scholarly journals Effect of Acceptance and Commitment Therapy on Impulsivity of Patients With Methamphetamine Use Disorder

2020 ◽  
Vol 21 (3) ◽  
pp. 406-421
Author(s):  
Mahdi Yousefi ◽  
◽  
Seyyed Jalal Younesi ◽  
Ali Farhoudian ◽  
Mohammad Hadi Safi ◽  
...  

Objective: Executive functions and impulse control ability are severely impaired in people with amphetamine use disorders. In this regard the study aims to decrease impulsivity in patients with Methamphetamine use disorder by using Acceptance and Commitment Therapy (ACT). Materials & Methods: The study is a quasi-experimental study with a pretest-posttest control group design. The study population included all men under treatment with Methamphetamine use disorder in 2019 in Yazd city. The sampling method was purposive sampling. Among those who scored higher than the cut-point according to Bart's Impulsivity Questionnaire (1994), 12 were randomly assigned to the experimental group and 12 randomly assigned to the control group. Descriptive and inferential statistical methods including covariance analysis were used to analyze the data. Results: The results showed that the value of the parameter (F) belonging to the pretest variable was 4.9 and it was significant. Therefore, there was a significant difference between the mean scores of impulsivity of the control and experimental groups in the posttest after the pretest effect was gone in patients with treated methamphetamine use disorder. Conclusion: Finally based on the results of this study, it can be concluded that the ACT as a new and emerging treatment of the third wave of behavioral therapy is a useful intervention for patients with methamphetamine use disorder to reduce their impulsive behaviors.

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 ◽  
pp. 105477382093559
Author(s):  
Erman Yıldız ◽  
Rukuye Aylaz

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.


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.


2020 ◽  
Vol 10 (6) ◽  
pp. 393-402
Author(s):  
Hadi Motamedi ◽  
◽  
Abdolvahhab Samavi ◽  
Reza Fallahchai ◽  
◽  
...  

Background: Hardiness as a fundamental element of control plays a constructive role in coping with stress and moderates the effects of stress. This study aimed to compare the effectiveness of group-based Acceptance and Commitment Therapy (ACT) and group-based Cognitive-behavioral Therapy (CBT)in the psychological hardiness of single mothers. Methods: The research was conducted using a quasi-experimental pretest-posttest design with control group. Also, the statistical population included all female-headed families in the region 16 of Tehran. From women with low scores in the Ahvaz psychological hardiness questionnaire, 45 women were randomly selected and assigned into three groups: two experimental and one control group. The acceptance and commitment and cognitive-behavioral therapies were implemented in the first and second experimental groups, respectively; the control group did not receive any intervention. The experimental groups received nine training sessions. Then, the study hypotheses were tested using the 1-way analysis of covariance. Results: Both interventions effectively increased the psychological hardiness in the single mothers, but no significant difference was found between the two intervention groups (P=0.38). Conclusion: According to the results, it is possible to increase the psychological hardiness of the single mothers by group-based acceptance and commitment therapy and group-based cognitive-behavioral therapy.


2015 ◽  
Vol 16 (SE) ◽  
pp. 327-333 ◽  
Author(s):  
Peyman Dousti ◽  
Hossain Mohagheghi ◽  
Davood Jafari

The aim of the present study is to investigate the effect of Acceptance and Commitment Therapy on the reduction of anxious thoughts in Islamic Azad University Students of Hamadan. The study is a quasi-experimental research with a pretest-posttest control group design. The population of the study was all Islamic Azad University students of Hamadan (N=15000). The sample of the study consisted of 30 undergraduate students (20 females and 10 males) from the mentioned population. To sample was selected from the candidates who received the highest scores in a test of anxious thoughts by Wells, and then was randomly divided into control and experimental groups. This instruments used was Wells’ anxiety though scale. This instrument measures three scales of social anxiety, generalized anxiety, and health anxiety. Acceptance and Commitment Therapy protocol was conducted through 8 treatment sessions and one-month control session. The results indicated that Acceptance and Commitment Therapy reduces anxious thoughts p<0.05).


2017 ◽  
Vol 2 (2) ◽  
pp. 126
Author(s):  
I Putu Gde Yudara Sandra Putra ◽  
Noor Hamdani ◽  
Lilik Supriati

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.


2020 ◽  
pp. 126-132

Background: The assessment of young coupleschr('39') marital relationship has received considerable attention in recent years. The present study aimed to make a comparison between the effectiveness of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) in the enhancement of marital satisfaction and sexual intimacy in couples referred to counseling centers in Khorramabad. Materials and Methods: This quasi-experimental was conducted based on a pre-posttest design with a control group. For the purpose of the study, a total of 60 couples were selected using volunteer sampling out of the entire couples who referred to counseling centers in Khorramabad due to marital disorders in 2018. The couples were randomly assigned to three groups of 20, namely ACT, CBT, and the control group. The data collection tools included the ENRICH marital satisfaction inventory and Battalion sexual intimacy scale. Before the commencement of the intervention (presenting the independent variable), the three groups were provided with the two questionnaires (pre-test). Thereafter, the experimental group received eight two-hour sessions of ACT and eight two-hour sessions of CBT. On the other hand, the control group did not receive any training. Upon the completion of the training sessions, marital satisfaction and sexual intimacy were assessed in the three groups (post-test). Data were analyzed in SPSS software(version 22) using the multivariate analysis of covariance. Results: The obtained results were indicative of the significant effect of both treatments on the enhancement of marital satisfaction (P<0.001) and sexual intimacy (P<0.001) in couples. Moreover, it was found that CBT exerted a more profound effect on marital satisfaction and sexual intimacy, compared to ACT. Conclusion: As evidenced by the obtained results, it can be concluded that both CBT and ACT were effective in the promotion of marital satisfaction and sexual intimacy in couples. Nonetheless, CBT demonstrated more dramatic effects, compared to ACT.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Seyyed Arman Hosseini Zarvijani ◽  
Ladan Fattah moghaddam ◽  
Samaneh Parchebafieh

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


2020 ◽  
Vol 26 (1) ◽  
pp. 24-37
Author(s):  
Mahdi Taghavizade Ardakani ◽  
◽  
Bahman Akbari ◽  
Abbas Ali HosseinKhanzade ◽  
Mohsen Moshkbide Haghighi1 ◽  
...  

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.


2022 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zohreh Hashemi ◽  
Sanaz Einy ◽  
Matineh Ebadi

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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