Volume 23, Issue 1 (Iranian South Medical Journal 2020)                   Iran South Med J 2020, 23(1): 56-69 | Back to browse issues page


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Rostami M, Keykhosrovani M, Poladi Rishehri A, Bahrani M R. Effectiveness of Treatment Based on Acceptance and Commitment Therapy versus Training Coping Strategies on Anxiety and Despair of Mothers of Children with Autistic Spectrum Disorder. Iran South Med J 2020; 23 (1) :56-69
URL: http://ismj.bpums.ac.ir/article-1-1243-en.html
1- Department of Psychology, School of Humanities, Bushehr Branch, Islamic Azad Univercity, Bushehr, Iran
2- Department of Psychology, School of Humanities, Bushehr Branch, Islamic Azad Univercity, Bushehr, Iran , moloud.keykhosrovani@gmail.com
Abstract:   (3932 Views)
Background: The birth of a child with authistic spectrum disorder is a challenge to the family, especially to mothers. The purpose of this research was to compare the effectiveness of acceptance commitment therapy and coping strategies in decreasing anxiety and despair in mothers of children with autism.
Materials and Methods: This qausi-experimental multigroup pre-test, post-test design with a control group enrolled 30 mothers of children with autism who were being treated in teaching-treatment centers of Booshehr city using convenience sampling. They were randomly classified into three groups. The experimental groups participated in eight sessions of 90 minutes in 8 weeks, while the control group did not receive any
interventions. Beck Anxiety Inventory and Beck Hopelessness Scale were used to collect research data. The collected data were analyzed by multivariate analysis of covariance and Tukey post hoc test.
Results: Results showed that acceptance commitment therapy and training coping strategies significantly decreased anxiety and despair in mothers in the experimental groups compared to those in the control group (p<0.01), but the decrease was not significant in the follow-up stage. Tukey's test showed acceptance commitment therapy was significantly more effective for anxiety than training coping strategies in the
post-test (p<0.01).
Conclusion: Our findings showed that both treatments were effective in decreasing anxiety and despair. Hence, therapists can use these two therapeutic and training approaches, especially acceptance commitment therapy, which is a new wave of cognitive – behavioral therapy.
 
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Type of Study: Original | Subject: Clinical Laboratory Pathology
Received: 2019/08/21 | Accepted: 2019/11/3 | Published: 2020/03/28

