anxiety

The purpose of the present study was to examine the comparative effectiveness of acceptance and commitment therapy (ACT) in the treatment of metacognitions and anxiety among women with generalized anxiety disorder. In total, 40 self-referred female outpatients were examined within a randomized controlled trial. Patients were allocated to ACT and waitlist control groups. Metacognitions and anxiety symptoms were measured by the Metacognitions Questionnaire and the Beck Anxiety Inventory at baseline, posttreatment, and 2-month follow-up. Analyses showed that the therapeutic group had improved significantly whilst the control group had remained unchanged.

Full text: https://cjc-rcc.ucalgary.ca/article/view/61155

Introduction: Acceptance and commitment therapy is a third generation behavior therapy in treatment of mood and anxiety disorders. The purpose of this study was to investigate the effectiveness of acceptance and commitment group therapy on depression and anxiety among women with breast cancer in the Ahvaz city.

Methods: In this Quasi-Experimental study with pre-test and post-test, control group, the sample group was selected by available sampling method from women with breast cancer who referred to Golestan hospital, the department of clinical oncology of Ahvaz. All patients had finished their chemotherapy. Thirty patients that have had high depression and anxiety scores with high acceptance and action scores in pre-test qustionnaires were chosen and randomly assigned to two control and experimental groups (each group with 15 subjects). The experimental group experienced the treatment based on commitment and acceptance group therapy and the control group did not receive any treatment. These questionnaires again conducted on both group in post-test.

Results: The results of pre-test, post-test, and follow-up exams showed that the mean depression scores (19.27, 16.13, and 15.53) and the mean anxiety scores (35.20, 29.20, and 28.13) significantly decreased in experimental group compared to the control group respectively. The decrease significantly continued after two-month fallow-up (depression P<0.026 and anxiety P<0.042).

Conclusion: The results emphasize the importance of using acceptance and commitment therapy in patients with cancer suffering from depression and/or anxiety, and offer new horizons to psychological based clinical interventions in these patients.

Postpartum ANXIETY and DEPRESSION are harmful conditions that negatively affects not only mothers but also their infants. Therefore, this study aimed to determine and compare the effectiveness of psychological treatments in reducing the above-mentioned problems in mothers at risk. This is a randomized clinical trial with control group. After assessing 75 mothers who were admitted to infants' care unit, 45 mothers who had ANXIETY and DEPRESSION levels above the cut-off point and conditions of participation in the design were identified and then randomly divided into three groups of 15, two intervention groups And a control group. For the first intervention group, the CBT program and the intervention group of the ACT program were administered in 8 sessions and the control group received the usual training. To determine the effect of the intervention program, a pre-test and post-test were conducted using the Zung ANXIETY test and Edinburgh post-partum DEPRESSION test. The scores of intervention groups were significantly different in the post-test group compared to the control group in the ANXIETY and DEPRESSION scale. The rate of DEPRESSION and ANXIETY decreased after intervention, and the size of this decrease was higher in the ACT group. ACT treatment has a greater effect on the ANXIETY and DEPRESSION of mothers than CBT treatment. According to the results, the use of the ACT approach and the need for nurses and doctors to cooperate with psychologists to intervene is necessary.

본 연구는 수용전념치료(ACT)가 취업스트레스가 심한 대학생의 취업스트레스, 자기효능감, 경험회피, 우울 및 불안에 미치는 효과를 확인하고자 했다. 취업스트레스를 겪고 있는 대학생들을 처치집단 12명과 대기통제집단 10명으로 무선할당하였다. ACT 프로그램은 주 2회, 한 회기당 120분씩, 총 6회기로 실시되었으며, 두 집단에게 사전, 사후, 4주 후 추후검사가 실시되었다. 연구결과, 처치집단에서 모든 변인에 대해 긍정적인 유의미한 효과가 확인되었고, 이는 모두 4주 후 추후검사까지 유지되었다. 반면 대기통제집단에서는 취업스트레스와 자기효능감에서 일시적으로 긍정적인 효과가 확인되었지만 유지되지 못하였고, 나머지 변인에 대해서는 변화가 확인되지 않았다.

Background: Acceptance and Commitment Therapy (ACT) is an effective intervention for stress, self-efficacy, and experiential avoidance. The purpose of this study was to examine the effects of ACT on job-seeking stress, self-efficacy, experiential avoidance, depression, and anxiety.

