Evidence map›Paper›PMID 41964330›Full record

Trial reportPsychology and psychotherapy2026

Effect of a group-based acceptance and commitment therapy intervention on cognitive emotion regulation and psychological flexibility in patients with bipolar disorder.

Jun-Yan Shi, Long Na, Yan-Hong Du, Jue Wang, Run-Zhu Zhang, Chao Guo, Mao-Rong Hu, Si-Hai Fan, Zhen-Hong Wang

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychology and psychotherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jun-Yan ShiSchool of Psychology, Shaanxi Provincial Key Research Center of Child Mental and Behavioral Health, Shaanxi Normal University, Xi'an, China.ORCID https://orcid.org/0000-0002-4623-334X
Long NaDepartment of Medical Psychology, Mental Health Hospital Affiliated to Shanxi Medical University, Shanxi Mental Health Center,Taiyuan Fifth People's Hospital, Taiyuan, People's Republic of China.
Yan-Hong DuDepartment of Medical Psychology, Mental Health Hospital Affiliated to Shanxi Medical University, Shanxi Mental Health Center,Taiyuan Fifth People's Hospital, Taiyuan, People's Republic of China.
Jue WangDivision of Educational Psychology, Graduate School of Education, the University of Tokyo, Bunkyo, Japan.
Run-Zhu ZhangSchool of Psychology, Shaanxi Provincial Key Research Center of Child Mental and Behavioral Health, Shaanxi Normal University, Xi'an, China.
Chao GuoSchool of Psychology, Shaanxi Provincial Key Research Center of Child Mental and Behavioral Health, Shaanxi Normal University, Xi'an, China.
Mao-Rong HuDepartment of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Si-Hai FanDepartment of Medical Psychology, Mental Health Hospital Affiliated to Shanxi Medical University, Shanxi Mental Health Center,Taiyuan Fifth People's Hospital, Taiyuan, People's Republic of China.
Zhen-Hong WangSchool of Psychology, Shaanxi Provincial Key Research Center of Child Mental and Behavioral Health, Shaanxi Normal University, Xi'an, China.

Funding

National Natural Science Foundation of China
6 · The paper itself

Abstract

objectiveThis study examined the efficacy of group-based acceptance and commitment therapy (ACT) in improving cognitive emotion regulation (CER) and psychological flexibility (PF) in patients with bipolar disorder (BD).

methodsFifty-five Chinese patients with BD type I or II from the inpatient psychiatric unit of a Grade-A tertiary psychiatric hospital in China participated in the intervention. Twenty-eight patients were randomized to the ACT+ treatment as usual (TAU) group (10 group sessions) and 27 to TAU alone. The Young Mania Rating Scale (YMRS), Self-rating Depression Scale (SDS), Cognitive Emotion Regulation Questionnaire (CERQ), Cognitive Fusion Questionnaire-Fusion (CFQ-F) and Acceptance and Action Questionnaire II (AAQ-II) were used to assess the participants' CER ability, PF and mania and depressive symptoms at a pre-treatment time-point (baseline) and a post-treatment time-point (5 weeks). ANOVA analysis was conducted to compare the scores before and after treatment in the two groups.

resultsThe ACT + TAU group demonstrated more substantial improvements in CER, PF, as well as residual mania and depression, compared to the TAU group.

conclusionsOur findings indicate that combining ACT intervention into treatment as usual can play better results in enhancing the CER ability and PF of patients with BD in a clinical setting.

Indexed as

Acceptance and Commitment TherapyBipolar DisorderCognitive FlexibilityEmotional RegulationPsychotherapy, GroupAdultFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesTreatment OutcomeYoung Adultacceptance and commitment therapybipolar disordercognitive emotion regulationpsychological flexibility

Identifiers

PMID41964330
PMCPMC13456343

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.