching Approaches to Enhance implementation of a Recovery-Oriented Service Model. Administration and Policy in Mental Health and Mental Health Services Research. https://doi.org/10.1007/s10488-013-0514-4

Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients : A preliminary study

Feros, D, Lane, L, Ciarrochi, Joseph and Blackledge, J. (2013). Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients : A preliminary study. Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. https://doi.org/10.1002/pon.2083

The interrelations among the perception of parental styles and psychological well-being in adolescence : A longitudinal study

Shahimi, F, Heaven, Patrick and Ciarrochi, Joseph. (2013). The interrelations among the perception of parental styles and psychological well-being in adolescence : A longitudinal study. Iranian Journal of Public Health.

The self in cognitive-behavioral therapy

McLeod, Hamish J. and Ciarrochi, Joseph. (2012). The self in cognitive-behavioral therapy. In In McHugh, Louise (Ed.). The self and perspective taking : Contributions and applications from modern behavioral science pp. 161-180 New Harbinger Publications.

Acceptance and Commitment Therapy (ACT) for psychological adjustment after traumatic brain injury : Reporting the protocol for a randomised controlled trial

Whiting, Diane, Simpson, Grahame, McLeod, Hamish, Deane, Frank and Ciarrochi, Joseph. (2012). Acceptance and Commitment Therapy (ACT) for psychological adjustment after traumatic brain injury : Reporting the protocol for a randomised controlled trial. Brain Impairment. 13(3), pp. 360 - 376. https://doi.org/10.1017/BrImp.2012.28

Cognitive ability and health-related behaviors during adolescence : A prospective study across five years

Ciarrochi, Joseph, Heaven, Patrick C. L. and Skinner, Timothy. (2012). Cognitive ability and health-related behaviors during adolescence : A prospective study across five years. Intelligence. 40(4), pp. 317 - 324. https://doi.org/10.1016/j.intell.2012.03.003

Acceptance and Commitment Therapy (ACT) for psychological adjustment after traumatic brain injury : Reporting the protocol for a randomised controlled trial

Revisiting the link between low verbal intelligence and ideology

Leeson, Peter, Heaven, Patrick and Ciarrochi, Joseph. (2012). Revisiting the link between low verbal intelligence and ideology. Intelligence. 40(2), pp. 213 - 216. https://doi.org/10.1016/j.intell.2011.11.006

Psychosocial aspects of anal cancer screening : A review and recommendations

Landstra, J, Ciarrochi, Joseph and Deane, F. (2012). Psychosocial aspects of anal cancer screening : A review and recommendations. Sexual Health. 9(6), pp. 620 - 627. https://doi.org/10.1071/SH11169

Religious values and the development of trait hope and self-esteem in adolescents

Ciarrochi, Joseph and Heaven, Patrick C. L.. (2012). Religious values and the development of trait hope and self-esteem in adolescents. Journal for the Scientific Study of Religion. 51(4), pp. 676 - 688. https://doi.org/10.1111/j.1468-5906.2012.01675.x

Reflection impulsivity in adolescent cannabis users: a comparison with alcohol-using and non-substance-using adolescents

Solowij, Nadia, Jones, Katy A., Rozman, Megan E., Davis, Sasha M., Ciarrochi, Joseph, Heaven, Patrick C. L., Pesa, Nicole, Lubman, Dan I. and Yücel, Murat. (2012). Reflection impulsivity in adolescent cannabis users: a comparison with alcohol-using and non-substance-using adolescents. Psychopharmacology. 219(2), pp. 575 - 586. https://doi.org/10.1007/s00213-011-2486-y

When IQ is not everything : Intelligence, personality and academic performance at school

Heaven, Patrick C. L. and Ciarrochi, Joseph. (2012). When IQ is not everything : Intelligence, personality and academic performance at school. Personality and Individual Differences. 53(4), pp. 518 - 522. https://doi.org/10.1016/j.paid.2012.04.024

Inflexible Parents. Inflexible Kids : A 6-Year Longitudinal Study of Parenting Style and the Development of Psychological Flexibility in Adolescents

Williams, Kathryn, Ciarrochi, Joseph and Heaven, Patrick. (2012). Inflexible Parents. Inflexible Kids : A 6-Year Longitudinal Study of Parenting Style and the Development of Psychological Flexibility in Adolescents. Journal of Youth Adolescence. 41(8), pp. 1053 - 1066. https://doi.org/10.1007/s10964-012-9744-0

Heterogeneity Among Potential Foster Carers: An investigation of Reasons for Not Foster Caring

