BACKGROUND Acceptance and commitment therapy (ACT) is increasingly being used to treat mental health difficulties, however there is a paucity of reviews concerning ACT with children. AIM To examine the literature about ACT interventions for child and adolescent mental well-being. METHODS Searches for articles reporting on ACT interventions to prevent/reduce child mental health difficulties were undertaken. Methodological quality was assessed and a narrative synthesis was used to summarize findings about mental health symptoms and psychological flexibility. RESULTS Ten articles were identified focusing on prevention and intervention for anxiety, depression, obsessive compulsive disorder, anorexia nervosa, and trichotillomania. Most studies found that mental health symptoms reduced following an ACT intervention and psychological flexibility increased. However, findings indicate that other active interventions also led to the same changes. CONCLUSIONS ACT is a promising intervention for adolescent mental health, although further research is needed to establish whether reductions in mental health symptoms are due to an increase in psychological flexibility.

中文翻译：

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接受和承诺疗法：关于儿童和青少年心理健康困难的预防和干预计划的系统文献综述。

背景技术接受和承诺治疗（ACT）越来越多地用于治疗精神健康困难，但是关于儿童的ACT的评论很少。目的研究有关儿童和青少年心理健康的ACT干预措施的文献。方法搜寻报道预防或减少儿童心理健康困难的ACT干预措施的文章。评估方法学质量，并使用叙述性综述来总结有关心理健康症状和心理柔韧性的发现。结果确定了10篇文章，重点关注预防和干预焦虑症，抑郁症，强迫症，神经性厌食症和毛滴虫病。大多数研究发现，ACT干预后心理健康症状减轻，心理柔韧性增强。但是，调查结果表明，其他积极干预措施也导致了同样的变化。结论ACT是青少年心理健康的有希望的干预手段，尽管还需要进一步的研究来确定心理健康症状的减少是否是由于心理灵活性的增加所致。