Compare the Effectiveness of Group Therapy Based on Acceptance and Commitment and Cognitive-Behavioral Therapy on Reducing Anxiety of Mothers of Autistic Children
Subject Areas : PsychologyJavad Ejei 1 , Maryam Sayadshirazy 2 , Masoud Gholamali Lavasani 3 , Abdolrahim Kasaei Esfahani 4
1 - University of Tehran
2 - University of Tehran
3 - University of Tehran
4 -
Keywords: acceptance and commitment therapy cognitive behavioral therapy anxiety acceptance,
Abstract :
This study investigated the effectiveness of group therapy based on acceptance and commitment (ACT) compared with cognitive-behavior therapy on decreasing anxiety and increasing acceptance of mothers of autistic children. This study was quasi-experimental design with pre-test and post-test with control group. The experimental groups were consisted of two groups based on acceptance and commitment group therapy (ACT) and cognitive- behavioral therapy (CBT) respectively. Both groups were received ten sessions treatment. 12 people were employed in the control group who were not treated. In order to evaluate the level of anxiety and acceptance, two questionnaires were used: Beck Anxiety Inventory (BAI) and the Acceptance and Action Questionnaire (AAQ-II). Comparing treatment groups showed that between the effectiveness of group therapy based on acceptance and commitment with cognitive behavioral therapy on reducing maternal anxiety and promoting acceptance was not significantly different. However, the impact of group therapy based on acceptance and commitment in pre-test and follow-up was more than cognitive behavior therapy. Therefore, the current research and ACT provide empirical support for mothers with ASD children.
آریاناکیا، المیرا؛ مرادی، علیرضا و حاتمی، محمد (1395). اثربخشی درمان ترکیبی فعال سازی رفتاری کوتاه مدت و شناختدرمانی مبتنی بر ذهن آگاهی در کاهش نشخوار فکری. مجلة روانشناسی، 78 (2)،140-156.
ايزدي، راضيه (1391). بررسي و مقايسه اثربخشي درمان مبتني بر پذيرش و تعهد (ACT) و درمان شناختي- رفتاري(CBT) بر علايم و باورهاي وسواسي، کيفيت زندگي، انعطافپذيري روانشناختي، افسردگي و اضطراب بيماران مبتلا به وسواس فکري و عملي مقاوم به درمان. گروه روانشناسي دانشگاه اصفهان.
چیمه، نرگس؛ پوراعتماد، حمیدرضاو خرمآبادی، راضیه(1386). مشکلات و نیازهای مادران کودکان مبتلا به اختلالات اتیستیک: یک پژوهش کیفی. فصلنامه خانواده پژوهی؛ 3 (11)، 697- 707.
رافعی، طلعت (1395). اتیسم: ارزیابی و درمان. تهران: نشر دانژه.
عباسی، ايمانه؛ فتي، لادن؛ مولودي، رضا و ضرابي، حميد (1391). كفايت روانسنجي نسخه فارسي پرسشنامة پذيرش و عمل- نسخه دوم. مجلة روش ها و مدل هاي روانشناختي، 2 (10) ، 65-80.
كاوياني، حسین.، و موسوي، الف. س. (1387). ويژگيهاي روانسنجي پرسشنامه اضطراب بك در طبقات سني و جنسي جمعيت ايراني. مجله دانشكده پزشكي، دانشگاه علوم پزشكي تهران، 66، 136-140.
کردستانی، داوود؛ پورحسین، رضا؛ امیری، محسن؛ ایزدنیا، نسرین و فرهودی، فرزاد (2931). اثربخشی آموزش روشهای مقابله با تنیدگی بر سلامت روانی و تنیدگی والدگری مادران کودکان با عقبمانده ذهنی. مجلة روانشناسی، 66 (2)، 141-551.
کمیجانی، مهرناز (1391). کودکان استثنایی و چالشهاي مادران. تعلیم و تربیت استثنایی،110، 38-44.
محمدی، ابوالفضل و همکاران (1394). مقدمهای بر نسل سوم: درمانهای شناختی- رفتاری. تهران: کتاب ارجمند.
