The Effectiveness of Acceptance and Commitment Therapy on Cognitive Emotion Regulation Strategies and Cognitive Flexibility in Gastrointestinal Patients

Cognitive Flexibility ◽

Emotional Regulation ◽

The Body ◽

Control Group ◽

Statistical Population ◽

Commitment Therapy ◽

Treatment Research ◽

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.

Effectiveness of Acceptance and Commitment Therapy on Hypochondriasis and Psychosocial Adjustment in Divorced Women

Jundishapur Journal of Health Sciences ◽

10.5812/jjhs.106002 ◽

2021 ◽

Vol 13 (2) ◽

Author(s):

Hamideh Iri ◽

Behnam Makvandi ◽

Saeed Bakhtiarpour ◽

Fariba Hafezi

Keyword(s):

Psychosocial Adjustment ◽

Analysis Of Covariance ◽

Control Group ◽

Control Groups ◽

Statistical Population ◽

Commitment Therapy ◽

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.

The Effectiveness of Acceptance and Commitment Therapy on the Illness Perception in Dialysis Patients

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2019/v30i130260 ◽

2019 ◽

pp. 1-8

Author(s):

Shiler Karimi ◽

Fardin Moradimanesh ◽

Parviz Asgari ◽

Saieed Bakhtiyarpour

Keyword(s):

Illness Perception ◽

Personal Control ◽

Chronic Kidney Failure ◽

Hemodialysis Patients ◽

Control Group ◽

Dialysis Patients ◽

Statistical Population ◽

Commitment Therapy ◽

Acceptance And Commitment

One of the proposed psychological treatments in hemodialysis patients is acceptance and commitment therapy. The acceptance and commitment therapy focuses on psychological flexibility and this occurs when a person consciously accepts his or her thoughts and feelings and shows a behavior consistent with his or her personal values. As chronic kidney failure causes many psychological problems for patients, which can affect their various aspects of life and significantly reduce their quality of life and as acceptance and commitment therapy has provided promising results in helping patients with severe and chronic conditions to cope with their psychological, physical, social, family and economic problems and given the important role of the variable of illness perception in this regard, the present study was conducted to evaluate the effect of acceptance and commitment therapy on illness perception of patients. The statistical population of this study included hemodialysis patients in the dialysis ward of Bouali Marivan Hospital from 22-11-2018 to 22/11/2012. The number of subjects in each of the experimental and control groups was 15. The experimental group received acceptance and commitment therapy at 8 sessions and the control group received no therapy. The data were collected using Illness Perception Questionnaire-Revised (IPQ-R). Data were analyzed by SPSS software using descriptive statistics and covariance analysis. The results of the study showed that acceptance and commitment therapy (ACT) was effective on illness perception, consequences of the illness perception, illness personal control perception, illness treatment control perception, concern and emotional responses perception in dialysis patients. However, acceptance and commitment therapy (ACT) did not affect the illness timeline perception, identity of the illness perception and the illness recognition in dialysis patients.

The Effectiveness of Acceptance and Commitment Therapy on Marital Burnout and Self-Compassion in Unsupervised Women under the Cover of NGOs of Tehran

The Journal of Tolooebehdasht ◽

10.18502/tbj.v20i1.6186 ◽

2021 ◽

Author(s):

Parisa Amini ◽

Reza Karami Nejad

Keyword(s):

Control Group ◽

Statistical Population ◽

Self Compassion ◽

Commitment Therapy ◽

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.

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

BMC Nursing ◽

10.1186/s12912-021-00763-4 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Seyyed Arman Hosseini Zarvijani ◽

Ladan Fattah moghaddam ◽

Samaneh Parchebafieh

Keyword(s):

Perceived Stress ◽

Psychological Flexibility ◽

Control Group ◽

Link Type ◽

Commitment Therapy ◽

Significant Difference ◽

The Impact ◽

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

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

Iranian Journal of Psychiatry and Behavioral Sciences ◽

10.5812/ijpbs.110135 ◽

2022 ◽

Vol In Press (In Press) ◽

Author(s):

Zohreh Hashemi ◽

Sanaz Einy ◽

Matineh Ebadi

Keyword(s):

Substance Use ◽

Substance Use Disorder ◽

Analysis Of Covariance ◽

Control Group ◽

Depression And Anxiety ◽

Statistical Population ◽

Commitment Therapy ◽

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.

