The Effects of Acceptance and Commitment Therapy on Anxiety and Depression in Patients with Asthma
Effect of ACT on anxiety and depression in patients with asthma
Background: Asthma is one of the major prevalent chronic illnesses in the world, and it can lead to psychological disorders. The current research aimed to examine the effects of acceptance and commitment therapy (ACT) on anxiety and depression of patients with asthma.
Methods: The current research was a randomized clinical trial with pre-test, post-test, and follow-up stages. The statistical population included 827 patients with asthma referred to Baghdad Allergy Institute, Baghdad, Iraq, in 2022. Using simple random sampling, 120 people were chosen and separated into both experimental and control groups. The Beck Depression Inventory (BDI-II) and Beck Anxiety Inventory (BAI) were utilized to collect data. Data were analyzed utilizing the chi-square test, independent t-test, two-way repeated measures analysis of variance (ANOVA), and Bonferroni post hoc test via SPSS software, with the statistical significance level equal to 0.05.
Results: ACT was effective on the anxiety (F = 9.74, P < 0.001) and depression (F = 10.24, P < 0.001) of patients with asthma.
Conclusion: It can be concluded that ACT has decreased anxiety and depression in patients with asthma. Consequently, hospital medical staff must pay special attention to ACT.
Ataie Moghanloo, V., Ataie Moghanloo, R., & Moazezi, M. (2015).. Effectiveness of Acceptance and Commitment Therapy for Depression, Psychological Well-Being and Feeling of Guilt in 7 - 15 Years Old Diabetic Children. Iran J Pediatr., 25(4), e2436. doi:10.5812/ijp.2436 [doi]. Retrieved from PM:26396702
Bahramiabdolmalaki, S., Homayouni, A., & Aliyali, M. (2021). Effectiveness of Acceptance and Commitment Therapy on Resilience, Psychological Well-Being, and Life Expectancy in Asthmatic Patients. Toloo-e-Behdasht, 2021, 20(1), 55-68.
Bardhoshi, G., Duncan, K., & Erford, B. T. (2016). Psychometric meta-analysis of the English version of the Beck Anxiety Inventory. J Couns Dev, 94(3), 356-373. doi:10.1002/jcad.12090. doi:doi:10.1002/jcad.12090 [doi].
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. J Consult.Clin Psychol, 56(6), 893-897. doi:10.1037//0022-006x.56.6.893 [doi]. Retrieved from PM:3204199
Beck, A. T., Steer, R. A., & Brown, G. (1987). Beck depression inventory. New York, NY: Harcourt Brace Jovanovich.
Beck, A. T., Steer, R. A., & Brown, G. (1996). Beck depression inventory II. San Antonio, TX: Psychological Corporation.
Casey, M. B., Smart, K., Segurado, R., Hearty, C., Gopal, H., Lowry, D. et al. (2018). Exercise combined with Acceptance and Commitment Therapy (ExACT) compared to a supervised exercise programme for adults with chronic pain: study protocol for a randomised controlled trial. Trials., 19(1), 194. doi:10.1186/s13063-018-2543-5 [pii];2543 [pii];10.1186/s13063-018-2543-5 [doi]. Retrieved from PM:29566744
Chong, Y. Y., Mak, Y. W., Leung, S. P., Lam, S. Y., & Loke, A. Y. (2019). Acceptance and Commitment Therapy for Parental Management of Childhood Asthma: An RCT. Pediatrics, 143(2). doi:peds.2018-1723 [pii];10.1542/peds.2018-1723 [doi]. Retrieved from PM:30659063
Chong, Y. Y., Mak, Y. W., & Loke, A. Y. (2020). The role of parental psychological flexibility in childhood asthma management: An analysis of cross-lagged panel models. J Psychosom.Res, 137, 110208. doi:S0022-3999(20)30770-4 [pii];10.1016/j.jpsychores.2020.110208 [doi]. Retrieved from PM:32798834
Çiçek Gümüº, E., & Oncel, S. (2022). Effects of Acceptance and Commitment Therapy-based interventions on the mental states of parents with special needs children: Randomized controlled trial. Curr Psychol, 42, 19429–19442. doi: 10.1007/s12144-022-03760-1 [doi].
Ebrahimi, A., Nasiri-Dehsorkhi, H., Hosseini, S. M., Afshar-Zanjani, H., & Schroeder, J. (2021). Psychosomatic symptoms, depression, and anxiety among parents and caregivers of people with disability. Int J Body Mind Culture, 8(2), 126-134. doi: 10.22122/ijbmc.v8i2.267 [doi].
