The effect of acceptance and commitment therapy on the mental health of students with an emotional breakdown

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Seyedeh Maryam Noormohamadi ◽  
Mokhtar Arefi ◽  
Karim Afshaini ◽  
Keivan Kakabaraee
Keyword(s):  
Mental Health ◽  
Acceptance And Commitment Therapy ◽  
Educational Institutions ◽  
Control Groups ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
And Control ◽  
The Impact ◽  
Experimental Group

Abstract Background Mental health is a significant part of one’s health and it is very important to pay attention to mental health. Objectives The aim of the study was to examine the effect of acceptance and commitment therapy (ACT) on the mental health of adolescents with an emotional breakdown (EB). Methods This was a semi-experimental study, in which the students with an EB were divided into two groups: the experimental and control groups. Twenty people were selected using the convenience sampling method and randomly assigned to the ACT and control groups (each with 10 people). After obtaining consent to participate in the study, they were asked to fill the questionnaires as a pre-test. Then, the experimental group was treated for nine individual sessions (weekly one session). As this was a repeated measurement method, in sessions 3, 6 and 9, the questionnaires were completed again and the follow-up period was 1 month after the end of the interventions. Results Before the intervention, there was no difference between the score of the impact of love and rumination among the students in the experimental and control groups (p > 0.05); but after the intervention, the score of the impact of love and rumination in the experimental group decreased (p < 0.05). Conclusions It is suggested that ACT should be used at counseling centers of universities and educational institutions.

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.

A Pilot Trial of Acceptance and Commitment Therapy for Promoting Mental Health and Resiliency Among Migrant Live-in Caregivers in Canada (Preprint)

2021 ◽  
Author(s):  
Mandana Vahabi ◽  
Josephine Pui-Hing Wong ◽  
Masoomeh Moosapoor ◽  
Abdolreza Akbarian, ◽  
Kenneth Po-Lun Fung
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Acceptance And Commitment Therapy ◽  
Psychological Intervention ◽  
The Philippines ◽  
Post Intervention ◽  
Waitlist Control ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
The Impact

BACKGROUND TTemporary migrant live–in caregivers constitute a vulnerable stream of temporary foreign workers in Canada. This is because the majority are racialized women from the Global South, the gendered nature of caregiving work has historically been undervalued, and their working and living spheres are intertwined which makes application of labor laws and surveillance almost impossible. Their invisible position in the fabric of Canadian society along with their precarious employment and immigration status place their mental health at jeopardy. Furthermore, they experience multiple barriers in accessing mental health services due to their long work hours, limited knowledge about health resources, stigma, and fear of deportation should their employers suspect or discover that they are experiencing mental health problems. There is a paucity of research about psychological support for this population. OBJECTIVE Our pilot project aimed to assess the efficacy of a six-week online delivery of a psychological intervention based on Acceptance and Commitment Therapy (ACT). METHODS A pilot randomized waitlist control design was used. Participants were recruited by two community peer champions, who collaborated with community health organizations serving migrant live-in caregivers and applied snowball sampling technique. A total of 36 participants who met study inclusion criteria were recruited and randomly assigned to the intervention and waitlist control groups. Standardized self-reported surveys were administered online pre-, post-, and 6-week post-intervention to assess mental distress (DASS 21), psychological flexibility (AAQ-2), mindfulness (CAMS-R) and Multi-System Model of Resilience (MSMR-I). Both independent and dependent t-tests were used to compare study outcomes at pre, post and 6 weeks follow up across and within both arms of the study. Linear mixed-effects models were created for each outcome of interest from baseline to post-intervention among intervention and control participants. Self-reported impact of WE2CARE intervention was examined using independent t-test across the study arms. RESULTS Average age of participants was 38 years. Many participants were born in the Philippines (79%). Sixty percent reported an income of less than $25,000/year after taxes. The pilot data on the impact of the psychological intervention showed an improvement in psychological distress, mindful qualities (CAMS-R), and external resilience (MSMR ER) particularly in the domain of life satisfaction and accessible support among the intervention group compared to control group. CONCLUSIONS WE2CARE is among the first studies exploring the efficacy of on-line delivery of ACT in addressing mental health challenges among live-in caregivers. While there are increased web-based ACT interventions, few uses group videoconferencing to promote peer connection and mutual support. WE2CARE showed promising results in reducing psychological distress and promoting mindfulness and resiliency. The intervention highly motivated participants to engage collectively in building social support networks. CLINICALTRIAL Not Applicable INTERNATIONAL REGISTERED REPORT RR2-10.2196/preprints.31211

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

scholarly journals Development and Evaluation of Acceptance and Commitment Therapy Delivered by Psychologists and Non-Psychologists in an NHS Community Adult Mental Health Service: a Preliminary Analysis

2017 ◽  
Vol 46 (1) ◽  
pp. 121-127
Author(s):  
Thomas Richardson ◽  
Lorraine Bell ◽  
Helen Bolderston ◽  
Sue Clarke
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Acceptance And Commitment Therapy ◽  
Preliminary Evaluation ◽  
Community Mental Health Service ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Therapy

