Effectiveness of Acceptance and Commitment-Based Group Therapy on the Resilience of Mothers of Children with Intellectual Disabilities
Misbah, I., Hojatkhah, S. M., & Golmohammadian, M. (2018). Effectiveness of Acceptance and Commitment-Based Group Therapy on the Resilience of Mothers of Children with Intellectual Disabilities. The Journal of Psychology of Exceptional Individuals, 8(29), 85-109. doi.org/10.22054/jpe.2018.24311.1613
The aim of this research was to determine the effectiveness of acceptance and commitment-based group therapy on increasing the resilience of mothers of children with intellectual disabilities. The research method was a quasi-experimental design with pre-test, post-test, and follow-up groups. The study population consisted of all mothers of children with intellectual disabilities whose children were enrolled in exceptional schools in Dezful during the 1969-1971 school year. A total of 90 mothers of children with intellectual disabilities were randomly selected from this population and randomly assigned to experimental and control groups. The participants in the experimental group received 10 sessions of 60-minute group therapy. The research instrument was the Freiburg Resilience Scale. Data were analyzed using mixed-design analysis of variance. The results indicated a significant difference in resilience between the experimental and control groups. Based on the findings, it can be concluded that acceptance and commitment-based group therapy is an effective method for increasing resilience in mothers of children with intellectual disabilities.
چکیده
هدف پژوهش حاضر تعیین اثربخشی درمان گروهی مبتنی بر پذیرش و تعهد بر تابآوری مادران دارای کودک کمتوان ذهنی بود. روش پژوهش نیمه تجربی از نوع طرح پیشآزمون- پسآزمون با گروه کنترل و پیگیری بود. جامعه پژوهش شامل تمامی مادران دارای کودک کمتوان ذهنی بودند که فرزندانشان در مدارس استثنایی شهرستان دزفول در سال تحصیلی 96-1395 به تحصیل اشتغال داشتند. از جامعه فوق تعداد 30 نفر از مادران دارای کودک کمتوان ذهنی به روش تصادفی خوشهای انتخاب و بهصورت تصادفی در دو گروه آزمایش و کنترل گمارده شدند. شرکتکنندگان گروه آزمایش طی 10 جلسه نوددقیقهای، (هر هفته دو جلسه) درمان گروهی را دریافت کردند. ابزار پژوهش شامل مقیاس تابآوری فرایبورگ (2003) بود. دادهها با استفاده از روش آماری تحلیل واریانس آمیخته تحلیل شدند. نتایج پژوهش نشان داد بین دو گروه آزمایش و کنترل در تابآوری تفاوت معناداری وجود دارد. با توجه به یافتههای پژوهش میتوان گفت درمان گروهی مبتنی بر پذیرش و تعهد روشی کارآمد در افزایش تابآوری در مادران دارای کودک کمتوان ذهنی است
Effectiveness of Group Therapy Based on Acceptance and Commitment on Social and Health Adjustment of Nursing Students
Noori, L., Moradi Shakib, A., Ezazi Bojnourdi, E., Adib, F., & Ashoori, J. (2018). Effectiveness of Group Therapy Based on Acceptance and Commitment on Social and Health Adjustment of Nursing Students. The Avicenna Journal of Nurse Midwifery Care, 25(5), 172-179. https://doi.org/10.30699/sjhnmf.26.5.3
Introduction: University students have a lot of problems in the field of adjustment especially social and health adjustment. Therefore, present research aimed to investigate the effectiveness of group therapy based on acceptance and commitment on social and emotional adjustment of nursing students.
Methods: This research was carried out as a semi-experimental, with a pre-test and post-test design. The statistical population included all nursing students of Islamic Azad University of Pishva branch in 2015-16 academic year. 40 nurses were selected by voluntary sampling method and randomly assigned to two equal groups. The experimental group experienced 8 sessions of 90 minutes of education by group therapy based on acceptance and commitment. Groups completed the dimensions of social and health adjustment of Bell’s adjustment questionnaire. Data were analyzed using SPSS19 and by multivariate analysis of covariance method.
Results: The findings showed there was a significant difference between experimental and control groups in the social and health adjustment. In the other words, group therapy based on acceptance and commitment significantly led to improve the social and health adjustment of nursing students (P≤0/05).
Conclusion: The results are due to the importance of group therapy based on acceptance and commitment on increasing social and health adjustment of nursing students. Therefore, it is suggested that counselors and therapists improve the dimension of adjustment especially social and health adjustment using group therapies based on acceptance and commitment.
دانشجويان مشکالت زيادی در زمینۀ سازگاری بهويژه سازگاری اﺟتماعی و بهداشتی دارند. بنابراين، مقدمه:
پژوهﺶ ﺣاﺿر با هدف بررسی اﺛربﺨشی گروه درمانی مﺒتنی بر پذيرش و تﻌهد بر سازگاری اﺟتماعی و بهداشتی
دانشجويان پرستاری انجام شد.
