scholarly journals Acceptance and commitment therapy on perceived stress and psychological flexibility of psychiatric nurses: a randomized control trial

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Seyyed Arman Hosseini Zarvijani ◽  
Ladan Fattah moghaddam ◽  
Samaneh Parchebafieh
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Perceived Stress ◽  
Psychological Flexibility ◽  
Control Group ◽  
Link Type ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference ◽  
The Impact ◽  
Experimental Group

Abstract Background Nursing in psychiatric wards is considered a highly stressful career due to the type of patients and the problem of communicating with them. Finding appropriate solutions to overcome this stress can improve the general health of nurses and improve their quality of work. The aim was to investigate the impact of Acceptance and Commitment Therapy (ACT) on the perceived stress (PS) and psychological flexibility (PF) of nurses in psychiatric wards. Methods A total of 70 nurses of Razi Psychiatric Center of Tehran were randomly selected and divided into two experimental and control groups of 35. In addition to routine interventions, the experimental group was provided with eight 2-h sessions of ACT training, whereas the control group only received routine interventions. Prior to the intervention sessions and a month after the last session, demographic information, PS scale, and Acceptance and Action Questionnaire (2nd Edition) were completed in both groups. Results There was a significant difference regarding the PS level (P = 0.002) and PF (P = 0.001) in the control and experimental groups; the experimental group showed lower PS and higher PF. Conclusions ACT can lead to reduced PS and improved PF, which can be considered as a solution to empower nurses working in psychiatric wards. Trial registration This was registered in Iranian Registry of Clinical Trials (IRCT) (clinical trial code: IRCT20180506039557N1. Registered 2018-10-31. Retrospectively registered, https://en.irct.ir/trial/31040

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 Effectiveness of Acceptance and Commitment Therapy on Body Image of Women with Breast Cancer after Mastectomy Surgery

2020 ◽  
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
Acceptance And Commitment Therapy ◽  
Control Group ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference ◽  
Post Test ◽  
And Control ◽  
Experimental Group

Background & Aim: In recent years, Acceptance and Commitment Therapy (ACT) has been used a lot with emphasis on acceptance of life problems and psychological flexebility. The purpose of this study was to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on body image of women with breast cancer after mastectomy surgery. Methods: The research method was semi-experimental with experimental and control group with pre-test and post-test. A sapmle of 26 female with breast cancer were selected through targeted sampling from Alla charity center in Isfahan in year 2017 and assigned to two groups with 13 subjects. The experimental group received ACT in 8 sessions. The measurement tool was multidimensional questionnaire on personal body image (MBSRQ) that was used in both the experimental and control groups in pre-test and post-test. The findings were analyzed using SPSS. Results: The results of covariance analysis showed that there was a significant difference between the mean scores of body image and its dimensions in experimental and control group and ACT was effective on improvement of body image in patients of experimental group (p<0.05). Conclusion: in general, the ACT seems to be effective on improvement of psychological problems in women with breast canscer.

