The Effectiveness of Acceptance and Mindfulness-Based Therapy on Physical Activity Increment and Obesity Decrement in the Patients Suffering from Heart Disease in Bandar Abbas

This research is aimed at determining the role of acceptance and mindfulness therapy on physical activity increment and obesity decrement in in the patients suffering from heart disease in Bandar Abbas. In terms of type, the research is applied one and in terms of research method, it is a quasi-experimental study along with a pretest-posttest with a control group. The statistical population of the research involves all the patients suffering from heart disease being overweight who had visited Bandar Abbas’ hospitals during 2016-2017 and according to angiographic reports, eclipse was more than 50% and BMI >= 30. Available sampling method was used in the study. The population size was 20 that 10 were assigned to experimental group and 10 to control group. The data were collected though making use of physical activity level, body mass index (BMI) questionnaire. The obtained data were analyzed using covariance analysis and SPSS software. The results showed that acceptance therapy had been effective on physical activity increment and body mass decrement of the patients suffering from heart disease. Based on the obtained results, it can be concluded that mindfulness-based therapy can be considered as a non-invasive treatment.

DIFICULTADES PARENTALES RELACIONADAS CON EL EFECTO DE ESTIGMA EN EL ÁMBITO DE LOS TRASTORNOS GENERALIZADOS DEL DESARROLLO Y ESTRATEGIAS DE INTERVENCIÓN EN FAMILIAS

Introduction: When a child is diagnosed with ASD, his family undergoes a process of adaptation to the new situation that is faced. There are many cases of stigmatization inGeneralized Developmental Disorders (PDD) and the difficulties faced by families. For this reason, their difficulties must be addressed through useful intervention strategies.Objectives: The objective of this study is to study, through a systematic review of the scientific literature, parental difficulties and the effect of stigma in the field of disorders of development, as well as intervention strategies in autism.Methodology: A systematic review of scientific articles has been carried out consulting the databases. The materials have been restricted by publication date (2000/2017) and have been searched with the following descriptors in Spanish and English: stigma and autism, autism and families, therapies in families and autism / Stigma and autism, autism and families, family therapies and autism.Results: The results show that there are certain parental behaviors considered to be at risk for the development and promotion of the psychological difficulties of the children, as well such as difficulties in the family and school environment related to stigmatization of children diagnosed with PDD. Over the years there have been many intervention strategies used to reduce them, being those based on third generation therapies that have reported better results.Conclusion: There is a need to promote techniques of Acceptance Therapy and Commitment in schools of families, as well as further investigation.Keywords: Parental difficulties, stigma, TGD and intervention strategies.Resumen.Introducción: Cuando un niño o niña recibe el diagnóstico de TEA su familia sufre un proceso de adaptación a la nueva situación que se afronta. Son muchos los casos de estigmatización en los Trastornos Generalizados del Desarrollo (TGD) y las dificultades que se les plantean a las familias. Por ello se debe dar respuesta a sus dificultades mediante estrategias de intervención útiles.Objetivos: El objetivo del presente trabajo es estudiar, mediante una revisión sistemática de la literatura científica, las dificultades parentales y el efecto de estigma en el ámbito de los trastornos generalizados del desarrollo, así como las estrategias de intervención en familias de niños con autismo.Metodología: Se ha realizado una revisión sistemática de artículos científicos consultando las bases de datos. Los materiales han sido restringidos por fecha de publicación (2000/2017) y se han buscado con los siguientes descriptores en español e inglés: estigma y autismo, autismo y familias, terapias en familias y autismo/ Stigma and autism, autism and families, family therapies and autism. Resultados: Los resultados ponen de manifiesto que hay determinadas conductas parentales consideradas de riesgo para el desarrollo y fomento de las dificultades psicológicas de los hijos, así como las dificultades existentes en el ámbito familiar y escolar relacionado con la estigmatización de los niños diagnosticados de TGD. A lo largo de los años han sido muchas las estrategias de intervención empleadas para paliarlas, siendo las basadas en terapias de tercera generación las que han reportado mejores resultados.Conclusión: Surge la necesidad de fomentar técnicas propias de la Terapia de Aceptación y Compromiso en escuelas de familias, así como seguir investigando al respecto.Palabras clave: Dificultades parentales, estigma, TGD y estrategias de intervención.

Acceptance and commitment therapy (ACT) predictive factors of return to work after depression

IntroductionProlonged sick leaves are a major risk to quit the world of work and depression is the leading cause of disability in France. New therapies from the third wave of CBT as the Commitment and Acceptance Therapy (ACT) may be interesting to promote the return to work (RTW).ObjectivesTo assess predictive factors of return to work after depression.MethodsThis is a descriptive, prospective and multicentric study. The recruitment of investigating doctors was conducted by the publication of an advertisement in a French journal of occupational medicine. Each investigator recruited patients during reinstatement medical examination after a prolonged sick leave for depressive syndrome. Sociodemographic, occupational, medical and psychological factors (particularly in connection with the ACT) was assessed at baseline and 3 months later.ResultsThirty-one patients were initially included in the study, but 2 were lost to follow up at 3 months and 29 were analyzed. Twenty three patients RTW at 3 months. Those who RTW were less anxious (P = 0.023), less depressed (P = 0.021), had a better impression of improvement (P = 0.0066) and had a lower score of experiential avoidance (P = 0.0025).ConclusionsThe ACT, through its action on the reduction of experiential avoidance, and the definitions of new life values could allow a faster RTW after a sick leave for depressive syndrome.Disclosure of interestThe authors have not supplied their declaration of competing interest.