anxiety

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

In Imperfectly Good, readers will find a step-by-step guide to help them find relief and happiness despite religious or moral OCD.



Through sound, research-based principles and practices, as well as real-life accounts of those struggling with scrupulosity OCD, readers will learn how to progress from a fixed mindset to a growth mindset so they can become who they want to be.



The practices found in this book will help readers to:

• Gain confidence in who they are

• Navigate life with mental and emotional flexibility

• Better connect with the present despite overwhelming anxiety

• Embrace vitality and peace instead of worry and uncertainty



When readers implement these skills, they will more easily navigate the turbulent waters of religious or moral OCD and successfully build long-term meaning in their life.

 

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.