scholarly journals The effects of the acceptance and commitment therapy on the experiential avoidance and intolerance of uncertainty of mothers with hearing-impaired children

Author(s):  
Karim Gharashi ◽  
Naeimeh Moheb ◽  
Reza Abdi

Background and Aim: Children's hearing loss affects not only their speech and language dev­elopment but also their mothers’ mental health. This study aimed to determine the effect of acc­eptance and commitment therapy (ACT) on the intolerance of uncertainty and experiential avoi­dance of mothers with hearing-impaired or deaf children. Methods: This is a quasi-experimental study with the pretest-posttest design with a control group. The study population comprised all mot­hers of hearing-impaired or deaf children (2−6 years old) in Tabriz City, Iran. Using a purpo­sive sampling method, 32 mothers of hearing-impaired or deaf children were selected and then randomly assigned to control and experimental groups (each group, 16 subjects). The experim­ental group was treated with ACT in 8 sessions of 1.5 hours long in two weeks. The study data were collected by the Acceptance and Action Questionnaire-II (AAQ-II) and Intolerance of Uncertainty Scale (IUS). Results: The results showed that ACT signi­ficantly increased scores on the AAQ-II and IUS in the experimental group compared to the control group (p < 0.001). Conclusion: ACT might be an efficient way to decrease intolerance of uncertainty and avoid­ance of experience in the mothers of hearing-impaired and deaf children. Also, therapists can use this approach for improving the intolerance of uncertainty and experiential avoidance in mothers of hearing-impaired or deaf children in rehabilitation centers.

Author(s):  
Karim Gharashi ◽  
Naeimeh Moheb ◽  
Reza Abdi

Background and Aim: The presence of a child with hearing impairment in the family is often problematic and needs psychological interven­tions. The purpose of this study was to inves­tigate the effect of acceptance and commitment therapy (ACT) on the symptoms of anxiety and depression in mothers of hearing-impaired or deaf children. Methods: This is a quasi-experimental study with pretest-posttest design and with experi­mental and control groups. The study population comprised all mothers of hearing-impaired or deaf children of 2–6 years old in Tabriz City, Iran. Using purposive sampling method, 32 mothers of hearing-impaired or deaf children were selected and then randomly assigned to control and experimental groups (each with 16 subjects). The experimental group was treated with ACT during 8 sessions of 1.5 hours long in two weeks. The study data were collected by the depression anxiety stress scale. Results: ACT was effective in decreasing anxi­ety and depression symptoms in mothers of hearing-impaired or deaf children (p < 0.05). Conclusion: Considering the results and effecti­veness of ACT in reducing the symptoms of anxiety and depression in mothers of hearing-impaired or deaf children, this treatment is rec­ommended in rehabilitation centers for children with hearing problems.


Author(s):  
Parisa Amini ◽  
Reza Karami Nejad

 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.


2020 ◽  
Vol 2 (1) ◽  
pp. 7-14
Author(s):  
Tantri Widyarti Utami ◽  
Yunani Sri Astuti

Hypertension is a major problem in public health both in developed and developing countries. Emotional reactions due to hypertension are grieving, fear/anxiety, anger, depression and guilt. Anxiety is an unpleasant emotional by fear and tense and unwanted physical symptoms. Acceptance and commitment therapy (ACT) teaches clients to approach fear and anxiety more fundamentally, deeper, and in different ways Objective to knowing the effect of acceptance and commitment therapy on anxiety in hypertensive patients. Quasi-experimental design with a control group"with ACT interventions. The data obtained from  124 hypertensive patients who were divided into intervention and control groups. It analyzed by using Independent t-test and T-Paired tests. Research found there are differences in anxiety before and after intervention Acceptance and commitment therapy. Acceptance and commitment therapy can reduce the anxiety of hypertensive patients Keywords: acceptance and commitment therapy, anxiety, hypertension


2020 ◽  
pp. 105477382093559
Author(s):  
Erman Yıldız ◽  
Rukuye Aylaz

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.


2019 ◽  
Vol 3 (2) ◽  
pp. 54-61
Author(s):  
Segun Oyetunde Babalola ◽  
Ajibola Olusoga Ogunyemi

Social phobia is a mental health problem that has been repeatedly linked with adolescents. This study therefore investigated the efficacy of Acceptance and Commitment therapy (ACT) on social phobia among secondary school adolescents in Oyo State, Nigeria. The study adopted a pretest – posttest control group quasi experimental design. The sample comprised of 104 secondary school adolescents identified with some levels of social phobia from the two randomly selected schools among the three senatorial districts of Oyo State. The selected students, grouped by schools and subsequently, treatment groups, were 51 and 53 for the control and experimental groups, respectively. The experimentation spanned a period of eight weeks, with ACT administered to the experimental group and placebo of leadership styles administered to the control group. The Social Phobia Inventory (SPI) was adopted and used for screening and in pretest and posttest stages. A statistical hypothesis was formulated and tested at 0.05 level of significance by means of the Analysis of covariance (ANCOVA). It was found that treatment with ACT significantly reduced the level of social phobia among school-going adolescents. ACT was therefore recommended for use in relieving school-going adolescents suffering from social phobia.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sahar Amiri ◽  
Parvin Ehteshamzadeh ◽  
Fariba Hafezi ◽  
Mohammad Reza Borna

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.


