trauma

Acceptance and commitment therapy (ACT) is based on the psychological flexibility model, underpinned by six core processes: contact with the present moment, acceptance, cognitive defusion, self as context, values, and committed action. The current study examined the roles of these processes in the first randomized controlled trial to examine the efficacy of a mental health promotion intervention for college students based on Trauma-Focused ACT (TFACT; Ajayi et al., 2024; Harris, 2021). The hybrid intervention combined web-based modules with peer coaching in a research laboratory setting. This current study aimed to extend those findings by empirically evaluating the theoretical components of the ACT model of psychological flexibility. Participants were 78 college students ranging between 18 and 32 years of age. It was found that the level of changes in awareness, self as context, values, and committed action were significantly different between the intervention and control groups, while psychological inflexibility, acceptance, and cognitive fusion were not. Simple regressions suggested that changes in psychological inflexibility significantly predicted changes in life satisfaction at post-intervention and 3-month follow-up. Whereas, changes in psychological inflexibility predicted changes in psychological distress only at follow-up. Furthermore, penalized regressions suggested awareness and cognitive fusion significantly predicted changes in psychological distress, but did not predict changes in psychological inflexibility or life satisfaction. The current study adds to the knowledge base regarding the process of change in ACT interventions to inform the design and implementation of more targeted and effective mental health interventions.

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Introduction: The purpose of this study was to evaluate the effectiveness of acceptance and commitment therapy on reducing anxiety, depression and post-traumatic stress disorder in women affected by spousal extramarital relationships.
Methods: This is a quasi-experimental study with a pretest-posttest design with control group. The statistical population of the study consisted of all couples affected by extramarital affairs who referred to Birjand Welfare Counseling Center in the second half of 1997. Of these, 30 subjects who met the inclusion criteria were selected through available sampling and randomly assigned to either experimental (n = 15) and control (n = 15) groups. Intervention method was based on commitment and acceptance therapy with 8 sessions of training to the experimental group and the control group received no treatment. Data were collected using the Kian et al. Traumatic Stress Questionnaire (3) and the Lovebond and Lovebond Depression Anxiety Inventory (21). Data analysis was performed using covariance
analysis.
Results: The results of the present study showed an increase in the mean scores of the variables of anxiety, depression and post-traumatic stress in the experimental group at post-test compared to the intervention group (P <0.01).
Conclusion: The results of this study indicate that acceptance and commitment therapy is effective in reducing anxiety, depression and post-traumatic stress disorder in women affected by spouse trans marital relations.
 

خالصه
مقدمه:پژوهش حاضر با هدف اثربخشي درمان مبتني بر پذيرش و تعهد بر کاهش اضطراب،
افسردگي واسترس پس از سانحه زنان آسیبديده از روابط فرا زناشويي همسر انجام شد.
روش کار:پژوهش نیمه آزمايشي با طرح پیشآزمون–پسآزمون با گروهکنترل است. جامعه
آماری پژوهش را کلیه زوجین آسیبديده از روابط فرا زناشويي که در ششماهه دوم سال79به
مرکز مشاوره بهزيستي شهر بیرجند مراجعه کردند، تشكیل داد. از اينبین تعداد30نفر که شرايط
ورود به پژوهش را داشتند، به شیوه در دسترس انتخاب و به طور تصادفيبه دو گروه آزمايش (65
نفر) و کنترل (65نفر) منتسب شدند. روش اجرای مداخلهی درمان مبتني بر تعهد و پذيرش بهصورت
آموزش در8جلسه به گروه آزمايش بود و گروه گواه هیچ درماني دريافت نكردند. برای گردآوری
دادهها از پرسشنامهاسترس پس از سانحهکیان و همكاران (3)و پرسشنامه افسردگي، اضطراب
الويبوند و الويبوند (26) استفاده شد. تجزيهوتحلیل دادهها با کمک تحلیل کوواريانس انجام شد.
نتایج:نتايج مطالعه حاضر، افزايش میانگین نمرات در متغیرهای اضطراب، افسردگي واسترس پس از
سانحه را در گروه آزمايش در مرحله پسآزمون نسبت بهگروه مداخله نما نشان داد (06/0>p.)
نتیجه گیری:نتايج پژوهش بیانگر آن است که درمان مبتني بر پذيرش و تعهد بر کاهش اضطراب،
افسردگي واسترس پس از سانحه زنان آسیبديده از روابط فرا زناشويي همسر مؤثر است.
کلمات کلیدی:درمان مبتني بر پذيرش و تعهد، اضطراب، افسردگي، استرس پس از سانحه، روابط