Kong, Y., Liu, W., & Chang, T. (2020). Effects of acceptance and commitment therapy on psychological resilience and post-traumatic growth of convalescent patients with severe craniocerebral injury. China Journal of Health Psychology, 28(10), 1463-1468.
Objective: To study the effects of acceptance and commitment therapy (ACT) on psychological resilience and post-traumatic growth in convalescent patients with severe craniocerebral injury.
Methods: 132 convalescent patients with severe craniocerebral injury treated in our hospital from March 2015 to February 2019 were randomly divided into control group (n = 66) and observation group (n=66).The control group received routine health education (twice a week ,6 times) , while the observation group received acceptance and commitment therapy(3 weeks).The scores of psychological resilience scale (CD-RISC), post-traumatic growth scale (PTGI), Zung self-rating depression scale (SDS), Zung self-rating anxiety scale (SAS), Karnofsky prognosis scale (KPS), activities of daily living (ADL) and life satisfaction scale (SWIS) were observed before and after intervention.
Results: The scores of tenacity,optimism and self-improvement in CD-RISC after intervention in the observation group were significantly higher than those in the control group(t=14.774,7.282,2.773;P<0.05), and the scores of perception of life, personal strength, new possibility, relationship with others and self-transformation in the PTGI scale after intervention in the observation group were significantly higher than those in the control group (t=12.215,14.382,8.840,7.302,6.659;P<0.05). After intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group (t=-9.050,-6.883;P<0.05), while the scores of KPS, ADL and SWIS in the observation group were significantly higher than those in the control group (t=6.794,3.194,2.440;P<0.05).
Conclusion: ACT intervention can effectively improve the psychological resilience state ,improve the post-traumatic growth level, improve the bad mood and improve the quality of life of convalescent patients with severe craniocerebral injury.
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