anxiety

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.

Obesity is a major health problem which leads to a decline in the indicators of individuals’ mental and physical health. Studies have indicated that there is a significant relationship between obesity, anxiety and depression; as well obesity can negatively affect interpersonal communication and create interpersonal problems. The present study was conducted to investigate the effect of group training based on acceptance and commitment on reducing anxiety and interpersonal problems in obese women in Tehran, Iran. This present quasi-experimental study was conducted on a statistical population comprising all obese women presenting to a health home in District 2 of Tehran. Thirty of these women were selected using convenience sampling and were randomly assigned to an experimental group (n=15) and a control group (n=15). The participants completed the Depression Anxiety Stress Scale (DASS) and the Inventory of Interpersonal Problems (IIP-32). The 15-session treatment protocol proposed by Eifert was used for group training based on acceptance and commitment. Group training based on acceptance and commitment reduced anxiety in obese women and improved their interpersonal relationships. According to the results of the data analysis, group training based on acceptance and commitment therapy affected the psychological process of obese women and reduced anxiety and interpersonal problems of the experimental group compared to the controls in the posttest stage.

اهداف از جمله مشدددکلاا دانشآموزان که بر عملکرد تلیدددیلی آنها تأریر نامالوبی دارد اضددداراا امتلان و

نداشدت سدرزندگی تلیدیلی اسدت. پژوهش اضدر بهمنظور بررسی ارربخشی درمان مبتنی بر پ یر و تزهد بر

اضاراا امتلان و سرزندگی تلییلی دانشآموزان انجام پ یرفت.

مواد و روشها پژوهش از نو نیمهآزمایشدددی با فری پیشآزمون، پسآزمون و پیگیری با گروه کنتر بود. جامزة

آماری پژوهش را تمامی دانشآموزان د تر مقاع دو متوسداه شدهر کرمانشداه در سدا تلییلی 75-78 تشکیب

میدادند که از میان آنها با اسدتفاده از رو نمونهگیری وشهای چندمر لهای، 98 نفر از دانشآموزان بهصورا

تیددادفی در دو گروه آزمایش و کنتر جایگزی شدددند. در گروه آزمایش مدا له مبتنی بر پ یر و تزهد، در 5

هفته پیاپی، هفتهای دو جلسده اراهه شدد. برای گردآوری دادهها، آزمودنیها پرسدشنامه اضاراا امتلان ساراسون

)6708( و سدرزندگی تلییلی دهقانی و سی چاری )6976( را در سه مر لة پیشآزمون، پسآزمون و پیگیری

یک ماه و نیمه تکمیب کردند. دادهها از فریق تللیب کوواریانس تک متغیری تجزیهوتلیب شد.

یافتهها نتایج نشدان داد اندازة ارر متغیرهای اضاراا امتلان در پسآزمون)79 درصد( و پیگیری ) 09 درصد( و

در متغیر سرزندگی تلییلی در پسآزمون) 18درصد( مر لة پیگیری) 16 درصد( است )8/886> p).

نتیجهگیری براسداس یافتهها در گروه آزمایش در مقایسده با گروه کنتر ، اضداراا امتلان در زمان پسآزمون و

پیگیری بهفور مزنادار کاهش و سدددرزندگی تلیدددیلی افزایشیافته اسدددت. یافتههای ای پژوهش نقش و اهمیت

درمان پ یر و تزهد در کاهش اضاراا امتلان و افزایش سرزندگی تلییلی را افرنشان میسازد

Background: Among the problems of students who have an unpleasant effect on their academic performance is the test anxiety and lack of academic buoyancy. The purpose of present study was investigation the effectiveness of acceptance and commitment therapy on test anxiety and academic buoyancy of female students.

Material & Methods: The research type was semi experimental with design with pre-test and follow-up design 30 female students were chosen randomly and assigned into tow control and experimental. Experimental group received 8 sessions Intervention based on acceptance and commitment 2 times weekly. Instrument was Sarason test anxiety (1984) and academic buoyancy Hosin chari (2012) questionnaire. The multivariate analysis of covariance was used to data analysis.

Results: Findings showed that effect size in test anxiety variable was (post-test=.93, follow-up =.83) and in academic buoyancy was (posttest =.64, follow-up =.61) (p≥.001).

Conclusion: There is significant difference in test anxiety and academic buoyancy between experimental and control groups in post-test and follow-up stage. In whole The results indicated the role and importance of acceptance and commitment in promoting test anxiety and academic buoyancy in students.