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

Clinical Nursing Research ◽

10.1177/1054773820935592 ◽

2020 ◽

pp. 105477382093559

Author(s):

Erman Yıldız ◽

Rukuye Aylaz

Keyword(s):

Motivational Interviewing ◽

Functional Recovery ◽

Control Group ◽

Commitment Therapy ◽

Significant Difference ◽

Quasi Experimental ◽

Mental Health Centers ◽

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.

Effect of Acceptance and Commitment Therapy on Sexual Desire in Women with Breast Cancer after Mastectomy

10.30699/ijbd.12.4.39 ◽

2019 ◽

Vol 12 (4) ◽

pp. 39-51

Author(s):

Sheida Jabalameli ◽

Leila Ghasemi

Keyword(s):

Breast Cancer ◽

Sexual Desire ◽

Analysis Of Covariance ◽

Control Group ◽

Statistical Population ◽

Commitment Therapy ◽

Significant Difference ◽

The Mean

Introduction: The effects of breast cancer and mastectomy on sexuality, an important aspect of personality, emphasize the need for psychological treatments. The purpose of this study was to investigate the effectiveness of acceptance and commitment therapy (ACT) on sexual desire in breast cancer patients after mastectomy. Methods: This was a semiexperimental study with an experimental and a control group with a pretest-posttest design. The statistical population included all women with breast cancer in the Isfahan province who had come to Alla charity center in 2017. A sample of 26 women with breast cancer was selected through available sampling and assigned randomly to two groups of 13 subjects each. The experimental group received ACT over 8 sessions and the control group remained on the waiting list until the end of the study. The measurement tool was the Hurlbert Index of Sexual Desire administered before and after the intervention. Data were analyzed with SPSS 16 using an analysis of covariance test. Results: There was a significant difference in the mean scores on sexual desire between the two groups (F = 7.99, p = 0.014). The mean score on sexual desire improved from 0.85 to 1.23 in the treatment group, but there was no change in the control group (1.17 in the pretest vs 1.16 in the posttest). In general, ACT was effective in improving sexual desire in patients (p < 0.05, effect size: 0.48). Conclusion: In general, according to the findings of this research, ACT seems to be effective in improving psychological problems in women with breast cancer.

Effectiveness of Acceptance and Commitment Therapy on Psychological Capital and Emotional Expression Styles in Women with Multiple Sclerosis

10.32592/ajnpp.2021.8.2.102 ◽

2020 ◽

pp. 71-76

Keyword(s):

Multiple Sclerosis ◽

Emotional Expression ◽

Self Efficacy ◽

Psychological Capital ◽

Control Group ◽

Statistical Population ◽

Significance Level ◽

Commitment Therapy ◽

Acceptance And Commitment

Background and Objectives: Multiple sclerosis (MS) is an unpredictable and one of the most important life-altering diseases which gradually leads to disability. This study aimed to investigate the effect of acceptance and commitment therapy (ACT) on psychological capital and emotional expression styles of female patients with MS in the Iranian MS Society during 2019-2020. Materials and Methods: The statistical population of the study consisted of all females with MS who were members of the Iranian MS Society in 2019. In total, 36 patients were selected voluntarily who were randomly divided into three groups (ACT, placebo, and control). The intervention was held in eight 90-min weekly sessions for the intervention and the placebo groups at the office of the Iranian MS Society, Tehran, Iran[A1] . All groups were re-evaluated at the end of the intervention and also two months later (i.e., follow-up stage). The obtained data were analyzed using repeated-measures analysis of variance. Results: Based on the results, ACT affected the components of hope and resilience at the significance level of 0.01 and the components of self-efficacy and optimism at the significance level of 0.05, compared to the control group. Moreover, the ACT was able to increase the components of hope and resilience at the significance level of 0.01 and the component of optimism at the significance level of 0.05 in comparison with the placebo group. Conclusion: The ACT increased psychological capital components, including hope, optimism, resilience, and self-efficacy in patients with MS.

