scholarly journals Effectiveness of Acceptance and Commitment Therapy on Occupational Stress and Anxiety of Nurses Caring for Patients With COVID-19 in Tehran

2021 ◽  
Vol 8 (3) ◽  
pp. 124-128
Author(s):  
Hasan Mosazadeh ◽  
Aleksandra Błachnio ◽  
Bijan Pirnia

Background: This research aims to evaluate the impact of acceptance and commitment therapy (ACT) on the occupational stress and the anxiety of nurses. Methods: This was an experimental study with pre-test post-test design with a control group. We included all nurses caring for patients with COVID-19 in governmental hospitals in Tehran during six months of 2020. Beck’s Anxiety Inventory (BAI) and Steinmetz Occupational Stress Questionnaire were used for data collection. Results: Box’s test (P=0.225) showed that the covariance-variance matrices were homogeneous. Levine’s test also indicated that the assumption of variance equality was observed. The amounts of ETA square root showed that 66.3% of the anxiety variance and 51.3% of the occupational stress variance could be predicted in the posttest through ACT. Conclusion: The rate of occupational stress and anxiety of the test group significantly decreased compared with the control group after the intervention. Therefore, ACT could decrease the occupational stress and anxiety of nurses and the therapists could use this approach for improving the mental health of nurses.

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.


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 18 (4) ◽  
pp. 445-454
Author(s):  
Jalal Younesi ◽  
◽  
Javad Kazemi ◽  
Asghar Dadkhah ◽  
Akbar Biglarian ◽  
...  

Objectives: This study aimed to determine the effects of Acceptance and Commitment Therapy (ACT) on the Sense of Coherence (SOC), Locus of Control (LoC), and Posttraumatic Growth (PTG) in patients with Multiple Sclerosis (MS). These factors were explored according to the prevalence of psychological problems in these patients. Methods: This was a quasi-experimental study with a pre-test, post-test and a control group design. The study population included all patients with MS from Iran’s MS Association in Tehran City, Iran. The study sample included 30 patients (n=15/group) who were selected by purposive sampling technique and according to the study inclusion and exclusion criteria. The study participants were randomly assigned to the experimental and control groups. After obtaining necessary permissions and informed consent, a pre-test was initially performed. The instruments used in this study were ‎the 29-item Antonovsky’s Sense of Coherence Scale; the 29-item Julian Rotter’s Locus of Control Scale, and the 21-item Tedeschi and Calhoun’s Posttraumatic Growth scale. Several studies supported the reliability and validity of these scales. The experimental group received 8 sessions (once a week, each session: 1.5 h) of group Acceptance and Commitment Therapy (ACT). However, the control group received no intervention. After the intervention, according to the instructions, the post-test was performed. Data analysis was conducted using SPSS V. 21. Multivariate Analysis of Covariance (MANCOVA) was performed to examine between-group differences data. Results: The study findings indicated that ACT was effective on the SoC; however, it had no significant effect on the LoC and PTG (P=0.05). Discussion: Participation in ACT sessions could enhance the SoC of patients with MS. Accordingly, it can be improved by accepting and enhancing these patients’ commitment to change through psychotherapy approach and increasing their SoC.


Author(s):  
Mohammad Oraki ◽  
Hossein Zare ◽  
Ali Hosseinzadeh Ghasemabad

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.


2018 ◽  
Vol 5 (4) ◽  
pp. 158-163
Author(s):  
Sara Haghighat ◽  
Alireza Mohammadi

Background: The purpose of this study was to compare the effectiveness of cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) on reducing mood symptoms in patients with substance abuse. Methods: The current research was a semi-experimental study with pre-test and post-test with a control group. The participants consisted of all people with substance abuse referred to drug abuse treatment centers in district 4 and 8 of Tehran city in 2016-2017. In this way, 45 subjects selected by purposeful sampling method and randomly divided into 2 groups of experimental and one control group (15 persons for each group). Then, the Mood Disorder Questionnaire and Depression Inventory took from the subjects of each group. CBT and ACT performed in 8 sessions of 90 minutes in 2 experimental groups and control group were also without any training program. After completing the training, the post-test performed for all three groups. Data analysis was done by using the covariance analysis (MANCOVA) and using SPSS-21 software. Results: The findings showed that CBT and ACT were effective in reducing mood syndrome in patients with substance abuse (P<00.001). Moreover, there were no significant differences between the effectiveness of the CBT and ACT on the reduction of mood syndrome in patients with substance abuse. Conclusion: Considering the effect of CBT and ACT on the reduction of mood syndrome among patients with substance abuse, it is worth considering the role of these 2 treatments as one of the educational and therapeutic strategies for substance abuse


