Zargar Fatemeh, Asgharnejad Farid Ali Asghar, Atef-Vahid Mohammad-Kazem, Afshar Hamid, Maroofi Mohsen, Omranifard Victoria
Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, Iran.
Mental Health Research Center and Tehran Psychiatric Institute, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Psychiatry Behav Sci. 2012 Fall;6(2):23-32.
Acceptance-based behavior therapy (ABBT) is a new psychotherapy for generalized anxiety disorder (GAD). The current study intended to compare severity of symptoms, worry and quality of life of GAD female patients between ABBT and control.
This study was a randomized clinical trial. The sample included 18 women with GAD referred to psychiatrists in Isfahan, Iran. Patients were assigned in 2 groups randomly (ABBT and control group without any psychotherapy). Both groups received medication. The intervention in ABBT group was conducted based on Roemer & Orsillo's manual for Acceptance-based Behavior Therapy for GAD. 12 therapeutic sessions administered in Shariati psychiatric clinic of Isfahan. The instruments included the GAD-7 Inventory, Penn State Worry Questionnaire (PSWQ) and Short Form Health Survey -12 revised Version (SF-12V2). The data were analyzed using the Multivariate Analysis of Variance (MANCOVA).
Overall, clients receiving ABBT compared to control group reported a significantly decrease in severity of GAD symptoms, and improve in quality of life at post- treatment state. They reported decrease in severity of worry but it was not statistically significant compared to control group. Conclusion : ABBT was effective in alleviating symptoms of GAD.
基于接纳的行为疗法(ABBT)是一种针对广泛性焦虑症(GAD)的新型心理疗法。本研究旨在比较接受ABBT治疗的GAD女性患者与对照组在症状严重程度、担忧程度和生活质量方面的差异。
本研究为随机临床试验。样本包括18名转诊至伊朗伊斯法罕精神科医生处的患有GAD的女性。患者被随机分为两组(ABBT组和不接受任何心理治疗的对照组)。两组均接受药物治疗。ABBT组的干预基于Roemer和Orsillo的《基于接纳的广泛性焦虑症行为治疗手册》进行。在伊斯法罕的沙里亚蒂精神病诊所进行了12次治疗。所使用的工具包括GAD - 7量表、宾夕法尼亚州立大学担忧问卷(PSWQ)和简短健康调查问卷 - 12修订版(SF - 12V2)。数据采用多变量协方差分析(MANCOVA)进行分析。
总体而言,与对照组相比,接受ABBT治疗的患者在治疗后状态下报告GAD症状严重程度显著降低,生活质量有所改善。他们报告担忧程度有所降低,但与对照组相比无统计学意义。结论:ABBT在减轻GAD症状方面有效。