scholarly journals The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients

2021 ◽  
Author(s):  
Priyo Purnomo As’hab ◽  
Budi Anna Keliat ◽  
Ice Yulia Wardani
Keyword(s):  
Suicidal Ideation ◽  
Treatment Adherence ◽  
Acceptance And Commitment Therapy ◽  
Suicide Ideation ◽  
Nursing Intervention ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Test ◽  
Mdr Tb ◽  
Anxiety Depression

Background: The Worldwide resistance prevalence of the first-line TB drug, rifampicin (RR-TB), in 2017 was 7.4 per 100,000 population, and 82% of them experienced multidrug-resistant tuberculosis (MDR-TB). Indonesia is the top 20 country with an MDR-TB burden, and its prevalence is 8.8 per 100,000 population. MDR-TB requires a long-time treatment and has accompanying side effects: biological and psychosocial effects. However, efforts to overcome the psychosocial impacts have not been conducted. This study aims to determine the effect of acceptance and commitment therapy (ACT) on anxiety, depression, suicidal ideation, and treatment adherence in MDR-TB patients.Design and methods: This research employed a quasi-experimental design with a pre-test three post-tests using total sampling. The pre-test was conducted before the standard nursing intervention, post-test 1 was after the standard nursing intervention, post-test 2 was after ACT session 1, and post-test 3 was after ACT session 2. Data were collected by the Hamilton Rating Scale for Anxiety (HAM-A), Beck Hopelessness Scale (BHS), a Scale for Suicide Ideation (SSI), and Morisky Medication Adherence Scale (MMAS).Results: The standard nursing action and ACT reduce anxiety (p = 0.002), reduced depression (p = 0.0001), reduced suicidal ideation (p = 0.008), and increased treatment adherence (p = 0.0001).Conclusions: The standard nursing action and ACT reduce anxiety, depression, and suicidal ideation. They increase treatment adherence recommended for use in MDR-TB patients.

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

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.

scholarly journals Effectiveness of Acceptance and Commitment Therapy in Reducing Symptoms of Anxiety, Depression, and Suicidal Ideation in Iranian Veterans Referred to a Military Psychiatric Hospital

2020 ◽  
Author(s):  
Haleh Shahed Hagh Ghadam ◽  
Amir Mohsen Rahnejat ◽  
Arsia Taghva ◽  
Mohammad Reza Ebrahimi ◽  
Vahid Donyavi ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Acceptance And Commitment Therapy ◽  
Anxiety Symptoms ◽  
Control Group ◽  
Depression Symptoms ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Ideation Methods ◽  
Anxiety Depression ◽  
Experimental Group

Abstract Background: Veterans are more exposed to mental disorders, especially anxiety, depression, suicidal ideation, and suicide attempt, due to the important role they played in defending their country. This study aimed to investigate the effect of Acceptance and Commitment Therapy (ACT) on reducing anxiety symptoms, depression symptoms, and suicidal ideation. Methods: This study was conducted following a pretest-posttest quasi-experimental study design in 2020. The study included two groups, the experimental group and the control group awaiting treatment. The participants in this study consisted of 20 veterans who were selected using availability sampling and randomly assigned to two groups, the experimental group and the control group awaiting treatment (10 in each group). The instruments used in this study included the Beck Anxiety Inventory (BAI-II), the Beck Depression Inventory (BDI-II), the Beck Scale for Suicidal Ideation (BSSI), and a researcher-made demographic information questionnaire. Participants in the experimental group received 12 sessions of Acceptance and Commitment Therapy (ACT) for two hours per week, and participants in the control group awaiting treatment did not receive any intervention and received only routine medications. The pre-test and post-test were administered to both groups. The data were analyzed by descriptive statistical indices and the univariate Analysis of Covariance (ANCOVA) using SPSS 22 software. Results: The study results showed that Acceptance and Commitment Therapy (ACT) contributed substantially to managing and reducing anxiety symptoms, depression symptoms, and suicidal ideation in veterans in the experimental group. After the intervention, the mean scores of the experimental group on the variables of anxiety, depression, and suicidal ideation decreased as compared to the control group awaiting treatment, and these differences were statistically significant (P < 0.001). Conclusions: The results of this study revealed that Acceptance and Commitment Therapy (ACT) was effective in reducing the symptoms of anxiety, depression, and suicidal ideation in veterans.

scholarly journals Effectiveness of Acceptance and Commitment Therapy on Resilience, Psychological Well-Being, and Life Expectancy in Asthmatic Patients

2021 ◽  
Author(s):  
Shaghayegh Bahramiabdolmalaki ◽  
Alireza Homayouni ◽  
Masoud Aliyali
Keyword(s):  
Life Expectancy ◽  
Acceptance And Commitment Therapy ◽  
Well Being ◽  
Test Collection ◽  
Psychological Well Being ◽  
Asthmatic Patients ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference ◽  
Post Test

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.