Randle, Melanie, Miller, Leonie, Dolnicar, Sara and Ciarrochi, Joseph. (2012). Heterogeneity Among Potential Foster Carers: An investigation of Reasons for Not Foster Caring. Australian Social Work. 65(3), pp. 382 - 397. https://doi.org/10.1080/0312407X.2011.574229

Hope for the future: identifying the individual difference characteristics of people who are interested in and intend to foster-care

Ciarrochi, Joseph, Randle, Melanie, Miller, Leonie and Dolnicar, Sara. (2012). Hope for the future: identifying the individual difference characteristics of people who are interested in and intend to foster-care. The British Journal of Social Work. 42(1), pp. 7 - 25. https://doi.org/10.1093/bjsw/bcr052

Cognitive ability, right-wing authoritarianism, and social dominance orientation :a five-year longitudinal study amongst adolescents

Heaven, Patrick Charles Lionel, Ciarrochi, Joseph and Leeson, Peter. (2011). Cognitive ability, right-wing authoritarianism, and social dominance orientation :a five-year longitudinal study amongst adolescents. Intelligence. 39(1), pp. 15 - 21. https://doi.org/10.1016/j.intell.2010.12.001

Verbal learning and memory in adolescent cannabis users, alcohol users and non-users

Solowij, Nadia, Jones, Katy, Rozman, Megan, Davis, Sasha, Ciarrochi, Joseph, Heaven, Patrick Charles Lionel, Lubman, Dan and Yucel, Murat. (2011). Verbal learning and memory in adolescent cannabis users, alcohol users and non-users. Psychopharmacology. 216, pp. 131 - 144. https://doi.org/10.1007/s00213-011-2203-x

On being aware and accepting :a one-year longitudinal study into adolescent well-being

Ciarrochi, Joseph, Kashdan, Todd, Leeson, Peter, Heaven, Patrick Charles Lionel and Jordan, Carlie. (2011). On being aware and accepting :a one-year longitudinal study into adolescent well-being. Journal of Adolescence. 34, pp. 695 - 703. https://doi.org/10.1016/j.adolescence.2010.09.003

The link between value motives, value success, and well-being among people diagnosed with cancer

Ciarrochi, Joseph, Fisher, Darrell and Lane, Lisbeth. (2011). The link between value motives, value success, and well-being among people diagnosed with cancer. Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 20(11), pp. 1184 - 1192. https://doi.org/10.1002/pon.1832

Importance, pressure, and success :dimensions of values and their links to personality

Veage, Stephanie, Ciarrochi, Joseph and Heaven, Patrick Charles Lionel. (2011). Importance, pressure, and success :dimensions of values and their links to personality. Personality and Individual Differences. 50(3), pp. 1180 - 1185. https://doi.org/10.1016/j.paid.2011.01.028

On being mindful, emotionally aware, and more resilient : Longitudinal pilot study of police recruits

Williams, Virginia, Ciarrochi, Joseph and Deane, Frank. (2010). On being mindful, emotionally aware, and more resilient : Longitudinal pilot study of police recruits. Australian Psychologist. 45(4), pp. 274 - 282. https://doi.org/10.1080/00050060903573197

Parental styles and religious values among teenagers : A 3-year prospective analysis

Heaven, Patrick, Ciarrochi, Joseph and Leeson, Peter. (2010). Parental styles and religious values among teenagers : A 3-year prospective analysis. The Journal of Genetic Psychology. 171(1), pp. 93 - 99. https://doi.org/10.1080/00221320903500861

On being mindful, emotionally aware, and more resilient : Longitudinal pilot study of police recruits

Motivation for and commitment to social values : The roles of age and gender

Ferssizidis, Patty, Adams, Leah, Kashdan, Todd, Plummer, Christine, Mishra, Anjali and Ciarrochi, Joseph. (2010). Motivation for and commitment to social values : The roles of age and gender. Motivation and Emotion. 34(4), pp. 354 - 362. https://doi.org/10.1007/s11031-010-9187-4

The distinctiveness and utility of a brief measure of alexithymia for adolescents

Heaven, Patrick, Ciarrochi, Joseph and Hurrell, Katherine. (2010). The distinctiveness and utility of a brief measure of alexithymia for adolescents. Personality and Individual Differences. 49(3), pp. 222 - 227. https://doi.org/10.1016/j.paid.2010.03.039

The distinctiveness and utility of a brief measure of alexithymia for adolescents

Substance abusers report being more alexithymic than others but do not show emotional processing deficits on a performance measure of alexithymia

