scholarly journals The Effectiveness of Acceptance and Commitment Group Therapy in Cognitive Flexibility, Suicidal Ideation, Depression, and Hopelessness in Conscripts

Author(s):  
Hossein Shareh ◽  
◽  
Zahra Robati ◽  
◽  

Objectives: The present study was conducted to investigate the effectiveness of acceptance and commitment group therapy in cognitive flexibility, suicidal ideation, depression, and hopelessness in conscripts. Methods: In an experimental study with a pretest-posttest control group design, 60 conscripts were selected through convenience sampling method from military centers in Khorasan Razavi in 2019 and were randomly assigned to experimental and control groups, each containing 30 individuals. The experimental group received acceptance and commitment group therapy in eight 90-minute weekly sessions and the control group received no treatment. In the pretest and posttest, Cognitive Flexibility Inventory (CFI), Beck Scale for Suicide Ideation (BSSI), Beck Depression Inventory-II (BDI-II) and Beck Hopelessness Scale (BHS) were implemented for both groups. Data analysis was performed using the independent ‎groups ‎t test and analysis of covariance. Results: The results indicated that acceptance and commitment group therapy significantly leads to enhanced cognitive flexibility and its components (P = 0.001) and reduced suicidal thoughts (P = 0.001), depression (P = 0.001) and hopelessness (P = 0.002) compared to the control group. Conclusion: Acceptance and commitment group therapy probably leads to reduced depression, suicidal ideation and hopelessness in conscripts by enhancing cognitive flexibility.

Author(s):  
Nastaranalsadat Hosseini ◽  
Poh Li Lau ◽  
Diana Lea Baranovich ◽  
Siaw Leng Chan

This study investigates the effects of Acceptance and Commitment Group Therapy (ACGT) on marital satisfaction among Iranian, postgraduate married couples residing in Malaysia. The study utilised a true experimental (pretest/posttest, control group) design. Seventy-two students (36 couples) with the lowest scores from the Marital Satisfaction Inventory were randomly selected and randomly assigned into either the experimental or control group to receive either ACGT or no therapy. Subsequently, analyses of covariance (ANCOVA) showed significant differences in marital satisfaction between the experimental and control groups. The current study finds that marital satisfaction showed considerable enhancement after the ACGT, and besides, the effects of ACGT on marital satisfaction were retained after four weeks. The evaluation of the couples of the ACGT programme was also collected, which appeared to be satisfactory. This study has significant implications for marital satisfaction and counselling practice holistically.


2018 ◽  
Vol 6 (2) ◽  
pp. 410-415 ◽  
Author(s):  
Mostafa Heydari ◽  
Saideh Masafi ◽  
Mehdi Jafari ◽  
Seyed Hassan Saadat ◽  
Shima Shahyad

AIM: Considering the key role of human resources as the main operator of organisations, the present research aimed to determine the effectiveness of acceptance and commitment therapy for anxiety and depression of Razi Psychiatric Center staff.MATERIALS AND METHODS: This research follows a quasi-experimental type with pre-test, post-test plans, and control group. Accordingly, 30 people were selected through volunteered sampling among Razi Psychiatric Center staff. Then, they were randomly placed into two groups of 15 (experimental and control) and evaluated using research tools. Research tools consisted of Beck Anxiety and Depression Inventories whose reliability and validity have been confirmed in several studies. Research data were analysed using the analysis of covariance (ANCOVA).Results: The statistical analysis confirmed the difference in the components of anxiety and depression in the experimental group, which had received acceptance and commitment therapy compared to the group that had not received any therapy in this regard (control group) (p < 0.05).CONCLUSION: Acceptance and commitment therapy reduces anxiety and depression.


2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Hamideh Iri ◽  
Behnam Makvandi ◽  
Saeed Bakhtiarpour ◽  
Fariba Hafezi

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.


2020 ◽  
Vol 10 (3) ◽  
pp. 117-126
Author(s):  
Shiva Bahadori ◽  
◽  
Hooman Fatahi ◽  
Mansooreh Ahmadpoor ◽  
◽  
...  