Existential therapy versus acceptance and commitment therapy for feelings of loneliness and irrational beliefs in male prisoners

European Journal of Translational Myology ◽

10.4081/ejtm.2022.10271 ◽

2021 ◽

Author(s):

Abolfazl Ziaee ◽

Hamid Nejat ◽

Hossein Akbari Amarghan ◽

Elham Fariborzi

Keyword(s):

Irrational Beliefs ◽

Future Research ◽

Control Group ◽

Existential Therapy ◽

Statistical Population ◽

Commitment Therapy ◽

Significant Difference ◽

Male Prisoners

Today’s people live in a society with many dangers to their peace and security. The effectiveness of different therapies in psychological variables needs to be evaluated to reach the most precise therapies based on research evidence. This study aimed to compare the effectiveness of existential therapy (ET) and acceptance and commitment therapy (ACT) in alleviating the loneliness and irrational beliefs of male prisoners. In the present quasi-experimental study, the statistical population consisted of all married male prisoners aged between 25 to 45 years in Mashhad Central Prison in the first half of 2017. Among the statistical population, 36 people were selected and then randomly placed in three research groups. The two experimental groups underwent eight separate intervention sessions, ET, and ACT. At the beginning and end of the study, all of the three groups were evaluated by a research questionnaire, including the loneliness scale. The results of data analysis showed that, in comparison with the control group, the changes in the other two groups under ET and ACT were significant as to the feeling of loneliness and irrational beliefs of prisoners. However, there was no significant difference between the effects of these two treatments. The present research was limited in the case of examining the follow-up stage due to lack of access and cooperation of the subjects, incorporating some control variables (such as the history of substance use and psychiatry), and employing other evaluation methods (e.g., interview). It is highly suggested that future research should address these limitations.

Effectiveness of Acceptance and Commitment Therapy in Reducing Symptoms of Anxiety, Depression, and Suicidal Ideation in Iranian Veterans Referred to a Military Psychiatric Hospital

10.21203/rs.3.rs-54602/v1 ◽

2020 ◽

Author(s):

Haleh Shahed Hagh Ghadam ◽

Amir Mohsen Rahnejat ◽

Arsia Taghva ◽

Mohammad Reza Ebrahimi ◽

Vahid Donyavi ◽

...

Keyword(s):

Suicidal Ideation ◽

Anxiety Symptoms ◽

Control Group ◽

Depression Symptoms ◽

Commitment Therapy ◽

Ideation Methods ◽

Anxiety Depression ◽

Abstract Background: Veterans are more exposed to mental disorders, especially anxiety, depression, suicidal ideation, and suicide attempt, due to the important role they played in defending their country. This study aimed to investigate the effect of Acceptance and Commitment Therapy (ACT) on reducing anxiety symptoms, depression symptoms, and suicidal ideation. Methods: This study was conducted following a pretest-posttest quasi-experimental study design in 2020. The study included two groups, the experimental group and the control group awaiting treatment. The participants in this study consisted of 20 veterans who were selected using availability sampling and randomly assigned to two groups, the experimental group and the control group awaiting treatment (10 in each group). The instruments used in this study included the Beck Anxiety Inventory (BAI-II), the Beck Depression Inventory (BDI-II), the Beck Scale for Suicidal Ideation (BSSI), and a researcher-made demographic information questionnaire. Participants in the experimental group received 12 sessions of Acceptance and Commitment Therapy (ACT) for two hours per week, and participants in the control group awaiting treatment did not receive any intervention and received only routine medications. The pre-test and post-test were administered to both groups. The data were analyzed by descriptive statistical indices and the univariate Analysis of Covariance (ANCOVA) using SPSS 22 software. Results: The study results showed that Acceptance and Commitment Therapy (ACT) contributed substantially to managing and reducing anxiety symptoms, depression symptoms, and suicidal ideation in veterans in the experimental group. After the intervention, the mean scores of the experimental group on the variables of anxiety, depression, and suicidal ideation decreased as compared to the control group awaiting treatment, and these differences were statistically significant (P < 0.001). Conclusions: The results of this study revealed that Acceptance and Commitment Therapy (ACT) was effective in reducing the symptoms of anxiety, depression, and suicidal ideation in veterans.