anxiety

Background: Death anxiety is among disruptive factors in mental health of a patient with breast cancer. Therefore, the present study was conducted to compare effectiveness of acceptance and commitment therapy and spiritual therapy on death anxiety of women with breast cancer.

Methods: In this quasi-experimental study, 24 women with breast cancer referred to Haft-e-Tir Hospital, Tehran, Iran were included by available sampling method. The participants were randomly assigned to two groups experimental and one control group. They were asked to fill out the Templer Death Anxiety Questionnaire consisting of 15 questions in a 3-month period in 3 phases of pre-test, post-test, and follow-up. Experimental groups received acceptance and commitment therapy and spirituality therapy in eight, 90-minute sessions, and they were followed up 2 months after the interventions. Data analysis was performed using Repeated-Measures ANOVA by SPSS Ver. 21.0.

Results: Results of the study showed that, 16 of the participants (66.7%) were 30-50 years old, and 17 of the participants (70.8%) were married. In addition, 15 of the participants (62.5%) had a degree below high school diploma and 15 (62.5%) of the participants had been diagnosed with Breast Cancer for less than one year. Results of the study showed a significant difference in the effect of spiritual therapy on death anxiety compared to acceptance and commitment therapy (P 0.05, F=4.07). On the other hand, the effect of spiritual therapy on death anxiety (P 0.001, F=10.09) was significant. But, acceptance and commitment therapy did not have a significant effect on death anxiety (P 0/05, F=2.704).

Conclusion: Since, spiritual involvement and beliefs could account for any of the variation in death anxiety, spiritual therapy was found to improve death anxiety indices in the patients with breast cancer and therefore, the therapists could use this method to improve death anxiety in these patients.

Previous research has suggested that brief protocols based on acceptance and commitment therapy (ACT) are efficacious in improving elite chess players’ performance without clinical problems. These promising results warranted the examination of the effect of longer ACT interventions with chess players suffering from emotional difficulties. This study advances in this direction by presenting two case studies of elite chess players experiencing anxiety disorders. Each participant was matched to a control participant with similar characteristics. The ACT interventions were conducted in 5 sessions and with occasional follow-ups during the following year. The primary dependent variable was an objective measure of chess performance (ELO Performance). Data analysis was conducted using the JZS+AR Bayesian hypothesis testing for single-case designs and the nonparametric Tau-U statistic. Control participants did not significantly improve their chess performance during the follow-up, but chess players who received the intervention showed significant increases in their performance. Both treated participants experienced clinically significant reductions in symptomatology and improved valued living after the intervention. This study provides empirical evidence regarding the potential benefit of applying ACT to improve chess performance in players with clinical problems 

Background: Behavioral activation (BA) and acceptance and commitment therapy (ACT) are considered particularly useful treatments when dealing with emotional problems of cancer survivors. The efficacy of these two treatments, applied on a group basis, were evaluated and compared.

Method: An analysis was carried out of pre-post treatment changes in the emotional state and patterns of activation/avoidance of 52 cancer patients, with anxiety and/or depression, randomly assigned to three groups (BA/ACT/waiting list control).

Results: Both therapies were superior to no treatment in all the variables evaluated. Significant differences were found between the two treatments in favor of ACT in social impairment and avoidance/rumination.

Conclusions: BA and ACT, applied on a group basis, are efficacious in the treatment of those emotional difficulties most prevalent in cancer survivors. Results suggest that activation and avoidance are the mechanisms responsible for the changes.

Tratamiento de ansiedad y depresión en supervivientes de cáncer: activación conductual versus terapia de aceptación. Antecedentes: la activación conductual (AC) y la terapia de aceptación y compromiso (ACT) se plantean como tratamientos especialmente útiles para los problemas emocionales de los supervivientes de cáncer. Se evaluó y comparó la eficacia de ambas terapias aplicadas en formato grupal.

Método: se analizaron los cambios pre-post tratamiento en el estado emocional y los patrones de activación/evitación de 52 supervivientes de cáncer con ansiedad y/o depresión que se asignaron aleatoriamente a tres grupos (AC/ACT/control de lista de espera).

Resultados: ambas terapias fueron superiores al no tratamiento en todas las variables evaluadas. Se encontraron diferencias significativas entre tratamientos a favor de la ACT en deterioro social y evitación/rumia.

