How Counseling Based on Acceptance and Commitment Therapy and Supported With Motivational Interviewing Affects the Perceptions of Treatment Motivation in Patients Diagnosed With Schizophrenia: A Qualitative Study

2020 ◽  
pp. 107839032094538
Author(s):  
Erman Yıldız ◽  
Rukuye Aylaz
Keyword(s):  
Motivational Interviewing ◽  
Acceptance And Commitment Therapy ◽  
Social Relations ◽  
Satisfaction With Life ◽  
Nursing Intervention ◽  
Integrative Approach ◽  
Control Group ◽  
Treatment Motivation ◽  
Commitment Therapy ◽  
Acceptance And Commitment

BACKGROUND: Lack of motivation is a common phenomenon in treatment of schizophrenia. Despite information that various psychosocial approaches may help overcome lack of motivation, their content and nature remain uncertain. However, in recent years, there is an increasing interest in psychosocial interventions such as acceptance and commitment therapy (ACT) and motivational interviewing (MI) techniques in approaching individuals diagnosed with schizophrenia (IDSs). In this study, the therapeutic models of ACT and MI were combined to create an innovative integrative approach to address the problem of lack of motivation in IDSs. AIMS: This study was conducted to determine how a counseling program based on ACT and supported with MI affected the perceptions of treatment motivation in IDSs. METHOD: This study addressed the qualitative aspects of a doctoral dissertation designed as a quasi-experimental study that gathered both quantitative and qualitative data. RESULTS: As a result of the content analysis, three main themes and 10 categories that motivated IDSs for compliance with regular treatment were developed. The participants in the experimental group expressed a focused treatment motivation to participate in daily life activities and social relations, acceptance of illness, satisfaction with life despite side effects and leading a value-oriented life in comparison with the control group. CONCLUSIONS: Counseling based on ACT and supported with the MI technique is effective in improving treatment motivation in IDSs. This counseling may be implemented as an effective psychiatric nursing intervention for IDSs.

How Counseling Based on Acceptance and Commitment Therapy and Supported with Motivational Interviewing Affects Levels of Functional Recovery in Patients Diagnosed with Schizophrenia: A Quasi-Experimental Study

2020 ◽  
pp. 105477382093559
Author(s):  
Erman Yıldız ◽  
Rukuye Aylaz
Keyword(s):  
Motivational Interviewing ◽  
Acceptance And Commitment Therapy ◽  
Functional Recovery ◽  
Control Group ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Mental Health Centers ◽  
Experimental Group

This study aimed to determine how counseling based on acceptance and commitment therapy (ACT) and supported with motivational interviewing (MIs) affected functional recovery in individuals diagnosed with schizophrenia (IDSs). A quasi-experimental design was used. The participants of this study were 87 individuals diagnosed with schizophrenia (36 in the experimental group and 51 in the control group). The experimental group received counseling based on ACT and supported with MIs. The data were collected between September 2018 and May 2019 using a Descriptive Information Form and the Functional Remission of General Schizophrenia Scale (FROGS). The participants in the experimental group were given a group counseling program of eight sessions at community mental health centers in downtown Malatya, Turkey. The results revealed a statistically significant difference in the mean scores on FROGS between those in the IDS experimental group and those in the control group. The scores increased on both groups.

scholarly journals The Effects of Acceptance and Commitment Therapy (ACT) on Depression in TB-HIV Co-infection Patients

Jurnal NERS ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 66
Author(s):  
Avin Maria ◽  
Untung Sujianto ◽  
Niken Safitri Dyan Kusumaningrum
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Intervention Group ◽  
Severe Depression ◽  
Nursing Intervention ◽  
T Test ◽  
Control Group ◽  
Commitment Therapy ◽  
Hiv Coinfection ◽  
Acceptance And Commitment ◽  
Group Data