Lindsay, Julie and Ciarrochi, Joseph. (2009). Substance abusers report being more alexithymic than others but do not show emotional processing deficits on a performance measure of alexithymia. Addiction Research and Theory. 17(3), pp. 315 - 321. https://doi.org/10.1080/16066350802472056

Personality development at school: Assessing a reciprocal influence model of teachers' evaluations and students' personality

Heaven, Patrick, Leeson, Peter and Ciarrochi, Joseph. (2009). Personality development at school: Assessing a reciprocal influence model of teachers' evaluations and students' personality. Journal of Research in Personality. 43(5), pp. 815 - 821. https://doi.org/10.1016/j.jrp.2009.06.009

A longitudinal study into the link between adolescent personality and peer-rated likeability and adjustment: Evidence of gender differences

Ciarrochi, Joseph and Heaven, Patrick Charles Lionel. (2009). A longitudinal study into the link between adolescent personality and peer-rated likeability and adjustment: Evidence of gender differences. Journal of Research in Personality. 43(6), pp. 978 - 986. https://doi.org/10.1016/j.jrp.2009.08.006

A longitudinal study into the interplay between problem orientation and adolescent well-being

Ciarrochi, Joseph, Leeson, Peter and Heaven, Patrick Charles Lionel. (2009). A longitudinal study into the interplay between problem orientation and adolescent well-being. Journal of Counseling Psychology. 56(3), pp. 441 - 449. https://doi.org/10.1037/a0015765

The longitudinal links between shame and increasing hostility during adolescence

Heaven, Patrick, Ciarrochi, Joseph and Leeson, Peter. (2009). The longitudinal links between shame and increasing hostility during adolescence. Personality and Individual Differences. 47(8), pp. 841 - 844. https://doi.org/10.1016/j.paid.2009.07.002

Promoting social intelligence using the experiential role-play method

Bilich, Linda L. and Ciarrochi, Joseph. (2009). Promoting social intelligence using the experiential role-play method. In In J.T. Blackledge, J. Ciarrochi and F.P. Deane (Ed.). Acceptance and commitment therapy pp. 247 - 262 Australian Academic Press.

The stability and change of trait emotional intelligence, conflict communication patterns, and relationship satisfaction: A one-year longitudinal study

Smith, Lynne, Ciarrochi, Joseph and Heaven, Patrick Charles Lionel. (2008). The stability and change of trait emotional intelligence, conflict communication patterns, and relationship satisfaction: A one-year longitudinal study. Personality and Individual Differences. 45(8), pp. 738 - 743. https://doi.org/10.1016/j.paid.2008.07.023

Self-nominated peer crowds, school achievement, and psychological adjustment in adolescents: Longitudinal analysis

Heaven, Patrick, Ciarrochi, Joseph and Vialle, Wilma J.. (2008). Self-nominated peer crowds, school achievement, and psychological adjustment in adolescents: Longitudinal analysis. Personality and Individual Differences. 44(4), pp. 977 - 988. https://doi.org/10.1016/j.paid.2007.10.031

A CBT Practitioners Guide to ACT - How to bridge the gap between cognitive behavioral therapy and acceptance and commitment therapy

Ciarrochi, Joseph and Bailey, Anne. (2008). A CBT Practitioners Guide to ACT - How to bridge the gap between cognitive behavioral therapy and acceptance and commitment therapy New Harbinger Publications.

Cognitive ability, personality, and academic performance in adolescence

Leeson, Peter, Ciarrochi, Joseph and Heaven, Patrick Charles Lionel. (2008). Cognitive ability, personality, and academic performance in adolescence. Personality and Individual Differences. 45(7), pp. 630 - 635. https://doi.org/10.1016/j.paid.2008.07.006

Parental styles, conscientiousness, and academic performance in high school: A three-wave longitudinal study

Heaven, Patrick and Ciarrochi, Joseph. (2008). Parental styles, conscientiousness, and academic performance in high school: A three-wave longitudinal study. Personality and Social Psychology Bulletin. 34(4), pp. 451 - 461. https://doi.org/10.1177/0146167207311909

The link between emotion identification skills and socio-emotional functioning in early adolescence: A 1-year longitudinal study

Ciarrochi, Joseph, Heaven, Patrick Charles Lionel and Supavadeeprasit, Sunila. (2008). The link between emotion identification skills and socio-emotional functioning in early adolescence: A 1-year longitudinal study. Journal of Adolescence. 31(5), pp. 565 - 582. https://doi.org/10.1016/j.adolescence.2007.10.004

