Researching the Effectiveness of Acceptance-Based Coping During Hospitalization

Patients with psychotic disorders frequently require treatment at inpatient hospital
settings during periods of acute illness for crisis management and stabilization. Although
these patients often receive efficacious pharmacotherapy, there is a recognized lack of
empirically-supported psychosocial interventions provided to patients in typical hospital
settings. The provision of high quality psychosocial treatment during hospitalization is
challenging due to short lengths of stay and a general lack of trained therapist employed on
hospital units who can provide these evidence-based therapies. This unmet need for hospital
psychosocial treatment represents a crucial missed opportunity to teach patients coping
strategies that can speed time to recovery and impact post-discharge risk factors.
Acceptance and Commitment Therapy (ACT) is a newer cognitive-behavioral approach that
combines innovative mindfulness-based strategies for helping patients to cope more
successfully with psychotic and other symptoms and implement values-consistent behavioral
goals. However, adaptations to the original ACT approach are urgently needed to foster
widespread implementation in community settings. The aim of the current study is to adapt
the only promising acute-care psychosocial treatment for psychosis to be implementable in an
inpatient setting and pilot test its effectiveness.

Inclusion Criteria:

1. current psychiatric hospitalization

2. diagnosis of schizophrenia, schizoaffective disorder, schizophreniform, brief
psychotic disorder, delusional disorder, specified/unspecified other psychotic
disorder, or a diagnosis of a mood disorder (major depressive disorder or bipolar
disorder) with psychotic features, as determined by chart review and confirmed by the
Structured Clinical Interview for Diagnostic and Statistical Manual (DSM)-5

3. 18 years or older

4. ability to speak and read English.

Exclusion Criteria:

1. psychosis severe enough to prevent participation in regular hospital groups

2. psychotic disorder related to a general medical condition or substance-induced
psychotic disorder

3. significant cognitive impairment (mini-mental state exam score < 15).