Acceptance and commitment therapy applied to early psychosis: Therapeutic foundations and a narrative systematic review

Figure 1 The “Hexaflex model”. This figure illustrates the interaction between the six core processes in acceptance and commitment therapy. Adapted from Hayes and Lillis[14].

Figure 2 Hypothesized mechanisms of action of acceptance and commitment therapy for psychosis. Adapted from Thomas et al[47]. Acceptance and defusion reduce preoccupation, conviction, distress, and life interference related to positive symptoms and improve them. Engaging in values-based actions promotes adaptive behavioral changes and improves negative symptoms. The network of changes leads to an overall improvement in mental state and social functioning. ACT: Acceptance and commitment therapy.

Figure 3 PRISMA flow diagram of search and study selection process.