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داوران 1399

داوران 1400

Effectiveness of the Acceptance and Commitment Therapy on Experiential Avoidance of Veterans with Post-Traumatic Stress Disorder

نوع مقاله : مقاله پژوهشی

نویسندگان

1 MSc in Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran

2 Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran

3 Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran

چکیده

Objective: In the theory of acceptance and commitment and recent theories, experiential avoidance is considered as an important factor in the etiology and continuation of mental pathology. This study was carried out to determine the efficacy and continuation of Acceptance and Commitment Therapy on reducing experiential avoidance of veterans with post-traumatic stress disorder.
Research Methodology: In this clinical trial, 16 veterans with post-traumatic stress disorder referred to Foundation of Martyrs and Veterans Affairs, with psychiatric diagnosis, were selected by purposive sampling method. They were treated for 8 sessions (each session 90 minutes) based on acceptance and commitment. Treatment was followed for two months after treatment. To collect the data, the check-list of symptoms of mental disorder (SCL-90), Clinician Administered PTSD Scale (CAPS-5), post-traumatic stress disorder list (PCL-5) and a questionnaire of acceptance and commitment (AAQ-II) were used.
Findings: Acceptance and Commitment Therapy significantly reduced the experiential avoidance and symptoms of post-traumatic stress disorder, and the reduction lasted up to two months after treatment.
Conclusion: The treatment process and the results obtained in this study suggest that the Acceptance and Commitment Therapy, in the treatment of post-traumatic stress disorder of veterans, had the necessary efficiency and effectiveness.

کلیدواژه‌ها

عنوان مقاله [English]

Effectiveness of the Acceptance and Commitment Therapy on Experiential Avoidance of Veterans with Post-Traumatic Stress Disorder

نویسندگان [English]

  • Fatemeh Talabeigi 1
  • Farideh HosseinSabet 2
  • Faramarz Sohrabi 3

1 MSc in Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran

2 Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran

3 Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran

چکیده [English]

Objective: In the theory of acceptance and commitment and recent theories, experiential avoidance is considered as an important factor in the etiology and continuation of mental pathology. This study was carried out to determine the efficacy and continuation of Acceptance and Commitment Therapy on reducing experiential avoidance of veterans with post-traumatic stress disorder.
Research Methodology: In this clinical trial, 16 veterans with post-traumatic stress disorder referred to Foundation of Martyrs and Veterans Affairs, with psychiatric diagnosis, were selected by purposive sampling method. They were treated for 8 sessions (each session 90 minutes) based on acceptance and commitment. Treatment was followed for two months after treatment. To collect the data, the check-list of symptoms of mental disorder (SCL-90), Clinician Administered PTSD Scale (CAPS-5), post-traumatic stress disorder list (PCL-5) and a questionnaire of acceptance and commitment (AAQ-II) were used.
Findings: Acceptance and Commitment Therapy significantly reduced the experiential avoidance and symptoms of post-traumatic stress disorder, and the reduction lasted up to two months after treatment.
Conclusion: The treatment process and the results obtained in this study suggest that the Acceptance and Commitment Therapy, in the treatment of post-traumatic stress disorder of veterans, had the necessary efficiency and effectiveness.

کلیدواژه‌ها [English]

