scholarly journals Effectiveness of Acceptance and Commitment Therapy on Treatment Adherence in People with Non-Alcoholic Fatty Liver Disease

2021 ◽  
Author(s):  
Mohammad Oraki ◽  
Hossein Zare ◽  
Ali Hosseinzadeh Ghasemabad
Keyword(s):  
Fatty Liver ◽  
Treatment Adherence ◽  
Acceptance And Commitment Therapy ◽  
Intervention Group ◽  
Control Group ◽  
Alcoholic Fatty Liver ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Test

Introduction: The present study was conducted with the aim of acceptance and commitment therapy (ACT) on treatment adherence in people with non-alcoholic fatty liver disease (NAFLD). Methods: This study was a quasi-experimental design with an experimental group and a control group with pre-test, post-test and two-month follow-up. This study was conducted in 2019 in Tehran in the statistical population of people with NAFLD diagnosis. In this study, 30 individuals with NAFLD were purposefully selected and they were randomly assigned to two groups and received a pre-test. Then, the experimental group underwent group intervention of acceptance and commitment therapy during two months of ten sessions while the control group had received the typical routine interventions from medical centers. The Morisky Medication Adherence Scale (Moriski et al., 2008) was conducted in the all of three stages of measurement. In order to analyze the data, repeated measures analysis of variance test with SPSS-16 software was used. Results: The trend of changes in the intervention group compared to the control group in the measurement stages in the treatment adherence to the treatment (F= 4.243, P=0.03) was significantly different (P <0.05) and about 15% of the differences observed in this variable is due to group membership (intervention). To compare these changes over time, Benfron's subtest was used. The difference between pre-test with post-test and follow-up were only significant in the intervention group (P <0.05). Conclusion: Acceptance and commitment-based therapy increases treatment adherence. Therefore, it is suggested that this method be used to increase treatment adherence in people with non-alcoholic fatty liver.

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 The Effectiveness of Acceptance and Commitment Therapy (ACT) on Self-Efficacy, Perceived Stress and Resiliency in Type II Diabetes Patients

2016 ◽  
Vol 9 (5) ◽  
pp. 18 ◽  
Author(s):  
Masoumeh Mohammadi Khashouei ◽  
Maryam Ghorbani ◽  
Fatemeh Tabatabaei
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Perceived Stress ◽  
Self Efficacy ◽  
Type Ii Diabetes ◽  
Control Group ◽  
Type Ii ◽  
Acceptance And Commitment ◽  
Post Test ◽  
Diabetes Patients

<p><strong>INTRODUCTION: </strong>The prevalence of diabetes, especially type II diabetes, is increasing in the world. It seems that psycho-cognitive factors such as perceived-stress and resiliency can play an important role in diabetes care. The aim of the present study is examining the effect of Acceptance and Commitment Therapy (ACT) on self-efficacy, perceived stress and resiliency in type II diabetes patients.</p><p><strong>METHODS:</strong> The method of this research was quasi-experimental (pre- test, post -test) with follow-up stages<strong>.</strong> The population includes women with type II diabetes that refer to Endocrine and Metabolism Research center, Isfahan university of Medical Sciences in 2014. Thirty two patients were selected by convenience sampling and they were randomly divided into two groups, namely experimental and control group (n1 =16, n2 = 16) and the follow-up stage was performed 3 months after the post test. Research tools consisted of questionnaires of self-efficacy (Sherer et al., 1982), perceived-stress (Cohen, Kamarck, &amp; Mermelstein, 1983) and resiliency (Connor &amp; Davidson, 2003). Term of ACT treatment was 8 sessions with one session every week in the experimental group and follow-up stage was performed three months after the post test.</p><p><strong>RESULTS: </strong>Results showed that after the treatment, the scores of self-efficacy and perceived-stress was reduced significantly compared to the control group (p&lt;0.05) in all stages, but in resiliency they did not show any significant differences with each other in post test stage. However, in follow-up stage, the scores were reduced significantly compared to the scores in the control group (p&lt;0.05).</p><p><strong>CONCLUSION: </strong>The results show that ACT can be useful for psycho-cognitive function in type II diabetes patients.</p>

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 Comparing the Effects of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on the Perfectionism of Patients with Obsessive-Compulsive Disorder

2020 ◽  
Vol 26 (1) ◽  
pp. 24-37
Author(s):  
Mahdi Taghavizade Ardakani ◽  
◽  
Bahman Akbari ◽  
Abbas Ali HosseinKhanzade ◽  
Mohsen Moshkbide Haghighi1 ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Control Group ◽  
Therapeutic Approaches ◽  
Obsessive Compulsive ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Obsessive Compulsive Personality Disorder