ملیانی، مهدیه؛ اللهیاری، عباسعلی؛ آزاد فلاح، پرویز؛ فتحی آشتیانی، علی و طاولی، آزاده (3931). اثربخشی درمان ذهن آگاهی مبتنی بر شناخت و درمان شناختی رفتاری در واکنش پذیری شناختی و رضایت مندی از خود در زنان مبتلا به افسردگی اساسی عودکننده. مجلة روانشناسی، 27 (4)، 393-704.
موتابی، فرشته و فتی، لادن (1390). راه و رسم درمانگری در نظریه شناختی رفتاری. تهران: نشر دانژه.
نریمانی، محمد؛ آقا محمدیان، حمیدرضا و رجبی، سوران (1386). مقایسۀ سلامت روانی مادران کودکان استثنایی با سلامت روانی مادران کودکان عادی. فصلنامه اصول بهداشت روانی، 9 (33 و 43) 42-51.
Arch, J.J., Eifert, G.E., Plumb, J., Rose, R., Davies, C., & Craske, M.G. (2012) Randomized clinical trial of Cognitive Behavioral Therapy (CBT) versus Acceptance and Commitment Therapy (ACT) in the treatment of mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 80(5), 750-765.
Barlow, D. H., Raffa, S. D., & Cohen, E. M. (2002). Psychological treatment for panic disorder, phobias and generalized anxiety disorder. In P. E. Nathan, & J. M. Gorman (Eds.), A guide of treatment that work, 2nd ed. London: Oxford University Press.
Beck, A.T. & Clark, D.A (1988). Anxiety and depression: an information processing perspective. Anxiety Research 1, 23-36.
Blackledge, J, & Hayes. S.C. (2006). Using acceptance and commitment training in the support of parents of children diagnosed with autism. Child and Family Behavior Therapy; 28:1–18.
Block, J. A. (2002). Acceptance or change of private experiences: A comparative analysis in college students with public speaking anxiety. Unpublished Doctoral Dissertation, University at Albany, State University of New York.
Block, J. A., & Wulfert, E. (2002). Acceptance or change of private experiences: A comparative analysis in college students with a fear of public speaking. Recent outcome research on Acceptance and Commitment Therapy (ACT) with anxiety disorders. Symposium conducted at the 28th annual Meeting of the Association for Behavior Analysis, Toronto, Ontario.
Bond, E.W, & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88(6):1057-1067.
Bond, F. (2006). Acceptance and Action Questionnaire (2nd ed.). Unpublished manuscript. Retrieved October 18, 2007 from http://www.contextualpsychology.org/
Carrascoso López, F.J. (2000). Acceptance and Commitment Therapy (ACT) in panic disorder with agoraphobia: A case study. Psychology in Spain, 4, 120-128.
Eifert, G. H., & Forsyth, J. P. (2005). Acceptance and Commitment Therapy for anxiety disorders: A practitioner’s treatment guide to using mindfulness, acceptance, and values-based behavior change strategies. Oakland, CA: New Harbinger Publications.
Eilenberg, T., Frostholm, L. & Kronstrand, L. (2014). Acceptance and Commitment Group Therapy (ACT-G) for severe health anxiety. The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital.
Gould, R.A, Buckminster, S., Pollack., M.H., Otto , M.W .& Yap, L. (1997). Cognitive-behavioral and pharmacological treatment for social phobia: A meta-analysis. Clinical Psychology: Science & 414 © Intern. Jour. Psych. Psychol. Ther. Ossman, Wilson, Storaasli, and McNeill Practice, 4, 291-306.
Gould, R.A., Otto, M.W., & Pollack, M.H. (1995). A meta-analysis of treatment outcome for panic disorder. Clinical Psychology Review, 15, 819-844.
Hayes, S. C. (2008). The roots of compassion. Keynote address presented at the fourth Acceptance and Commitment Therapy Summer Institute, Chicago, IL. http://www.globalpres.com/mediasite/Viewer/?peid=017fe6ef4b1544279d8cf27 adbe92a51.
Hayes, S. C. (2010). Acceptance and commitment therapy in Japan. Foreword for ACT wo hajimeru: self-help no tame no workbook (2nd ed), a Japanese translation (translators T. Muto, H. Harai, M. Yoshioka, & M. Okajima) of Hayes, S. C. & Smith, S. (2005). Get Out of Your Mind and Into Your Life. Tokyo: Seiwa-Shoten.