  • post-traumatic stress disorder
  • Acceptance and Commitment Therapy
  • experiential avoidance
  • veterans
مراجع
American Psychiatric, A., American Psychiatric, A., & Force, D. S. M. T. (2013).  The diagnostic and statistical manual of mental disorders. DSM-5 Retrieved from http://dsm.psychiatryonline.org/book.aspx?bookid=556
Anisi, J., Akbari, F., Majdian, M., Atashkar, M., Ghorbani, Z. (2011). Standardization of mental disorders symptoms checklist 90 revised (SCL-90) in army staffs. Journal of military psychology, 2(5), 29-37. [in Persian].
Basharpoor, S., Shafiei, M., Daneshvar, S. (2015). The comparison of experimental avoidance, mindfulness and rumination in trauma-exposed individuals with and without posttraumatic stress disorder (PTSD) in an Iranian sample. Archives of Psychiatric Nursing, 29(5), 279– 283.
Batten, S. V., Hayes, S. C. (2005). Acceptance and Commitment Therapy in the Treatment of Comorbid Substance Abuse and Posttraumatic Stress Disorder. Clinical Case Studies, 4(3), 246-262.
Blackledge, J. T. (2003). An introduction to relational frame theory: Basics and Applications. The Behavior Analyst Today, 3(4), 421-433.
Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996b). Psychometric properties of the PTSD Checklist (PCL). Behavior Research Therapy, 34(8), 669-673.
Blanchard, E. B., Hickling, E. J., Taylor, A. E., Loos, W. R. (1995a). Psychiatric morbidity associated with motor vehicle accidents. Journal of Nervous Mental Disease, 183(8),495–504.
Bond, F. W., Hayes, S. C., Ruth, A. B., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., Zettle, R. D. (2011). preliminary psychometric properties of the acceptance and action questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behavior therapy, (42): 676-688.
Burrows, C. J. (2013). Acceptance and Commitment Therapy with Survivors of Adult Sexual Assault: A Case Study. Clinical Case Studies, 12(3), 246-259.
Casselman, R. B., Pemberton, J. R. (2014). ACT-Based Parenting Group for Veterans With PTSD: Development and Preliminary Outcomes. The American Journal of Family Therapy, 43(1), 57–66.
Codd, R. T., Twohig, M. P., Crosby, J. M., Enno, A. (2011). Treatment of three Anxiety Disorder Cases with Acceptance and Commitment Therapy in a Private Practice. Journal of Cognitive Psychotherapy, 25(3): 203-217.
Dalrymple, K. L., Morgan, T. A., Lipschitz, J. M., Martinez, J. H., Tepe, E., Zimmerman, M. (2014). An integrated, acceptance-based behavioral approch for depression withsocial anxiety: preliminary results. Behavior Modification. 38(4), 516-548.
Derogatis, L. R., Cleary, P. A. (1977). Confirmation of the dimensional structure of the SCL-90: a study in construct validation. J Clinical Psychology. 33, 981-989.
Dewhurst, E., Novakova, B., Reuber, M. (2015). A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy. Epilepsy and ehavior, 46, 234-241
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.
Firoozabadi, A., Asgharnejad Farid, A. A., Mirzaei, J., Shareh, H. (2010). normalization of Clinician Administered PTSD Scale-version 1 (CAPS-1) for Psychological Effects due to War. Iranian Journal of Psychiatry & Clinical Psychology,15(4), 334-342. [in Persian].
Goodarzi, M. A. (2003). Post-traumatic stress disorder scale reliability and validity Mississippi. Journal of Psychology, 7(2), 153- 177.
Gross, J. J., & Levenson, R. W. (1993). Emotional suppression: Physiology, self-report, and expressive behavior. Journal of Personality and Social Psychology, 64, 970–986
Hayes, S. C. (2004). Acceptance and Commitment Therapy, rational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639-665.
Hayes SC, Barnes-Holmes, D., Roche, B. (2001). Rational frame theory: A post- Skinnerian account of human language and cognition. New York: Kluwer Academic/Plenum Publishers.
Hayes, S., Hogan, M., Dowd, H., Doherty, E., O’Higgins, S., Gabhainn, S. N., MacNeela, P,. Murphy, A. W., Kropmans, T., O’Neil, C., Newell, J., McGuire, B. E. (2014). Comparing the clinical-effectiveness and cost-effectiveness of an internet delivered Acceptance and Commitment Therapy (ACT) intervention with a waiting list control among adults with chronic pain: study protocol for a randomised controlled trial. BMJ Open, 4(7), e005092.
Hayes, S. C., Levin, M. E., Plumb- Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and Commitment Therapy and Contextual Behavioral Science: examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy, 44(2), 180-198.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A,. Lillis J.  (2006).  Acceptance and commitment therapy: model, processes and outcomes. Behaviour and Research Therapy, 44(1), 1-25.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical psychology, 64(4), 1152–1168.
Lappalainen, P., Granlund, A., Siltanen, S., Ahonen, S., Vitikainen, M., Tolvanen, A., & Lappalainen, R. (2014). ACT Internet-based vs face-to-face? A randomized controlled trial of two ways to deliver Acceptance and Commitment Therapy for depressive symptoms: An 18- month follow-up. Behaviour Research and Therapy, 61, 43- 54
Kelly, M. M., Reilly, E. D., Ahern, M. (2020). Improving Social Support for a Veteran with PTSD Using a Manualized Acceptance and Commitment Therapy Approach. Clinical Case Studies, 19(3), 189-204.
