Effectiveness of ACT (ACT) on insecure attachment, fear of intimacy, and addiction to social networks in teenagers with suicidal history
Solgi, Z. (2018). Effectiveness of ACT (ACT) on insecure attachment, fear of intimacy, and addiction to social networks in teenagers with suicidal history. The Journal of Applied Psychology, 11(4), 535-555.
Objective: The aim of the research was to determine the effectiveness of Acceptance and Commitment Therapy (ACT) on insecure attachment, fear of intimacy, and addiction to social networks in adolescents with a history of suicide attempts.
Method: The research method was semi-experimental with a control group and a pretest-posttest-follow-up design. The statistical population consisted of 49 male and female adolescents with a history of suicide attempts who had visited the emergency departments of Imam Khomeini Medical Center in District 1 and Taleghani Medical Center in District 8 of Kermanshah in 2024. 33 adolescents were selected by convenience sampling and randomly assigned to experimental and control groups.
Research Tools: The research tools included Hazan and Shaver's Attachment Styles Questionnaire (1987), the Fear of Intimacy Scale by Deschamps and Thullen (2000), the Social Media Addiction Questionnaire by Khajeh Ahmadi, Poladi, and Bahrini (2016), and the Acceptance and Commitment Therapy program by Hayes and Roy (2010). The intervention was conducted in 8 weekly sessions, each lasting 5 hours, for the experimental group. Both groups completed the research questionnaires at three stages, and the data were analyzed using mixed analysis of variance with repeated measures.
Findings: The results showed that ACT had an effect on insecure attachment (F = 82.33, P = 0.03), fear of intimacy (F = 82.33, P = 0.03), and social media addiction (F = 83.33, P = 0.03), and this effect remained stable at the three-month follow-up stage.
Conclusion: Since ACT leads to psychological flexibility and individual commitment to performing meaningful actions based on human values, it can be used as an effective intervention method for addressing psychological issues, including preventing suicide attempts among adolescents.
Keywords: Addiction, Acceptance, Commitment, Suicide, Insecure Attachment, Social Networks
چکیده
هدف: هدف پژوهش تعیین اثربخشی درمان پذیرش و تعهد بر دلبستگی ناایمن، ترس از صمیمیت و اعتیاد
به شبکههای اجتماعی در نوجوانان دارای سابقه خودکشی بود. روش: روش پژوهش نیمهآزمایشی با گروه
گواه و طرح پیشآزمون، پسآزمون و پیگیری و جامعه آماری 49 نوجوان دختر و پسر دارای سابقه اقدام
به خودکشی بود که در سال 3345 به اورژانس مرکز درمانی امامخمینی واقع در منطقه یک و مرکز درمانی
طالقانی واقع در منطقه 8 کرمانشاه مراجعه کرده بودند. بهشکل در دسترس، 33 نوجوان انتخاب و بهشکل
تصادفی در دو گروه آزمایش و گواه جایگزین شد. ابزار پژوهش پرسشنامههای سبکهای دلبستگی هازان
و شیور 3488 ، ترس از صمیمیت دسکانتر و ثلن ) 3443 (، اعتیاد به شبکههای اجتماعی خواجه احمدی،
3/ پولادی و بحرینی ) 3345 ( و برنامه درمان پذیرش و تعهد هیز و روز، 8338 بود که طی 8 جلسه 5
ساعته، یکبار در هفته در مورد گروه آزمایش اجرا شد. هر دو گروه در سه مرحله به پرسشنامههای پژوهش
پاسخ دادند و دادهها با استفاده از تحلیل واریانس مختلط با اندازهگیری مکرر تحلیل شد. یافتهها: نتایج
38/ ترس از صمیمیت ) 34 ،)P= 3/333 ،F= 82/ نشان داد درمان پذیرش و تعهد بر دلبستگی ناایمن ) 33
اثر داشته و این تأثیر در مرحله )P= 3/333 ،F= 82/ و اعتیاد به شبکههای اجتماعی ) 83 )P= 3/333 ،F=
پیگیری سه ماهه پایدار مانده است. نتیجهگیری: از آنجا که درمان پذیرش و تعهد منجر به انعطافپذیری
روانشناختی و تعهد فرد به انجام اعمال معنادار مبتنی بر ارزشهای انسانی میشود؛ میتوان از آن بهعنوان
روش مداخلهای مؤثر برای درمان مسائل روانشناختی منجمله پیشگیری از اقدام به خودکشی نوجوانان
استفاده کرد.
کلیدواژهها: اعتیاد، پذیرش، تعهد، خودکشی، دلبستگی ناایمن، شبکههای اجتماعی
Capturing the context of drug use for college students: A contextual behavioural science informed qualitative analysis of harm reduction practices using network feedback loops simulation modelling
Vasilis, V.S., Meany, L., Belluci, C., Dockray, S., Linehan, C., Dick, S., Davoren, M.P., & Byrne, M. (2024). Capturing the context of drug use for college students: A contextual behavioural science informed qualitative analysis of harm reduction practices using network feedback loops simulation modelling. Journal of Contextual Behavioral Science, 34, 100844. https://doi.org/10.1016/j.jcbs.2024.100844
Drug use during college can have substantial harm on students' lives and impacts the institutions' functioning and local communities. Yet existing interventions for drug use at college poorly address the concurrent dynamic influences of the experiences in earlier developmental periods of young adults and the proximal contextual triggers of college life; both risk factors that can contribute to drug use. To address this, we leveraged system dynamic methods and contextual-behavioural science (CBS) approaches to support the development of interventions focusing at addressin these risk factors. Using Causal Loop Diagram methods (Vensim PLE), we collected qualitative data from college students to generate Network Feedback Loops (NFLs) (n = 24, Maged 22 years old), during the development phase of the MyUse: a contextual behavioural change intervention for harm reduction practices at college students. The findings underscored central nodes (determinants within an intervention) that support our previous identified three CBS-harm-reduction practices for college students (targeted edges: mindful drug-use decision making, value-based activities, context-sensitive personalized plan of harm reduction). Analyses revealed 4 NFLs for students with previous drug use, consisting of 13 edges (4 positive, 2 negative, and 4 balancing reinforcing relationships) and 3 NFLs for students with no previous drug use, consisting of 4 positives, one negative, and one balancing relationship. All the NFLs were nested with the three CBS-related targeted outcomes. College students who use drugs need drug-related knowledge about the unpredictable and adverse effects of drugs, presented in a compassionate way and distributed from credible resources (e.g., students’ unions/club). Students with no previous drug use need education about the effects of drugs and awareness of how drugs can devaluate value-based activities (e.g. sports, friendships, social life). These should be delivered via proxy cue reminders and mobile-text approaches conveying messages about drug use susceptibility, distributed in real-time. Idiosyncratic, dynamic, and contextual-bound factors of lapse risks or preventive practices should account for each person-specific vulnerabilities via personalized harm reduction plans.
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Applying ACT to Addictions SIG
Applying ACT to Addictions Special Interest Group
Affiliated 2013