Parental styles, conscientiousness, and academic performance in high school: A three-wave longitudinal study

Trait emotional intelligence, conflict communication patterns, and relationship satisfaction

Smith, Lynne, Heaven, Patrick and Ciarrochi, Joseph. (2008). Trait emotional intelligence, conflict communication patterns, and relationship satisfaction. Personality and Individual Differences. 44(6), pp. 1314 - 1325. https://doi.org/10.1016/j.paid.2007.11.024

Learned social hopelessness: The role of explanatory style in predicting social support during adolescence

Ciarrochi, Joseph and Heaven, Patrick Charles Lionel. (2008). Learned social hopelessness: The role of explanatory style in predicting social support during adolescence. Journal of Child Psychology and Psychiatry. 49(12), pp. 1279 - 1286. https://doi.org/10.1111/j.1469-7610.2008.01950.x

Parental styles, gender and the development of hope and self-esteem

Heaven, Patrick and Ciarrochi, Joseph. (2008). Parental styles, gender and the development of hope and self-esteem. European Journal of Personality. 22(8), pp. 707 - 724. https://doi.org/10.1002/per.699

Conscientiousness and Eysenckian psychoticism as predictors of school grades: A one-year longitudinal study

Heaven, Patrick, Ciarrochi, Joseph and Vialle, Wilma J.. (2007). Conscientiousness and Eysenckian psychoticism as predictors of school grades: A one-year longitudinal study. Personality and Individual Differences. 42(3), pp. 535 - 546. https://doi.org/10.1016/j.paid.2006.07.028

The impact of hope, self-esteem, and attributional style on adolescents' school grades and emotional well-being: A longitudinal study

Ciarrochi, Joseph, Heaven, Patrick and Davies, Fiona. (2007). The impact of hope, self-esteem, and attributional style on adolescents' school grades and emotional well-being: A longitudinal study. Journal of Research in Personality. 41(6), pp. 1161 - 1178. https://doi.org/10.1016/j.jrp.2007.02.001

Longitudinal examination of the impact of Eysenck's psychoticism dimension on emotional well-being in teenagers

Ciarrochi, Joseph and Heaven, Patrick. (2007). Longitudinal examination of the impact of Eysenck's psychoticism dimension on emotional well-being in teenagers. Personality and Individual Differences. 42(3), pp. 597 - 608. https://doi.org/10.1016/j.paid.2006.07.022

Psychological acceptance and quality of life in the elderly

Butler, Jodie and Ciarrochi, Joseph. (2007). Psychological acceptance and quality of life in the elderly. Quality of Life Research. 16(4), pp. 607 - 615. https://doi.org/10.1007/s11136-006-9149-1

On being gifted, but sad and misunderstood: Social, emotional, and academic outcomes of gifted students in the Wollongong Youth Study

Vialle, Wilma J., Heaven, Patrick and Ciarrochi, Joseph. (2007). On being gifted, but sad and misunderstood: Social, emotional, and academic outcomes of gifted students in the Wollongong Youth Study. Educational Research and Evaluation: an international journal on theory and practice. 13(6), pp. 569 - 586. https://doi.org/10.1080/13803610701786046

Personality and religious values among adolescents: A three-wave longitudinal analysis

Heaven, Patrick and Ciarrochi, Joseph. (2007). Personality and religious values among adolescents: A three-wave longitudinal analysis. British Journal of Psychology. 98(4), pp. 681 - 694. https://doi.org/10.1348/000712607X187777

Emotional expression, perceptions of therapy, and help-seeking intentions in men attending therapy services

Cusack, Jason, Deane, Frank P., Wilson, Coralie J. and Ciarrochi, Joseph. (2006). Emotional expression, perceptions of therapy, and help-seeking intentions in men attending therapy services. Psychology of Men and Masculinity. 7(2), pp. 69 - 82. https://doi.org/10.1037/1524-9220.7.2.69

The link between emotional competence and well-being: A longitudinal study

Ciarrochi, Joseph and Scott, Greg. (2006). The link between emotional competence and well-being: A longitudinal study. British Journal of Guidance and Counselling. 34(2), pp. 231 - 243. https://doi.org/10.1080/03069880600583287

Perceptions of parental styles and Eysenckian psychoticism in youth: A prospective analysis

Heaven, Patrick and Ciarrochi, Joseph. (2006). Perceptions of parental styles and Eysenckian psychoticism in youth: A prospective analysis. Personality and Individual Differences. 41(1), pp. 61 - 70. https://doi.org/10.1016/j.paid.2005.12.011