اين پژوهﺶ بهصورت نیمه آزمايشی با طرح پیﺶآزمون و پﺲآزمون انجام شد. ﺟامﻌۀ آماری روش کار:
بود. در 1394-95 شامﻞ همۀ دانشجويان رشتۀ پرستاری دانشگاه آزاد اسالمی واﺣد پیشوا در سال تﺤﺼیلی
پرستار با روش نمونهگیری داوطلﺒانه انتﺨاب و به روش تﺼادﻓی در دو گروه مﺴاوی ﺟايگﺰين شدند. 40 مجموع
دﻗیقهای با روش گروه درمانی مﺒتنی بر پذيرش و تﻌهد آموزش ديد. گروه ها ابﻌاد 90 گروه آزمايﺶ، هشﺖ ﺟلﺴۀ
ويرايﺶ SPSS سازگاری اﺟتماعی و بهداشتی پرسﺶنامۀ سازگاری بِﻞ را تکمیﻞ کردند. داده ها به کمک نرماﻓﺰار
و با روش تﺤلیﻞ کوواريانﺲ چندمتﻐیری تﺤلیﻞ شدند. 19
ياﻓتهها نشان داد بین گروههای آزمايﺶ و کنترل در سازگاری اﺟتماعی و بهداشتی تفاوت مﻌناداری یافتهها:
به عﺒارت ديگر گروهدرمانی مﺒتنی بر پذيرش و تﻌهد بهصورت مﻌناداری، باعﺚ بهﺒود سازگاری وﺟود داشﺖ.
.(P≤0/05اﺟتماعی و بهداشتی دانشجويان پرستاری شد )
نتايﺞ ﺣاکی از اهمیﺖ گروهدرمانی مﺒتنی بر پذيرش و تﻌهد بر اﻓﺰايﺶ سازگاری اﺟتماعی و نتیجهگیری:
بهداشتی دانشجويان پرستاری بود. بنابراين پیشنهاد میشود مشاوران و درمانگران برای بهﺒود ابﻌاد سازگاری
به ويژه سازگاری اﺟتماعی و بهداشتی از گروه درمانی مﺒتنی بر پذيرش و تﻌهد استفاده کنند.
O'Brien, Singh, Horan, Moeller, Wasson, & Jex, 2019
O'Brien, W., Singh, S., Horan, K., Moeller, M., Wasson, R., & Jex, S. (2019). Group-Based Acceptance and Commitment Therapy for Nurses and Nurse Aides Working in Long-Term Care Residential Settings. The Journal of Alternative and Complementary Medicine, 25(7), 753-761. doi: 10.1089/acm.2019.0087
Objectives: Nurses and nurse aides experience high rates of physical injury, assault, and abuse compared to other occupations. They also frequently have intersectional identities with other groups that experience higher rates of mental and physical health challenges and problems. In addition to belonging to these multiple vulnerable populations, nurses and nurse aides experience high levels of work stress and burnout. These variables are risk factors for injuries associated with lifting and transferring, as well as assault from residents. Given the focus on present moment awareness, commitment to values, and responding flexibly in difficult situations, Acceptance and Commitment Therapy (ACT) may be an effective approach for this population.
Design: Participants were randomly assigned to either the ACT group condition or a wait-list control condition. Participants completed baseline and one-month follow-up outcome measures.
Setting/Location: The interventions were provided at participant work sites (nursing homes and assisted living facilities) that were located in multiple locations across Northern Ohio.
Subjects: Seventy-one nurses and nurse aides participated in the study. Of these, 37 were randomly assigned to the ACT group intervention and 34 were assigned to the wait-list control group.
Intervention: A two-session group-based ACT intervention. Each session was 2.5 hours long and spaced one-week apart. The intervention topics included acceptance, mindfulness, psychological flexibility, willingness to experience discomfort, present-moment focus, self-as-context, values identification, and values-congruent committed action.
Outcome measures: Days missed due to injury, frequency of work-based injuries, musculoskeletal complaints, mental health symptoms, and overall satisfaction with the intervention.
Results: Participants in the ACT group reported significantly fewer days missed due to injury and a significant reduction in mental health symptoms compared to the control group. Participants in the ACT group rated the intervention very favorably.
Conclusion: A group-based ACT intervention can promote improvements in well-being for nurses and nurse aides working in long-term care settings. Further research in this area would benefit from conducting group-based ACT interventions at different organizational levels.
ACT Groups for Partial Hospitalization/Intensive Outpatient Programs (PHP/IOP)
I work in the Birches Program at the Brattleboro Retreat in Southern Vermont, a Partial Hospitalization/Intensive Outpatient Program (PHP/IOP). Participants usually stay in our program four to six weeks. I have developed a set of a dozen ACT-based groups that are inter-related and mutally supportive. Themes of: mindfulness; compassion; matrix; defusion; acceptance; anger; assertiveness; self-care; healthy relationships; finding motivation; values and action. Partcipants also have daily check-in groups that are more freely structured. I facilitate these themes on a rotating basis.
Running acceptance and commitment therapy groups for psychosis in community settings
Butler, L., Johns, L. C., Byrne, M., Joseph, C., O’Donoghue, E., Jolley, S., … Oliver, J. E. (2016). Running acceptance and commitment therapy groups for psychosis in community settings. Journal of Contextual Behavioral Science, 5, 33–38. http://doi.org/10.1016/j.jcbs.2015.12.001
In this paper, we discuss the practice implications of our group Acceptance and Commitment Therapy for psychosis (ACTp) evaluations, in terms of the adaptations required to ACT interventions for group implementation in routine services for people with psychosis. ACTp shows promise as a brief individual intervention for people with psychosis to improve recovery, reduce future relapse, and reduce healthcare costs. Outcomes for group ACT interventions for non-psychotic severe mental illnesses support the potential for further cost-savings, through group delivery, and two recent trials suggest that adapting group ACT interventions to suit people with psychosis is both feasible and clinically effective. Trials were run from 2010–2014, and included people with psychosis and caregivers. Qualitative feedback was collected from group participants and service user co-facilitators. Based on this experience, we recommend psychosis-specific content for group interventions, and highlight process considerations to accommodate the particular needs of people with psychosis and their caregivers. With these adaptations, group ACTp can be feasible, acceptable, and effective as a routine frontline intervention in services for people with psychosis, however; this work is in the preliminary stages and further research is needed to consolidate the evidence base.
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