Conclusiones: la AC y la ACT, en formato grupal, son eficaces para el tratamiento de las dificultades emocionales más prevalentes en supervivientes de cáncer. Los resultados apuntan a la activación y la evitación como mecanismos responsables de los cambios.

AIM:Considering the key role of human resources as the main operator of organisations, the present research aimed to determine the effectiveness of acceptance and commitment therapy foranxiety and depression of Razi Psychiatric Center staff.

MATERIALS AND METHODS:This research follows a quasi-experimental type with pre-test, post-test plans, and control group. Accordingly, 30 people were selectedthrough volunteered sampling among Razi Psychiatric Center staff. Then, they were randomly placed into two groups of 15 (experimental and control) and evaluated using research tools. Research tools consisted of Beck Anxiety and Depression Inventorieswhose reliability and validity have been confirmedin several studies. Research data were analysedusing the analysis of covariance (ANCOVA).

RESULTS:The statistical analysis confirmed the difference in the components of anxiety and depression in the experimental group, which had received acceptance and commitment therapy compared to the group that had not received any therapy in this regard (control group) (p<0.05).

CONCLUSION:Acceptance and commitment therapy reduces anxiety and depression.

چکیده

زمینه و هدف: هدف از پژوهش حاضر، بررسی و مقایسه میزان اثربخشی دو مداخله پذیرش و تعهد و شناختی- رفتاري بر

اختلال اضطراب فرگیر بود.

مواد و روشها: روش پژوهش نیمه آزمایشی است. جامعه آماري این پژوهش را دانشجویانی تشکیل می دادند که در سال

تحصیلی -96 95 به دفتر مشاوره دانشگاه آزاد اسلامی واحد تویسرکان مراجعه کرده بودند. این دانشجویان در مصاحبه

تشخیصی توسط روانشناس ملاكهاي 5DSM را براي اختلال اضطراب فراگیر برآورده کردند و در معاینه بالینی نیز

اختلالشان توسط روان پزشک تایید شد. در آزمون اضطراب بک نیز اضطرابشان متوسط و بالاتر بود. آزمودنی ها به طور

تصادفی در دو گروه بیست نفره قرار داده شدند. بعد از اجراي مداخله هاي پذیرش و تعهد و شناختی- رفتاري براي هر گروه،

دادهها توسط آزمون تی و کوواریانس تحلیل شدند.

یافتهها: یافته ها نشان داد که میانگین مداخله پذیرش و تعهد 12/3 (16/01 = t و 0/001 = p (و میانگین مداخله

شناختی- رفتاري 11/25 (10/60 = t و 0/001 = p (بر روي اختلال اضطراب فراگیر بودند. همچنین، تحلیل کوواریانس

نشان داد که مداخله پذیرش و تعهد نسبت به مداخله شناختی رفتاري اثربخشتر بود و f در سطح 0/03معنیدار است. بنابراین

هر سه فرضیه ما تایید شدند.

نتیجهگیري: پژوهش نشان داد که هر دو نوع مداخله در درمان اختلال اضطراب فراگیر اثربخش هستند، گرچه مداخله

پذیرش و تعهد اثربخش تر از مداخله شناختی- رفتاري بود.

Background: The present study aims to provide a comparative analysis of studies on Acceptance-Commitment and Cognitive-Behavioral interferences effectiveness on generalized Anxiety disorder.

Materials and Methods: This is a quasi-experimental research. Students at the Islamic Azad University of Toyserkan, Iran, who have been in contact with the counseling office in the educational year 2016-2017, were selected as statistical population. These students, in a diagnostic interview with a psychiatrist, met the DSM5 standards for generalized anxiety disorder and were approved by a trusted psychiatrist. Then, these selected subjects gave average or more score in beck anxiety test and were randomly divided into two groups of 20. After executing interferences for each group, data were analyzed by t-test and covariance.

Results: The findings indicated that the average acceptance and commitment interference was 12.3 (t= 16.01 and p < 0.001) and the average cognitive-behavioral interference was 11.25 (t= 10.60 and p < 0.001) on generalized anxiety disorder. Also, covariance analysis showed that ACT was more effective than CBT and f (0.03) was significant. Therefore, all hypotheses turned out to be approved.