scholarly journals The ACTyourCHANGE study protocol: promoting a healthy lifestyle in patients with obesity with Acceptance and Commitment Therapy—a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Anna Guerrini Usubini ◽  
Roberto Cattivelli ◽  
Emanuele Maria Giusti ◽  
Francesco Vailati Riboni ◽  
Giorgia Varallo ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Acceptance And Commitment Therapy ◽  
Mechanism Of Action ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Psychological Flexibility ◽  
Randomized Controlled ◽  
Link Type ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Abstract Background As treatment of choice in promoting psychological flexibility, Acceptance and Commitment Therapy (ACT) was found to be effective in several conditions, and among different populations, including weight management in individuals with obesity. However, the mechanism of action of psychological flexibility is less known. The aim of the present study is, within the context of a brief ACT intervention for behavioral change and behavioral maintenance of a healthy lifestyle in a sample of inpatients with obesity, to explore the effect of each subcomponent of the psychological flexibility model on treatment processes and outcomes. Methods A randomized controlled trial will be conducted. Ninety Italian adult inpatients with obesity attending a rehabilitation program for weight loss will be randomly allocated into three experimental conditions targeting respectively each subcomponent of the psychological flexibility model: group Engage focused on values-oriented behaviors, group Openness focused on acceptance and cognitive defusion, and group Awareness focused on being present and aware of thoughts, feelings, and behaviors at every moment. Weight, BMI (kg/m2), the Psychological General Well-Being Inventory (PGWBI), the Outcome Questionnaire-45.2 (OQ-45.2), the Depression Anxiety and Stress Scale (DASS-21), the Difficulties in Emotion Regulation Scale (DERS), the Dutch Eating Behaviors Questionnaire (DEBQ), the Brief Values Inventory (BVI), the Committed Action Questionnaire (CAQ), the Italian-Cognitive Fusion Questionnaire (I-CFQ), the Five Facet Mindfulness Questionnaire (FFMQ), and the Acceptance and Action Questionnaire (AAQ-II) will be assessed at the beginning (time 0), at the end of psychological intervention (time 1), and after 3 (time 2) and 6 months (time 3) and 9 months (time 4) from discharge. During the following month after discharge, outpatients will be monitored in their adherence to a healthy lifestyle, using a wearable device. To assess the effectiveness of the intervention, mixed between-within 3 (conditions) × 4 (times) repeated measure ANOVAs will be conducted to examine changes from time 0 to time 1, 2, 3, and 4 in means of weight, BMI, and means of scores PGWBI, OQ-45.2, DASS, DERS, DEBQ, AAQ-II, BVI, CAQ, I-CFQ, and FFMQ, between three groups. Discussion This study will contribute to clarify the mechanism of action of each subcomponent of the psychological flexibility model and understand its impact on the promotion of a healthy lifestyle. Trial registration ClinicalTrials.govNCT04474509. Registered on July 4, 2020

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 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 Marital Burnout and Self-Compassion in Unsupervised Women under the Cover of NGOs of Tehran

2021 ◽  
Author(s):  
Parisa Amini ◽  
Reza Karami Nejad
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Control Group ◽  
Statistical Population ◽  
Self Compassion ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

 Introduction: Unsupervised Women always face very serious challenges in life. These problems can affect different aspects of their lives. The aim of this study was to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT) on self-compassion and marital boredom in Unsupervised Women. Methods: The research was quasi-experimental with pre-test, post-test with control group. The statistical population consisted of Unsupervised Women under the Cover of NGOs of Tehran and the sample consisted of 30 women (15 individual in control and 15 individual in Experiment group) according to education level and age. The participants randomly assigned to experimental and control groups. The research instrument were Penance Marital Burning Scale and Raes, Pommier, Neff, & Van Gucht self—compassion scale. After the pre-test, the experimental group received 8 sessions of ACT, while the control group received no intervention. At the end of intervention post-test was performed. The results were analyzed by ANCOVA at the level of 0.05 using SPSS 20 software. Results: Based on the results of the research, A significant difference was found between the two groups regarding their Marital Burning (P < 0.001, F=401.28) and increased self-compassion intervention (P < 0.001, F=457.52) before and after intervention. The effect size was 0.9 for Marital Burning and 0.3 for self-compassion. Conclusion: According to the findings of the study, ACT can be used to decrease Marital Burning and increase self-compassion in unsupervised Women. ACT leads to psychological flexibility and commitment to perform actions that may lead to a fulfilling, rich and meaningful life, so it can be used as an effective intervention to decrease Marital Burning and increase self-compassion.

scholarly journals Effectiveness of Acceptance and Commitment Therapy in Depression and Anxiety in People with Substance Use Disorder