Aims: Despite the high prevalence of Obsessive-Compulsive Personality Disorder (OCPD), there are few therapeutic resources in its treatment. The purpose of this study is to compare the effects of two therapeutic approaches of Cognitive-Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) on improving the perfectionism of patients with Obsessive-Compulsive personality disorder. Methods & Materials: This is a quasi-experimental study with pre-test, post-test, and follow-up design using a control group. The study population consisted of 73 patients with OCPD referred to the Ehya counseling center in Rasht, Iran in 2017. Of these, 45 were selected using a purposive sampling method and randomly assigned into two intervention groups and one control group (each with 15 samples). Data were collected using Hill’s perfectionism inventory at three pretest, posttest and follow up phases. Collected data were analyzed using Multivariate Analysis of Covariance (MANCOVA). Findings: The two therapeutic approaches of CBT (P=0.001) and ACT (P=0.000) had a significant effect on the perfectionism of OCPD patients. Pairwise comparison of groups using Bonferroni test indicated that ACT had more significant effect on perfectionism in comparison with CBT (P=0.035). Meanwhile, the one-month follow-up showed the sustainability and improvement of the results. Conclusion: Acceptance and Commitment Therapy (ACT), due to focusing on psychological flexibility, is more effective than CBT in improving the perfectionism of OCPD patients.

scholarly journals The Effects of Acceptance and Commitment Therapy on the Sense of Coherence, Locus of Control, and Posttraumatic Growth in Patients With Multiple Sclerosis

2020 ◽  
Vol 18 (4) ◽  
pp. 445-454
Author(s):  
Jalal Younesi ◽  
◽  
Javad Kazemi ◽  
Asghar Dadkhah ◽  
Akbar Biglarian ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Locus Of Control ◽  
Posttraumatic Growth ◽  
Acceptance And Commitment Therapy ◽  
Sense Of Coherence ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Test

Objectives: This study aimed to determine the effects of Acceptance and Commitment Therapy (ACT) on the Sense of Coherence (SOC), Locus of Control (LoC), and Posttraumatic Growth (PTG) in patients with Multiple Sclerosis (MS). These factors were explored according to the prevalence of psychological problems in these patients. Methods: This was a quasi-experimental study with a pre-test, post-test and a control group design. The study population included all patients with MS from Iran’s MS Association in Tehran City, Iran. The study sample included 30 patients (n=15/group) who were selected by purposive sampling technique and according to the study inclusion and exclusion criteria. The study participants were randomly assigned to the experimental and control groups. After obtaining necessary permissions and informed consent, a pre-test was initially performed. The instruments used in this study were ‎the 29-item Antonovsky’s Sense of Coherence Scale; the 29-item Julian Rotter’s Locus of Control Scale, and the 21-item Tedeschi and Calhoun’s Posttraumatic Growth scale. Several studies supported the reliability and validity of these scales. The experimental group received 8 sessions (once a week, each session: 1.5 h) of group Acceptance and Commitment Therapy (ACT). However, the control group received no intervention. After the intervention, according to the instructions, the post-test was performed. Data analysis was conducted using SPSS V. 21. Multivariate Analysis of Covariance (MANCOVA) was performed to examine between-group differences data. Results: The study findings indicated that ACT was effective on the SoC; however, it had no significant effect on the LoC and PTG (P=0.05). Discussion: Participation in ACT sessions could enhance the SoC of patients with MS. Accordingly, it can be improved by accepting and enhancing these patients’ commitment to change through psychotherapy approach and increasing their SoC.

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 Comparison of the Effectiveness of Cognitive Behavioral Therapy and Acceptance and Commitment Therapy on Reducing Mood Symptoms in Patients With Substance Abuse

2018 ◽  
Vol 5 (4) ◽  
pp. 158-163
Author(s):  
Sara Haghighat ◽  
Alireza Mohammadi
Keyword(s):  
Substance Abuse ◽  
Cognitive Behavioral Therapy ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Mood Symptoms ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Test

Background: The purpose of this study was to compare the effectiveness of cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) on reducing mood symptoms in patients with substance abuse. Methods: The current research was a semi-experimental study with pre-test and post-test with a control group. The participants consisted of all people with substance abuse referred to drug abuse treatment centers in district 4 and 8 of Tehran city in 2016-2017. In this way, 45 subjects selected by purposeful sampling method and randomly divided into 2 groups of experimental and one control group (15 persons for each group). Then, the Mood Disorder Questionnaire and Depression Inventory took from the subjects of each group. CBT and ACT performed in 8 sessions of 90 minutes in 2 experimental groups and control group were also without any training program. After completing the training, the post-test performed for all three groups. Data analysis was done by using the covariance analysis (MANCOVA) and using SPSS-21 software. Results: The findings showed that CBT and ACT were effective in reducing mood syndrome in patients with substance abuse (P<00.001). Moreover, there were no significant differences between the effectiveness of the CBT and ACT on the reduction of mood syndrome in patients with substance abuse. Conclusion: Considering the effect of CBT and ACT on the reduction of mood syndrome among patients with substance abuse, it is worth considering the role of these 2 treatments as one of the educational and therapeutic strategies for substance abuse

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.

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