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Adam, Sumartini, Wardany, Rohaedi, & Febrianti. 2026

APA Citation

Adam, R. J., Sumartini, S., Wardany, N. S., Rohaedi, S., & Febrianti, A. (2026). Acceptance and commitment therapy versus expressive writing therapy for emotional regulation and emotional numbing among nursing students. Jurnal Keperawatan Suaka Insan, 11(1), 1-15. https://doi.org/10.51143/jksi.v11i1.1023
 

Publication Topic
ACT: Empirical
Publication Type
Article
RCT
Language
English
Keyword(s)
Acceptance and Commitment Therapy, Expressive Writing Therapy, Emotion Regulation, Emotional Numbing, Nursing Students
Abstract

Emotional numbing among nursing students can impair emotional regulation and increase vulnerability to psychological distress. This study aimed to compare the effectiveness of ACT and EWT in enhancing emotional regulation and reducing emotional numbing. A quasi-experimental pretest–posttest two-group design was conducted, involving 52 nursing students selected through purposive sampling and subsequently assigned to intervention groups primarily through random allocation. Emotional regulation was measured using DERS, while emotional numbing was assessed with the ERNS-G. Data were analysed using paired t-tests and ANCOVA to compare posttest outcomes while controlling for pretest scores. Both ACT and EWT significantly improved emotional regulation and reduced emotional numbing within groups (p < .05). However, ANCOVA revealed no statistically significant differences between ACT and EWT in emotional regulation (F = 1.373, p = .247, ?² = .027) or emotional numbing (F = 0.791, p = .378, ?² = .016) after controlling for pretest scores. Both ACT and EWT were effective in improving emotional regulation and reducing emotional numbing among nursing students. Nevertheless, no statistically significant difference in effectiveness was found between the two interventions.