scholarly journals The Effectiveness of Acceptance and Commitment Group Therapy on Anxiety, Depression and Rumination in the mothers of Children with Special needs

2015 ◽  
Vol 2 (2) ◽  
Author(s):  
NargesZamani ◽  
MojtabaHabibi ◽  
Mani B.Monajemi

Background: Acceptance and commitment therapy is a third generation behavior therapy mainly used in treatment of mood and anxiety disorders. The main goal of this study was to investigate the effectiveness of acceptance and commitment group therapy on anxiety, depression and Rumination in mothers of children with special needs. Materials and Methods: The statistical society included mothers of children with special needs in Hamedan city. In this semi-experimental design, by using convenience sampling;18mothers were selected and they were divided into two groups of intervention and control randomly. Mental evaluation included a clinical interview (based on DSM-V), a clinical psychologist conducted Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI) and Rumination Response Scale (RRS). Depression, anxiety and rumination Scales were assessed at three stages: prior and after first intervention session and three weeks after the intervention sessions. Data were subjected to descriptive statistics and the analysis with a mixed ANOVA design. Results: Findings showed significant decrease in scales of Depression, Anxiety and Rumination and in post-test and follow up after Acceptance and commitment therapy intervention. Thus, group treatment based on the acceptance and commitment therapy caused significant changes in the treatment of anxiety, depression and rumination in mothers of children with special needs. Conclusion: The result of this study highlights the efficient role of acceptance and commitment group therapy on mothers of children with special needs and it introduces new horizons in clinical interventions.

2019 ◽  
Vol 6 (2) ◽  
pp. 117-124
Author(s):  
Muya Barida ◽  
Dian Ari Widyastuti

Children with Special Needs are children with disabilities in the development of life due to disruption (mental, intellectual, emotional, social, physical) in the social-social, career, and academic fields, so they need special services and are different from children in general. This study aims to determine the effectiveness of Acceptance and Commitment Therapy (ACT) to increase the self-acceptance of educators towards Children with Special Needs. This study uses an experimental approach to the design of one group pretest-posttest. The study was conducted on teachers who are members of the HIMPAUDI Sleman District, who were randomly selected and obtained as many as 27 teachers. Data analysis was performed using the T-Test technique. Based on the results of the study, it appears that the self-acceptance of educators towards Children with Special Needs before and after the training on Acceptance and Commitment Therapy (ACT) increases, but the increase is less significant. Conclusion The Acceptance and Commitment Therapy (ACT)  program is less effective in improving the self-acceptance of educators towards Children with Special Needs. Based on these results, it needs to be followed up with direct assistance or assistance in schools for educators who systematically help Children with Special Needs.


Author(s):  
Priyo Purnomo As’hab ◽  
Budi Anna Keliat ◽  
Ice Yulia Wardani

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.


2019 ◽  
Vol 6 (2) ◽  
pp. 46-52 ◽  
Author(s):  
Saharalsadat Torabian ◽  
Vahid Hemmati Sabet ◽  
Farahnaz Meschi

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.


2013 ◽  
Vol 2 (3-4) ◽  
pp. 74-78 ◽  
Author(s):  
Adrienne Juarascio ◽  
Stephanie Kerrigan ◽  
Stephanie P. Goldstein ◽  
Jena Shaw ◽  
Evan M. Forman ◽  
...  

2017 ◽  
Vol 31 (3) ◽  
pp. 171-190 ◽  
Author(s):  
Leandra Hallis ◽  
Luisa Cameli ◽  
Nadine Samia Bekkouche ◽  
Bärbel Knäuper

Cognitive therapy (CT) and acceptance and commitment therapy (ACT) have been shown to be effective in treating depression. Although integrating ACT with CT is used for the treatment of anxiety, there is a paucity of integrated CT and ACT treatments for depression and/or dysthymia. The purpose of this study is to determine the feasibility of integrating CT and ACT into a manualized group therapy treatment for depression and/or dysthymia. Over a period of 2 years, 4 consecutive groups were held at a community clinic, with 24 completing the 15-week treatment. Posttreatment and follow-up data revealed satisfaction with the treatment, significant decreases in depression severity, and significant increases in quality of life over the 5 time points. The results support the acceptability and feasibility of a manualized integrated CT/ACT group therapy program for depression and dysthymia.


2020 ◽  
Author(s):  
Haleh Shahed Hagh Ghadam ◽  
Amir Mohsen Rahnejat ◽  
Arsia Taghva ◽  
Mohammad Reza Ebrahimi ◽  
Vahid Donyavi ◽  
...  

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.


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