Skip to main content
Log in

Acceptance in Cognitive Behavioral Psychotherapies: Different or the Same?

  • Published:
Journal of Rational-Emotive & Cognitive-Behavior Therapy Aims and scope Submit manuscript

Abstract

Acceptance is a key construct in both rational emotive behavior therapy (REBT) and acceptance and commitment therapy (ACT). The objectives of this study were to assess and compare the properties of ACT acceptance with those of REBT acceptance in predicting emotions. A sample of 112 subjects, comprising different educational and occupational status, completed three measures of acceptance (REBT and ACT), two of mindfulness, as well as completing depression and anxiety scales. Both ACT acceptance as process and REBT acceptance could predict significant ACT acceptance as outcome. Mindfulness as a trait also predicted the level of ACT outcome acceptance as well as the level of REBT acceptance, but mindfulness as process predicted only ACT outcome acceptance. The results show that REBT acceptance, ACT acceptance and mindfulness can explain anxiety and depression in different ways. The results show that the difference between ACT acceptance and REBT acceptance primary concern the process of acceptance, most likely due to the underlying cognitive processing. The outcome acceptance and emotional level are similar in the two conditions. Future research should employ multiple cognitive measurements.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Aben, I., Verhey, F., et al. (2002). Validity of the Beck depression inventory, hospital anxiety and depression scale, SCL-90, and Hamilton depression rating scale as screening instruments for depression in stroke patients. Psychosomatics, 43, 386–393. doi:10.1176/appi.psy.43.5.386.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric Properties. Journal of Consulting and Clinical Psychology, 56, 893–897. doi:10.1037/0022-006X.56.6.893.

    Article  PubMed  Google Scholar 

  • Beck, A. T., & Steer, R. A. (1993). Manual for the beck anxiety inventory. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of Beck Depression Inventories-1A and II in psychiatric outpatients. Journal of Personality Assessment, 67, 588–597.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbarugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.

    Article  PubMed  Google Scholar 

  • Bond, F. W., & Hayes, S. C. (2002). ACT at work. In F. W. Bond & W. Dryden (Eds.), Handbook of brief cognitive behaviour therapy (pp. 117–139). West Sussex: Wiley.

    Chapter  Google Scholar 

  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. doi:10.1037/0022-3514.84.4.822.

    Article  PubMed  Google Scholar 

  • Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: The Philadelphia Mindfulness Scale. Assessment, 15(2), 204–223. doi:10.1177/1073191107311467.

    Article  PubMed  Google Scholar 

  • Carney, C. E., Moss, T. G., Harris, A. L., Edinger, J. D., & Krystal, A. D. (2011). Should we be anxious when assessing anxiety using the beck anxiety inventory in clinical insomnia patients? Journal of Psychiatric Research, 45(9), 1243–1249.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chamberlain, J. M., & Haaga, D. A. F. (2001a). Unconditional self-acceptance and responses to negative feedback. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 19(3), 177–189.

    Article  Google Scholar 

  • Chamberlain, J. M., & Haaga, D. A. F. (2001b). Unconditional self-acceptance and psychological health. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 19(3), 163–176.

    Article  Google Scholar 

  • David, D., Cotet, C. D., Szentagotai, A., McMahon, J., & DiGiuseppe, R. (2013). Philosophical versus psychological unconditional acceptance: Implication for constructing the unconditional acceptance questionnaire. Journal of Cognitive and Behavioral Psychotherapies, 13(2a), 445–464.

    Google Scholar 

  • David, A., Ghinea, C., Macavei, B., & Eva, K. (2005). A search for “hot” cognitions in clinical and non-clinical context: Appraisal, attributions, core relational themes, irrational beliefs, and their relations to emotion. Journal of Cognitive and Behavioral Psychotherapies, 5(1), 1–42.

    Google Scholar 

  • David, D., Szentagotai, A., Lupu, V., & Cosman, D. (2008). Rational emotive behavior therapy, cognitive therapy, and medication in the treatment of major depressive disorder: A randomized clinical trial, post-treatment outcomes, and six-month follow-up. Journal of Clinical Psychology, 64(6), 728–746. doi:10.1002/jclp.20487.

    Article  PubMed  Google Scholar 

  • de Boer, M. J., Steinhagen, H. E., Versteegen, G. J., Struys, M. M. R. F., & Sanderman, R. (2014). Mindfulness, acceptance and catastrophizing in chronic pain. PLoS One, 9(1), e87445. doi:10.1371/journal.pone.0087445.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dent, H. R., & Salkovskis, P. M. (1986). Clinical measures of depression, anxiety and obsessionality in nonclinical populations. Behavioral Research and Therapy, 24, 689–691. doi:10.1016/0005-7967(86)90066-5.

    Article  Google Scholar 

  • Desbordes, G., Negi, L. T., Pace, T. W. W., Wallace, B. A., Raison, C. L., & Schwartz, E. L. (2012). Effects of mindful-attention and compassion meditation training on amygdala response to emotional stimuli in an ordinary, non-meditative state. Human Neuroscience, 6, 292. doi:10.3389/fnhum.2012.00292.

    Google Scholar 

  • Dozois, D. A., Dobson, K. S., & Ahnberg, J. L. (1998). A psychometric evaluation of the Beck Depression Inventory-II. Psychological Assessment, 10, 83–89.

    Article  Google Scholar 

  • Dryden, W. (2011). Albert Ellis and rational emotive behavior therapy: A personal reflection. Journal of Rational-Emotive and Cognitive Behavior Therapy, 29, 211–219.

