Influence of Acceptance and Commitment Therapy on anxiety, depression and post-traumatic growth of parents of children with leukemia

[目的]探讨接纳与承诺疗法对白血病患儿父母焦虑抑郁和创伤后成长的影响。[结果]选取2018年3月—2018年11月在某院治疗的89名白血病患儿父母作为研究对象,采用随机数字表法分为对照组44人和试验组45人,最终完成调查的患儿父母为对照组43人和试验组41人。对照组采用常规心理干预方法,试验组在常规心理干预的基础上增加接纳与承诺疗法。比较两组患儿父母干预前和干预后3个月的焦虑自评量表（SAS）、抑郁自评量表（SDS）得分和创伤后成长评定问卷（PTGI）得分情况。[结果]干预前1 d两组患儿父母的焦虑、抑郁和创伤后成长得分比较差异无统计学意义（P＞0.05）,干预后3个月试验组患儿父母的SAS、SDS得分明显低于对照组,而PTGI得分明显高于对照组（P＜0.05）。[结论]接纳与承诺疗法能有效降低白血病患儿父母的焦虑、抑郁水平,并促进其创伤后成长。 

[Objective] To investigate the effects of acceptance and commitment therapy (ACCT) on anxiety, depression, and post-traumatic growth in parents of children with leukemia. [Results] Eighty-nine parents of children with leukemia treated in a hospital between March and November 2018 were enrolled and randomly divided into a control group (n=44) and an experimental group (n=45). A total of 43 parents in the control group and 41 parents in the experimental group completed the survey. The control group received conventional psychological intervention, while the experimental group received ACCT in addition to conventional psychological intervention. The Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Post-Traumatic Growth Inventory (PTGI) scores of the two groups were compared before and three months after the intervention. [Results] There was no statistically significant difference in anxiety, depression, and post-traumatic growth scores between the two groups one day before the intervention (P>0.05). Three months after the intervention, the SAS and SDS scores of the experimental group were significantly lower than those of the control group, while the PTGI scores were significantly higher (P<0.05). [Conclusion] Acceptance and commitment therapy can effectively reduce the anxiety and depression levels of parents of children with leukemia and promote their post-traumatic growth.