Background: Previous studies have demonstrated that acceptance and commitment therapy (ACT) is effective for depression and may be useful for complex transdiagnostic clients. Aims: To conduct a preliminary evaluation of whether ACT is feasible and effective when delivered by psychologists and non-psychologists for complex clients in a National Health Service (NHS) community mental health service for adults. Method: Staff were trained in ACT and conducted one-to-one therapy with clients. Measures on general mental health, depression, fusion and values were given pre-therapy, post-therapy and at 3-month follow-up. Results: Standardized measures showed significant improvements post-therapy for global mental health, depression, cognitive fusion and values post-treatment. These were partially maintained at follow-up and remained after an intent-to-treat analysis. There were no differences in outcomes between psychologists and non-psychologists. Conclusions: ACT may be delivered effectively with limited training for complex cases in secondary care, though further research is needed.

scholarly journals Comparing the Effectiveness of Behavioral Activation and Acceptance and Commitment Therapy in Cognitive-Attentional Syndrome in Patients with Depression

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sahar Amiri ◽  
Parvin Ehteshamzadeh ◽  
Fariba Hafezi ◽  
Mohammad Reza Borna
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Behavioral Activation ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference ◽  
Quasi Experimental ◽  
And Control

Background: Cognitive-attentional syndrome (CAS) is one of the primary constructs of depression, the treatment of which is highly challenging because of its high prevalence and the emergence of symptoms such as feelings of sadness, emptiness, and hopelessness. Objectives: The present study aimed to investigate the effectiveness of behavioral activation (BA) and acceptance and commitment therapy (ACT) in CAS in patients with depression. Methods: This quasi-experimental research utilized a pretest, posttest, and two-month follow-up design with a control group. The study population comprised 260 patients with a diagnosis of depression who referred to the psychological centers of Ahvaz in 2019. The sample consisted of 45 patients with depression selected by convenience sampling. We randomly divided the participants into two experimental groups (BA and ACT) and a control group (n = 15 per group). The research instrument included the cognitive-attentional syndrome (CAS-1) questionnaire. Data were analyzed using SPSS version 24.0 with descriptive and inferential statistics, such as mean, standard deviation, and multivariate analysis of covariance (MANCOVA). Results: In terms of CAS and its components, there was a significant difference between the experimental and control groups in the posttest and follow-up phases (P = 0.0001). Besides, ACT and BA significantly reduced CAS and its components in the posttest phase (P = 0.0001). However, the effectiveness of BA in decreasing CAS and its components remained during the follow-up phase. Furthermore, the results showed that ACT was more effective in reducing attention to threat and metacognitive beliefs during the posttest phase. Conclusions: According to research findings, both BA and ACT are efficient therapies in reducing CAS in patients with depression. Thus, both approaches can be used to strengthen treatment interventions to reduce CAS in patients with depression.

scholarly journals Comparing the effect of cognitive-behavioral therapy and acceptance and commitment therapy on hope, resilience, and happiness of veterans with psychopathy

2021 ◽  
Vol 7 (3A) ◽  
pp. 707-718
Author(s):  
Mohammad Hatami ◽  
Maryam Kalhor Nia Golkar ◽  
Simin Farshadi
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Test ◽  
Quasi Experimental ◽  
And Control

This study aimed to compare the effect of cognitive-behavioral therapy (CBT), and acceptance and commitment therapy (AT) on resilience, happiness, and hope of veterans with psychopathy. The present study was applied in terms of purpose, a pre-test, post-test, and follow-up research in terms of method, and a quasi-experimental design in terms of nature.  The results showed a difference between the mean scores of resilience, happiness, and hope in the three acceptance and commitment therapy, cognitive-behavioral therapy, and control groups within pre-test, post-test, and follow-up steps. There was a difference between the effects of ACT and CBT on resilience, happiness, and hope of veterans with psychopathy living in Dezful. Moreover, ACT performed better rather than CBT in terms of resilience, happiness, and hope rate among veterans with psychopathy living in Dezful, Iran.

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 Effect of Acceptance and Commitment Therapy on Hypochondria and Cognitive Emotion Regulation among Divorced Women

2021 ◽  
Author(s):  
Hamideh Iri ◽  
Behnam Makvandi ◽  
Saeed Bakhtiarpour ◽  
Fariba Hafezi
Keyword(s):  
Emotion Regulation ◽  
Acceptance And Commitment Therapy ◽  
Psychological Disorder ◽  
Analysis Of Covariance ◽  
Cognitive Emotion Regulation ◽  
Control Groups ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Test ◽  
And Control

