Effect of Applying “Acceptance and Commitment Therapy” on Auditory Hallucinations Among Patients With Schizophrenia

El-Ashry, Ayman Mohamed; Dayem, Samia Mohamed Abd El; Ramadan, Fatma

doi:10.1016/j.apnu.2021.01.003

Cited by 14 publications

(13 citation statements)

References 20 publications

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“…Although ACT sessions have no definite line or specific session to start with, and there is no research discussing which session must come first, El-Ashry et al [1] found that motivating and empowering the patients with a session of value must come first. They found that value is one of the most important sessions that must be elicited at the beginning of therapy to clarify patients' values by asking the questions "What are the most important things in your life?"…”

Section: Discussionmentioning

confidence: 99%

“…El-Ashry et al [1] revealed that the studied patients experiencing auditory hallucinations were distressed and disabled by their voices. These voice experiences are affecting patients' values and goals in life.…”

Section: Introductionmentioning

confidence: 99%

“…This short communication paper discusses how value sessions were so motivating for the studied patients with schizophrenia who experienced persistent auditory hallucinations. It was extracted from the original research article of El-Ashry et al [1] about "the effect of applying ACT on auditory hallucinations among patients with schizophrenia".…”

Section: Introductionmentioning

confidence: 99%

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Value Component of Acceptance and Commitment Therapy (ACT) among Patients with Schizophrenia

Nashwan,

El-Ashry

2024

Academia Mental Health and Well-Being

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This short communication paper provides a critical analysis of a study conducted by El-Ashry et al. on the impact of acceptance and commitment therapy (ACT) on auditory hallucinations in patients with schizophrenia. ACT, a form of contextual cognitive behavioral therapy, aims to improve individuals' relationship with their thoughts and feelings without altering their form or frequency. The study focuses on the six core processes of ACT, which collectively enhance psychological flexibility, which are crucial for mitigating psychological inflexibility-a root cause of human suffering. The paper emphasizes the role of values in ACT, highlighting how they guide patients with schizophrenia toward meaningful life directions. It addresses the challenges these patients face, such as experiential avoidance and fusion with hallucinatory voices, which often lead to actions incongruent with their values. The study by El-Ashry et al. revealed that patients with schizophrenia often suffer from psychological inflexibility due to experiential avoidance and fusion, leading to a misalignment with their values. Furthermore, the paper discusses the methodology used in ACT sessions, including the "choice point model" to enhance self-awareness and metaphorical videos to illustrate the concept of value-driven behavior. The research indicates that recognizing and committing to personal values can significantly impact the treatment and management of schizophrenia, especially given the social and symptomatic challenges these patients face. The paper concludes by stressing the importance of starting ACT sessions focusing on values to empower patients. It underlines how value clarification and commitment to value-congruent tasks can positively influence patients' responses to their hallucinations and overall quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Value Component of Acceptance and Commitment Therapy (ACT) among Patients with Schizophrenia

Nashwan,

El-Ashry

2024

Academia Mental Health and Well-Being

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“…The second session concentrated on psychoeducation; topics concerning drugs, symptoms, and the history of the illness were thoroughly addressed to equip clients with the essential information required to comprehend BD. Based on a treatment manual and applications of ACT developed by Hayes et al (1999), Bach & Hayes (2002), Bloy, Oliver, & Morris (2011), El-Ashry et al (2021) [ 16 , 30 – 32 ] on clients with psychosis, and O’Donoghue et al (2018) on clients with BD, the researchers created a psychoeducational module of the ACT strategy [ 28 ].…”

Section: Methodsmentioning

confidence: 99%

Efficacy of acceptance and commitment therapy on impulsivity and suicidality among clients with bipolar disorders: a randomized control trial

