scholarly journals Effectiveness of Acceptance and Commitment Therapy on Anxiety in Hypertensive Patient

2020 ◽  
Vol 2 (1) ◽  
pp. 7-14
Author(s):  
Tantri Widyarti Utami ◽  
Yunani Sri Astuti

Hypertension is a major problem in public health both in developed and developing countries. Emotional reactions due to hypertension are grieving, fear/anxiety, anger, depression and guilt. Anxiety is an unpleasant emotional by fear and tense and unwanted physical symptoms. Acceptance and commitment therapy (ACT) teaches clients to approach fear and anxiety more fundamentally, deeper, and in different ways Objective to knowing the effect of acceptance and commitment therapy on anxiety in hypertensive patients. Quasi-experimental design with a control group"with ACT interventions. The data obtained from  124 hypertensive patients who were divided into intervention and control groups. It analyzed by using Independent t-test and T-Paired tests. Research found there are differences in anxiety before and after intervention Acceptance and commitment therapy. Acceptance and commitment therapy can reduce the anxiety of hypertensive patients Keywords: acceptance and commitment therapy, anxiety, hypertension

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.


2019 ◽  
Vol 3 (2) ◽  
pp. 54-61
Author(s):  
Segun Oyetunde Babalola ◽  
Ajibola Olusoga Ogunyemi

Social phobia is a mental health problem that has been repeatedly linked with adolescents. This study therefore investigated the efficacy of Acceptance and Commitment therapy (ACT) on social phobia among secondary school adolescents in Oyo State, Nigeria. The study adopted a pretest – posttest control group quasi experimental design. The sample comprised of 104 secondary school adolescents identified with some levels of social phobia from the two randomly selected schools among the three senatorial districts of Oyo State. The selected students, grouped by schools and subsequently, treatment groups, were 51 and 53 for the control and experimental groups, respectively. The experimentation spanned a period of eight weeks, with ACT administered to the experimental group and placebo of leadership styles administered to the control group. The Social Phobia Inventory (SPI) was adopted and used for screening and in pretest and posttest stages. A statistical hypothesis was formulated and tested at 0.05 level of significance by means of the Analysis of covariance (ANCOVA). It was found that treatment with ACT significantly reduced the level of social phobia among school-going adolescents. ACT was therefore recommended for use in relieving school-going adolescents suffering from social phobia.


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 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.


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).


2020 ◽  
Vol 5 (3) ◽  
pp. 355-375
Author(s):  
Beyza Kırca ◽  
Halil Eksi

This study aims to develop, implement, and test the effectiveness of an Acceptance and Commitment Therapy-based psychoeducation program for fostering psychological flexibility. The study employed a convergent mixed methods design. For the quantitative phase, the pre-test post-test control group experimental design was used, while in the qualitative phase, a thematic analysis was conducted. The study group consisted of 13 first-year students of the Department of Guidance and Counseling, and Psychology, aged between 18-22, 8 of whom are in the experiment group, and 5 in the control group. The students participated in 8 sessions of 90 minutes. Before and after the psychoeducation, the Acceptance and Action Questionnaire-II was administered to the students and they were also asked to answer the formerly specified open-ended questions in writing. Mann Whitney U and Wilcoxon Signed Ranks tests were used for statistical analysis; while thematic analysis was used for the qualitative component of the study. Quantitative findings showed that psychoeducation significantly increased psychological flexibility, but the change was not at a level to differ from the control group; while qualitative findings revealed that participants experienced changes in 10 themes after psychoeducation. These themes are Being Present, Self-Control, Value-Based Actions, Defusion and Coping with Feelings and Thoughts, Knowledge of Self and Others, Acceptance, Non-Avoidance, Conflict and Crisis Management, Authenticity, and Anxiety. The quantitative and qualitative findings are discussed in light of the relevant literature.


2020 ◽  
Vol 26 (3) ◽  
pp. 276-297
Author(s):  
Abbasali Shahabi ◽  
◽  
Parvin Ehteshamzadeh ◽  
Parviz Asgari ◽  
Behnam Makvandi ◽  
...  

Aims: One of the most essential causes of mortality in the world is cardiovascular disease. Biological backgrounds and physical risk factors, types of stress and distress, ineffective interaction strategies, stressful life events, as well as low levels resiliency contribute to the start and severity of the disease are some features of this disease. The present research tends to compare the effectiveness of Acceptance and Commitment Therapy (ACT) and Guided Mental Imagery (GSI) on the resiliency in cardiovascular patients referring to cardiac rehabilitation ward through 2018-2019.  Methods & Materials: This study is a quasi-experimental with pretest-posttest and follow-up with control group. The research samples were 45 participants selected using available method and completed the Conner-Davidson Resiliency Scale (CD-RIS). Interventions consisted of 8 sessions of 60 minutes each (ACT group) and 10 sessions of 45 minutes each (GSI group). Data analysis was performed using repeated measurement covariance analysis and Bonferroni test in SPSS v. 22 software.  Findings: The research findings showed the effectiveness of the two treatments of ACT and GSI on the increase in resiliency of cardiovascular patients. In other words, the results of Bonferroni test indicate the more effectiveness of ACT than GSI in increasing resiliency is in cardiovascular patients (P<0.005). Therefore, it can be concluded that ACT, by focusing on psychological flexibility, is more effective than GSI on Resilience. Conclusion: According to the results of this study, the ACT with the main acceptance factor, may expand the concept of acceptance by believing in lack of control over life in cardiovascular patients, and increase their resiliency. A one-month follow-up of the results showed its sustainability and strength.


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):  
Erman Yıldız ◽  
Rukuye Aylaz

BACKGROUND: Lack of motivation is a common phenomenon in treatment of schizophrenia. Despite information that various psychosocial approaches may help overcome lack of motivation, their content and nature remain uncertain. However, in recent years, there is an increasing interest in psychosocial interventions such as acceptance and commitment therapy (ACT) and motivational interviewing (MI) techniques in approaching individuals diagnosed with schizophrenia (IDSs). In this study, the therapeutic models of ACT and MI were combined to create an innovative integrative approach to address the problem of lack of motivation in IDSs. AIMS: This study was conducted to determine how a counseling program based on ACT and supported with MI affected the perceptions of treatment motivation in IDSs. METHOD: This study addressed the qualitative aspects of a doctoral dissertation designed as a quasi-experimental study that gathered both quantitative and qualitative data. RESULTS: As a result of the content analysis, three main themes and 10 categories that motivated IDSs for compliance with regular treatment were developed. The participants in the experimental group expressed a focused treatment motivation to participate in daily life activities and social relations, acceptance of illness, satisfaction with life despite side effects and leading a value-oriented life in comparison with the control group. CONCLUSIONS: Counseling based on ACT and supported with the MI technique is effective in improving treatment motivation in IDSs. This counseling may be implemented as an effective psychiatric nursing intervention for IDSs.


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