2020 ◽  
Vol 25 (3) ◽  
pp. 147
Author(s):  
Cláudia P. Pires ◽  
David W. Putwain ◽  
Stefan G. Hofmann ◽  
Dinis S. Martins ◽  
Meagan B. MacKenzie ◽  
...  

Abstract: Acceptance-based interventions such as acceptance and commitment therapy motivated the development of measures of psychological flexibility. As an anxiety-based condition, test anxiety can be conceptualized as an experiential avoidance condition. Given the need to evaluate acceptance and action processes in test anxiety and the lack of such an instrument, the present study aimed to explore the factor structure and psychometric properties of the Test Anxiety–Acceptance and Action Questionnaire for Adolescents (TA-AAQ-A), adapted from the Social Anxiety–Acceptance and Action Questionnaire. The sample comprised 827 adolescents (12-18 years old) from 10 Portuguese schools. Confirmatory factor analysis indicated a well-adjusted 12-item single-factor measure, invariant across genders. Results also showed high internal consistency and temporal stability, and good convergent validity. Findings suggest the TA-AAQ-A is a reliable and valid measure for the assessment of adolescents’ psychological flexibility in test situations. Keywords: test anxiety; acceptance; psychological flexibility; acceptance and commitment therapy; assessment; adolescents.Evaluación de la flexibilidad psicológica en situaciones de examen: Cuestionario de Aceptación y Acción en la Ansiedad ante los Exámenes para Adolescentes.Resumen: Las intervenciones basadas en la aceptación, como la Terapia de Aceptación y Compromiso, llevaron al desarrollo de herramientas de evaluación de la flexibilidad psicológica. La ansiedad ante los exámenes, siendo una condición basada en la ansiedad, puede ser conceptualizada como una condición de evitación experiencial. Considerando la necesidad de evaluar los procesos de aceptación y acción en la ansiedad ante los exámenes y no habiendo ningún instrumento de ese tipo, este estudio pretendió explorar la estructura factorial y las propiedades psicométricas del Cuestionario de Aceptación y Acción en la Ansiedad ante dos Exámenes para Adolescentes (CAA-AE-A), adaptado del Cuestionario de Aceptación y Acción en la Ansiedad Social. Participaron 827 adolescentes (12-18 años) de 10 escuelas portuguesas. Un Análisis Factorial Confirmatorio demostró un modelo bien ajustado, unifactorial, con 12 ítems, invariante entre géneros. Los resultados también mostraron elevada consistencia interna y estabilidad temporal, y buena validez convergente. Estos datos sugieren que el CAA-AE-A es un instrumento fiable y valido para evaluar la aceptación de la flexibilidad psicológica de los adolescentes en situaciones de examen.Palabras clave: ansiedad ante los exámenes; aceptación; flexibilidad psicológica; terapia de aceptación y compromiso; evaluación; adolescentes.


2019 ◽  
Vol 19 (3) ◽  
pp. 42-53
Author(s):  
Pablo Valencia

Experiential avoidance (EA) has played an important role in early and recent conceptualisations of Acceptance and Commitment Therapy. The Acceptance and Action Questionnaire II (AAQ-II; Bond et al., 2011) is largely used as a measure of EA, in spite of criticism about its validity. The present study examined the latent correlations between the AAQ-II and a new measure of EA: the Avoidance of Suffering Questionnaire (ASQ). In addition, correlations with the Cognitive Fusion Questionnaire (CFQ; Gillanders, 2014) were also examined. Two hundred and forty undergraduates (59% female, Mage = 20.33) completed the questionnaires. Both unrestricted and restricted factor analyses were performed in order to examine the hypothesised associations. The AAQ-II showed a strong correlation with the CFQ, but a rather weak correlation with the ASQ. These results suggest that the AAQ-II may not be a measure of EA.


2020 ◽  
Vol 21 (3) ◽  
pp. 406-421
Author(s):  
Mahdi Yousefi ◽  
◽  
Seyyed Jalal Younesi ◽  
Ali Farhoudian ◽  
Mohammad Hadi Safi ◽  
...  

Objective: Executive functions and impulse control ability are severely impaired in people with amphetamine use disorders. In this regard the study aims to decrease impulsivity in patients with Methamphetamine use disorder by using Acceptance and Commitment Therapy (ACT). Materials & Methods: The study is a quasi-experimental study with a pretest-posttest control group design. The study population included all men under treatment with Methamphetamine use disorder in 2019 in Yazd city. The sampling method was purposive sampling. Among those who scored higher than the cut-point according to Bart's Impulsivity Questionnaire (1994), 12 were randomly assigned to the experimental group and 12 randomly assigned to the control group. Descriptive and inferential statistical methods including covariance analysis were used to analyze the data. Results: The results showed that the value of the parameter (F) belonging to the pretest variable was 4.9 and it was significant. Therefore, there was a significant difference between the mean scores of impulsivity of the control and experimental groups in the posttest after the pretest effect was gone in patients with treated methamphetamine use disorder. Conclusion: Finally based on the results of this study, it can be concluded that the ACT as a new and emerging treatment of the third wave of behavioral therapy is a useful intervention for patients with methamphetamine use disorder to reduce their impulsive behaviors.


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