Purpose: Genu valgum deformity a common lower extremity deformity. The weakness of the lower limb muscles followed by the internal rotation of the femur and external rotation of the tibia, shift the gravitational pull to the outside of the knee. This lower limb alignment deformity could increase the distance of ankle medial malleolus and the Q angle. Therefore, the present study aimed to investigate the effect of TheraBand training on the Q angle and distance of ankle medial malleolus in individuals with genu valgum deformity. Methods: This was a quasi-experimental study with a pre-test and post-test and control group design. The study population consisted of girls in the age range of 9-13 years with genu valgum deformity. The study subjects were randomly divided into the experimental (n=15) and control (n=15) groups. The experimental group participated in TheraBand exercises for 8 weeks and 3 sessions per week. However, the control group received no training during this period. Before and after 8 weeks, the Q angle and distance of ankle medial malleolus were measured by goniometers and coulis, respectively. Analysis of Covariance (ANCOVA) was used to analyze the collected data in SPSS. The significance level was considered at 0.05.  Results: The obtained statistical results suggested that TheraBand training significantly decreased the Q angle and the distance of ankle medial malleolus in the explored subjects with genu valgum deformity (P=0.001 & P=0.04, respectively). However, no significant difference was observed in the control group.  Conclusion: The obtained data revealed that TheraBand training could improve the genu valgum position. Therefore, this training protocol could be implemented to improve the deformity in this population.


2019 ◽  
Vol 10 (2) ◽  
pp. 397
Author(s):  
Abbas Ramazani ◽  
Behzad Akbari Doorbash ◽  
Naghi Kamali ◽  
Elham Yusefi

Objective: Nowadays, the third wave psycho-therapy treatments emphasize on acceptance, awareness of feelings, cognitive abilities, emotions and behaviors, rather than challenging the knowledge. For this reason, the current study aimed to investigate the acceptance-based training on and commitment on depression among the disabled who referred to the Welfare Organization in the city of Darreh Shahr.Methods: In this study which is considered a semi-empirical activity of the type of pre-test and post-test with control group, the sample was selected through a purposive sampling from among the patients who referred to the Social Welfare Center in Darreh Shahr. They were tested using Beck Depression Inventory, of which 30 people were selected and assigned to experimental and control groups (15 people). The experimental group was trained by independent variable (Project of Acceptance Treatment and Commitment) while the control group did not receive any treatment. In the post-test process, Beck Depression Inventory was performed on both groups once again and the data were analyzed using analysis of covariance.Findings: Using analysis of covariance and Galmogrov Smirnov-Shapirov tests by a factor of (P> 0,05), the effect of acceptance treatment training on reducing depression has been effective among the disabled patients with a factor equal to F = 28/78, P <0/01.Results: The results of the current study clearly show that the treatment acceptance and commitment has been influential in reducing depression among the people with disabilities in the study.


2018 ◽  
Vol 2 (2) ◽  
pp. 125
Author(s):  
Yudi Kurniawan ◽  
N. Noviza

<p><strong>Abstract: </strong>This study aims to increase resilience among survivors of violence against women through support group therapy. As resilience increases, survivors of violence against women form a powerless community of women as a vehicle for victims of violence to share experiences. This research is important because the number of violence against women shows an increasing trend from year to year. The hypothesis in this study is that there are differences in resilience of survivors of violence against women in experimental group and control group after group therapy. Subjects in this study were 10 women victims of violence aged between 35-40 years at Seruni Kota Semarang Integrated Service Center and divided into experimental groups and control groups. The measuring tool used is Modified Connor-Davidson Resilience Scale. Modules were taken from the therapy groups of Brabender, Smolar, and Fallon supporters (2004). The study used quasi experiment with non-randomized pretest-posttest control group design. Data were analyzed using different test of independent sample t-test. The result of the research shows that there is difference of resilience scores of survivors against women in experimental group and control group with p = 0,001 (p &lt;0,05). In conclusion, support group therapy is effective to increase resilience to survivors of violence against women.</p><p><strong>Abstrak:</strong> Penelitian ini bertujuan meningkatkan resiliensi pada penyintas kekerasan terhadap perempuan melalui terapi kelompok pendukung. Setelah resiliensi meningkat, penyintas kekerasan terhadap perempuan membentuk komunitas perempuan berdaya sebagai wadah korban kekerasan untuk berbagi pengalaman. Penelitian ini penting karena jumlah kekerasan terhadap perempuan menunjukkan tren peningkatan dari tahun ke tahun. Hipotesis dalam penelitian ini adalah ada perbedaan resiliensi penyintas kekerasan terhadap perempuan pada kelompok eksperimen dan kelompok kontrol setelah diberikan terapi kelompok pendukung.Subjek dalam penelitian ini adalah 10 perempuan korban kekerasan berusia antara 35-40 tahun di Pusat Pelayanan Terpadu Seruni Kota Semarang dan dibagi ke dalam kelompok eksperimen dan kelompok kontrol. Alat ukur yang digunakan adalah <em>Modified Connor-Davidson Resilience Scale</em>. Modul diambil dari terapi kelompok pendukung (Brabender, Smolar, &amp; Fallon, 2004). Penelitian menggunakan <em>quasi experiment </em>dengan <em>non randomized pretest-posttest control group design. </em>Data dianalisis menggunakan uji beda<em>independent sample t-test. </em>Hasil penelitian menunjukkan bahwa ada perbedaan skor resiliensi penyintas kekerasan terhadap perempuan kelompok eksperimen dan kelompok kontrol dengan p=0,001 (p&lt;0,05). Kesimpulannya, terapi kelompok pendukung efektif untuk meningkatkan resiliensi pada penyintas kekerasan terhadap perempuan.</p>