Introduction: Hypochondriasis is a psychological disorder that affects divorced women's quality of life and mental health. The aim of this study was to investigate the effectiveness of acceptance and commitment therapy (ACT) on hypochondria and cognitive emotion regulation among divorced Women in Tehran. Methods: The method was experimental with a pre-test, post-test design, and a control group. In the present study, the research population includes divorced women who have been affected by divorce-related psychological problems and were referred to Tehran consultation centers in 2018. In this study, The sample consisted of 30 divorced women selected by purposive sampling and randomly divided into experimental and control groups (n= 15 each). The research tools included the Health Anxiety Inventory (HAI) and the Cognitive Emotion Regulation Questionnaire (CERQ). The ACT intervention was performed on the experimental group for ten 90-minute sessions. Pearson's correlation coefficient, Levene's test, Shapiro-Wilk test, and multivariate analysis of covariance (MANCOVA) were used to analyze the data. The significance level of the study was considered to be α=0.05. Results: The mean and standard deviation (SD) of hypochondria post-test scores in the experimental and control groups were 35.13±1.92 and 37.33±3.07, respectively. The results indicated that ACT decreased hypochondria in the women (P=0.04). Also, the intervention effectively increased positive emotion regulation in the women (P=0.01). Conclusion: In addition to decreasing anxiety and increasing emotion regulation ability under difficult situations, ACT can increase social and psychological adaptability. Also, ACT can effectively decrease interactive and stress and anxiety in divorced women.

Mindfulness as an intervention after multisystem trauma

Trauma ◽  
2020 ◽  
pp. 146040862096101
Author(s):  
Elizabeth Clement ◽  
Patrick Murphy ◽  
Anna Lee ◽  
Austin Ericson ◽  
Carolyn Gratton ◽  
...  
Keyword(s):  
Mental Health ◽  
Traumatic Injury ◽  
Exit Interview ◽  
Control Group ◽  
Trauma Patients ◽  
Control Groups ◽  
Mindfulness Intervention ◽  
And Control ◽  
Experimental Group

Background There is a known significant risk of negative mental health consequences following traumatic injury, yet no standard approach to prevent psychiatric illness in trauma patients currently exists. Mindfulness-based psychotherapies have been shown to reduce symptoms of post-traumatic stress disorder, depression and anxiety and improve resiliency, however it is unknown whether a mindfulness intervention immediately following traumatic injury would lead to diminished mental health consequences. Methods Multi-system trauma patients at the University of Alberta Hospital (N = 63) and the Foothills Hospital (N = 60) were assigned to the experimental and control groups respectively. Patients in the experimental group were asked to use the guided mindfulness application “Stop, Breathe & Think” for 28 consecutive days. All patients completed the Depression Anxiety Stress Scale (DASS-21) and Connor-Davidson Resilience Scale (CD-RISC) 48 hours and 28 days following admission. An exit interview was conducted for patients in the experimental group. Results There was no significant difference in mean enrollment DASS-21 scores, mean enrollment CD-RISC scores, mean follow-up DASS-21 scores and mean follow-up CD-RISC scores between experimental and control groups. Paired t-tests of mean admission and mean follow-up DASS-21 and CD-RISC scores were not significantly different in the experimental group. Paired t-tests of mean admission and follow-up CD-RISC scores were not significantly different in the control group whereas mean followup DASS-21 scores were decreased in the control group relative to enrolment DASS-21 scores (p = 0.014). Patients reported improved mood after use of mindfulness, and most planned to continue using the therapy and would recommend it to others. Conclusion Our study did not demonstrate an objective benefit of mindfulness intervention immediately following traumatic injury. Exit interview data suggests that a web-based mindfulness intervention may be beneficial for certain trauma patients however further research is required to identify those most likely to realize substantial gains.

scholarly journals Comparing the effectiveness of acceptance and commitment therapy and physiotherapy on quality of life and pain catastrophizing in patients with chronic pain

2019 ◽  
Vol 21 (6) ◽  
pp. 271-275
Author(s):  
Mahnaz Ghatreh Samani ◽  
Mahmoud Najafi ◽  
Issac Rahimian Bouger
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Acceptance And Commitment Therapy ◽  
Pain Catastrophizing ◽  
Control Group ◽  
Control Groups ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
And Control

Background and aims: Chronic pain is a common health problem that affects various aspects of life. Acceptance and commitment therapy (ACT) seems to be helpful in improving the quality of life and pain catastrophizing in patients with chronic pain. The purpose of this study was to compare the efficacy of ACT and physiotherapy on quality of life and pain catastrophizing in patients with chronic pain. Methods: The subjects were 75 women suffering from chronic pain who were considered for physiotherapy. They were randomly divided into 3 groups including ACT, physiotherapy, and control groups. The control group consisted of 25 patients who were on the waiting list for physiotherapy. The first group participated in 8 sessions of ACT, the second group attended 10 sessions of physiotherapy, and the control group received no treatment. The Pain Catastrophizing Scale (PCS) developed by Sullivan et al and the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire were used in this study. Results: The results showed that the quality of life in the ACT group was significantly higher than that in the physiotherapy group and control group (P<0.001). Moreover, there was no significant difference between the ACT and physiotherapy groups in reducing pain catastrophizing (P>0.05), while this difference was significant between the ACT and control groups (P<0.001). Conclusion: In general, ACT leads to a reduction in pain catastrophizing and an increase in the quality of life of patients with chronic pain. Therefore, beside the current therapy like physiotherapy, ACT can be used as another therapeutic choice for patients with chronic pain.

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