How Counseling Based on Acceptance and Commitment Therapy and Supported With Motivational Interviewing Affects the Perceptions of Treatment Motivation in Patients Diagnosed With Schizophrenia: A Qualitative Study

2020 ◽  
pp. 107839032094538
Author(s):  
Erman Yıldız ◽  
Rukuye Aylaz
Keyword(s):  
Motivational Interviewing ◽  
Acceptance And Commitment Therapy ◽  
Social Relations ◽  
Satisfaction With Life ◽  
Nursing Intervention ◽  
Integrative Approach ◽  
Control Group ◽  
Treatment Motivation ◽  
Commitment Therapy ◽  
Acceptance And Commitment

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.

scholarly journals The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Stress in Patients with Spinal Cord Injuries

2019 ◽  
Vol 6 (2) ◽  
pp. 46-52 ◽  
Author(s):  
Saharalsadat Torabian ◽  
Vahid Hemmati Sabet ◽  
Farahnaz Meschi
Keyword(s):  
Spinal Cord ◽  
Acceptance And Commitment Therapy ◽  
Spinal Cord Injuries ◽  
Reliable Change Index ◽  
Single Subject ◽  
Statistical Population ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Number Of Patients ◽  
Anxiety Depression

Background: Since the number of patients with spinal cord injuries is increasing, paying attention to these patients’ psychological problems is a priority. This study aimed to evaluate the effect of acceptance and commitment therapy on anxiety, depression, and stress in patients with spinal cord injuries. Methods: The present study had utilized a single-subject approach in the form of multiple baseline design. The samples were selected using purposive sampling based on convenience sampling method. The statistical population included all patients in Hamadan city with spinal cord injuries who referred to the Shahid Beheshti hospital in this city. The total numbers of them were 181 people in 2016. The researchers informed the patients about the research and presented them with informed consent forms. Among 50 screened patients, five patients (4 males and one female) selected and entered the treatment process: anxiety, depression, and stress measured by Depression Anxiety Stress Scales (DASS-21). Acceptance and commitment therapy conducted in 8 treatment sessions on anxiety, depression, and stress in patients with spinal cord injuries. Results: The results of the graphic and chart analysis, reliable change index (RCI) and the percentage of recovery showed that acceptance and commitment therapy affected anxiety, depression, and stress in the patients with spinal cord injuries. Conclusion: Findings indicated that acceptance and commitment therapy improved people’s mental health by working on acceptance and mindfulness processes and behavior change processes. This therapy decreased anxiety, depression, and stress in patients with spinal cord lesion.

Acceptance and Commitment Therapy in Daily Life (ACT-DL) in early psychosis: findings on treatment adherence and acceptability from the multi-center INTERACT randomized controlled trial (Preprint)

2021 ◽  
Author(s):  
Evelyne van Aubel ◽  
Thomas Vaessen ◽  
Henrietta Steinhart ◽  
Annelie Klippel ◽  
Tim Batink ◽  
...  
Keyword(s):  
Treatment Adherence ◽  
Acceptance And Commitment Therapy ◽  
Daily Life ◽  
Controlled Trial ◽  
Early Psychosis ◽  
Face To Face ◽  
Randomized Controlled ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Ecological Momentary

BACKGROUND Acceptance and Commitment Therapy (ACT) is promising in the treatment of early psychosis. Augmenting face-to-face ACT with a mobile health (mHealth) ecological momentary intervention (EMI) may increase its treatment effects and empower clients to take treatment into their own hands. OBJECTIVE This study aimed to investigate treatment adherence to and acceptability of Acceptance and Commitment Therapy in Daily Life (ACT-DL), a novel Ecological Momentary Intervention for people with Ultra-High-Risk (UHR) state and a First-Episode Psychosis (FEP). METHODS In the multi-center INTERACT randomized controlled trial, UHR and FEP individuals aged 15-65 were randomized to treatment as usual only (TAU) (control) or to ACT-DL+TAU (experimental), consisting of 8 face-to-face sessions augmented with an ACT-based smartphone application, delivering ACT skills and techniques in daily life. We collected data on treatment adherence to and acceptability of ACT-DL. Predictors included baseline demographic, clinical and functional outcomes. RESULTS ACT-DL+TAU participants (n=71) completed a mean of 6 (SD=3) sessions, with 59% (n=42) of participants completing all sessions. App adherence data (n=58) shows that, on a weekly basis, participants used the app 13 times and were compliant to 6 out of 24 (25%) notifications. Distribution plots of debriefing scores (n=46) show that 85%-96% of participants reported usefulness on all acceptability items to at least some extent (scores ≥2; 1=no usefulness), and that 91% reported perceived burden by number and length of notifications (scores ≥2; 1=no burden). Ethnic minority background predicted lower notification response compliance (b=-4.37; p=.012), yet higher app usefulness (b=1.25; p=.049). Negative (b=-0.26; p=.010) and affective (b=0.14; p=.04) symptom severity predicted lower and higher ACT training usefulness respectively. Being female (b=-1.03; p=.049) predicted lower usefulness of the ACT metaphor images on the app. CONCLUSIONS Our results corroborate good treatment adherence to and acceptability of ACT-DL in early psychosis. We provide recommendations for future intervention optimization. CLINICALTRIAL The trial was prospectively registered within the Dutch Trial Register (ID: NTR4252). INTERNATIONAL REGISTERED REPORT RR2-10.1186/s13063-019-3912-4

scholarly journals The Effectiveness of Acceptance and Commitment Therapy on Marital Burnout and Self-Compassion in Unsupervised Women under the Cover of NGOs of Tehran

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.

scholarly journals The Effects of Acceptance and Commitment Therapy on the Sense of Coherence, Locus of Control, and Posttraumatic Growth in Patients With Multiple Sclerosis

2020 ◽  
Vol 18 (4) ◽  
pp. 445-454
Author(s):  
Jalal Younesi ◽  
◽  
Javad Kazemi ◽  
Asghar Dadkhah ◽  
Akbar Biglarian ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Locus Of Control ◽  
Posttraumatic Growth ◽  
Acceptance And Commitment Therapy ◽  
Sense Of Coherence ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Test

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.

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