2018 ◽  
Vol 19 (2) ◽  
pp. 329
Author(s):  
Yudi Kurniawan ◽  
Anna Dian Savitri

This study aims to measure the decline in depressive symptoms experienced by refugee immigrants through group therapy. Group therapy is used as an intervention to reduce symptoms of depression. The hypothesis was that there was a difference in depressive symptoms score between the experimental and the control group of the immigrant refugee after being given group therapy. This research uses non randomized pretest-posttest control group design. The subjects of the study were 10 immigrants of 30-40-year-old female refugees, divided into experimental and control groups. Non-parametric statistical analysis Mann-Whitney U showed no difference in depressive symptoms score between refugee immigrants experimental group and control group, p = 0,009 (p &lt;0,05). Qualitative analysis shows there is a change of emotional expression on immigrant refugees in the experimental group. The results of this study are important as a study to understand the dynamics of urban clinical psychological problems, particularly those associated with refugee immigrants


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.


2021 ◽  
Vol 24 (1) ◽  
pp. 108-121
Author(s):  
Seifollah Aghajani ◽  
◽  
Sahar Khoshsorour ◽  
Sara Taghizadeh Hir ◽  
◽  
...  

Background and Aim: Breast cancer is among the most prevalent cancers in women with extensive associated biopsychological problems. The present study aimed to determine the effects of holographic reprocessing therapy on cognitive flexibility and posttraumatic growth in women with breast cancer. Methods & Materials: This was a quasi-experimental study with pretest-posttest and a control group design. The statistical population included all patients with breast cancer who underwent a mastectomy and were treated in an oncology and chemotherapy subspecialty center in Tehran City, Iran, in 2020. By convenience sampling method, 30 women with breast cancer were selected and randomly divided into the experimental and control groups (n=15/group). The experimental group, while receiving pharmacotherapy, collectively underwent holographic reprocessing therapy in 9 one-hour sessions (two sessions per week) for 5 weeks; however, the control group received only pharmacotherapy. Both research groups were assessed in pretest and posttest phases by the Cognitive Flexibility Inventory (Dennis & Vander Wal, 2010) and the Posttraumatic Growth Inventory (Tedeschi & Calhoun, 1996). Finally, the obtained data were analyzed using Multivariate Analysis of Covariance (MANCOVA) in SPSS v. 23. Ethical Considerations: All study subjects provided a signed written informed consent form. The Research Ethics Committee of Ardabil University of Medical Sciences approved this study (Code: IR.ARUMS.REC.1399.393). Results: The current study results indicated that holographic reprocessing therapy was effective on cognitive flexibility (F=42.319, P<0.01) and posttraumatic growth (F=18.300, P<0.01) in women with breast cancer; this method also increased their cognitive flexibility and posttraumatic growth. Conclusion: Considering psychological factors and information processing methods in patients with cancer is highly important. Thus, counselors and psychotherapists are advised to use holographic reprocessing therapy as a complementary treatment without adverse effects along with medical treatments to reduce the psychosocial problems caused by the disease.


1981 ◽  
Vol 1 (2) ◽  
pp. 147-160 ◽  
Author(s):  
Kenneth Ottenbacher ◽  
Ann Scoggins ◽  
Jamie Wayland

The efficacy of a program of oral-motor therapy designed to facilitate feeding patterns and thus produce increases in body weight in the severely developmentally disabled was explored. Twenty severely and profoundly retarded subjects with neuromotor disorders participated in a pretest / posttest control group design. The experimental group received a 9-week program of oral therapy designed to normalize oral motor functions and reduce pathological oral reflexes. Analysis of covariance revealed no statistically significant difference in body weight gains between the experimental and control group over the treatment period. A post hoc power analysis was computed and revealed a power of approximately .35, indicating a degree of insensitivity in the experimental manipulations and statistical analysis and suggesting the possibility of a Type II experimental error. The need for continued research in this area to establish the effectiveness of sensory and motor facilitation procedures in developing feeding patterns in the severely and profoundly disabled is discussed.


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