Background & Aim: In recent years, Acceptance and Commitment Therapy (ACT) has been used a lot with emphasis on acceptance of life problems and psychological flexebility. The purpose of this study was to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on body image of women with breast cancer after mastectomy surgery. Methods: The research method was semi-experimental with experimental and control group with pre-test and post-test. A sapmle of 26 female with breast cancer were selected through targeted sampling from Alla charity center in Isfahan in year 2017 and assigned to two groups with 13 subjects. The experimental group received ACT in 8 sessions. The measurement tool was multidimensional questionnaire on personal body image (MBSRQ) that was used in both the experimental and control groups in pre-test and post-test. The findings were analyzed using SPSS. Results: The results of covariance analysis showed that there was a significant difference between the mean scores of body image and its dimensions in experimental and control group and ACT was effective on improvement of body image in patients of experimental group (p<0.05). Conclusion: in general, the ACT seems to be effective on improvement of psychological problems in women with breast canscer.


2015 ◽  
Vol 2 (3) ◽  
Author(s):  
Melody Shahab

The present study aimed to determine the effectiveness of the “Acceptance and Commitment Therapy (ACT)” in reducing symptoms of anxiety in adolescent girls in Tehran. 30 girls of 14 and 18 years of age, who were referrers to the Ertebat ,Hamdardi ,Movaffaghiat Psychology Center of Tehran because of symptoms of anxiety, were selected and randomly assigned to a test group and a control group each one including 15 patients. The Acceptance and Commitment Therapy Protocol of 12 sessions were conducted on the experimental group. The control group received no intervention. The research method used in the study was the pretest- posttest semi-experimental method with the control group. To measure the symptoms of anxiety in the study, the dass-42 questionnaires were used and to analyze the data the SPANQVA test was applied. The data analysis results indicated the effectiveness of the Acceptance and Commitment Therapy in reducing the adolescent girls’ symptoms of anxiety. The results indicate that the improvement of psychological flexibility which is the major component of the Acceptance and Commitment Therapy has a considerable effect on the dependent variable.


Author(s):  
Leyla Najafi ◽  
Ali Arab

Background: Drug addiction, defined as a chronic brain disease, leads to worse physical and psychological status that has the most damaging effect on the family system. Objectives: This study investigated the effect of acceptance and commitment therapy (ACT) on psychological resilience in drug abuser women. Methods: This semi-trial study was done by a pre-test/post-test and the control group. The statistical population of this study was drug abuser women who were hospitalized in addiction treatment camps in Zahedan and were detoxified. The single-stage cluster was sampling method; twenty-seven females were randomly divided into the trial (n = 13) and control groups (n = 14). The Connor‐Davidson resilience scale (CD‐RISC) was used as questionnaire. The data were analyzed by multivariate covariance analysis. Results: There was a significant change in the interpersonal competence, negative affective tolerance, and spiritual effects in the post-test in the experimental group compared with the control group. According to the Eta coefficients report, the most effective issue was the perception of individual competence with the effect and difference equal to 34% in post-test scores, which was the effect of ACT. Conclusions: It appears that acceptance and commitment therapy (ACT) may be an effective intervention in improving psychological resilience in drug abuser women. Accordingly, it is suggested that therapists should use ACT to significantly promote psychological resilience along with medical treatments for drug abuser women that need critical care of their psychological functioning.


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.


Author(s):  
Shaghayegh Bahramiabdolmalaki ◽  
Alireza Homayouni ◽  
Masoud Aliyali

Introduction: Psychosomatic experts have tried to associate mental disorders to physical illnesses. The vulnerability of different parts of the body is thought to depend on fundamental differences between individuals. One of the methods that seems to affect the psychological problems of asthma patients is acceptance and commitment therapy. Therefore, the aim of this study was to evaluate the effectiveness of acceptance- and commitment-based therapy on resilience, psychological well-being, and life expectancy in asthmatic patients. Methods: This quasi-experimental pre-test and post-test study was conducted on 30 asthmatic patients who were randomly assigned to the experimental (n = 15) and control (n = 15) groups according to the inclusion criteria. Acceptance and commitment therapy sessions were based on the treatment package of Hayes et al. in 8 sessions of 60 minutes on the experimental group and no intervention was performed on the control group. All participants took part in the pre-test and post-test. Collection tools included Conner-Davidson Resilience Questionnaire, Schneider Life expectancy, and Ryf Psychological Well-being. Results: The results showed a significant difference in the components of resilience, psychological well-being, and life expectancy in asthmatic patients before and after the experiment (p <0.05). In other words, acceptance and commitment-based therapy had a positive effect on resilience, psychological well-being and life expectancy in asthmatic patients and these components have increased in patients. Conclusion: Findings showed that acceptance- and commitment-based therapy was effective on resilience, psychological well-being, and life expectancy of asthmatic patients. This treatment is suggested to be used in conjunction with drug therapy to improve the psychological symptoms of asthmatic patients.


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