The effectiveness of acceptance and commitment therapy on anxiety in clients with stroke

Sianturi, Renta; Keliat, Budi Anna; Wardani, Ice Yulia

doi:10.1016/s1130-8621(18)30045-7

Cited by 13 publications

(21 citation statements)

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“…Moreover, the results of this study show the durability of the ACT method in increasing the psychological flexibility of the patients with thalassemia in the follow-up phase. This finding agrees with the studies that have reported the efficacy of ACT in improving psychological problems of different disorders even after one or two years (Brassington et al, 2016;Lappalainen et al, 2014;McCracken & Gutiérrez-Martínez, 2011;Sianturi et al, 2018). It can be said that patients learn to take an active stand in the world and make their lives based on ACT strategies (Flaxman et al, 2010).…”

Section: Discussionsupporting

confidence: 90%

“…Besides, there are more examples of the studies on ACT use as an effective method to deal with psychological complications of a variety of diseases for instance anxiety in patients with stroke (Sianturi, Keliat, & Wardani, 2018) or other chronic physical illnesses (Brassington et al, 2016). However, to the best of our knowledge, no research has ever tried to evaluate the efficacy of ACT method to improve psychological problems in patients with thalassemia.…”

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confidence: 99%

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Acceptance and Commitment Therapy Improves Psychological Flexibility of Students with Thalassemia Major: A Randomized Controlled Trial

Souran

Sanagouyemoharer

Shirazi

2019

Pract. Clin. Psychol.

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Acceptance and Commitment Therapy (ACT) tries to increase the psychological acceptance of individuals during mental experiences (thoughts, emotions, etc.) and to decrease their ineffective control of behaviors. This study aimed to determine the impact of ACT on the psychological flexibility of students with thalassemia in Zahedan City, Iran. Methods: The present study was a quasi-experimental interventional study with experimental and control/ waiting groups. The subjects were evaluated in the pre-test, post-test, and two-month follow-up stages. The statistical population included all students with thalassemia studying in senior elementary and junior high schools in Zahedan. A total of 60 volunteers were selected and randomly assigned into two groups (control and experimental), each one including 30 subjects. The research tool was the Psychological Flexibility Test. ACT was conducted during 8 sessions (Two 120-minute sessions per week during one month), and a follow-up test was taken two months after the end of the intervention. The study data were analyzed through repeated measures analysis of variance. Results: The results indicated a significant effect of ACT on increasing the cognitive flexibility in patients with thalassemia and supported the stability of this psychotherapy at the follow-up stage (F=63.823, P=0.001). Conclusion: ACT can be used to increase cognitive flexibility and to treat psychological disorders. Comparing cognitive flexibility scores of the samples in the pre-test, post-test, and follow up stages suggest that ACT is an effective method for improving cognitive flexibility in students with thalassemia major.

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

Acceptance and Commitment Therapy Improves Psychological Flexibility of Students with Thalassemia Major: A Randomized Controlled Trial

Souran

Sanagouyemoharer

Shirazi

2019

Pract. Clin. Psychol.

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“…Furthermore, this study also showed that the majority of the respondents were male (57.6 %). The result of this study is in line with the research conducted by Sianturi et al (2018), revealing that, out of 33 respondents with stroke, 57.6% were male and 42.4% were female. According to the American Heart Association (2015), the number of males with stroke increased annually.…”

Section: Discussionsupporting

confidence: 90%

Psychoeducation Strategy: Acceptance and Commitment Therapy (ACT) To Improve Self-Efficacy of Stroke Patients

Adiyasa¹,

Ismoyowati²

2021

IJNP

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Background: Stroke is the most common cerebrovascular event. Stroke patients often have biological, spiritual, and psychosocial changes. Psychosocial problems experienced in stroke patients include problems with self-efficacy. Acceptance and Commitment Therapy (ACT) is commonly used to solve psychosocial problems. Objective: This study aims to determine the effect of ACT on the self-efficacy of stroke patients. Methods: This study utilized quantitative and quasi-experimental designs without a control group. The study was conducted in a selected hospital rehabilitation unit in Yogyakarta. The respondents were selected via the purposive sampling technique. The self-efficacy was assessed using The Strategies Used by Patients to Promote Health (SUPPH) questionnaires and statistically tested with the Wilcoxon test. The total number of respondents of this study was 33 stroke patients. The characteristic of respondents was mostly 45 – 64 years old (72.73% ), male (57.6%) and, had a history of stroke for 1 – 6 months (39 %). Result: Wilcoxon test results showed a computed p-value of 0.000 on the effect of ACT on stroke patients’ self-efficacy; thus, the null hypothesis was rejected. In other words, ACT proves its effectiveness in improving stroke patients’ self-efficacy. Conclusion: Based on the data, this research can be concluded that ACT effectively improved the self-efficacy of stroke patients. The researchers recommend utilizing ACT as a nursing intervention for stroke patients in the hospital rehabilitation unit.