Conclusion: The research demonstrated that both interferences are effective in treating generalized anxiety disorder, although Acceptance and Commitment interference is more effective than Cognitive and Behavioral interference. 

Background: Panti werdha in Indonesia is considered as a nursing home for elderly. However, there are still psychosocial problems occur such as loneliness, sadness, and anxiety disorders. Acceptance and Commitment Therapy (ACT) may be able to solve psychosocial problems especially for anxiety.

Objective: To analyze the extent of ACT's influence on the level of anxiety of the elderly living in the PSTW Bali.

Methods: This study was a quasi-experimental study with pretest posttest with control group. Sixty elderly were recruited and divided into control and treatment groups with 30 samples of each group. Paired and Independent T-test were used for data analysis.

Results: The paired T-test results in the control group showed significant differences of anxiety score between pretest and posttest after given generalist therapy (p <0.05). The result of paired T-test in the treatment group showed that there was a significant difference of anxiety score between pretest and posttest after given general and ACT therapy (p <0.05). The independent T-test showed that there was a significant difference of anxiety score between control group and treatment group (p <0.05).

Conclusion: ACT psychotherapy is effective in decreasing anxiety in elderly who are living in PSTW Bali.

چكيده

پژوهش، با هدف تعیین اثربخشی درمان مبتنی بر پذیرش وتعهد با تمرکز بر شفقت، بر اضطراب اجتماعی

دختران نوجوان 11 تا 11 ساله انجام شد. جامعه آماري این پژوهش کلیه دختران نوجوان 11 تا 11 ساله شهر

اصفهان در سال 1091 بود. به منظور انجام این پژوهش02 نفر دختر به شیوه هدفمند، انتخاب و با روش

تصادفی به گروههاي آزمایش و گواه گمارده شدند )هر گروه 16 نفر(. روش پژوهش نیمه تجربی بود.

مداخله درمانی به مدت 1 جلسه بر روي گروه آزمایش انجام گرفت و به گروه کنترل هیچ آموزشی ارائه

نشد. ابزار مورد استفاده در این پژوهش، پرسشنامه اضطراب اجتماعی نوجوانان (A-SAS (و پرسشنامه

اطالعات جمعیت شناختی محقق ساخته بود که در سه مرحله پیش آزمون، پسآزمون و پیگیري )0 ماهه(

تکمیل شد. دادههاي به دست آمده با روش آماري تحلیل کواریانس چند متغیره مورد تجزیه و تحلیل قرار

گرفت. نتایج این پژوهش نشان از وجود تفاوت معنادار در گروه آزمایش و گواه، در مرحله پسآزمون

)1/11≥P )و پیگیري )1/12≥P )بود، لذا با اطمینان 91 درصد میتوان نتیجه گرفت که اثربخشی مداخله

درمانی مبتنی بر پذیرش وتعهد با تمرکز بر شفقت، بر اضطراب اجتماعی دختران نوجوان موثر است.

The purpose of this research was to determine the effect of acceptance and commitment therapy focused on self -compassion on social anxiety of adolescent girls. Thirty two female adolescents with social anxiety were randomly selected in Isfahan. The participants were randomly assigned to experimental and control groups (sixteen persons in each group). The study performed in pretest, posttest and follow up stages. Social Anxiety Scale for Adolescents (SAS-A) and demographical information questionnaires were used to gather the data. The interventions were consisted of self-compassion focused therapy with acceptance and commitment therapy method (8 sessions for experimental group). Data were analyzed by multivariate analysis of covariance. The results showed that acceptance and commitment therapy focused on self -compassion had a significant effect on Reducing of social anxiety in adolescent girls in posttest(P≤0.01) and follow up (P<0.02). The study supported that acceptance and commitment therapy focused on self -compassion can reduce social anxiety in adolescent girls.  

زمینه و هدف

موج سوم درمان شناختی رفتاری ازجمله درمان مبتنی بر پذیرش و تعهد، شامل رویکردها و روش های جدیدی است که پتانسیل بالایی برای رسیدگی به موارد پیچیده سوءمصرف مواد دارد. به نظر می رسد درمان مبتنی بر پذیرش و تعهد با تاکید بر ذهن آگاهی و توجه بر انعطاف پذیری روان شناختی، در بازتوانی معتادان تحت متادون درمانی موثر باشد. پژوهش حاضر با هدف تعیین اثربخشی درمان گروهی مبتنی بر پذیرش و تعهد در کاهش وسواس فکری و عملی مصرف مواد، اضطراب و افسردگی معتادان تحت متادون درمانی انجام شد.