Methods: University students suffering from job-seeking stress were recruited for this study. They were randomly assigned to an experimental group (12 students) and a wait-list control group (10 students). The ACT program consisted of six 120-minute sessions conducted twice a week for three weeks. A pre-test, post-test, and follow-up test (4 weeks after the final session) were administered.

Results: In the experimental group, positive significant effects were identified for all variables, and these effects were maintained at the time of the follow-up test. In the wait-list control group, a temporary positive effect was identified for job-seeking stress and self-efficacy, but had disappeared by the follow-up test; no changes were identified for the remaining variables.

Conclusions: The significance of this study is confirmed that ACT is effective not only stress but also for job-seeking stress and other variables.

Introduction: Essential Hypertension (EH) is general health problem which is prevalent around worldwide. Based on previous studies, Essential Hypertension is significant risk factor for Chronic Diseases. The main purpose of this study was to compare acceptance and commitment therapy (ACT) motivational interviewing (MI) on anxiety, depression, stress and hope in essential hypertensive patients.

Method: This study was a semi-experimental study with pretest, post-test and follow-up. Subjects were first screened by using inclusion and exclusion criteria, therefore 39 hypertensive patients were selected who referred to Valiasr Hospital in Rasht city and randomly were divided into experimental and control groups (13 patients in each group). The motivational interviewing (MI) group was treated in 5 sessions and acceptance and commitment therapy (ACT) group was treated in 8 sessions while the control group did not receive any treatment. Research’s tools were stress, anxiety and depression and hope scale that in all three phases were completed by subjects.

Results: The data was analyzed by MANCOVA and POST HOC statistical tests showed that ACT and MI, mean of depression, anxiety and stress was significantly lower than control group and also had higher hope. It was also found that ACT, was significantly lower in mean of anxiety and stress than MI group and higher in hope.

Conclusion: Based on research’s findings, ACT and MI are effective interventions in essential hypertensive patients.

Objectives: The aim of this study was to evaluate the efficacy and acceptability of a psychological intervention based on acceptance and commitment therapy (ACT) to improve symptoms of depression and anxiety among older adults living in long-term care.

Method: Forty one residents aged between 63 and 97 years (M = 85.3 years) participated in this study. Residents were allocated to receive either a 12 session ACT intervention implemented by trainee psychology therapists or a wait-list control group. Measures of depression and anxiety were collected at baseline and 8 week post-intervention, and residents who received the intervention were tracked for three months. A treatment satisfaction questionnaire was administered to residents who received the intervention and a sample of 10 facility staff members.

Results: Using an intention to treat approach and controlling for baseline scores, scores on depression measures were significantly lower after the ACT intervention than after the wait-list control. These outcomes were maintained at three-month follow-up. Treatment satisfaction was rated highly by both residents and their care staff.

Conclusion: This preliminary trial suggests that ACT shows promise as a therapeutic approach to address symptoms of depression in long-term care.

본 연구에서는 우울증이나 불안장애의 치료법으로 알려진 인지행동치료(Cognitive Behavioral Therapy: CBT)와 수용전념치료(Acceptance & Commitment Therapy: ACT)가 각 장애의 취약성 요인인 반추와 걱정을 낮추고 회복력 요인인 수용을 증진시키는지를 검증하였다. 반추와 걱정 수준이 높아 우울증이나 불안장애에 취약하다고 여겨지는 13명을 무선으로 CBT와 ACT에 배정하여 매주 90분 총 8회기 동안 프로그램을 진행하였다. 프로그램 전후에 반추적 반응양식 척도, 펜스테이트 걱정질문지, 상태 불안검사, Beck 우울검사, 수용 및 행동질문지(AAQ), 역기능적 태도 척도(DAS), 자동적 사고 질문지(ATQ)를 실시하였다. 그 결과, CBT와 ACT는 모두 우울과 불안의 취약 요인인 반추와 걱정사고를 감소 시켰고, 회복력 요인인 상위인지적 수용 정도를 증가시켰다. 또한 두 프로그램은 모두 불안과 우울의 증상과 함께 불안과 우울의 인지적 요소로 알려진 역기능적 신념과 부정적 자동사고도 감소시켰다. 이러한 결과들을 바탕으로 이들 치료 프로그램의 취약 집단에 대한 표적치료 효과와 본 연구의 제한점을 논의하였다.