اهداف از جمله مشدددکلاا دانشآموزان که بر عملکرد تلیدددیلی آنها تأریر نامالوبی دارد اضددداراا امتلان و

نداشدت سدرزندگی تلیدیلی اسدت. پژوهش اضدر بهمنظور بررسی ارربخشی درمان مبتنی بر پ یر و تزهد بر

اضاراا امتلان و سرزندگی تلییلی دانشآموزان انجام پ یرفت.

مواد و روشها پژوهش از نو نیمهآزمایشدددی با فری پیشآزمون، پسآزمون و پیگیری با گروه کنتر بود. جامزة

آماری پژوهش را تمامی دانشآموزان د تر مقاع دو متوسداه شدهر کرمانشداه در سدا تلییلی 75-78 تشکیب

میدادند که از میان آنها با اسدتفاده از رو نمونهگیری وشهای چندمر لهای، 98 نفر از دانشآموزان بهصورا

تیددادفی در دو گروه آزمایش و کنتر جایگزی شدددند. در گروه آزمایش مدا له مبتنی بر پ یر و تزهد، در 5

هفته پیاپی، هفتهای دو جلسده اراهه شدد. برای گردآوری دادهها، آزمودنیها پرسدشنامه اضاراا امتلان ساراسون

)6708( و سدرزندگی تلییلی دهقانی و سی چاری )6976( را در سه مر لة پیشآزمون، پسآزمون و پیگیری

یک ماه و نیمه تکمیب کردند. دادهها از فریق تللیب کوواریانس تک متغیری تجزیهوتلیب شد.

یافتهها نتایج نشدان داد اندازة ارر متغیرهای اضاراا امتلان در پسآزمون)79 درصد( و پیگیری ) 09 درصد( و

در متغیر سرزندگی تلییلی در پسآزمون) 18درصد( مر لة پیگیری) 16 درصد( است )8/886> p).

نتیجهگیری براسداس یافتهها در گروه آزمایش در مقایسده با گروه کنتر ، اضداراا امتلان در زمان پسآزمون و

پیگیری بهفور مزنادار کاهش و سدددرزندگی تلیدددیلی افزایشیافته اسدددت. یافتههای ای پژوهش نقش و اهمیت

درمان پ یر و تزهد در کاهش اضاراا امتلان و افزایش سرزندگی تلییلی را افرنشان میسازد

Background: Among the problems of students who have an unpleasant effect on their academic performance is the test anxiety and lack of academic buoyancy. The purpose of present study was investigation the effectiveness of acceptance and commitment therapy on test anxiety and academic buoyancy of female students.

Material & Methods: The research type was semi experimental with design with pre-test and follow-up design 30 female students were chosen randomly and assigned into tow control and experimental. Experimental group received 8 sessions Intervention based on acceptance and commitment 2 times weekly. Instrument was Sarason test anxiety (1984) and academic buoyancy Hosin chari (2012) questionnaire. The multivariate analysis of covariance was used to data analysis.

Results: Findings showed that effect size in test anxiety variable was (post-test=.93, follow-up =.83) and in academic buoyancy was (posttest =.64, follow-up =.61) (p≥.001).

Conclusion: There is significant difference in test anxiety and academic buoyancy between experimental and control groups in post-test and follow-up stage. In whole The results indicated the role and importance of acceptance and commitment in promoting test anxiety and academic buoyancy in students.

Acceptance and Commitment Therapy (ACT) has a growing empirical base in the treatment of anxiety among adults and children with other concerns. This study reports on the main outcomes of a randomized controlled trial of ACT and traditional cognitive behavioral therapy (CBT) in children with a Diagnostic and Statistical Manual of Mental Disorders (4th ed.) anxiety disorder. Participants were 193 children from urban Sydney, Australia, who were block-randomized to a 10-week group-based program of ACT or CBT or a 10-week waitlist control (WLC). Completers included 157 children (ACT = 54, CBT = 57, WLC = 46; M = 11 years, SD = 2.76; 78% Caucasian, 58% female). Pretreatment, posttreatment, and 3 months posttreatment assessments included clinician/self/parent-reported measures of anxiety, quality of life (QOL; anxiety interference, psychosocial and physical health-related QOL), and acceptance/defusion outcomes. Completer and intention-to-treat analyses revealed that ACT and CBT were both superior to WLC across outcomes, reflecting statistically and clinically significant differences, with gains maintained at 3 months posttreatment. Both completer and intention-to-treat analyses found ACT and CBT to produce similar outcomes. There was some support for ACT having greater effect sizes for QOL outcomes but not for avoidance/fusion. Although this study does not suggest that ACT is equivalent to CBT or should be adopted in its place, it does provide evidence that ACT might be another empirically supported treatment option for anxious youth. Further research is needed to replicate these findings.