anxiety

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.

Background: Cardiovascular disease is the most common cause of death from non-communicable diseases. The purpose of the present study was to determine the effectiveness of acceptance and commitment therapy on health anxiety and adherence to treatment in patients who underwent open-heart surgery.

Materials and Methods: The research method was semi-experimental with pre-test and post-test design. The statistical population consisted of all patients with heart disease in Tehran in 2019, 45 of whom were divided into experimental and control groups. data were collected using the health anxiety questionnaire and adherence to treatment questionnaire. Data were analyzed by analysis of covariance and SPSS software.

Results: The results showed that acceptance and commitment therapy significantly reduced health anxiety (F=83.60, P<0.0001) and increased adherence to treatment (F=271.32, P<0.0001).

Conclusion: It can be concluded that acceptance and commitment therapy was effective in increasing adherence to treatment and decreasing health anxiety.

Act is one of the third generation therapies in which there is trying to alter the one ̓s relationship with his or her thoughts and feelings instead of changing the cognitions. The aim of this research is to evaluate the efficacy of acceptance and commitment therapy (ACT) on reducing depression and anxiety in infertile women who undergoing In vitro fertilization (IVF). ACT has not used for reducing anxiety and depression in pregnant women before. In this study Quasi-experimental pretest-posttest and follow up with control group was used. Among women who had primary or secondary infertility, undergoing IVF, and were at 14-22 weeks gestational age, available sampling was conducted. 35 women with above feature, assigned to experiment (17) and control (18) groups randomly. SCID and BDI-II and BAI were used for assessing depression and anxiety; before the intervention and after it; and all of them repeated one month after ending the intervention. The experimental group participated in 8sessions of ACT, which lasted 90 minutes weekly; while control group didn't undergo any training. To examine the hypothesis, mixed analysis of variance between - the subjects (SPANOVA) was used. Analysis of mixed variance of the effects between-groups for depression and anxiety showed the significant level was less than 0/05. Thus with 95% reliability, it can be resulted that Act was effective for decreasing of depression and anxiety in experimental group. The results indicated by creating psychological flexibility, ACT decreased depression and anxiety in pregnant women who undergoing IVF significantly. This reduction remained one month after ending of intervention.
It seems acceptance and commitment therapy as a complementary treatment, in addition to medical treatments for infertility, improves the health of the mother and fetus during pregnancy and can have an important role.

This study aimed to investigate whether Acceptance and Commitment Therapy (ACT) leads to reduced anxiety and depression symptoms in health care workers during the pressure of the covid-19 pandemic. ACT has been developed to improve psychological flexibility, and it has been used on a wide range of psychological disorders. For this study, 40 health care participants had been approached psychotherapy clinics at Tabriz city during COVID-19 and were divided into two groups. One received an ACT-based treatment program, and one had no therapy in this study. All participants were administered by Beck Depression Inventory, Beck Anxiety Inventory, Quality of Life Index, Global Assessment of Functioning Scale, and the Acceptance and Action Questionnaire-II to assess at pre-and post-treatment level their ratings on such scales. Regarding the results, an ANCOVA analysis revealed a significant effect of ACT to reduce the level of depression and anxiety scores as well as an improvement in quality of life in the treatment group (p <.05) compared with the control group. Based on the present study, we conclude that ACT effectively reduces anxiety and depression, and achieves an improvement on the quality of life among health workers in this study and can be applied as efficient psychological treatment.

Background & Objective:

Generalized anxiety disorder (GAD) is an anxiety disorder characterized by excessive and unreasonable worries about everyday event and activities. In general, anxiety disorder has a more chronic course than a panic attack, and can last for months. The prevalence of anxiety disorders in women, in general, is twice that of men. The 12-month prevalence of generalized anxiety disorder in adolescent and adult in the American public community is 9 percent and 9.2 percent respectively. The risk of developing a lifespan of 9.9% is estimated. The main difference that can be seen in different categories of patients is the concern of the individual. Children and adolescent are more concerned about school and sports issues, while older people are more concerned about family health and physical well-being, so it seems that the content of an individual's concerns is appropriate to his or her age. The severity of the symptoms in younger adults is higher than in older adults. The purpose of this study was to determine the effectiveness of acceptance commitment therapy on rumination and well-being of adolescent with generalized anxiety disorder. Rumination is defined in psychology as the necessary focus of one’s attention on the symptom and cause of distress. And the consideration of its reasons and its results rather than focusing on its solution. The similar rumination is a concern, with the difference that rumination focuses on bad feelings and past experiences, while worries about the potential for adverse events in the future Acceptance commitment therapy is a form of counseling similar to cognitive-behavior therapy. It is an empirically-based psychological intervention that uses acceptance and mindfulness strategies mixed in different ways. With commitment and behavior-change strategies, to increase psychological flexibility. The approach was initially called comprehensive distancing. As begun in 1982 by Steven C. Hayes and was first tested by Robert Zettle in 1985, but was built out into its modern form in the late 1980s. There are a variety of protocols for ACT, depending on the target behavior or setting.

Methods:

The method of this study is a quasi-experimental type with pre-test and post-test. That 40 male students with a generalized anxiety disorder are selected randomly and are considered randomly and evenly in experimental and control groups. Treatment has been performed in 12 sessions through 1-hour session over three months on the experimental group. To collect data, researchers there have been used generalized anxiety questionnaire (2006), psychological well-being questionnaire of Ryff (1980) and rumination questionnaire (Nollen Hoeksema, 1991). Generalized anxiety questionnaire is easy to use the 7-item instrument, based on DSM-IV criteria, for identifying probable GAD cases. It has excellent psychometric properties, is easy to administer and does not involve any burden for the patient or the clinician. Carol ryff develops ryff psychological well-being. Carol Ryff has conceptualized psychological well-being as consisting of 6 dimensions: autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, self-acceptance. Nolen-Hoeksema of rumination questionnaire is a self-report measure of rumination that has 22 items and excellent psychometric properties.

Results:

The result shows that acceptance commitment therapy can increase psychological well -being and reduce rumination. The mean for psychological well-being in the experimental group was 306.60 in pretest, and in post-test it was 348. While in the control group it was 326.75 in pre-test and 318.35 in post-test. Covariance analysis shows that there is a significant difference between two groups (p<0.05). Also, the result shows that the mean of rumination in the experimental group was 60.60 in pretest and 41.15 in the posttest. While in the control group it was 47.10 in pretest and 47.55 in the posttest.

Conclusion:

In acceptance and commitment therapy, participants are encouraged to improve their commitment to have a healthier, better life, this also includes behavioral strategies when faced with negative thoughts and emotions. Therefore, acceptance and commitment therapy can improve psychological well- being and reduce rumination, for this reason, the use of this treatment was recommend to psychologist and counselors.

Full Text:

https://jdisabilstud.org/article-1-960-en.html