Hayes, S.C., Bissett, R.T., Strosahl, K.D., Wilson, K.D., Pistorello, J., Dykstra, T.A., et al. (2000). Psychometric Properties of the Acceptance and Action Questionnaire (AAQ). Non-published manuscript. (Can be obtaining by request to the first author).
Hayes, S. C., Masuda, A., & De Mey, H. (2003). Acceptance and Commitment Therapy and the third wave of behavior therapy. Gedragstherapie (Dutch Journal of Behavior Therapy), 2, 69-96.
Hayes, S. C. & Pirson, H. (2005). Acceptance and Commitment Therapy. In A. Freeman, S. H. Felgoise, A. M. Nezu, C. M. Nezu, & M. A. Reinecke (Eds.), Encyclopedia of cognitive behavior therapy. New York: Springer.
Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and Commitment Therapy:An experiential approach to behavior change. New York: Guilford Press.
Hayes, S.C., & Strosahl, K.D. (2004). A practical guide to acceptance and commitment therapy. New York: Springer Science and Business Media Inc.
Heimberg, R.G. (1991). Cognitive-behavioral group therapy for social phobia: A treatment manual. Unpublished manuscript, The University at Albany, State University of New York.
Hofmann, S. G., & Asmundson, G., J.G. (2008). Acceptance and mindfulness-based therapy: New wave or old hat?. Clinical Psychology Review. 28, 1–16.
Huerta, F. R., Gomez, S., Molina, A. M., & Luciano, C. (1998). Ansiedad generalizada. Un estudio de caso. (Generalized Anxiety: A case study). Analisisy Modificacion de Conducta, 24, 751-766.
Lappalainen, R., Lehtonen, T., Skarp, E., Taubert, E., Ojanen, M., & Hayes, S.C. (2007). The impact of CBT and ACT models using psychology trainee therapists: A Preliminary Controlled Effectiveness Trial. Behavior Modification, 31, 488-511.
Leahy, R.L., & Holland, S.J. (2000).Treatment plans and interventions for depression and anxiety disorders. New York: Guilford Press.
Luciano, C. & Gutierrez, O. (2001). Anxiety and acceptance and commitment therapy (ACT). Analysis y modification de conducta, 27, 373-398.
Niles, A. N., Burklund, L. J., Arch, J. J., Lieberman, M. D. ,Saxbe, D., & Craske, M. G. (2014). Cognitive mediators of treatment for social anxiety disorder: Comparing acceptance and commitment therapy and cognitive-behavioral therapy. Behavior Therapy, 45, 664–677.
Rafiee, M., Sedrpoushan, N., & Abedi, M. (2014). Study and investigate the effect of acceptance and commitment therapy on reducing anxiety symptoms and body image dissatisfaction in obese women in Isfahan (2012-13). Journal of Social Issues & Humanities, 2(1), 187-190.
Rector, N. A. (2011). Acceptance and commitment therapy: Empirical considerations. Behavior Therapy, 213-217:(2) 44.
Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54-68
Segal, Z. V., Williams , J. Mark G., & Teasdale , J. ( (2001. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.
Sharpley, C. F., & Bitsika, V. (1997). Influence of gender, parental health, and perceived expertise of assistance upon stress, anxiety, and depression among parents of children with autism. Journal of Intellectual and Developmental Disability, 22, 19-29.
Wegner, D.M. (1994). Ironic processes of mental control. Psychological Review, 101:34-52.
Zaldivar, F. & Hernandez,M.(2001). Acceptance and Commitment Therapy (ACT): Application to experiential avoidance with agoraphobic form. Antilisisy Modification de conducta, 27,425-454.
Zettle, R. D., & Hayes, S. C. (1987). Component and Process Analysis of Cognitive Therapy. Psychological Reports, 64, 939–953.
Zettle, R. D. (2003). Acceptance and Commitment Therapy (ACT) vs. Systematic Desensitization in Treatment of Mathematics Anxiety,” The Psychological Record, 53(2), 197-215.