Esser, K., Barreira, L., Miller, D., Church, P., Major, N., Cohen, E. et al. (2021). Exploring Acceptance and Commitment Therapy for parents of preterm infants. Paediatr.Child.Health, 26(1), e1-e3. doi:pxaa003 [pii];10.1093/pch/pxaa003 [doi]. Retrieved from PM:33552323
Fadhil, A. A., Kadhim, Q. K., Shakir, A., Alaraji, M. K., Hussein, H. A., & Yousuf, L. M. (2023). The effectiveness of acceptance and commitment therapy on distress tolerance and death anxiety in patients with lung cancer. Int J Body Mind Culture, 9(sp), 82-91. doi: 10.22122/ijbmc.v9isp.422 [doi].
Ferreira, M. G., Mariano, L. I., Rezende, J. V., Caramelli, P., & Kishita, N. (2022). Effects of group Acceptance and Commitment Therapy (ACT) on anxiety and depressive symptoms in adults: A meta-analysis. J Affect.Disord., 309, 297-308. doi:S0165-0327(22)00478-5 [pii];10.1016/j.jad.2022.04.134 [doi]. Retrieved from PM:35489560
Ferreira, N. B., Gillanders, D., Morris, P. G., & Eugenicos, M. (2018). Pilot study of acceptance and commitment therapy for irritable bowel syndrome: A preliminary analysis of treatment outcomes and processes of change. Clin Psychol, 22(2), 241-250. doi: 10.1111/cp.12123 [doi].
French, K., Golijani-Moghaddam, N., & Schr+¦der, T. (2017). What is the evidence for the efficacy of self-help acceptance and commitment therapy? A systematic review and meta-analysis. J Context Behav Sci, 6(4), 360-374. doi: 10.1016/j.jcbs.2017.08.002 [doi]..
Graham, C. D., Gouick, J., Krahe, C., & Gillanders, D. (2016). A systematic review of the use of Acceptance and Commitment Therapy (ACT) in chronic disease and long-term conditions. Clin Psychol Rev., 46, 46-58. doi:S0272-7358(15)30112-4 [pii];10.1016/j.cpr.2016.04.009 [doi]. Retrieved from PM:27176925
Gueserse, M., Zali, A., Hassanzadeh, S., Hatami, M., & Ahadi, M. (2022). A comparative study of the effectiveness of acceptance and commitment therapy and transcranial direct current stimulation on anxiety, depression, and physical symptoms of individuals suffering from chronic Pain. Int J Body Mind Culture, 9(1), 11-21. doi: 10.22122/ijbmc.v9i1.336 [doi].
Han, A., Yuen, H. K., & Jenkins, J. (2021). Acceptance and commitment therapy for family caregivers: A systematic review and meta-analysis. J Health Psychol, 26(1), 82-102. doi:10.1177/1359105320941217 [doi]. Retrieved from PM:32659142
Han, A., Yuen, H. K., Lee, H. Y., & Zhou, X. (2020). Effects of acceptance and commitment therapy on process measures of family caregivers: A systematic review and meta-analysis. J Context Behav Sci, 18, 201-213. doi: 10.1016/j.jcbs.2020.10.004 [doi].
Joharifard, R., Nouri, R., Hazrati, S., & Fekryan-Arani, S. (2022). Effectiveness of acceptance and commitment therapy on COVID-19 induced anxiety among worried people. Int J Body Mind Culture, 9(2), 97-105. doi: doi.org/10.22122/ijbmc.v9i2.350 [doi].