    Article  Google Scholar 

  • Ellis, A. (1990). Rational-emotive therapy and cognitive behavior therapy: Similarities and differences. Cognitive Therapy and Research, 4(4), 325–340.

    Article  Google Scholar 

  • Ellis, A. (2006). Rational emotive behavior therapy and the mindfulness based stress reduction training of John Kabat-Zinn. Journal of Rational-Emotive and Cognitive Behavior Therapy, 24(1), 63–78.

    Article  Google Scholar 

  • Ellis, A., & Dryden, W. (1997). The practice of rational emotive behavior therapy. New York: Springer.

    Google Scholar 

  • Forman, E. M., Hoffman, K. L., McGrath, K. B., Herbert, J. D., Brandsma, L. L., & Lowe, M. R. (2007). A comparison of acceptance- and control-based strategies for coping with food cravings: An analog study. Behaviour Research and Therapy, 45, 2372–2386.

    Article  PubMed  Google Scholar 

  • Frydrich, T., Dowdall, D., & Chambless, D. L. (1992). Reliability and validity of the Beck Anxiety Inventory. Journal of Anxiety Disorders, 6, 55–61. doi:10.1016/0887-6185(92)90026-4.

    Article  Google Scholar 

  • Gillis, M. M., Haaga, D. A. F., & Ford, G. T. (1995). Normative values for the Beck Anxiety Inventory, Fear Questionnaire, Penn State Worry Questionnaire, and Social Phobia and Anxiety Inventory. Psychological Assessment, 7, 450–455. doi:10.1037/1040-3590.7.4.450.

    Article  Google Scholar 

  • Harris, R. (2009). ACT made simple: A easy-to-read primer on acceptance and commitment therapy. Canada: New Harbinger Press.

    Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: The Guilford Press.

    Google Scholar 

  • Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., et al. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553–578.

    Google Scholar 

  • Hoffmann, S. G., Heering, S., Sawyer, A. T., & Asnaani, A. (2009). How to handle anxiety: The effects of reappraisal, acceptance, and suppresion strategies on anxious arousal. Behavior Research and Therapy, 47(5), 380–394. doi:10.1016/j.brat.2009.02.010.

    Article  Google Scholar 

  • Jacobs, J., Kleen, M., De Groot, F., & A-Tjak, J. (2008). Het meten van experiëntiële vermijding. De Nederlandstalige versie van de Acceptance and Action Questionnaire-II: The measurement of experiential avoidance. The Dutch language version of the Acceptance and Action Questionnaire-II (AAQ-II). Gedragstherapie, 4, 349–364.

    Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your mind to face stress, pain and illness. New York: Dell Publishing.

    Google Scholar 

  • Kendall, P. C., Hollon, S. D., Beck, A. T., Hammen, C. L., & Ingram, R. E. (1987). Issues and recommendations regarding the use of the Beck Depression Inventory. Cognitive Therapy and Research, 11, 289–299. doi:10.1007/BF01186280.

    Article  Google Scholar 

  • Lineham, M. M. (1993). Cognitive behavioral treatment of bordeline personality disorder (pp. 3–65). New York: The Guilford Press.

    Google Scholar 

  • MacKillop, J., & Anderson, E. J. (2007). Further psychometric validation of the Mindful Attention Awareness Scale (MAAS). Journal of Psychopathology and Behavioral Assessment, 29, 289–293.

    Article  Google Scholar 

  • Monestès, J. L., Villatte, M., Mouras, H., Loas, G., & Bond, F. W. (2009). Traduction et validation française du questionnaire d’acceptation et d’action (AAQ-II). Translation and validation of French Acceptance and action Questionnaire (AAQII). European Review of Applied Psychology, 59, 301–308.

    Article  Google Scholar 

  • Park, T., Reilly-Spong, M., & Gross, C. R. (2013). Mindfulness: A systematic review of instruments to measure an emergent patient-reported outcome (PRO). Quality of Life Research, 22(2), 2639–2659. doi:10.1007/s11136-013-0395-8.

    Article  PubMed  Google Scholar 

  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.

    Book  Google Scholar 

  • Rosenberg, M., Schooler, C., Schoenbach, C., & Rosenberg, F. (1995). Global self-esteem and specific self-esteem: Different concepts, different outcomes. American Sociological Review, 60, 141–156.

    Article  Google Scholar 

  • Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanism of Mindfulness. Journal of Clinical Psychology, 62(3), 373–386. doi:10.1002/jclp.20237.

    Article  PubMed  Google Scholar 

  • Zettle, R. D., & Rains, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45(3), 436–445. doi:10.1002/1097-4679(198905)45:3<436:AID-JCLP2270450314>3.0.CO;2-L.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This paper is partly supported by the Sectorial Operational Programme Human Resources Development (SOPHRD), financed by the European Social Fund and the Romanian Government under contract POSDRU 141531.

Funding

This paper is partly supported by the Sectorial Operational Programme Human Resources Development (SOPHRD), financed by the European Social Fund and the Romanian Government under contract POSDRU 141531.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karol J. Wild.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wild, K.J., Macavei, B. & Podea, D.M. Acceptance in Cognitive Behavioral Psychotherapies: Different or the Same?. J Rat-Emo Cognitive-Behav Ther 35, 187–206 (2017). https://doi.org/10.1007/s10942-016-0250-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10942-016-0250-2

Keywords

Navigation