anxiety

Introduction: In recent years, psychological therapies increasingly used as complementary treatment along medication to help clinicians. The purpose of this study was to compare the effectiveness of two methods of group psychotherapy: Acceptance and commitment therapy (ACT) and logo therapy (LT) on the symptoms of anxiety, depression and stress in women with relapsing-remitting Multiple Sclerosis (RRMS).

Materials and Methods: A sampling method was used to select 45 women from multiple sclerosis patients in Kermanshah (Iran). They were randomly assigned into two groups of experimental and one control group (n = 15 in each group). The first experimental group received 8 group sessions of ACT treatment. The second experimental group received 10 group sessions of LT as well, while the control group had just 8 simple group meeting with the therapist. All subjects completed Anxiety, Depression, and Stress Scales (DASS-42) before, after and three months after the application.

Results: The mean of symptoms of anxiety, depression and stress in both experimental groups after intervention was significantly different with the mean of control group. However, no significant difference was observed between two experimental groups.

Conclusion: Logo therapy and ACT are effective in decreasing the symptoms of depression, anxiety and stress in women with RRMS and could be recommended as adjunct therapies along with their medication.  

Full text available: http://koomeshjournal.semums.ac.ir/article-1-4595-en.html

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.

Early access to evidence-based help is crucial for adolescents with anxiety disorders. Internet-delivered acceptance and commitment therapy (iACT) may offer adolescents increased access to care and more flexibility in engaging with treatment when and how they prefer. Process-based therapies, such as ACT, focus on theoretically derived and empirically tested key mechanisms in treatment that enable change. This study aimed to investigate the effectiveness of iACT for adolescents with anxiety disorders. The study also assessed the relationship between psychological flexibility and treatment outcomes and the relationship between participating adolescents’ and therapists’ perceived alliance and treatment outcomes. This was a randomized controlled trial comparing a 10-week intervention group with a wait-list control group. The 52 participants, aged 15 to 19, were recruited from all over Sweden. The treatment was effective in increasing quality of life and psychological flexibility, with moderate between-group effect sizes based on observed values. Changes in psychological flexibility was associated with changes in anxiety symptoms. The results further showed a statistically significant between-group difference in post-treatment diagnoses. No significant time per group interaction was found for anxiety symptoms, as both groups improved. Working alliance was rated as high by both participating adolescents and therapists but showed no significant relationship with treatment outcomes. Participants found the treatment an acceptable intervention. This study shows promising results for iACT in treating adolescents with anxiety disorders. The results suggest the model of psychological flexibility as an important process of change in treatment outcomes. Future research should validate these findings in larger samples and clinical contexts.

This research was carried out to study the effectiveness of acceptance and commitment therapy on anxiety in nurses. The method in this research was quasi-experimental with pretest and posttest design with control group. The statistical population in this research included all nurses in Shiraz County Dena Hospital during 2018. The sample included 30 participants who were selected through purposive sampling and they were randomly divided into two groups of experiment (15 members) and control (15 members). The data collection instrument n this research was Beck Anxiety Inventory (1988). In order to analyze the data, analysis of covariance (ANCOVA) was used by SPSS. The results indicated that acceptance and commitment therapy had led to a decrease in the anxiety of the nurses, comparing to the control group. (p<0.01) Hence, acceptance and commitment therapy is an effective method in decreasing anxiety.

Background: Improving sports performance and reducing anxiety is one of the most important goals of athletes. Recurrence of symptoms and treatment cessation are common problems with common interventions. Approaches based on mindfulness-acceptance-commitment (MAC) can be a response to these limitations

Objective: The main purpose of the present study was to determine effectiveness of the mindfulness-acceptance-commitment-based approach to athletic performance enhancement and sports competition anxiety in students who have had athletic experience for 3 to 5 years.

Methods: This randomized clinical trial was conducted at the Faculty of Educational Sciences of Iran University of Medical Sciences in Tehran, Iran, from May 1, 2017 to September 15, 2017. A total of 31 students were randomly assigned to experimental (n=15) and control groups (n=16). The experimental group received the protocol Mindfulness-Acceptance-Commitment (MAC) for 8 sessions. Subjects completed the Charbonneau Sports Performance Questionnaire, Action and Acceptance Questionnaire (AAQ) and Sports Competition Anxiety Test (SCAT) Questionnaire. Data analysis was conducted by using multivariate covariance analysis (MANCOVA) by SPSS-22.

Results: The results of the study indicated that the MAC approach increases significantly the performance of basketball playing athletes (p<0.05). Furthermore, the MAC approach decreases significantly experiential avoidance and sports anxiety in athletes (p<0.05). The size of the difference between the groups is moderate (Eta squared).

Conclusions: This study revealed that the mindfulness-acceptance-commitment-based approach is an effective intervention to increasing athletic performance and reducing experiential avoidance and sports anxiety in athletes.

Trial registration: The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the Irct ID: IRCT20170409033333N1.

Funding: This study has been financially supported by the Research Deputy of Iran University of Medical Sciences (Code: 95-04-185-29333).