scholarly journals Acceptance and Commitment Therapy for enclosed spaces phobia: A randomized clinical trial

Author(s):  
Karen Vogel ◽  
Pedro Caldana Gordon ◽  
Francisco Lotufo Neto

Several medical procedures, especially magnetic resonance imaging (MRI), can be severely distressing for individuals who suffer from enclosed space phobia. The psychotherapeutic approach to minimize the discomfort for these patients can be a safe and effective alternative to increase these patients' acceptance of the exam. A cohort of 30 subjects with MRI aversion was randomly divided into 2 intervention groups: 15 subjects received 1 session of Acceptance and Commitment Therapy (ACT) based psychotherapy, and 15 subjects received 7 sessions ACT based psychotherapy. The primary outcome was considered being able to undergo an MRI simulation after therapy completion. Subjects also filled a set of questionnaires at baseline and after 1 month and 3 months of treatment completion. The self-assessment questionnaires were performed before and after the treatment: Rachmann and Taylor Claustrophobia Inventory (1993), Beck Depression Inventory (1961) and the State-Trait Anxiety Inventory (STAI) (1970). Subjects who received the seven session therapy were more likely to complete the simulation. Subjects from the seven-session therapy also showed improvement in the claustrophobia scale, which lasted for at least three months after treatment completion. The study showed that a one-session therapy was of inferior efficacy compared to the sevensession therapy. The seven-session therapy group showed a high success rate with lasting benefits. A brief psychotherapy course may be a safe and effective alternative for individuals with MRI avoidance.

2017 ◽  
Vol 41 (S1) ◽  
pp. S410-S410
Author(s):  
R. Guijarro ◽  
M. Cerviño ◽  
P. Castrillo

Acceptance and commitment therapy (ACT) is a third-generation therapy that relates to human suffering as an inherent part of life in the human condition. Concerning personal values, ACT is focused on the acceptance of suffering, by doing away with the avoidance of things that cause us discomfort.The goal of the therapy is to make a person's reactions to suffering more flexible, working with the role of the symptoms rather than with the eliminating the symptoms themselves.This paper shows how the application of this therapy to a person with generalized anxiety disorder helps to reduce symptoms such as uncontrollable worrying, lack of concentration and muscular tension that these patients often suffer. The modification of symptoms has been measured by a single case study, where the symptoms are assessed by questionnaires before and after the treatment's application. Diagnosis was made according to the Diagnostic and Statistical Manual of Mental Disorders’ (DSM-IV) criteria.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2019 ◽  
Vol 6 (2) ◽  
pp. 117-124
Author(s):  
Muya Barida ◽  
Dian Ari Widyastuti

Children with Special Needs are children with disabilities in the development of life due to disruption (mental, intellectual, emotional, social, physical) in the social-social, career, and academic fields, so they need special services and are different from children in general. This study aims to determine the effectiveness of Acceptance and Commitment Therapy (ACT) to increase the self-acceptance of educators towards Children with Special Needs. This study uses an experimental approach to the design of one group pretest-posttest. The study was conducted on teachers who are members of the HIMPAUDI Sleman District, who were randomly selected and obtained as many as 27 teachers. Data analysis was performed using the T-Test technique. Based on the results of the study, it appears that the self-acceptance of educators towards Children with Special Needs before and after the training on Acceptance and Commitment Therapy (ACT) increases, but the increase is less significant. Conclusion The Acceptance and Commitment Therapy (ACT)  program is less effective in improving the self-acceptance of educators towards Children with Special Needs. Based on these results, it needs to be followed up with direct assistance or assistance in schools for educators who systematically help Children with Special Needs.


2014 ◽  
Vol 31 (2) ◽  
pp. 110-130 ◽  
Author(s):  
Elbina Avdagic ◽  
Shirley A. Morrissey ◽  
Mark J. Boschen

The study examined the relative efficacy of group acceptance and commitment therapy (ACT) for generalised anxiety disorder (GAD) compared to group cognitive-behavioural therapy (CBT). Fifty-one individuals with GAD were randomly allocated to a 6-week intervention, either ACT or CBT. Participants were assessed at pre-treatment, post-treatment, and 3-month follow-up on symptom measures, quality of life, and process measures. Data from 38 participants (19 in each group) were available at post-assessment, indicating significant improvements on all measures for both treatment conditions. Treatment gains were maintained at follow-up, with significant further improvements in anxiety, depression and stress symptoms for both groups. While no between-group differences were found at treatment completion, a significant interaction indicating steeper reduction in worrying symptoms (d = .79) from pre- to post-assessment was found for the ACT group compared to the CBT group. Furthermore, in relation to worrying, at treatment completion 78.9% of participants in the ACT group achieved reliable change compared to 47.4% of participants in the CBT group. However, both groups showed equivalent reliable change rates of 60% at the follow-up assessment. The results suggest that group ACT was as efficacious as group CBT. While participants in the ACT group maintained treatment gains at follow-up, participants in the CBT group continued to improve between post-assessment and follow-up.


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


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