Volume 29, Issue 3 (5-2022)
RJMS 2022, 29(3): 194-202 |
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Research code: 01
Ethics code: 01
Clinical trials code: 01
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Khalilizadeh Mahani F, Mohammad Khani P, Abuei A. The Effectiveness of Acceptance and Commitment Therapy (ACT) on Symptoms of Grief and Emotional Distress caused by Corona in First-Degree Survivors. RJMS 2022; 29 (3) :194-202
URL: http://rjms.iums.ac.ir/article-1-8653-en.html
URL: http://rjms.iums.ac.ir/article-1-8653-en.html
Department of Psychology, Yazd Branch, University of Science and Art affiliated to Academic Jihad, Yazd, Iran. , parmohamir@yahoo.com
Abstract: (397 Views)
Background & Purpose: The novel coronavirus that is responsible for the disease COVID-19 has shown severe disease and has quickly become an unprecedented global issue that has not only resulted in many deaths, but also psychological, psychiatric, and relational it also had an economic impact. Therefore, the present study is looking for the effectiveness of acceptance and commitment therapy (ACT) on the symptoms of grief and emotional distress caused by Corona in first-degree survivors in the hospitals of Kerman City in the year 2022. Methods: This research is applied in terms of purpose and of quasi-experimental type (two-group design with pre-test and post-test). The statistical population of the research includes all first-degree survivors of people who died due to COVID-19, whose names were included in the list of deaths due to coronavirus in the hospitals of Kerman City, and the period of three months to one year had passed since their death, and the target sample was Using available sampling method, 30 people were selected. The tools of this research were the bereavement questionnaire of Hogan et al. (2001) and the emotional distress questionnaire of Codington et al. (2020). The data analysis of this research was done using multivariate covariance analysis. Results: statistical data shows that there was a significant difference between the experimental group and the control group in terms of grief symptoms in the post-intervention phase, it reduced grief symptoms and emotional distress by and 19% difference in grief symptoms and 16 A percentage difference in emotional distress can be explained by acceptance and commitment therapy (ACT). Conclusion: Treatment based on commitment and acceptance, focusing on acceptance and mindfulness techniques, increases acceptance in subjects who are bereaved and makes subjects accept loss as a part of life and less involved in thoughts of failure. Become the breakdown begins when subjects recognize a thought only as a thought and not as something to believe or act upon. When unrealistic thoughts are considered, each subject is encouraged to act on values instead of reacting to many negative thoughts that are subjective. Also, this treatment helps subjects contextualize themselves against Observing interpersonal problems. This perspective helps subjects end conflicts. Because other subjects help in ending conflicts. Because the subjects no longer imagine themselves in an inescapable war where they have no choice but to fight. ACT teaches students to get out of this field by encouraging them to consider themselves as context. According to this method of therapy, the person must be able to understand uncomfortable or unpleasant experiences and contact some aspects of the situation, act effectively despite the uncomfortable experiences. ACT teaches subjects the techniques of moving despite obstacles. By learning these techniques, subjects' acceptance increases and they become aware of their reactions in the continuum of distress and learn to be observers of their negative reactions. So leave these reactions. By increasing the amount of acceptance, the compatibility of the subject increases, and it seems obvious that the treatment based on acceptance and commitment by taking the techniques of mindfulness, acceptance, and disconnection can help the subjects to increase the acceptance of grief and loss, also this treatment increases Growth after mourning has been effective. Most subjects become increasingly inflexible due to past grief and subsequent experiential avoidance in an attempt to manage and control unwanted internal reactions to thoughts associated with these conditions and often resort to avoiding these conditions altogether. One of the main goals of ACT is to help subjects act in ways consistent with their values. This component of therapy helps subjects clarify their personal and relational values. Once values are clarified and discussed, the concept of committed action is introduced. Committed action involves taking steps to realize the goals of a value-oriented life. Subjects in this study committed to behavioral goals based on their known values using weekly committed action worksheets that are related to values and identifying possible barriers to action. In the ACT, subjects are asked to act in a way that is consistent with their values, even if they do so in the presence of unpleasant thoughts and feelings. By acting according to these principles, the subjects move towards growth according to the set goals and learn more flexible methods in response to the challenges they face. The set of these actions in the therapy based on commitment and acceptance helps to increase the growth after passing the mourning period of the subjects and committing to act in the direction of values. It can also be said that in this treatment, the purpose of emphasizing people's desire for internal experiences was to help them experience their disturbing thoughts only as a thought and to become aware of the ineffective nature of their current program instead of responding to That is, to do what is important to them in life and line with their values. Here, by substituting themselves as the context, the clients were able to strengthen the observer self instead of the conceptualized self, accept internal events instead of controlling them, declare their values , and address them. In this treatment, people learn to accept their feelings until they distance themselves from them and pay more attention to their thoughts and thought processes through mindfulness and connect them to goal-oriented activities. In short, acceptance and commitment therapy tries to teach people to experience their thoughts and feelings; Instead of trying to stop them, people are asked to work towards their goals and values and to experience their thoughts and feelings. By using this treatment, it is possible to reduce experiential avoidance in these nurses, which will ultimately result in increased life expectancy, adaptation to work conditions, better relationships with others, and increased responsibility. |
Type of Study: Research |
Subject:
Clinical Psychiatry
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