Introduction: The most common psychological problem in TB-HIV coinfection patients is depression. Acceptance and Commitment Therapy (ACT) is an intervention that encourages participants to change their relationships with their thoughts and physical sensations through mechanisms of acceptance and value-based action. This present study has been carried out to investigate the effectiveness of ACT in treating TB-HIV coinfection patients.Methods: This research was a quasi-experiment. This study involved 62 respondents diagnosed TB-HIV coinfection by doctor, experienced mild depression to severe depression, able to communicate well and have not hearing loss. ACT was given by a researcher with six sessions) one session per day) held in the intervention group. Data were collected using Beck Depression Inventory (BDI) questionnaires. Data analysis use paired t-test   to determine the differences in value of depression on pre-test and post-test in each group. Data were analyzed using the independent t-test to determine the effect of ACT on depression.Results: The majority of respondents were male (66.1%). Most of the early adult and older adult respondents had moderate depression, while middle-aged adult mostly had severe depression (50%). The fully unemployed respondents had severe depression (100%). The analysis results showed that there was a more significant decrease in depression in the intervention group given ACT compared to the control group (p value =0.00).Conclusion: ACT has an effect on reduce depression of TB-HIV coinfection patients. ACT is recommended to be developed as a nursing intervention that can be given to patients who are depressed.

scholarly journals Effectiveness of Acceptance and Commitment Therapy on Anxiety and Depression of Razi Psychiatric Center Staff

2018 ◽  
Vol 6 (2) ◽  
pp. 410-415 ◽  
Author(s):  
Mostafa Heydari ◽  
Saideh Masafi ◽  
Mehdi Jafari ◽  
Seyed Hassan Saadat ◽  
Shima Shahyad
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Analysis Of Covariance ◽  
Anxiety And Depression ◽  
Control Group ◽  
Center Staff ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
And Control ◽  
Psychiatric Center ◽  
Research Tools

AIM: Considering the key role of human resources as the main operator of organisations, the present research aimed to determine the effectiveness of acceptance and commitment therapy for anxiety and depression of Razi Psychiatric Center staff.MATERIALS AND METHODS: This research follows a quasi-experimental type with pre-test, post-test plans, and control group. Accordingly, 30 people were selected through volunteered sampling among Razi Psychiatric Center staff. Then, they were randomly placed into two groups of 15 (experimental and control) and evaluated using research tools. Research tools consisted of Beck Anxiety and Depression Inventories whose reliability and validity have been confirmed in several studies. Research data were analysed using the analysis of covariance (ANCOVA).Results: The statistical analysis confirmed the difference in the components of anxiety and depression in the experimental group, which had received acceptance and commitment therapy compared to the group that had not received any therapy in this regard (control group) (p < 0.05).CONCLUSION: Acceptance and commitment therapy reduces anxiety and depression.

scholarly journals Comparison of Motivational Interviewing with Acceptance and Commitment Therapy: A Conceptual and Clinical Review

2011 ◽  
Vol 39 (5) ◽  
pp. 541-559 ◽  
Author(s):  
Jonathan Bricker ◽  
Sean Tollison
Keyword(s):  
Behavior Change ◽  
Motivational Interviewing ◽  
Therapeutic Relationship ◽  
Acceptance And Commitment Therapy ◽  
Theoretical Basis ◽  
Systematic Comparison ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Emerging Therapies ◽  
Language Content

Background:Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT) are two emerging therapies that focus on commitment to behavior change.Aim:The aim was to provide the first systematic comparison of MI with ACT.Method:A systematic comparison was undertaken of MI and ACT at the conceptual level, with a focus on their philosophical and theoretical bases, and at the clinical level, with a focus on the therapeutic relationship, use of language in therapy, and use of values in therapy.Results:Conceptually, MI and ACT have distinct philosophical bases. MI's theoretical basis focuses on language content, whereas ACT's theoretical basis focuses on language process. Clinically, ACT and MI have distinct approaches to the therapeutic relationship, fundamentally different foci on client language, and different uses of client values to motivate behavior change. ACT, but not MI, directly targets the willingness to experience thoughts, feelings, and sensations.Conclusions:Despite their conceptual and clinical differences, MI and ACT are complementary interventions. Collaborations between MI and ACT researchers may yield fruitful cross-fertilization research on core processes and clinical outcomes.

scholarly journals Effectiveness of Acceptance and Commitment Therapy on Hypochondriasis and Psychosocial Adjustment in Divorced Women

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Hamideh Iri ◽  
Behnam Makvandi ◽  
Saeed Bakhtiarpour ◽  
Fariba Hafezi
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Psychosocial Adjustment ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Control Groups ◽  
Statistical Population ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
And Control ◽  
Levene Test