Xue, C., Ge, Y., Tang, B., Liu, Y., Kang, P., Wang, M., & Zhang, L. (2015). A meta- analysis of risk factors for combat-related PTSD among Military Personnel and veterans. PloS One, 10(3), e0120270.
Richardson, L. K., Frueh, B. C., Acierno, R. (2010). Prevalence estimates of combat-related post-traumatic stress disorder: critical review. The Australian and New Zealand journal of psychiatry, 44(1), 4–19.
Marx, B. P., Sloan, D. M. (2005). Peritraumatic dissociation and experiential avoidance as predictors of posttraumatic stress symptomatology. Behaviour research and therpy, 43(5), 569-583.
Nemeroff, C. B., Bremner, J. D., Foa, E. B., Mayberg, H. S., North, C. S., Stein, M. B. (2006). Posttraumatic stress disorder: a state-of-the-science review. Journal of psychiatric research, 40(1), 1–21.
Nexhmedin, M., Stangier, U., Risch, A. K. (2008). Experiential Avoidance in Civilian War Survivors With Current Versus Recovered Posttraumatic Stress Disorder: A Pilot Study, Behaviour change, 25(1), 15–22.
Orsillo, S. M., & Batten, S. V. (2005). Acceptance and Commitment Therapy in the Treatment of Posttraumatic Stress Disorder. Behavior Modification, 29(1), 95-129.
Prevedini, A. B., Presti, G., Rabitti, E., Miselli, G., and Moderato, P. (2011). Acceptance and commitment therapy (ACT): the foundation of the therapeutic model and an overview of its contribution to the treatment of patients with chronic physical diseases. Giornale italiano di medicina del lavoro ed ergonomia, 33(1Suppl.A), A53–A63.
Twohig, M. P. (2009). Acceptance and Commitment Therapy for Treatment-Resistant Posttraumatic Stress Disorder: A Case Study. Cognitive and Behavioral Practice, 16(3), 243-252.
Plumb, J. C., Orsillo, S. M., & Luterek, J. A. (2004). A preliminary test of the role of experiential avoidance in post-event functioning. Journal of Behavior Therapy and Experimental Pschiatry, 35(3), 245-257.
Spatola,C. A., Manzoni, G. M., Castelnuovo, G., Malfatto, G., Facchini, M.,Goodwin, C. L., Baruffi, M., Molinari, E. (2014b). The ACT on HEART study: rationale and design of a randomized controlled clinical trial comparing a brief intervention based on acceptance and commitment therapy to usual secondary prevention care of coronary heart disease. Health and Quality of Life Outcomes, 12(1), 22.
Thompson, B. L., & Waltz, J. (2010). Mindfulness and experiential avoidance as predictors of posttraumatic stress disorder avoidance symptom. Journal of Anxiety Disorders, 24(4), 409-415.
Tull, M. T., Gratz, K. L., Salter, K., & Roemer, L. (2004). The role of experiential avoidance in posttraumatic stress symptoms and symptoms of depression, anxiety, and somatization. The Journal of Nervous and Mental Disorder, 192(11), 754–761.
Twohig, M. P. (2012). Acceptance and Commitment Therapy: Introduction. Cognitive and Behavioral Practice, 19(4), 499–507.
Twohig, M. P. (2009). Acceptance and Commitment Therapy for Treatment-Resistant Posttraumatic Stress Disorder: A Case Study. Cognitive and Behavioral Practice, 16(3), 243-252.
Vujanovic, A. A., Youngwirth, N. E., Johnson, K. A., Zvolensky, M. J. (2009). Mindfulness-Based Acceptance and Posttraumatic Stress symptoms among Trauma-Exposed Adults without Axis I Psychopathology. Journal of Anxiety Disorder, 23(2), 297-303.
Walser, R. D., & Westrup, D. (2007). Acceptance and Commitment Therapy for the Treatment of Posttraumatic Stress Disorder & Trauma-Related Problems. Oakland, CA: New Harbinger.
Warnke, A. S., Nagy, S. M., Pickett, S. M., Jarrett, N. L., & Hunsanger, J. A. (2018). The examination of behavior inhibition system sensitivity, experiential avoidance, and sex in relation to post-traumatic stress symptom severity: Comparison of a moderated versus mediated model. Personality and Individual Differences, 132, 60–65.
Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T.  M. (2013). The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). The CAPS-5 is available from the National Center for PTSD at www. Ptsd.va.gov.
Weathers, F.W., Litz, B.T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www. Ptsd.va.gov.
Weathers, F.W., Ruscio, A. M., Keane, T. M. (1999). Psychometric properties of nine scoring rules for the Clinician-Administered Posttraumatic Stress Disorder Scale. Psychological Assessment, 11(2) ,124–133.
Weineland, S., Arvidsson, D., Kakoulidis, T. P.,and Dahl, J. (2012). Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT. Obesity research & clinical practice. 6(1), 21-30.
White, R., Gumley, A., McTaggart, J., Rattrie, L., McConville, D., Cleare, S., & Mitchell, G. (2011). A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis. Behaviour Research and Therapy, 49(12), 901-907.
Williams, L. M. (2006). Acceptance and commitment therapy: An example of third-wave therapy as a treatment for Australian Vietnam War veterans with posttraumatic stress disorder (A Dissertation for Master of Psychology), Bathurst: Charles Sturt University.
Woidneck, M. R., Morrison, K. L., Twohig, M. P. (2014). Acceptance and Commitment Therapy for the Treatment of Posttraumatic stress Among Adolescents. Behavior Modification, 38(4), 451-476.
مطالعات روان‌شناسی بالینی
دوره 15، شماره 54
فروردین 1403
صفحه 45-54
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هم رسانی
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