Lappalainen, P., Langrial, S., Oinas-Kukkonen, H., Tolvanen, A., & Lappalainen, R. (2015). Web-based acceptance and commitment therapy for depressive symptoms with minimal support: a randomized controlled trial. Behav Modif., 39(6), 805-834. doi:0145445515598142 [pii];10.1177/0145445515598142 [doi]. Retrieved from PM:26253644
Li, H., Wong, C. L., Jin, X., Chen, J., Chong, Y. Y., & Bai, Y. (2021). Effects of acceptance and commitment therapy on health-related outcomes for patients with advanced cancer: A systematic review. Int J Nurs Stud., 115, 103876. doi:S0020-7489(21)00008-0 [pii];10.1016/j.ijnurstu.2021.103876 [doi]. Retrieved from PM:33517079
Meuret, A. E., Tunnell, N., & Roque, A. (2020). Anxiety disorders and medical comorbidity: treatment implications. Adv.Exp.Med Biol, 1191, 237-261. doi:10.1007/978-981-32-9705-0_15 [doi]. Retrieved from PM:32002933
Moazzezi, M., Ataie, M., V, Ataie, M. R., & Pishvaei, M. (2015). Impact of acceptance and commitment therapy on perceived stress and special health self-efficacy in seven to fifteen-year-old children with diabetes mellitus. Iran J Psychiatry Behav Sci, 9(2), 956. doi:10.17795/ijpbs956 [doi]. Retrieved from PM:26288639
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. Behav Ther, 45(5), 664-677. doi:S0005-7894(14)00073-2 [pii];10.1016/j.beth.2014.04.006 [doi]. Retrieved from PM:25022777
O'Hayer, C. V., O'Loughlin, C. M., Nurse, C. N., Smith, P. J., & Stephen, M. J. (2021). ACT with CF: A telehealth and in-person feasibility study to address anxiety and depressive symptoms among people with cystic fibrosis. J Cyst.Fibros., 20(1), 133-139. doi:S1569-1993(20)30919-X [pii];10.1016/j.jcf.2020.11.013 [doi]. Retrieved from PM:33279467
Parmar, A., Esser, K., Barreira, L., Miller, D., Morinis, L., Chong, Y. Y. et al. (2021). Acceptance and commitment therapy for children with special health care needs and their parents: A systematic review and meta-analysis. Int J Environ Res Public.Health, 18(15). doi:ijerph18158205 [pii];ijerph-18-08205 [pii];10.3390/ijerph18158205 [doi]. Retrieved from PM:34360497
Rostami, M., Moheban, F., Davoudi, M., Heshmati, K., & Taheri, A. A. (2022). Current status and future trends of acceptance and commitment therapy (act) for smoking cessation: a narrative review with specific attention to technology-based interventions. Addict.Health, 14(3), 229-238. doi:10.34172/ahj.2022.1225 [doi]. Retrieved from PM:36544979
Ruiz, F. J., Luciano, C., Florez, C. L., Suarez-Falcon, J. C., & Cardona-Betancourt, V. (2020). A multiple-baseline evaluation of acceptance and commitment therapy focused on repetitive negative thinking for comorbid generalized anxiety disorder and depression. Front Psychol, 11, 356. doi:10.3389/fpsyg.2020.00356 [doi]. Retrieved from PM:32231614
Sharbafchi, M. R., Afshar-Zanjani, H., & Rostami, H. (2020). Formulation and testing of a model of the relationship between psychological characteristics of depression, anxiety, and stress, and physical complaints of the staff of a military unit in Tabriz, Iran, with the mediating role of chronic fatigue. Int J Body Mind Culture, 7(2), 51-61. doi: 10.22122/ijbmc.v7i2.210 [doi].
Storch, E. A., Roberti, J. W., & Roth, D. A. (2004). Factor structure, concurrent validity, and internal consistency of the Beck Depression Inventory-Second Edition in a sample of college students. Depress.Anxiety., 19(3), 187-189. doi:10.1002/da.20002 [doi]. Retrieved from PM:15129421
Vakilian, K., Zarei, F., & Majidi, A. (2019). Effect of acceptance and commitment therapy (ACT) on anxiety and quality of life during pregnancy: a mental health clinical trial study. Iran Red Crescent Med J, 21(8), e89489. doi: 10.5812/ircmj.89489 [doi].
Wicksell, R. K., Dahl, J., Magnusson, B., & Olsson, G. L. (2005). Using acceptance and commitment therapy in the rehabilitation of an adolescent female with chronic pain: A case example. Cogn Behav Pract, 12(4), 415-423. doi: 10.1016/S1077-7229(05)80069-0 [doi].
Wynne, B., McHugh, L., Gao, W., Keegan, D., Byrne, K., Rowan, C. et al. (2019). Acceptance and commitment therapy reduces psychological stress in patients with inflammatory bowel diseases. Gastroenterology., 156(4), 935-945. doi:S0016-5085(18)35278-8 [pii];10.1053/j.gastro.2018.11.030 [doi]. Retrieved from PM:30452919
Zargar, F., Rabiei, M., Naderi, Z., Tarrahi, M. J. (2022). The effect of group acceptance and commitment therapy on the management of asthma: A randomized clinical trial. Iran J Psychiatry Behav Sci. 2022;16(1):e114534. doi: 10.5812/ijpbs.114534 [doi].
Zemestani, M., & Mozaffari, S. (2020). Acceptance and commitment therapy for the treatment of depression in persons with physical disability: a randomized controlled trial. Clin Rehabil, 34(7), 938-947. doi:10.1177/0269215520923135 [doi]. Retrieved from PM:32476482
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