Background: Divorce is one of the most stressful life events leading to increased susceptibility to diseases and mood disorders such as hypochondriasis. Objectives: The present study aimed to investigate the effectiveness of acceptance and commitment therapy (ACT) on hypochondriasis and psychosocial adjustment in divorced women in Tehran. Methods: The research method was quasi-experimental with a pretest-posttest design and a control group. The statistical population in this study consisted of divorced women suffering from divorce-induced psychological distress who visited counseling centers in Tehran in 2018. The sample consisted of 30 divorced women selected by convenience sampling method. The participants were randomly divided into experimental and control groups (n = 15 per group), and the pretest was performed for the experimental and control groups before the intervention program. The experimental group underwent ten sessions of ACT (90-minute sessions per week), and the control group did not receive any treatment. The research instruments included the Health Anxiety Inventory (HAI) and the Psychosocial Adjustment to Illness Scale (PAIS). The Shapiro-Wilk test, Levene test, Pearson correlation coefficient, and analysis of covariance (ANCOVA) were used to analyze the data. Results: The results indicated that the ACT-based intervention significantly reduced hypochondriasis in divorced women (P = 0.043). In addition, ACT improved the psychosocial adjustment in these women (P = 0.0001). Conclusions: This intervention decreased anxiety under difficult conditions and also improved psychosocial adjustment in divorced women. Therefore, ACT can be used as an effective approach in reducing social and interactional problems and also anxiety in divorced women.

scholarly journals The Effectiveness of Acceptance and Commitment Therapy on Cognitive Emotion Regulation Strategies and Cognitive Flexibility in Gastrointestinal Patients

2021 ◽  
pp. 91-110
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Cognitive Flexibility ◽  
Emotional Regulation ◽  
The Body ◽  
Control Group ◽  
Statistical Population ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Treatment Research ◽  
Experimental Group

Background: The gastrointestinal tract, as one of the most important organs of the body, has its own diseases that involved many people. Therefore, the present study seeks to investigate the effectiveness acceptance and commitment therapy based on cognitive-emotional regulation and cognitive flexibility among gastrointestinal patients. Materials and Methods: The research method was quasi-experimental with pretest-posttest design with control group was unbalanced and the statistical population of this study was all gastrointestinal patients in Sari who referred to Imam Khomeini Hospital in 2020 and its sample included 30 people (15 people for the experimental group and 15 people for the control group), who were selected using the available sampling method. Then, the members of the experimental group were treated for 8 sessions based on acceptance and commitment and the control group did not receive any treatment. Research instruments included the Cognitive-Emotional Regulation Questionnaire (Garnowski et al, 2001) and Cognitive Flexibility (Dena and Venedrwal, 2010). And the statistical method of this research was multivariate analysis of covariance. Results: The results of multivariable covariance analysis showed that acceptance and commitment therapy was effective on cognitive-emotional regulation and cognitive flexibility and significantly improved cognitive-emotional regulation and cognitive flexibility in gastrointestinal patients. Conclusion: According to the research findings, acceptance and commitment therapy can be used as an effective method to promote cognitive-emotional regulation and cognitive flexibility in gastrointestinal patients.

scholarly journals The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients

2021 ◽  
Author(s):  
Priyo Purnomo As’hab ◽  
Budi Anna Keliat ◽  
Ice Yulia Wardani
Keyword(s):  
Suicidal Ideation ◽  
Treatment Adherence ◽  
Acceptance And Commitment Therapy ◽  
Suicide Ideation ◽  
Nursing Intervention ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Test ◽  
Mdr Tb ◽  
Anxiety Depression

Background: The Worldwide resistance prevalence of the first-line TB drug, rifampicin (RR-TB), in 2017 was 7.4 per 100,000 population, and 82% of them experienced multidrug-resistant tuberculosis (MDR-TB). Indonesia is the top 20 country with an MDR-TB burden, and its prevalence is 8.8 per 100,000 population. MDR-TB requires a long-time treatment and has accompanying side effects: biological and psychosocial effects. However, efforts to overcome the psychosocial impacts have not been conducted. This study aims to determine the effect of acceptance and commitment therapy (ACT) on anxiety, depression, suicidal ideation, and treatment adherence in MDR-TB patients.Design and methods: This research employed a quasi-experimental design with a pre-test three post-tests using total sampling. The pre-test was conducted before the standard nursing intervention, post-test 1 was after the standard nursing intervention, post-test 2 was after ACT session 1, and post-test 3 was after ACT session 2. Data were collected by the Hamilton Rating Scale for Anxiety (HAM-A), Beck Hopelessness Scale (BHS), a Scale for Suicide Ideation (SSI), and Morisky Medication Adherence Scale (MMAS).Results: The standard nursing action and ACT reduce anxiety (p = 0.002), reduced depression (p = 0.0001), reduced suicidal ideation (p = 0.008), and increased treatment adherence (p = 0.0001).Conclusions: The standard nursing action and ACT reduce anxiety, depression, and suicidal ideation. They increase treatment adherence recommended for use in MDR-TB patients.

