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    "doi": "10.1111\/papt.70061",
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    "title": "Effect of a group‐based acceptance and commitment therapy intervention on cognitive emotion regulation and psychological flexibility in patients with bipolar disorder",
    "authors": [
        "Jun‐Yan Shi",
        "Long Na",
        "Yan‐Hong Du",
        "Jue Wang",
        "Run‐Zhu Zhang",
        "Chao Guo",
        "Mao‐Rong Hu",
        "Si‐Hai Fan",
        "Zhen‐Hong Wang"
    ],
    "container": "Psychology and Psychotherapy: Theory, Research and Practice",
    "year": "2026",
    "doi_url": "https:\/\/doi.org\/10.1111\/papt.70061",
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    "abstract": "OBJECTIVE: This 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). METHODS: Fifty-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. RESULTS: The ACT + TAU group demonstrated more substantial improvements in CER, PF, as well as residual mania and depression, compared to the TAU group. CONCLUSIONS: Our 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.",
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