روش بررسی

در این مطالعه ی شبه تجربی، جامعه ی آماری شامل کلیه ی مردان معتاد تحت درمان با متادون شهر زنجان در سال های 94تا 95 بود. نمونه ای به حجم 30 نفر با روش نمونه گیری در دسترس انتخاب و به صورت تصادفی ساده و مساوی در دو گروه مداخله و کنترل قرار داده شدند و گروه مداخله در 8 جلسه 90 دقیقه ای گروه درمانی مبتنی بر رویکرد پذیرش و تعهد شرکت کردند. پرسش نامه های مقیاس وسواس فکری-عملی مصرف مواد مدل و همکاران، اضطراب و افسردگی در قالب پیش آزمون، پس آزمون و یک دوره پیگیری سه ماهه در دو گروه اجرا شد.

یافته ها

گروه درمانی مبتنی بر پذیرش و تعهد به طور موثری توانست وسواس فکری و عملی مصرف مواد، اضطراب و افسردگی را کاهش دهد (05/0P<). اندازه ی اثر گروه درمانی مبتنی بر پذیرش و تعهد نسبت به گروه کنترل در مرحله پس آزمون در مورد وسواس فکری و عملی مصرف مواد (04/1) ، اضطراب (64/1) و افسردگی (6/1) بزرگ بود؛ و این تاثیرات در یک دوره پیگیری سه ماهه با ثبات باقی ماندند.

نتیجه گیری

پژوهش حاضر نشان داد درمان مبتنی بر پذیرش و تعهد به طور موثری در کاهش وسواس فکری-عملی مصرف مواد، اضطراب و افسردگی موثر است؛ بنابراین درمان مبتنی بر پذیرش و تعهد را می توان به عنوان یک مداخله موثر برای اختلالات روان شناختی مرتبط با سوءمصرف مواد در بیماران تحت متادون درمانی به کار برد.

واژگان کلیدی: درمان مبتنی بر پذیرش و تعهد، وسواس فکری و عملی، اضطراب، افسردگی، معتاد، متادون درمانی

Background and Objective

The third wave of cognitive behavioral therapy (CBT) including acceptance and commitment therapy (ACT) embraces new approaches and methods potentially capable of addressing complex cases of substance abuse. It seems that the third wave of (CBT) emphasizing mindfulness and psychological resilience are effective in the rehabilitation of addicts undergoing methadone treatment.The present study intended to assess the effectiveness of group therapy based on acceptance and commitment in reducing the obsessive-compulsive use of substance, anxiety and depression of addicts under methadone treatment.

Materials and Methods

In this quasi-experimental study, the statistical population included all addicted men who received methadone treatment in Zanjan in 1983-94. A sample of 30 patients was selected through convenience sampling & randomly assigned into two groups, intervention and control. The intervention group participated in 8 sessions of 90-minute group therapy based on acceptance and commitment. Obsessive-compulsive use of substance and anxiety/depression questionnaires were completed in the form of a pre-test, a post-test and a quarterly follow-up period in both groups.

Results

Group therapy based on acceptance and commitment effectively reduced the obsessive-compulsive use of substance, anxiety and depression (P <0.05).The effectiveness of this intervention in increasing physical health was not statistically significant (P> 0.05). The effect of group therapy based on acceptance and commitment was substantial in comparison to the control group in the post-test phase regarding the obsessive-compulsive use of substance (1.04), anxiety (1.63) and depression (1.6), furthermore, these effects remained stable over a quarterly follow-up period.

Conclusion

The present study showed that acceptance and commitment therapy is effective in decreasing obsessive-compulsive use of substance, anxiety and depression.Therefore, acceptance and commitment therapy can be used as an effective intervention for psychological disorders associated with drug abuse in methadone-treated patients

Full text: http://www.magiran.com/magtoc.asp?mgID=1364&Number=117&Appendix=0&l=en