scholarly journals INFLUENCE OF ACCEPTANCE AND COMMITMENT THERAPY ON THE FAMILY’S BURDEN IN TREATING PEOPLE WITH MENTAL DISORDERS

2017 ◽  
Vol 2 (2) ◽  
pp. 126
Author(s):  
I Putu Gde Yudara Sandra Putra ◽  
Noor Hamdani ◽  
Lilik Supriati
Keyword(s):  
Mental Disorders ◽  
Linear Regression ◽  
Acceptance And Commitment Therapy ◽  
Control Group ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference ◽  
The Family ◽  
New Perspective ◽  
The Individual

Indonesia has more than one million people with mental disorders spread in each province. Treatment for people with schizophrenia is not only done in the hospital alone, but it will be continued after returning to the family. Families who are not able to adapt to the patient's care problem will consider the problem as a burden by the family. Acceptance and Commitment Therapy (ACT) is one of therapy that aims to teach the individual to be aware and use a new perspective in thinking to face a problem. This research aimed to know the effect of ACT on the burden felt by the family in caring for the patient mental disorders. The design used in this research was Quasi-Experiment Pre-Post Test With Control Group. The numbers of samples in this study were 24 people divided into two groups. The independent variable in this study was ACT therapy while the dependent variable was the burden felt by the family. Data analysis in this research use t-test and linear regression. The results showed no significant difference in the control group after getting health counseling (p = 1.000). In the treatment group showed significant difference after getting health education and ACT (p = 0.000). There was a significant difference between intervention and control group (p = 0.000). The result of linear regression test showed that age factor and ACT therapy had an effect of 57.1% to the family burden. Families are expected to be more flexible to face problems found when treating people with mental disorders at home.

scholarly journals The Effectiveness of Acceptance and Commitment Therapy on the Illness Perception in Dialysis Patients

2019 ◽  
pp. 1-8
Author(s):  
Shiler Karimi ◽  
Fardin Moradimanesh ◽  
Parviz Asgari ◽  
Saieed Bakhtiyarpour
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Illness Perception ◽  
Personal Control ◽  
Chronic Kidney Failure ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Dialysis Patients ◽  
Statistical Population ◽  
Commitment Therapy ◽  
Acceptance And Commitment

One of the proposed psychological treatments in hemodialysis patients is acceptance and commitment therapy. The acceptance and commitment therapy focuses on psychological flexibility and this occurs when a person consciously accepts his or her thoughts and feelings and shows a behavior consistent with his or her personal values. As chronic kidney failure causes many psychological problems for patients, which can affect their various aspects of life and significantly reduce their quality of life and as acceptance and commitment therapy has provided promising results in helping patients with severe and chronic conditions to cope with their psychological, physical, social, family and economic problems and given the important role of the variable of illness perception in this regard, the present study was conducted to evaluate the effect of acceptance and commitment therapy on illness perception of patients. The statistical population of this study included hemodialysis patients in the dialysis ward of Bouali Marivan Hospital from 22-11-2018 to 22/11/2012. The number of subjects in each of the experimental and control groups was 15. The experimental group received acceptance and commitment therapy at 8 sessions and the control group received no therapy. The data were collected using Illness Perception Questionnaire-Revised (IPQ-R). Data were analyzed by SPSS software using descriptive statistics and covariance analysis. The results of the study showed that acceptance and commitment therapy (ACT) was effective on illness perception, consequences of the illness perception, illness personal control perception, illness treatment control perception, concern and emotional responses perception in dialysis patients. However, acceptance and commitment therapy (ACT) did not affect the illness timeline perception, identity of the illness perception and the illness recognition in dialysis patients.

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