随着社会迅速发展，青年人面临的压力与日俱增，其中“空巢青年”因单身和独居的生活方式更易产生孤独感。接纳承诺疗法（Acceptance and Commitment Therapy, ACT）是一种心理咨询模式，主要聚焦于对症状本身的直接干预，强调在处理症状与个体关系的同时减轻症状对个体的影响，提升心理灵活性。ACT从功能性语境主义视角丰富了对孤独的理解，从六边形病理模型的角度分析了心理僵化模式的成因，本个案研究呈现了使用ACT对一例“空巢青年”孤独感的干预过程及干预结果。

本研究招募群体为22至35岁的“空巢青年”，通过《UCLA孤独感量表》、《病人健康问卷》、《社交焦虑量表》和《人格诊断问卷》及访谈评估进行筛选，最终确定一名来访者作为研究对象。研究者使用ACT与来访者共进行12次咨询，频率为每周两次，时间为50至60分钟。在咨询的不同阶段对来访者施测《UCLA孤独感量表》、《接纳行动问卷第二版》和《认知融合分问卷中文版》，并在咨询结案后同来访者进行回访，以明确来访者的心理状态并追踪咨询效果。

在12次咨询后，来访者的孤独感和因负面评价引发的焦虑等情绪问题得到了有效改善，能够更好地觉察和接纳痛苦，形成了适应性的情绪调节策略。这些变化促进了来访者的承诺和行动，显著提高了心理灵活性。此外，来访者在ACT框架下强调的六大核心心理过程，包括被概念化的过去和未来主导、过度依赖于概念化自我、缺少价值澄清等方面，均展现出一定程度的改善。

本文通过使用ACT对一例受孤独感困扰“空巢青年”的咨询过程和咨询效果，初步证明了ACT对“空巢青年”群体孤独感干预的有效性，为心理临床工作者提供参考。

In today's fast-paced world, young adults are increasingly faced with pressures. Among them, "empty-nest youth," who live alone and single, are more prone to feelings of loneliness. Acceptance and Commitment Therapy (ACT) emerges as a psychological counseling model that primarily focuses on direct interventions for symptoms, emphasizing the reduction of symptom impact on individuals while addressing symptom-individual relations, thereby enhancing psychological flexibility. ACT enriches the understanding of loneliness through a functional contextualism perspective and analyzes the etiology of psychological rigidity patterns from the vantage point of the hexaflex model. This case study presents the intervention process and outcomes of employing ACT to address loneliness in an "empty-nest youth."

The study recruited individuals aged 22 to 35 identified as "empty-nest youth." Screening was conducted using the UCLA Loneliness Scale, Patient Health Questionnaire, Social Anxiety Scale, Personality Diagnostic Questionnaire, and interviews, ultimately selecting a participant for the study. The researcher conducted 12 ACT sessions with the participant, twice a week, lasting 50 to 60 minutes each. At different stages of counseling, assessments were administered, including the UCLA Loneliness Scale, Acceptance and Action Questionnaire-II, and the Chinese version of the Cognitive Fusion Questionnaire, followed by a post-counseling follow-up to ascertain the participant's psychological state and track the effectiveness of the counseling.

After 12 sessions, the participant showed significant improvements in loneliness and emotional issues caused by negative evaluations, demonstrated an enhanced ability to notice and accept suffering, and developed adaptive emotional regulation strategies. These changes fostered commitment and action in the participant, significantly boosting psychological flexibility. Moreover, improvements were observed in the six core psychological processes emphasized within the ACT framework, including dominance of conceptualized past and future, lack of value clarification, and excessive reliance on the conceptualized self.

This article preliminarily validates the efficacy of ACT in intervening against loneliness among "empty-nest youth" through the counseling process and outcomes for a case troubled by loneliness. It offers a reference for mental health practitioners.