2022 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zohreh Hashemi ◽  
Sanaz Einy ◽  
Matineh Ebadi
Keyword(s):  
Substance Use ◽  
Acceptance And Commitment Therapy ◽  
Substance Use Disorder ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Depression And Anxiety ◽  
Statistical Population ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference

Background: The comorbidity of substance use, mood disorders, and anxiety has been proven in various studies, leading to many clinical implications. Objectives: This study aimed to evaluate the effectiveness of acceptance and commitment therapy (ACT) in depression and anxiety in individuals with substance use disorder. Methods: This quasi-experimental study utilized a pretest-posttest design with a control group. The statistical population consisted of all people with substance abuse in Urmia in 2019, including 220 subjects. The sample consisted of 50 individuals with substance use disorders selected by purposive sampling and randomly assigned to experimental and control groups. The experimental group was trained in eight sessions, each lasting 90 min, based on the ACT protocol by Hayes et al. (2004), while the control group did not receive any intervention. The data were obtained using the Beck Depression Inventory and Beck Anxiety Inventory. Pretest and posttest were performed in both groups. The collected data were analyzed by multivariate analysis of covariance (MANCOVA) using SPSS23 software. Results: The results showed that after controlling for the pretest effects, a significant difference was observed between the mean posttest scores of the two groups in both depression and anxiety (P < 0.05). Conclusions: Acceptance and commitment therapy is an appropriate strategy to effectively improve depression and anxiety in people with substance use disorder.

scholarly journals The Effectiveness of Acceptance and Commitment Therapy on Resilience, Meaning in Life, and Family Function in Family Caregivers of Patients With Schizophrenia

2019 ◽  
Vol 25 (4) ◽  
pp. 298-311
Author(s):  
Somayeh Moghbel Esfahani ◽  
◽  
Sayed Abbas Haghayegh ◽  
Keyword(s):  
Family Functioning ◽  
Acceptance And Commitment Therapy ◽  
Meaning In Life ◽  
Assessment Tools ◽  
Control Group ◽  
Life Questionnaire ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference

Aims The caring of schizophrenia patients is a tiresome task for their families. This research aimed to examine the effectiveness of Acceptance and Commitment Therapy (ACT) on resilience, meaning in life, and family functioning in the caregivers of patients with schizophrenia. Methods & Materials This was a quasi-experimental study with a pretest-posttest and follow-up design and a control group. The study sample included 30 members of schizophrenia patients’ families, referring to 2 neurological and psychological rehabilitation centers in Isfahan Province, Iran. By the convenience sampling method, the experimental group received 8 ACT sessions weekly; however, the control group received no treatment. Both groups were assessed in three phases; pretest, posttest, and one-month follow-up. The assessment tools consisted of Connor-Davidson Resilience Scale, Stagger Meaning in Life Questionnaire, and McMaster Family Functioning Scale. The obtained data were analyzed in SPSS by repeated-measures Analysis of Variance (ANOVA). Findings The collected results indicated the significant difference of posttest and follow-up phases in terms of meaning in life and family functioning scores between the control and experimental groups (P<0.05). Furthermore, there was a significant difference in posttest resilience scores (P<0.05); however, there was no significant difference in the follow-up phase in this respect. Conclusion The collected results suggested that ACT was effective on the meaning of life, family functioning, and resiliency; thus, it could improve such variables in the caregivers of patients with schizophrenia.

scholarly journals ACTyourCHANGE Study Protocol. The Promotion of Healthy Lifestyle for Obese Patients with Acceptance and Commitment Therapy provided with A Modular Approach.

