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比较基于接纳的行为疗法与应用放松疗法在广泛性焦虑障碍中对内部体验接纳度、参与有价值行动的程度及生活质量的有效性。

Comparing the effectiveness of acceptance-based behavior therapy and applied relaxation on acceptance of internal experiences, engagement in valued actions and quality of life in generalized anxiety disorder.

作者信息

Zargar Fatemeh, Farid Ali Asghar Asgharnejad, Atef-Vahid Mohammad-Kazem, Afshar Hamid, Omidi Abdollah

机构信息

Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, Iran.

出版信息

J Res Med Sci. 2013 Feb;18(2):118-22.

Abstract

BACKGROUND

Acceptance-based behavior therapy (ABBT) was developed based on the theory that generalized anxiety disorder (GAD) is maintained through a reactive and fused relationship with internal experiences and a tendency toward experiential avoidance and behavioral restriction. ABBT specifically targets these elements. Here, we aimed to compare ABBT to the applied relaxation (AR), which is the most utilized psychological therapy for GAD.

MATERIALS AND METHODS

This study was a randomized clinical trial study. The sample included 18 GAD patients who were referred by an expert psychiatrist to Psychosomatic Research Center of Isfahan University of Medical Sciences. Patients were assigned into two groups (ABBT and AR group). Both groups received routine drug therapies by psychiatrists. The ABBT and AR were applied in 12 weekly sessions. The instruments used in the study included Valued Living Questionnaire, Action, and Acceptance Questionnaire, and Short-Form Health Survey-12 revised Version (SF-12V2). The data were analyzed using the multivariate analysis of variance.

RESULTS

No significant differences were found between ABBT and AR groups in their acceptance of internal experiences, engagement in meaningful activities and quality of life (P > 0.05).

CONCLUSION

The current study compared ABBT to the most utilized psychological therapy for GAD; i.e., AR. ABBT and AR have similar efficacy on acceptance of internal experiences, valued actions and quality of life.

摘要

背景

基于接纳的行为疗法(ABBT)是基于这样一种理论发展而来的,即广泛性焦虑症(GAD)是通过与内在体验的反应性和融合性的关系以及体验性回避和行为限制的倾向来维持的。ABBT专门针对这些因素。在此,我们旨在将ABBT与应用放松疗法(AR)进行比较,AR是治疗GAD最常用的心理疗法。

材料与方法

本研究为随机临床试验研究。样本包括18名由精神科专家转介至伊斯法罕医科大学身心研究中心的GAD患者。患者被分为两组(ABBT组和AR组)。两组均接受精神科医生的常规药物治疗。ABBT和AR均在每周12次的疗程中应用。本研究中使用的工具包括《有价值生活问卷》《行动与接纳问卷》以及简明健康调查12修订版(SF - 12V2)。数据采用多变量方差分析进行分析。

结果

ABBT组和AR组在对内在体验的接纳、参与有意义活动和生活质量方面没有显著差异(P > 0.05)。

结论

本研究将ABBT与治疗GAD最常用的心理疗法即AR进行了比较。ABBT和AR在对内在体验的接纳、有价值的行动和生活质量方面具有相似的疗效。

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