Evidence-based treatments for posttraumatic stress disorder (PTSD) are available for veterans, but many do not benefit due to low treatment engagement. This may be partially due to avoidance behaviors characteristic of individuals with PTSD. Acceptance and Commitment Therapy (ACT) is a transdiagnostic treatment approach that aims to reduce avoidance. The authors propose the use of adjunctive ACT techniques to enhance engagement with treatment for PTSD. ACT techniques such as cognitive defusion and values clarification have been shown to promote engagement with other cognitive-behavioral treatments, but no studies to date have examined these techniques as adjuncts to treatment for PTSD. Because of its focus on reducing avoidance, ACT is uniquely suited for promoting treatment engagement with the "gold standard" treatments for PTSD. The authors review the existing research on ACT as an adjunctive intervention, discuss specific concepts and techniques from ACT that are relevant to PTSD, and provide recommendations for future research.

中文翻译：

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使用接受和承诺治疗技术来增强创伤后应激障碍退伍军人的治疗参与度

经验丰富的创伤后应激障碍（PTSD）的治疗方法适用于退伍军人，但由于治疗参与度低，许多治疗方法均无法受益。这可能部分归因于PTSD患者的回避行为。接受和承诺治疗（ACT）是一种旨在减少回避的经诊断治疗方法。作者建议使用辅助ACT技术来增强参与PTSD治疗的参与度。ACT技术（例如认知能力下降和价值澄清）已显示出可以促进与其他认知行为治疗的互动，但是迄今为止，尚无研究检查这些技术作为PTSD治疗的辅助手段。由于专注于减少回避，因此ACT特别适合促进针对PTSD的“黄金标准”疗法的参与。