2021 ◽  
Author(s):  
Anna Guerrini Usubini ◽  
Roberto Cattivelli ◽  
Emanuele Giusti ◽  
Francesco Vailati Riboni ◽  
Giorgia Varallo ◽  
...  
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Psychological Health ◽  
Behavioral Change ◽  
Healthy Lifestyle ◽  
Psychological Flexibility ◽  
Well Being ◽  
Obese Patients ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
The Impact

Abstract Background: Acceptance and Commitment Therapy (ACT) resulted to be efficacious in promoting the core process of Psychological Flexibility, a key ability related to physical and psychological health outcomes. Despite evidence-based ACT protocols were applied successfully in different contexts, including the promotion of long-standing behavioral change, the impact of the single processes in the psychological flexibility model remains unclear. The aim of the present study is to evaluate the efficacy of a Focused-ACT intervention for the maintenance of a healthy lifestyle, by separating and evaluating the impact of single core processes targeted into a modular intervention on the maintenance of healthy lifestyle. Methods: An individually randomized group treatment trial will be conducted. 150 adult obese patients who are attending a four-week medically-based multidisciplinary rehabilitation of weight loss will be randomly allocated into three groups: Module Engage, Module Openness, and Module Awareness. At the beginning (Time 0) and at the end of the intervention (Time 1), at six months (Time2) and one year (Time 3) follow-up weight and height will be recorder and participants will complete the Psychological General Well Being Inventory(PGWBI), the Outcome Questionnaire-45.2 (OQ-45.2), the Brief Values Inventory (BVI), the Committed Action Questionnaire (CAQ), the Italian-Cognitive Fusion Questionnaire (I-CFQ), the Acceptance and Action Questionnaire (AAQ II) and the Five Facet Mindfulness Questionnaire (FFMQ). Repeated measures 3 (conditions) x 4 (times) will be assessed to examine differences between three groups within four times on both general outcomes measure of weight, BMI, PGWBI and OQ-45.2, and FACT processes targeted during the interventions.Discussion: By providing additional evidence supporting the relevance of modular transdiagnostic interventions in clinical practice and the use of Process-Based Therapy, this study will contribute toclarify which mechanisms are involved in a generalizable lifestyle behavioral change intervention. Trial registrationClinicalTrials.gov Registration number: NCT04474509 Date: July, 4 2020 https://clinicaltrials.gov/ct2/show/NCT04474509

scholarly journals Psychological flexibility mediates change in intuitive eating regulation in acceptance and commitment therapy interventions

2017 ◽  
Vol 20 (9) ◽  
pp. 1681-1691 ◽  
Author(s):  
Essi Sairanen ◽  
Asko Tolvanen ◽  
Leila Karhunen ◽  
Marjukka Kolehmainen ◽  
Elina Järvelä-Reijonen ◽  
...  
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Eating Behaviour ◽  
Specific Treatment ◽  
Psychological Flexibility ◽  
Lifestyle Changes ◽  
Intuitive Eating ◽  
Control Group ◽  
Mindfulness Skills ◽  
Commitment Therapy ◽  
Acceptance And Commitment

AbstractObjectiveDespite the promising results related to intuitive eating, few studies have attempted to explain the processes encouraging this adaptive eating behaviour. The focus of the present study was on exploring mechanisms of change in intuitive eating and weight in acceptance and commitment therapy (ACT) interventions. Mediation provides important information regarding the treatment processes and theoretical models related to specific treatment approaches. The study investigates whether psychological flexibility, mindfulness skills and sense of coherence mediated the interventions’ effect on intuitive eating and weight.DesignSecondary analysis of a randomized control trial. Mediation analysis compared two ACT interventions – face-to-face (in a group) and mobile (individually) – with a control group using a latent difference score model.SettingsData were collected in three Finnish towns.SubjectsThe participants were overweight or obese (n 219), reporting symptoms of perceived stress.ResultsThe effect of the interventions on participants’ (i) BMI, (ii) intuitive eating and its subscales, (iii) eating for physical rather than emotional reasons and (iv) reliance on internal hunger and satiety cues was mediated by changes in weight-related psychological flexibility in both ACT groups.ConclusionsThese findings suggest that ACT interventions aiming for lifestyle changes mediate the intervention effects through the enhanced ability to continue with valued activities even when confronted with negative emotions and thoughts related to weight.

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