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“…A number of other pieces of research into the use of web-based Acceptance and Commitment Therapy (ACT) have also proven that this intervention was effective in assisting clients with issues related to stress, anxiety, and depression (Day et al, 2013;Hebert et al, 2017), while web-based behavioral interventions other than Acceptance and Commitment Therapy (ACT) have been found to be capable of overcoming addiction to alcohol (Kypri et al, 2014). In Indonesia, research into face-to-face Acceptance and Commitment Therapy (ACT) intervention has been conducted, and was found to be effective in increasing the level of psychological well-being of undergraduates (Wahyuni et al, 2018), increasing the quality of life of undergraduates with addiction to social media (Ahmad & Nurwianti, 2019), reducing symptoms of anxiety in stroke patients (Sianturi et al, 2018), and reducing levels of stress amongst victims of natural disasters (Elita et al, 2017).…”

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confidence: 99%

Web-Based Guided Self-Help Acceptance and Commitment Therapy (ACT) to Increase Self-Compassion and Psychological Flexibility in Psychology Undergraduates Suffering Emotional Distress: A Feasibility Study

Gunawan

Oriza

2022

ANIMA IPJ

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Emotional distress amongst university students is an issue which has emerged as the result of various factors, such as the transition from adolescence to young adulthood, an increase in demands made, and changes in the situation and the system of learning. The phenomenon of distress may be seen from the number of undergraduate students seeking psychological help in university clinics. The queues of undergraduates always exceed the capacity for the provision of services, so that undergraduates are forced to wait for between one and three months. One of the ways to overcome this phenomenon is by conducting web-based psychological intervention. Internet connection may increase accessibility and facilitation of web-based psychological intervention. This study examined the feasibility of eight sessions of web-based guided self-help Acceptance and Commitment Therapy (ACT) organized to reduce the levels of emotional distress and to increase the psychological flexibility and self-compassion of undergraduate students of the Faculty of Psychology of a university in Indonesia. This study was quasi-experimental, with a one group pretest-posttest design involving 38 participants. After the interventions, there was a significant reduction in symptoms of distress detected, as well as an increase in the levels of psychological flexibility and self-compassion of the participants. Feasibility assessment results showed that with the supportive resources of the people conducting the trial, Internet connections, and independence on the part of the participants, the conducting of a web-based program of Acceptance and Commitment Therapy (ACT) is feasible. More in-depth research on a wider scale is required to reach a closer to adequate conclusion regarding the effectiveness of such a program, however, the feasibility of the web-based Acceptance and Commitment Therapy (ACT) intervention, as proven in this study, indicated that the features of online psychological intervention offer an efficient option for the providers of mental health services. Distress emosional pada mahasiswa adalah isu yang muncul akibat berbagai faktor, seperti transisi dari usia remaja ke dewasa muda, bertambahnya tuntutan, dan perubahan situasi serta sistem belajar. Fenomena distress terlihat dari banyaknya mahasiswa sarjana yang mencari bantuan psikologis di klinik universitas. Antrean mahasiswa selalu melebihi kapasitas pemberi layanan sehingga mahasiswa perlu mengantre selama satu hingga tiga bulan. Salah satu cara untuk mengatasi fenomena ini adalah dengan menjalankan intervensi psikologis berbasis-web. Koneksi Internet dapat meningkatkan keterjangkauan dan kemudahan partisipan mengakses layanan psikologis. Studi ini meneliti fisibilitas delapan sesi guided self-help Acceptance and Commitment Therapy (ACT) berbasis-web yang disusun untuk menurunkan tingkat distress emosional serta meningkatkan fleksibilitas psikologis dan self-compassion mahasiswa sarjana Fakultas Psikologi dari sebuah universitas di Indonesia. Studi ini merupakan quasi-experimental dengan desain one-group pretest-posttest sebanyak 38 partisipan. Setelah intervensi, ditemukan penurunan gejala distress yang signifikan, disertai dengan naiknya fleksibilitas psikologis dan self-compassion partisipan. Hasil asesmen fisibilitas menunjukkan bahwa dengan sumber daya yang menunjang dari pihak pelaksana, koneksi Internet, dan kemandirian dari pihak partisipan, program Acceptance and Commitment Therapy (ACT) berbasis-web fisibel untuk dilakukan. Riset lebih dalam dengan skala lebih luas dibutuhkan untuk mencapai konklusi yang lebih adekuat mengenai efektivitas program, namun fisibilitas intervensi Acceptance and Commitment Therapy (ACT) berbasis-web yang terbukti pada studi ini menunjukkan bahwa intervensi psikologis fitur daring merupakan opsi efisien bagi penyedia layanan kesehatan mental.

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The effectiveness of acceptance and commitment therapy on anxiety in clients with stroke

Cited by 13 publications

References 1 publication

Acceptance and Commitment Therapy Improves Psychological Flexibility of Students with Thalassemia Major: A Randomized Controlled Trial

Acceptance and Commitment Therapy Improves Psychological Flexibility of Students with Thalassemia Major: A Randomized Controlled Trial

Psychoeducation Strategy: Acceptance and Commitment Therapy (ACT) To Improve Self-Efficacy of Stroke Patients

Web-Based Guided Self-Help Acceptance and Commitment Therapy (ACT) to Increase Self-Compassion and Psychological Flexibility in Psychology Undergraduates Suffering Emotional Distress: A Feasibility Study

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