El-Sayed,

Elhay,

Taha

et al. 2023

BMC Nurs

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Background Among people with bipolar disorders, there are high rates of impulsivity and suicide attempts. Efforts to reduce suicide are hindered by the lack of conclusive evidence on interventional programs for those at risk. Thus, this work evaluated the efficacy of acceptance and commitment therapy on impulsivity and suicidality among bipolar clients. Methods In a randomized controlled trial, 30 eligible clients with bipolar disorders were given Acceptance and Commitment Therapy, and 30 eligible clients for the control group were chosen randomly at a 1:1 ratio using Research Randomizer version 4.0. Clients completed the Acceptance and Action Questionnaire II, the Short Arabic Version of the Impulsivity Behavior Scale, and the Arabic Version of the Beck Scale for Suicide Ideation. Results It can be observed that there was a statistically significant decrement in the mean scores of psychological inflexibility among the study group between baseline value (T0), posttest measurement (T1), and post-two-month follow-up (T2), from 32.91 SD (6.03) to 23.06 SD (6.22) post and 26.83 SD (3.49) post-two months, with an effect size of 0.846 (P < 0.001), compared to the control group, which revealed an increase in the mean score. The overall impulsivity among the study group between T0, T1, and T2 was 61.27 SD (4.57) to 46.83 SD (4.47) post- and 43.0 SD (5.30) post-two months, with an effect size of 0.906 (P < 0.001). Compared to the control group, which revealed a relative increase in the mean impulsivity score at the post- and post-two-month intervals, the Arabic Versions of the Beck Scale for Suicide Ideation Scale mean score before the intervention was 16.33 SD (6.08), then the post was 7.23 SD (4.72), and the post-two-month mean was 10.13 SD (5.49) with an effect size of 0.878 (P < 0.001) among the study group. On the other hand, mean scores of “suicide ideation” among clients in the control group increased posttest and nearly returned to the same value after two months. Conclusion For bipolar clients suffering from suicidal thoughts and impulsive behaviors, acceptance and commitment therapy, an emerging third-wave behavior therapy, is an effective intervention. Trial registration The study was registered retrospectively with reference number NCT05693389 on 23/1/2023, available at: https://clinicaltrials.gov/ct2/show/NCT05693389.

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“…The web-based ACT intervention was developed based on the current literature and guidelines for ACT [ 18 , 26 , 27 ]. The intervention consisted of six biweekly sessions, each lasting 60–90 min, and included video lectures, exercises, and homework assignments.…”

Section: Introductionmentioning

confidence: 99%

Impact of virtual group-based acceptance and commitment therapy on social adjustment and work-family conflict among intern nurses: a randomized control trial

El-Ashry,

Elhay,

Taha

et al. 2023

BMC Psychiatry

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Background An action-oriented approach such as acceptance and commitment therapy may help reduce the fusion of conflicting ideas, empower new intern nurses to act according to their values, and maximize their psychological flexibility. Objective To evaluate the impact of a virtual group-based acceptance and commitment therapy intervention on intern nurses’ social adjustment and work-family conflict. Design A parallel, single-blind randomized control trial on intern nurses (n = 70) was randomly allocated to either a six-session online acceptance or commitment therapy intervention (n = 35) or a waiting list control group (n = 35), with each session lasting 90 min. Measures The work-related acceptance and action questionnaire, the social adjustment scale-self report, and the work-family conflict scale before, after, and one month after the intervention. Results The psychological flexibility mean score of the study group was significantly higher than that of the control group (43.11 vs. 34.15, p < .001) immediately after the intervention, and this effect was sustained one month after the intervention (41.88 vs. 33.21, p < .001) with a more significant effect size (F = 128.457, p < .001, η2 = 0.791). The social adjustment mean score of the study group had significantly improved in all four subscales, with statistically significant differences (p < .001). One month after the intervention, the study group had significantly higher scores than the control group in total score, with statistically significant differences (p < .001) and large effect sizes (η2 = 0.932). Work-family conflict mean score of the study group was decreased immediately after the intervention, with statistically significant differences (p < .001). One month after the intervention, the study group had significantly lower scores than the control group in all three subscales of the WFCS, with statistically significant differences (p < .001) and large effect sizes (η2 = 0.943). Conclusion Our findings proved that the virtual group-based ACT intervention effectively improved psychological flexibility and social adjustment, reducing work-family conflict among intern nurses. These findings suggest that the virtual group-based ACT intervention can be a practical approach to improving intern nurses’ mental health and well-being, which could affect their job performance and overall quality of life. Trial registration The study was registered retrospectively as a randomized clinical trial on 10/2/2023, reference number; NCT05721339.

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Effect of Applying “Acceptance and Commitment Therapy” on Auditory Hallucinations Among Patients With Schizophrenia

Cited by 14 publications

References 20 publications

Value Component of Acceptance and Commitment Therapy (ACT) among Patients with Schizophrenia

Value Component of Acceptance and Commitment Therapy (ACT) among Patients with Schizophrenia

Efficacy of acceptance and commitment therapy on impulsivity and suicidality among clients with bipolar disorders: a randomized control trial

Impact of virtual group-based acceptance and commitment therapy on social adjustment and work-family conflict among intern nurses: a randomized control trial

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