References
1. Centers for Disease Control and Prevention. Prevalence of Autism Spectrum DisordersAutism and Developmental Disabilities monitoring network,14 sites, United States, 2008. MMWR Surveill Summ 2012; 61(3): 1-19. [Link]
2. Kuhn JC, Carter AS. Maternal Self Efficacy and Associated Parenting Cognitions among Mothers of Children with Autism. Am J Orthopsychiatry 2006; 76(4): 564-75. [DOI:10.1037/0002-9432.76.4.564]
3. Osborne LA, Reed P. Stress and Self Perceived Parenting Behaviors of Parents of Children with Autistic Spectrum Con ditions. Res Autism Spect Dis 2010; 4(3): 405-14. [DOI:10.1016/j.rasd.2009.10.011]
4. Eisenhower AS, Baker BL, Blacher J. Preschool Children with Intellectual Disability: Syndrome Specificity, Behavior Problems, and Maternal Well-being. J Intellect Disabil Res 2005; 49(9): 657-71. [DOI:10.1111/j.1365-2788.2005.00699.x]
5. Mohammadi-Zade A, Pooretemad H, Maleck KG. The Primary Examination of Effect of Guided Imagination by Music on Reduction of Depression, Anxiety, & Stress in Mothers with Autistic Children. J Res Fam 2005; 2(3): 289-92. (Persian) [Google Scholar]
6. Narimani M, Aghamhamadian H, Rajabi S. Mental Health Of Mothers Of Exceptional Children With Mothers Of Children. J Mental Health 2008; 33: 15-24. (Persian)
7. Shieve LA, Blumberg SJ, Rice C, et al. The Relationship between Autism and Parenting Stress. Pediatrics 2007; 119(Suppl 1): 114-21. [DOI:10.1542/peds.2006-2089Q]
8. Gupta A, Singhl N. Positive Perceptions in Parents of Children with Disability. Asia Pacif Disabil Rehabil J 2004; 15(1): 22-34. [Google Scholar]
9. Mohammadkhani P, Rezaeidoganeh E. Manual Of Diagnostic And Treatment Evaluation, Thoughts And Suicidal Behavior Of Children And Adults. 1st ed. Tehran: Publication Of Wellbeing Sciences And Rehabilitation, 2005. (Persian)
10. Lazarus RS. From Psychological Stress to the Emotions: A History of Changing Outlooks. Annu Rev Psychol 1993; 44: 1-21. [DOI:10.1146/annurev.ps.44.020193.000245]
11. Folkman S, Lazarus R. Stress Appraisal And Coping.1st ed. New York: Springer, 1984.
12. Bashir Poor S, Abasi A, Abolghasemi A. The effective Of Teaching Cognitive- Behavioral Coping Strategies And Emotional Regulation On Decreasing Despair, Happiness And Self- Esteem Of Idle And Bad Supervision Children And Adolescents. Clin Psycho Couns 2015; 5(1): 70-85. (Persian)
13. Sarabi Jamab M, Hassan Abadi H, Mashhadi A, et al. The effectiveness of Parent Training on Self- efficacy of Mothers of Children with Autism. J Fundamental Ment Health 2011; 13(49): 84-93. (Persian) [Link]
14. Valizadeh S, Davoudi Far A, Berdi Ozouni Davaji R, et al. Coping Skills Training On The Stress And Despair Of Mothers Of Mentally Retarded Children. J Except Child 2010; 10(3): 237-44. (Persian) [Google Scholar]
15. Hayes SC, Strosahl KD. A Practical Guide to Acceptance and Commitment Therapy. New York: Springer Science and Business Media Inc, 2010.
16. Hayes SC. Acceptance and Commitment Therapy , Relational Frame Theory and the Third Wave of Behavioral and Cognitive Therapies. Behav Ther 2004; 35(4): 639-65. [DOI:10.1016/S0005-7894(04)80013-3]
17. Blueti EJ, Homan KJ, Morrison KL, et al. Acceptance and Commitment Therapy for Anxiety and OCD Spectrum Disorders: An Empirical Review. J Anxiety Disord 2014; 28(6): 612-24. [DOI:10.1016/j.janxdis.2014.06.008]
18. Yadavaia JE, Hayes SC, Vilardaga R. Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial. J Contextual Behav Sci 2014; 3(4): 248-57. [DOI:10.1016/j.jcbs.2014.09.002]
19. Taghvaei D, Jahangiri MM, Zarebidaki Z. Effectiveness of Acceptance and Commitment Therapy on Psychological Flexibility and Health Promotion Among Mothers with Autistic Children. Iran J Health Educ Health Promot 2019; 7(2):143-153. (Persian) [DOI:10.30699/ijhehp.7.2.143]
20. Abedizadeh Z, Kad Khoda H, Rahimi Manesh N. Determining The Effectiveness Of Based On Acceptance And Commitment Group Training On The Parent- Child Attitude Mothers Of Autistic Children. Third International Conference On Research In Psychology, Counseling And Educational Sciences. 2019 May. Theran, Iran.
21. Zeidan F, Johnson SK, Diamond BJ, et al. Mindfulness Meditation Improves Cognition: Evidence of Brief Mental Training. Conscious Cogn 2010; 19(2): 597-605. [DOI:10.1016/j.concog.2010.03.014]
22. Brinkborg H, Michanek J, Hesser H, et al. Acceptance and Commitment Therapy for the Treatment of Stress among Social Workers: A Randomized Controlled Trial. Behav Res Ther 2011; 49(6-7): 389-98. [DOI:10.1016/j.brat.2011.03.009]
23. Flaxman PE, Bond FW. A Randomized Worksite Comparison of Acceptance and Commitment Therapy and Stress Inoculation Training. Behav Res Ther 2010; 48(8): 816-20. [DOI:10.1016/j.brat.2010.05.004]
24. Eifert GH, Forsyth JP, Arch J, et al. Acceptance and Commitment Therapy for Anxiety Disorders: Three Case Studies Exemplifying a Unified Treatment Protocol. Cogn Behav Pract 2009; 16(4): 368-85. [DOI:10.1016/j.cbpra.2009.06.001]
25. Bohlmeijer E, Prenger R, Taal E, et al. The Effects of Mindfulness-Based Stress Reduction Therapy on Mental Health of Adults with a Chronic Medical Disease: A Meta-Analysis. J Psychosom Res 2010; 68(6): 539-44. [DOI:10.1016/j.jpsychores.2009.10.005]
26. Goldin PR, Gross JJ. Effects of Mindfulness Based Stress Reduction (MBSR) on Emotion Regulation in Social Anxiety Disorder. Emotion 2010; 10(1): 83-91. [DOI:10.1037/a0018441]
27. Ahmadishorek Tokanlo A. Effectiveness Of Group Therapy Based On Acceptance- Commitment On Decreasing Despair Psychological Distress And Mental Fatigue Of Lobos [dissertation]. Mashhad: Ferdowsi Univ, 2016. (Persian)
28. Poorfaraj omran M. The Effectiveness of Acceptance and Commitment Group Therapy in Social Phobia of Students. J Knowl Health Basic Med Sci 2011; 6(2): 1-5. (Persian)
29. Hoffmann D, Halsboe L, Eilenberg T, et al. A Pilot Study of Processes of Change in Group-Based Acceptance and Commitment Therapy for Health Anxiety. J Contextual Behav Sci 2014; 3(3): 189-95. [DOI:10.1016/j.jcbs.2014.04.004]
30. Dehghani S, Izadikhah Z, Mohammadtaghi Nasab M, et al. The Path Analysis of Early Maladaptive Schemas, Coping Strategies and Mental Quality of Life. J Res Behave Sci 2014; 12(1): 1-8. (Persian) [Link]
31. Forman EM, Herbert JD. New Directions in Cognitive Behavior Therapy; Applying Empirically Supported Treatment in your Practice. In:O'donohue WT, Fisher JE, editors. 2 nd ed. New York: Wiley, 2008, 263-5.

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