The Effectiveness of Acceptance and Commitment Therapy on Resilience, Meaning in Life, and Family Function in Family Caregivers of Patients With Schizophrenia

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.

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

Middle East Journal of Rehabilitation and Health ◽

10.5812/mejrh.109550 ◽

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.

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INFLUENCE OF ACCEPTANCE AND COMMITMENT THERAPY ON THE FAMILY’S BURDEN IN TREATING PEOPLE WITH MENTAL DISORDERS

NurseLine Journal ◽

10.19184/nlj.v2i2.5932 ◽

2017 ◽

Vol 2 (2) ◽

pp. 126

Author(s):

I Putu Gde Yudara Sandra Putra ◽

Noor Hamdani ◽

Lilik Supriati

Keyword(s):

Mental Disorders ◽

Linear Regression ◽

Acceptance And Commitment Therapy ◽

Control Group ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

Significant Difference ◽

The Family ◽

New Perspective ◽

The Individual

Indonesia has more than one million people with mental disorders spread in each province. Treatment for people with schizophrenia is not only done in the hospital alone, but it will be continued after returning to the family. Families who are not able to adapt to the patient's care problem will consider the problem as a burden by the family. Acceptance and Commitment Therapy (ACT) is one of therapy that aims to teach the individual to be aware and use a new perspective in thinking to face a problem. This research aimed to know the effect of ACT on the burden felt by the family in caring for the patient mental disorders. The design used in this research was Quasi-Experiment Pre-Post Test With Control Group. The numbers of samples in this study were 24 people divided into two groups. The independent variable in this study was ACT therapy while the dependent variable was the burden felt by the family. Data analysis in this research use t-test and linear regression. The results showed no significant difference in the control group after getting health counseling (p = 1.000). In the treatment group showed significant difference after getting health education and ACT (p = 0.000). There was a significant difference between intervention and control group (p = 0.000). The result of linear regression test showed that age factor and ACT therapy had an effect of 57.1% to the family burden. Families are expected to be more flexible to face problems found when treating people with mental disorders at home.

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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):

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.

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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):

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

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

Quarterly of Horizon of Medical Sciences ◽

10.32598/hms.26.1.3093.1 ◽

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.

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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 ◽

Acceptance And Commitment Therapy ◽

Substance Use Disorder ◽

Analysis Of Covariance ◽

Control Group ◽

Depression And Anxiety ◽

Statistical Population ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

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.

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

Journal of Shahid Sadoughi University of Medical Sciences ◽

10.18502/ssu.v29i2.6086 ◽

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.

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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 ◽

Acceptance And Commitment Therapy ◽

Functional Recovery ◽

Control Group ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

Significant Difference ◽

Quasi Experimental ◽

Mental Health Centers ◽

Experimental Group

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.

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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 ◽

Acceptance And Commitment Therapy ◽

Sexual Desire ◽

Analysis Of Covariance ◽

Control Group ◽

Statistical Population ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

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.

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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):

Acceptance And Commitment Therapy ◽

Irrational Beliefs ◽

Future Research ◽

Control Group ◽

Existential Therapy ◽

Statistical Population ◽

Commitment Therapy ◽

Acceptance And Commitment ◽

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.

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